Tailor’s Bunion is a prominent bony bump at the outside of the foot near the base of the fifth toe. It is similar in the presentation and treatment to that of a bunion. This condition often becomes painful due to irritation in shoes, and is usually made worse with shoes that have a narrow toe box.

The cause of Tailor’s bunion is predominately due to genetics, although it can be made worse by wearing tight or narrow shoes.

Treatment

Tailor’s bunions can be treated conservatively or surgically. Treatment options includes wearing wider shoes, or using pads that protect the prominent bone.

When To Seek Surgery

Surgery is often considered to reduce and realign the prominent bone. Surgery can be simple, with shaving or reducing the bone prominence. In some cases, cutting or “breaking” the bone and realigning the bone into an improved position is a better approach. In either case after surgery, walking in a special protective boot or shoe is usually permitted.

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The Achilles tendon is the large tendon at the back of the ankle, which connects the large calf muscles (Gastrocnemius and Soleus) to the heal bone (Calcaneus), and provides the power in the push off phase of the gait cycle. The Achilles Tendon can become inflamed through overuse and other factors. It is estimated that Achilles Tendonitis accounts for approximately 11% of all running related injuries.

Achilles Tendoinitis can be acute or chronic, and acute Achilles Tendinotis is a result of overuse, or training too much and too soon—especially on hard surfaces or up hills. Chronic Achilles Tendinitis (tendonitis which has the tendency to reoccur) is the result of a lack of medical treatment for acute Achilles Tendonitis.

Symptoms of Achilles Tendonitis

• Pain of the tendon during exercise or during warm-up..
• Swelling over the Achilles tendon.
• Redness over the skin.
• A feeling similar to that of  a creaking when you press your fingers into the tendon and move the foot.

Treatment for Achilles Tendonitis

Immobilization. Immobilization (or restricted movement) may involve the use of a cast or removable walking boot to reduce forces through the  Achilles tendon and promote healing.
Ice.

Oral medications. Non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be helpful in reducing the pain and inflammation in the early stage of the condition.

Physical therapy. Physical therapy may include strengthening exercises, soft-tissue massage/mobilization, gait and running re-education, stretching and ultrasound therapy.
Orthotics. Foot orthotics will heel elevation relieves the stress on the tendon.

If your condition does not respond to non-surgical treatments, a surgical approach may be necessary.

An ingrown toenail is a curvature of the nail down the side of the toe into the skin. This causes pain and discomfort and, in many cases, can result in infection.

The most common causes of Ingrown Toenails are:

• Curved nails
• Fungus nail infection
• Family history of ingrown toenails
• Poor choice of shoes, or shoe pressure
• Foot trauma (injury) to the nail

Treatment

Conservative Ingrown Toenail treatment requires the use of a special nail-cutting instrument on a portion of the nail, and there are other treatments to consider if the area has become infected, or if the ingrown toenail reoccurs.

Toenail discoloration (the toenails appear white, yellow, or greenish) can result from different infections and conditions of the skin. In about 50% of cases, discolored nails are a result of infections with common fungi that can be found in the air, dust, and soil. There are many species of fungi that can affect nails.  It is important to get a proper diagnosis to make certain the condition is not serious. 

Treatment

The sooner toenail discoloration is treated the faster the nail will return to normal. Topical medications, or those applied directly to the nail are most effective when the infection has not:

• Grown under the proximal nail fold
• Produced a thick and deformed toenail

Toenail fungus is characterized as a thick, yellowish nail with splotchy white areas.  In the early stages of the fungal infection the toenail is only slightly discolored, or slightly thickened. In the late stages the toenail can become very thick and has a tendency to “grow up” more than it grows out. The toenail may be discolored, typically dark yellow-brown, and will start to change shape and crumble. In some cases the nail becomes very loose and some people will lose the nail if left untreated.

The frequency of people with fungal toenails in America is about 2-3%, but some have reported it as high as 13%. Toenail fungus affects men twice as often as it affects women, and the prevalence among elderly individuals and diabetics is 25%.

Symptoms of Toenail Fungus

• Thick and flaky nails.
• Collection of debris under the nail causing a foul odor.
• Splitting of the nail.
• Pit marks or divots on the nail.

Pinpoint Laser Treatment of Toenail Fungus

What is the procedure? How does it work? 
The fungus that lives under the toenails is treated with a gentle laser light. The light passes through the toenail, killing the fungus underneath without causing damages to the nail or the skin around it. At the time of the procedure the toenail will not become instantly clear, but as it grows out, the new nail may grow out as normal. It can take 6-9 months for a toenail to completely grow out. This is a new a approach

Do I have to have more than one treatment of pinpoint laser treatment? 
One treatment kills the fungus under the toenail in most people

Is the procedure painful? 
No. The laser treatment is painless.

How long does the procedure take? 
The pinpoint laser treatment procedure takes about 30 minutes.

Will the fungus come back? 
You will be instructed on preventive care techniques to reduce recurrence of the infection. Some Individuals are more likely to become reinfected than others and may require additional treatments.

When can I paint my nails or have a pedicure? 
You can apply polish immediately after the treatment. It is important to remove all nail polish and nail decorations the day before your treatment.

Is this covered by my insurance?
Health insurance plans do not cover this procedure or treatment.

How long have you been doing this?
Clinical trials have been going on since last year with an initial success rate over eighty-five percent. This is the first time this treatment has been offered to the public.

What is FDA cleared mean? 
Our laser has been cleared for dermatological use by the FDA. This is considered a dermatological procedure.

Who developed the laser procedure?
This procedure to kill fungus under toenails was developed around a new state-of-the-art laser produced by Patholase Corporation in Chico California.