Dr. Paul Kaulius, MD, Trexlertown, PA Podiatry - Sharecare

Dr. Paul J Kaulius, DPM

Paul J Kaulius DPM
6900 Hamilton
Trexlertown, PA 18087

Q What is os trigonum syndrome?
A
Thomas San Giovanni, MD, Orthopedic Surgery, answered on behalf of Baptist Health South Florida

Os trigonum syndrome can be triggered by overuse and repetitive motion as well as by an injury, such as an ankle sprain. As the os trigonum is crunched between the ankle and heel bones, it pulls loose and the tissue connecting it to the talus is stretched or torn and becomes inflamed. The result is deep, aching pain in the back of the ankle that occurs mostly when pushing off on the big toe or when pointing the toes downward.
Q How should I cut my toenails?
A
Mehmet Oz, MD, Cardiology, answered
A doctor usually gives the following advice for cutting toenails:
- Cut your toenails short and straight across.
- File down any thick areas of the nail.
- Never use the same clipper or file on healthy nails and infected nails, as you may spread a fungal infection this way.
- If you get a pedicure at a nail salon, bring your own tools from home.
Q How is calcaneal apophysitis diagnosed?
A
Thomas San Giovanni, MD, Orthopedic Surgery, answered on behalf of Baptist Health South Florida

In order to diagnose calcaneal apophysitis, the doctor will examine the child’s foot and leg. People experience pain in the back or bottom of the heel and when the sides of the heel are squeezed. X-rays are often used to evaluate the condition. Other advanced imaging studies and laboratory tests may also be ordered if necessary.