What Are Bunions?
Bunions are large bony bumps at the base of the big toe. Medically known as hallux valgus, a bunion is a misalignment of the metatarsophalangeal joint, or big toe joint. The misalignment will generally worsen with time if left untreated.
The exact cause of bunions is unknown, with genetics seen as a potential cause. High heels and poorly-fitted footwear, rheumatoid arthritis, and heredity all seem to be potential factors behind the exacerbation of bunions. Women have been found to be more likely to develop bunions in comparison to men.
Bunions do not always produce symptoms. The best way to tell is if the big toe is pushing up against the next toe and there is a large protrusion at the base of the big toe. You may or may not feel pain. Redness, swelling, and restricted movement of the big toe may be present as well.
Podiatrists use a variety of methods to diagnose bunions. If there are symptoms present, podiatrists will first consider that it is a bunion. If not, a physical examination will be conducted to check function of the big toe. Finally, an X-ray may be taken to view the extent of the bunion and confirm it is a bunion.
Typically, nonsurgical methods are used to treat bunions, unless the bunion has become too misaligned. Orthotics, icing and resting the foot, roomier and better fitted shoes, taping the foot, and pain medication are usually utilized first. If the bunion doesn’t go away or causes extreme pain, surgery may be required. Surgeons will either remove part of the swollen tissue or bone to straighten the toe out.
If you have a bunion, it is recommended to see a podiatrist. The longer it is left untreated, the worse it may get. Podiatrists can properly diagnose and treat a bunion before it gets worse.
Rheumatoid Arthritis in the Feet
Rheumatoid Arthritis is a chronic progressive disease that causes pain, stiffness, and swelling in joints. It often emerges first in smaller joints such as those in the feet and hands. Left untreated, this painful condition may cause erosions in the affected joint, changes in the foot’s shape, and mobility issues. A podiatrist can help manage the pain of rheumatoid arthritis while helping maintain and improve the foot’s functionality and mobility. The treatment options a podiatrist may utilize include custom orthotics, physical therapy, bracing, compression, pain relievers, steroid injections, and even surgery to correct extensive damage. If you have pain in any joint in your foot or ankle make an appointment right away with a podiatrist. Early diagnosis and treatment can help reduce the chances of future deformity and disability.
Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact Dr. Ronald Sheppard of Warren-Watchung Podiatry Center. Our doctor will assist you with all of your podiatric concerns.
What Is Rheumatoid Arthritis?
Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.
Rheumatoid Arthritis of the Feet
Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.
Symptoms
- Swelling and pain in the feet
- Stiffness in the feet
- Pain on the ball or sole of feet
- Joint shift and deformation
Diagnosis
Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.
If you have any questions please feel free to contact one of our offices located in Marlboro and Watchung, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Rheumatoid Arthritis in the Feet
Although rheumatoid arthritis attacks multiple bones and joints throughout the entire body, ninety percent of people who actually develop this condition usually do so in the foot or ankle area. Those who develop this kind of arthritis in the feet usually develop symptoms around the toes and forefeet first, before anywhere else. Rheumatoid arthritis appears to have a genetic component. If it runs in the family, then you will be more likely to develop it as well.
Rheumatoid arthritis is an autoimmune disorder in which the body’s own immune system attacks the lining of the membranes surrounding the joints. This causes inflammation of the membrane lining, and the gradual destruction of the joint’s cartilage and even bone.
Some of the most common symptoms that are associated with RA include pain and swelling of the feet. Stiffness in the feet is also another common symptom that people experience. Those who have RA in the feet usually feel the pain in the ball or sole of their feet. This can get to be very painful at times. A person's joints can even shift and become deformed after a period of time.
In order to properly diagnose RA in the feet it is usually necessary for a doctor or podiatrist to evaluate the area. Your doctor will also question you about your medical history, occupation, etc., to determine whether anything in your lifestyle may have triggered the condition. There are a number of tests that may be performed to help diagnose RA, such as a rheumatoid factor test. There is, however, no one single test that will tell you for sure if you have RA. There are different X-rays that can be taken as well to determine if a person has RA in their feet.
There is a range of treatment options for rheumatoid arthritis. Treatment of RA is usually a lifelong process that includes a variety of methods of treatment and therapy. Your doctor can prescribe special shoes that should help with arch support as well as heel support. A physical therapist can help those with this condition learn exercises which will keep their joints flexible. Surgery may be needed to correct some of the issues with the feet, such as bunions, and hammertoes. Fusion is usually the most successful surgical option for rheumatoid arthritis. However, people need to keep in mind that there are some risks associated with these surgeries.
