patrickhalldpm

The Advantages of Minimally Invasive Foot Surgery

Wed, 19 Nov 2025 18:35:25 GMT

At Hall Podiatry , our goal is to relieve pain, restore function, and help you return to your favorite activities as quickly and safely as possible. Minimally invasive foot surgery (MIS) represents one of the most exciting advancements in modern foot and ankle care. With recent developments in intraoperative imaging and specialized instruments, MIS has become a reliable option for many patients dealing with painful foot conditions.

What Is Minimally Invasive Foot Surgery?

Unlike traditional open surgery, which often requires larger incisions and more disruption of soft tissue, minimally invasive foot surgery is performed through tiny incisions, typically measuring just a few millimeters in length. Using specialized burrs and live imaging, Dr. Hall can correct common problems such as bunions , hammertoes, and bone spurs with precision while minimizing trauma to surrounding tissues.

Conditions often treated with minimally invasive surgery include:

Bunions
Hammertoes
Plantar fasciitis
Certain bone spurs

Benefits of Minimally Invasive Foot Surgery

Because the incisions are so small, patients typically experience less pain, swelling, and stiffness after surgery. In some cases, patients can walk the same day while wearing a protective boot, and recovery times are often shorter than those with traditional techniques. Many patients return to comfortable shoes and their daily activities within weeks, rather than months.

These procedures are usually performed on an outpatient basis under light sedation. Most surgeries take less than an hour, and patients can typically return home the same day.

There are also cosmetic benefits. Smaller incisions mean less scarring and a more natural appearance once healed. Minimally invasive techniques may also reduce the risk of infection and the need for pain medication, which is another reason patients appreciate this modern approach.

Is Minimally Invasive Surgery Right for You?

Every patient is unique, and minimally invasive surgery may not be the right option for every condition. However, for many common foot problems , it offers a highly effective and patient-friendly solution.

If foot pain or deformity is limiting your lifestyle, Dr. Hall can help determine whether minimally invasive surgery is the right option for you . Together, you can create a personalized treatment plan to help you walk comfortably and confidently again.

Bunion Surgery Options and Recovery in Baton Rouge

Thu, 23 Oct 2025 14:21:19 GMT

Bunions can make walking and everyday activities uncomfortable, affecting how you move and live. At Hall Podiatry , we understand how painful and frustrating this condition can be. When conservative treatments like shoe changes, padding, or custom orthotics are no longer enough, surgery may be the best option to restore comfort and function. Our team takes a personalized approach to every case, helping patients find the most effective surgical solution for long-term relief and improved mobility.

Minimally Invasive Bunionectomy: A Modern Option for Bunion Surgery

Modern technology has made it possible to correct bunions through very small incisions. This minimally invasive approach often results in less swelling, smaller scars, and a quicker return to activity. It’s a great choice for moderate-sized bunions without arthritis and can provide excellent results with less downtime.

Most patients will experience a short period of non-weight-bearing followed by protected walking in a boot. Because this technique disrupts less soft tissue, patients typically recover faster and experience less post-operative discomfort than with traditional bunion surgery .

Austin Bunionectomy: Best Surgery for Mild to Moderate Bunions

The Austin bunionectomy is one of the most common and reliable procedures for mild to moderate bunions. During this surgery, the bone is carefully cut and realigned, then held in place with two small screws to maintain the new position.

This procedure continues to be widely used because it provides consistent results and allows patients to begin walking in a surgical shoe or boot soon after surgery. While surgical technology continues to advance, the Austin bunionectomy remains a dependable option for restoring comfort and improving mobility.

Lapidus Bunion Surgery: Correction for Severe or Unstable Bunions

For patients with larger bunions or instability at the base of the big toe, the Lapidus procedure is often the best choice. This technique stabilizes the joint that contributes to the deformity, allowing for a more complete correction and a lower risk of recurrence.

Advances in surgical hardware, such as low-profile plates and specialized screws, have made the recovery process easier for many patients. This procedure does require a period of non-weight-bearing to protect the repair, but it provides a strong, stable foundation that supports long-term results.

Arthrodesis Bunion Surgery: Joint Fusion for Advanced Bunions

For patients with severe bunions or arthritis in the big toe joint, arthrodesis, or joint fusion, may be the most effective option. This procedure permanently straightens the toe and eliminates pain by removing damaged joint surfaces and fusing the bone together.

While it limits joint motion, arthrodesis provides excellent stability and long-term pain relief. It is especially beneficial for patients with significant arthritis or for those who need a correction that will remain stable over time. The goal is to create a pain-free, properly aligned toe that allows comfortable standing and walking.

Personalized Bunion Treatment in Baton Rouge

At Hall Podiatry, every bunion surgery is tailored to the individual. We consider your specific condition, activity level, and long-term goals when recommending the best approach. Whether your bunion is mild, moderate, or severe, Dr. Hall and his team are dedicated to providing care that restores both comfort and confidence.

If bunion pain is limiting your daily life and conservative treatments are no longer working, it may be time to explore your surgical options. Schedule a consultation with Hall Podiatry to learn which treatment can help you move comfortably again.

Hall Podiatry Now Offers Minimally Invasive Bunionectomy

Thu, 18 Sep 2025 17:07:56 GMT

Bunions can make walking and everyday activities uncomfortable, limiting mobility and causing pain. Advances in surgical techniques now allow patients to correct this common foot condition with a minimally invasive bunionectomy, a modern approach designed to reduce scarring, minimize pain, and speed up recovery.

Dr. Patrick Hall, DPM , brings years of experience and expertise to this treatment. He is board-certified by the American Board of Foot and Ankle Surgery and has been published in The Journal of Foot and Ankle Surgery and McGlamry’s Comprehensive Textbook of Foot and Ankle Surgery.

A bunion, or hallux valgus, is one of the most common foot conditions treated at Hall Podiatry . While traditional surgery has long been effective, minimally invasive techniques now offer a modern alternative for many patients.

How Minimally Invasive Bunionectomy Works

This procedure uses tiny incisions and specialized instruments to realign bones with minimal disruption to surrounding soft tissues. Patients typically experience less pain and swelling, smaller scars, and a faster recovery time compared to traditional surgery. Most patients wear a walking boot for a short period while the foot heals, but many can return to normal footwear sooner than with traditional surgery.

The benefits of this procedure include:

Smaller Incisions and Less Scarring – Incisions are often less than half an inch wide, resulting in minimal scarring and improved appearance.
Reduced Pain and Swelling – Less disruption to soft tissues makes recovery more comfortable.
Faster Recovery – Many patients can return to normal footwear and daily activities sooner than with traditional surgery.
Outpatient Procedure – Surgery is typically performed under IV sedation in an outpatient setting, allowing patients to recover at home the same day.
Precise Bone Alignment – Advanced imaging and instrumentation enable surgeons to accurately realign bones.

Is Minimally Invasive Bunionectomy Right for You?

Minimally invasive bunionectomy offers a modern, patient-focused approach to correcting bunions and restoring comfort and mobility. Many patients find relief from pain, enjoy smaller scars, and return to normal activities faster than with traditional surgery.

If you are experiencing discomfort from a bunion and want to explore your treatment options , scheduling a consultation with Dr. Hall is the first step toward regaining foot health and confidence.

Baton Rouge Foot Doctor Explains Joe Burrow’s Turf Toe Injury

Mon, 15 Sep 2025 13:28:28 GMT

When Cincinnati Bengals quarterback and LSU legend Joe Burrow left the game versus the Jacksonville Jaguars with a turf toe injury, fans in Baton Rouge immediately took notice. Burrow is not only an NFL star, but he is also part of Louisiana football history. While the headlines focused on when he might return, many people were left wondering: What exactly is turf toe, and should I be worried about it, too?

As a foot and ankle surgeon and a longtime runner, I have seen turf toe affect athletes of all levels, from professionals to high school athletes here in Baton Rouge. Here is what you need to know.

What Is Turf Toe Baton Rouge?

Turf toe is a sprain of the big toe joint. It usually happens when your toe bends too far upward while the rest of your foot is planted on the ground. This overstretching can injure the ligaments and tissues that support the joint.

The name originates from football players getting injured on artificial turf; however, the injury can occur to anyone during sports, exercise, or even everyday activities. Here in Baton Rouge, I have treated this injury in youth soccer players who were injured at the Burbank Soccer Complex, basketball players at the YMCA, and runners training on the levee. Turf toe is not limited to professionals on the big stage. It affects athletes and active people in our own community.

Symptoms of Turf Toe Baton Rouge Athletes Should Know

Common symptoms include:

Pain and tenderness at the base of the big toe
Swelling or bruising
Trouble bending the toe or pushing off while walking or running
A feeling that the joint is unstable

In Burrow’s case, these symptoms are enough to keep him off the field. For everyday patients here in Baton Rouge, it can be painful to do something as simple as walking around the LSU lakes or standing for a long shift at work.

How Serious Is a Turf Toe Injury?

Doctors grade turf toe injuries based on severity:

Grade 1 (Mild): Stretched tissue, soreness, and mild swelling
Grade 2 (Moderate): Partial tear with more swelling, bruising, and difficulty walking
Grade 3 (Severe): Complete tear or dislocation of the joint, very painful and slow to heal

Most cases are mild to moderate, but they can still significantly interfere with daily life if not properly treated. A high school football player at Catholic High, for example, could miss several weeks of the season with even a moderate case.

Early NFL reports indicate that Joe Burrow is expected to have a Grade 3 turf toe injury. A Grade 3 injury involves a significant tear of the ligaments around the big toe joint and often requires surgery to repair. This level of injury would likely keep Burrow out of action for approximately three months.

Most patients will not face that type of severe injury, but even moderate cases can cause significant setbacks if they are ignored or not treated properly.

Turf Toe Treatment Baton Rouge: What Helps You Heal

The good news is that most turf toe injuries typically heal without the need for surgery. Treatment usually involves:

Resting and staying off the foot
Ice and elevation to reduce swelling
Supportive shoes or orthotics to protect the joint
Over-the-counter medication for pain
Physical therapy to restore movement and strength

Recovery time depends on the grade of the injury. A mild sprain typically improves within a week or two, while more severe injuries may take several weeks or months to recover.

I often remind my patients whether they are runners training for the Louisiana Marathon or parents staying active at Highland Road Park, that pushing too hard too soon can delay recovery. Taking time to heal properly is the key to getting back to your sport or activity.

Long-Term Outlook for Turf Toe Baton Rouge Patients

For professional athletes like Joe Burrow, turf toe can temporarily affect performance because it limits push-off strength and mobility, both of which are critical for throwing and running. For everyday patients, untreated turf toe can lead to stiffness, arthritis, or long-term pain.

Even if you are not competing in Tiger Stadium, you still need healthy feet to do the things you enjoy. That might involve playing a pickup game at the park, running around with your kids, or walking through your neighborhood in Baton Rouge.

Joe Burrow’s injury has brought national attention to turf toe, but this is not just a problem for professional athletes. It can affect anyone in our community. If you experience pain, swelling, or stiffness in your big toe, it is essential to consult a foot and ankle specialist . With the right care, most people make a full recovery and return to their normal activities.

Bunion Surgery Options: Which Procedure Is Right for You?

Mon, 25 Aug 2025 17:30:00 GMT

Diabetes affects the body’s ability to regulate blood sugar and can lead to serious complications if not carefully managed. One of the most critical areas affected by diabetes is the feet. Due to nerve damage and poor circulation, diabetic patients are at increased risk for foot problems that can quickly become severe without proper care. Understanding the importance of diabetic foot care is essential to preventing ulcers, infections, and even amputations.

Understanding Diabetic Neuropathy and the Importance of Foot Care

A common complication of diabetes is neuropathy, or nerve damage, which primarily affects the lower extremities. This condition can cause burning, tingling, numbness, or weakness in the feet. Unfortunately, this loss of sensation makes it easier for injuries to go unnoticed and untreated.

Poor circulation is another challenge for diabetic patients, as it slows the healing process and increases the risk of infections. Without proper care, minor cuts or sores can develop into dangerous ulcers. Statistics show that up to 15 percent of people with diabetes will develop foot ulcers, and sadly, 14 to 24 percent of those cases result in amputations. This makes vigilant foot care not only important but potentially life-saving.

Common Foot Problems in Diabetic Patients

People with diabetes are prone to several foot issues, including:

Peripheral neuropathy : nerve damage causing numbness, tingling, or pain in the feet
Foot ulcers: open sores that often develop on pressure points like heels or toes
Infections: infections that occur due to slow healing and challenges with the immune system
Calluses and corns: thickened skin areas that increase pressure and can lead to skin breakdown
Charcot foot: a condition where weakened bones fracture or deform, altering the shape of the foot

Recognizing these problems early is key to effective treatment and preventing serious complications.

