Podiatry Blog | Foot Doctor Fort Worth, TX, Lake Worth, TX 76135 and Willow Park, TX 76087

Tuesday, 03 December 2024 00:00

Understanding Common Peroneal Nerve Dysfunction

Common peroneal nerve dysfunction is a condition where damage to the peroneal nerve leads to weakness, numbness, or loss of movement in the lower leg and foot. The peroneal nerve branches from the sciatic nerve and controls muscles responsible for lifting the foot and toes. Dysfunction in this nerve can cause foot drop, making it difficult to lift the foot when walking. Causes include direct trauma, prolonged pressure on the nerve, knee injuries, or underlying conditions like diabetes. Diagnosis typically involves a physical exam, nerve conduction studies, and imaging to assess nerve health and identify any underlying issues. Treatment depends on the severity and may involve targeted exercises to strengthen muscles, braces or splints to support the foot, and in some cases, surgery to relieve pressure on the nerve. Early diagnosis and intervention are essential for optimal recovery and preventing long-term complications. If you have symptoms as described, it is strongly suggested that you visit a podiatrist for a proper diagnosis and appropriate treatment.

Some foot conditions may require additional professional care. If you have any concerns, contact one of our podiatrists of Advanced Foot & Ankle Associates, PLLC. Our doctors can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist. Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care.

There are many rare foot conditions that can affect children. Some of these can include:

Freiberg’s disease
Kohler’s disease
Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp.

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking.

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

If you have any questions please feel free to contact one of our offices located in Lake Worth and Aledo/Willow Park, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Rare Foot Conditions

A podiatrist will be able to address a variety of rare foot conditions, particularly the ones that affect children. The most common are Kohler’s disease, Maffucci syndrome, and Freiberg’s disease. They can be properly diagnosed by having an X-ray taken, but in more serious cases an MRI may be needed. Kohler’s disease generally affects younger boys and bone deterioration may result from an interruption of blood supply. Children who have Kohler’s disease may find relief when the affected foot is rested, and a special boot is worn. Benign growths in the long bones of a child’s foot may lead to the development of bone lesions, and this is known as Maffucci syndrome. People who have this condition find mild relief when custom-made orthotics are worn. Freiberg’s disease targets the ball of the foot and can typically affect pre-teen and teenage girls. The metatarsal bone becomes deteriorated and flattened, and common symptoms include swelling and stiffness. A cast is often necessary to wear with this disease as it can help to reduce existing pain. Erythromelalgia is a rare foot condition, and its cause is unknown. Symptoms of this disease can include intense burning pain and the feet may appear red or feel warm. Relief may be found when the affected foot is immersed in ice water. It can also be beneficial to elevate the foot frequently. If your child complains of foot pain, it is strongly suggested that you consult with a podiatrist who can diagnose and treat rare foot conditions.

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Tuesday, 26 November 2024 00:00

Effective Assessment and Treatment of Sesamoiditis

Sesamoiditis is an inflammation of the sesamoid bones under the big toe, causing pain in the ball of the foot. Common among dancers, runners, and those who place repeated pressure on their forefoot, it is assessed through patient history, including activity level and recent foot strain. A podiatrist may recreate symptoms by pressing on the sesamoid area to pinpoint pain, and they will look for biomechanical factors like high arches or gait issues that can contribute. Imaging may help rule out fractures or other causes of pain. Treatment focuses on relieving pressure and inflammation through rest and cushioned pads or orthotics to offload the area. If you have persistent pain under your big toe, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment, which may include steroid injections or surgery.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact one of our podiatrists of Advanced Foot & Ankle Associates, PLLC. Our doctors will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

Sudden increase in activity
Increase in physically strenuous movement without a proper warm up or build up
Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

If you have any questions please feel free to contact one of our offices located in Lake Worth and Aledo/Willow Park, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Sesamoiditis

Sesamoiditis is a condition in which the sesamoid bones in the forefoot become inflamed from physical activity. Sesamoid bones are bones that are not connected to other bones but are located in tendons or muscle. Two of these sesamoid bones are very small and located on the underside of the foot near the big toe. Athletes such as runners, baseball and football players, and dancers are likely to experience sesamoiditis. Those with high arched feet, flat feet, or runners who run on the ball of their foot are also prone to suffer from sesamoiditis.

