Conditions We Treat Include
A bunion is an enlargement of the big toe joint. The most noticeable feature of the bunion is the “large bump” on the inside of the foot and the movement of the big toe toward the lesser toes. The skin over the joint can become swollen and tender and is sensitive to pressure caused from wearing tight-fitting shoes. Bunions can be inherited, however some may result from injury.
People with bunions should wear shoes that conform to the shape of the foot and do not cause pressure areas. Often wearing felt or foam pads are also helpful in alleviating the pain. In severe cases, bunions can become disabling. There are several types of surgeries available that will relieve the pain and improve the appearance of the foot.
Hammertoes is a type of toe deformity resulting from the abnormal contraction and a muscle imbalance that leaves the toe in a bent position. The deformity can be aggravated by tight shoes and usually results in pain over the prominent bony areas on the top of the toe and at the end of the toe. Hammertoes are treated by wearing shoes that can better accommodate your deformed toe. Shoe inserts or pads may also help. If these methods fail and you are still uncomfortable, surgical treatment to straighten the toe
Plantar Heel Pain
Heel pain is extremely common. Pain both below and behind the heel often results from an irritation of the tissues, nerves or bone of the heel. This condition, commonly known as heel spurs, usually indicates a strain and rarely a serious bone or nerve problem.
Most cases of heel pain will improve spontaneously. Rest, heat and a new supportive pair of shoes will reduce the swelling of the soft tissues in your feet. If your pain persists, steroid injections or walking casts will be prescribed. Only in the most troubling and prolonged cases is surgery recommended.
The most common diagnosis for plantar heel pain is plantar fasciitis. This is an overuse injury affecting the sole or flexor surface of this foot. A diagnosis of this condition means that you have inflamed the tough, fibrous band of tissue connecting your heel bone to the base of your toes. Risk factors for this condition include gender (females are more prone to develop the condition), obesity, standing for extended periods, flat feet or very high arches.
Treatment consists of heel lifts, anti-inflammatory medications, ice massage, stretching and occasional formal physical therapy. Cortisone injections and casting may also be tried. Surgical interventions should be reserved for individuals when all conservative measures have failed.
Ankle and Foot Fractures/Broken Bones
Many different types of fractures can occur in the foot and ankle and can present and feel differently. Fractures can occur after an injury and can also occur after overuse, such as a stress fracture. A podiatrist can examine your foot and ankle to diagnose your injury and put together a treatment plan.
Ankle Instability and Sports Injuries
Ankle instability can come from injury to one or more of the ligaments that surround the ankle joint. Sports-related injuries can involve sprains, strains, overuse, and broken bones.
Achilles Tendonitis and Injuries
Achilles tendonitis feels like pain along the tendon in the back of the leg that attaches to the heel bone. This can be from an acute injury or from overuse over a period of time.
Ingrown nails can be painful and if left untreated, can possibly result in infection. An ingrown nail can appear as swelling and redness involving the nail fold. A podiatrist can examine your ingrown nail and determine whether intervention (often a minor procedure) is necessary.
Neuroma is an inflammation of a sensory nerve in the foot. It is most commonly found in the third and fourth toes, usually in response to irritation, trauma or excessive pressure. Women are eight to 10 times more likely to develop this condition than men. Signs of neuroma include burning pain in the ball of the foot that may radiate into the toes, pain that intensifies with activity or wearing shoes or numbness in the toes. Neuroma can be treated surgically and non-surgically.
Osteoarthritis is a chronic disease which causes the deterioration of the joint cartilage and other joint tissue. As a result of this deterioration new bones called bone spurs form at the margins of the bone. As the disease progresses, much of the cartilage is worn away causing bone ends to rub against one another.
There is no cure for arthritis, but the past decade has seen dramatic new ways to manage the pain.
Exercise and Rest
Prolonged rest and days of inactivity will increase stiffness and make it harder to move around. Motion is lotion for arthritis! At the same time, excessive or improper exercise can overwork your arthritic joint and cause further damage. A balanced routine of rest and exercise is best. Your physician may refer you to a physical therapist who can formulate a home exercise program just for you.
Call to Schedule
Call to schedule with CHI Health Clinic Podiatry: (402) 717-6870. Appointments are often available the same day with a member of our Podiatry team.