Foot pain may be relieved by selecting and wearing appropriate footwear or even receiving massage therapy that targets the feet. However, there are topical pain medications available in forms such as balms, lotions, gels, creams, ointments, and patches which can alleviate foot pain.

There are distinct types of topical medications, and they fall into one of the following categories:

• Salicylates contain a chemical similar to aspirin and are designed to be absorbed into the skin to relieve pain. These creams are most commonly used for muscle soreness and aches. Common branded products include Ben Gay, Aspercreme, Sportscreme.

• Non-Steroidal Anti-inflammatory Drugs (NSAIDs) such as ibuprofen and naproxen fight pain associated with swelling. They are produced in a gel or cream, like salicylates, designed to be absorbed into the skin. NSAIDs increase the body’s anti-inflammatory response, reducing pain and heat for the injured area. They are available over-the-counter and in prescription form.

• Analgesics are useful in reducing pain in those suffering from mild arthritis. If your pain is focused in your ankle, for example, you might consider the brand name products Capzasin-P, Menthacin, and Zostrix. The cream or ointment works by stimulating and then decreasing the intensity of pain signals in the body.

• Counterirritants create warm or cool sensation over a painful joint or sore muscle. Brand name products include Icy Hot, JointFlex, and Flexall.

• Anesthetics are used to relieve “local pain” to a specific area by disabling the nerve endings in the skin. Brand name anesthetic medications include Lanacane and Xylocaine.

Other topical medications include anti-fungal and corticosteroids. Anti-fungal topical medications come in various forms such as cream, powder, or spray, and are used for treatment of athlete’s foot. Some common brand medicines are Lotrimin, Lamisil, and Desenex. See a podiatric physician if anti-fungal creams you’ve tried do not seem to work or if you have any other symptoms related to the infection, such as fever, rash, or sore throat.

Corticosteroids are the most common topical treatment for psoriasis. They work by reducing inflammation and slowing the growth and build-up of skin cells. Applying topical creams on the infected areas will help soothe the itch and soften the hardened skin. If you have psoriasis on your feet, it is best to treat it as soon as possible to minimize the risk of spreading infection to your leg and even your toe nails. Consult with a podiatric physician immediately if you suspect you have psoriasis.

Corticosteroids can also be used for treating diabetic peripheral neuropathy. These topical medications can be very helpful in temporarily relieving pain, burning, numbness, and tingling sensations in the feet. Some branded products are Nerve Relief Cream and BioFreeze.

The most recent technologies are now changing the way we look at topical medications. Traditional pain medications in pill form or via IV are now incorporated into topicals. Discuss with Dr. Bowman to see if one will suit your problem.

Topical pain medications are helpful to relieve the pain associated with foot problems but should never be used to “mask” pain. Consult Dr. Bowman for suggestions and proper usage of topical medications. We can be reached at 713-467-8886 or www.houstonfootspecialists.com

“Dr. Bowman, My referring doctor told me I had a Paronychia.  What is it?”  I get this question at least once a week.

A Paronychia is a skin infection that occurs around the nails and is often occur with an Ingrown Nail.  This condition is usually caused by an injury to the surrounding tissue of the nail from picking at the nail, improper trimming of the nail and trauma. 

The main symptom of a Paronychia is a painful, red area with swelling to the nail fold.  More often than not pus or drainage is present.  There may be pus filled blisters with a bacterial infection.  Acute Paronychia is typically caused by bacteria called Staphylococcus Aureus.

Treatment is often to perform a minor procedure in the office where the area is drained and a culture will be taken to determine the bacteria.  A small portion of the nail may need to be removed as well.  The patient will be given oral antibiotics and soaks with a topical antibiotic.

A chronic Paronychia is one that “comes and goes” or one that clears up on its own but then reoccurs. Chronic conditions can cause permanent damage to the shape of the nail and spread of infection to other areas, including tendons, bone, or blood stream.

If you see pus or drainage from a toenail, contact your local podiatrist right away before the condition spreads.

Dr. Bowman is a Foot and Ankle surgeon with Houston Foot Specialists and can be contacted at www.houstonfootspecialists.com  or by calling 713-467-8886.