April 2024

Tuesday, 30 April 2024 00:00

Diagnosis and Treatment of Sesamoiditis

Sesamoiditis is a painful condition that affects the tendons around two small bones in the foot. These specialized bones, known as sesamoids, are unique in that they connect to muscles via tendons rather than to other bones. Typically, tendons become inflamed often due to overuse or repeated trauma, causing inflammation. This causes pain beneath the ball of the foot that gradually intensifies and may cause swelling or bruising. Certain activities, like running, basketball, or ballet, which impose considerable pressure on the ball of the foot, heighten the risk of developing sesamoiditis. Diagnosis involves a thorough physical examination to assess tenderness and limitations in mobility. A podiatrist will order imaging studies, such as X-rays, MRI scans, or ultrasounds to confirm the diagnosis and evaluate the extent of the condition. Treatment primarily focuses on lifestyle modifications, including modifying activity and changes in footwear. Pain management strategies such as custom orthotics and certain medications may also be prescribed. In severe cases where conservative measures fail, surgery may be necessary. If you are experiencing symptoms of sesamoiditis, it is suggested that you schedule an appointment with a podiatrist.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Gregory T. Loo, DPM of Elite Podiatry. Our doctor 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 Ahwatukee, and Phoenix, AZ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Tuesday, 30 April 2024 00:00

Sesamoiditis

Sesamoiditis is a condition that affects the joint that is just behind the big toe in the area known as the ball of the foot. It is most common in younger people and people who have just begun an exercise program. Since the sesamoid bones are like a pulley controlling the big toe, they can rub against each other and cause a gradual onset of pain. Pain may also be caused by the inflammation of tendons surrounding the bones. If ignored, sesamoiditis can lead to other, more serious problems such as severe irritation and fractures of the bones.

The cause of sesamoiditis is sudden increase in activity. The ball of your foot acts as a springboard to help you lift off when you are jogging or running. Sudden increase in the use of these bones or the tendon that controls them can cause irritation. The tendon then begins to develop inflammation and the joint begins to swell. People with smaller, bonier feet or those with a high arch are typically more susceptible to this condition.

Sesamoiditis is fairly simple to diagnose since the symptoms have a gradual onset rather than a sudden impact. The symptoms begin with slight irritation around the joint shortly after the increase in activity. The discomfort eventually turns to pain with light swelling and possibly redness. Although redness or bruising are rare, this may be a symptom. After each session of exercising, the aggravated joint becomes more irritated and increases into a very intense throbbing.

Treatment for sesamoiditis can vary depending on the severity of the situation. However, treatment is almost always approached in a noninvasive way. For a case that is just beginning the doctor may recommend a very strict rest period that will limit the activity allowed on the joint. If you must be active, a recommendation for as modified shoe or insole, along with bandaging and immobilizing the big toe will be made to ensure that pressure is not placed on the joint. For severe cases, it is typically recommended that the joint and the big toe be completely immobilized to allow adequate time to heal. Ice and an over the counter anti-inflammatory may can help with the pain and discomfort while you are at rest.

When you return to your regular exercise activities, it is recommended that you use an insole that will allow even distribution of impact to your entire foot, rather than just the balls of your foot. This will prevent further aggravation of the injury.

Tuesday, 23 April 2024 00:00

Treatment Options for Bunions

A bunion is a deformity where the bottom bone of the big toe pushes toward the outside, creating a noticeable bump on the foot. As a result, the rest of the toe then moves toward the smaller toes. Bunions develop gradually over time due to inherited foot structure and the way each foot absorbs force during walking. The symptoms of bunions vary from none at all to severe discomfort, worsened by wearing tight or narrow shoes. Several treatment options exist that may help to alleviate symptoms without surgery. Non-operative interventions include wearing comfortable shoes with a wide toe box, using bunion pads to reduce irritation, and employing toe spacers to realign the toes. Practicing calf stretches to reduce stress on the foot and wearing custom orthotics can help. For those whose bunions persist despite non-operative measures, surgical intervention may be necessary. Advances in surgical techniques allow patients to return home the same day as the surgery, although full recovery may take from six months to a year. If you are experiencing bunion discomfort, it is suggested that you schedule an appointment with a podiatrist for a full exam and appropriate treatment options.

