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Wednesday, 04 January 2023 00:00

Will Bunions Go Away on Their Own?

There is no mistaking what a bunion is. It is a common foot deformity that can develop from wearing shoes that are too tight and is noticeable by the small bony protrusion that is seen on the side of the big toe. Bunions that are left untreated may grow and push the other toes toward each other. This can present difficulty in walking and medical attention is often sought for comfort and relief. Research has shown a bunion may also be caused by genetic factors in addition to medical conditions such as various types of arthritis. People who are afflicted with a bunion may need to purchase larger shoes to accommodate it and mild relief may be found when a protective pad is worn over it. Bunions do not go away on their own and it is strongly suggested that a podiatrist be consulted who can prescribe orthotics or recommend surgery for permanent removal.

If you are suffering from bunions, contact Dr. Thomas Madden of Advanced Foot Care Center. Our doctor 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?

  • Refrain from wearing heels or similar shoes that cause discomfort
  • Select wider shoes that can provide more comfort and reduce pain
  • Anti-inflammatory and pain management drugs
  • Orthotics or foot inserts
  • Surgery

If you have any questions, please feel free to contact our office located in Killeen, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Bunions
Wednesday, 04 January 2023 00:00

Bunions

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.

Tuesday, 22 November 2022 00:00

Handball and Foot Injuries

Handball has evolved into a sport with increased speed, intensity, and force, which leads to more injuries. The most common foot injuries resulting from playing handball include sprained ankles and heel pain. When jumping and landing wrong on the foot while playing handball, one can easily get a sprained ankle. The foot can fold inward, which can lead to a rupture or tear of the ligament on the outside of the foot. Among other things, this can happen if a previous ankle sprain has not adequately healed, there is reduced coordination and balance in the ankle, or one is training on uneven surfaces. If one has sprained their ankle, they are likely to feel pain and experience swelling, especially on the outside of the ankle, and have reduced mobility. Similarly, heel pain can occur from overstraining the heel area. This can happen if there is insufficient rest and recovery after playing handball or one is over-exerting themselves, particularly for their age. One might feel pain during and after playing handball when pressure is put on the heel after a period of rest, and sensitivity is around the heel bone. If you play handball and experience foot or ankle pain, it is suggested that you see a podiatrist who can diagnose the problem and provide treatment options.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Dr. Thomas Madden of Advanced Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

  • Plantar Fasciitis
  • Plantar Fasciosis
  • Achilles Tendinitis
  • Achilles Tendon Rupture
  • Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

If you have any questions please feel free to contact our office located in Killeen, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Sports Related Foot and Ankle Injuries
Tuesday, 15 November 2022 00:00

The Many Benefits of Foot Massages

Foot massages are performed worldwide, and have been practiced for hundreds of years. They have been proven to be beneficial to different parts of the body, starting with the feet. There are specific pressure points in the feet that are connected to different organs in the body, and may be effective in releasing energetic blockages. Having a foot massage may help to reduce stress, possibly alleviate pain, and accelerate recovery from an injury. Additional benefits can include improved circulation and a reduction in the stress hormone known as cortisol. Many patients enjoy an enhanced sense of well-being and balance after having a foot massage performed, and they may sleep more fitfully. Physically, the joints in the feet may be loosened by rotating and twisting the toes and the feet. Many people enjoy the firmness of having their feet rubbed, and a scented lotion is often applied during the massage process. If you would like to learn about the additional benefits of foot massages, please consult with a podiatrist. 

Foot therapy is often necessary for those recovering from either foot deformities or foot injuries. If you have concerns regarding therapy, consult with Dr. Thomas Madden from Advanced Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Most Common Injuries

People who are active or athletes are prone to a variety of injuries. Therefore, it is often important to take part in physical therapy in order to quickly get back on the right track. 

What to Do When Injured

Physical Therapy – This specialized treatment will focus on the affected area, speeding up recovery and the overall healing process. It is a proven method that has helped millions of people return from any injury.

During physical therapy you will undergo regimented training to get back into full form. Training is often very difficult, especially at first when the foot feels weak. Physical therapy often involves:

Basic stretching and twisting exercises – getting the feet’s mobility and flexibility up.

Massaging – the therapist will massage the injured area in order to activate the muscles and relax them.

Strengthening Exercises – this allows the muscles in the affected area to regain their full strength, a vital step towards full recovery.

If you have any questions please feel free to contact our office located in Killeen, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Foot Therapy for Sports Injuries
Tuesday, 15 November 2022 00:00

Foot Therapy for Sports Injuries

Whether in practice or in the game, athletes put their bodies through great stress. Some sports demand more from the body than others. However, every sport has an element of inorganic movement or unnatural motion. For example, in softball, a pitcher winds up and flings her body with an incredible amount of dexterity in order to get the most ideal velocity out of her pitches. This motion, incredibly taxing on the body, can cause serious injury.

