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Wilmington (937) 382-2347
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March 2024

Tuesday, 26 March 2024 00:00

Signs of an Ingrown Toenail

An ingrown toenail, a common yet uncomfortable condition, occurs when the edge of a toenail grows into the surrounding skin. This often happens on the big toenail. Typical signs include redness and swelling around the affected area, and pain and tenderness when pressure is applied to the toe. More severe cases may involve an infection, which is often indicated by pus or fluid buildup. Some people might also notice the skin next to the nail becoming harder or the nail itself appearing overly curved or thickened. These symptoms not only cause discomfort but can also restrict footwear choices and make walking or standing painful. Recognizing these signs early is important for seeking appropriate treatment to prevent the condition from worsening and to alleviate the discomfort it causes. If you are suffering from an ingrown toenail, it is suggested you make an appointment with a podiatrist, a foot doctor who can effectively treat this condition. 

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Dr. Gerald Perelman of Ohio. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.


  • Bacterial infections
  • Improper nail cutting such as cutting it too short or not straight across
  • Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
  • Ill-fitting shoes that bunch the toes too close together
  • Genetic predisposition


Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.


Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

If you have any questions please feel free to contact our office located in Wilmington, OH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 19 March 2024 00:00

Dealing with Acquired Flat Foot

Dealing with acquired flat feet, also known as posterior tibial tendon dysfunction, or PTTD, requires looking into its causes and symptoms. PTTD is an acquired, progressive disease of the foot and ankle that is seen commonly in middle-aged patients. When the tibialis posterior muscle or tendon weakens or stretches, it may no longer support the foot's arch. This leads to arch collapse and discomfort, including midfoot tenderness, arch pain, and ankle swelling. Symptoms may also include difficulty standing on the toes and foot weakness. Treatments involve both conservative and surgical options depending on the severity of the condition. Wearing custom foot orthotics in your shoes and immobilizing the foot in a short-leg cast or boot to allow the tendon to heal properly may be needed. In severe cases, surgery may be required. If you are experiencing symptoms that may be related to acquired flat feet, it is suggested that you make an appointment with a podiatrist today for an exam, diagnosis, and treatment options. 

Flatfoot is a condition many people suffer from. If you have flat feet, contact Dr. Gerald Perelman from Ohio. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  


  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn


If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

If you have any questions please feel free to contact our office located in Wilmington, OH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about What is Flexible Flat Foot?
Published in Blog
Tuesday, 12 March 2024 00:00

Dealing With an Ankle Sprain

Ankle sprains occur when the ligaments in your ankle are stretched or torn beyond their intended limits, leading to varying degrees of pain and swelling. Ankle sprains are typically categorized into three grades, ranging from mild stretching to full tearing of ligaments, with Grade III sprains often requiring medical intervention, such as a brace or in some cases, surgery. While certain self-care measures help to ease symptoms, seeking expert care from a podiatrist is essential for a proper diagnosis, treatment, and prevention of chronic ankle sprains. A podiatrist may recommend using splints, casts, or braces, along with rehab exercises to aid in recovery and prevent future sprains. It is especially important to monitor symptoms closely and seek medical attention if pain persists or worsens, or if there are signs of numbness, weakness, or other concerning symptoms. With proper care and guidance from a podiatrist, most ankle sprains can heal effectively. If you have a sprained ankle, it is suggested that you seek immediate attention from a podiatrist who is trained to deal with this injury.

Ankle sprains are common but need immediate attention. If you need your feet checked, contact Dr. Gerald Perelman from Ohio. Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

  • Mild to moderate bruising
  • Limited mobility
  • Swelling
  • Discoloration of the skin (depending on severity)

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

If you have any questions please feel free to contact our office located in Wilmington, OH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Ankle Sprains
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Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

Published in Blog

Many older adults have foot and ankle problems that affect their daily activities, balance, and quality of life. These issues, like dry skin, reduced joint movement, and weak feet, often lead to foot deformities, pain, and difficulty walking. Ankle-foot orthoses, or AFOs, are commonly used to help with these problems by supporting joints and improving stability. Custom-made orthotics align the foot, reduce pain, and encourage more physical activity. They can help improve balance and possibly reduce the fear of falling as well. If you are an older adult and are experiencing foot problems, or have a desire to prevent age-related foot conditions from interfering with life, it is suggested that you schedule an appointment with a podiatrist to discuss if custom-made orthotics are the right choice for you. Custom-made orthotics can lead to better balance and more activity, especially for those who wear them consistently.

If you are having discomfort in your feet and would like to try orthotics, contact Dr. Gerald Perelman from Ohio. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

If you have any questions please contact our office located in Wilmington, OH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Foot Orthotics
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