If you are suffering from bunions, contact Gregory T. Loo, DPM of Elite Podiatry. 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 one of our offices located in Ahwatukee, and Phoenix, AZ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Tuesday, 23 April 2024 00:00

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.

Tuesday, 16 April 2024 00:00

Managing Peroneal Tendonitis

Peroneal tendonitis is an inflammatory condition that affects the tendons surrounding the ankle. It can cause pain and swelling, particularly in individuals who engage in activities like running, or physical labor that strains the ankles. Proper management of peroneal tendonitis involves addressing contributing factors, including wearing ill-fitting footwear that can increase the risk of foot injuries. Treatment typically includes anti-inflammatory measures such as heat therapy, massage, and medication to alleviate discomfort. Surgery is reserved for severe cases or when conservative treatments fail to yield improvement. Immobilization may be necessary in instances of ankle alterations or damage to minimize the risk of further injury. Consulting a podiatrist for personalized care and guidance for peroneal tendonitis is essential in managing this condition effectively and preventing long-term complications. If you are experiencing symptoms of peroneal tendonitis or have concerns about your foot health, it is suggested that you schedule an appointment with a podiatrist.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Gregory T. Loo, DPM from Elite Podiatry. 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
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.

Tuesday, 16 April 2024 00:00

Various Causes of Ankle Pain

Ankles are joints that connect bones in the feet with bones in the lower leg. They are comprised of bones, ligaments, muscles, tendons, blood vessels, and nerves. The ankle joint allows the foot to move side-to-side, as well as up-and-down.

Ankle pain can be caused by a variety of conditions, but is most commonly due to soft tissue injuries such as ankle sprains and strains.

An ankle sprain occurs when one or more of the strong ligaments that support and stabilize the ankle become overly stretched or even torn if the ankle rolls, turns, or twists awkwardly. Depending on the grade of sprain (mild-moderate-severe), there will be varying degrees of pain, swelling, and restricted range of motion, along with tenderness, bruising, and ankle instability. There may even be an audible popping noise at the moment of injury.

Ankle strains can sometimes produce similar symptoms of pain, swelling, and loss of motion, however, they are due to overly stretched muscles and tendons—not ligaments. Ankle strains may also cause muscle cramps in the feet, calves and shins.

Ankle fractures are another common source of ankle pain and occur one or more of the three bones in the ankle become fractured (broken). These breaks can be stress fractures (due to repetitive stress) or traumatic fractures (due to an acute injury). Depending on where and how severe the fracture is, symptoms can include pain and swelling that can sometimes spread up to the knee, bruising or discoloration, and an inability to bear weight. A visible deformity or exposed bone may occur in severe fractures.

Various forms of arthritis may also cause ankle pain. Rheumatoid arthritis (RA) causes the immune system to attack healthy joints, like the ankle joint, by mistake, causing stiffness and swelling in both ankles. Osteoarthritis occurs when cartilage covering the ends of bones wears down, causing the bones to rub against each other. This results in pain, stiffness, and reduced range of motion in the ankle. Gout is a form of arthritis where excess amounts of uric acid in the bloodstream crystallize and build up on joints, causing severe pain and swelling. Reactive arthritis causes joint pain and swelling in the ankle in response to an infection in another part of the body.

Other forms of ankle pain include bursitis (an inflammation of a cushioning bursa sac between tendons and bone), scleroderma (a thickening of connective tissues), chronic ankle instability (caused by improperly healed ankle sprains), Achilles tendon injuries, flat feet, or an infection in the ankle.

