John Hollander, DPM
I’m excited for this new year and like many of us we have many dreams, aspirations, and decisions to pursue. Some of us want to start a healthy active lifestyle, return to school, write a book, finish that house project list (from years ago!) and the list goes on. Then something happens, we just don’t do them. We feel guilty and throw all those great ideas down the drain. Well don’t feel bad at all. It happens to all of us.
Today, I want to share some advice. A three step system that has helped many accomplish that one or many goals. These steps are: 1) Decision 2) Planning 3) Action.
One of my goals for this year is to grow my healthy active lifestyle. Let me briefly explain how I’m going to apply these three steps.
- The first step is to DECIDE what you REALLY. I want to become more active because I like what this lifestyle attracts. It brings health, confident appeal, and the ability to help others.
- The second step is to PLAN. One can plan by creating timely manner steps. For example, every week I have decided to apply two sessions of cardio, along with three sessions of strength training.
- Finally, third step is to take ACTION. I will take action by heading to the gym and network with fitness minded individuals.
Like with every goal, obstacles will appear. Remember that is not the end of the world. Obstacles are sometimes signs that maybe a different approach is needed or certain tools are needed, like a planner.
If one of your goals for this year is to become more active and you have concerns with your feet. Call our office at 707-578-1222. I hope this helps start your new year with success!
David Nieto, PMA
Does day to day walking, working or exercise cause the balls of your feet to hurt? Do certain shoes or barefoot walking cause you pain? If so you may have a forefoot condition called metatarsalgia, which if treated correctly can be healed with a proper home treatment program.
“Although generally not serious, metatarsalgia can sideline you. Fortunately, at-home treatments, such as ice and rest, often can relieve metatarsalgia symptoms. Proper footwear with shock-absorbing insoles or arch supports may be all you need to prevent or minimize future problems with metatarsalgia.”
If you experience these symptoms more than a few days and it does not improve or go away, it is time to see your local podiatrist.
Wouldn’t it be nice to return to your exercise regimen, that sport you love to play or just go through your day without having to worry that your feet are going to become so painful that you dread being active? If you or someone you know is suffering from forefoot/ball of foot pain call our office to schedule an appointment with Dr. Hollander, 707-578-1222, we can help get you back on your feet pain free.
Today I express my gratitude on my new position in healthcare and the amazing team that has made that happened. This is my 12th week.
As a Medical Assistant, I will have the opportunity to interact with people and provide exceptional care. The best part is that here at, John Hollander, DPM, we practice this philosophy as our core foundation in everything we do. Our office motto is to be, “The best podiatry office in the world.”
I very much appreciate this wonderful team for easing my transition from a corporate setting to a private business environment. Everyone at the office has provided immense support, guidance, and a clear picture of how my success will entail.
If you have any questions about podiatry or our services here at the practice. Contact me at 707-578-1222.
David Nieto, PMA
Tis the season to be painting your toenails with beautiful dark and vibrant Holiday colored nail polish. With parties and events to attend, instead of removing the nail polish most women will just add another coat to freshen the nail up.
After the Holidays our feet are usually in closed toe shoes and we tend to forget about removing the old layers of nail polish for several weeks not thinking anything about it.
Upon removing the polish you may discover some white spots on your nails and even some discoloration. Many of time the discoloration can actually be the beginnings of a fungal toenail infection.
Studies have shown that fungus can be caused from wearing dark nail polish for too long without removing it. The polish does not allow the nail to breathe and it could trap any moisture that was on the nail prior to painting them. This is the perfect environment for fungus to grow.
There are a few nail polishes that have anti-fungal properties in them such as Dr.’s Remedy, (available at Dr. Hollander’s office) but even with these types of polishes they should be removed weekly to give your nails a break. Using such antifungal toenail polishes is a good line of defense to prevent infections from beginning.
There is treatment available to kill fungal infections. One of them is Laser Treatment, which has one of the highest success rates. Dr. John Hollander has been treating nail fungus with Laser Treatment for 4 years and states; “The earlier the infection is recognized and treated the higher the likelihood of successful treatment.”
According to Dr. Hollander, his comprehensive approach achieves between a 70-80% success rate.
