Posts for category: Podiatric Issues
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.
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, a 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.
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.
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.
Understanding Heel Pain with Help from Your Podiatrist
- 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
How your podiatrists in Denver, CO, can help you get relief from bunion pain
Bunions can interfere with your life by causing pain and making it difficult to find shoes that fit comfortably. There are simple at-home ways to get relief from small bunions, but for larger painful bunions, you may need the help of your podiatrist. Drs. Florin Costache and Lorry A. Melnick at Cherry Creek Foot Clinic in Denver, CO, can help your feet feel better.
What Exactly Is a Bunion?
A bunion looks like a large, bony, hard bump right next to your big toe. Bunions are much more common in women because they more commonly wear shoes that are too narrow and crush the toes (e.g. high heels). The big toe joint is pushed outward and rubs against the inside of your shoe, causing the bunion. High heels add to the problem by pushing the toes further forward. Bunions can also be caused by a bone deformity in your foot.
Small bunions aren’t always painful. If you have a small bunion that is causing discomfort, you can try a few simple home remedies to get relief from bunions. Remember to:
- Change to wider shoes; you should be able to move your toes comfortably
- Use padded inserts or cushions; they can help cushion the bunion
- Tape your foot; taping helps add support
- Ice the bunion several times each day; this reduces swelling
- Take over-the-counter anti-inflammatory medications; this reduces inflammation
Large, painful bunions need the help of a foot expert, your podiatrist. You may need x-rays to help determine the level of bone involvement, which can help determine which treatment is best for you. At Cherry Creek Foot Clinic, they offer several effective treatments to relieve bunion pain, including:
- Custom-made footwear or orthotics, to support your feet
- Night splints, which can help realign the toe joint
- Removing calluses and corns to reduce friction on the bunion
- Surgical removal of the bunion, known as a bunionectomy
You don’t have to deal with bunion pain when help is just a phone call away. Your podiatrists can get rid of bunion pain for good, so just pick up the phone and call Drs. Florin Costache and Lorry A. Melnick at Cherry Creek Foot Clinic's Denver office. Dial (303) 355-1695 now!