Daily Foot Care Tips for People with Diabetes

Taking daily precautions can help keep diabetic feet healthy and reduce the risk of injury:

Wash and dry feet thoroughly every day, especially between the toes
Apply moisturizer to prevent dry, cracked skin, but avoid applying between toes
Keep toenails trimmed straight and filed to avoid ingrown nails
Inspect feet daily for cuts, blisters, redness, swelling, or any changes
Wear properly fitting shoes and moisture-wicking socks to prevent friction
Never walk barefoot, even indoors, to avoid injury
Use protective footwear if recommended by your podiatrist

Consistent daily care and awareness can drastically reduce the risk of developing ulcers and infections.

When to See a Podiatrist for Diabetic Foot Care

It’s important to seek prompt medical attention if you notice any of the following:

Persistent pain, redness, or swelling in the feet
Open sores or wounds that won’t heal
Changes in skin color or temperature
Signs of infection, such as pus, foul odor, or fever
Loss of feeling or increased numbness

Early evaluation and treatment by a foot and ankle specialist can prevent minor issues from becoming emergencies. At Hall Podiatry , Dr. Patrick Hall combines expert knowledge with compassionate care to provide comprehensive evaluations and treatments for diabetic foot care. Through personalized plans that include preventive strategies, routine screenings, and advanced interventions when necessary, Hall Podiatry helps patients maintain foot health and avoid complications.

If you have diabetes and want to protect your feet from serious problems, schedule an appointment with Hall Podiatry today. Taking proactive steps now can preserve your mobility and quality of life.

Plantar Fasciitis Surgery: When to Consider It and What to Expect

Mon, 18 Aug 2025 18:37:30 GMT

Plantar fasciitis is one of the most common causes of heel pain, often characterized by a sharp, stabbing discomfort that is felt with the first steps in the morning. For most people, this inflammation of the plantar fascia, the thick band of tissue connecting the heel to the toes, can be managed with non-surgical treatments. However, in rare cases where pain persists despite months of conservative care, plantar fasciitis surgery may be the best path toward lasting relief.

What Is Plantar Fasciitis and Why Does It Happen?

Plantar fasciitis develops when repeated stress and strain cause microtears in the plantar fascia, leading to inflammation and pain. Common causes and contributing factors include:

Overuse or high-impact activities such as running or prolonged standing.
Foot mechanics, such as flat feet, high arches, or abnormal gait patterns.
Improper footwear that lacks support or cushioning.
Tight calf muscles that put added tension on the plantar fascia.

While it can affect anyone, plantar fasciitis is particularly common among runners, individuals who work on their feet all day, and those with certain foot structures.

Non-Surgical Treatments for Plantar Fasciitis Relief

The majority of plantar fasciitis cases improve with targeted conservative care. At Hall Podiatry, treatment plans are customized to each patient and may include:

Rest and activity modification to reduce strain on the fascia.
Supportive footwear and custom orthotics for improved alignment and shock absorption.
Stretching and strengthening exercises for the plantar fascia and calf muscles.
Night splints to maintain a gentle stretch during sleep.
Ice therapy and anti-inflammatory medications to reduce swelling and discomfort.
Corticosteroid injections for cases where pain persists despite initial treatment.

Most patients see significant improvement within 6 to 12 weeks when these measures are followed consistently.

When Is Plantar Fasciitis Surgery the Best Option?

Surgery for plantar fasciitis is considered only after at least six months of unsuccessful non-surgical treatment. Common indicators that surgery may be appropriate include:

Persistent, severe heel pain that limits daily activities.
No improvement despite consistent use of conservative treatments.
Significant impact on quality of life , including work and recreational activities.

The most common procedure is plantar fasciotomy, which involves carefully releasing part of the plantar fascia to relieve tension and inflammation. In many cases, this can be performed endoscopically through small incisions, minimizing downtime.

Plantar Fasciitis Surgery Recovery and Risks

Recovery varies depending on the surgical technique and individual healing rates; however, most patients return to normal activities within 6 to 10 weeks. Post-surgery care often includes:

Gradual return to weight-bearing activities.
Physical therapy to restore strength and flexibility.
Supportive footwear or orthotics to prevent recurrence .

As with any surgery, there are potential risks, including infection, nerve irritation, or continued heel pain. A thorough discussion with a qualified foot and ankle specialist is essential before deciding on surgery.

Expert Plantar Fasciitis Care at Hall Podiatry

Dr. Patrick Hall , a board-certified foot and ankle surgeon with extensive experience treating plantar fasciitis, is committed to helping patients achieve lasting relief. His approach begins with thorough diagnosis and personalized conservative treatment, moving to surgical options only when truly necessary.

If you have been living with persistent heel pain and want to explore your treatment options, Hall Podiatry offers the expertise and care you need to get back on your feet. Schedule an appointment today to take the first step toward recovery.

How Diet Affects Plantar Fasciitis Inflammation and Heel Pain

Wed, 16 Jul 2025 16:15:00 GMT

Plantar fasciitis is a common cause of sharp heel pain that can make walking, standing, or staying active difficult. While this condition affects millions each year, one often overlooked factor that can influence your symptoms is your diet. Because plantar fasciitis is driven by inflammation in the thick band of tissue running along the bottom of your foot, what you eat can play an essential role in reducing pain and supporting healing.

Understanding the Connection Between Diet and Inflammation

Inflammation is your body’s natural response to injury or irritation. When the plantar fascia becomes inflamed , it causes that characteristic stabbing heel pain, especially noticeable in the morning or after periods of rest. While short-term inflammation aids in healing, chronic inflammation can prolong the pain and impede recovery.

Certain foods can increase inflammation throughout the body, including in the plantar fascia, thereby making symptoms more severe or persistent. Being mindful of what you eat can help reduce inflammation and support better foot health .

Foods to Avoid with Plantar Fasciitis

To manage inflammation effectively, limiting or avoiding these common triggers can be helpful:

Highly Processed Foods: Fast food and packaged snacks often contain trans fats and refined oils that promote inflammation.
Refined Carbohydrates and Sugars: Foods such as white bread, pastries, candy, and sugary drinks can spike blood sugar levels and exacerbate inflammation.
Red and Processed Meats: Bacon, sausages, and similar meats contain saturated fats and preservatives that are linked to increased inflammation.

Cutting back on these foods can help decrease the overall inflammatory response your body experiences.

Foods That Help Reduce Plantar Fasciitis Inflammation

Incorporating foods rich in anti-inflammatory properties can aid your body’s natural healing process and ease plantar fasciitis pain:

Berries: These antioxidant-rich fruits help protect tissues from damage and may ease heel discomfort linked to plantar fasciitis.
Leafy Greens: Spinach, kale, and similar greens provide nutrients that support tissue repair and help maintain healthy connective tissue in the feet.
Healthy Fats (Olive Oil, Avocados, Nuts): These sources of good fats help the body absorb key vitamins and support joint and tissue flexibility, which may ease pressure on the plantar fascia.
Fatty Fish: Rich in omega-3s, fish like salmon and sardines may reduce stiffness and promote circulation, which can assist in healing irritated foot tissues.

Adding these foods regularly to your meals, such as berries in your breakfast or fish twice a week, can make a positive difference in your symptoms over time.

The Role of Diet in Treating Plantar Fasciitis

While adjusting your diet alone won’t cure plantar fasciitis, it can be a vital part of managing inflammation and supporting other treatments, such as stretching, custom orthotics, and physical therapy. What you eat can influence how quickly your body responds to treatment and how effectively it heals.

By reducing foods that trigger inflammation and incorporating nutrient-dense, anti-inflammatory options, you create a healthier internal environment that can enhance the results of your overall care plan. Taking control of your nutrition is a proactive way to support healing, relieve pain, and protect your long-term foot health .

When to Seek Expert Care for Plantar Fasciitis

If heel pain from plantar fasciitis is interfering with your daily life or isn’t improving with home care, it’s time to consult a podiatry specialist. Dr. Patrick Hall and the team at Hall Podiatry offer personalized evaluations and treatment plans designed to relieve pain and restore mobility .

Whether you’re struggling with chronic plantar fasciitis or want to learn more about how diet and lifestyle affect your foot health, Hall Podiatry is here to help you take the next step toward lasting relief. Schedule your appointment today and take the first step toward lasting foot relief.

Non-Surgical Bunion Relief: 6 Tips for Everyday Foot Comfort

Fri, 11 Jul 2025 15:36:55 GMT

Bunions are a common foot problem that can cause persistent pain and make walking uncomfortable. This bony bump forms when the big toe begins to push inward toward the other toes, often leading to swelling and irritation. While surgery is sometimes needed for severe cases, many people successfully manage their bunions with simple, non-surgical approaches that ease pain and slow progression.

What Causes Bunions?

Understanding what leads to bunions can help you manage and prevent them. Several factors contribute to their development, including:

Genetics: A family history of bunions increases your risk of developing bunions.
Footwear: Wearing tight, narrow, or high-heeled shoes can worsen the condition.
Foot Mechanics: Abnormal foot structures like flat feet or excessive pronation may contribute to bunion formation.

Non-Surgical Treatment Options for Bunions

Non-surgical approaches aim to relieve pain, reduce inflammation, and prevent the bunion from getting worse. Here are some practical strategies you can try:

Proper Footwear for Preventing Bunions

Choose the Right Shoes: Look for shoes with a wide toe box that provides plenty of space for your toes. Avoid high heels and shoes with narrow or pointed fronts.
Custom Orthotics: Insoles or orthotic devices can improve arch support, evenly distribute pressure, and enhance overall foot mechanics.

Bunion Padding and Taping

Bunion Pads : Gel or moleskine pads cushion the bunion, reducing friction and easing pain.
Taping: Applying tape to the foot can help realign the big toe and relieve stress on the bunion area.

Anti-Inflammatory Measures for Bunions

Ice Therapy: Applying ice packs to the bunion can help reduce swelling and temporarily numb the pain.
Pain Relief Medications: Over-the-counter NSAIDs, such as ibuprofen, can help manage inflammation and discomfort.

Physical Therapy and Exercises to Prevent and Treat Bunions

Stretching and Strengthening: Targeted exercises can improve flexibility and strengthen muscles around the bunion, promoting better alignment.
Range of Motion: Gentle foot stretches help maintain joint mobility and reduce stiffness.

Night Splints and Toe Separators for Bunion Relief

Night Splints: These devices hold the big toe in a straighter position while you sleep, thereby reducing pain and slowing the progression of bunions.
Toe Separators: Wearing toe spacers during the day can help realign toes and prevent rubbing.

Lifestyle Modifications to Prevent and Treat Bunions

Weight Management: Keeping a healthy weight reduces pressure on your feet and helps prevent bunions from worsening.
Activity Modifications: Avoid activities that put excessive stress on your feet, such as long periods of standing or running.

When to See a Podiatrist for Bunions

Non-surgical treatments can provide significant relief, but it’s important to seek professional care if :

The bunion causes severe pain that limits your daily activities.
You notice swelling, redness, or warmth, which may indicate inflammation or infection.
Conservative measures don’t relieve your symptoms adequately.

Dr. Patrick Hall and the team at Hall Podiatry can provide personalized care, recommend custom orthotics, and discuss further treatment options if necessary.

If you’re experiencing discomfort or pain from bunions, schedule an appointment with Hall Podiatry and begin your journey to lasting relief and better foot health.

Foot and Ankle Pain Treatment in Baton Rouge: Signs You Should See a Doctor

Fri, 27 Jun 2025 14:47:31 GMT

Foot and ankle injuries are common, ranging from mild sprains to more serious fractures or tendon tears. While some injuries can be managed with rest, ice, compression, and elevation (RICE), others require medical care to avoid long-term complications. Knowing when to seek help from a specialist can make all the difference in your recovery and future mobility.

Persistent Foot or Ankle Pain and Swelling

If your pain or swelling doesn't improve after a few days of at-home care, it's a good idea to see a doctor. Ongoing discomfort could be a sign of a more serious issue, such as a fracture, severe sprain , or tendon injury. Early treatment can prevent long-term damage and support a full recovery.

Difficulty Putting Weight on Your Foot or Ankle

If standing, walking, or putting weight on your injured foot or ankle becomes difficult or painful, seek care immediately. These symptoms often indicate structural damage, such as a ligament tear or fracture , that requires professional evaluation. Ignoring the problem can lead to chronic pain or improper healing.

Noticeable Bruising or Deformity

If your foot or ankle looks visibly deformed or shows significant bruising, that's a clear sign of a serious injury. These types of injuries often require immobilization, physical therapy, or, in some cases, surgery to fully recover .

Numbness or Tingling in the Foot or Ankle

Numbness, tingling, or a "pins and needles" feeling in the foot or ankle may indicate nerve damage. Prompt diagnosis and treatment are key to preventing long-term complications.

Expert Foot and Ankle Care in Baton Rouge

While many mild foot and ankle injuries can be treated with proper at-home care, it's essential to recognize when you need professional assistance. A correct diagnosis and tailored treatment plan can help you heal faster and return to your routine with confidence.

At Hall Podiatry, we offer specialized care for a wide range of foot and ankle injuries. Dr. Patrick Hall, DPM , brings years of experience both in the clinic and as an athlete himself. As an endurance athlete and contributor to key academic publications in foot and ankle surgery, Dr. Hall understands the importance of staying active and knows how to help you achieve it safely.