Book a Consultation Today or call us at 707-578-1222
Nail Fungal Infection
Fungal infection of the toenails (also called onychomycosis) occurs when a fungus infects the tissue underneath the toenail. The result is discoloration of the nail. Often the nail becomes thickened and raised. It commonly involves several nails simultaneously. It often occurs in people with persistent moisture in their feet, such as with footwear that does not allow air circulation or in those who perspire excessively in their feet.
The diagnosis of fungal infection of a toenail can be made based on the appearance of the toe. In some cases a sample of the nail may be obtained, to look for fungus under a microscope or to grow and identify the fungus in a laboratory.
The nails can become very thickened, discolored and unsightly. In some cases, pain or infection can result from very thickened nails. If left untreated, fungus can also spread to your shoes and skin, leading to athlete’s foot.
Got Ugly Toenails?: A guide to understanding Fungal Nails and Other Foot Conditions. View Details…
Toenail Laser Treatment
A New Laser Treatment for Nail Fungus
Nail Fungus also called onychomycosis, is a common condition estimated to affect up to 10% of the population worldwide. It can cause nails to become yellow or discolored and often seen as “ugly toenails”. As the infection advances the nail can become thick, brittle and separate from the nail bed. It can also cause pain when wearing shoes or walking.
The Best Treatment Option Available for Ugly Fungal Toenails
Results that speak for themselves. This is one of our case studies that showed marked improvement. Individual results will vary from patient to patient.
How does Laser Treatment work?
Laser light passes through the nail and the surrounding tissue. The laser light is absorbed by pigment in the fungi, which causes the pigment to heat, and this heat kills or damages the fungal organism. This can result in your nail growing normally.
Are there any Clinical Studies?
In a clinical study, 68% of patients treated for toenail fungus showed improvement in the percent of nail clear of infection¹. The amount of nail improvement you may experience is dependent on your individual circumstances and should be discussed with your doctor. The study reported no adverse effects related to the laser treatment.
What can you expect?
The treatment involves passing the laser beam over the infected nails and surrounding skin. Your physician will repeat this several times until enough energy has reached the nail bed. Your nail will feel warm during the treatment.
|Treatment Session Time||A single treatment session can take approximately 40 minutes to treat 5-10 toenails. Treatment times will vary.|
|Number of Treatments||3 treatment sessions are performed one month apart.|
|Before the Procedure||It is important to remove all nail polish and nail decorations the day before the procedure.|
|During the procedure||Most patients describe the procedure as being comfortable with a small hot pinch at the end that resolves quickly.|
|After the Procedure||Immediately following the procedure your nail may feel warm for a few minutes. Patients can resume normal activities immediately.|
|Long Term||As the nail grows you will see new, healthy toenails. Toenails grow slowly, so it may take up to 12 months to see an entirely clear toenail.|
Dr. Hollander’s Multifaceted Approach for Better Results
- Addition of topical liquid use on toenails– This is to give you a small boost, and help sequester the fungus preventing further infection.
- Addition of low dosage of anti-fungal oral medication– Addition of Oral Lamasil is recommended in some cases to give you the best results possible. We can prescribe a smaller dosage, less days of medication intake.
- Grinding of toenails– If your toenails are thick, we will grind down the toenails prior to your first laser treatment.
Will the Fungus Come Back?
Your nail infection should improve following treatment but you will need to continue with home care techniques to reduce recurrence of the infection as advised by your doctor. There is a chance of re-infection because the fungus is present everywhere around you in the environment.
We will make recommendations to:
- Sanitize your shoes- Use UV light Sterishoe devices, or Clarus Shoe Spray to sanitize your shoes.
- Treat your skin at the first notice of athletes foot- Use over the counter anti-fungal creams to prevent re-infection of your toenails. Fungal infections can spread from your skin back to your toenails.
- Use of topical anti-fungal liquid- This may be necessary if your toenails starts to shoe signs of discoloration.
For your convenience we carry Clarus antifungal products, which have received the endorsement of the APMA (American Podiatric Medical Association) to help keep your feet in the best shape possible. These items are available for purchase over the counter for anyone without an appointment.
¹ Gupta et.al., Onychomycosis Therapy: Past, Present, Future, Journal of Drugs in Dermatology, Vol 9, 9, 2010.
