Posts for category: Podiatry
Metatarsalgia denotes a common foot condition characterized by pain and inflammation of the joints and bones of the ball of the foot - the area just before the toes, also called the metatarsal region.
Symptoms of metatarsalgia can develop suddenly, especially after an increase in exercise or high-impact activities, but normally the problems develop over time. Common symptoms of metatarsalgia include:
- Sharp, aching or burning pain in the ball of your foot - the part of the sole just behind the toes
- Pain that intensifies when you stand, walk or run
- Pain that radiates from the balls of the feet into the toes
- Numbness or tingling in the toes
- A feeling in your feet as if you are walking with a pebble in your shoe
- Pain that increases when walking barefoot
Sometimes a single factor can trigger metatarsalgia. More often, multiple factors contribute to the pain, including:
- Over-training or Over-activity. Extensive training and high-impact sports, especially running, places an abnormal amount of stress on the balls of the feet, causing irritation, inflammation and pain.
- Other foot disorders. High arches, hammertoes, bunions, stress fractures and Morton's neuroma can all trigger metatarsalgia symptoms.
- Poor-fitting footwear. High heels, narrow-toed shoes and shoes without adequate padding can all contribute to metatarsal problems.
- Excess weight. Extra weight places excess pressure on your metatarsals.
- Aging. The fat pads on the metatarsals thin out as a person ages, diminishing the ability of the metatarsal bones to protect themselves.
Although generally not serious, metatarsalgia can disrupt your day to day activities, and when left untreated can lead to additional pain in your unaffected foot, back or hips. Treatment to eliminate metatarsalgia symptoms can be as simple as resting, icing the affected area and wearing proper-fitting shoes to significantly reduce swelling and ease pain.
When conservative treatments aren't effective and pain persists, visit our practice for a full exam and a proper diagnosis. In most cases, metatarsalgia can be treated non-surgically. An experienced podiatrist may prescribe specially-designed orthotics or shock-absorbing insoles and arch supports to prevent and minimize future problems with metatarsalgia.
Bone spurs, also known as osteophytes, can occur anywhere in the skeletal system, and the feet are no exception. Bone spurs are simply overgrowths of bone, which most commonly form where two bones come together. Normally bone spurs in the feet are painless, but when exposed to pressure, they can cause the excess bone to rub against other nerve endings or soft tissues, resulting in pain.
Causes of Bone Spurs in the Feet
When your feet are repeatedly exposed to excessive pressure and stress, a bone spur can form as a result of the body's normal response to repair itself. The following activities and conditions are common causes:
- High-impact activities, such as running
- Excessive weight
- Poor-fitting footwear
- Tightening of the plantar fasciitis due to excessive stress
Because there are no obvious symptoms associated with bone spurs in the feet, diagnosing the disorder can be difficult. Some people experience unbearable pain in particular areas of their foot when exposed to pressure, which prompts them to seek medical care. Other people can go long periods of time without realizing they even have a bone spur. An x-ray can identify a bone spur in your foot, but if it isn't causing you pain, damaging other tissues or restricting your movement, treatment probably won't be necessary.
Identifying the cause of your bone spur, such as poor-fitting shoes or weight gain, is often times enough to reduce the pressure that is causing the pain.
Conservative treatments for bone spurs include:
- Change in footwear
- Weight loss
- Padding or insoles
- Deep tissue massage and stretching
If you're experiencing chronic foot pain, schedule an appointment at our office. We'll carefully examine your feet and evaluate your symptoms to better understand your condition. If you've developed a bone spur, we can work with you to create a treatment plan that best fits your needs and puts an end to your frustrating foot pain.
Signs and Treatment for Sprained Ankles
Do you have a sprained ankle? Ankle sprains are among the most common injuries. Ankle sprains sprain occur when the ligaments in the ankle are stretched or torn. Ankle sprains can be very painful and incapacitating. If you have an ankle sprain, it's a good idea to see your podiatrist. Read on to to learn about the signs and treatment for sprained ankles.
Signs You Have a Sprained Ankle
1. Pain: An ankle sprain can be painful and can make it hard to carry out your day-to-day activities. You may also feel discomfort when you place weight on the affected area. The pain may worsen when the area is pressed and during standing or walking.
2. Redness: A sprained ankle can cause warmth and redness around the affected area. If your ankle is warm, red, and swollen, it is inflamed. Warmth and redness is caused by increased blood flow to the area.
3. Swelling: When an ankle is injured with a sprain, inflammation occurs. Swelling is the body’s protective response to an injury. Inflammation occurs because of increased fluid in the tissue. This is a normal reaction of the body and is the start of the healing process. However, sometimes the body produces more swelling that necessary.
4. Bruising: A sprained ankle causes bruising around the affected joint. A contusion, commonly known as a bruise, is made up of blood beneath the skin. A bruise results in a discoloration of the skin. Bruising is a result of injury to the blood vessels in the skin.
