Posts for category: Foot Conditions
A hammertoe is a common foot deformity that affects the middle joint of the smaller toes. As a result, this causes the toes to bend downward. Since this bend causes the joint to stick out this can put more pressure on the affected joints when wearing shoes, which can also make the deformity worse over time. As with most foot deformities a hammertoe will start out minor and continue to progress over time if left untreated.
During the earlier stages you may not notice much pain and discomfort. In fact the only way you may be able to tell that you have a hammertoe is by examining the foot and noticing that the small toes bend downward like a claw. Of course, at this stage the deformed joint is still flexible enough to be straightened out.
However, if the deformity progresses this can cause the joint to become rigid, which won’t respond effectively to simple conservative treatments. As you might imagine, the sooner you see a podiatrist to treat your hammertoe the better. Early intervention is key, as a hammertoe will not get better without the proper care.
Hammertoes are often the result of an imbalance in the muscle or tendon of the foot. Over time, this leads to structural changes in the foot. Genetics may also play a role in whether your feet are at risk for this deformity. A hammertoe can also be made worse by wearing shoes that are too tight and put too much pressure on the toes.
Along with the structural changes that occur with hammertoes it’s also common to experience redness, inflammation or the development of a corn or callus on the toe. If you are noticing symptoms of a hammertoe see your podiatrist for an evaluation. A simple physical exam is usually all that’s needed to diagnose a hammertoe; however, sometimes an x-ray will be performed in order to determine the extent of the deformity.
If you are dealing with a flexible hammertoe, more often than not simple nonsurgical treatment options are all that’s needed. Following simple treatment options and care can prevent the hammertoes from becoming rigid or painful. Some nonsurgical treatment options include:
- Wearing the appropriate footwear. This means wearing shoes that aren’t pointy or have high heels, which can put more pressure on the toes.
- Placing custom orthotics into your shoes, which can ease discomfort and prevent pain resulting in a muscular imbalance.
- Taking over-the-counter pain relievers such as ibuprofen, which can reduce both pain and inflammation.
- Splinting the toe or toes to keep them straight, which can also reduce stiffness, inflammation and pain.
- Applying protective non-medicated padding over the top of the toe to prevent a corn or callus from developing.
If your hammertoe is painful or rigid then you may need to discuss whether surgery is the best option for alleviating your symptom and correcting the deformity. If you are dealing with a hammertoe turn to a foot specialist for help.
Are you dealing with pain, burning, tingling or numbness between your toes or in the ball of the foot? If you said “yes” then you could be dealing with a neuroma, a pinched nerve or benign tumor of the nerve that is often found between the third and fourth toes.
The classic symptom of a neuroma is pain, particularly when walking—a factor that leads many people to liken the condition to feeling like a pebble is in their shoe. You may find that the pain eases up whenever you aren’t walking or when you rub the pained area with your hands. While neuromas can happen to anyone, they are most commonly found in women.
While the causes of a neuroma are still not clear, there are factors that can increase the likelihood of developing one, such as:
- Extremely high arches
- Flat feet
- Trauma that leads to nerve damage in the feet
- Improper footwear (high heels over two-inches tall; pointed toes)
- Repeated stress placed on the foot
Treating a Neuroma
A neuroma will not go away on its own, so it’s important to see a podiatrist if you are experiencing any of the condition's symptoms. The type of treatment or treatments recommended to you will depend on the severity of the neuroma.
Those with minor neuromas may be able to lessen symptoms by wearing shoes that provide ample room for the toes and offer thick soles that provide more support and cushioning for the toes and balls of the feet. Sometimes a podiatrist may recommend custom orthotics to place inside the shoes, as well.
Your podiatrist may also recommend padding or taping the ball of the foot to improve faulty biomechanics and reduce discomfort. While medication will not eliminate the problem, it can temporarily alleviate symptoms. Over-the-counter anti-inflammatories can often briefly reduce pain and swelling, but for those dealing with more severe pain, steroid injections may be necessary to ease symptoms.
Surgery for a Neuroma
Surgery only becomes necessary when conservative treatment options have failed to provide relief, or when the neuroma has progressed enough that conservative care won’t be enough. During surgery, the inflamed nerve is removed through a simple outpatient procedure. Afterward, there is a short recovery period of a couple of weeks before patients are able to move about pain-free once again!
Give us a Call!
If you are dealing with new or worsening foot pain it’s important that you turn to a podiatrist that can help give you the answers you need. Schedule an appointment today.
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
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.
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!
Understanding Heel Pain with Help from Your Podiatrist
- 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
Heel pain is one of the most common complaints a podiatrist hears about from patients. If you are dealing with heel pain above the heel bone then you could be dealing with Achilles Tendonitis, a result of overuse. The Achilles tendon is the longest tendon in the body and it serves to connect the muscles of the calf with the lower leg and heel bone.
While Achilles Tendonitis tends to occur most often in runners, this condition can still occur in athletes that play certain sports such as soccer or tennis. Unfortunately, this tendon does weaken as we get older, which makes at an increased risk for developing this overuse injury as we age.
What are the symptoms of Achilles Tendonitis?
The most obvious symptom of Achilles Tendonitis is pain above the heel bone. When the pain first appears it’s usually pretty mild and you may only notice it after running; however, over time you may notice that the pain gets worse after certain exercises. Along with pain you may also experience stiffness or tenderness in the heel, especially in the morning or after long periods of sitting.
When should I see a podiatrist?
If this is the first time that you’ve ever experienced heel pain then it’s a good idea to turn to a foot doctor who can determine whether Achilles Tendonitis is causing your symptoms or whether it’s something else. If you’re experiencing chronic heel pain around the Achilles tendon it’s also a good time to see a doctor. If the pain is severe or you are unable to put weight on your foot it’s possible that you might be dealing with a ruptured tendon, which requires immediate attention.
How do you treat Achilles Tendonitis?
In most cases, Achilles Tendonitis can be treated with simple self-care options. Unless symptoms are severe you may be able to treat your heel pain by:
- Taking over-the-counter pain medications
- Avoiding high-impact activities or activities that exacerbate symptoms
- Elevating the foot to reduce swelling
- Performing stretching exercises or undergoing physical therapy
- Icing the heel
- Wearing custom orthotics
- Replacing worn-out shoes, especially running shoes
Surgery is only necessary if your symptoms aren’t responding to any other nonsurgical treatment options after several months or if the tendon is torn.
If you think your heel pain could be the result of Achilles Tendonitis then it’s time to turn to a podiatrist as soon as possible. A podiatrist can provide you with a variety of treatment options, from simple lifestyle modifications to custom orthotics.