Tuesday, 18 October 2022 00:00

Hammertoe Is a Deformity

The toes provide harmony to the body, and the foot condition that is referred to as hammertoe may cause difficulty in walking and can affect balance. Hammertoe is caused by an imbalance in the foot and can occur from wearing shoes that do have adequate room for the toes to move freely in. It affects the second and third toes, causing them to bend down at the joint, resembling a hammer. It is suggested that medical attention is sought when the first symptoms of hammertoe appear, and the toes may be straightened easily. In severe cases, larger shoes may have to be purchased, in addition to possibly having surgery performed for permanent straightening. Recovery time from this type of surgery may take several weeks, and it is advised that you seek the counsel of a podiatrist in the early stages who can offer correct treatment methods.  

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Patrick Bruton, DPM from Big Country foot and Ankle. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

  • Pain in the affected toes
  • Development of corns or calluses due to friction
  • Inflammation
  • Redness
  • Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

If you have any questions please contact our offices located in Abilene, and Brownwood, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about What Are Hammertoes?
Tuesday, 18 October 2022 00:00

What Are Hammertoes?

Hammertoes are painful deformities that frequently form on the second, third, or fourth toe. The condition is often caused by an issue in foot mechanics. This can be caused by the person’s specific gait or the manner in which they walk, or by shoes that do not comfortably fit the deformity.  Hammertoes can be formed after wearing shoes that are too narrow or short for the foot or have excessively high heels. Shoes that are not properly sized will force the toes into a bent position for long periods of time. This can cause the muscles to shorten and toes to bend into the deformity of a hammertoe.

Hammertoe can also be caused by complications from rheumatoid arthritis, osteoarthritis, trauma to the foot, heredity, or a cerebral vascular accident. Pain and difficult mobility of the toes, deformities, calluses, and corns are all symptoms of a hammertoe.

Someone who suspects they have the symptoms of a hammertoe should consult with a physician—particularly a podiatrist. Podiatrists diagnose and treat complications of the foot and ankle. If the podiatrist discovers that the affected toes are still flexible, treatment for the hammertoe may simply involve exercise, physical therapy, and better-fitting shoes. Treatment for hammertoes typically involves controlling foot mechanics, such as walking, through the use of customized orthotics.

For more serious cases in which the toes have become inflexible and rigid, surgery may be suggested. During the operation, the toe would receive an incision to relieve pressure on the tendons. A re-alignment of the tendons may then be performed by removing small pieces of bone to straighten the toe. In some cases, the insertion of pins is needed to keep the bones in the proper position as the toe heals. The patient is usually allowed to return home on the same day as the surgery.

If surgery is performed to repair a hammertoe, following the postoperative directions of your doctor is essential. Directions may include several stretches, picking up marbles with your toes, or attempting to crumple a towel placed flat against your feet. Wear shoes that have low heels and a wide amount of toe space to maintain comfort. Closed-toe shoes and high heels should be avoided. Shoes with laces allow the wearer to adjust how fitted he or she may want the shoes to be and also allow for greater comfort. To provide adequate space for your toes, select shoes that have a minimum of one-half inch of space between the tip of your longest toe and the inside of the shoe. This will also relieve pressure on your toes and prevent future hammertoes from forming.

Other preventative measures that can be taken include going shopping for new shoes in the middle of the day. Your feet are its smallest in the morning and swell as the day progresses. Trying on and purchasing new shoes midday will give you the most reliable size. Be sure to check that the shoes you purchase are both the same size. If possible, ask the store to stretch out the shoes at its painful points to allow for optimum comfort.  

Tuesday, 11 October 2022 00:00

Elderly Toenail Fungus

Aging is a risk factor for many diseases. Seniors take more medications, have weaker immune systems, and are more apt to suffer from pre-existing medical conditions, as well as mobility issues. While elderly nail fungus is not generally severe, it can be uncomfortable, and if left untreated, complications such as permanent nail damage or more serious infections can develop. Nail infections are caused by fungal organisms called fungi. These fungi can feed on keratin, present in the nails, hair, and skin. Such infections can also be caused by yeast and mold spores. The fungi get into the skin and nails from direct contact with infected materials, whether from animals, people, or clothes. Elderly nails are more likely to become brittle and have more cracks, and this makes it easier for the organisms to get inside and spread. Toenail fungus is more common than fingernail fungus. Symptoms typically include thick, discolored, brittle and damaged nails, with jagged edges and possibly a bad odor. Pain may also be present. Toenail fungus may be more prevalent in those with diabetes, recurring skin conditions, and circulation problems as these hinder the body’s ability to fight infection. If you are elderly or taking care of someone who has toenail fungus is a concern, contact a podiatrist who can help you with all foot and ankle-related conditions.