If you're experiencing persistent foot or ankle pain, schedule an appointment with Hall Podiatry today and receive the expert care you deserve.

A Guide to Treating Ingrown Toenails: Finding Relief in Baton Rouge

Thu, 26 Jun 2025 19:56:33 GMT

Ingrown toenails are a common and painful condition that can make everyday tasks, such as walking or standing, uncomfortable. They occur when the side or corner of your toenail grows into the soft skin surrounding it, causing redness, swelling, and, in some cases, infection.

Left untreated, an ingrown toenail can worsen, leading to more pain and a greater risk of complications. With the right treatment plan and ongoing foot care, you can heal comfortably, stay active, and prevent future issues from developing .

What Causes Ingrown Toenails?

Several factors can increase your risk of developing ingrown toenails:

Improper Nail Trimming: Cutting toenails too short or rounding the edges encourages the nail to grow into the skin.
Tight or Poorly Fitting Shoes: Shoes that squeeze or crowd the toes can push nails into the surrounding tissue.
Injury to the Toe: Stubbing your toe or other trauma can alter nail growth.
Genetics: Some individuals naturally have curved nails or toe shapes that increase the likelihood of ingrown nails.

How to Treat Ingrown Toenails

In the early stages, some mild ingrown toenails can be managed at home with careful care:

Warm Foot Soaks: Soaking your foot in warm water with Epsom salt can reduce swelling and discomfort.
Loose Footwear: Wearing shoes that don't press on your toes can help relieve pain and promote healing.
Over-the-Counter Pain Relief: Medications like ibuprofen can help reduce inflammation and pain.
Gently Lifting the Nail: Placing a small piece of clean cotton under the edge of the nail may help it grow in the right direction.

If your ingrown toenail isn't improving, don't wait to seek professional help. Hall Podiatry offers comprehensive treatment options designed to reduce discomfort and promote healing. Whether it's a minor issue or a recurring problem, we're here to provide effective solutions that protect your foot health.

Preventing Ingrown Toenails

Preventing ingrown toenails is often as simple as adopting a few good habits. Always trim your toenails straight across, avoiding cutting them too short or rounding the edges. Wear shoes that fit well and provide your toes with enough room to move comfortably, thereby reducing pressure on your nails. Keeping your feet clean and moisturized helps maintain healthy skin and nails.

If you're an athlete or have a condition like diabetes , paying extra attention to your foot care is especially important to avoid complications.

When to See a Podiatrist for an Ingrown Toenail

Mild cases may improve on their own, but it's time to see a specialist if:

The pain doesn't improve with at-home care.
You notice signs of infection, such as pus, redness, or warmth.
You frequently or recurrently experience ingrown toenails.
You have diabetes or other conditions that make foot injuries more serious.

Expert Ingrown Toenail Care in Baton Rouge

At Hall Podiatry, we are committed to providing personalized treatment for ingrown toenails tailored to your unique needs. Dr. Patrick Hall, DPM , is board-certified in foot and ankle surgery , combining his clinical expertise with a personal understanding of the demands that an active lifestyle requires. Dr. Hall works closely with each patient to relieve pain and help you maintain the mobility and comfort you need to keep moving forward.

If you're dealing with ingrown toenails that won't go away, schedule an appointment with Hall Podiatry today and take the first step toward lasting relief.

Dr. Patrick Hall Opens Hall Podiatry, Expanding Foot and Ankle Care in Baton Rouge

Mon, 10 Mar 2025 15:46:46 GMT

After 17 years of providing expert foot and ankle care at The Bone and Joint Clinic of Baton Rouge, Dr. Patrick Hall is excited to announce the opening of his new independent practice, Hall Podiatry. With a commitment to specialized treatment and patient-centered care, Hall Podiatry will continue to serve the Baton Rouge community with the same expertise and dedication patients have come to trust.

Dr. Hall comes from a strong legacy of podiatric care. His father, Dr. O.C. Hall, was also a podiatrist at The Bone and Joint Clinic of Baton Rouge and retired in April 2024 after a distinguished career. The two worked side by side for many years, providing comprehensive foot and ankle care to patients throughout the region.

Board Certified in Foot Surgery by the American Board of Podiatric Surgery (ABPS) and certified in the Surgical Treatment of the Ankle by the Louisiana State Board of Medical Examiners (LSBME), Dr. Hall has extensive experience treating a variety of foot and ankle conditions. He has also contributed to the advancement of podiatric medicine, co-authoring two chapters in the 4th edition of McGlamry’s Comprehensive Textbook of Foot and Ankle Surgery and regularly speaking at the Louisiana Podiatric Medical Association's (LPMA) academic conferences.

"I’m thrilled to open Hall Podiatry and continue providing high-quality, specialized care to my patients in Baton Rouge and beyond," said Dr. Hall. "This new practice allows me to focus on patient needs while delivering advanced foot and ankle treatments in a comfortable and convenient setting."

A dedicated runner, Dr. Hall has competed in marathons, half-marathons, and triathlons, giving him firsthand insight into sports-related injuries. His experience allows him to connect with patients of all activity levels, particularly those recovering from foot and ankle issues.

Patients can continue seeing Dr. Hall at The Bone and Joint Clinic of Baton Rouge through the end of May 2025. Beginning June 1, 2025, Hall Podiatry will open in Our Lady of the Lake Building 4, located at 5131 O’Donovan Drive, Suite 201, Baton Rouge, LA.

For more information or to schedule an appointment, visit hallpodiatrybr.com.

About Dr. Patrick Hall

A Baton Rouge native and University High School graduate, Dr. Patrick Hall earned his Doctorate in Podiatric Medicine (DPM) from Temple University in Philadelphia. He completed a prestigious residency in advanced foot and ankle surgery at the DeKalb Medical / Podiatry Institute in Atlanta, GA. In addition to clinical practice, he contributes to academic research, lectures nationally, and remains an active member of The Podiatry Institute.

Understanding Morton's Neuroma and Forefoot Pain

Fri, 04 Oct 2024 19:42:55 GMT

One of the most common causes of forefoot pain is Morton's Neuroma —a benign thickening or swelling of a nerve that runs just in front of the toes. While Morton's Neuroma is typically found between the third and fourth toes, it may also appear between the second and third toes. Recent studies estimate that Morton's Neuroma affects around 10% of the population, with higher occurrences in women, likely due to footwear choices and foot structure.

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Symptoms of Morton's Neuroma

People with Morton's Neuroma often experience:

Pain in the ball of the foot
Burning, tingling, and numbness in the toes
Localized discomfort that can radiate among multiple toes

These symptoms often intensify when walking or wearing tight or high-heeled shoes as pressure compresses the nerve further.

Non-surgical Treatment of Morton's Neuroma

Most patients (around 80%) report satisfactory results with non-surgical treatments. This conservative approach includes:

Pads and cushions to offload pressure from the ball of the foot
Shoe modifications that emphasize a wide toe box, lower heels, and supportive insoles
Medication and steroid injections to reduce inflammation and pain
Physical therapy for foot and ankle strengthening
Walking boots or splints that temporarily immobilize the foot, allowing it to heal and minimizing pressure on the nerve

Recent advancements in non-surgical treatment include ultrasound-guided injections and radiofrequency ablation to reduce nerve pain with minimal invasiveness.

Morton's Neuroma Surgery

If conservative treatment does not relieve symptoms, neurectomy surgery may be recommended. This procedure involves the removal of the affected nerve. Surgeons may choose either a dorsal (top) incision or a plantar (bottom) incision, each with unique benefits:

Dorsal Incision: Allows patients to walk sooner post-surgery but may be associated with a slightly higher risk of residual nerve tissue forming a "stump" neuroma.
Plantar Incision: Reduces the likelihood of a stump neuroma as it allows better access to the neuroma but may increase the chance of a painful scar.

Success Rates and Patient Satisfaction for Morton's Neuroma Surgery

The success rate of neurectomy surgery is high, with 80% - 9% of patients experiencing good to excellent results. However, patients with neuromas in both feet or multiple neuromas in one foot may report less satisfaction. Recovery time varies, but most patients can resume normal activities within 3–4 weeks, depending on the incision site and healing rate.

Potential Complications of Morton's Neuroma Surgery

While complications are uncommon, they can include:

Infection – A rare risk, typically managed with antibiotics.
Regrowth or recurrence of the neuroma – Estimated at less than 5% but can happen over time.
Stump neuroma – Occurs more frequently with a dorsal incision, where scar tissue forms at the nerve ending, causing recurring pain.
Painful scarring – More likely with a plantar incision, with approximately 3–5% of patients experiencing tenderness at the incision site.

If you're experiencing persistent forefoot pain or other symptoms of Morton's Neuroma , it may be time to consult a specialist. Scheduling an appointment can help you understand your treatment options and determine the best approach to relieve your pain. With the end of the year approaching, it's also a great time to consider surgery if you've already met your deductible , maximizing your insurance benefits. Reach out to our office today to discuss a treatment plan tailored to your needs and get back on your feet pain-free.

Is Lapiplasty Better Than Traditional Bunion Surgery?

Wed, 10 May 2023 21:27:44 GMT

The Lapiplasty operation is a good procedure that has gained in popularity in recent years. I receive a number of questions in my Baton Rouge podiatry practice about this operation and who is the right candidate for the procedure.

What is a bunion?

A bunion deformity (medically termed hallux valgus) is one of the most common foot conditions that I treat in my Baton Rouge podiatry practice. A bump or bony prominence at or near the big toe joint is usually the first signs of a bunion. Bunions typically develop gradually over many years, but occasionally I have patients who experience significant worsening over a short period of time. Certain shoes and activities can aggravate a bunion causing more irritation or discomfort.

Do non-surgical treatments work for bunions?

There are several over-the-counter pads, cushions and splints for bunions. Some patients do get relief from silicone toe spacers and other in-shoe cushions. A problem can arise if the pad or cushion is bulky and takes up too much space in a shoe. Bunion night splints also offer some symptomatic relief. Unfortunately, these measures do not typically straighten the toe. Because these options are relatively easy to try, they should be attempted prior to considering surgery.

Other non-operative bunion treatments include periodic icing of the painful area, wider or softer toed shoes and modifying painful activities. Medications and corticosteroid injection can also be beneficial.

When do I need to have bunion surgery?

Bunion surgery is one of the most common and gratifying operations that I perform annually in my Baton Rouge podiatry practice. Satisfaction rates are very high, and the recovery is usually uneventful. Many patients following bunion surgery can resume normal activities and shoe gear after a successful operation. A key to this success is deciding the correct time to have bunion surgery.

I tell patients daily, that you don’t perform bunion surgery because of the size of the bunion but because of the symptoms. Painful bunion symptoms can include redness and swelling, sharp pain and aching, having to modify daily and recreational activities and having difficulty finding comfortable, enclosed shoes.

Another consideration with bunion surgery is the patient’s home and work environment. Patients with a desk job have an easier time recovering and sometime require less time off work with recovery. Patients who live on the second floor of a home or apartment and patients who live alone sometimes need to make special arrangements during bunion surgery recovery.

Lapiplasty vs Traditional Bunion Surgery

The Lapiplasty procedure is a good operation that has gained in popularity in recent years. This operation involves special instrumentation including plates and screws to help make certain aspects of bunion surgery more predictable and to make aspects of the recovery easier on patients. For me personally I still prefer the traditional Austin bunionectomy for most of my patients. The Austin bunionectomy works very well for mild to moderate sized bunion deformities. The recovery allows early weightbearing and the procedure is less invasive. It is also less expensive, which is important to consider today with health care costs rising.

The real benefit of Lapiplasty, to me, is for severe sized bunion deformities where the Austin procedure doesn’t work as well. The Lapiplasty can make the correction of severe sized bunions more stable and predictable but is not necessary for most bunion deformities. In some instances, this operation can allow patients with severe sized bunions to weight bear earlier than with other similar procedures.

The important thing to realize with bunion surgery is that no single procedure is perfect for everyone. A detailed physical examination, a set of weight-bearing X-rays and consideration of a patient’s lifestyle, activity level and functional goals all need to be considered when deciding the best bunion surgery for each individual.

If you are having bunion pain and have questions about the best operation for you, then please schedule an appointment for an initial consultation.

Tiger Woods’s Surgery — What is Subtalar Fusion?

Thu, 20 Apr 2023 19:07:23 GMT

The most famous golfer in the world recently announced that he underwent a foot surgery called Subtalar fusion . The subtalar joint is a small space between the ankle and the heel bone. Simply put, the ankle joint is responsible for up and down motion, while the subtalar joint is responsible for the side to side adaptive type motions of the hindfoot. A fusion is the permanent stiffening of a painful joint , usually from arthritis. Fusion surgery is very common and effective in smaller joints like the neck, back and foot where joint replacement isn’t an option.

When is Subtalar Fusion Needed?

