When should you see a foot specialist?

Every drugstore has plenty of “do-it-yourself” medical fixes for foot problems. You’ll find blister and corn pads, insoles, fungus sprays, nail clippers and more.

So when you have foot and ankle problems, how do you know when to deal with them at home using over-the-counter products and when to see the podiatrist?

Dr. Terry Holt, who is board certified in foot surgery (podiatry), describes treating common foot and ankle problems and when you should see a podiatrist...
• Blisters on your feet often can be handled at home without professional intervention. If the blister pops, cover it with a sterile dressing or Band-Aid and watch it carefully to make sure it heals properly.

• If you suspect that you have an ingrown nail, it is best not to use over-the-counter products. See your podiatrist as soon as possible to avoid the possibility of infection. The doctor can safely remove the ingrown nail and may be able to alleviate the problem entirely for the future.

• Over-the-counter wart removal medication is relatively mild, but can cause ulcerations if left on too long. You can try to alleviate warts on the feet with these products, but the podiatrist has more effective medications and can also do simple procedures to rid you of warts. Wart removers should never be used if you have neuropathy except under the supervision of a podiatric physician.

Despite numerous blogs and articles about treating onychomycosis (fungal nails) and warts with Vicks VaporRub, duct tape, bleach, white vinegar and other household items, there are no scientific data or evidence-based research studies to support these treatment options.

• Sprains and strains can be treated at home initially with the ‘RICE treatment’ — rest, ice, compression and elevation. If swelling is persistent, a visit to the podiatrist’s office is in order to determine if any bones are broken.

Occasionally, said Dr. Holt, home remedies can cause a new problem or make existing problems worse, so use them all in moderation.

“Anyone with diabetes or a peripheral vascular disease (PVD) who has foot and ankle problems should always opt to visit the podiatrist for even minor concerns. People who do not have diabetes or PVD also should be wary of pain, color changes, drainage, swelling, heat or open areas in or on any part of the foot or ankle. These signs warrant a professional’s experience in dealing with the problem.”