Posts for: December, 2019

By New England Foot & Ankle Specialists
December 23, 2019
Category: Podiatry
Tags: Bunions  

How your podiatrist in Reading, MA, can help with bunions

If you have ever experienced bunion pain, you know how excruciating it can be. Bunions can make walking, standing, and even putting on shoes very difficult. Fortunately, here at New England Foot & Ankle Specialists in Reading, MA, Dr. David A. Sipala, DPM can help you get relief from bunion pain.

These are just a few frequently asked questions and answers about bunions:

What causes a bunion?

Bunions can be caused by a genetic bone deformity in your foot, causing your big toe joint to point outward and press against the inside of your shoe. Bunions can also be caused by wearing shoes that are too narrow, crushing your toes together. When your toes don’t have enough room, your big toe joint can be pushed outward. The continued friction against the inside of your shoe can eventually cause a bunion.

What does a bunion look like?

A bunion is a hard, bony bump that appears next to your big toe. Bunions may or may not be painful, depending on the size and severity of the bunion.

What can I do to relieve bunion pain?

For small bunions, you can try applying ice to your bunion several times during the day, taping the bunion, wearing inserts in your shoes, and taking over-the-counter pain, and anti-inflammatory medications. You should also change to wider, more supportive shoes and avoid high heels or shoes that are too narrow.

How can my podiatrist help with a bunion?

Your podiatrist offers several effective treatments for bunions including removing calluses or corns to reduce friction, custom-fit orthotics, and footwear, physical therapy, and night splints to help realign your toe and foot. In severe cases for large, painful bunions, your podiatrist may recommend surgery.

Need relief? Give us a call

These are just a few frequently asked questions and answers about bunions. To learn more about bunion prevention, causes, and treatment, speak with your podiatrist—call Dr. David A. Sipala, DPM of New England Foot & Ankle Specialists in Reading, MA, today at (781) 944-4044.


By New England Foot & Ankle Specialists
December 10, 2019
Category: Podiatry
Tags: Ingrown Toenails  

An ingrown toenail is a common foot problem that occurs when the corner of a toenail, usually the big toe, grows into the skin. As you might imagine, this can cause pain and swelling in the affected area. If you are a healthy individual you can often treat the ingrown toenail with simple at-home care; however, patients with diabetes, nerve damage in the feet or signs of a foot infection should always see a podiatrist as soon as possible.

Causes of an Ingrown Toenail

There are several factors that could increase your risk for developing an ingrown toenail. These include:

  • Heredity: if your family has a history of ingrown toenails you may be more likely to develop them, too.
  • Poorly fitted shoes: shoes that are too tight and cramp up the toes can also cause painful ingrown toenails, particularly in teens whose feet are still growing rapidly
  • Improper nail trimming: if you cut your nails too short or if you cut them at an angle rather than cutting them straight across you could be leaving yourself prone to an ingrown toenail
  • Injury to the toe: jamming or stubbing the toe can also increase the risk of an ingrown toenail (this is most common in athletes)

Treating an Ingrown Toenail

If there are no signs of an infection (e.g. foul odor; skin that’s hot to the touch) and you are otherwise healthy then you can probably treat the ingrown toenail all by yourself from the comfort of your home. Take frequent Epsom salt soaks and apply an antibiotic cream to the area to prevent infection. Again, if there is no infection you can soak nails for several minutes so that they soften, and then gently clip away the affected area of the nail.

If you are experiencing signs of an infected ingrown toenail or if you have diabetes and develop an ingrown toenail it’s important that you seek a podiatrist’s care right away. A podiatrist can treat the infection while also removing part of or the entire nail so that it grows in properly.

Preventing Ingrown Toenails

While there are certain factors such as heredity that cannot be helped, there are certainly measures you can take to reduce your risk for ingrown toenails. For one, always make sure that you wear properly fitted shoes that do not put pressure on the toes.

Secondly and most importantly, you need to know how to properly trim your toenails. Nails should be level with the tips of your toes. If nails are cut too short or if you trim your nails so they are curved at the edges rather than straight then an ingrown toenail is more likely to develop as the nail grows out.

Athletes should also make sure that they are wearing appropriate footwear for their chosen sport. Not all tennis shoes are created equally so if you have any questions about the footwear that you should wear, don’t hesitate to speak with your foot doctor.




Contact Us

New England & Ankle Specialists

(781) 944-4044
30 New Crossing Road Suite 311 Reading, MA 01876