One of the most common issues of athletic injuries happens in the feet. If it’s a damaging fracture that leaves the athlete sidelined or just a simple turf toe, foot injuries can still be very frustrating and painful. Regardless of the sport, athletes still require use of their feet in some fashion. This is why foot therapy is extremely vital for getting athletes back on the right track to return to the field.

No matter the injury, the best way to speed up the recovery period is to receive physical therapy. Physical therapy has proven to work for millions of people. Professional physical therapists are specifically trained to help people return to proper form from any injury.

During physical therapy, you will go through organized training in order to get back into form. Sometimes training can be quite difficult, especially in the beginning when there is more pain and the foot feels awkward. To alleviate this, you will do basic twisting and stretching exercises in order to get flexibility and foot mobility back up. The therapist will also massage the injured area to activate and relax muscles. Over time you will eventually move up to strengthening exercises, designed specifically so that the injured area is exercised.

Foot therapy for sports is a modern science miracle. Unlike other treatments that may employ the use of fancy chemicals and terminology, physical therapy is an evidence-based practice that offers the same benefits. Due to huge advancements in the knowledge of muscles and joints, doctors can turn catastrophic injuries around so that athletes can return to the game once more. 

An important benefit of frequently stretching the toes is to improve flexibility and range of motion. Strength is generally also improved, and this may contribute to reducing the risk of getting a bunion or plantar fasciitis. Many people enjoy practicing toe lifts. This is done by lifting the toes to the same height while standing, followed by holding this position for several seconds, and then repeating. An effective foot stretch is called the toe lift and spread, and is done while sitting with the feet on the floor. This is a similar stretch as the toe lift, and may be performed by using a resistance band around the toes, which can make it more challenging. Additionally, the big toe can be pulled by wrapping a towel around it while pulling the toe close to you. This can help to improve mobility in this toe, and the entire foot may benefit from it. If you would like additional information about the importance of stretching the toes, and how to accomplish this, it is suggested that you consult with a podiatrist who can guide you in the right direction.

Why Stretching Is Important for Your Feet

Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with Dr. Thomas Madden from Advanced Foot Care Center. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Stretching the Feet

Stretching the muscles in the foot is an important part in any physical activity. Feet that are tight can lead to less flexibility and make you more prone to injury. One of the most common forms of foot pain, plantar fasciitis, can be stretched out to help ease the pain. Stretching can not only ease pain from plantar fasciitis but also prevent it as well. However, it is important to see a podiatrist first to determine if stretching is right for you. Podiatrists can also recommend other ways to stretch your feet. Once you know whether stretching is right for you, here are some excellent stretches you can do.

  • Using a foam roller or any cylindrical object (a water bottle or soda can will do), roll the object under your foot back and forth. You should also exert pressure on the object. Be sure to do this to both feet for a minute. Do this exercise three times each.
  • Similar to the previous exercise, take a ball, such as a tennis ball, and roll it under your foot while seated and exert pressure on it.
  • Grab a resistance band or towel and take a seat. If you are using a towel, fold it length wise. Next put either one between the ball of your foot and heel and pull with both hands on each side towards you. Hold this for 15 seconds and then switch feet. Do this three times for each foot.
  • Finally hold your big toe while crossing one leg over the other. Pull the toe towards you and hold for 15 seconds. Once again do this three times per foot.

It is best to go easy when first stretching your foot and work your way up. If your foot starts hurting, stop exercising to ice and rest the foot. It is advised that you then see a podiatrist for help.

If you have any questions, please feel free to contact our office located in Killeen, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Stretching Your Feet
Monday, 03 August 2020 00:00

Treating Tarsal Tunnel Syndrome

Tarsal tunnel syndrome is a condition in which the tibial nerve, located in the tarsal tunnel in the foot, is compressed. The tibial nerve can become compressed from injury, such as an ankle sprain, flat feet, and lesions. Arthritis, diabetes, and varicose veins can also cause swelling and thus result in nerve compression.

Symptoms of tarsal tunnel syndrome include several different sensations in the sole of the foot, inside the ankle, and around the tibial nerve. These sensations include shooting pains, numbness or reduced sensation, pins and needles, burning, and tingling. Symptoms tend to worsen with greater activity to the area. In rare and severe occasions, this can change the muscles in the foot.

If you suspect you have tarsal tunnel syndrome, you should consult with your podiatrist. He or she will examine your medical history to see if you have a history of diabetes, arthritis, or flat feet. They will also check to see if you have suffered an injury to the area recently. An electrical test will be conducted to check if the nerve has been damaged. A simpler Tinel’s Test might also be used. This includes simply tapping the nerve to create a sensation. An MRI scan of the area may also be used.