Pain in the Front of the Ankle
Pain that is in the front part of the ankle is known as anterior ankle pain. One possible cause of anterior ankle pain is tibialis anterior tendonitis. The tibialis anterior is a muscle that runs along the outside of the shin and helps lift the foot up. When the tendon next to this muscle becomes inflamed, often due to overuse, it may lead to pain and swelling at the front of the ankle. The pain is usually at its worst when bending the toes or foot upwards. Another possible cause of anterior ankle pain is impingement. Anterior ankle impingement occurs when a bony growth at the front of the ankle bone restricts the ankle’s range of motion due to tissues being trapped between the bones. This condition is often seen in patients who have had a previous ankle sprain that has not healed properly. If you are experiencing pain in the front of your ankle, please seek the care of a podiatrist.
Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with Dr. Ronald Sheppard from Warren-Watchung Podiatry Center. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.
Causes
The most common causes of ankle pain include:
- Types of arthritis (rheumatoid, osteoarthritis, and gout)
- Ankle sprains
- Broken ankles
- Achilles tendinitis
- Achilles tendon rupture
- Stress fractures
- Bursitis
- Tarsal tunnel syndrome
- Plantar fasciitis
Symptoms
Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.
Diagnosis
Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.
Treatment
Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.
If you have any questions, please feel free to contact one of our offices located in Marlboro and Watchung, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Ankle Pain
Pain experienced in the ankle can be caused by a multitude of conditions. While the most common cause is an ankle sprain, other possible problems can include arthritis, gout, ankle instability, an ankle fracture, nerve compression, or tendinitis. In more serious cases, ankle pain can be a sign of improper alignment of the foot or an infection.
Ankle pain can often be accompanied by symptoms such as redness, swelling, stiffness, and warmth in the affected area. Pain can be described differently depending on the condition: short, stabbing pain and a dull ache are some examples. If such symptoms are persistent and do not improve after time, be sure to schedule an appointment with your local podiatrist.
Depending on the condition causing your ankle pain, different treatments may be prescribed by your podiatrist. For ankle sprains, the first step in treatment involves rest, ice, elevation, and compression. Be sure to avoid placing pressure on the ankle, use an ice pack several times a day, and use a compression bandage and elevation to reduce swelling. Other, more serious conditions may require the assistance of certain drugs and medications such as nonsteroidal anti-inflammatory drugs (NSAIDs), physical therapy, or even cortisone injections.
Depending on the severity of your ankle pain and the condition behind it, recovery from ankle pain may take some time.
Consult with your foot and ankle doctor to best determine the cause of your ankle pain and the appropriate treatment.
Are Bunions Affecting Your Everyday Life?
Have you noticed a bony protrusion on the side of your big toe? If so, you may have developed the foot condition known as a bunion. Don't let bunions interfere with your daily activities.
How to Treat Heel Spurs
Heel spurs are calcium deposits that cause bone protrusions on the heel bone. Heel spurs are usually associated with plantar fasciitis, which occurs when the plantar fasciitis in the foot becomes inflamed. Typically, heel spurs don’t cause any symptoms. However, they can produce chronic or intermittent heel pain. Those who have had the condition often describe the irritation as a stabbing pain.
There are risk factors that may make you more likely to develop heel spurs. People who have abnormal walking gaits, run and jog on hard surfaces, are obese, or wear poorly fitting shoes are more likely to develop heel spurs.
Fortunately, there are precautions you can take to avoid developing heel spurs. One of the best ways to do this is by wearing well-fitting shoes with shock-absorbent soles. Another preventative technique is to choose running shoes if you plan on running, and walking shoes if you plan on walking. Shoes are made for different activities and it is important to research a shoe before you purchase a pair.
The pain associated with heel spurs often decreases the more you walk. However, a recurrence of pain after an extended period of rest or walking is likely to occur with this condition. Those with severe heel spur pain may opt to go the surgical route for treatment. However, more than 90% of those with the condition get better without surgical treatment. If you have a heel spur and want to know if surgery is right for you, you should go to your podiatrist and he or she will be able to conduct a pre-surgical test or exam to determine if you are an optimal candidate for surgery.
