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Most of us don’t think about our feet until they hurt, but did you know your feet can offer important clues about your overall health? From skin and nail changes to pain and swelling, your feet can reveal underlying health issues before other symptoms become noticeable. Paying attention to these signs can help you catch…

Fungal toenail infections, also known as onychomycosis, are notoriously stubborn and can be difficult to treat. While prescription treatments are available and often effective, there are cases where fungal toenails do not respond as expected despite our best efforts. As a podiatrist, I frequently see patients frustrated by the persistence of their infection even after…

Plantar fasciitis is one of the most common causes of heel pain, and it can be quite debilitating if left untreated. The condition is caused by inflammation of the plantar fascia, a thick band of tissue running along the bottom of your foot that connects your heel to your toes. Thankfully, there are several effective…

Hyperhidrosis, a condition characterized by excessive sweating, can be particularly bothersome when it affects the feet. This condition, known as plantar hyperhidrosis, can lead to discomfort, embarrassment, and a range of secondary issues such as infections, warts, or unpleasant odors. If you find yourself constantly dealing with sweaty feet, it’s important to understand the causes…

Toenail issues are common and can range from minor annoyances to serious health concerns. While some toenail problems can be treated at home, others require professional attention. Knowing when to see a podiatrist can prevent complications and ensure your feet stay healthy. In this blog post, we’ll explore the signs that indicate it’s time to…

Running is a fantastic way to stay fit and enjoy the outdoors, but it can sometimes come with its own set of challenges. One of the more unsettling issues that runners may encounter is losing a toenail or two. While it might seem alarming, it’s actually a common problem in the running community. Let’s delve…

Warts, although often considered a minor skin issue, can be a source of significant discomfort and embarrassment, particularly when they occur on the feet. Caused by the human papillomavirus (HPV), warts can appear anywhere on the body, but plantar warts (those on the soles of the feet) are especially problematic due to the pressure and…

Plantar fibromas are benign fibrous nodules that form in the arch of the foot, specifically within the plantar fascia. While these nodules are non-cancerous, they can cause discomfort and pain, especially when walking or standing for prolonged periods. Traditional treatments have ranged from orthotic devices and physical therapy to invasive surgical procedures. However, a less…

Pseudogout, also known as calcium pyrophosphate deposition disease (CPPD), is a type of arthritis caused by the accumulation of calcium pyrophosphate dihydrate crystals in the joints.  While it can affect various joints in the body, the feet are particularly susceptible, leading to discomfort and mobility issues.  What is Pseudogout? Pseudogout is similar to gout but…

Pre-season is here and summer is winding down. Kids and coaches are eager to train to get ready for the upcoming fall sports season. You may be shuttling your student to 2 soccer practices a day!  Overtraining can cause injury such as heel pain in kids. As adults, we tend to get plantar fasciitis or plantar heel pain,…

Understanding Plantar Heel Pain While plantar fasciitis is one of the most common causes of heel pain, it is not the only condition that can lead to discomfort in this area. As a functional medicine podiatrist, it’s essential to consider a holistic view of the patient’s health to identify other potential causes of plantar heel…

Imagine your body is like a car engine, and sometimes parts of the engine get worn out or damaged, causing pain and making it hard for the engine to run smoothly. Laser therapy is like shining a focused energy beam of light on those damaged parts to help them heal faster. How Laser Therapy Works…

Understanding Heel Pain If you’ve ever experienced sharp heel pain when taking your first steps in the morning, you may be dealing with a common condition known as plantar fasciitis. This condition involves inflammation of the plantar fascia, a thick band of tissue that runs across the bottom of your foot and connects your heel…

When it comes to foot health, choosing the right support can make all the difference. Orthotics, devices worn inside shoes to correct foot issues, come in two main types: custom molded and over-the-counter. Each has its place, but custom-molded orthotics often provide superior benefits. Read more to find out why custom orthotics might be the…

Navigating the complexities of healthcare billing can be challenging, especially when it comes to understanding the intricacies of Medicare and direct care practices. As a direct care podiatrist who has opted out of Medicare, I often receive questions about why I can’t submit a superbill to Medicare for reimbursement. In this blog post, I will…

Ingrown toenails are a common and painful condition where the edge of a toenail grows into the surrounding skin, causing discomfort, swelling, and sometimes infection. As a podiatrist, it is one of the most common conditions that I treat. Understanding the procedure for treating ingrown toenails can help alleviate anxiety and ensure proper care. In…

Fungal nail infections, or onychomycosis, are a persistent and often frustrating condition affecting many people. As a podiatrist, I frequently encounter patients eager to find effective treatments to restore the health and appearance of their nails. In this blog post, I will explore the effectiveness of various fungal nail treatments, discuss their pros and cons,…

