The Winograd technique is a surgical procedure used to treat certain painful or recurring ingrown toenails. An ingrown toenail occurs when part of the nail grows into the surrounding skin, creating irritation along the nail border. Common symptoms include pain, redness, and swelling. Tenderness and drainage may also be common. The condition often affects the big toe and may become more difficult to manage when pressure from shoes continues to irritate the area.

During a Winograd procedure, a podiatrist first examines the affected toe and determines whether surgery is appropriate. The toe is typically numbed with local anesthesia before treatment begins. The podiatrist removes the affected section of the nail along with a small amount of nearby tissue. In many cases, part of the nail-producing tissue is also treated to reduce the chance that the troublesome nail edge will grow back.

Healing begins after the procedure is completed and the toe is dressed. A podiatrist provides specific instructions for cleaning and protecting the surgical site. Patients may need to limit activities that place pressure on the toe and choose comfortable, open, or roomy footwear while healing. Follow-up appointments help the podiatrist evaluate the wound, monitor nail growth, and address any concerns. Keeping the area clean and following instructions can support a smoother recovery.

The Winograd technique can be helpful when an ingrown toenail repeatedly causes discomfort or does not respond to simpler treatment. It is not necessary for every case, so professional evaluation is important before deciding on surgery. If you have persistent symptoms, recurring ingrown toenails, or difficulty walking because of nail pain, it is suggested that you consult a podiatrist who can discuss the benefits of this procedure with you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact one of our podiatrists of North Penn Podiatry. Our doctors will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions, please feel free to contact our offices located in Lansdale, and King of Prussia, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A bunion is a structural deformity of the foot that affects the joint at the base of the big toe. It develops gradually as the big toe shifts inward toward the second toe, causing the joint to protrude outward. This misalignment places ongoing stress on the surrounding bones, ligaments, and soft tissues, leading to discomfort and visible changes in the shape of the foot. Over time, bunions may worsen, particularly if the underlying causes are not properly addressed.

Common symptoms of bunions include persistent pain at the base of the big toe, along with swelling and inflammation in the affected joint. Many individuals also experience a burning or aching sensation, especially after long periods of standing, walking, or wearing restrictive footwear. The skin over the bunion may become red and irritated due to friction against shoes, which can increase discomfort. As the condition progresses, stiffness may develop in the big toe, limiting its range of motion and making everyday activities more challenging.

The primary cause of bunions is prolonged pressure on the big toe joint that gradually forces it out of alignment. Wearing tight, narrow, or poorly fitting shoes is a major contributing factor, as such footwear compresses the toes and increases friction. High-heeled shoes can further worsen the condition by shifting body weight forward onto the forefoot, adding extra strain. In addition, genetic factors and abnormal foot mechanics, such as flat feet or joint instability, can increase the likelihood of developing bunions.

Risk factors include wearing improper footwear, inherited foot structure, and certain biomechanical issues. Early recognition and intervention can help slow progression and reduce symptoms. Wearing supportive, well-fitted shoes and using custom orthotics may relieve pressure on the joint. If a bunion becomes painful or interferes with daily activities, consulting a podiatrist is recommended for appropriate treatment and long-term management strategies.

If you are suffering from bunion pain, contact one of our podiatrists of North Penn Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

• Genetics – some people inherit feet that are more prone to bunion development
• Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

• Redness and inflammation
• Pain and tenderness
• Callus or corns on the bump
• Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

If you have any questions, please feel free to contact our offices located in Lansdale, and King of Prussia, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Wearing shoes that are too tight can place pressure on the toes, nails, and sides of the feet. A narrow toe box may squeeze the toes together, while a short shoe can force them against the front. This pressure can cause soreness, blisters, and areas of thickened skin. Corns can form where the skin repeatedly rubs against a shoe. Tight shoes can irritate bunions and hammertoes, making standing or walking painful. An ingrown toenail may become worse when the shoe presses the nail edge into skin.

Poorly fitting shoes can affect more than the skin. Crowded toes may shift position, which can contribute to deformities or make existing ones more painful. Pressure on a nerve can cause burning, tingling, or numbness. Shoes that pinch the heel may lead to irritation at the back of the foot. Patients with diabetes need caution because nerve damage can reduce their ability to feel pressure or injury. A small blister or sore may go unnoticed and develop into an infection. Foot pain that continues after the shoes are removed deserves an evaluation.