Tuesday, 09 April 2024 00:00

Risk Factors for Foot Stress Fractures

Foot stress fractures are a common injury for athletes and especially runners who engage in repetitive physical activity. Stress fractures are microscopic cracks in the bones, commonly affecting the lower leg, ankle, and foot. They result from persistent pounding of the feet, particularly in high-impact sports like basketball and soccer. Among the risk factors are anatomical abnormalities, osteoporosis, and inadequate nutrition. Pain during activity, swelling, and tenderness are typical signs of stress fractures, yet they are difficult to detect. Diagnosis by a podiatrist typically involves a physical examination and digital imaging tests. At first, rest, immobilization, and pain management techniques may be prescribed. However, orthotic devices or supportive footwear may also be recommended to reduce strain. Ignoring a hairline fracture can lead to more severe complications. If you are suffering from foot pain that may be caused by your physical activities, it is suggested that you schedule an appointment with a podiatrist to see if you have developed stress fractures.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact Gregory T. Loo, DPM from Elite Podiatry. Our doctor can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon. Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

Gender – They are more commonly found in women compared to men.
Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

Tuesday, 09 April 2024 00:00

Stress Fractures of the Foot and Ankle

Our bones are important aspects of our body and they are constantly changing. The heavier the workload for a bone, the more likely it is that calcium will be placed in it. When a bone isn’t used often, there won’t be much calcium within it. When stress from repetitive loads prevent the bone from being able to repair itself, cracks will start to form. Stress fractures are defined as cracks in a bone that result from repetitive force, such as overuse.

The most common cause of stress fractures is a sudden increase in intensity and duration of physical activity. For example, if you begin to run long distances without working your way into doing so, you will be more likely to develop a stress fracture.

Common symptoms of stress fractures are pain and swelling near the weight bearing area on the injured bone. When initial x-rays are performed, it is possible that the fracture will not show up. However, once the stress on the area continues, the damage will increase, and the fracture will be severe enough to show up on an x-ray. Certain parts of the foot are more likely to develop stress fractures than others. Areas that typically have these fractures are: the metatarsals, the navicular bone, the calcaneus, tibia, and fibula.

Since women are at an increased risk of developing osteoporosis, they are twice as likely as men to sustain a stress fracture. Additionally, old age causes a decrease in bone mineral density which is why elderly people are also likely to develop these fractures.

It is important for you to be professionally diagnosed by a podiatrist if you suspect you have a stress fracture, because there are other injuries that can easily be mistaken for a fracture. Sprains, strains, shin splints, plantar fasciitis, and Morton’s neuroma can all easily be mistaken for stress fractures in the foot. Your podiatrist will likely ask you a series of questions to determine what type of pain you are experiencing. These questions will help your doctor identify whether you have a stress fracture.

The best method of treatment for a stress fracture is rest. Additionally, a walking boot, cast, or crutches, will help rest the area that is injured. The typical healing time for stress fractures is 4-12 weeks, however this depends on which bone is involved.

Wednesday, 03 April 2024 00:00

Heel Pain Can Be Treated!

Do you suffer from heel pain when you get up in the morning? If so, you should seek the professional help of your podiatrist and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.

Tuesday, 02 April 2024 00:00

Foot Pain

Our feet are arguably the most important parts of our bodies because they are responsible for getting us from place to place. However, we often don’t think about our feet until they begin to hurt. If you have pain in your feet, you need to first determine where on the foot you are experiencing it to get to the root of the problem. The most common areas to feel pain on the foot are the heel and the ankle.

Heel pain is most commonly attributed to a condition called plantar fasciitis. Plantar fasciitis occurs when the plantar fascia, which is the band of tough tissue connecting the heel bone to the toes becomes inflamed. Plantar fasciitis pain is usually worse in the morning, and it tends to go away throughout the day. If you have plantar fasciitis, you should rest your foot and do heel and foot muscles stretches. Wearing shoes with proper arch support and a cushioned sole has also been proven to be beneficial.

Some common symptoms of foot pain are redness, swelling, and stiffness. Foot pain can be dull or sharp depending on its underlying cause. Toe pain can also occur, and it is usually caused by gout, bunions, hammertoes, ingrown toenails, sprains, fractures, and corns.

If you have severe pain in your feet, you should immediately seek assistance from your podiatrist for treatment. Depending on the cause of your pain, your podiatrist may give you a variety of treatment options.