Treatments vary greatly for tarsal tunnel syndrome. Treatments include both nonsurgical and surgical options depending upon the severity of the condition. Nonsurgical options include anti-inflammatory medication and steroid injections to the area. Orthotics, such as a splint or brace that immobilizes the foot, is another noninvasive option. For those with flat feet, custom shoes can be made to offer better foot support. Surgical options include a tunnel tarsal release, in which an incision is made behind the ankle down to the arch of the foot. This releases the ligament and relieves pressure off the nerve. Some doctors use a more minimally invasive surgery, where smaller incisions are made in the ankle and the ligament is stretched out.

If you are suffering from painful sensations in your foot, see a podiatrist who can determine if you are experiencing tarsal tunnel syndrome. Tarsal tunnel syndrome that is left unchecked can cause permanent nerve damage to the foot.

Tuesday, 25 October 2022 00:00

What Causes Chronic Ankle Instability?

When you are walking along and suddenly your ankle gives way, causing the foot to roll over onto its side, you may have chronic ankle instability. Common complaints of ankle instability include repeated turning of the ankle, frequent swelling, pain, and tenderness. The main cause connected to chronic instability is repeated ankle sprains. Often the reason for this is not allowing the ankle to heal completely after a sprain. This healing process can take months, and impatience to get back to the activity may put the ankle at risk for another sprain. The ligaments may become overstretched, increasing the instability of the joint and putting other parts of the foot at risk for injury. Seeking the help of a podiatrist is essential in dealing with ankle instability when it reaches the chronic level. Both nonsurgical and surgical options may be needed. After a thorough examination and diagnosis, a podiatrist can determine the best treatment options for you.  

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact Dr. Thomas Madden from Advanced Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

  • Pain at the sight of the tear
  • Bruising/Swelling
  • Ankle area is tender to touch
  • In severe cases, may hear/feel something tear
  • Skin discoloration

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

If you have any questions, please feel free to contact our office located in Killeen, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Three Grades of Ankle Sprains
Tuesday, 25 October 2022 00:00

Three Grades of Ankle Sprains

An ankle sprain occurs when one or more ankle ligament gets overly stretched. Ligaments are strong bands of tissue that bind and support the bones and other structures that make up the ankle. In more severe ankle sprains, the ligament(s) tear—either partially or completely—and there may be an audible popping noise at the moment of injury.

Ankle sprains are quite common and can occur when the ankle rolls outwardly (eversion) or inwardly (inversion), causing the ligament(s) to stretch beyond normal limits, or even tear. Falls, twists, or blows to the ankle during sports or other activities can cause this injury, as well as wearing improper footwear, running on uneven surfaces, or having weak ankles.

Depending on the injury’s severity, an ankle sprain will be classified as Grade I, Grade II, or Grade III. Grade I sprains involve ligament(s) being overly stretched but not torn, with symptoms of mild pain, swelling, and ankle instability. There may also be some difficulty bearing weight. A Grade II sprain usually involves a partial tear of the ligament which brings more intensity in these symptoms, along with possible bruising. With a Grade III sprain, the ligament is completely torn, the symptoms are severe, and it may not be possible to put weight on the affected foot at all. 

To diagnose and grade an ankle sprain, a podiatrist will perform a physical examination, checking for tenderness and range of motion in the ankle. For more severe sprains, X-rays or other imaging studies may be necessary. 

It is vitally important to have an ankle sprain treated properly as improper healing often leads to future ankle sprains and possibly even chronic ankle stability. Treatment for an ankle sprain will vary, depending on its severity, and may include the RICE method (Rest/Ice/Compression/Elevation), physical therapy, bracing, medications, and possibly even surgery to repair a torn ligament. Rehabilitation is very important for the sprain to heal properly and to restore functionality.

Tuesday, 04 October 2022 00:00

Can Ingrown Toenails Become Infected?

An ingrown toenail can be quite painful. It happens when the nail grows into the surrounding skin instead of over it. In severe cases, it may bleed and become infected, and it may be necessary to perform surgery for permanent relief. An ingrown toenail often affects the big toe, and in most cases, requires prompt medical treatment. Patients can experience symptoms that often include swelling, tenderness, and it may produce pus or fluid if it becomes infected. There are various reasons why people may notice an ingrown toenail developing. These can consist of wearing shoes that do not fit correctly, genetic reasons that can cause curved toenails, or if a toe injury has occurred. Relief may come from soaking the foot in warm water, followed by using a cotton swab to gently pull the skin away from the nail. This is considered to be a temporary fix until a podiatrist can be contacted. If you have developed this uncomfortable ailment, please make an appointment with this type of doctor who can effectively treat ingrown toenails.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Dr. Thomas Madden of Advanced Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

  • Improper toenail trimming
  • Genetics
  • Improper shoe fitting
  • Injury from pedicures or nail picking
  • Abnormal gait
  • Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

If you have any questions, please feel free to contact our office located in Killeen, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Ingrown Toenails
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