Posts for: April, 2018
What is a Bunion?
What Causes Bunions?
How a Podiatrist Can Help
Prevention is Key
A neuroma is a thickening of nerve tissue that can develop in various parts of your body. In the foot, the most common occurring neuroma develops at the base of the third and fourth toes. This condition is referred to as Morton's neuroma.
There are typically no physical signs of Morton's neuroma, such as a lump or a knot. Instead, symptoms may include:
- A sharp, achy or burning pain in the ball of your foot
- Numbness, tingling, or cramping in the toes or forefoot
- Feeling as if you're standing on a pebble in your shoe
While the exact cause of Morton's neuroma is unknown, the growth of the neuroma seems to occur in response to injury, pressure or irritation to one of the nerves that lead to the toes. People with foot deformities such as bunions, hammertoes and flat feet are at higher risk for developing a neuroma. Women are also more likely to develop this condition, as wearing high-heels or narrow-toed shoes can increase pressure on the toes. Other potential causes are activities that involve repetitive irritation to the ball of the foot, such as running.
Morton's neuroma can make walking and performing normal activities difficult and painful. Treatment options vary with severity, and identifying the neuroma in its earliest stage of development is important to avoid more invasive treatments or surgical correction. Left untreated, neuromas tend to worsen, so it's always best to visit our office at the first sign of pain.
Early treatments aim to relieve or reduce pressure on the area around the affected toes. Depending on the severity of your neuroma, a podiatrist may recommend:
- Modifications to footwear. Wide-toed shoes relieve pressure on the neuroma.
- Shoe inserts or padding to provide support for the arch of the foot, which removes pressure from the nerve.
- Anti-inflammatory medications can help ease any pain and inflammation. Ask your doctor first.
- Icing to reduce inflammation.
- Rest to lessen repetitive pressure on the neuroma.
In the most severe cases, surgery may be recommended for patients who do not respond to conservative treatments. We can help you determine the best approach for your specific condition.
Find out if your foot pain might be the result of this common ailment.
Whether you are a runner or on your feet all day, you might find yourself dealing with heel pain at some point. If so, you might be wondering what’s going on and how to treat the problem. Our Denver, CO, podiatrists, Dr. Florin Costache and Dr. Lorry Melnick, have you covered. Find out if the problem you are having might actually be plantar fasciitis.
What is plantar fasciitis?
Plantar fasciitis is characterized as an overuse injury, as this foot problem usually appears gradually as a result of repeated stress placed on the thick band of tissue known as the plantar fascia. The plantar fascia is a dense connective tissue that runs along the soles of the feet and provides the arches with support.
What causes plantar fasciitis?
There are quite a few factors that can predispose someone to developing plantar fasciitis. It’s more common in older individuals and those who are overweight, as well as those who are on their feet for hours out of the day.
However, you may also develop plantar fasciitis if you have flat feet or extremely high arches, if you wear old, worn shoes that don’t provide enough support or if you often wear high heels. Those who overpronate when they walk or run are also at an increased risk.
What are the symptoms?
So, how can you tell if you are dealing with plantar fasciitis or not? The most common symptom is a pain at the bottom of the heel. This pain often extends to the arches. You may find that the pain gets worse when you first get up in the morning and that the discomfort often dissipates throughout the course of the day; however, you may find that pain and stiffness return after certain athletic activities or after sitting for a while.
How is plantar fasciitis treated?
Bracing or splinting the foot can provide the arches with additional support and cushioning when walking. If symptoms don’t improve over the course of a week, if symptoms are severe or if they get worse, then we may need to consider other treatment options like shockwave therapy, ultrasound, or steroid injections.
Call Cherry Creek Foot Clinic in Denver, CO, if you are dealing with new or worsening foot pain. We will make sure that you get the care you need right away.
Metatarsalgia denotes a common foot condition characterized by pain and inflammation of the joints and bones of the ball of the foot - the area just before the toes, also called the metatarsal region.
Symptoms of metatarsalgia can develop suddenly, especially after an increase in exercise or high-impact activities, but normally the problems develop over time. Common symptoms of metatarsalgia include:
- Sharp, aching or burning pain in the ball of your foot - the part of the sole just behind the toes
- Pain that intensifies when you stand, walk or run
- Pain that radiates from the balls of the feet into the toes
- Numbness or tingling in the toes
- A feeling in your feet as if you are walking with a pebble in your shoe
- Pain that increases when walking barefoot
Sometimes a single factor can trigger metatarsalgia. More often, multiple factors contribute to the pain, including:
- Over-training or Over-activity. Extensive training and high-impact sports, especially running, places an abnormal amount of stress on the balls of the feet, causing irritation, inflammation and pain.
- Other foot disorders. High arches, hammertoes, bunions, stress fractures and Morton's neuroma can all trigger metatarsalgia symptoms.
- Poor-fitting footwear. High heels, narrow-toed shoes and shoes without adequate padding can all contribute to metatarsal problems.
- Excess weight. Extra weight places excess pressure on your metatarsals.
- Aging. The fat pads on the metatarsals thin out as a person ages, diminishing the ability of the metatarsal bones to protect themselves.
Although generally not serious, metatarsalgia can disrupt your day to day activities, and when left untreated can lead to additional pain in your unaffected foot, back or hips. Treatment to eliminate metatarsalgia symptoms can be as simple as resting, icing the affected area and wearing proper-fitting shoes to significantly reduce swelling and ease pain.
When conservative treatments aren't effective and pain persists, visit our practice for a full exam and a proper diagnosis. In most cases, metatarsalgia can be treated non-surgically. An experienced podiatrist may prescribe specially-designed orthotics or shock-absorbing insoles and arch supports to prevent and minimize future problems with metatarsalgia.