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Posts for category: Foot Issues

By Colorado Foot and Ankle
May 20, 2020
Category: Foot Issues
Tags: Morton's Neuroma   Neuroma  
Morton's NeuromaA podiatrist can help you with a variety of conditions that affect the feet, including Morton’s neuroma. A neuroma is the thickening of nerve tissue in the body, with Morton's neuroma specifically happening in the ball of the foot. It’s caused by an irritation in the nerve between the third and fourth toes. Patients experience pain while walking, with a burning, tingling, or numbness. 
 
Developing Morton’s Neuroma
 
There isn’t any known cause for Morton’s neuroma. There are a few factors that can increase your risk though. These include: 
  • Trauma or injury to the foot, damaging the nerve and resulting in swelling.
  • Improper footwear, like shoes that squeeze the foot together. High heels also increase pressure on the vulnerable areas.
  • Recurring stress to the feet through repeated physical activities or exercise. This is common with patients who are constantly on their feet due to their job. 
  • Deformities of the foot, like a high arch or flat foot. These lead to instability throughout the foot. 
The most important thing that your podiatrist recommends is wearing comfortable shoes. You don’t want anything that squeezes or hurts. Always wear athletic shoes when engaging in any physical activity. 
 
How to Treat Morton’s Neuroma at Home
 
Start by finding shoes that give your toes lots of room and are easily adjustable. The soles need to be shock-absorbent and thick. This keeps the pressure off the feet. You should also invest in shoe inserts or soles recommended by your podiatrist. Lastly, pay attention to your feet and their pain levels. When your Morton’s neuroma starts to act up, take a minute to rest. Take off your shoe and massage the area. An ice pack brings down the swelling too. 
 
Talking to Your Podiatrist
 
You should schedule an appointment with your podiatrist as soon as you experience foot problems. Morton’s neuroma gets worse without treatment. Identifying the neuroma early on can prevent needing aggressive treatment options like surgery. 
 
For early forms of Morton’s neuroma, changing your shoes is enough to relieve your symptoms. Your podiatrist’s goal for early treatment is to relieve pressure from the affected area. After going through a physical examination and having X-rays done, your podiatrist creates a treatment plan that works for you. 
 
There are a few different options that can work for you:
  • Taping and padding: This is a special type of tape and bandages that you place on the bottom of the foot. This helps with your symptoms. 
  • Orthotics: These are the custom shoes that your podiatrist can create for you. 
  • Medication: Cortisone injections reduce the pain and inflammation in the foot. Anti-inflammatory drugs also reduce your swelling. 
  • Surgery is the last resort for treatment. The procedure is done on an outpatient basis. The injured nerve is removed and recovery takes a few weeks.
By Colorado Foot and Ankle
April 20, 2020
Category: Foot Issues
Tags: Arch Problems  

The arches of the feet play a role in supporting your body’s weight when standing or in motion. The tarsal and metatarsal bones make up the arches of the feet, also receiving additional support and stability from tendons and ligaments; however, our feet, like the rest of our body, can be affected by infections, disorders, and structural changes that can impact not only the health of our feet but also our mobility. It’s important to recognize the warning signs of arch problems so you know when you to see a podiatrist.

Arch Pain Causes

If you are dealing with arch pain it is most likely caused by an injury or by structural abnormalities in the foot. For example, those with very high arches as well as those with flat feet may experience arch problems due to these common structural issues.

As a result, there are other factors that could also lead to further arch problems including:

  • Being overweight or obese
  • Aging
  • Plantar fasciitis
  • Cavus foot
  • Posterior tibial tendon dysfunction

It’s important to understand a little bit more about these common foot disorders and how they could affect the arches of your feet.

Plantar fasciitis

This condition that causes inflammation and microtears in the plantar fascia is also the most common cause of heel pain. Of course, because the plantar fascia (a ligament that connects the toes to the heel bone) also supports the arches of the feet this can also lead to arch pain. This condition is usually the result of overuse and is seen most often in runners. If you have plantar fasciitis it’s important to avoid physical activities until the fascia has fully healed.

Cavus foot

This condition, which affects the structure of the foot, leads to excessively high arches. People who’ve had a stroke, as well as people with certain conditions such as cerebral palsy may be more likely to develop cavus foot. This problem causes arch pain when standing or walking and can increase the risk for ankle injuries. Your podiatrist may choose to treat cavus foot through custom-made orthotics (shoe inserts), bracing, or by recommending specialized and supportive footwear.

Posterior tibial tendon dysfunction

The posterior tibial tendon runs from the calf muscles to the inner portion of the foot. This condition leads to changes in the tendon, which in turn affects its ability to support the arches of the foot. Flat feet can be caused by posterior tibial tendon dysfunction, and this is often the cause of flat feet that develop in adulthood. Like the other conditions above, treatment for PTTD usually involves bracing, orthotics, or providing custom devices that provide additional support to the arches of the feet.