A podiatrist can identify the source of pain and determine whether tight shoes have caused a skin problem, nail injury, or toe deformity. The examination includes checking tender areas, joint movement, and skin condition. The podiatrist can measure both feet and explain which shoe length, width, and toe-box shape provide a better fit. Treatment includes safely reducing corns or calluses and caring for an ingrown toenail. Padding, custom orthotics, or another device can reduce pressure and improve foot position. For a severe deformity that does not respond to other treatment, the podiatrist can discuss whether surgery is appropriate. Getting care early can relieve discomfort and help prevent a minor pressure spot from becoming a larger problem. If you have foot pain related to footwear choices, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Getting the right shoe size is an important part of proper foot health. Seek the assistance of one of our podiatrists from North Penn Podiatry. Our doctors will provide the care you need to keep you pain-free and on your feet.

Getting the Right Shoe Size

There are many people who wear shoes that are the incorrect size, negatively affecting their feet and posture. Selecting the right shoes is not a difficult process, so long as you keep several things in mind when it comes to choosing the right pair.

• When visiting the shoe store, use the tools available to measure your foot.
• Be sure there is ‘wiggle room’. There should be about an inch between your toes and the tip of your shoes.
• Do not always assume you are the same size, as manufacturers run differently.
• Purchase shoes later in the day, as your feet swell as the day progresses.
• If a shoe is not comfortable, it is not suitable. Most shoes can’t be ‘broken in’, and comfort should be the ultimate goal when it comes to choosing the right pair of shoes

As our feet hold our body weight and keep us moving, it is important to treat them right. Picking the right pair of shoes can provide your feet comfort and mobility without pain.

If you have any questions, please feel free to contact our offices located in Lansdale, and King of Prussia, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Foot health becomes more important with age because the feet experience years of pressure and wear. Older adults may develop changes in the skin, joints, and circulation that affect comfort and mobility. The natural cushioning on the bottoms of the feet may become thinner, making walking less comfortable. Arthritis can cause joint pain and stiffness, while circulation problems may slow the healing of foot injuries. Reduced flexibility can also make foot care more challenging. Because healthy feet support balance and independence, ongoing foot pain or visible changes should not be ignored as a normal part of aging.

Certain foot problems become more common among seniors. Corns, calluses, and thickened toenails may cause discomfort or make footwear difficult to wear. Bunions and other changes in foot shape can alter pressure across the foot and affect walking. Some older adults also develop numbness or reduced sensation, especially when diabetes affects the nerves. These changes may make injuries harder to notice and increase the risk of complications. Foot pain can also change a person’s walking pattern, which may affect balance and mobility. Professional evaluation can identify problems that require treatment and determine whether another condition is contributing to symptoms.

A podiatrist can provide elderly foot care based on each patient’s health, mobility, and foot concerns. During an examination, the podiatrist may assess the skin, toenails, and circulation while checking for areas of pain or unusual pressure. Podiatric care can address problems such as painful nails, calluses, and foot deformities. A podiatrist can also monitor changes related to diabetes or poor circulation and coordinate care with other health care professionals when needed. Regular podiatric evaluations can help older adults maintain comfort, mobility, and overall foot health. If foot pain, skin changes, or mobility problems are affecting you or an older family member, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

If you need your feet checked, contact one of our podiatrists of North Penn Podiatry. Our doctors will attend to all of your foot and ankle needs and provide you with quality treatment.

Geriatrics and Podiatry
When people age, some common issues that may occur are bone density loss, dry skin, poor circulation, and rough brittle nails. These issues may also affect your foot health if the necessary steps are not taken to alleviate the problems.

It is important to take care of your feet because feet that are injured or diseased can affect your overall health. Having painful feet hinders your ability to do daily activities or may decrease your willingness to do the things that you need to do.

Visiting Your Geriatrician
As we age, health problems become more likely, so it is essential to visit your doctor for check-ups to ensure that you are doing the best you can to take care of your health. It is recommended to check your feet frequently for any possible cuts, bruises, swelling, corns or any other irregularities. 

Taking Care of Elderly Feet
Cracked or dry feet can be treated by applying moisturizer often. It is also important not to wear old socks because the older the sock is, the higher the possibility there will be that there is bacteria there. Wear fresh socks and make sure they fit properly.

Proper foot health means that you can have a more active lifestyle and you will not be bogged down by pain. Foot health also leads to good circulation, which is paramount for overall health.

If you have any questions, please feel free to contact our offices located in Lansdale, and King of Prussia, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.