Fungal toenail infections, medically known as onychomycosis, are a common yet notoriously stubborn condition. Despite being prevalent, treating fungal toenails is often a challenging and prolonged process. As a podiatrist, I encounter many patients frustrated by the persistent nature of this infection. In this blog post, I will explain why fungal toenail infections are so…

In the realm of healthcare, navigating insurance policies can be a daunting and often frustrating task. As a podiatrist who operates under a direct care/direct pay model and does not accept insurance, including Medicare, I often encounter patients who are curious about the advantages of this approach. Despite having Medicare or other insurance coverage, there…

Heel pain in children commonly known as Sever’s disease, is a painful condition affecting the growth plate in the heel bone of children and adolescents. It occurs during periods of rapid growth and high levels of physical activity. Traditional treatments for Sever’s disease have focused on rest, anti-inflammatories, stretching, orthotic devices, and physical therapy. However,…

Heel pain is a common complaint that can significantly impact mobility and quality of life. From plantar fasciitis to Achilles tendonitis, various conditions can cause discomfort in the heel area. As a podiatrist, I use Kinesio tape daily to alleviate heel pain and improve my patients’ overall foot health. In this blog post, I’ll discuss…

As a podiatrist, I’ve seen firsthand the toll that hiking can take on feet when not properly cared for. Whether you’re a seasoned trailblazer or a novice explorer, keeping your feet healthy is essential for an enjoyable hiking experience. Here are some of my expert tips to help you prevent common foot problems and maintain…

Iron deficiency anemia (IDA) is a widespread condition, affecting millions worldwide women more than men. While its symptoms often manifest as fatigue, weakness, and pale skin, one lesser-known indicator of this condition can be found right at your feet – in your toenails. We delve into the subtle but significant signs that your toenails might be…

As a podiatrist, I understand the frustration and discomfort that Achilles tendonitis can bring into your life. Whether you’re a seasoned athlete or someone who enjoys a brisk walk, the pain and stiffness in the back of your heel and ankle can be debilitating. Fortunately, there are several home exercises and stretches you can incorporate…

As a passionate runner, you know that finding the perfect pair of running shoes is just as important as logging those miles. To ensure that your investment lasts and continues to support you on your running journey, we’ve compiled a comprehensive list of tips and best practices to help prolong the lifespan of your beloved…

As a podiatrist, one of the most common conditions I encounter in my practice is heel pain. Among the various causes of heel pain, two conditions often confused with each other are plantar fasciitis and plantar fascial tear. While both conditions affect the plantar fascia, they have distinct characteristics and require different approaches to treatment….

As a podiatrist, I’ve encountered a wide array of foot and nail conditions throughout my practice. While discoloration of the nails is a common concern, the reasons behind it can sometimes be unexpected and surprising. In this blog post, we’ll explore some of the strange and lesser-known causes of nail discoloration and what they may…

As an avid runner, you understand the exhilarating feeling of pounding the pavement and pushing our limits mile after mile. However, with the joys of running come the risks of injury, and one of the most common afflictions that many runners face is plantar fasciitis. In this blog post, we’ll explore what plantar fasciitis is, how…

Fungal nail infections, also known as onychomycosis, are a common concern that affects millions of people worldwide. These infections can cause discoloration, thickening, and crumbling of the nails, leading to discomfort and embarrassment for many individuals. While various treatment options are available to address fungal nails, obtaining a nail sample before initiating treatment is a…

Arthritis is a common condition that affects millions of people worldwide, causing pain, stiffness, and swelling in the joints. When it strikes the feet, arthritis can significantly impact mobility and overall quality of life. However, with the right strategies and lifestyle adjustments, individuals with arthritis can effectively manage their symptoms and maintain comfort and mobility…

As a podiatrist, I often find that many foot problems can be prevented or alleviated with proper toenail care. Trimming your toenails may seem like a simple task, but doing it incorrectly can lead to discomfort, pain, and even infections. In this guide, I’ll walk you through the steps to ensure you’re trimming your toenails…

As a podiatrist, I often emphasize the importance of paying attention to the health of your feet, including the appearance of your toenails. Surprisingly, toenails can serve as a window into your overall health, reflecting underlying conditions that may require attention. Let’s explore how the appearance of your toenails can offer valuable insights into your…

Vacations are meant to be enjoyable and relaxing experiences, but dealing with heel pain can put a damper on your plans. Whether you’re exploring new destinations, hitting the beach, or embarking on an adventure, addressing heel pain before your vacation can ensure you make the most of your time away. Here’s how you can treat…

We treat infected ingrown toenails daily. After undergoing a partial toenail avulsion procedure, it’s crucial to take proactive steps to prevent the recurrence of ingrown toenails. We love seeing our patients but prefer for you to not have to undergo the procedure multiple times. Here are some essential tips to help you prevent a recurrent ingrown toenail…

