Associated Podiatric Physicians, PA
Donald C. Manger, DPM
Donald C. Manger, DPM
(609) 586-7111
1300 S. Olden Ave | Hamilton, NJ 08610
1300 S. Olden Ave | Hamilton, NJ 08610
Flat feet is a common foot condition where young people typically have no painful symptoms, but may develop as they age. Flat feet may also be referred to as fallen arches, and commonly develop due to an inherited gene. The arch in the foot is not present or minimal, which causes the foot to lie flat against the floor while standing. The foot is comprised of 26 bones, in addition to numerous muscles and tendons. While walking, gravity from the weight of the body may cause pressure, often resulting in muscle imbalance, which may affect the arch of the foot. Age may also play a role in developing flat feet because the tendons surrounding the ankles may weaken, possibly causing the arches to fall. If you experience this condition, there are stretching exercises that can be performed to aid in preventing future foot issues from occurring. Please consider a consultation with a podiatrist if any pain is experienced for a proper diagnosis and treatment.
Flatfoot is a condition many people suffer from. If you have flat feet, contact Dr. Donald Manger from Associated Podiatric Physicians, PA. Dr. Manger will treat your foot and ankle needs.
What are Flat Feet?
Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.
Conditions & Problems:
Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.
Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.
Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.
Symptoms:
Treatment:
If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle.
If you have any questions please feel free to contact our office located in Hamilton Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
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Hammertoe is a foot condition which affects the toes, causing the joints to become deformed. Choosing to wear shoes that fit tightly is often the cause of this condition, resulting in the toes bending into a forced, abnormal position. The shoes will rub on the toe which causes friction, and corns and calluses will most likely develop. Additionally, medical conditions that presently exist, such as diabetes and arthritis, may contribute to the development of hammertoes. There are treatment options available, including splints to realign the toe and orthotics specifically designed to accommodate the affected toe. A consultation with a podiatrist is advised to learn about choosing proper footwear and advice on how to treat hammertoe.
Hammertoe
Hammertoes can be a painful condition to live with. For more information, contact Dr. Donald Manger from Associated Podiatric Physicians, PA. Dr. Manger will answer any of your foot- and ankle-related questions.
Hammertoe
Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.
Symptoms
Causes
Genetics – People who are genetically predisposed to hammertoe are often more susceptible
Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur
Trauma – Direct trauma to the toes could potentially lead to hammertoe
Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe
Treatment
Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it
Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used
Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option
If you have any questions please contact our office located in Hamilton Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
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A common condition that many runners endure are blisters on the feet. Blisters often cause discomfort and may force the ceasing of the activity that caused them to develop. If you choose to wear cotton socks while running, they will most likely absorb the sweat the feet produce, and friction will occur to develop a blister. Wearing socks that are synthetic may eliminate the sweat and may be a better option to choose, helping to stop blisters from developing.
Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, contact Dr. Donald Manger of Associated Podiatric Physicians, PA. Dr. Manger can provide the care you need to keep you pain-free and on your feet.
Foot Blisters
Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.
What are Foot Blisters?
A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.
How do Blisters Form?
Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.
Prevention & Treatment
It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.
If you have any questions, please feel free to contact our office located in Hamilton Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot care needs.
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Recent research has suggested that obesity affecting children may contribute to their feet becoming damaged, possibly resulting in loss of stability. Walking can become difficult, and balance may be affected, which may encourage slower mobility. Alignment and the overall function of the foot may suffer, often caused by pressure the joints must endure from the additional weight. If your child is overweight, it’s important to incorporate a lifestyle consisting of dietary changes and exercise habits that promote the general well-being of the feet.
Obesity has become very problematic at this point in time and can have extremely negative effects on the feet. If you’re an obese individual and are concerned about your feet, contact Dr. Donald Manger from Associated Podiatric Physicians, PA. Dr. Manger can provide the care you need to keep you pain-free and on your feet.
Obesity and your Feet
Since your feet are what support your entire weight when standing, any additional weight can result in pain and swelling. Being overweight is one of the main contributors to foot complications.
Problems & Complications
Extra Weight – Even putting on just a few extra pounds could create serious complications for your feet. As your weight increases, your balance and body will shift, creating new stresses on your feet. This uneven weight distribution can cause pain, even while doing the simplest tasks, such as walking.
