This letter was written by one of our patients:
Dr. Miller –
Thank you so much for this excellent service you are providing! The orthotics you crafted have been life-changing, allowing me to continue to run and be active. You are easily the best podiatrist I have worked with. Thank you.
Broken toes are common and can be very painful. They typically result from a traumatic event such as falling, stubbing the toe, or dropping something on the toe. One may feel a “pop” or “crack” when the bone breaks. Common symptoms include pain, throbbing, bruising, swelling, and redness.
If you suspect that you have a broken toe, you should make an appointment immediately. For most people, a combination of taping and protective footwear is sufficient.
X-rays help determine if broken bones need to be reset. The attached images demonstrate closed reduction in our office without surgery (the x-rays were taken 15 minutes apart).
If a deformity cannot be corrected easily, surgery may be needed. Broken bones that are not properly positioned, immobilized, and protected may advance into a painful nonunion.
If you sustained a toe injury, please call (847) 675-3400 right away to schedule an assessment.
Biotin, also known as vitamin B7 and nicknamed vitamin H, is present in many multivitamins. The recommended daily dose for adults is around 30 mcg (30 micrograms, which is much smaller than a milligram). However, some supplements promoted for hair, nail, and skin health contain biotin at much higher doses, as much as 10,000 mcg (over 30,000% the recommended daily need).
Consuming large amounts of biotin can be problematic. Some lab analyzers use an immunoassay that contains biotin. In patients with excess biotin in their blood samples, there is an increased risk of false lab values due to the inability of the patient’s blood to bind properly.
There is insufficient data to know if waiting for hours or days before running lab tests would help. Furthermore, waiting is obviously impractical when running critical lab tests such as for a heart attack or pregnancy.
Coronavirus (COVID-19) has changed our world. In the realm of podiatry, two issues were examined.
“COVID toes” is a red discoloration, as if there was a bruise. There may be itching and burning sensation like frostbite. It is not known whether this phenomenon is due to inflammation from coronavirus, an immune response, or increase in blood clotting (or combination thereof). Thankfully, COVID toes heal without a scar and is not seen in most patients.
Although a study from Wuhan, China found coronavirus on shoes, it is unlikely that this is a common way that the virus is transmitted. The virus on shoes would still need to enter the body and may not be viable at that time. The reason this subject became popular may be due to this excerpt from the article: “…the virus can be tracked all over the floor, as indicated by the 100% rate of positivity from the floor in the pharmacy, where there were no patients. Furthermore, half of the samples from the soles of the ICU medical staff shoes tested positive. Therefore, the soles of medical staff shoes might function as carriers.”
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