What Is an Achilles Tendon Rupture?
The Achilles tendon connects the heel bone with the calf muscles. It is the largest tendon in the body and is capable of absorbing a great deal of force. It is instrumental in helping the body walk, run, and stand up onto the toes. Under certain conditions, when the Achilles tendon is under severe stress, it may tear or rupture. This may be caused by playing sports such as tennis or basketball (which involve a lot of starting and stopping), being older or overweight, using steroids, or taking certain antibiotics. All of these factors can weaken the Achilles tendon and make it more susceptible to injuries. If you have ruptured your Achilles tendon, you may have severe pain or swelling near the heel, or you may be unable to stand on the affected leg. You may have even heard a popping sound at the moment of injury. There are a variety of treatment options available for a ruptured Achilles tendon. A podiatrist can determine what course of treatment is best for you after examining and diagnosing your condition.
Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Dr. Ronald Sheppard of Warren-Watchung Podiatry Center. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is the Achilles Tendon?
The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.
What Are the Symptoms of an Achilles Tendon Injury?
There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.
Achilles Tendinitis Symptoms
- Inflammation
- Dull to severe pain
- Increased blood flow to the tendon
- Thickening of the tendon
Rupture Symptoms
- Extreme pain and swelling in the foot
- Total immobility
Treatment and Prevention
Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:
- Thorough stretching of the tendon before and after exercise
- Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses
If you have any questions please feel free to contact one of our offices located in Marlboro and Watchung, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Achilles Tendon Injuries
The Achilles tendon is the largest tendon in the body; it is a tough band of fibrous tissue that stretches from the bones of the heel to the calf muscles. This tendon is what allows us to stand on our toes while running, walking, or jumping, it is common for this tendon to become injured. In severe cases, the Achilles tendon may become partially torn or completely ruptured. However, this tendon is susceptible to injury because of its limited blood supply and the high level of tension it endures.
The people who are more likely to suffer from Achilles tendon injuries are athletes who partake in activities that require them to speed up, slow down, or pivot. Consequently, athletes who engage in running, gymnastics, dance, football, baseball, basketball, or tennis are more likely to suffer from Achilles tendon injuries. Additionally, there are other factors that may make you more prone to this injury. People who wear high heels, have flat feet, tight leg muscles or tendons, or take medicines called glucocorticoids are more likely to have Achilles tendon injuries.
A common symptom of an Achilles tendon injury is pain above the heel that is felt when you stand on your toes. However, if the tendon is ruptured, the pain will be severe, and the area may become swollen and stiff. Other symptoms may be reduced strength in the lower ankle or leg area, and reduced range of motion in the ankle. When the Achilles tendon tears, there is usually a popping sound that occurs along with it. People who have acute tears or ruptures may find walking and standing to be difficult.
If you suspect you have injured your Achilles tendon, you should see your podiatrist to have a physical examination. Your podiatrist will likely conduct a series of tests to diagnose your injury including a “calf-squeeze” test. Calf squeeze tests are performed by first squeezing the calf muscle on the healthy leg. This will pull on the tendon and consequently cause the foot to move. Afterward, the same test will be performed on the injured leg. If the tendon is torn, the foot won’t move because the calf muscle won’t be connected to the foot.
Mystery Blisters on the Feet
You are going about your day, when suddenly you feel a pain in your foot. You look down and are surprised to find a blister. You don’t remember wearing tight shoes or exercising all day, so what could have caused this blister? While it’s true that most blisters are the result of friction, usually from shoes or socks rubbing repeatedly over a small area of skin during physical activity, there are other reasons that you may have developed a blister. These can include excessive moisture on the skin, sunburns, an allergic reaction, psoriasis, eczema, athlete’s foot, and even insect bites. If you have painful, unexplained blisters on your feet, it is strongly suggested that you seek the care of a podiatrist. This specialist can determine what caused the blisters and advise you on what you should do to treat them. For more information about treating and preventing foot blisters, please consult with a podiatrist.
Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, contact Dr. Ronald Sheppard of Warren-Watchung Podiatry Center. Our doctor can provide the care you need to keep you pain-free and on your feet.
Foot Blisters
Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.
What Are Foot Blisters?
A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.
How Do Blisters Form?
Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.
Prevention & Treatment
It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.
If you have any questions, please feel free to contact one of our offices located in Marlboro and Watchung, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