Diabetes – People who are overweight are at serious risk of developing type-2 diabetes, which has a drastic impact on the health of your feet. As you get older, your diabetes might worsen, which could lead to loss of feeling in your feet, sores, and bruises. You could also become more prone to various infections.
Plantar fasciitis – Pressure and stress that is placed on muscles, joints, and tendons can trigger plantar fasciitis, which is an inflammation of tissue that forms along the bottom of the foot.
If you have any questions please feel free to contact our office located in Hamilton Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
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A common ailment many women complain of during pregnancy is swollen feet. It generally occurs during the third trimester as a result of fluid retention and typically collects in the feet and ankles. It’s important to be aware of excessive swelling, as it may be an indication of a possible blood clot. If the feet become reddened or pain is noticed while pointing and flexing the foot, serious health issues may be present. Possible causes may include ingesting foods laden with excessive salt or lacking potassium in the diet. Additionally, a change in environment, such as extreme heat or consuming an overabundance of caffeine, may all be reasons why swollen feet occur. There are several ways to treat and prevent this condition, including resting the feet as much as possible. Exercising regularly is often recommended for treating swollen feet, in addition to drinking plenty of water.
Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Dr. Donald Manger from Associated Podiatric Physicians, PA. Dr. Manger will attend to all of your foot and ankle needs.
What foot problems can arise during pregnancy?
One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward. This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.
Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy, but tends to occur in the later stages.
How can I keep my feet healthy during pregnancy?
If you have any questions please feel free to contact our office located in Hamilton Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
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As the aging process occurs, the cushioning in the feet becomes thinner and the nails can become brittle and dry. Sores on the feet may take longer to heal typically due to poor circulation, a common ailment in elderly people. Walking, stretching, and keeping the legs uncrossed are all beneficial in keeping the blood flowing freely. Feet generally become larger over time, and choosing shoes that avoid friction is necessary for a comfortable fit. There are several foot issues elderly people are most likely to experience, including athlete’s foot, dry skin, and ingrown toenails. These conditions may be prevented by washing and drying the feet thoroughly, especially in between the toes. When the toenails are properly trimmed, ingrown toenails may be avoided. Applying a moisturizer on the feet will not only feel good, but help keep the skin from getting dry. Please consult with a podiatrist if you have any questions regarding elderly foot care.
Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Dr. Donald Manger from Associated Podiatric Physicians, PA. Dr. Manger can provide the care you need to keep you pain-free and on your feet.
The Elderly and their Feet
As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.
Common Conditions
Susceptible Infections
Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.
If you have any questions please feel free to contact our office located in Hamilton Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
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One of the most common causes of cracked heels is a lack of moisture. Typically, a callus will begin to form, and when coupled with dryness the skin can split. This is often accompanied by pain and bleeding. Other medical causes may include thyroid disease, diabetes, and vitamin deficiency, in addition to possibly wearing incorrect shoes. Calluses can form from having dropped arches, affecting the heel as walking occurs, which may put additional stress on the foot. These conditions can cause the skin to become less supple and can incur diminished flexibility while walking, therefore leading to cracks in the skin. Treatments may include practicing improved nutrition and applying moisturizers. The skin on the heel will possibly feel more comfortable when the hardened calluses are removed. A consultation with a podiatrist may be considered for treatment options if cracked heels are affecting your day to day activities.
Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact Dr. Donald Manger from Associated Podiatric Physicians, PA. Dr. Manger can provide the care you need to keep you pain-free and on your feet.
Cracked Heels
Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.
How do you get them?
Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.
Promote Healing
Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.
Wear Socks – Wearing socks with medicated creams helps lock in moisture.
Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.
Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin.
Change in Diet
Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.
Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed.
If you have any questions, please feel free to contact our office located in Hamilton Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot care needs.