There are many indications for Subtalar fusion, but the most common is arthritis. Think of a joint as a hinge where two bones move. That hinge requires a cushion, called cartilage, to move or function normally. Arthritis occurs when that cushion wears down, creating grinding, popping, swelling and pain. This can happen through gradual overuse or an injury such as a fracture.

How is Subtalar Fusion Performed?

Subtalar fusion is usually performed under general anesthesia, takes between one to two hours and is done as outpatient surgery. During the operation an incision is made and the arthritis is removed with power burrs and other instruments. Typically, one or two screws are placed across the joint to provide compression and stability. Postoperatively the patient is weight-bearing for 6 to 8 weeks in a cast followed by 4 to 6 weeks of progressive weight-bearing in a walking boot. The total time to heal varies but can take up to a year.

Subtalar Fusion Outcomes

The patient satisfaction rates for Subtalar fusion are generally high. The surgery is a reliable option to reduce severe pain , but it does have downsides. The biggest downside is that it creates more stiffness in the hindfoot. For example, a patient with a Subtalar fusion still will be able to move the ankle up and down, but will be limited with side to side and circular motions of the foot and ankle. This doesn’t prevent an issue for most moderately active patients, but could create challenges for a professional athlete performing high demand activity and doing extensive walking on uneven terrain. The other downside is that the additional stiffness can put more pressure on the adjacent joints, creating new stresses on those joints. These are a few of the many factors that are considered before Subtalar fusion surgery.

Subtalar joint surgery is a very good option for patients with painful arthritis when balanced against the potential downsides. This is a surgery that I perform in my Baton Rouge podiatry practice . If you think that you have subtalar joint arthritis and have any questions about this condition and its treatment options, please give us a call.

Baton Rouge Foot Doctor: Why is a Diabetic Foot Exam Important?

Tue, 20 Sep 2022 21:25:15 GMT

The most important reason for a diabetic foot exam is prevention. Diabetes is associated with causing a number of problems in the body. Diabetic foot problems can be particularly dangerous, sometimes leading to infections and even amputations. The good news is that many of the conditions that lead to diabetic foot problems can be treated and even prevented when they are identified early.

What is a diabetic foot exam?

A diabetic foot exam typically involves a few key components.

Inspection from a Podiatrist

When patient ages, poor vision and stiff joints can make it difficult to visually inspect the bottom of their feet and in between their toes. Small cracks in the skin, calluses, and blisters can start very minor and develop into bigger problems. When these minor conditions are neglected, they can become a source of a bacterial infection or a breakdown in the skin called a diabetic foot ulcer. Periodic visits with a podiatrist can help identify these minor problems and treat them before they worsen.

Blood Circulation in the Foot

Another frequent cause of diabetic foot problems is inadequate blood flow to the feet or toes. If a patient doesn’t have adequate blood flow then healing minor conditions becomes more challenging. During a diabetic foot exam, the pulses in a patient’s foot are checked and the refill time at the toes is checked as well. When blood flow is noticed to be compromised or worsening specialized tests can be ordered and sometimes a referral to a vascular surgeon is necessary.

Neuropathy in the foot

Neuropathy is the loss of part or all of the feeling in a patient’s feet. Not everyone with diabetes develops neuropathy but many of them do. Often patients do not even realize that they have neuropathy because it doesn’t always hurt. Some patients with neuropathy develop burning, tingling, and numbness in their feet and legs. Neuropathy can be dangerous because a patient can suffer a minor injury or even a puncture wound without knowing. When these are neglected they can develop into more serious problems.

Diabetes is a complex disease with many impacts on the body. Diabetic foot problems are common and can be quite dangerous. The good news is that many of these problems can be identified and treated with close podiatric follow-up. It is important to start with an annual diabetic foot exam and progress to more frequent follow-ups if needed.

What is Permanent Ingrown Toenail Removal?

Mon, 12 Sep 2022 16:17:05 GMT

Painful ingrown toenails are among the three most common conditions that I treat in my Baton Rouge Podiatry practice . They are painful and can be acute onset or chronic and long-standing. An ingrown toenail is when one or more borders of the nail plate become curled into the corner of the toe itself. This can be the result of improper trimming of the nail, certain activities, or poor shoe fit. Sometimes a cause is not immediately obvious. Many people suffering from painful ingrown toenails can get temporary relief with clipping the corner of the nail, applying a topical ointment or soaking the foot in Epsom salt. When an ingrown toenail fails to improve with home remedies or becomes infected, then Permanent Ingrown Toenail Removal is often indicated.

Is Permanent Ingrown Toenail Removal a Big Deal?

I am asked this question five or more times a day everyday, and the answer is no. This is a simple procedure that I perform daily in the office on the same day as the initial appointment, if desired.

How Painful is Permanent Ingrown Toenail Removal?

I perform Permanent Ingrown Toenail Removal procedures five to eight times a day nearly every day of the week. Most patients have very little pain following the procedure. It’s usually sore for two or three days. Most patients return to school or work the following day.

How is Permanent Ingrown Toenail Removal Performed?

First the painful toe is numbed with what’s referred to as a Digital Block. This is the local infiltration of a small amount of anesthetic to numb the toe. This involves two needle sticks which are a little uncomfortable. After this, I wait 10 to 15 minutes for the toe to become completely numb. Once the toe is numb, I use a specialized clipper to cut and remove the ingrown portion of nail. I always leave as much normal nail as possible. The permanent portion of the procedure is when I apply a dilute chemical called Phenol to the nail bed. This helps cauterize the nail bed and prevents recurrence. Although this is referred to as permanent, they do recur occasionally. The application of Phenol in addition to clipping the nail reduces the recurrence rate from 65% to around 5 to 8%. The aftercare is usually minimal.

If you have been putting up with painful ingrown toenails for far too long, please call.

What’s New in Plantar Fasciitis Treatment?

Tue, 30 Aug 2022 17:59:50 GMT

Plantar fasciitis is one of the 2 or 3 most common conditions I treat in my Baton Rouge podiatry practice. It is essentially tendinitis or inflammation on the bottom of the foot from overuse, certain activities, or improper shoes. Many people with plantar fasciitis experience “first-step” pain when getting out of bed in the morning or when standing after a period of rest. Some patients suffering from plantar fasciitis experience pain on the bottom of the heel or along the arch with walking or physical activity. Plantar fasciitis is extremely common and can be very frustrating for patients.

I talk to patients 8 to 10 times a day about plantar fasciitis. It can range from mild and short-lived to severe and chronic. Fortunately, there are several proven and successful treatments for plantar fasciitis.

What Works for Treating Plantar Fasciitis?

Arch Support - In our Baton Rouge office, as well as our satellite offices, we have partnered with PowerStep, an orthotic company that provides the best over-the-counter arch support on the market. We carry their Professional Rx model, which is a firm full-length insole that fits in most enclosed shoes. We also carry a ¾ length and a women’s dress insole. As an avid runner and a podiatrist, I have spent years trying various insoles, and the PowerStep Professional Rx insole is by far the best and is reasonably priced.

Stretching - Calf and hamstring stretching is very effective for plantar fasciitis. I routinely dispense a stretching card to patients showing the four best stretches for this condition. Five to 10 minutes of stretching a day can make a significant difference with plantar fasciitis.

Night splint - I routinely recommend using a night splint for plantar fasciitis. This semi-rigid L-shaped device places a gentle stretch and stabilizes the plantar fascia at night. I find these to be very effective for the treatment of plantar fasciitis. We carry night splints at all of our locations, and they are usually covered by insurance.

Injections - Cortisone is essentially an anti-inflammatory medication. When injected into the plantar fascia, it can definitely help decrease pain. Sometimes, one cortisone injection is enough to provide tremendous relief. Occasionally, it is ineffective, and a second injection is required.

Physical Therapy - There are two things that they can do at physical therapy that patients cannot do at home - ASTYM and dry needling. Both are very popular treatments for chronic tendon pain and inflammation.

Plantar Fasciitis is extremely common and can be painful and frustrating for patients. There are several ways to treat plantar fasciitis and provide patients with relief. If you are suffering from plantar fasciitis and home remedies have been ineffective, please call us today.

FAQs From My 2nd Marathon

Thu, 12 May 2022 14:42:18 GMT

How did it go?

Awesome. What an experience! The Big Sur International Marathon is well organized from packet pick up to the post race festival. I recommend this event for someone looking for a destination bucket list marathon with gorgeous scenery. I suggest looking at the race elevations beforehand and training with the hills in mind. I can’t believe I had the opportunity to run 26.2 miles along scenic Hwy 1.

Why did you decide to run a 2nd marathon?

It has been almost 10 years since I completed my first marathon and I've always planned on running a second one. However, I have a fairly demanding job and two young children so I ended up running a number of half marathons because I just didn’t have the time for the longer training runs required for a full marathon.

Two years ago I tore the labrum in my right hip and I thought I’d never run again. For a while, I rode a Peloton bike and did yoga and gradually my hip felt better and stronger. I spoke with my orthopedist and he suggested I could slowly begin running again so long as my hip didn't bother me. talked to my doctor and he said I could try running and so far my hip hasn’t bothered me. My children have also gotten older leaving me more time to commit to the training needed for a full marathon.

Why did you choose The Big Sur International Marathon?

My first marathon was the Cape Cod marathon. A destination race is exciting and motivational for me during training. Cape Cod is a part of the country I’d never been to and it came up on a list of “Most Scenic Marathons.” We found a reasonably priced VRBO and made a family trip out of it. For my 2nd marathon, I wanted to replicate the experience of looking forward to running somewhere with mind-blowing views.

The Big Sur International Maratho n tagline is “Running on the Ragged Edge of the Western World.” I read several reviews and looked at race photos and decided to go for it. If you look on their website you can see it is a very hilly course (a problem with scenic races that I encountered in Cape Cod). This adds a challenge, but it also takes off some of the pressure to have an impressive time.

Did you train differently for your 2nd marathon?

Yes, definitely! My first marathon was nearly 10 years ago. I was younger, lighter, and hadn’t had hip surgery. Unfortunately, I spent much of the training for my first marathon grouchy, sore, and in constant inflammation. Finishing the race felt terrific, but afterward, I remember my wife insisting that “We aren’t doing that again.” She was right. I worried too much about speed and didn’t give enough time for recovery between long runs. So when I decided to run a 2nd marathon I knew I’d need a different approach or my family was going to shut it down.

What changes to your training did you make?

For my first marathon, I used an 18-week training plan. I had recently completed a half marathon, so I felt like I had a solid base of mileage. The plan called for a fair amount of weekday mileage which was challenging with job and family obligations. The second time around I used a 6 month training plan. The advantage is I ran almost 200 more training miles, spread out over a longer time. This time I completed twice as many longer runs but kept my weekday runs to a one-hour maximum. I gradually stretched out my longer training runs on the weekends, and avoided overburdening my family by being absent as much during the week. The downside is committing to a 6-month training plan. That is a long time, and there’s some mental fatigue along the way.

Did anything else help with completing your second marathon?

Certainly altering my training plan helped, but I made two other changes that helped even more: I ran slower and took walking breaks on my longer runs. I’m a middle of the pack marathoner, running for fun and to stay in shape. Given that I’m older and heavier than I was ten years ago and also had surgery on my right hip it seems obvious that I should lower my expectations and run a little slower. But that’s not always how the brain works.

For my first few weeks, I was frustrated and wanted to push harder, but ultimately I decided to run 45 seconds slower per mile than the last time I trained for a marathon and that made it easier on my body and more enjoyable mentally—which is the whole point. This time I allowed myself to take walking breaks. On my longer runs, I decided to carry a small hydro flask collapsible water bottle. Every mile or so I would walk a minute and take a few sips of water. I would refill the water bottle about every hour when I’d pass my house or my parked car, depending on where I was training that day. Early in my training, the walking breaks kept my legs much fresher. As my fitness improved the walk breaks became less frequent.

Will you run a 3rd marathon?

Ouch. Never say never, but I’m still too sore to make that decision right now. Ha!

Does a Morton’s Neuroma Ever Go Away?

Wed, 13 Apr 2022 18:18:53 GMT

What is a Morton’s Neuroma?

Morton’s Neuroma is a benign thickening of a normal nerve in the foot. These are most common between the 3 ^rd and 4 ^th toes, but can be present between the 2 ^nd and 3 ^rd toes as well. Symptoms of Morton’s Neuroma usually involve burning, tingling or numbness between one or more toes. Some patients report shooting pain between the toes or achiness on the ball of the foot. Occasionally patients will describe a “bunched sock” feeling in their shoe. Morton’s Neuroma can occur because of injury, gradual overuse, shoe selection or a patient’s natural foot type. Symptoms are usually mild or moderate but can be severe.

What if a Morton’s Neuroma Goes Untreated?