Fungal toenail infections, characterized by thickened, discolored, and brittle nails, can be both unsightly and uncomfortable. Laser treatment is a safe and effective option for addressing fungal toenails, offering patients a non-invasive solution with promising results. However, proper post-treatment care is essential to maximize the effectiveness of the procedure and prevent recurrence. Caring for your…

As a podiatrist, I understand that the fear of needles may deter some from seeking essential foot care treatments. Treatments like ingrown toenail removal can be very painful without local anesthesia.  Needle phobia, also known as trypanophobia, is a common concern that can affect individuals of all ages. There are strategies to ease needle phobia,…

Dealing with dry, cracked heels can be both uncomfortable and unsightly. Establishing a consistent skincare regimen is key to promoting healing and preventing further issues. Here’s a step-by-step guide to caring for your dry, cracked heels 1. Soak and Exfoliate Start your regimen with a warm foot soak to soften the skin. Add a few…

Falls are a leading cause of injury in the elderly, often resulting in decreased mobility with the potential for serious consequences.  The significance of appropriate footwear for older individuals cannot be overstated, especially concerning falls prevention.  Properly fitting shoes play a pivotal role in mitigating the risk of falls among older adults. Here are some recommendations…

Squeaky orthotics are more than just embarrassing—they’re a sign that something isn’t right. Whether you have drugstore inserts or custom orthotics from another provider, this guide will help you eliminate the noise. Have our custom orthotics? These fixes should resolve the issue quickly. Still squeaking? Call us for a free adjustment. Considering custom orthotics? Keep…

As a podiatrist, I’ve seen firsthand the intricate ways in which lifestyle choices can influence foot health. Smoking, a habit often associated with detrimental effects on cardiovascular and respiratory health, also casts a shadow over the well-being of our feet. In this blog post, we’ll explore the profound impact of smoking on your feet and…

Living with peripheral neuropathy can present daily challenges, but for many individuals, the struggle intensifies when the sun sets. Why does neuropathy seem to worsen at night, disrupting what should be a restful period? As a podiatrist specializing in treating peripheral neuropathy, let’s explore the reasons behind nighttime discomfort and discover strategies for achieving a…

Neuromas, those pesky inflamed nerves causing discomfort and pain in the ball of the feet, can be a real challenge for individuals striving to maintain an active and pain-free lifestyle. While traditional treatments have their merits, the emergence of laser therapy is a promising alternative to surgery and painful injections.  Understanding Neuromas: A Brief Overview…

Diabetes is a complex chronic condition that affects various aspects of an individual’s health, including the feet. One common issue that people with diabetes often face is a higher susceptibility to fungal nail infections, medically known as onychomycosis. Fungal infections in the nails cannot only be painful and unsightly but can potentially lead to more…

November is Diabetes Awareness Month. Diabetes is a chronic condition that requires meticulous care and attention, especially when it comes to foot health. Individuals with diabetes are more prone to foot complications due to reduced blood circulation and nerve damage. One such common foot issue is an ingrown toenail, which can lead to infections and…

Peripheral neuropathy, a common condition among individuals with diabetes and other underlying health issues, can cause discomfort, pain, and tingling in the extremities. Managing this condition is crucial to improving quality of life and maintaining daily activities. While medical intervention is often necessary, there are several home treatments and lifestyle adjustments that can help alleviate…

November is Diabetes Awareness Month. Having diabetes along with heel pain can be challenging to treat. Heel pain, which can significantly impact an individual’s quality of life. Heel pain in diabetics can stem from various causes, and understanding these factors is crucial for effective management and relief.  Why Do Diabetics Experience Heel Pain? Diabetes can contribute…

Welcome to Lighthouse Foot and Ankle in Scarborough, Maine! I’m Dr. Michele Kurlanski, and I’m excited to share the many advantages of being a direct care, direct pay podiatrist who doesn’t participate with insurance. At Lighthouse Foot and Ankle, we prioritize delivering personalized, high-quality care that revolves around your specific needs and goals. Advantages of…

Ingrown toenails can be a very painful condition, causing discomfort and potential infections if not properly addressed. Sometimes attempting to manage ingrown toenails at home with soaking and topical antibiotic ointment is not enough. Patients who seek care from their PCP are often given an antibiotic, which only temporarily helps the condition. Seeking professional help…

Peripheral neuropathy is a condition characterized by nerve dysfunction that can affect the nerves outside of the spinal column. Peripheral neuropathy is a very general term for nerve damage or injury with a host of symptoms. Peripheral neuropathy can be caused by several conditions including diabetes, trauma, vitamin deficiency, alcohol use, shingles (herpes zoster), Lyme…

Fungal nails, medically termed onychomycosis, are a common and often frustrating condition that can lead to thickened, discolored, and brittle nails. Not all thick yellow nails have a fungal infection. Properly diagnosing fungal nails is crucial for effective treatment.  Fungal nail infections primarily stem from various types of fungi, with the most common culprits being…