For more information about treatment, contact Patrick Bruton, DPM of Big Country foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

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

Read more about Toenail Fungus
Tuesday, 11 October 2022 00:00

Toenail Fungus

Toenail fungus is a frustrating problem that affects many people. It can be persistent and hard to get rid of. As many different types of fungi are present throughout the environment, it is very easy to contract toenail fungus.  

The feet are especially susceptible to toenail fungus because shoes and socks create the ideal dark and moist environment that fungal infections thrive in. While fungal infections of the nail plate are quite common, if left untreated they can spread beyond the toenail and into the skin and other parts of the body.

Signs of toenail fungus include a thickened nail that has become yellow or brown in color, a foul smell, and debris beneath the nail. The toe may become painful due to the pressure of a thicker nail or the buildup of debris.

Treatment for toenail fungus is most effective during the early stages of an infection. If there is an accumulation of debris beneath the nail plate, an ingrown nail or a more serious infection can occur. While each treatment varies between patients, your podiatrist may prescribe you oral medications, topical liquids and creams, or laser therapy. To determine the best treatment process for you, be sure to visit your podiatrist at the first signs of toenail fungus.

Friday, 07 October 2022 00:00

Do You Suffer From Painful Feet?

Painful deformities, such as hammertoes, can be treated. Stop living with foot pain, and have beautiful feet again!

Tuesday, 04 October 2022 00:00

Ankle and Foot Injuries in Gymnastics

Ankle and foot injuries are common problems gymnasts deal with. In gymnastics, there is a high likelihood of lower body injuries in gymnastics because of the high impact forces, repetitive movements, and the preponderance of youth participants who are still growing. These young people are subjected to many hours of training, often year-round, and are generally encouraged to specialize in gymnastics to the exclusion of other sports early on. This causes a higher incidence of burnout, overuse injuries, and negatively impacts their overall athletic potential long-term. Research shows that there are also a lack of strength and conditioning methods in the sport that increase risks of injury. The most common foot and ankle injuries in gymnastics include acute and overuse injuries. Acute injuries are usually caused by an incident and tend to be more severe. These include ankle sprains and bone fractures. Overuse injuries happen when multiple incidents cause an injury to accumulate over time. Such injuries include things like growth plate irritations, tendonitis issues, and stress fractures. These injuries plague gymnasts for their gymnastic careers and beyond. Some of these athletes just tape their ankles and take over-the-counter pain relievers and live with the pain while participating in the sport. If you are or have been a gymnast and suffer from foot and ankle injuries, it is suggested that you consult with a podiatrist who can not only help in the diagnosis and treatment if an injury has been sustained but can provide important injury prevention information as well.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Patrick Bruton, DPM of Big Country foot and Ankle. 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 offices located in Abilene, and Brownwood, 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, 04 October 2022 00:00

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are common among athletes and those who exercise frequently. Most of these injuries are non-life-threatening and can heal in weeks with proper treatment and care. Serious injuries, however, require urgent medical treatment.

Common minor injuries include ankle sprains, ankle strains, Achilles tendonitis, plantar fasciitis, stress fractures, and turf toe. An ankle sprain is when the ligaments in the ankle have either become stretched or torn. When the muscle or tendon is stretched or torn, it is an ankle strain. When the big toe is sprained, it is known as turf toe. Achilles tendonitis is the overuse and inflammation of the Achilles tendon. Plantar fasciitis is the inflammation of the plantar fascia and generally occurs from overuse in athletics. Stress fractures are also caused from overuse and are small cracks in the bone.