If you are experiencing foot pain, swelling or other problems that affect mobility then it’s time that you turned to a podiatrist for care. Conditions and injuries that don’t respond to rest and at-home care may require more advanced treatments and therapies.

By Colorado Foot and Ankle
March 20, 2020
Category: Foot Issues

There are 52 bones in your feet and ankles, which means that feet contain about 25 percent of the bones in our bodies. Our feet also contain about 20-25 percent of the total joints in our body; therefore, it’s not too surprising to find out that your feet and ankles are unfortunately more likely to deal with tendon and joint pain at some point, whether through injury or certain conditions such as arthritis. When pain and other foot problems arise it’s important that you have a podiatrist you can turn to.

Common Causes of Tendon and Joint Pain in the Feet

Tendons are soft tissues that connect the muscles to the bones. Everything from overuse and foot injuries to structural imbalances can lead to pain. Common causes of tendon and joint pain include:

  • Tendonitis: inflammation of the tendon caused by injury or overuse
  • Sprains and strains: a common but usually minor foot and ankle injury, typically caused by physical activity
  • Arthritis: a chronic, progressive condition that leads to joint pain, stiffness, and damage (osteoarthritis is the most common type of arthritis to affect feet and ankles)
  • Obesity: being overweight or obese can also put excessive pressure on the joints and tendons of your feet and ankles, leading to pain and other problems

Treating Tendon and Joint Pain

Visiting a podiatrist is the best choice you can make if you are dealing with severe, persistent, or new foot and ankle pain. Since some conditions can get worse without proper care and rest it’s important to find out what’s causing your pain so you know how to effectively treat it.

If you are dealing with pain caused by a sports injury or strain it’s a good idea to see a medical professional so you know the extent of the injury. More severe sprains may require protective boots or crutches to reduce the amount of weight being placed on the injured ankle or foot.

Arthritis is also a surprisingly common cause of foot pain. If you notice joint pain and stiffness that affects functionality, range of motion and mobility in your feet then you could be dealing with arthritis. Since arthritis can get worse without treatment, it is important that you work with your pediatrician and a team of medical professionals to determine the best medications and course of action to help manage your foot pain and to prevent permanent joint damage.

If you are experiencing foot pain it’s important to see a qualified medical professional that can determine the best way to treat your symptoms. Call your podiatrist today for a comprehensive evaluation.

By Colorado Foot and Ankle
February 20, 2020
Category: Foot Issues

It’s important to know when it’s time to consider foot and ankle surgery.

Surgery isn’t always necessary; however, it’s important to recognize when nonsurgical treatments just aren’t cutting it. This is when our BunionsColorado Springs, CO, podiatrists Dr. Eric Gessner, Dr. Bryan Groth, and Dr. Jacob Fassman can step in and discuss whether foot and ankle surgery may provide you with the very best outcome for your health.

While there are many foot and ankle conditions that can be treated or managed through nonsurgical treatment options, there are instances where surgery may actually end up being the better approach. Some foot and ankle conditions that could benefit from surgery include:

Bunions

A bunion is a common foot deformity that pushes the joint at the base of the big toe out of alignment, causing the joint to stick out. A bunion can be managed through nonsurgical options such as splinting, icing, massage therapy, and proper footwear; however, if the bunion is very large, causes severe pain that doesn’t respond to conservative treatment or is affecting mobility then it’s time to speak with out Colorado Springs foot doctors about whether surgery may be the next best option.

Ankle Arthritis

If arthritis is detected early enough this progressive condition that causes joint damage can be slowed through the use of medication; however, some forms of arthritis can cause significant joint damage that causes severe pain and difficulty walking. If arthritis has caused extensive joint damage then a podiatric surgeon may recommend surgery to repair and replace the damaged joint or joints.

Chronic Plantar fasciitis

Plantar fasciitis is a condition that causes inflammation within the ligament of the foot known as the plantar fascia. Plantar fasciitis is the most common cause of heel pain and while rest and conservative care is often all that’s needed to make a full recovery, sometimes plantar fasciitis can become chronic. If your heel pain is unresponsive to other treatment options then surgery may be necessary to release the plantar fascia and reduce inflammation and tension.

It may be time to visit a foot and ankle surgeon if you are dealing with:

  • Any abnormal changes in the structure or appearance of your foot or ankle
  • Persistent or severe pain and swelling
  • Tingling, numbness, or burning in the foot
  • Decreased mobility
  • A foot or ankle injury
  • A health problem that impacts the health of your feet (e.g. neuropathy; diabetes)

With a brand new ADDITIONAL office location in Colorado Springs opening in March, Colorado Foot and Ankle will be able to provide foot and ankle care to even more patients. If you are dealing with foot and ankle pain or have any questions about foot and ankle surgery then schedule a consultation with us at (719) 475-8080.

By Colorado Foot and Ankle
July 03, 2019
Category: Foot Issues
Tags: Hammertoes  

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.