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Posts for category: Foot Conditions

By In Step Foot and Ankle, LLC
March 20, 2020
Category: Foot Conditions

There are 52 bones in your feet and ankles, which means that feet contain about 25 percent of the bones in our bodies. Our feet also contain about 20-25 percent of the total joints in our body; therefore, it’s not too surprising to find out that your feet and ankles are unfortunately more likely to deal with tendon and joint pain at some point, whether through injury or certain conditions such as arthritis. When pain and other foot problems arise it’s important that you have a podiatrist you can turn to.

Common Causes of Tendon and Joint Pain in the Feet

Tendons are soft tissues that connect the muscles to the bones. Everything from overuse and foot injuries to structural imbalances can lead to pain. Common causes of tendon and joint pain include:

  • Tendonitis: inflammation of the tendon caused by injury or overuse
  • Sprains and strains: a common but usually minor foot and ankle injury, typically caused by physical activity
  • Arthritis: a chronic, progressive condition that leads to joint pain, stiffness, and damage (osteoarthritis is the most common type of arthritis to affect feet and ankles)
  • Obesity: being overweight or obese can also put excessive pressure on the joints and tendons of your feet and ankles, leading to pain and other problems

Treating Tendon and Joint Pain

Visiting a podiatrist is the best choice you can make if you are dealing with severe, persistent, or new foot and ankle pain. Since some conditions can get worse without proper care and rest it’s important to find out what’s causing your pain so you know how to effectively treat it.

If you are dealing with pain caused by a sports injury or strain it’s a good idea to see a medical professional so you know the extent of the injury. More severe sprains may require protective boots or crutches to reduce the amount of weight being placed on the injured ankle or foot.

Arthritis is also a surprisingly common cause of foot pain. If you notice joint pain and stiffness that affects functionality, range of motion and mobility in your feet then you could be dealing with arthritis. Since arthritis can get worse without treatment, it is important that you work with your pediatrician and a team of medical professionals to determine the best medications and course of action to help manage your foot pain and to prevent permanent joint damage.

If you are experiencing foot pain it’s important to see a qualified medical professional that can determine the best way to treat your symptoms. Call your podiatrist today for a comprehensive evaluation.

By Thomas Cusumano DPM
June 03, 2019
Category: Foot Conditions
Tags: Diabetic Feet  

Diabetic feet need special care because of decreased circulation, neuropathy, joint deterioration, and more. While your primary care physician may guide you on blood sugar control, medications, a healthy diet, and active lifestyle, your podiatrist assesses and treats how your feet and ankles function everyday and for the long term. Enlist their help in the health maintenance of your diabetic feet.

Keeping ahead of neuropathy and avoiding amputation

Those are two key goals of diabetic foot care. Your podiatrist will want to see you regularly to assess the color, temperature, sensation, function, and shape of your feet and ankles, noting any developing problems. Early detection of circulation issues, nerve degeneration (neuropathy), and deformities, such as hammertoes, bunions, and Charcot Foot, are key.

Your podiatric foot examination will include an eye-on inspection of your skin (color, temperature, texture, and integrity). Your foot doctor also may perform gait analysis to watch for changes in how you walk. Sometimes a podiatrist orders X-ray imaging or an MRI to view the internal structure of the foot and/or ankle.

Remember, that foot ulcers are the primary threat to the overall health and well-being of the diabetic, says the National Center for Biotechnology Information (NCBI). Untreated, they may lead to complications so severe amputation is the only option.

What can you do to treat your diabetic feet?

  1. Be proactive. Inspect your feet daily, looking redness or skin breakdown.
  2. Wash and dry your feet daily.
  3. Trim your toenails carefully using a clean clippers. Trim straight across and not too short to avoid ingrown toenails.
  4. Wear shoes at all times--even indoors--to avoid injury.
  5. Wear clean, well-fitting, moisture-wicking socks.
  6. Keep your weight and blood sugars within normal range.
  7. Get in-office treatment of calluses and corns, says the American College of Foot and Ankle Surgeons.
  8. Avoid all forms of tobacco.
  9. Report any changes to your foot doctor as soon as possible.
  10. See your podiatrist every six months or as he or she directs.

Healthy feet and a healthy you

Podiatric health is so important, but especially to the diabetic. So stay in touch with your foot doctor, and be routinized in your foot care for better long-term health.

By IN STEP FOOT AND ANKLE SPECIALISTS, LLC
May 10, 2019
Category: Foot Conditions
Tags: Neuroma  

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, Neuromaa 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.

Neuroma Causes

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.

By IN STEP FOOT AND ANKLE SPECIALISTS, LLC
March 20, 2019
Category: Foot Conditions
Tags: Foot Injuries  

An unexpected fall or twist can result in an injury of the foot or ankle, such as a sprain or strain. Immediate first aid can help prevent complications, reduce pain and improve recovery.

Rest, ice, compression and elevation--commonly referred to as R.I.C.E.--is the first and best treatment for minor injuries. The following tips can aid in the early treatment of common foot and ankle injuries to help reduce swelling and control the inflammatory process during the initial phase of injury.

Rest: Whether you have a strain or a sprain, rest from any physical activity is essential to protecting your injured ligaments, tendons or muscles from further damage while your body starts the repair process.  Avoid putting weight on the injured foot or ankle as much as possible. In some cases, complete immobilization may be required.

Ice: Gently ice your foot or ankle with ice wrapped in a towel in a 20-minute-on, 40-minute-off cycle for the first few days post-injury. Ice is excellent at reducing inflammation and pain. 

Compression: Applying some type of compressive wrap or bandage to an injured area can greatly reduce the amount of initial swelling.

Elevation: Prop your foot up while lying down or sitting so that it is higher than or equal to the level of the heart.

After a few days of R.I.C.E., many acute injuries will begin to heal. If pain or swelling does not subside after a few days, or if you are unsure of the severity of your injury, make an appointment with your podiatrist. A skilled podiatrist can properly diagnose your injury and recommend the best course of treatment.

By IN STEP FOOT AND ANKLE SPECIALISTS, LLC
March 06, 2019
Category: Foot Conditions
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.