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One of the most common foot deformities is called a hammertoe. This means the middle joint of the toe pops up instead of lying flat. Hammertoe usually affects the 2nd, 3rd, and 4th toes and can become painful as the protruding joint rubs against the inside of the shoe. Causes of hammertoe vary, but the most common is wearing high-heeled shoes with pointy-toes. Not surprisingly, more women develop hammertoe than men. Trauma from a fall or blow, sprains, or broken toes can all contribute to the formation of a hammertoe as well. They also can be caused by side effects from arthritis, diabetes, and polio. Hammertoe can make it difficult to walk, thereby affecting the gait and causing problems in other parts of the body. If you have developed a hammertoe, please consult with a podiatrist for an examination and possible remedies available to you.
Hammertoe
Hammertoes can be a painful condition to live with. For more information, contact one of our podiatrists from APEX Foot & Ankle Center. Our doctors will answer any of your foot- and ankle-related questions.
Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.
Symptoms
Causes
Genetics – People who are genetically predisposed to hammertoe are often more susceptible
Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur
Trauma – Direct trauma to the toes could potentially lead to hammertoe
Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe
Treatment
Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it
Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used
Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option
If you have any questions please contact our offices located in Fort Myers, Cypress Cove, Shellpoint, Naples, and Carlisle, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Hammertoes are painful deformities that frequently form on the second, third, or fourth toe. The condition is often caused by an issue in foot mechanics. This can be caused by the person’s specific gait or the manner in which they walk, or by shoes that do not comfortably fit the deformity. Hammertoes can be formed after wearing shoes that are too narrow or short for the foot or have excessively high heels. Shoes that are not properly sized will force the toes into a bent position for long periods of time. This can cause the muscles to shorten and toes to bend into the deformity of a hammertoe.
Hammertoe can also be caused by complications from rheumatoid arthritis, osteoarthritis, trauma to the foot, heredity, or a cerebral vascular accident. Pain and difficult mobility of the toes, deformities, calluses, and corns are all symptoms of a hammertoe.
Someone who suspects they have the symptoms of a hammertoe should consult with a physician—particularly a podiatrist. Podiatrists diagnose and treat complications of the foot and ankle. If the podiatrist discovers that the affected toes are still flexible, treatment for the hammertoe may simply involve exercise, physical therapy, and better-fitting shoes. Treatment for hammertoes typically involves controlling foot mechanics, such as walking, through the use of customized orthotics.
For more serious cases in which the toes have become inflexible and rigid, surgery may be suggested. During the operation, the toe would receive an incision to relieve pressure on the tendons. A re-alignment of the tendons may then be performed by removing small pieces of bone to straighten the toe. In some cases, the insertion of pins is needed to keep the bones in the proper position as the toe heals. The patient is usually allowed to return home on the same day as the surgery.
If surgery is performed to repair a hammertoe, following the postoperative directions of your doctor is essential. Directions may include several stretches, picking up marbles with your toes, or attempting to crumple a towel placed flat against your feet. Wear shoes that have low heels and a wide amount of toe space to maintain comfort. Closed-toe shoes and high heels should be avoided. Shoes with laces allow the wearer to adjust how fitted he or she may want the shoes to be and also allow for greater comfort. To provide adequate space for your toes, select shoes that have a minimum of one-half inch of space between the tip of your longest toe and the inside of the shoe. This will also relieve pressure on your toes and prevent future hammertoes from forming.
Other preventative measures that can be taken include going shopping for new shoes in the middle of the day. Your feet are its smallest in the morning and swell as the day progresses. Trying on and purchasing new shoes midday will give you the most reliable size. Be sure to check that the shoes you purchase are both the same size. If possible, ask the store to stretch out the shoes at its painful points to allow for optimum comfort.
A bunion is easy to identify. It is defined as a bony protrusion on the side of the big toe and the skin may appear to be red. A bunion can develop as a result of genetic factors, or from wearing shoes that do not fit correctly. Some patients find it helpful to wear a cushion on top of the bunion as this may help to relieve some of the discomfort. Many times, larger shoes need to be purchased that can accommodate the bunion and surgery may be considered for permanent removal. There are several types of bunion surgeries that can be performed. A bunionectomy is performed to remove the bony growth, in addition to realigning the muscles, ligaments, and tendons. Having an osteotomy performed involves cutting the toe bone which may help to straighten the joints. When bones are fused, it is known as an arthrodesis. Additionally, an arthroplasty is done by removing the damaged joint, which is necessary in allowing scar tissue to form. If you have developed a bunion, it is strongly advised that you seek the care of a podiatrist who can provide the correct treatment method for you.