If a Morton’s Neuroma goes untreated a few things can occur. First, symptoms can worsen making a Morton’s Neuroma more painful and potentially more difficult to treat. Second, permanent numbness can develop. Again a neuroma is a thickening or swelling of a normal nerve. As the nerve remains irritated, normal nerve signal conduction can be disrupted. This can disrupt normal sensation between the affected toes. Third, hammertoes or contracting of the affected toes can develop as well. In the normal foot, small muscles called instrinsics help stabilize toes and hold them straight when standing or walking. As a Morton’s Neuroma persists, these small muscles can lose some of their effectiveness causing gradual hammering of the toes.

How to Treat a Morton’s Neuroma?

The good news is that Morton’s Neuroma can often be treated successfully without the need for surgery. First line Morton’s Neuroma treatments consist of shoe and activity modifications. A wider, broad toed shoe can relieve some of the pressure on a Morton’s Neuroma. Sometimes a lower heeled shoe can also help. Certain activities like inclined treadmill, gardening or lunges will put increased pressure on the ball of the foot. Temporarily modifying or discontinuing these types of activities can help with the treatment of a neuroma. Over the counter padding called a metatarsal pad can shift pressure in the shoe away from the neuroma, allowing it to heal. If ineffective, medications can also be beneficial. Often a local injection of numbing medicine combined with a small amount of corticosteroid can help heal neuroma. Depending on an individual’s condition other options may be available.

Morton’s Neuroma is a very common cause of foot pain. Fortunately there are numerous non-surgical options for neuroma treatment . Many patients achieve successful relief of painful symptoms with one of these treatments.

When Does a Bunion Need Surgery?

Tue, 05 Apr 2022 21:20:51 GMT

What is a Bunion?

A bunion deformity (medically termed hallux valgus) is one of the most common conditions that I treat in my Baton Rouge podiatry practice . Typically, a bunion presents as a bump or bony prominence at or near the big toe joint. Bunions can be present at a young age or they can develop and become larger as one ages. The development of a bunion is usually gradual over many years, but occasionally I have patients who experience significant worsening over a short period of time. Often a bunion will occur on only one foot or will be larger on one foot than the other. Certain shoes and activities can aggravate a bunion causing more irritation or discomfort.

Do Non-Surgical Treatments Work for Bunions?

There are a number of non-surgical bunion treatments such as over-the-counter pads, cushions and splints. Some patients do get relief from silicone toe spacers and other in-shoe cushions. A problem can arise if the pad or cushion is bulky and takes up too much space in a shoe. Bunion night splints also offer some symptomatic relief. Unfortunately these measures do not typically straighten the toe the way braces can straighten teeth for example. Because these options are relatively easy to try, they should be attempted prior to considering surgery.

Other non-operative treatments include periodic icing of the painful area, wider or softer toed shoes and modifying painful activities. Medications and corticosteroid injection can also be beneficial.

When do I Need to Have Bunion Surgery?

Bunion surgery is one of the most common and gratifying operations that I perform annually in my Baton Rouge podiatry practice. Satisfaction rates are very high and the recovery is usually uneventful. Many patients, following bunion surgery, are able to resume normal activities and shoe gear after a successful operation. A key to this success is deciding the correct time to have bunion surgery.

I tell patients daily, that you don’t perform bunion surgery because of the size of the bunion but because of the symptoms. That means some patients have what visually appears to be a severe sized bunion, but the patient only experiences mild symptoms or no painful symptoms at all. On the other hand, I often see patients with a mild or moderate sized bunion who experiences significant painful symptoms. Painful bunion symptoms can include redness and swelling, sharp pain and aching, having to modify daily and recreational activities and having difficulty finding comfortable, enclosed shoes.

Another consideration with bunion surgery is the patient’s home and work environment. Patients with a desk job have an easier time recovering and sometime require less time off of work with recovering. Patients who live on the second floor of a home or apartment and patients who live alone sometimes need to make special arrangements during bunion surgery recovery.

There are a number of factors to consider before scheduling bunion surgery. If you have a painful bunion and have any questions, please don’t hesitate to come and see me.

Why Does My Child Have Pediatric Foot Pain?

Thu, 21 Jan 2021 16:58:26 GMT

Pediatric foot pain is a frequent cause for an expert evaluation by a board-certified podiatrist. Causes for pediatric foot pain can be acute (sudden onset), acquired or congenital. Most of these conditions are manageable with non-operative treatments and can allow a young person to safely and comfortably participate in their normal activities.

Pediatric Flatfeet and Low Arches

Flatfeet or low arches are present in many children and often present no complications, and some may even resolve over the course of a child’s growth and development. For children with painful flatfeet, arch support, shoe modifications and Achilles stretches are good initial treatments. Custom orthotics and physical therapy are also effective options to help relieve and prevent discomfort.

Juvenile Bunion Deformity

Painful bunions are more common in adults, but young people can develop them as well. These are usually congenital and patients often present with a strong family history of bunion deformities. Juvenile bunions have a bump near the big toe joint where the big toe leans against or underlaps the second toe. Shoe changes and inserts can help support the developing foot as a young person grows. A board-certified podiatrist can help guide treatments for juvenile bunions when simple measures fail to bring relief.

Pediatric Heel pain / Sever’s Disease

Growth plate inflammation (apophysitis) is called Sever’s disease when it occurs in the heel bone. It is an activity and age-related inflammation of a normal growth plate. Incidence of Sever’s disease peaks at ages 10 to 12. High activity sports like soccer, dance, or running can incite the condition. Rapid growth is another common cause. Rest, ice, and firm arch support are effective initial treatments for this common condition. In severe cases, a walking boot, cast, and even physical therapy may be indicated.

Pediatric Ingrown Toenails

This is the most common nail disorder in children. Many patients present with a family history of painful ingrown toenails . Shoe irritation and improper nail clipping are also frequent causes for ingrown nails. Home remedies like Epsom salt soaks, topical medications, and clipping the incurvated nail can help. Often an in-office procedure called a partial nail avulsion is required for permanent relief.

Pediatric Plantar Warts

Plantar warts are caused by a virus and are more common in children than adults. Plantar warts often look like a dark or discolored callous and can be painful. Topical freezing, chemical treatments like Canthrone, and local excision are all effective treatments for plantar warts. Because they are viral, plantar warts can recur and may need subsequent treatment.

Pediatric Podiatrist in Baton Rouge

If your child is suffering from any type of foot pain, it is important to have their condition evaluated by a specialist. Dr. Patrick Hall is a skilled podiatrist who treats all manner of foot and ankle conditions for patients of all ages. To schedule an appointment for your child, click the button below.

Does Plantar Fasciitis Ever Go Away

Wed, 20 Jan 2021 19:16:10 GMT

Plantar fasciitis is the most common condition that I see on a daily basis. Whether I’m in my office or visiting with a neighbor, I have conversations about it almost constantly. Plantar fasciitis is a tendinitis that occurs from overuse, insufficient arch support and occasionally from an injury.

What are the Symptoms of Plantar Fasciitis?

Most people with plantar fasciitis experience pain under their heel bone or along their arch. It usually presents with first-step pain when getting out of bed in the morning or after a short period of rest and usually diminishes with activity. Plantar fasciitis can range from mild, temporary discomfort to severe pain that interferes with work and recreational activities.

How is Plantar Fasciitis Treated?

Although plantar fasciitis is common and can be painful, the good news is that it is usually treatable. Roughly 90% to 95% of plantar fasciitis cases ultimately resolve and usually do not recur.

Treatments for plantar fasciitis vary depending on severity of symptoms, patient age and occupation, activity level and other factors. An evaluation of plantar fasciitis begins with a problem-focused history and physical exam. Weight bearing x-rays of the affected foot are also frequently obtained during an initial visit. These images can help to identify heel spurs when present and rule out other causes of pain such as arthritis or a stress fracture.

First line treatments for plantar fasciitis typically include recommendations for supportive shoes or arch supports, a review of the most effective stretches, and often the dispensing of a device called a night splint which helps stretch the plantar fascia while a patient sleeps. Second line treatments include cortisone injections or a prescription anti-inflammatory medications. Physical therapy can also be an effective treatment, particularly ASTYM and dry needling. ASTYM is similar to a scraping of tendons that can help them to heal, and dry needling is similar to medical acupuncture. In severe cases, a walking boot or a cast can be helpful. Surgery for plantar fasciitis is indicated for roughly 5% of cases, where appropriate non-surgical treatments have been exhausted.

Plantar Fasciitis Treatment in Baton Rouge

My Baton Rouge office treats plantar fasciitis on a daily basis. If you are suffering from foot or heel pain and believe that plantar fasciitis may be the cause, schedule an appointment with our office, where we can provide a definitive diagnosis and develop a treatment plan.

Foot and Ankle Injuries in Baton Rouge: Holidays are for Healing

Thu, 08 Oct 2020 19:20:50 GMT

Every year November and December are my busiest months for performing foot and ankle surgeries . In fact, over 25% of the surgeries I perform each year are done in the last 2 months. Popular surgeries include bunionectomy, hammertoe repair, and bone spur removal among others.

Want to know why?

1. Insurance deductibles dominate so many healthcare decisions, this is especially true when scheduling a surgery. As the calendar year nears its end, many patients suffering from painful foot conditions realize that they have met or nearly met their insurance deductibles making it more affordable to schedule the surgery they need.

2. Patients are tired of suffering! With the New Year approaching, patients start forming new goals and often that involves healthy, pain free feet so they can do more! Of all the surgeries that I perform, no one ever says, “I wish I had suffered longer.” Imagine entering the New Year pain free!

3. Thanksgiving, Christmas and New Year’s Eve often means more friends and family are around. This can be very helpful with small household tasks during the first week after surgery.

People help. You heal.

Let’s schedule your foot surgery today.

Why the Holidays are a great time for Foot Surgery According to a Baton Rouge Foot Surgeon

Tue, 06 Oct 2020 19:03:39 GMT

Every year I see a significant increase in the number of foot surgeries I perform between Thanksgiving and New Year’s Eve compared to the rest of the year. In fact it’s the busiest time of the year for surgeries like bunionectomies , hammertoe repairs, and bone spur removals, among others.

What makes the holidays such a great time for foot surgery?

1. Time. When we get to the end of the year, many people have accrued days off from work that they will lose if they do not use them. Also, a number of businesses slow down as the year comes to a close and many offices are closed or have reduced hours around Thanksgiving, Christmas and New Year’s Eve. This makes scheduling a foot surgery easier than other times in the calendar year.

2. Support. Many foot surgeries require a week at home with your foot slightly elevated. Often heel weightbearing is allowed and crutches are not always required. It is helpful to have additional help around the house during this period. During Holidays out-of-town family members and even local family members are often more available to assist with minor household tasks. This makes the recovery aspect of foot surgery more manageable for patients.

3. Insurance/Deductibles. In my 10+ years practicing foot and ankle surgery I have watched insurance plans and patient deductibles change dramatically. Often the decision to have a surgery depends heavily on the how much the patient owes. As the year ends and the Holidays approach, many patients realize that they have met or nearly met their deductible. Patients often take advantage of this opting to have foot surgery before the calendar year ends and the insurance benefits start over.

There are many reasons why the holidays are a great time for foot surgery. If you need foot surgery, or have been putting off having an injury or ailment repaired, now is the time to do it. Patrick Hall, DPM is a board certified foot and ankle specialist and he helps people in the Baton Rouge area get back on their feet.

Barking Dogs and Pristine Patios: How Telemedicine is Actually Quite Personal

Mon, 13 Apr 2020 17:41:15 GMT

The COVID 19 crisis has made all of us change our work and daily patterns of life. The Louisiana Department of Health has mandated that all healthcare providers limit in person patient encounters to urgent and emergent cases only. For my Baton Rouge podiatry (foot and ankle) practice this means treating infections, injuries and post operative patients in-person when necessary. In order to continue to help non-urgent patients suffering from foot pain I’ve been performing Telemedicine visits for roughly two weeks. During that time I’ve conducted roughly 30 virtual appointments using Zoom and FaceTime. So far I’ve been impressed with how well the format works.

How do you schedule a Telemedicine appointment?

Contact the Bone and Joint Clinic of Baton Rouge either through our website www.bjcbr.com or www.patrickhalldpm.com or call the appointment desk at 225-766-0050 . When you request a telemedicine appointment, you’ll be given the option of using Zoom or FaceTime. Both work well, but FaceTime only works with Apple devices. For Zoom you’ll be given an appointment time and prior to that appointment you’ll receive and email with an appointment link. You’ll need to download the Zoom app and create an account. When you click the appointment link you’ll be placed in a virtual waiting room and you’ll be invited in at the scheduled time. For FaceTime you’ll simply be called at the appointed time. FaceTime is being allowed temporarily during this crisis, but will probably not qualify in the future because it doesn’t meet the usual HIPPA guidelines for patient information security.

What should you expect from your Telemedicine appointment?

The Subjective component of the exam is essentially the same as an in-person office visit. You tell me what’s hurting, if there was an injury, how long it has been hurting and what types of treatment you have tried. I’ll ask any additional questions needed to gain more information. For the Physical exam, it works best if the patient is holding a tablet or smart phone rather than a desktop computer. A tablet or smart phone makes it easier for a patient to show me what is hurting, where its hurting, and I can see if the area is swollen, red or bruised. With this information I can put together one or more reasonable initial diagnoses. I can call in medications if needed and make recommendations for how to treat your condition without requiring in person contact. I can also help determine if your condition does qualify as urgent or emergent.

