- Diabetic Foot Care
- Toenail Fungus
- Pediatric Foot Conditions
- Charcot Reconstruction
- Club Foot Casting
- Contact Dermatitis
- Haglund's Deformity
- Hallux Rigidus
- Laser Wart Removal
- Ligament Ruptures
- Mortons Neuroma
- Plantar Warts
- Shin Splints
- Sprains & Strains
- Tarsal Coalition
- Tarsal Tunnel Syndrome
- Tendon Repair
- Toe Deformities
- Turf Toe
A bunion is a bony bump that forms on the joint at the base of your big toe. They can develop from an inherited structural defect, excess stress on your foot, or can result from an existing medical condition.
For the most part, bunions require no medical treatment. However, if you are experiencing one or more of the following, a podiatrist can help alleviate your symptoms.
Diabetic Foot Care
Daily preventative care can help you decrease your risk of developing these other serious conditions like ulcers and infections. Inspecting your feet at the end of the day to look for any abnormalities, maintaining proper hygiene, keeping your feet warm in cold weather, encouraging blood flow in the feet, and maintaining an overall healthy lifestyle can discourage other conditions from developing.
Plantar warts are caused by the HPV virus and cause tiny cuts and breaks on the bottom of your feet.
While most plantar warts are not a major health concern, it is advised you see a doctor to have the warts examined and removed. Some symptoms include small, rough lesions on the base of the foot, calluses in one spot, and tenderness when walking or standing for long periods of time.
Fungal infections in the toe or fingernails can appear as thickened, discolored, or disfigured. While it may seem like the condition is just an aesthetic concern, fungal infections can lead to worsened symptoms and pain. Diabetes, a weakened immune system, and the normal aging process are all causes associated with fungal infections. It is more likely for senior citizens and adults to develop a fungal infection as opposed to children.
Pediatric Foot Conditions
Pediatric foot conditions often go unnoticed and are often misdiagnosed. Most doctors dismiss any pediatric foot issues as being a part of normal structural development that children will eventually outgrow. However, foot problems are often prevalent in children due to their high levels of physical activity. Children are resilient, meaning that any potential foot issues may be overlooked.
Initial treatment options for pediatric foot pain, deformities, or injuries include minimally invasive techniques, activity modification, custom orthotics, and anti-inflammatory medications. If these conservative treatment options aren’t helping your child, surgery may be required.
During your child’s appointment, we will conduct a thorough examination to pinpoint the problem, while educating both you and your child on future preventative measures. Our goal is for your child to grow up with happy, healthy, and perfectly functioning feet.
Arthritis is an inflammation of the cartilage and lining of the joints. Although it can present itself at any age, arthritis is primarily found in those over 50.
Each foot has 33 joints, making them easy targets for arthritis. In some cases, arthritis can be extremely painful and debilitating.
Symptoms include stiffness of joints (especially in the morning), limitation of joint movement, pain, tenderness, redness, rashes, and/or swelling in the joints.
With early treatment, the symptoms of arthritis can be lessened and managed. Treatments include limiting movement, physical therapy, exercise, anti-inflammatory medications and/or steroid injections, and orthotics.
Since nearly one-fourth of the bones in our body are in our feet, fractures of the foot are common and rarely debilitating.
There are two types of fractures. A stress fracture typically occurs in the space between the toes and middle of the foot, usually as a result of a physical activity gone awry. These fractures are only on the surface of the bone. General bone fractures extend through the bone. These injuries are usually caused by trauma to the foot.
Depending on the fracture and placement, different treatments will be discussed. Foot fractures typically heal on their own, although more serious cases may require surgery.
It is important to seek medical attention as soon as possible if you suspect your foot is fractured so treatment can begin right away.
What is Haglund’s deformity?
Haglund’s deformity is a common foot condition where a bony bump begins to form at the back of the heel bone where the Achilles tendon attaches to the heel.
The bony protrusion can cause severe pain while walking or wearing shoes as the bone rubs against the shoe.
This may cause the soft tissue at the heel to become irritated and may lead to another podiatry condition known as bursitis. Bursitis is a condition where the bursa, a fluid-filled sac between the Achilles tendon and bone, becomes inflamed and aggravated.
This condition often occurs when there’s frequent pressure on the back of the heels. It can be caused by wearing shoes that are too tight or rigid in the heel. This includes skates, men’s dress shoes, women’s dress shoes, and steel-toed work boots.
Heredity may also play a role in the development of Haglund’s deformity as inherited foot structures may increase your risk if you have a high arched foot, a tight Achilles tendon, or a tendency to walk on the outside of your heel.
What are the symptoms of Haglund’s deformity?
Haglund’s deformity can occur in one or both feet with symptoms ranging from mild to severe. These symptoms may include:
- A noticeable bump on the back of the heel
- Pain in the area where the Achilles tendon attaches to the heel
- Swelling in the back of the heel or bursa
- Redness near the inflamed tissue
Haglund’s deformity can be difficult to diagnose with symptoms alone because the symptoms can be similar to other associated foot issues such as Achilles tendonitis.
After discussing the patient’s symptoms, our podiatrist will examine your foot and heel. Additional tests and screenings such as an X-Ray or MRI may help to evaluate the structure of the heel bone.
Non-surgical treatments for Haglund’s deformity are aimed at reducing inflammation or pain and removing pressure off the heel bone. Though these options may remove the symptoms of Haglund’s deformity, they do not shrink or remove the bony protrusion. These treatments may include:
- Medication such as nonsteroidal anti-inflammatory drugs such as ibuprofen that can help to reduce pain and inflammation
- Icing the heel for 20-40 minutes a day to reduce swelling and relieve pain
- Those who have a tight heel may benefit from exercises to stretch and alleviate tension from the Achilles tendon
- Heel lifts to help those with high arches decrease the amount of pressure put on the heel while wearing shoes
- Heel pads placed inside the shoe to cushion the heel area and reduce friction and irritation when walking
- Wearing backless or soft-backed shoes to minimize irritation and friction along the heel
- Physical therapy including ultrasound therapy and soft tissue massages to alleviate tension in the heel area
- Orthotic devices such as custom arch supports to help control the motion of the foot when walking or wearing shoes
- Immobilization by a cast or boot (in some cases) to remove pressure off the heel
If conservative treatments do not provide adequate relief or if the condition is too severe, surgical intervention may be necessary.
During this surgery, the doctor will remove the excess bone from the heel and smooth or file down the bone (if necessary) to remove pressure on the heel. Surgery can also repair a damaged tendon as a result of Haglund’s deformity.
After surgery, it may take several months for you to completely heal and a cast or boot may be prescribed to protect your foot during recovery. A walking aid such as a walker or crutches may also be prescribed to you to help you move during recovery without placing pressure on the heel.
Follow up appointments will be scheduled throughout your recovery to ensure that your heel is healing properly.
You can lower your risk for developing Haglund’s deformity by wearing shoes that fit properly and using aids such as pads and orthotic supports to prevent friction, tension, and irritation. Remember to stretch before and after exercising, paying careful attention to the Achilles tendon to prevent tightening.
If you are experiencing severe heel pain, please seek medical attention as this condition can worsen if left untreated. For more information on Haglund’s deformity or to schedule an appointment, please contact our office today.