Symptoms include pain or throbbing on the ball of the foot near the big toe. The pain generally starts with a mild throbbing but gradually builds up to shooting pain. Bruising, swelling, and redness are possible, but in most cases, these symptoms are not present. However, moving the big toe can result in pain and difficulty.

To conduct a diagnosis, the podiatrist will examine the ball of the foot and big toe. They will look for any outliers and check the movement of the toe. X-rays will be taken to rule out any other conditions and ensure that it is sesamoiditis.

Treatment for sesamoiditis is generally mild and includes rest, anti-inflammatory and pain medication, and ice treatments to deal with the swelling and pain. Orthotics may be needed with people who have flat or high arched feet to relieve pressure off the bones. In some cases the toe will be taped and immobilized to allow healing. The podiatrist may also decide to use a steroid injection to help with swelling as well. If you have sesamoiditis, you shouldn’t engage in any intensive activity, as it may inflame the area and worsen your pain. If the sesamoid bone has fractured, surgery may be required to remove the sesamoid bone.

If you are suffering from sesamoiditis or are experiencing symptoms similar to sesamoiditis, you should stop all physical activity that puts strain on the area. Furthermore you should see a podiatrist for a diagnosis to see if you have sesamoiditis.

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Tuesday, 19 November 2024 00:00

Causes and Relief Options for Toenail Fungus

Toenail fungus, medically known as onychomycosis, is a common infection that affects the nail bed, often starting as a white or yellow spot under the nail. Over time, it can cause nails to thicken, discolor, crumble, or become misshapen, leading to discomfort, and, in some cases, pain. Toenail fungus thrives in warm, moist environments, making athletes, individuals who sweat heavily, and those who wear tight or non-breathable shoes more susceptible. Poor foot hygiene and minor nail injuries also increase risk. Treating toenail fungus can be challenging, as the infection tends to be persistent. For more stubborn infections, it is suggested that you schedule an appointment with a podiatrist who may prescribe oral antifungal medications or laser therapy to target the fungus.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact one of our podiatrists of Advanced Foot & Ankle Associates, PLLC. Our doctors can provide the care you need to keep you pain-free and on your feet.

Symptoms

Warped or oddly shaped nails
Yellowish nails
Loose/separated nail
Buildup of bits and pieces of nail fragments under the nail
Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.

If you have any questions, please feel free to contact one of our offices located in Lake Worth and Aledo/Willow Park, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Treating Toenail Fungus

Fungal infection of the toenail, or onychomycosis, typically appears as a gradual change in a toenail’s texture and color that involves brittleness and darkening. The fungal infection itself occurs beneath the surface of the nail. Aside from discoloration, other symptoms include the collection of debris beneath the nail plate, white marks on the nail plate, and a foul odor emanating from the nail. If ignored, the infection can spread into other nails and the skin; in severe cases, it can hinder one’s ability to work or walk.

The toenails are particularly vulnerable to contracting infection in moist environments where people are likely to be walking barefoot, such as around swimming pools, public showers, and locker rooms. Fungal infection may also be more likely to occur in nail beds that have been injured, and sufferers of chronic diseases such as diabetes, circulatory problems, or immunodeficiency conditions are particularly prone to developing fungal nails.

Fungal nails can be primarily prevented by practicing proper hygiene and regularly examining the feet and toes. Carefully washing the feet with soap and water and thoroughly drying the feet afterwards are essential. Other tips include wearing shower shoes in public areas, changing shoes and socks daily, keeping toenails clipped at a short length, wearing breathable shoes that fit properly, wearing moisture-wicking socks, and disinfecting home pedicure tools and instruments used to cut nails.

Fungal nail treatment may vary between patients and the severity of the condition. Your podiatrist may suggest a daily routine of cleansing that spans over a period of time to ease mild infections. Over-the-counter or prescription antifungal agents may also be prescribed, including topical and/or oral medications. Debridement, or the removal of diseased nail matter and debris, may also be performed. In more severe cases, surgical treatment may be needed. In some instances, the temporary removal of the fungal nail allows for the direct application of a topical antifungal to the nail bed. In other cases, a chronically painful fungal nail that has not responded to other treatments may be permanently removed; this allows the infection to be cured and avoids the growth of a deformed nail.