What is the experience of Telemedicine like?

I really feel like the overall experience of Telemedicine is quite personal. Funny things happen during a visit that make it interesting and feel familiar: dogs bark, doorbells ring and children pass through the background unintentionally. Some patients are set up in their kitchen or bedroom, but the most common area seems to be the back patio. It is funny, when a patient selects “flip” on their smart phone or tablet to show you their foot or ankle you end up looking around the room for a minute while they point the device in the correct direction. Some of the backyards are gorgeous, some of the kitchens are messy, but you actually get a better sense of the patient as a person and what their current situation is—not in a judgy way, but in a very personal way.

What does the future hold for Telemedicine?

When the COVID 19 crisis ends some of things will go back to the way they were, and other things will be changed forever. I’m of the belief that Telemedicine will be a great way to modernize healthcare, save patients waiting room time and provide tremendous value. I fully plan to continue Telemedicine after this crisis ends.

Getting Older, Getting Faster and Having More Fun: A Foot Doctor’s Year with Peloton

Tue, 08 Oct 2019 21:40:15 GMT

What's the Big Deal?

I have considered myself a runner for about 30 years, and I am a board-certified podiatrist . For more than 10 years I have specialized in foot and ankle surgery and have treated runners of all ages and experience levels in my professional practice.

I’ve also spent the last 10 years gradually getting slower. I’ve been outside sweating and getting tired, but I wasn’t getting anywhere, just plodding along. I still enjoyed it to the extent that I like being outside sweating but running started to become a chore. It should be noted that I’ve never really been fast, and by many measures, I’m not fast now. In high school, I never won any races, and I didn’t compete at the collegiate level. Even now I’m a middle of the pack finisher. So, what’s the big deal? The big deal is that I’m running less, having more fun and, in the same year that I turned 40, I’m getting faster.

The Evidence

In 2013 I ran my first half marathon in Austin, TX in a time of 2:03. A few years later, I ran a half marathon in Savannah, GA roughly 20 minutes slower! Along the way, I also completed one, very slow full marathon. During my first year with Peloton I completed three half marathons, each in less than 2 hours with a PR of 1:52. How’s that for progress? This year I broke 50 minutes at 10k and broke 8 minutes per mile at 5k. None of these times put me on a podium, but they’re faster than I’ve run since college, and I’m really proud of that.

The Crazy Thing

It might not surprise readers to learn that, after years of running, I found new motivation, changed my workout approach and achieved better results. But here’s the crazy thing: I’m running less and having more fun! It would be great to live in an area where soft terrain and trails are easy to get to, but in my city, the fact is that I have to drive 30 minutes or more each direction to find trails for running. It is something I do on occasion and I really enjoy, but it is impractical for most weekday workouts. Most of my running is done on pavement, and there is a cumulative effect to that pounding. To this point, I have been fortunate not to have any major injuries, but as I age, I feel like running on pavement requires more recovery time , so I rarely run on consecutive days. Part of the motivation for getting a Peloton was to try to exercise more consistently without the impact of running on pavement.

A Change in Thought Process

In nearly every aspect of my life I’m a slow and steady planner. I like making gradual changes to achieve long term goals. As a runner, its been 20 years since I’ve done interval or speed training. Running less and running faster means having a different purpose for each workout and allowing one or two days for cross training. What makes this so fun is that after years of long, slow plodding, I now look forward to a shorter, more intense speed day each week and a Tempo workout where I work on maintaining my goal “race pace” for extended efforts.

What is the Peloton Program?

About a year ago my wife encouraged me to get a Peloton bike . You’ve seen the cool commercials with super fit people in their home getting a great workout. Part of the challenge with exercising in Louisiana is that the brutally hot summer and long stretches of heavy rain throughout the year make consistency difficult. Curating a music playlist on your phone or a streaming service can be fun, but it can also become a hassle and a burden. Those were my other initial motivations for the Peloton bike: convenience, weather, playlist burden, and consistency.

With Peloton , you can select an instructor, a music genre and a length of workout. As you get more familiar, you can also select a workout type which steers the intensity for intervals, recovery, or just a fun ride. I was hooked from the first ride. The instructors are like having a personal trainer in your house, telling you when to increase the speed of your pedals or the resistance on the bike. Being able to vary the instructor makes it fun too; each one has their own personality and style.

I Thought this was About Running?

So how does this make me a better runner? First, the bike allows me to run three times a week and bike once or twice a week. That’s one or two more workouts a week without the pounding of running on pavement (I’ll do more rides when weather interferes). That adds up over time. Last year I did over a hundred rides, which helps my overall consistency and fitness level.

Second, the bike workouts have really helped my leg strength. It makes sense that cycling 30 to 45 minutes once or twice a week with fun music and a professional trainer motivating them for a year will make someone stronger and faster, but it wasn’t my original intention. It was an accidental byproduct of how much fun the workouts are.

Third, there’s a Peloton digital app . The Peloton digital app is easy to use and has outdoor running workouts and programs. I’m completely addicted to these workouts, and I have a hard time running now without them. It sounds weird but the Peloton digital trainers have become like my training partners. These workouts range from 20 to 60 minutes and have a variety of music and intensity options. For example, I can select 45 minutes and Tempo and get a workout. Or I can select 30 minutes and Hip Hop and get a different workout. Similar to the bike workouts, having a professional coach tell you when to increase or decrease speed and talking about form and nutrition allows me to train much harder and smarter than I’m capable of on my own.

Do I Need a Peloton Bike?

Yes and no. If you can motivate yourself and be deliberate on your own with your own workouts, then obviously not. I need a Peloton to accomplish my goals right now and to be continually motivated, because I don’t have the time or expertise to create a program on my own. I have friends who participate in running clubs and love it. Unfortunately, my work schedule makes that commitment difficult for me. Also, there are other similar companies that might provide a comparable experience, but I have not tried those. I believe you can subscribe to the content and do the workouts through the digital app on a regular exercise bike or at a gym by using your phone or tablet as your screen, but the experience probably isn’t as seamless.

What's Next?

For the past year, I’ve really enjoyed how Peloton has helped motivate me to workout harder and more efficiently. I’m having more fun running and working out than I have in a long time. My workouts are more consistent, and I don’t have to go to a gym. I’m also getting faster. I’d really like to break 1:50 in the half marathon distance this year. As someone who’s been running regularly since 6th grade and has the knowledge of board-certified Podiatrist who treats runners regularly, I’ve found Peloton to be a safe, effective way to improve my running and my overall fitness.

**I’m a paying customer. This is in no way a paid endorsement. I just wanted to share my experience.

Do I Have Morton's Neuroma?

Wed, 15 May 2019 19:44:23 GMT

Pain along the ball of the foot is a very common complaint among podiatry patients, and Morton’s Neuroma is one of the most frequent causes of pain in the forefoot. A neuroma is a benign condition resulting from a pinched, swollen nerve usually occurring in front of the third and fourth toes. However, they can also occur between the second and third toes.

What Causes a Morton's Neuroma?

The most common inciting factors for a Morton’s Neuroma are high-heeled and narrow or pointed-toe shoes. Activities that put pressure on the ball of the foot like running, ballet and soccer can also contribute to the development of a neuroma, as can a sudden increase or change in overall physical activity.

Symptoms of a Morton's Neuroma

Localized burning, tingling and numbness are common symptoms of a Morton’s Neuroma. Aching and even sharp pain can also be present. The pain is usually localized between the affected toes and can radiate into to adjacent portions of the third and fourth toes. Patients frequently report a “bunched sock” sensation or the feeling of walking on pebble.

Physical Examination for Morton's Neuroma

There is a physical examination test that foot specialists use to help diagnose a Morton’s Neuroma called Mulder’s Sign. This test involves pushing up with the opposite thumb on the bottom of the foot in the area of the pain and squeezing the foot side-to-side with the other hand. Feeling a click or eliciting the pain is considered a positive test and often indicates the presence of a neuroma.

When do I See a Foot Specialist for a Morton's Neuroma?

Common reasons for seeing a specialist for a neuroma include failure to improve with home treatments , worsening of pain on the ball of the foot, and noticing changes to the foot such as development of hammertoes or visible swelling in the painful area. There are also other potential causes for pain on the ball of the foot. Some of the differential diagnoses for Morton’s Neuroma are stress fracture, tendinitis, metatarsalgia, hammertoes and plantar’s wart.

Morton's Neuroma Treatment in Baton Rouge

If you are suffering from forefoot pain and believe a neuroma may be to blame, it is important to seek the care of a skilled podiatrist. A foot and ankle specialist can not only confirm the appropriate diagnosis, they can also help develop a treatment plan that is most likely to bring relief. For patients in the Baton Rouge area, Dr. Patrick Hall offers diagnosis and treatment of all major conditions which may impact the lower extremity, including Morton’s Neuroma. Contact our office to request a consultation .

Does Morton's Neuroma Surgery Work?

Fri, 26 Apr 2019 18:10:56 GMT

One of the most common causes of forefoot pain is a Morton’s Neuroma . This is a benign thickening or swelling of a nerve just in front of the toes. A Morton’s Neuroma is most frequently found between the third and fourth toes but can also be in between the second and third toes.

Symptoms of Morton's Neuroma

Pain in the ball of the foot as well as burning, tingling and numbness are common symptoms of a Morton’s Neuroma. The discomfort is usually localized but can radiate among multiple toes.

Non-surgical Treatment of Morton's Neuroma

Most patients obtain satisfactory results with non-surgical treatments . This includes pads, cushions, shoe changes, medications and injections. Occasionally, physical therapy and immobilization in a walking boot are effective.

Morton's Neuroma Surgery

When non-surgical treatments fail, a procedure call a neurectomy can be performed . Neurectomy involves the surgical excision of the painful Morton’s Neuroma. This can be performed through an incision on either the top (dorsal incision) or bottom (plantar incision) of the foot. Each technique has it advantages and rationale for selection.

Results of Morton's Neuroma Surgery

85% of patients undergoing neurectomy report good to excellent results. Patients with Morton’s Neuromas in both feet or with multiple neuromas in one foot report worse outcomes.

Complications of Morton's Neuroma Surgery

Complications following Morton’s Neuroma surgery are relatively rare:

Infection can occur as with any surgical procedure.

Regrowth or recurrence of the neuroma occurs infrequently.

The most common complication of the dorsal incision approach is called a “stump” neuroma. Because it is harder to access the Morton’s Neuroma from the top of the foot a smaller portion of the neuroma is excised. Sometimes the end of the nerve develops a lump of scar tissue called a “stump” neuroma. This is less common with the plantar incision approach because it is easier to access the Morton’s Neuroma from the bottom of the foot.

Painful scar is a concern with the plantar incision because the incision is placed on the bottom of the foot. The rate of painful scar is around 3 to 5% with this incision.

What is Morton's Neuroma Surgery?

Thu, 18 Apr 2019 20:00:47 GMT

Morton’s Neuroma is one of the most common reasons for pain on the ball of the foot. A neuroma is a benign thickening or swelling of a normal nerve in the forefoot. Morton’s Neuroma is usually located in front of the third and fourth toes but can also be present between the second and third toes.

Morton's Neuroma Symptoms

Symptoms of Morton’s Neuroma include pain, burning, tingling and numbness between the affected toes. Pain is usually caused by high-heeled, pointy-toed or narrow shoes and by activities that place added pressure on the ball of the foot.

Diagnosing Morton's Neuroma

Diagnosing Morton’s Neuroma involves a detailed history and a physical examination. A test called Mulder sign helps diagnose neuroma. A foot specialist will push up on the symptomatic area with one thumb and squeeze the forefoot from side to side. A positive Mulder sign elicits a palpable click and reproduces the patient’s symptoms. X-rays do not show Morton’s Neuroma but can help rule out other diagnoses such as arthritis or stress fracture. In difficult to diagnose cases, an MRI can also be helpful.

Non-surgical Treatment of Morton's Neuroma

Most patients suffering from Morton’s Neuroma have good results with non-surgical treatments . These include injections, medications, pads, cushions, shoe inserts and, in some instances, physical therapy and walking boot immobilization. When non-surgical treatment fails, surgery to remove the Morton’s Neuroma yields good results.

Surgical Treatment for Morton's Neuroma

Surgical treatment for a painful Morton’s Neuroma involves a neurectomy or removal of the painful portion of nerve. A Morton’s Neuroma is one of the only nerves in the body that is routinely excised. There are two basic surgical approaches to removing a Morton’s Neuroma based on making an incision on the top or bottom of the foot.

Incision on the Dorsum (top) of the Foot

This is certainly the most common way to perform Morton’s Neuroma surgery. It is an outpatient surgery done under IV sedation or twilight sleep. The surgeon typically injects a local numbing medicine similar to Novocaine into the surgical site. This helps reduce the amount of anesthesia medicine required and keeps patients comfortable through the first night. The surgery takes less than an hour, and patients go home the same day.