If you are suffering from bunions, contact one of our podiatrists of APEX Foot & Ankle Center. Our doctors can provide the care you need to keep you pain-free and on your feet.
What Is a Bunion?
A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.
Why Do Bunions Form?
Genetics – Susceptibility to bunions are often hereditary
Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions
How Are Bunions Diagnosed?
Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.
How Are Bunions Treated?
If you have any questions, please feel free to contact our offices located in Fort Myers, Cypress Cove, Shellpoint, Naples, and Carlisle, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
A bunion is an enlargement of the base joint of the toe that connects to the foot, often formed from a bony growth or a patch of swollen tissues. It is caused by the inward shifting of the bones in the big toe, toward the other toes of the foot. This shift can cause a serious amount of pain and discomfort. The area around the big toe can become inflamed, red, and painful.
Bunions are most commonly formed in people who are already genetically predisposed to them or other kinds of bone displacements. Existing bunions can be worsened by wearing improperly fitting shoes. Trying to cram your feet into high heels or running or walking in a way that causes too much stress on the feet can exacerbate bunion development. High heels not only push the big toe inward, but shift one's body weight and center of gravity towards the edge of the feet and toes, expediting bone displacement.
A podiatrist knowledgeable in foot structure and biomechanics will be able to quickly diagnose bunions. Bunions must be distinguished from gout or arthritic conditions, so blood tests may be necessary. The podiatrist may order a radiological exam to provide an image of the bone structure. If the x-ray demonstrates an enlargement of the joint near the base of the toe and a shifting toward the smaller toes, this is indicative of a bunion.
Wearing wider shoes can reduce pressure on the bunion and minimize pain, and high heeled shoes should be eliminated for a period of time. This may be enough to eliminate the pain associated with bunions; however, if pain persists, anti-inflammatory drugs may be prescribed. Severe pain may require an injection of steroids near the bunion. Orthotics for shoes may be prescribed which, by altering the pressure on the foot, can be helpful in reducing pain. These do not correct the problem; but by eliminating the pain, they can provide relief.
For cases that do not respond to these methods of treatment, surgery can be done to reposition the toe. A surgeon may do this by taking out a section of bone or by rearranging the ligaments and tendons in the toe to help keep it properly aligned. It may be necessary even after surgery to wear more comfortable shoes that avoid placing pressure on the toe, as the big toe may move back to its former orientation toward the smaller toes.
Corns are hard bumps that develop on the skin, typically on the feet. They can occur due to pressure and friction caused by poorly fitting shoes. The skin hardens to protect the delicate tissue underneath. Corns are like calluses, but they can become tender and cause pain too. They are generally not serious but may be uncomfortable. Removing the ill-fitting shoes or source of friction is the best way to prevent corns from worsening. Usually soaking the affected foot, applying a moisturizer, and rubbing the corn with a washcloth will help soften the corn and remove excess layers of skin that have built up. If you develop a corn that does not heal, begins to bleed, or becomes infected it is suggested that you seek the counsel of a podiatrist.
Corns can make walking very painful and should be treated immediately. If you have questions regarding your feet and ankles, contact one of our podiatrists of APEX Foot & Ankle Center. Our doctors will treat your foot and ankle needs.
Corns: What Are They? And How Do You Get Rid of Them?
Corns are thickened areas on the skin that can become painful. They are caused by excessive pressure and friction on the skin. Corns press into the deeper layers of the skin and are usually round in shape.
Ways to Prevent Corns
There are many ways to get rid of painful corns such as:
Treating Corns
Although most corns slowly disappear when the friction or pressure stops, this isn’t always the case. Consult with your podiatrist to determine the best treatment option for your case of corns.
If you have any questions please feel free to contact our offices located in Fort Myers, Cypress Cove, Shellpoint, Naples, and Carlisle, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
A corn is a lesion that forms in the skin of the foot, and it is typically circular in shape, small in size, and thick and rough in texture. A corn generally occurs as a result of repeated pressure on the skin; one example of this is the rubbing of a shoe against the skin. Corns differ from calluses in that their central cores are harder in texture.
A corn is a relatively common condition with a wide variety of treatment options. If a corn becomes overly uncomfortable or painful, consult with your podiatrist; he can determine the best method of treatment that is appropriate for you. Corns may return if the underlying cause of its development is not treated or removed. Avoid removing corns at home, as improper removal may cause infection.
A callus, similar to a corn, is an area of skin that has become thickened due to repeated pressure and rubbing. The rubbing causes the skin to create a layer of protective skin, which is the formed callus. Calluses can differ in size between people, and they can also become painful.