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A large bony protrusion under the big toe is often referred to as a bunion. It often appears
red and swollen, which may result in difficulty in buying footwear. Choosing high heels that are worn most of the day is a possible cause of painful bunions because of the pressure the toes incur. The outdoor temperature may be a factor in determining what type of shoes are worn. People who live in warmer climates are more likely to wear shoes with open toes, frequently preventing bunions from developing. Possible ways to prevent this condition is to eliminate wearing shoes with pointed toes and high heels on a regular basis. If a bunion does start to form, you may notice discomfort and pain at the bottom of the big toe, and the use of a foot splint may be an option for treatment as soon as it is noticed. Surgery may be necessary if prolonged discomfort is felt and the bunion exacerbates. If you are experiencing symptoms of a bunion, contact a podiatrist to discuss treatment options.
If you are suffering from bunions, contact Dr. Donald Manger of Associated Podiatric Physicians, PA. Dr. Manger can provide the care you need to keep you pain-free and on your feet.
What is a Bunion?
A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.
Why do Bunions Form?
Genetics – Susceptibility to bunions are often hereditary
Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions
How are Bunions Diagnosed?
Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.
How are Bunions Treated?
If you have any questions, please feel free to contact our office located in Hamilton Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot care needs.
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Relieving stress and shedding calories are a couple of popular reasons for running regularly, but occasionally it comes at cost of incurring an injury. To prevent these types of mishaps, it may be helpful to wear the correct shoes in addition to paying attention to any aches in the legs. If pain should develop in the knee, it usually happens because the cartilage becomes worn and irritated. When this occurs ice may be the best treatment; however, preventing it by performing proper exercises regularly will be beneficial as well. Shin splints are a common injury to develop and are typically felt when running first begins. The inflamed tendons commonly affected are found near the shin, and this type of injury may be prevented by stretching the calf muscles. Discomfort near the heel is most often associated with possible damage to the Achilles tendon, and focusing on low-impact exercises may temporarily relieve the pain. If symptoms are experienced from a possible running injury, a consultation with a podiatrist is advised for proper treatment techniques.
Exercising your feet regularly with the proper foot wear is a great way to prevent injuries. If you have any concerns about your feet, contact Dr. Donald Manger of Associated Podiatric Physicians, PA. Dr. Manger will treat your foot and ankle needs.
How to Prevent Running Injuries
Many common running injuries are caused by overuse and overtraining. When the back of the kneecap starts wearing out and starts causing pain in your knee, this is commonly referred to as runner’s knee. Runner’s knee is a decrease in strength in your quadriceps and can occur if you’re not wearing properly fitted or supporting shoes. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned.
What Are Some Causes of Running Injuries?
- One cause of a common running injury is called iliotibial band syndrome.
- Plantar fasciitis is also another common injury.
- Stress fractures can occur from overtraining, lack of calcium, or even your running style.
Best Ways to Prevent Running Injuries
- Wear footwear that fits properly and suits your running needs.
- Running shoes are the only protective gear that runners have to safeguard them from injury.
- Make a training schedule. Adding strengthening exercises as well as regular stretching can help keep you strong and limber and can lessen the possibility of injuries.
- Stretching keeps muscles limber; this will help you gain better flexibility.
If you have any questions please feel free to contact our office located in Hamilton Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
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When the skin on the foot rubs against a shoe, there is a chance a corn will develop. Typically, the pressure from this causes the skin to thicken; this may produce extreme pain, affecting the deeper layers of the skin. Hard corns are generally caused by poorly fitted shoes and may develop on the top of the toes. Corns that affect the area in between the toes are referred to as soft corns, and moisture from the toes may be the underlying reason for this condition. Occasionally, corns may develop on the soles of the feet, most likely caused by running or walking. There may be several treatment options available, including having a podiatrist trim the corn down, which will ease the pressure. Wearing shoes that fit properly, in addition to applying a moisturizer regularly will help to manage the corn once it’s trimmed. Chemical treatments may also be effective, which may help the corn to be less painful. Please consult with a podiatrist, especially if you have diabetes or poor circulation, for a recommendation for the best treatment options.
If you have any concerns regarding your feet and ankles, contact Dr. Donald Manger of Associated Podiatric Physicians, PA. Dr. Manger will treat your foot and ankle needs.
Corns: What are they? And how do you get rid of them?
Corns can be described as areas of the skin that have thickened to the point of becoming painful or irritating. They are often layers and layers of the skin that have become dry and rough, and are normally smaller than calluses.