During the procedure, a 3 to 4 cm incision is made on top of the foot and directly over the neuroma. Meticulous dissection identifies the Morton’s Neuroma and all of its branches. The neuroma is carefully sectioned, removed from the foot and often sent to pathology to confirm diagnosis. The incision is closed with sutures.

Post-operative instructions will vary by physician. Generally, crutches are not needed for this procedure and patients do not need to be non-weightbearing. The first post-operative week is spent home, elevated and off the foot. Patients benefit from immobilization in a surgical shoe for 4 to 6 weeks and then transition to a regular shoe. Athletic activities can resume as early as 6 to 8 weeks post-op.

The advantages of this technique are the short recovery and good overall results. The primary disadvantage of this technique is the potential for recurrence, which is greater than when an incision is made on the bottom of the foot as described below.

Incision on the Bottom of the Foot (Plantar)

The basics of this approach are the same. It is an outpatient surgery, performed under IV sedation that takes less than an hour. Patients go home the same day and are given a local numbing medicine during the procedure to keep them comfortable the first night.

During this technique, a 4 to 5 cm incision is made on the bottom of the foot. Careful dissection enables the surgeon to excise a larger section of neuroma, reducing the rate of recurrence. In some instances, the end of the nerve is buried into muscle to reduce the rate of recurrence even more. The incision is closed with sutures.

The recovery from a plantar incision is different than a dorsal incision. This requires 2 to 4 weeks of non-weightbearing followed by 4 weeks in a walking boot or a surgical shoe. Painful scar is not a common complaint (less than 5%) but worries a lot of patients during pre-operative discussion. The lower recurrence rate combined with the more difficult recovery makes this technique useful for revision surgery, since recurrence with the first technique (top of the foot) is not common.

Non-Surgical Treatment of Morton's Neuroma

Tue, 16 Apr 2019 20:01:29 GMT

There are many potential causes for pain on the ball of the foot (or forefoot), with Morton’s Neuroma being one of the most common. A Morton’s Neuroma is an inflamed or swollen nerve in the foot and is typically located between the third and fourth toes. Activities and shoes that place extra pressure on the forefoot can be the cause of a Morton’s Neuroma. Symptoms of a neuroma include burning, tingling, numbness and pain on the bottom of the foot or between one or more toes. Patients frequently complain of a “bunched sock” sensation or the feeling walking on a rock. Non-surgical treatments are usually effective with Morton’sNeuromas.

Non-Surgical Remedies for Morton's Neuroma

Shoe Changes- Avoiding high-heeled shoes (greater than 2 inches)will help lessen the pressure on a Morton’s Neuroma. Also, some sport-specific shoes like cleats and certain running shoes are too tapered or have too narrow of a toe box for some foot types.

Immobilization- In some cases, a Morton’s Neuroma can be caused or worsened by a sudden increase in physical activity. In these instances, 2 to 3weeks of rest and immobilization in a walking boot can allow the acute inflammation to quiet down and sometimes resolve. Immobilization alone is not typically effective for chronic cases.

Physical Therapy- This is not a mainstay of treatment for neuromas, but there are circumstances where PT can be effective. Tight calf and hamstring muscles place added pressure on the ball of the foot creating a muscle alignment known as equines. This alignment can exacerbate the symptoms of aMorton’s Neuroma. Skilled physical therapists can help reduce pressure on the ball of the foot by developing stretch and laxity in the calf and hamstring muscles.

Padding- There are a variety of prefabricated pads, cushions and inserts designed to alleviate the painful symptoms of a Morton’s Neuroma. The easiest to use is a small adhesive cushion called a metatarsal pad. This pad isa soft cushion with a triangular, teardrop shape. When effective, the metatarsal pad shifts weight in front of the neuroma, allowing it to heal.Full-length metatarsal pads are also available, usually at running specialty stores. If patients cannot find a comfortable over the counter insert, a custom insert called an orthotic can be made.

Injections- Cortisone is basically an anti-inflammatory. When infiltrated in the area of the neuroma, it can reduce the swelling in the nerve and help it to heal. Other types of injections also exist: a dilute alcohol solution is sometimes used to chemically deaden the nerve, and Vitamin B12 has also been used.

Pain on the ball of the foot is very common and Morton’sNeuroma is one of the most common culprits. Many patients obtain relief with one of these non-surgical treatments. Additionally, the help of a skilled podiatrist can improve the symptoms associated with neuromas. Contact ourBaton Rouge podiatry clinic to schedule a consultation if you are suffering from a painful neuroma.

Quick Fixes for Morton's Neuroma

Fri, 12 Apr 2019 21:14:09 GMT

A Morton’s Neuroma is a common cause of pain along the ball of the foot. It usually presents as burning, tingling or numbness in a localized area of the forefoot. Neuromas are most common between the third and fourth toes, but they can occur near the second toe as well.

Home Treatment of Morton's Neuroma

Most patients suffering from a painful Morton’s Neuroma obtain relief through non-surgical treatments. Here are some simple treatment options that patients can try at home:

Rest- The onset of a Morton’s Neuroma is usually gradual. In some cases, a neuroma can occur suddenly, after a long workout, a new activity or a trip to a walking city like Disney World. In these instances, taking 5 to 7 days to rest and allow your body to heal can be very beneficial.

Anti-Inflammatory Medications- Similar to rest, a short course of over the counter anti-inflammatory medication can allow your body to heal, if the onset of the Neuroma symptoms is relatively sudden.

Assess Your Shoes- Shoes with a heel exceeding 2 inches, and shoes with narrow toe boxes place increased stress on the toes and the bones along the ball of the foot. This can aggravate a neuroma, but this doesn’t only apply to women’s shoes. This can also be true for certain athletic cleats and sport-specific running shoes that have tapered, snug-fitting toe boxes. Being mindful of shoe selection can allow a neuroma to resolve.

Assess Your Activities- As with shoes, certain activities place added pressure on the ball of the foot: an inclined treadmill, soccer, ballet, ladder climbing, and bootcamp-style workouts are common examples. Decreasing the frequency and intensity of one of these activities can allow time for a neuroma to resolve; sometimes, a temporary break from one of these activities is necessary.

Metatarsal Pad- A metatarsal pad is a teardrop shaped, cushion that adheres to the insole of a shoe. These pads are designed to shift pressure away from the ball of the foot. Placement of the pad is important, so purchasing one at running specialty store can help with selecting the correct pad and having the correct fit.

Full-Length Shoe Inserts- Some patients find the adhesive or “stick on” pads too difficult to place in the shoe or just too awkward of a fit. Full-length inserts with a metatarsal pad are available. Due to the thickness of these pads, they generally do best in tennis shoes and men’s dress shoes.

Stretching- Calf muscle tightness or contracture places extra pressure on the bottom of the foot. This can create a condition called equinus in the foot. Simple calf and hamstring stretching can help with this. With stretching, it’s important to remember that consistency is more important than intensity.

A Morton’s Neuroma is a common cause of pain on the ball of the foot. Most patients suffering from a Morton’s Neuroma obtain relief with non-surgical treatments. Hopefully one of these quick fixes will help, and if discomfort continues, contact our Baton Rouge podiatry clinic to request an appointment .

Diagnosing and Treating Morton's Neuroma in Baton Rouge

Thu, 11 Apr 2019 21:22:27 GMT

What is a Morton's Neuroma?

A Morton’s Neuroma is among the 5 or 10 most common causes of foot pain. It is a benign thickening of a normal nerve that runs between the second and third or the third and fourth toes. A Neuroma causes pain along the ball of the foot (or forefoot).

Symptoms of Morton's Neuroma

Morton’s Neuroma causes burning, tingling and numbness along the ball of the foot. Pain typically radiates between the third and fourth toes.Patients often describe a “bunched sock” feeling or the sensation of walking on a pebble. Symptoms are usually alleviated by rest or removing a shoe.

Risk Factors for Morton's Neuroma

It isn’t well-known exactly what causes some people to get a neuroma and why it can occur in one foot and not in the other. However, there are some common risk factors that have been identified for developing a neuroma:

Activities - Neuromas are seen more frequently in activities that place increased pressure along the forefoot and toes. This includes soccer, ballet, running and others.
Shoe Type - A heel exceeding 2 inches places increased strain on the forefoot. Narrow or pointy-toed shoes, like certain dress shoes, boots and some athletic cleats, can squeeze the toes together too much.
Foot Structure- A high arched foot can place more stress on the ball of the foot. Conversely, a foot that is excessively flexible can irritate the nerves of the forefoot, creating a neuroma.

Diagnosing a Morton's Neuroma

Patient description of location, quality and frequency of pain is the first indicator of a neuroma. Physical exam will help localize the neuroma and rule out other causes of pain in the area. A test called “Mulder’s sign”elicits the symptoms by squeezing the forefoot from side-to-side.

X-rays primarily reveal bony details. As such, neuromas do not show on routine x-rays. However, x-rays are helpful in eliminating concern for arthritic conditions, stress fractures and other differential diagnoses. An ultrasound or an MRI can be helpful in atypical or difficult-to-diagnose cases.

Conservative Treatment for Morton's Neuroma

A Morton’s Neuroma will not usually go away on its own, but most resolve with non-surgical treatments. The first step in treating a neuroma is usually a shoe modification. This can be as simple as adding a shoe insert called a metatarsal pad or changing to a stiffer, more supportive shoe type. Other conservative treatments include custom orthotics and various types of injections.

Differential Diagnoses for Morton's Neuroma

In addition to Morton’s Neuroma, there are other potential conditions which can result in similar symptoms and types of pain. These include:

Stress Fractures- A subtle or minor stress fracture can cause similar pain to a neuroma in a similar location.
Metatarsalgia- This is a generalized term for pain on the ball of the foot. The more specific term “capsulitis” is the inflammation of the ligaments on the bottom of one or more joints of the forefoot.
Bursa or Cyst - A localized inflammation around a joint can create bursa in the forefoot. Also, a benign accumulation of fluid called a ganglion cyst can occur.

Surgical Treatment for Morton's Neuroma

Most patients respond favorably to non-surgical treatments of Morton’s Neuroma. Surgery for neuroma involves making an incision on the top of the foot and carefully removing the swollen, inflamed portion of nerve. In some cases, the neuroma is removed from an incision on the bottom of the foot. Most patients recovering from neuroma surgery are back in a regular shoe at 4-6weeks post-operative. This range can vary based on age, size and individual patient health.

If you are suffering from foot pain or symptoms similar to those causes by neuroma, a podiatrist should be consulted for a thorough examination and proper diagnosis. From there, treatment recommendations can be made. In the Baton Rouge area, Dr. Patrick Hall is a board-certified podiatrist treating all manner of conditions affecting the foot , including Morton’s Neuroma.

Jones Fracture Treatment in Baton Rouge

Tue, 04 Dec 2018 18:20:08 GMT

What is a Jones Fracture?

A fracture is when a bone breaks or cracks into 2 or more pieces. This can occur with an abrupt injury or as a stress fracture resulting from gradual overuse. A Jones fracture is a specific and common fracture of the 5th metatarsal in the foot. The 5th metatarsal is a long bone on the outside of the mid-foot. Each metatarsal bone has a head, neck, shaft and base. A Jones fracture is a break between the base and shaft of the 5th metatarsal, an area known as the metaphyseal area of the bone. This area receives less blood than other areas of the 5th metatarsal, so it can take longer to heal.

What Causes a Jones Fracture?

An acute Jones fracture can occur with twisting or rolling of the foot, such as stepping in a hole or an awkward misstep. Often these are not big falls, just the wrong twist. Jones fractures can be missed on initial x-rays and mistaken for a sprain . The most common sport for Jones fracture is probably basketball. Basketball players place tremendous pressure through the bones of the foot and combine that with sudden push off and jumping. Distance runners can suffer a Jones fracture in the form of an overuse injury or a stress fracture.

What are the Symptoms of a Jones Fracture?

Symptoms of a Jones fracture are similar to other foot fractures . The injured foot will typically be bruised and swollen. There will be pain in the area of the fracture, and it is usually too painful to weight bear on the injured foot. Elevation, compression and application of ice can help reduce symptoms while awaiting a diagnosis.

How is a Jones Fracture Diagnosed?

A Jones fracture can usually be diagnosed with a series of regular x-rays. As a Jones fracture heals, it may be necessary to order an MRI to better evaluate healing.

Can a Jones Fracture Heal Without Surgery?

What makes a Jones fracture different from other metatarsal fractures is the decreased blood supply to the area where a Jones fracture occurs. Many of these fractures will heal with 6 to 8 weeks of non-weightbearing in a cast or boot. A Jones fracture can take up to 12 weeks to heal. A device called an external bone stimulator is a helpful adjunct for treating Jones fractures. This device can be ordered by your doctor. It uses an ultrasound current to enhance bone healing. An external bone stimulator is placed on the skin near the fracture for 20 minutes a day and is not painful to use.