Multiple treatments are available for calluses. At-home treatment and removal should be avoided, as this can potentially lead to infection. Your podiatrist can best determine the cause of your calluses and suggest the treatment most appropriate for you.
Many people who have had diabetes for a long time may also have a condition known as diabetic neuropathy. The most common form is peripheral neuropathy, which in diabetics usually affects the feet. Symptoms include numbness, reduced ability to feel pain or temperature changes, and tingling or burning sensations. Sharp pains or cramps may also occur. These can further evolve into foot ulcers (wounds that do not heal properly) and infections from cracks or sores in the skin. If ignored or left untreated, gangrene may develop which could lead to surgery or amputation. The main causes of peripheral neuropathy are high levels of sugar and triglycerides in the blood which can damage the nerves and blood vessels in the feet. Since the symptoms of peripheral neuropathy develop over time, it is easy to overlook this condition. Daily foot care is imperative to maintain healthy feet. Another important way to prevent or handle diabetic neuropathy is to schedule regular visits to a podiatrist who can monitor the condition of your feet and treat them accordingly.
Neuropathy
Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with one of our podiatrists from APEX Foot & Ankle Center. Our doctors will assess your condition and provide you with quality foot and ankle treatment for neuropathy.
What Is Neuropathy?
Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.
Symptoms of Neuropathy Include:
Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.
Treatment
To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.
Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.
If you have any questions, please feel free to contact our offices located in Fort Myers, Cypress Cove, Shellpoint, Naples, and Carlisle, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Neuropathy is a condition in which the nerves in the body become damaged from a number of different illnesses. Nerves from any part of the body, including the foot, can be damaged. There are several forms of neuropathy including peripheral neuropathy, cranial neuropathy, focal neuropathy, and autonomic neuropathy. Furthermore there is also mononeuropathy and polyneuropathy. Mononeuropathies affect one nerve while polyneuropathies affect several nerves. Causes of neuropathy include physical injury, diseases, cancers, infections, diabetes, toxic substances, and disorders. It is peripheral neuropathy that affects the feet.
The symptoms of neuropathy vary greatly and can be minor such as numbness, sensation loss, prickling, and tingling sensations. More painful symptoms include throbbing, burning, freezing, and sharp pains. The most severe symptoms can be muscle weakness/paralysis, problems with coordination, and falling.
Podiatrists rely upon a full medical history and a neurological examination to diagnose peripheral neuropathy in the foot. More tests that may be used include nerve function tests to test nerve damage, blood tests to detect diabetes or vitamin deficiencies. Imaging tests, such as CT or MRI scans, might be used to look for abnormalities, and finally nerve or skin biopsies could also be taken.
Treatment depends upon the causes of neuropathy. If the neuropathy was caused by vitamin deficiency, diabetes, infection, or toxic substances, addressing those conditions can lead to the nerve healing and sensation returning to the area. However if the nerve has died, then sensation may never come back to the area. Pain medication may be prescribed for less serious symptoms. Topical creams may also be tried to bring back sensation. Electrical nerve stimulation may be used for a period of time to stimulate nerves. Physical therapy can strengthen muscle and improve movement. Finally surgery might be necessary if pressure on the nerve is causing the neuropathy.
If you are experiencing sensation loss, numbness, tingling, or burning sensations in your feet, you may be experiencing neuropathy. Be sure to talk to a podiatrist to be diagnosed right away.
Many people complain about pain in the heel of their foot at some point in their lives. Plantar fasciitis, or inflammation of the plantar fascia, is one of the most common causes of this. The plantar fascia is the broad band of connective tissue running along the bottom of the foot that joins the heel bone to the toes, provides support for the arch of the foot, acts as a shock absorber, and bears the body’s weight. Plantar fasciitis develops when this band of tissue becomes irritated, torn, or inflamed. This condition can be extremely painful, especially with the day’s first steps. The pain at the bottom of the heel, and sometimes the midfoot area, can be sharp and stabbing or dull and achy. Once a person starts walking, the pain usually reduces but it may come on again after prolonged periods on one’s feet or when standing after sitting for a while. While causes of plantar fasciitis are not clear, research shows that heel spurs can result from plantar fasciitis, which can cause pain. This ailment is common among athletes, those who are on their feet a lot, and those who are obese. If you are suffering with heel pain, it is suggested you see a podiatrist who can make a proper diagnosis and lead you in treatment.
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 APEX Foot & Ankle Center. 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?
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
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 offices located in Fort Myers, Cypress Cove, Shellpoint, Naples, and Carlisle, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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