Ways to Prevent Corns
There are many ways to get rid of painful corns such as wearing:
Treating Corns
Treatment of corns involves removing the dead skin that has built up in the specific area of the foot. Consult with Dr. Manger to determine the best treatment option for your case of corns.
If you have any questions please feel free to contact our office located in Hamilton Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
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Wide receiver Marqise Lee of the Jacksonville Jaguars recently sprained his right ankle. Lee suffered the injury during the Jaguars’ overwhelming victory over the Houston Texans, 45-7. The injury occurred during the first quarter, but he wasn’t ruled out until the second half. It is unknown when Lee will be able to return or if he’ll make it back before the end of the season. Lee is the Jaguars’ leading receiver, so his loss will be a huge blow to the team.
Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Dr. Donald Manger of Associated Podiatric Physicians, PA. Dr. Manger can provide the care you need to keep you pain-free and on your feet.
Sports Related Foot and Ankle Injuries
Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:
Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.
If you have any questions please feel free to contact our office located in Hamilton Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
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A combination of pressure and rubbing may be the cause of blisters on the feet. Incorrect footwear could be the culprit if your foot does not fit into the shoe properly. This can lead to friction against the foot which may cause a blister to occur. Wearing shoes without socks can be another cause of blisters, in addition to wearing new footwear that has not been broken in. There are several remedies for treating blisters, including proper bandages which may help delicate skin and sole inserts that have extra padding to reduce pressure on the feet. It is also important to keep your feet dry to help prevent blisters from forming. Applying talcum powder before an activity may help reduce moisture around the feet. Once a blister develops, it may be beneficial to protect the skin and allow it to heal on its own. If the blister has difficulty healing or changes color, a consultation with a podiatrist is advised.
Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, contact Dr. Donald Manger of Associated Podiatric Physicians, PA. Dr. Manger can provide the care you need to keep you pain-free and on your feet.
Foot Blisters
Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.
What are Foot Blisters?
A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.
How do Blisters Form?
Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.
Prevention & Treatment
It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.
If you have any questions, please feel free to contact our office located in Hamilton Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot care needs.
Read more about Blisters on the Feet
When there is excessive stress in the heel, new bone is formed to protect the heel against fractures. This is known as a heel spur and often feels like a bump in the heel. It typically begins as cartilage and then progresses into solid bone. They’re present in about half the population, although not everyone has pain. The most common cause of heel spurs is plantar fasciitis. If pain is experienced, it’s usually in the morning or after resting. Typically, after the first few steps, the pain will improve as the foot gets used to the movements. Certain exercises may also help relieve the pain. Placing the affected foot on a tennis ball while rolling it around may be beneficial in relaxing the muscles. Additionally, bending the knees while moving up and down may provide additional relief.
Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Dr. Donald Manger from Associated Podiatric Physicians, PA. Dr. Manger will do everything possible to treat your condition.
Heels Spurs
Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.
Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main conditions spurs are related to is plantar fasciitis.
Pain
The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.
Treatments
There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.
If you have any questions feel free to contact our office located in Hamilton Township, NJ. We offer the latest in diagnostic and treatment technology to meet your needs.
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If you are experiencing pain, redness, and swelling near the toenail, chances are you may have an ingrown toenail. Ingrown toenails occur when the corner of the nail grows into the flesh, which can be very painful. Diabetics may be at a greater risk for ingrown toenails due to poor blood flow which can lead to the wound not healing. Trimming toenails properly is an excellent way to help prevent ingrown toenails. Wearing well-fitted shoes can help too; keeping pressure off the toes may keep the nail from growing into the surrounding tissue. Soaking the feet in a warm bath may relieve tenderness and reduce swelling, and applying antibiotic cream and bandaging the toe can also be beneficial. If the toenail becomes infected or the pain is severe, it is recommended that you see a podiatrist.
Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Dr. Donald Manger of Associated Podiatric Physicians, PA. Dr. Manger can provide the care you need to keep you pain-free and on your feet.
Ingrown Toenails
Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.
Causes
Prevention
Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.
Treatment
Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.
If you have any questions please feel free to contact our office located in Hamilton Township, NJ. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
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