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Posts for category: Foot Condition

By Karen E Anderson, DPM
April 22, 2020
Category: Foot Condition
Tags: Arch Problems  

The arches of the feet play a role in supporting your body’s weight when standing or in motion. The tarsal and metatarsal bones make up the arches of the feet, also receiving additional support and stability from tendons and ligaments; however, our feet, like the rest of our body, can be affected by infections, disorders, and structural changes that can impact not only the health of our feet but also our mobility. It’s important to recognize the warning signs of arch problems so you know when you to see a podiatrist.

Arch Pain Causes

If you are dealing with arch pain it is most likely caused by an injury or by structural abnormalities in the foot. For example, those with very high arches as well as those with flat feet may experience arch problems due to these common structural issues.

As a result, there are other factors that could also lead to further arch problems including:

  • Being overweight or obese
  • Aging
  • Plantar fasciitis
  • Cavus foot
  • Posterior tibial tendon dysfunction

It’s important to understand a little bit more about these common foot disorders and how they could affect the arches of your feet.

Plantar fasciitis

This condition that causes inflammation and microtears in the plantar fascia is also the most common cause of heel pain. Of course, because the plantar fascia (a ligament that connects the toes to the heel bone) also supports the arches of the feet this can also lead to arch pain. This condition is usually the result of overuse and is seen most often in runners. If you have plantar fasciitis it’s important to avoid physical activities until the fascia has fully healed.

Cavus foot

This condition, which affects the structure of the foot, leads to excessively high arches. People who’ve had a stroke, as well as people with certain conditions such as cerebral palsy may be more likely to develop cavus foot. This problem causes arch pain when standing or walking and can increase the risk for ankle injuries. Your podiatrist may choose to treat cavus foot through custom-made orthotics (shoe inserts), bracing, or by recommending specialized and supportive footwear.

Posterior tibial tendon dysfunction

The posterior tibial tendon runs from the calf muscles to the inner portion of the foot. This condition leads to changes in the tendon, which in turn affects its ability to support the arches of the foot. Flat feet can be caused by posterior tibial tendon dysfunction, and this is often the cause of flat feet that develop in adulthood. Like the other conditions above, treatment for PTTD usually involves bracing, orthotics, or providing custom devices that provide additional support to the arches of the feet.

If you are experiencing foot pain, swelling or other problems that affect mobility then it’s time that you turned to a podiatrist for care. Conditions and injuries that don’t respond to rest and at-home care may require more advanced treatments and therapies.

By Karen E Anderson, DPM
April 19, 2019
Category: Foot Condition
Tags: Ingrown Nails  

Swelling, reddened flesh, shooting pain, and pus are just some of the incredibly uncomfortable symptoms of having an ingrown toenail. Although this condition can sometimes be successfully treated through home remedies, ingrown toenails often progress to the point of infection, a point that then requires professional treatment. Read on to learn what causes this problem, when it’s right to seek medical help, and how our podiatrists can help get your foot back to a healthy state!

The Causes and Symptoms

Before we cover how to treat ingrown toenails, let’s first review the core causes and symptoms that hallmark this condition…

Ingrown toenails initially develop due to a few different factors, including:

  • Cutting the toenail too short
  • Rounding the toenail during grooming
  • Wearing improperly fitting shoes
  • Experiencing toe trauma

If the flesh on the side of the toe has become red, swollen, and tender, you likely have an ingrown toenail. If you have caught this problem while it’s still in its early stages, you can try implementing some of the home remedies listed in the next section. However, if your toe is exhibiting some of the following signs of infection, you should seek professional podiatric help:

  • Pervasive shooting or throbbing toe pain
  • Regular bleeding
  • The presence of a pus-filled blister
  • The skin has started growing over the nail

Home Remedies

As mentioned above, if an ingrown toenail is caught before infection sets in, there are a few different methods that you can practice at home in order to clear up the issue. Some of these include:

  • Around 3 to 4 times a day, submerge your foot into warm water for 15 to 20 minutes. Regularly doing this should reduce swelling and provide pain relief.
  • Following each soaking, use cotton to separate the ingrown toenail from the flesh that it is starting to grow under. This should allow the nail to grow above the skin again.
  • Avoid snug or constraining shoes.

If these actions fail to clear up the problem in 2 to 3 days, you should pursue professional treatment.

Professional Treatments

In the case of a severe or recurring infection, there are a few different procedures that your podiatrist can perform to make your toe healthy again. Depending on the specifics of your ingrown toenail, one of the following treatments may be recommended:

  • Partial Nail Removal: In the case of a severe ingrown toenail, your doctor can numb your toe before physically removing the ingrown portion of the nail.
  • Nail and Tissue Removal: If the same toe is repeatedly experiencing the same ingrown toenail problem, this procedure can be performed to prevent future recurrences. It entails your podiatrist removing a portion of the underlying nail bed, thus preventing the nail from become ingrown again.

Concerned About Your Toe? Give Us a Call!

If your ingrown toenail needs medical attention, call our podiatric office today!

By Karen E Anderson, DPM
March 06, 2019
Category: Foot Condition
Is heel pain keeping you down? Pain that occurs following an injury or early in an illness may play a protective role, warning us about the damage we have suffered. SoYour Heel Pain Could Be Plantar Fasciitis what causes heel pain?
 
