Susan Blatt, MD

Foot problems can prevent people from being physically active. The best way to avoid foot problems is to wear well-fitting low-heeled shoes and cotton socks.  If there is foot pain, a podiatrist should be consulted.

Fungal infections cause nails to be cloudy, thickened, and deformed.  This is particularly common in diabetics. Treatment may be with a cream or with oral medication.  Even with appropriate treatment fungal infection may be slow to heal.

There are various foot deformities that cause foot pain, including bunion, hammertoe, and flat foot.  Discomfort may be less if the shoes fit well.  Treatment includes the use of special shoes, braces, and occasionally surgery is necessary.

Arthritis causes swelling and pain of the joints of the feet.  Common types of arthritis include rheumatoid arthritis and osteoarthritis. There are many new medications for arthritis.  Sometimes foot surgery may be helpful.

Diabetics should pay particular attention to their feet.  Foot problems are worse if diabetes is in poor control.  A small area of broken skin may not heal well, may progress to ulceration and eventually amputation may be necessary.  Diabetic patients who have problems with their feet should see a podiatrist regularly. 

Seniors with foot problems should work with their regular doctor and their podiatrist to make sure that they stay free of pain.