5. Stiffness: A sprained ankle causes limited range of motion and stiffness. Inflammation and pain often limit movement after the injury. Your podiatrist may advise against moving the ankle to allow your ankle to heal. Your podiatrist may also design an exercise program to reduce stiffness after the injury.
Treating a Sprained Ankle
1. Rest your ankle: All ankle sprains require a period of rest. Resting your ankle will allow the healing process to begin. Stay off your feet to allow your ankle to heal. Gently exercise your ankle on a regular basis to reduce stiffness. Avoid strenuous activites, such as running and aerobics, until you can walk without it causing any pain.
2. Elevate your ankle: Keep your ankle raised above the level of your chest for several days after injury. Use pillows to keep your foot elevated. Keep your foot elevated for a few hours per day until your ankle stops swelling. Elevation is important after an injury as it helps to reduce the amount of blood flow to the injured area. This helps to reduce the inflammation, bruising, and pain.
3. Ice your ankle: Ice treatment can help decrease pain, swelling, bruising, and muscle spasms. To make an ice pack, fill a freezer bag with ice. Put an ice pack on your injured ankle for 10 minutes every 2 hours. Wrap an elastic medical bandage around the ice pack to hold it in place. You should not use ice for more than 20 minutes at a time. If you have circulation issues or diabetes, talk to your doctor before applying ice.
4. Compress your ankle: Apply a compression bandage from the toes to above the ankle. Wrapping your ankle will help to avoid bruising and swelling. Wrap the bandage around your ankle and foot, and secure it with medical tape. Make sure the bandage doesn't restrict blood flow to your toes or make the pain worse. Do combine compression with elevationa and rest whenever possible.
5. Take a pain reliever: If you have severe pain, a narcotic pain reliever can make you feel better. An OTC pain reliever may also help reduce the pain and swelling. Most medical professionals recommend anti-inflammatory medicines such as naproxen, ibuprofen, or ketoprofen. You can also take acetaminophen for pain, although this medicine does not reduce inflammation. Be safe with medicines. Read and follow all instructions on the label.
6. See a doctor: A podiatrist can diagnose and treat an ankle sprain. Your doctor may order x-rays to determine if you have a broken bone in your ankle. You may receive an ankle brace to keep your ankle from moving and allow ligaments to heal. Your doctor will also give you medications to reduce swelling and pain. Once you can bear weight without increased pain, your doctor will add strengthening exercises to your treatment plan.
Whether your goal is getting back to work, hobbies, sports, the gym, or just enjoying life, a podiatrist can help. If you have an ankle sprain, search for a podiatrist in your area and schedule an appointment. A podiatrist can help you get back on track in no time!
Understanding Claw and Mallet Toes
Think you may have mallet or claw toes? Mallet and claw toes form over years and are common in adults. Mallet and claw toes are among the most common toe problems. If you think you have mallet or claw toes, see a podiatrist right away. If you don't treat the problem right away, you are more likely to need surgery. Here's what you need to know about claw and mallet toes.
What Are Mallet and Claw Toes?
Mallet and claw toes are toes that are bent into an abnormal position. They may hurt or look odd, or both. These toe deformities usually occur in the small toes, not the big toes. Claw toe often affects the four small toes at the same time. The toes bend up at the joint where the foot and toes meet. This causes the toes to curl downward. Mallet toes often affect the second toes, but it may occur in the other toes too. Mallet toes bend down at the joint closest to the tip of the toes.
What Causes These Conditions?
Tight footwear is the most common cause of mallet and claw toes. Wearing tight footwear can cause the muscles of the toes to get out of balance. Less often, these conditions are linked with other conditions, such as rheumatoid arthritis, diabetes, stroke, or an injury to the ankle or foot. Women are affected more often than men because they are more likely to wear narrow shoes or high heels.
How Are They Diagnosed?
Your podiatrist will take a detailed medical history and ask about your daily activities and footwear. A physical examination comes next, in which the level of deformity and scope of pain will be assessed. Diagnosis of these claw and mallet toes is usually obvious from the physical exam. To further evaluate the joints and bones of your feet and confirm a diagnosis, your podiatrist may order x-rays or other imaging tests.
How Are They Treated?
Buying shoes with more room in the toes, filing down calluses and corns, and padding the toes most often relieve the pain. If you have pain, your doctor may put a splint or pad on the toe. A custom orthotic device may be placed in your shoe to help control the muscle/tendon imbalance and alleviate your pain. This keeps the toe from rubbing on the top of the shoe. Corticosteroid injections are sometimes used to ease pain and inflammation. If these steps don’t work, you may need surgery to straighten the toes.
Podiatric medicine a branch of science that is devoted to the study, diagnosis, and treatment of conditions of the ankle, foot, and lower extremity. Podiatrists diagnose and treat various foot problems, including claw and mallet toes. They offer a variety of treatments for claw and mallet toes. If you think you may have claw or mallet toes, a podiatrist in your area can help you achieve real relief.
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.