Bunions
A bunion is an enlargement of the base joint of the toe that connects to the foot, often formed from a bony growth or a patch of swollen tissues. It is caused by the inward shifting of the bones in the big toe, toward the other toes of the foot. This shift can cause a serious amount of pain and discomfort. The area around the big toe can become inflamed, red, and painful.
Bunions are most commonly formed in people who are already genetically predisposed to them or other kinds of bone displacements. Existing bunions can be worsened by wearing improperly fitting shoes. Trying to cram your feet into high heels or running or walking in a way that causes too much stress on the feet can exacerbate bunion development. High heels not only push the big toe inward, but shift one's body weight and center of gravity towards the edge of the feet and toes, expediting bone displacement.
A podiatrist knowledgeable in foot structure and biomechanics will be able to quickly diagnose bunions. Bunions must be distinguished from gout or arthritic conditions, so blood tests may be necessary. The podiatrist may order a radiological exam to provide an image of the bone structure. If the x-ray demonstrates an enlargement of the joint near the base of the toe and a shifting toward the smaller toes, this is indicative of a bunion.
Wearing wider shoes can reduce pressure on the bunion and minimize pain, and high heeled shoes should be eliminated for a period of time. This may be enough to eliminate the pain associated with bunions; however, if pain persists, anti-inflammatory drugs may be prescribed. Severe pain may require an injection of steroids near the bunion. Orthotics for shoes may be prescribed which, by altering the pressure on the foot, can be helpful in reducing pain. These do not correct the problem; but by eliminating the pain, they can provide relief.
For cases that do not respond to these methods of treatment, surgery can be done to reposition the toe. A surgeon may do this by taking out a section of bone or by rearranging the ligaments and tendons in the toe to help keep it properly aligned. It may be necessary even after surgery to wear more comfortable shoes that avoid placing pressure on the toe, as the big toe may move back to its former orientation toward the smaller toes.
We Can Treat Your Foot or Ankle Pain
Foot or ankle pain can negatively affect your day-to-day life and can occur due to several different conditions. Pain can also be an indicator of a more serious underlying condition, which is why you should seek professional help as soon as you notice any abnormalities in your feet.
Handling Pain in the Top of the Foot
There may be multiple causes for feeling pain in the top of the foot, the most common of which are wearing shoes that are too tight and over-exercising. If you experience pain, swelling and bruising after repetitive exercise, you may have sprained or fractured a metatarsal (stress fracture). Tendonitis or osteoarthritis (both inflammatory conditions) may also cause such pain and swelling, as well as long-term stiffness, a crackling sound when you move your foot, and the formation of a lump. A third cause of top of the foot pain is gout, another inflammatory condition, caused by the buildup of uric acid in the joints. This results in redness, heat, swelling and extreme pain when anything touches the skin, often beginning at the base of the big toe. If you are experiencing any of these conditions, it’s a good idea to seek the counsel of a podiatrist who can examine your foot, diagnose the cause, and suggest the appropriate treatment options.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with one of our podiatrists from Step by Step Podiatry . Our doctors will assess your condition and provide you with quality foot and ankle treatment.
Causes
Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:
- Bunions
- Hammertoes
- Plantar Fasciitis
- Bone Spurs
- Corns
- Tarsal Tunnel Syndrome
- Ingrown Toenails
- Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
- Flat Feet
- Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
- And more
Diagnosis
To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.
Treatment
Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.
If you have any questions, please feel free to contact our office located in Smithtown, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Foot Pain
The feet, being the foundation of the body, carry all of the body’s weight and are therefore prone to experiencing pain and discomfort. If you are experiencing foot pain, it is important to determine where in the foot you are experiencing this pain to help discover the cause of it. While pain can be experienced virtually anywhere in the foot, the most common sites of foot pain are in the heel and ankle.
Heel pain can be due to a multitude of conditions including plantar fasciitis, Achilles tendinitis, and heel spurs. Pain experienced in the ankle can be a sign of an ankle sprain, arthritis, gout, ankle instability, ankle fracture, or nerve compression. In more serious cases, pain in the foot can be a sign of improper alignment or an infection.
Foot pain can be accompanied by symptoms including redness, swelling, stiffness and warmth in the affected area. Whether the pain can be described as sharp or dull depends on the foot condition behind it. It is important to visit your local podiatrist if your foot pain and its accompanying symptoms persist and do not improve over time.
Depending on the location and condition of your foot pain, your podiatrist may prescribe certain treatments. These treatments can include but are not limited to prescription or over-the-counter drugs and medications, certain therapies, cortisone injections, or surgery.