Book a Consultation Today or call us at 707-578-1222
Pet therapy can sometimes be the best therapy for a human. Having a pet is a lot of work, but the benefits can be worth it in the end.
Animals provide unconditional love and affection and sometimes that’s just what you need for a pick me up. A pet can either provide a hug, and just to put a smile on your face. Animals are also a good way to get people up moving to get exercise. The link below will provide education on Pet Therapy, how to go about it, and what it can do for a person.
“Animal-assisted therapy can significantly reduce pain, anxiety, depression and fatigue in people with a range of health problems”
Happy Diet, you ask? By that we mean a healthy conscious diet for your overall wellbeing, including your feet.
Now you wonder, how does diet affect your feet? Well as stated in an, Everydayhealth.com article, “Two common conditions that affect millions of Americans’ feet are peripheral artery disease and diabetes. Each of these conditions can harm your feet by damaging arteries that bring blood to your lower extremities” (Metcalf, 2009).
One problem related to a poor diet and foot problem is inflammation. Inflammation is triggered from refined grains, sugar, and transfats. This inflammation can cause plantar fasciitis – which is pain in the thick band of tissue that runs across the bottom of your foot, in your heel, or elsewhere in your foot.
Providers recommend a healthy conscious diet and lifestyle, such as: eating more omega-3 fats, more green vegetables, and cutting down on refined sugars.
For more insight on diet and the health of your feet, please check out this article link below.
Metcalf, Eric. “How Nutrition Affects Your Feet.” Everyday Health. 13 April 2013. Web.
By: David Nieto, PMA
Maintaining your feet is important year round and even more so during the cold and wet winter months. Remember to make sure that your socks and shoes are always clean and dry, daily foot checks of your entire foot including between your toes for any wounds or concerns and use a good skin moisturizer daily are just a few easy tips to follow each day.
“Diabetic foot care is always important, but winter can make keeping your feet healthy an even bigger challenge, considering the health threats like numbness and decreased circulation.”
If you have questions on foot care tips call our office at 707-578-1222.
For more helpful tips, read the full article: http://www.everydayhealth.com/diabetes-pictures/diabetes-smart-tips-for-winter-foot-care.aspx#01
Keeping your hands and feet warm in the cold fall and winter months is very important. Raynaud’s Disease is a condition of decreased blood flow, affecting your hands and feet.
You will notice that your fingers and toes may turn white, blue or purple when they are exposed to cold temperatures. You may experience a numb, stinging or painful sensation as you begin to warm up.
“Cold temperatures are most likely to trigger an attack. Exposure to cold, such as putting your hands in cold water, taking something from a freezer or encountering cold air, is the most likely trigger. For some people, emotional stress can cause an episode of Raynaud’s.”
If you think you have this condition call our office at 707-578-1222, as this is a condition that a podiatrist can help you with.
A child is never too young or too old to have their feet checked. If your child is complaining about pain or discomfort while doing a sport activity, or any activity for that matter, listen to them. Make sure they have the appropriate shoe wear and the appropriate size since children’s feet are constantly growing.
“A sports medicine podiatrist can offer a thorough examination of the entire lower extremity, and identify a leg length imbalance, weakness, or biomechanical imbalances that may need to be addressed to prevent injuries on the athletic field.”
For further reading: http://www.aapsm.org/children_sports.html
Our feet are the foundation of our bodies. They allow us to walk, work and do fun activities. Follow these simple tips to keep your feet in the best shape possible:
- Use closed toe shoes. Avoid injuring your toes or foot if you happen to bump them.
- Clean and dry your feet often to prevent buildup of skin and bacteria growth.
- Stinky feet need attention, and smells should not be ignored. Bad odor can be the indicator of a fungal infection. See your physician for the best course of treatment.
- Make sure to purchase supportive shoes from a specialized shoe store. The sales people should be properly trained about shoes and feet, they will ensure a proper fitting shoe.
- Address pain that lasts more than a day. Foot pain is our body’s alert that something is wrong.
- Rotate your shoes and change your socks daily.
- Replace your flat sandals for a sandal with a supportive bed. Visit your local specialized shoe store.
Healthier feet are only a few steps away!