|ELITE STRIDE FOOT AND ANKLE CENTER||
Parents can prevent a common childhood foot problem by following some simple recommendations. Foot and ankle surgeon Dr. Lady Paula DeJesus, DPM, FACFAS, says ingrown toenails are one of the most frequent conditions she treats in children. Many kids hide their ingrown toenails from their parents, even though the condition can cause significant pain. An ingrown nail can break the skin and lead to dangerous infections.
Dr. DeJesus blames tight shoes, tight socks and incorrect nail trimming for most cases. In others, the children may inherit the tendency for nails to curve. Dr. DeJesus shares the following tips from the American College of Foot and Ankle Surgeons.
Teach children how to trim their toenails properly. Trim toenails in a fairly straight line, and don't cut them too short.
Make sure children's shoes fit. Shoe width is more important than length. Make sure that the widest part of the shoe matches the widest part of your child's foot.
If a child develops a painful ingrown toenail, reduce the inflammation by soaking the child's foot in
room-temperature water with epsom salt and gently massaging the side of the nail fold.
The only proper way to treat a child's ingrown toenail is with a minor surgical procedure at a doctor's office. Parents should never try to dig the nail out or cut it off. These dangerous "bathroom surgeries" carry a high risk for infection. Dr. DeJesus says she may prescribe antibiotics to children with infected ingrown toenails.
For more information on pediatric foot problems such as ingrown toenails, contact Dr. DeJesus at
561-626-3338 or visit the ACFAS Web site, FootHealthFacts.org.
When at the pool or beach we all lather up with sun screen to protect our skin from the harmful rays of the sun. But do we remember to apply sunscreen to our feet?
Many don’t realize skin cancer can occur on the feet from unprotected sun exposure, and overlook applying sunscreen to the area. But, Dr. Lady Paula DeJesus, DPM, FACFAS warns skin cancer of the foot is prevalent and can even be fatal if not caught early.
While all types of skin cancer, including squamous cell and basal cell carcinoma, can be found on the foot, the most common is the most serious form, melanoma. Symptoms can be as subtle as an abnormal looking mole or freckle found anywhere on the foot, and often go unnoticed without routine foot exams.
According to foot and ankle surgeon Dr. DeJesus early diagnosis is key to effective treatment for the condition. But because people aren’t looking for the early warning signs or taking the same precautions they do for other areas of the body, often times skin cancer in this region is not diagnosed until later stages.
“I advise my patients to regularly inspect their feet, including the soles, in between their toes and even under their toenails, for any changing moles or spots and to have any suspicious areas promptly examined by a foot and ankle specialist,” Dr. DeJesus explains.
For more information on skin cancer of the foot contact Dr. DeJesus at 561-626-3338 or visit the American College of Foot and Ankle Surgeons’ Web site, FootHealthFacts.org.
Many Achilles tendon surgery patients in Palm Beach County are getting back on their feet faster, thanks to new procedures and techniques.
Dr. Lady Paula DeJesus, DPM, FACFAS, a foot and ankle surgeon in Palm Beach Gardens, says the introduction of tissue graft products, bone anchors, radio frequency treatments and new arthroscopic procedures provide patients with less invasive treatments and speedier recovery times.
"These surgical advances will shorten recovery times for many patients, allowing them to get back to their jobs and active lifestyles in less time," says Dr. DeJesus.
The Achilles tendon connects the calf muscle to the heel bone in the back of the leg and facilitates walking. The most common Achilles condition is tendonitis, an inflammation of the tendon. Dr. DeJesus says most tendonitis cases can be successfully treated with non-surgical methods such as rest, ice, anti-inflammatory medications and physical therapy.
But some tendonitis patients develop scar tissue on the tendon, or their tendon fibers weaken and develop microscopic tears, a condition called Achilles tendonosis. Fixing these problems may require surgery and weeks to months of recovery.
Dr. DeJesus says recently-introduced radio frequency technology can shorten recovery time for some patients by using radio waves to stimulate healing in the tendon. The procedure requires smaller incisions to insert the wand-like radio frequency device. Smaller incisions mean less damage to skin and muscle, less pain, and lower risk of surgical infections. Patients recover faster.
Achilles tendon ruptures are the most serious Achilles injuries. Most patients require surgery to decrease the likelihood of a re-rupture. Various techniques are available, and increasingly may include tissue grafts used as a bridge to link the detached tendon lengths. The graft provides a scaffold on which new tissue grows, increases the overall strength of the repair, and is usually absorbed by the body within a year.
Dr. DeJesus is a Fellow of the American College of Foot and Ankle Surgeons and is board CERTIFIED with The American Board of Foot & Ankle Surgery and with The American Board of Podiatric Medicine.
Dr. DeJesus' phone number is 561-626-3338.
Go to the ACFAS consumer Web site, FootHealthFacts.org, for reliable information on Achilles tendon problems.