Archive for August, 2014

The New Fishersville Office Construction

August 28th, 2014 by Dr.Chang

 

11/25/2014

11/25/2014

11/18/2014

11/18/2014

11/11/2014

11/11/2014

10.22.14

10.22.14

10.22.14

10.22.14

10/13/2014

10/13/2014

Walls going up! 10.8.14

Walls are going up! 10.8.14

 

8.25.14 SAMSUNG

Click here for a free book offer.

 
Blue Ridge Foot and Ankle Clinic
887 A Rio East Court Charlottesville, VA 22901
434-979-8116
 417 South Magnolia AveWaynesboro, VA 22980
540-949-5150
 

Blue Ridge Foot and Ankle Clinic has been a part of the Waynesboro and Charlottesville communities for over 20 years. Podiatrists Dr. Kevin Murray and Dr. Stewart Chang offer services in sports podiatry, foot and ankle problems and diabetic foot care. Our friendly, accommodating team of Certified Podiatric Medical Assistants look forward to welcoming you to our practice.

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Treatment of Fungal Nails

August 25th, 2014 by Dr.Chang

Toe nail fungus cures can include both oral and topical medication treatments. The gold standard for treating onychomycosis in an otherwise healthy individual is the oral therapy. The most widely prescribed medication today is Terbinafine ( Lamisil – Novartis). Newer oral medications are currently in development and clinical testing. Oral antifungals, like Terbinafine, are very safe medications if properly used. Terbinafine tablets has adverse response rate of less than 3 percent. Typically, the dosing for Terbinafine is one tablet per day for three months. Blue Ridge Foot and Ankle Clinic will take blood test to verify norFungus2mal liver function prior to starting this medication.

Dr. Murray and Dr Chang may also take a sampling of the nail and have it lab tested to confirm that it is true nail fungus. Visual inspection is adequate to make a diagnosis, but when uncertain or as required by insurance companies’ lab confirmation may be required. Sometimes a thickened nail is nothing more than hyper-keratinization of the underlying nailbed from repeated trauma. Nail thickening alone does not automatically make an Onychomycosis diagnosis. However, a thickening nail from thickened skin and repeated trauma makes is a good focal point for fungus to establish.

In addition to oral mediation, at the Blue Ridge Foot and Ankle Clinic we will also use topical antifungal medications to treat the infection from the outside. We also have very effective regimens of topical treatments which does help to reduce the fungal infection of the nails and help prevent this aggressive condition from getting worse. When attempting topical therapy, serial aggressive nail debridements by your podiatrist are recommended to enhance the outcome.

The best way to use topical medication is to see a foot specialist who will thin down and cut away as much of the diseased nail as possible (a painless procedure), so that the topical medication will penetrate to the live fungus more readily. The topical medications then are applied once to twice a day by the patient. The nail has to be maintained or kept thin on a regular basis. Depending on the degree of fungus this process can take upwards of a year for new healthier nail to grow out. We have seen some very gratifying results with the combination of oral and topical medication.

Laser treatment of toenail fungus is becoming more common. Laser treatment is indicated and recognized by FDA for temporary clearing of toenail fungus. It is not a covered by nearly all medical insurance companies and can be very expensive. The doctors at Blue Ridge Foot and Ankle Clinic do not advocate this form of treatment for toenail fungus.

As with any medial condition, there sometimes there can be unsuccessful results using either topical or oral medication but it is important to follow all of the directions for the best results possible. The outcome will often be dictated by the severity of the condition upon initiation of treatment. Returning toenails to a perfect pristine state is nearly impossible. Making toenails less ugly, less discolored, less thick and fungus free is an obtainable goal. 

Click here for a free book offer.

 
Blue Ridge Foot and Ankle Clinic
887 A Rio East Court Charlottesville, VA 22901
434-979-8116
 417 South Magnolia AveWaynesboro, VA 22980
540-949-5150
 

Blue Ridge Foot and Ankle Clinic has been a part of the Waynesboro and Charlottesville communities for over 20 years. Podiatrists Dr. Kevin Murray and Dr. Stewart Chang offer services in sports podiatry, foot and ankle problems and diabetic foot care. Our friendly, accommodating team of Certified Podiatric Medical Assistants look forward to welcoming you to our practice.

rsz_running_card

Fungal Nails (Onychomycosis)

August 14th, 2014 by Dr.Chang

Fungal infection of the toenail, or onychomycosis, is characterized by a progressive change in a toenail’s quality and color, which is often ugly and embarrassing. It is often ignored because the infection can be present for years without causing any pain.Fungus2

This condition is an infection underneath the surface of the nail caused by fungi. The fungus that attaches to our toenails is ubiquitous in our environment and a natural inhabitant of our skin in very low concentration. When these tiny organisms take hold, the nail plate becomes darker in color and foul smelling. Debris may collect beneath the nail plate, white marks frequently appear on the nail plate, and the infection is capable of spreading to other toenails. If ignored, the fungi infection of the nail can spread and further distort nail shape and form. These often thicker nails are difficult and painful to trim and make walking painful when wearing certain shoes. Onychomycosis is often accompanied by a secondary bacterial or yeast infection in or around the nail plate.