What are the Risk Factors for Non-Union of a Jones Fracture?

A non-union is when a fractured bone fails to heal within an expected time frame. It is estimated that 15 to 20% of Jones fractures fail to heal with non-operative treatments. Some of the most common risk factors for non-union include tobacco use, steroid medications, obesity, diabetes and low vitamin D level.

When is Surgery Indicated for a Jones Fracture?

Elite athletes often elect for surgery in the acute setting of a Jones fracture. This is understandable because time off can be critical in the elite athletic setting. Surgery for a Jones fracture is also indicated when a fracture fails to heal with non-operative treatment. Studies have shown that approximately 95% of Jones fractures heal well with surgical treatment. The surgery for a Jones fracture involves placing a special type of screw across the bone. This brings together or compresses the fractured pieces of bone. The recovery entails 6 to 8 weeks non-weightbearing followed by 4 weeks of protected weightbearing in a removal boot. The screw is usually left in place, unless it causes problems.

If you have suffered a suspected Jones fracture, it is important to see a foot specialist as soon as possible to evaluate the injury and begin the process of treatment. In the Baton Rouge area, Dr. Patrick Hall is a skilled podiatrist treating all matter of conditions and injuries affecting the foot and ankle. Contact our office today to request an appointment.

Pediatric Ingrown Toenails: Causes, Symptoms & Treatments

Tue, 27 Nov 2018 21:45:36 GMT

Ingrown toenails are among the most common reasons for new patient visits to a podiatrist . An ingrown toenail occurs when the tip or corner of a toenail becomes embedded in the skin along the side of a toe. This can cause pain, redness, drainage and infection. Children can develop an ingrown toenail on any of their toes, but the big toe is by far the most common toe to be affected.

Symptoms of Pediatric Ingrown Toenail

Symptoms of an ingrown toenail can vary depending on patient age. Children below the ages of 3 or 4 years may not be verbally expressive enough to point out the painful toenail. Instead a parent or guardian will notice physical queues such as refusal to wear enclosed shoes or frequent pulling off of shoes in response to the painful toenail. As an ingrown toenail develops, localized redness, swelling and pain along the corner of the affected toenail will appear. If left untreated, drainage, pus and infection can build up at the site of the ingrown toenail. In severe cases, red streaks called cellulitis will appear.

Causes of Ingrown Toenails in Children

Congenital wide toenail —Some children are born with excessively wide toenails. This is usually inherited from one of the parents. The excessively wide toenail tends to incurvate overtime and can become ingrown.
Tight or poor-fitting shoes —When children undergo rapid periods of growth, their shoes can become tight on their toes. This can lead to increased pressure along the corners of the toenail and allow it to curl into the skin on the side of the toe.
Clipping the toenail too short —The toenail should be clipped straight across with a small rim of white. When a toenail is clipped too short, it can regrow into the side of the toe and become ingrown.
Poor hygiene —Some young people do not clean their feet properly. When feet stay wet and dirty, fungus and bacteria will grow on the skin and around the nails. This can develop into a toenail infection called a paryonychia .

Treatment for Pediatric Ingrown Nails

At-home —There are a number of effective home treatments for ingrown toenails. Soaking in warm Epsom salt water can help to decrease inflammation and soreness. Topical antibiotic ointments can be locally effective in helping to resolve mild ingrown toenails. Also, clipping the incurvated portion of nail can offer temporary pain relief.
In-office —When home treatments fail to improve an ingrown toenail, or if the toenail becomes infected, then patients should see a Board-certified podiatrist for definitive treatment. The treatment of choice for painful ingrown toenails is called a partial nail avulsion with chemical matrixectomy . This means a small portion of the toenail is removed under local anesthetic and a dilute acid, phenol, is applied to the nail bed. The application of phenol reduces the rate of recurrence to less than 10%. This procedure is performed in the office and can be done on the day of the initial appointment. The recovery is simple and satisfaction rates are very high with this procedure.
Outpatient surgery —Patients below the age of 5 years rarely require partial nail avulsion, but when they do, it can be difficult to numb their toe in the office. Most children age 5 and younger are too strong to hold down and are too anxious to sit still for the 2 needle sticks that are required. When this happens, it is best to perform the toenail procedure as an outpatient surgery under light sedation. This can extend to some older children who have severe anxiety with needles. The procedure details are the same as in-office partial nail avulsion.

If your child is suffering from an ingrown toenail, Dr. Patrick Hall can help. Contact our office to schedule an appointment for evaluation and possible treatment.

Cheilectomy Surgery to Treat Foot Arthritis

Thu, 15 Nov 2018 19:33:05 GMT

What is a Cheilectomy?

A cheilectomy is one of the most commonly performed surgeries for painful arthritis of the big toe joint. A joint is comprised of 2 bones separated by a cushion known as cartilage. When that cartilage wears down and thins out, then arthritis develops. As the cartilage thins, the range of motion through the joint decreases and often creates bone spurs around the arthritic joint. In the big toe, this is called Hallux Limitus . The surgical procedure cheilectomy is a clean-up procedure to remove surrounding bone spurs and inflamed tissue called synovitis. Hallux limitus can develop from an injury or from gradual wear and tear.

Who Needs a Cheilectomy?

Non-operative treatments for hallux limitus include shoe changes, anti-inflammatory medications, modifying activities and cortisone injections. These treatments are often helpful in reducing painful symptoms and putting off the need for surgery, but they do not restore the cartilage or reduce the actual damage to the joint. Cheilectomy is a good option for younger, active patients with mild to moderate big toe arthritis who have failed non-operative treatments.

How is a Cheilectomy Performed?

This is an outpatient surgery, usually performed at an ambulatory surgical center, that takes roughly 30 minutes. Cheilectomy is performed under IV sedation with the need for general anesthesia. During the surgery, a small incision is made over the big toe joint. The surrounding bone spurs are removed with a small chisel or a surgical saw. Inflamed tissue or synovitis is removed with a scalpel. Sometimes loose pieces of cartilage are encountered and can be removed. The incision is closed with sutures.

What is the Recovery for Cheilectomy?

Individual surgeons will vary the exact details for recovery based on individual patients and personal preference. Generally, recovery entails one week of rest, keeping the foot elevated and using a soft bandage with a protective surgical shoe. Crutches and a wheelchair are not typically utilized. A patient can perform heel weightbearing in the surgical shoe. After one week, patients are allowed to weight bear as comfortable in the surgical shoe and can transition to a regular shoe at 4 to 6 weeks post-operative. Athletic activities resume between 8 to 10 weeks following cheilectomy.

What are the Advantages of Cheilectomy?

The main advantage to cheilectomy is its success rate. Studies repeatedly show 90% or greater success rates with cheilectomy at 10 year follow up and lower than 10% rate of revision. Cheilectomy offers high satisfaction rates with a relatively simple recovery. Also, the surgery allows continued range of motion through the big toe joint, referred to as a joint-sparing procedure.

What are the Risks of Cheilectomy?

The risks of cheilectomy are relatively few. The primary risks of the procedure are stiffness in the big toe joint, persistent pain and progressive worsening of arthritis in the big toe. In the event of failure, the surgery of choice is fusion or arthrodesis of the big toe joint. Fusion offers long term pain relief but at the expense of motion.

If you are suffering from arthritis in the big toe, a cheilectomy may be a viable treatment option. Schedule an appointment with Dr. Patrick Hall to learn more about the procedure and if it may be beneficial for your condition.

Ingrown Toenail Surgery: Procedure, Recovery & Complications

Thu, 08 Nov 2018 19:32:40 GMT

What is an Ingrown Toenail?

An ingrown toenail is when the edge of a toenail become curled or embedded into the skin along the side of a toe. This is most common along the big toe but can occur on any the toenails. Ingrown toenails can be caused by trauma, clipping the toenail too short, tight-fitting shoes or they can be hereditary. Symptoms include pain, localized redness and, in severe cases, drainage and infection can develop. Home remedies such as Epsom salt soaks and topical antibiotic ointment can help. If pain persists or if signs of infection present, then patients should see a podiatrist to have it removed.

What is Ingrown Toenail Surgery?

Ingrown toenail surgery is an in-office procedure that is performed with a local anesthetic. Two shots are given at the base of the toe and a local anesthetic such as Novocaine is injected. After 10 to 15 minutes, the toe becomes numb. Once it is numb, a specialized clipper designed for ingrown toenails is used to cut the nail. Small forceps are then used to remove the offending nail border. It is important to note that the entire toenail is not removed, but only the incurvated portion. A dilute acid called Phenol is used to cauterize the nail bed and prevent recurrence. After the procedure, the toe is bandaged with an antibiotic ointment and a soft dressing.

What is the Recovery for Ingrown Toenail Surgery?

The day of the ingrown toenail removal, patients are encouraged to be home, elevated and off the foot for the rest of the day. Crutches are not necessary. The more the foot is elevated, the less drainage and swelling occurs. The evening of the ingrown toenail procedure, the bandage can be removed, and normal bathing can resume. Five minutes of warm Epsom salt soaks once or twice a day can help to reduce redness and swelling following the procedure. A topical antibiotic ointment is prescribed postoperatively, applied to the toenail daily and covered with a band aid for up to two weeks after the procedure. Normal shoes and activities can usually resume one or two days after an ingrown toenail surgery.

What are the Complications of Ingrown Toenail Surgery?

Complications from ingrown toenail removal do not occur very often. Potential complications include recurrence, visible narrowing of the nail, thickening or discoloration and infection. Recurrence of an ingrown toenail is probably the number one complication of following surgery. This is estimated to happen 8% of the time. In rare instances, an individual patient will develop multiple recurrent ingrown toenails. This can be very frustrating. The ingrown toenail surgery removes a small sliver of nail and slightly narrows the nail plate. In patients having multiple ingrown toenail procedures, the toenail can become noticeably narrow which will bother some patients. But, again, this is an uncommon occurrence. Another potential complication is toenail thickening. A traumatized or infected toenail will sometimes regrow thickened and discolored. Injury and infection can cause scarring along the nail bed which creates the thickened appearance as the nail regrows. Infection is also a potential complication of ingrown toenail surgery. This is usually a localized infection called a paronychia that is treatable with a course of oral antibiotics.

If you are suffering from an ingrown toenail that has recurred or that has been unresponsive to home remedies, schedule an appointment with a podiatrist such as Dr. Patrick Hall to evaluate your condition and determine if surgical removal may be best for you.

Watch Now: Dr. Hall speaks on Ingrown Toenail Surgery

Ingrown Toenails: Everything Baton Rouge Patients Should Know

Tue, 06 Nov 2018 20:02:45 GMT

An ingrown toenail presents as a painful corner of nail that becomes embedded in the skin on the side of a toe. Ingrown toenails can be mild at first. Symptoms of an ingrown toenail include localized redness and pain. A bulge of nail or hypertrophied skin can grow where the nail is ingrown. As an ingrown toenail worsens, drainage, pus and infection can develop.

Home Treatments for Ingrown Toenails

A number of effective home treatments exist for painful ingrown toenails. Sometimes clipping the incurvated corner of nail can give temporary pain relief. Soaking the toe in warm Epsom salt water can help to decrease inflammation and alleviate some of the painful symptoms, and application of a topical antibiotic ointment can help with localized inflammation.

When to See a Podiatrist for an Ingrown Toenail

When an ingrown toenail fails to heal with at-home treatments, or if concern for infection arises, then it is time to see a podiatrist to have the ingrown toenail fixed. Patients with diabetes or a history of poor circulation should use more caution with home treatments and are at greater risk for developing a complication.

Partial Nail Avulsion / Removal of Ingrown Toenail

Removal of an ingrown toenail is a simple in-office procedure and is one of the most common procedures performed by a board-certified podiatrist. Removal of an ingrown toenail begins with two small shots near the base of the affected toe. A local anesthetic medicine, similar to Novocaine, is injected into the toe. After 10 to 15 minutes, the toe will be completely numb, and it will remain numb for 8 to 10 hours. A small sharp clipper designed specifically for ingrown toenail is used to cut the nail and forceps are used to remove the embedded portion of toenail. It is important to note that only the embedded portion of nail is removed, and not the entire nail plate—this allows a shorter healing time and less pain. After the offending nail border is removed, a diluted acid called Phenol is applied to the nail bed. This chemical application reduces the rate of recurrence from 70 to 8 percent. The foot is then dressed with antibiotic ointment and a small soft bandage.

Recovery for Ingrown Toenail Removal

On the day of the procedure, the more the foot is elevated and the less the patient does, the better. This reduces drainage and swelling. The bandage can be removed the evening the procedure is performed, and normal bathing can resume. Typically, the toe is sore for a day or two following an ingrown toenail removal and it is helpful to soak the foot in Epsom salt water to reduce inflammation. Bandaging usually consists of antibiotic ointment and a band aid for two weeks.

If you have a painful ingrown nail that has not responded to at-home treatments or that is showing signs of infection, contact Dr. Patrick Hall to request an appointment for evaluation and treatment.