Tuesday, 19 December 2023 00:00

Morton's Neuroma

A neuroma is a thickening of nerve tissue and can develop throughout the body. In the foot, the most common neuroma is a Morton’s neuroma; this typically forms between the third and fourth toes. The thickening of the nerve is typically caused by compression and irritation of the nerve; this thickening can in turn cause enlargement and, in some cases, nerve damage.

Neuromas can be caused by anything that causes compression or irritation of the nerve. A common cause is wearing shoes with tapered toe boxes or high heels that force the toes into the toe boxes. Physical activities that involve repeated pressure to the foot, such as running or basketball, can also create neuromas. Those with foot deformities, such as bunions, hammertoes, or flatfeet, are more likely to develop the condition.

Symptoms of Morton’s neuroma include tingling, burning, numbness, pain, and the feeling that either something is inside the ball of the foot or that something in one’s shoe or sock is bunched up. Symptoms typically begin gradually and can even go away temporarily by removing one’s shoes or massaging the foot. An increase in the intensity of symptoms correlates with the increasing growth of the neuroma.

Treatment for Morton’s neuroma can vary between patients and the severity of the condition. For mild to moderate cases, padding, icing, orthotics, activity modifications, shoe modifications, medications, and injection therapy may be suggested or prescribed. Patients who have not responded successfully to less invasive treatments may require surgery to properly treat their condition. The severity of your condition will determine the procedure performed and the length of recovery afterwards.

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Tuesday, 12 December 2023 00:00

Types of Bunion Surgery

Bunions, a common source of discomfort in the big toe, can often lead to surgical solutions. With an array of over 150 bunion surgeries available, it is beneficial to comprehend the prevailing procedures in use today. The bunionectomy is a foundational method. It involves removing the bony outgrowth at the base of the big toe that is responsible for the bunion and realigning the surrounding muscles, tendons, and ligaments. Osteotomy, another prevalent technique, necessitates cutting the toe bone to reposition the affected joint. It may also involve securing the bone with pins or screws for sustained correction. Arthrodesis is employed in cases of significant joint damage. This procedure entails fusing the surrounding bones with screws, wires, or plates. Arthroplasty is reserved for severe cases. The damaged portion of the joint is replaced with an implant, aiming to restore joint function. Integral to all bunion surgeries is soft tissue repair, ensuring the equilibrium of tendons and ligaments surrounding the joint to deter deformity recurrence. If you have a bunion that is causing extreme pain, it is suggested that you schedule an appointment with a podiatrist for a full examination and suggestions for treatment options.

If you are suffering from bunion pain, contact one of our podiatrists of Advanced Ankle & Foot Surgeons. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

Genetics – some people inherit feet that are more prone to bunion development
Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

Redness and inflammation
Pain and tenderness
Callus or corns on the bump
Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

If you have any questions, please feel free to contact our office located in O'Fallon, and New Baden, IL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

What Are Bunions?

Bunions are large bony bumps at the base of the big toe. Medically known as hallux valgus, a bunion is a misalignment of the metatarsophalangeal joint, or big toe joint. The misalignment will generally worsen with time if left untreated.

The exact cause of bunions is unknown, with genetics seen as a potential cause. High heels and poorly-fitted footwear, rheumatoid arthritis, and heredity all seem to be potential factors behind the exacerbation of bunions. Women have been found to be more likely to develop bunions in comparison to men.

Bunions do not always produce symptoms. The best way to tell is if the big toe is pushing up against the next toe and there is a large protrusion at the base of the big toe. You may or may not feel pain. Redness, swelling, and restricted movement of the big toe may be present as well.

Podiatrists use a variety of methods to diagnose bunions. If there are symptoms present, podiatrists will first consider that it is a bunion. If not, a physical examination will be conducted to check function of the big toe. Finally, an X-ray may be taken to view the extent of the bunion and confirm it is a bunion.