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Tuesday, 12 November 2024 00:00

Exploring Hammertoe Surgery

Hammertoe is a condition characterized by an abnormal bend in the middle joint of a toe, often caused by imbalanced muscle or tendon forces, wearing ill-fitting footwear, or underlying conditions like arthritis. Symptoms include pain, swelling, and difficulty wearing shoes, which can lead to corns and calluses. When conservative treatments, such as orthotics or targeted exercises fail, a podiatrist may recommend surgery. Two common types are fusion and tendon transfer. Fusion involves permanently joining the affected joint to correct the toe's position. Tendon transfer repositions the tendon to restore balance and function, allowing for better alignment. Recovery from hammertoe surgery varies, but patients typically need to wear a special boot and limit activity for an extented period of time. A podiatrist can provide a comprehensive evaluation and help determine what the best surgical approach is for each individual case. If you are experiencing symptoms of hammertoe, it is suggested that you schedule an appointment with a podiatrist for tailored treatment options, which may include surgery for relief.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact one of our podiatrists of Advanced Foot & Ankle Associates, PLLC. Our doctors will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

Removing foot deformities like bunions and bone spurs
Severe arthritis that has caused bone issues
Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

Bunionectomy for painful bunions
Surgical fusion for realignment of bones
Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

Foot Surgery

In most cases, foot surgery is often chosen as the last available option for conditions that have otherwise been unsuccessfully treated. Surgery may be necessary for several reasons, including the removal of foot deformities (e.g. bone spurs or bunions), arthritis problems, reconstruction due to injury, and congenital malformations (e.g. club foot or flat feet). Regardless of one’s age, foot surgery may be the only successful option for treatment for certain conditions.

The type of surgery one undergoes depends on the type of foot condition the patient has. For the removal of a bunion growth, a bunionectomy is necessary. If the bones in the feet need to be realigned or fused together, a surgical fusion of the foot is needed. For pain or nerve issues, a patient may require surgery in which the tissues surrounding the painful nerve are removed. Initially, less invasive treatments are generally attempted; surgery is often the last measure taken if other treatments are unsuccessful.

While in many cases surgery is often deemed as the final resort, choosing surgery comes with certain benefits. The associated pain experienced in relation to the particular condition is often relieved with surgery, allowing patients to quickly resume daily activities. The greatest benefit, however, is that surgery generally eliminates the problem immediately.

Podiatry history has shown that foot treatments continue to evolve over time. In the field of foot surgery, endoscopic surgery is just one of the many advanced forms of surgery. As technology vastly improves so too will the various techniques in foot surgery, which already require smaller and smaller incisions with the use of better and more efficient tools. Thanks to such innovations, surgery is no longer as invasive as it was in the past, allowing for faster and easier recoveries.

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Friday, 08 November 2024 00:00

Gout Pain Can Be Managed

Gout is a painful, inflammatory form of arthritis. Those affected will typically feel an intense stiffness in the joints of their feet, particularly in the big toe. Schedule a visit to learn about how gout can be managed and treated.

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Tuesday, 05 November 2024 00:00

More About Plantar Fasciitis

Plantar fasciitis causes sharp heel pain, especially noticeable in the morning or after long periods of sitting. It occurs when the plantar fascia, a thick band of tissue connecting the heel to the toes, becomes inflamed due to excessive strain. Common causes include overuse, flat feet, high arches, and wearing inadequate footwear. Symptoms typically include a stabbing pain at the bottom of the heel, which may improve with movement but worsen with prolonged standing or walking. Treatment options for plantar fasciitis include rest. Custom orthotics and supportive shoes can also provide relief by improving foot mechanics. A podiatrist can offer specialized assessments and tailored treatment plans to address your specific needs. They may suggest targeted exercises or corticosteroid injections for persistent pain. If you are struggling with heel pain, consider making an appointment with a podiatrist to get back on your feet comfortably.

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 Advanced Foot & Ankle Associates, PLLC. 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?

Excessive running
Having high arches in your feet
Other foot issues such as flat feet
Pregnancy (due to the sudden weight gain)
Being on your feet very often

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

Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
Maintain a healthy weight
If you are a runner, alternate running with other sports that won’t cause heel pain

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.

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