Plantar fasciitis is a foot condition in which a band of tissue in the sole of the foot becomes inflamed, leading to severe heel pain. The pain can be so bad that it hurts to walk, much less exercise or perform daily activities. If one step causes shooting pain in your heel—especially when you first get out of bed in the morning or stand up after sitting for a long period of time—plantar fasciitis may be to blame. Contact your podiatrist immediately for proper diagnosis and treatment of your pain. 
 

Understanding Heel Pain with Help from Your Podiatrist

Plantar fasciitis, or heel pain, occurs when the plantar fascia is strained over time beyond its normal extension. This causes the soft tissue fibers of the fascia to tear or stretch at points along its length, leading to inflammation, pain and possibly the growth of a bone spur where it attaches to the heel bone.
 
Inflammation may become irritated by shoes that lack appropriate support, mainly in the arch area and by the constant irritation associated with an athletic lifestyle. Resting may provide temporary relief, but when you resume walking you may experience a sudden elongation of the fascia band, which stretches and pulls on the heel. As you walk the pain may lessen or even disappear, but that may just be a false sense of relief, as the pain will often return after prolonged rest or extensive walking.  
 
You can take steps now to avoid heel pain, including:
  • Wear shoes that fit well
  • Wear proper shoes for each activity
  • Do not wear shoes with excessive wear on heels or soles
  • Prepare properly before exercising by stretching and warming up
  • Pace yourself when you participate in athletic activities
  • Don’t underestimate your body’s need for rest and good nutrition
  • Lose excess weight
If pain and other symptoms of inflammation persist, you should limit your normal daily activities and contact your podiatrist immediately.  
By Karen E Anderson, DPM
July 05, 2018
Category: Foot Condition
Tags: Hammertoes  

When most people think about foot deformities they most often think about bunions; however, hammertoes are just as common. This unassuming deformity comes about gradually, so you may not even notice it until it’s too late. “What is a hammertoe?” You might be wondering. A hammertoe affects the middle joint of a toe (often the smaller toes), causing the toe to bend downward. In severe cases, a hammertoe will look almost claw-like.

There are two kinds of hammertoes: flexible and rigid. As you might imagine, a flexible hammertoe is one in which you can still straighten the toe out. If you aren’t able to straighten the affected toe then this is a rigid hammertoe. A flexible hammertoe isn’t as serious as a rigid one; however, it’s important that you take care of your hammertoe to make sure that it doesn’t get worse.

While there is no way to cure a hammertoe there are simple measures you can take to prevent it from progressing. First and foremost, you need to take a look at the shoes you are wearing and make sure that they aren’t too tight. When you slip your feet into your shoes, does it cause your toes to bunch up against one another? If so then this could make your hammertoe worse.

Instead, opt for shoes with an ample toe box, which will allow your toes to wiggle and move around freely. If you have a structural imbalance within the foot this can leave you prone to foot problems such as hammertoes and bunions. To correct this imbalance, talk to your foot doctor about getting custom orthotics (shoe inserts), which can be placed into your shoes to help provide cushioning, support, and shock absorption for your feet.

If pain or stiffness does rear its ugly head you can choose to take an over-the-counter pain reliever like ibuprofen, which can tackle both pain and inflammation in one fell swoop, or you can place a towel-wrapped ice pack (never put ice directly on the skin, as it can cause severe burns) over the area for several minutes.

Just as you can buy pads to cover a bunion or callus, you can also buy a non-medicated protective pad to cover over a hammertoe. Since the deformed toe joint juts out this can leave the toe prone to calluses, which can cause pain when wearing shoes. To prevent a callus from forming, you can apply a protective pad over the deformed toe joint before putting on shoes.

Of course, if you are dealing with significant or frequent pain, or if the hammertoe is rigid, then you will want to turn to a podiatric specialist. In severe cases, surgery may be recommended to correct the disfigured joint.

By Karen E Anderson, DPM
September 18, 2017
Category: Foot Condition

Maybe you've heard of carpal tunnel syndrome, a condition in the wrist that occurs when swelling or a change in position of the tissue within the carpal tunnel squeezes and irritates the median nerve. Similar to carpal tunnel syndrome is tarsal tunnel syndrome, an ankle condition that occurs from the compression of a nerve in a confined space.

What is Tarsal Tunnel Syndrome?

The tarsal tunnel is a narrow space located on the inside of the ankle next to the ankle bones. Protected by the tarsal tunnel are many arteries, veins, tendons and nerves, one of which is the posterior tibial nerve - the main focus of tarsal tunnel syndrome.

Tarsal tunnel syndrome is caused from a compression on the posterior tibial nerve. Causes include:

  • Injury to the ankle, which may produce swelling near the nerve.
  • Abnormal blood vessels or cysts that occupy space within the tunnel.
  • Scar tissue that press against the nerve.
  • Foot deformities, such as flat feet, which increase strain on the nerve.
  • Systematic diseases, such as diabetes or arthritis.

When patients visit us at our office with tarsal tunnel syndrome, they often experience one or more symptoms, usually felt on the bottom of the foot or the inside of the ankle. In some cases, the pain may extend to the heel, arch, toes and calf. Symptoms include:

  • Pain
  • Numbness
  • Burning or tingling sensation

We Can Help

If you experience pain, burning and tingling in your feet or toes, make an appointment with our office. Left untreated, tarsal tunnel syndrome could result in permanent nerve damage. Treatment for tarsal tunnel syndrome varies depending on the severity of your condition. Anti-inflammatory medications, cortisone injections, immobilization, rest and modifications in footwear are a few methods used to treat the damaged nerve and reduce the pain. When non-surgical treatments are unsuccessful, surgery may be recommended.