If you are experiencing persistent foot pain, it is important to consult with your foot and ankle doctor to determine the cause and location. He or she will then prescribe the best treatment for you. While milder cases of foot pain may respond well to rest and at-home treatments, more serious cases may take some time to fully recover.
How to Take Care of Your Baby’s Feet
Your baby will be depending on his or her feet for a lifetime, so it makes sense to begin their life trying to make sure their feet are properly cared for. Under most circumstances, babies are born with feet that are normal and healthy and good care can keep them that way. Things that can be done to keep baby’s feet in good condition include: allowing free and active movement to ensure good muscle development, barefoot crawling indoors so feet and toes continue to develop normally, frequent checking on the proper fit of socks and shoes (especially given how quickly they grow), washing their feet every day with soap and water and drying them thoroughly, and not rushing baby’s walking in any way, including providing walking aids, which might cause injury. Consulting with a podiatrist is suggested if anything concerning or questionable arises with your baby’s feet for immediate diagnosis and proper treatment recommendations, e.g., toes turning in or out a lot, shoes wearing unevenly, rashes, bumps or lumps developing on their feet, or they complain of continual foot pain.
Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact one of our podiatrists of Ultimate Foot Care . Our doctors can provide the care you need to keep you pain-free and on your feet.
Keeping Children's Feet Healthy
Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...
Although babies do not walk yet, it is still very important to take care of their feet.
Avoid putting tight shoes or socks on his or her feet.
Allow the baby to stretch and kick his or her feet to feel comfortable.
As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’.
As your child gets older, it is important to teach them how to take care of their feet.
Show them proper hygiene to prevent infections such as fungus.
Be watchful for any pain or injury.
Have all injuries checked by a doctor as soon as possible.
Comfortable, protective shoes should always be worn, especially at play.
If you have any questions please feel free to contact our office located in Smithtown, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Peroneal Tendonitis
Peroneal tendonitis occurs when the tendons connecting the foot to the lower leg are inflamed. While it generally occurs from overuse of the tendons, this condition can be a result of a sudden injury, like a broken ankle. People who engage in sports involving a lot of ankle movement are more likely to suffer from this affliction, but it can also affect those who do not stretch properly before activity, have pre-existing conditions like arthritis, have high arches, are overweight, and who smoke. Symptoms of peroneal tendonitis include pain along the tendon that worsens with physical activity, swelling, redness, and a nodule that moves with the tendon. Usually a combination of physical therapy, medication, and rest are employed to treat this type of tendon issue. However, it is suggested that this or any foot pain be diagnosed and treated by a qualified podiatrist so that symptoms do not worsen.
Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact one of our podiatrists of Ultimate Foot Care . Our doctors can provide the care you need to keep you pain-free and on your feet.
Sports Related Foot and Ankle Injuries
Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:
- Plantar Fasciitis
- Plantar Fasciosis
- Achilles Tendinitis
- Achilles Tendon Rupture
- Ankle Sprains
Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.
If you have any questions please feel free to contact our office located in Smithtown, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
What Is a Nutcracker Fracture?
The Nutcracker is a famous and challenging ballet. It’s name has also been used to refer to a type of foot fracture involving the cuboid bone (located near the center of the foot) that can be seen in ballet dancers. A nutcracker fracture is characterized by a cuboid bone that is crushed in between the heel bone (calcaneus) and the third and fourth toe bones (metatarsals). This injury causes pain and swelling, particularly along the outside of the foot. Bearing any weight on the foot may be difficult or impossible. More severe fractures can also cause pain along the inside of the foot and visible deformity. Treatment for a nutcracker fracture may include resting, icing, and immobilizing the foot and managing pain. Surgery may be needed in severe cases. If you have injured your foot, it is strongly suggested that you seek the care of a podiatrist.
Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with one of our podiatrists from Ultimate Foot Care . Our doctors will assess your condition and provide you with quality foot and ankle treatment.
Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.
Causes
The most common causes of cuboid syndrome include:
- Injury – The most common cause of this ailment is an ankle sprain.
- Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
- Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.
Symptoms
A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.
Diagnosis
Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.
Treatment
Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.
If you have any questions, please feel free to contact our office located in Smithtown, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Athlete’s Foot 101
Tinea Pedis, more commonly known as athlete’s foot, is a fungal infection that affects the feet and toes. The fungi that cause athlete’s foot thrive in warm and moist environments. The condition is very contagious and often spreads in areas such as communal locker rooms, pools, showers, and even sweaty footwear. Common signs of athlete’s foot include scaling, redness, itchiness, and in severe cases, fissuring (or deep cracking) of the skin. Since athlete’s foot can spread easily, patients who believe they have this condition would be wise to consult with a podiatrist for a proper diagnosis and treatment plan. The infection will likely need to be treated with antifungal medications, and measures may need to be implemented to keep the feet clean and dry.