Typically, nonsurgical methods are used to treat bunions, unless the bunion has become too misaligned. Orthotics, icing and resting the foot, roomier and better fitted shoes, taping the foot, and pain medication are usually utilized first. If the bunion doesn’t go away or causes extreme pain, surgery may be required. Surgeons will either remove part of the swollen tissue or bone to straighten the toe out.

If you have a bunion, it is recommended to see a podiatrist. The longer it is left untreated, the worse it may get. Podiatrists can properly diagnose and treat a bunion before it gets worse.

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Tuesday, 05 December 2023 00:00

Orthotics May Help Manage Plantar Fasciitis

Plantar fasciitis, a common foot condition characterized by inflammation and degeneration of the tissue supporting the sole of the foot, can cause a great deal of pain. Orthotics are known to be helpful in eliminating sharp heel pain, particularly in the morning or after prolonged periods of sitting. The two primary causes associated with plantar fasciitis are muscle imbalance and poor foot biomechanics. The main types of orthotics that can provide much needed support include heel cups or pads, and shoe inserts. Heel cups are small inserts for the back of your shoe that lift the heel slightly. This reduces tension on the Achilles tendon, subsequently easing stress on the plantar fascia. Additionally, the cushioning effect helps to absorb shock. Experts suggest wearing heel cups in both shoes to avoid leg length discrepancies that could lead to further issues in the foot, knee, and back. Shoe inserts provide support beyond the heel. With a deep heel cup and contoured shape, they provide stability and biomechanical support. Half length insoles fit under the heel and arch, leaving the toes free. To find out which type of orthotics for plantar fasciitis is best for you, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment options.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our podiatrists from Advanced Ankle & Foot Surgeons. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

Excessive running
Having high arches in your feet
Other foot issues such as flat feet
Pregnancy (due to the sudden weight gain)
Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
Maintain a healthy weight
If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

If you have any questions, please feel free to contact our office located in O'Fallon, and New Baden, IL . We offer the newest diagnostic and treatment technologies for all your foot care 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.

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Sunday, 03 December 2023 00:00

Arthritis Can Cause Pain in the Feet and Ankles

If you are suffering from tenderness, pain, or stiffness in the joints of your feet or ankles, call us to schedule an appointment.

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Tuesday, 28 November 2023 00:00

Health Implications of Cracked Heels

Cracked heels are not merely a cosmetic concern, their impact can extend beyond the surface, and may affect overall foot health and well-being. These painful fissures in the skin create an entry point for bacteria, increasing the risk of infections. As the cracks deepen, they can lead to bleeding and expose sensitive tissues, causing discomfort and hindering mobility. In severe cases, untreated cracked heels may contribute to balance issues, potentially increasing the risk of falls, particularly in older individuals. The pain associated with cracked heels can alter gait patterns, placing undue stress on other joints, such as the knees and hips. Moreover, the constant pressure on the feet can lead to chronic inflammation, exacerbating conditions such as plantar fasciitis. Addressing cracked heels involves more than cosmetic care, it is a vital aspect of maintaining overall foot health and preventing potential complications that can impact one's daily life and mobility. If you have cracked heels, it is suggested that you schedule an appointment with a podiatrist who can offer prescribed medication as an effective treatment method.

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact one of our podiatrists from Advanced Ankle & Foot Surgeons. Our doctors can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin.

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed.

If you have any questions, please feel free to contact our office located in O'Fallon, and New Baden, IL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 28 November 2023 00:00

Solutions for Cracked Heels

Cracked heels may make you want to think twice about showing off your feet in warmer weather. However, cracked heels may be harmful to more than just the appearance of your feet. If deep fissures and cracks develop in your heels, they may make walking and standing painful for you. Additionally, these openings make way for germs to enter through your skin and cause infection.

There are several different causes of cracked heels. One of the most common reasons for this ailment is dry skin. This problem may make your keeps feel rough tight and itchy. Dry skin may be caused by cold air, extremely hot water, harsh soaps, and aging. Skin disorders such as eczema and psoriasis may eventually lead to dry skin. In some cases, complications may arise from cracked heels. Some of these complications are a loss of feeling in the heel, cellulitis, or a diabetic foot ulcer.

