Posts for category: Foot Care
Did you know that the metatarsals, or bones in the foot, are the most commonly broken bones in the human body? These long bones run the length of the foot and a fractured metatarsal means that there is a break in at least one of these five bones (the fifth metatarsal is the most commonly fractured metatarsal bone). If you suspect that you’ve broken a bone in your foot it’s important that you see a podiatrist right away.
Broken metatarsals most commonly occur as a result of a sports injury; however, this fracture can also occur over time due to overuse and wear (this is commonly known as a stress fracture). Dropping a heavy item on the foot or experiencing a bad fall can also cause broken metatarsals. Signs and symptoms of a broken toe caused by trauma to the foot include:
- Hearing a snapping or popping sound at the moment of injury
- Severe and sudden pain in the toe immediately after impact or trauma
- Bruising or swelling of the toe (this may not appear until the day after the injury)
- Changes in the alignment or appearance of your toe
Symptoms of a stress fracture will be a bit different from traumatic fractures. Since stress fractures occur over time as a result of overuse you may start to notice foot pain with your routine activities or pain that goes away with rest but is exacerbated by physical activity. A metatarsal that has sustained a stress fracture may also be tender to the touch.
Some people assume that if they can walk on their foot then they must not be dealing with a broken metatarsal, but this is simply not true. This is why it’s always best to play it safe and to schedule an immediate evaluation with a foot and ankle specialist if you have experienced a traumatic foot injury that you suspect has led to one or more broken metatarsals. Not treating the broken bone could lead to certain deformities, which can greatly impact mobility. You may also experience chronic pain or be at an increased risk for arthritis.
Treating Broken Metatarsals
Common ways to treat a traumatic fracture include rest, splinting, or tapping toe affected toe, custom-made shoe inserts and wearing rigid footwear such as a special boot or shoe that provides the foot with protection, support, and cushioning.
If the break is severe enough your podiatrist may recommend surgery, but surgery is rarely necessary for treating broken toes. Those with stress fractures will want to avoid any activity that causes repetitive stress on the foot, to prevent the stress fracture from getting worse.
If you are experiencing symptoms of a broken bone after a fall, accident or injury then it’s time to schedule an immediate appointment with a podiatrist. The sooner you seek treatment the sooner you can begin your road to recovery.
Diabetic feet need special care because of decreased circulation, neuropathy, joint deterioration, and more. While your primary care physician may guide you on blood sugar control, medications, a healthy diet, and active lifestyle, your podiatrist assesses and treats how your feet and ankles function everyday and for the long term. Enlist their help in the health maintenance of your diabetic feet.
Keeping ahead of neuropathy and avoiding amputation
Those are two key goals of diabetic foot care. Your podiatrist will want to see you regularly to assess the color, temperature, sensation, function, and shape of your feet and ankles, noting any developing problems. Early detection of circulation issues, nerve degeneration (neuropathy), and deformities, such as hammertoes, bunions, and Charcot Foot, are key.
Your podiatric foot examination will include an eye-on inspection of your skin (color, temperature, texture, and integrity). Your foot doctor also may perform gait analysis to watch for changes in how you walk. Sometimes a podiatrist orders X-ray imaging or an MRI to view the internal structure of the foot and/or ankle.
Remember, that foot ulcers are the primary threat to the overall health and well-being of the diabetic, says the National Center for Biotechnology Information (NCBI). Untreated, they may lead to complications so severe amputation is the only option.
What can you do to treat your diabetic feet?
- Be proactive. Inspect your feet daily, looking redness or skin breakdown.
- Wash and dry your feet daily.
- Trim your toenails carefully using a clean clippers. Trim straight across and not too short to avoid ingrown toenails.
- Wear shoes at all times--even indoors--to avoid injury.
- Wear clean, well-fitting, moisture-wicking socks.
- Keep your weight and blood sugars within normal range.
- Get in-office treatment of calluses and corns, says the American College of Foot and Ankle Surgeons.
- Avoid all forms of tobacco.
- Report any changes to your foot doctor as soon as possible.
- See your podiatrist every six months or as he or she directs.
Healthy feet and a healthy you
Podiatric health is so important, but especially to the diabetic. So stay in touch with your foot doctor, and be routinized in your foot care for better long-term health.
A bunion is one of the most common foot deformities, often affecting the joint at the base of the big toe. Anyone can develop this painful condition but it most often occurs in women. A bunion affects the structure of the foot, causing the joint to become enlarged, which causes the big toe to lean inward towards the other toes. In some cases, the big toe even overlaps the toes. This deformed joint may often become red or swollen, especially when wearing certain shoes or after certain physical activities.
A bunion is a gradual deformity, which means that as soon as you begin to notice changes in the joint or you start to experience symptoms you should consult a podiatrist. While the only way to correct the deformity is through surgery this is usually the last treatment option. After all, a foot doctor can often create a treatment plan that will reduce pain and prevent the deformity from progressing without needing to turn to surgery.
The first course of treatment is usually more conservative. You may be able to manage your bunion pain and swelling by:
- Taking over-the-counter NSAIDs
- Icing the bunion for up to 15 minutes at a time, 2-3 times a day
- Placing orthotics into your shoes to alleviate pressure on the joint (talk to your podiatrist about creating custom orthotics)
- Splinting or taping the foot to improve the structural alignment
- Wearing appropriate and supportive footwear that doesn’t put pressure on the toes or bunion
- Applying a bunion pad over the area to prevent a callus from forming while wearing shoes
- Avoiding certain activities and sports that could exacerbate your condition
For many people, these lifestyle changes and simple at-home treatment options are all that’s needed to reduce bunion pain and discomfort, and to prevent the problem from getting worse. Of course, if you find that at-home care isn’t providing you with relief, or if bunion pain is persistent or severe, then you should turn to a podiatrist for an evaluation. Not sure if you have a bunion or not? Call your foot doctor.
When should someone consider bunion surgery?
As we mentioned earlier, bunion surgery is considered a last resort when all other treatment options have been exhausted and they haven’t helped get your bunion symptoms under control. You may also want to consider getting bunion surgery if:
- Your bunion is large and makes it difficult to wear shoes
- Your bunion pain is severe and chronic
- You have trouble walking or moving around because of your bunion
- Your bunion is affecting your quality of life
It can take up to 6 months to fully recover from traditional bunion surgery so it’s important to discuss all of your treatment options with your podiatrist to find the most effective method for getting your bunion symptoms under control.
- Plantar fasciitis
- Achilles tendinitis
- Heel pain
- Ankle sprains and fractures
- Foot fractures
- Sports-related injuries
- Bunions and hammertoes
- Corns and calluses
- Diabetic foot care
- Fungal infections
- Ingrown toenails
- Heel spurs
Understanding Heel Pain with Help from Your Podiatrist
- Wear shoes that fit well
- Wear proper shoes for each activity
- Do not wear shoes with excessive wear on heels or soles
- Prepare properly before exercising by stretching and warming up
- Pace yourself when you participate in athletic activities
- Don’t underestimate your body’s need for rest and good nutrition
- Lose excess weight
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