Our toenails are especially vulnerable, since they are often around damp areas where people are likely to be walking barefoot, such as swimming pools, locker rooms, and showers. Additionally, injury to the nail bed, such as repeated contact with a shoe, may make it more susceptible to all types of infection, including bacteria and fungus. Those who suffer from chronic diseases, such as diabetes, circulatory problems, or immune-deficiency conditions, are especially prone to fungal nails. Other contributing factors are a history of athlete’s foot (skin fungi infection) and excessive sweating. Excessive sweating and contamination of interior surfaces of shoes can be treated with the application of safe topical medications provided in our office.

The podiatric physicians in Blue Ridge Foot and Ankle Clinic have been trained specifically and extensively in the diagnosis and treatment of all manner of foot conditions. This training encompasses all of the intricately related systems and structures of the foot and lower leg including neurological, circulatory, skin, and the musculoskeletal system, which includes bones, joints, ligaments, tendons, muscles, and nerves.

Prevention

  • Proper hygiene and regular inspection of the feet and toes are the first lines of defense against fungal nails.

  • Clean and dry feet resist disease.

  • Washing the feet and toes with soap and water, remembering to dry thoroughly, even between the toes, is the best way to prevent an infection.

  • Shower shoes should be worn when possible in public areas.

  • Shoes, socks, or hosiery should be changed at least once daily or more often as needed.

  • Toenails should be clipped straight across so that the nail does not extend beyond the tip of the toe.

  • Wear shoes that fit well and are made of materials that breathe.

  • Avoid wearing excessively tight hosiery, which promote moisture retention.

  • Socks made of synthetic fiber tend to “wick” away moisture faster than cotton or wool socks.

  • Disinfect instruments used to cut nails.

  • Disinfect home pedicure tools.

  • Don’t apply polish to nails with suspected of infection, occlusion of sunlight allows fungus to flourish.

Click here for a free book offer.

 

Blue Ridge Foot and Ankle Clinic
 
887 A Rio East Court Charlottesville, VA 22901
434-979-8116
 
417 South Magnolia AveWaynesboro, VA 22980
540-949-5150
 
Blue Ridge Foot and Ankle Clinic has been a part of the Waynesboro and Charlottesville communities for over 20 years. Podiatrists Dr. Kevin Murray and Dr. Stewart Chang offer services in sports podiatry, foot and ankle problems and diabetic foot care. Our friendly, accommodating team of Certified Podiatric Medical Assistants look forward to welcoming you to our practice.
rsz_running_card

Why Do My Shins Hurt?

August 6th, 2014 by Dr.Chang

Shin Splints

Shin splints, also called tibial stress syndrome, are a common complaint of runners who increase their mileage or intensity too quickly. Feeling throbbing or aching in the shins is surprisingly common for athletes and runners. Shin splints, howevShin Splintser, aren’t a single medical condition. They can be caused by a number of factors; irritated and swollen muscles, over use, stress fractures, over-pronation or flat feet, and running on hard surfaces, to name a few. With shin splints you will feel a dull and aching pain in the front of the lower leg during exercise, or even after exercise. Shins may be painful to the touch, muscles can swell, and nerves can even be affected causing parts of the feet to go numb.

There are various places where the shin can cause pain. Usually, a flatfoot can cause pain in the tibialis posterior, or the front and outside of your shin. High arches can cause anterior lateral shin splints, on the inside of your shin. Less common is pain deep in the back
of the leg, caused by tightness in your inner calf muscles, the soleal complex. No matter what kind, shin splints are a mechanical issue, caused by excessive mileage and a pounding stride.

There is good news for all of you who suffer from shin splints: they are very treatable, with quite high success rates! So have hope as you begin your treatment plan. Treatment for shin splints varies according to the nature of your own individual injury. In general, the very first thing to do is to rest in order for your injury to heal. Additionally, ice, NSAIDs, arch supports, range of motion exercises (as recommended by your podiatrist or physical therapist), a neoprene sleeve to support and warm the leg, and physical therapy will be recommended. If your shin splints are caused by stress fractures, you may be put in a walking boot or even need surgery for severe cases.

Remember that recovering from shin splints can be a frustratingly long process. Many runners need up to six months, or more, to recover. Resist the urge to start running again before you are ready, because your injury could become more severe. To bide time and to stay in shape until you heal, you can take up activities that have little impact on your legs such as swimming or cycling. You will know when you are ready to run again by a number of factors including equal flexibility in your legs, activity does not cause pain, or when x-rays show that your stress fractures have healed. To avoid shin splints wear good shoes with the right amount of support for your foot, warm up and then stretch before working out, run on soft surfaces, and stop working out when you feel pain in your shins.

CALL US TODAY FOR AN APPOINTMENT.  WE ARE ACCEPTING NEW PATIENTS.

Request a copy of our FREE book from our home page: www.brfootandankle.com

Blue Ridge Foot and Ankle Clinic
887 A Rio East Court
Charlottesville, VA 22901
434-979-8116
&
417 South Magnolia Dr
Waynesboro, VA 22980
540-949-5150

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