Athlete’s foot is an inconvenient condition that can be easily reduced with the proper treatment. If you have any concerns about your feet and ankles, contact one of our podiatrists from Step by Step Podiatry . Our doctors will treat your foot and ankle needs.
Athlete’s Foot: The Sole Story
Athlete's foot, also known as tinea pedis, can be an extremely contagious foot infection. It is commonly contracted in public changing areas and bathrooms, dormitory style living quarters, around locker rooms and public swimming pools, or anywhere your feet often come into contact with other people.
Solutions to Combat Athlete’s Foot
- Hydrate your feet by using lotion
- Exfoliate
- Buff off nails
- Use of anti-fungal products
- Examine your feet and visit your doctor if any suspicious blisters or cuts develop
Athlete’s foot can cause many irritating symptoms such as dry and flaking skin, itching, and redness. Some more severe symptoms can include bleeding and cracked skin, intense itching and burning, and even pain when walking. In the worst cases, Athlete’s foot can cause blistering as well. Speak to your podiatrist for a better understanding of the different causes of Athlete’s foot, as well as help in determining which treatment options are best for you.
If you have any questions please feel free to contact our office located in Smithtown, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Plantar Fasciitis
The plantar fascia is a connective tissue in the heel that stretches across the bottom length of your foot. Plantar fasciitis occurs when the connective tissue becomes inflamed, causing heel pain and discomfort during physical activity. Although the condition is completely treatable, traditional methods can take up to a year to start becoming effective.
Plantar fasciitis is caused by a number of everyday activities, so understanding the condition is important for managing and treating it. One of the most common causes of plantar fasciitis is excessive running, especially with improper fitting or non-supportive shoes. Too much exercise can lead to the plantar fascia being overworked and overstretched, which can cause tears in the tissue. Along with improper fitting shoes, pronation, the rolling of the feet inward, is a common cause of plantar fasciitis. If not treated properly, the plantar fascia becomes overstretched and starts to tear, causing inflammation.
Despite the common causes of plantar fasciitis, there are many different treatment options. For less severe cases, conservative home remedies include taking anti-inflammatory drugs to alleviate pain, applying ice packs to the bottom of your foot and heel, slowly stretching and exercising your feet to re-strengthen the tissue, and using orthotic devices are all ways to help manage your plantar fasciitis.
For more severe cases, shockwave therapy has become a common solution for plantar fasciitis. Shockwave therapy can effectively break up the tissue on the bottom of your foot which facilitates healing and regeneration. This fights the chronic pain caused by plantar fasciitis. Even if this doesn’t work, surgery is always a final option. Surgery on the tissue itself can be done to permanently correct the issue and stop the inflammation and pain in your heels.
No matter what the case may be, consulting your podiatrist is the first and best step to recovery. Even the slightest amount of heel pain could be the first stage of plantar fasciitis. Untreated symptoms can lead to the tearing and overstretching of tissue. Because the tearing of tissue can be compounded if it remains ignored, it can evolve into a severe case. The solution is early detection and early treatment. Talk to your podiatrist about the possibilities of plantar fasciitis if you’re experiencing heel pain.
Ways to Care For the Feet as They Age
Over time, the feet begin to develop more problems due to everyday wear and tear. There is more stress placed on the joints in the feet, and the skin gets thinner and loses its elasticity. Because of the variety of debilitating foot issues that can occur with aging, it is important that elderly patients take care of their feet. Common issues that indicate aging feet include aches and pains, bunions, circulatory issues, and a curling up of the toes. Exercise, proper toenail trimming, moisturizing the feet, and wearing shoes that are supportive and that fit correctly are a few ways to minimize the effects of aging on the feet. Doing yearly checks with a podiatrist is another effective way to help care for the feet. A podiatrist can help detect a variety of issues that include diabetes and poor circulation, and they can help treat everyday foot problems like bunions and ingrown toenails.
Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact one of our podiatrists from Step by Step Podiatry . Our doctors can provide the care you need to keep you pain-free and on your feet.
The Elderly and Their Feet
As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.
Common Conditions
- Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
- Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
- Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
- Gouging toenails affecting nearby toe
- Shoes that don’t fit properly
- Pressure sores
- Loss of circulation in legs & feet
- Edema & swelling of feet and ankles
Susceptible Infections
Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.
If you have any questions please feel free to contact our office located in Smithtown, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