There are ways you can try to prevent getting cracked heels. One of the best ways to do so is to avoid wearing flip flops and sandals because these shoes increase your risk of drying out your feet. You should also avoid wearing shoes with a tall skinny heel, because these shoes cause your heel to expand sideways. At night, you should slather on a thick moisturizing cream on your feet and then cover them in socks to keep your feet moisturized overnight. Drinking water to stay hydrated is also a good way to ensure that your skin doesn’t become dry.

If you suffer from a severe case of cracked feet, you should make an appointment with your podiatrist to see what treatment methods are best for you.

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Tuesday, 21 November 2023 00:00

Causes of Stress Fractures

Engaging regularly in high-impact activities, like basketball, running, or professional dancing, may expose you to the discomfort of a foot stress fracture. This overuse injury involves hairline cracks in weight-bearing bones of the foot. If left untreated, a stress fracture in the foot can escalate into a more serious concern. However, stress fractures are not always easy to diagnose. Pain upon weight-bearing activities that often subsides after rest is a primary indicator of stress fractures. Tenderness in the affected area, occasional bruising, and swelling around the ankle are other signs to be noted. Various factors contribute to the development of stress fractures in the foot. Overuse and repetitive stress, stemming from prolonged engagement in activities without adequate rest, can subject the foot bones to cumulative stress. Wearing inadequate footwear, whether ill-fitting or worn-out, further elevates the risk by providing insufficient support and shock absorption. Additionally, suddenly increasing the intensity or duration of physical activity can overwhelm the bones, especially without sufficient time to adapt. Nutritional deficiencies, particularly in calcium and vitamin D, can weaken bones and make them more susceptible to hairline fractures. If you believe you may have incurred a foot stress fracture, it is suggested that you make an appointment with a podiatrist for a thorough exam and suitable imaging tests and treatment options.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact one of our podiatrists from Advanced Ankle & Foot Surgeons. Our doctors can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon. Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

Gender – They are more commonly found in women compared to men.
Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

If you have any questions, please feel free to contact our office located in O'Fallon, and New Baden, IL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 21 November 2023 00:00

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures are small breaks in the bone that are caused by repetitive stress. They typically occur due to overuse, forcing the bones of the foot or ankle to continually absorb the full impact of each step taken. Stress fractures can also be caused by abnormal foot structure, osteoporosis, bone deformities, or wearing improper footwear during exercise.

Stress fractures are common for individuals whose daily activities cause high levels of impact on their feet and ankles. Those who run, play tennis or basketball, or practice gymnastics tend to experience these fractures more frequently. Anyone is susceptible to this problem, though. Individuals who are normally sedentary and suddenly begin an intense, high impact workout may sustain stress fractures. This is because their muscles are not yet strong enough to handle and cushion the intensity of their activity. Osteoporosis may also cause someone to get stress fractures, because the disease weakens an afflicted person's bones and makes it easier for them to break down.

Pain from stress fractures typically occurs in the general area of the fracture. Pain can also manifest as “pinpoint pain” or pain that is felt when the site of the injury is touched, and can be accompanied by swelling. It may occur during or after activity, and it may disappear while resting and return when standing or moving. Engaging in any kind of activity, high impact or otherwise, will aggravate the pain. If the intensity of the activity increases before the stress fracture has properly healed, it can cause a full fracture.

Treatment can vary depending on the individual and the degree of injury. The primary way to treat a stress fracture is to rest the hurt foot. Some fractures will heal quickly with only a little bit of rest, while others may require a long rest period and the use of crutches, immobilization, or physical therapy. Under certain circumstances, surgery may be required to install support pins around the fracture to assist in healing.

If you are undergoing a new exercise regimen in running or some other kind of high impact activity, set incremental goals on a weekly basis so you can build up muscle strength. Make sure to wear supportive shoes to better protect you feet.

If you begin to experience any symptoms of stress fractures, you should stop exercising and rest. If the symptoms persist, consult with your podiatrist. Remembering these tips can help you prevent stress fractures to your foot and ankle, and allow you to continue living normally.

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