Achilles tendon ruptures are common, but more serious. This injury occurs when the Achilles tendon, the largest tendon in the body, ruptures. In most cases, this causes severe pain and difficulty walking; some who have experienced this injury have reported, however, no signs or symptoms. A laceration is a deep cut that can occur anywhere on the body. Lacerations on the foot are rarer, but can occur from things like metal cleats landing on the foot.   

Treatment options cover a wide range of methods based upon the injury and its severity. Conditions like plantar fasciitis, stress fractures, Achilles tendonitis, turf toe and ankle sprains/ strains can heal on their own without immediate medical care, but seeing a podiatrist to monitor the injury is always recommended. Following the RICE (Rest, Icing, Compression, and Elevation) protocol is generally enough to treat minor injuries. This means resting the foot by either keeping pressure off the foot or not walking at all. Icing the injury will help reduce swelling and pain. Compressing the wound with a wrap will immobilize and help promote healing. Finally, keeping the wound elevated will also reduce swelling and also help the healing process.

It is important to note that even minor injuries can vary in severity, with grade one being a minor injury and grade three requiring urgent care by a podiatrist. Achilles tendon ruptures and lacerations on the foot generally require urgent medical care and treatment options that need a podiatrist. These could include imaging tests, stitches for cuts, rehabilitation, and casts or braces. Every case is different, however, so it is always recommended to see a podiatrist when pain in the foot does not disappear.

Tuesday, 27 September 2022 00:00

Treating Bunions

Bunions are a common affliction of the foot where a bony bump develops on the side of the big toe. This causes the top of the big toe to point towards the second toe, and the structure of the big toe’s bones can be manipulated. A medical professional, such as a podiatrist (a foot specialist), may recommend to you several different treatment options for your bunions short of a surgical procedure. For instance, it might be recommended to take nonsteroidal anti-inflammatory medications to minimize inflammation. Also, a podiatrist might recommend avoiding physical activities that exacerbate symptoms of bunions or wearing footwear that provides more space in the toe box area. Lastly, a podiatrist may recommend applying an ice pack to your bunions several times a day to reduce inflammation. Contact a podiatrist today if you have a case of bunions.

If you are suffering from bunions, contact Patrick Bruton, DPM of Big Country foot and Ankle. 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 offices located in Abilene, and Brownwood, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Bunions
Tuesday, 27 September 2022 00:00

Bunions

A bunion is a bump that forms at the base of the big toe. Bunions form when the big toe pushes against the next toe, which forces the big toe joint to get bigger and stick out.  As a result, the skin over the bunion may start to appear red and it may feel sore.

There are risk factors that can increase your chances of developing bunions. People who wear high heels or ill-fitting shoes are more likely to develop them, in addition to those who have a genetic history of bunions or have rheumatoid arthritis.

The most obvious way to tell if you have a bunion is to look for the big toe pushing up against the toe next to it. Bunions produce a large protrusion at the base of the big toe and may or may not cause pain. Other symptoms are redness, swelling, and restricted movement of the big toe if you have arthritis. 

Nonsurgical methods are frequently used to treat bunions that aren’t severe. Some methods of nonsurgical treatment are orthotics, icing and resting the foot, taping the foot, and pain medication. Surgery is usually only required in extreme cases. However, if surgery is needed, some procedures may involve removing the swollen tissue from around the big toe joint, straightening the big toe by removing part of the bone, or joining the bones of your affected joint permanently.

Your podiatrist will diagnose your bunion by doing a thorough examination of your foot. He or she may also conduct an x-ray to determine the cause of the bunion and its severity.

Tuesday, 20 September 2022 00:00

Signs of an Achilles Tendon Injury

There are different ways in which an individual may injure their achilles tendon, the tendon that runs from the calf muscle to the heel bone in the lower leg. For example, an individual can tear or rupture their Achilles tendon when it is strained or stretched beyond its limits. There are several signs of an Achilles tendon injury to be aware of. Namely, you might experience pain when walking up staircases because the Achilles tendon essentially enables you to lift your heel off of the ground. In the same vein, you could experience difficulty trying to stand on the tips of your toes. Additionally, if you have an Achilles tendon injury, you might notice different types of pain. You can experience sharp pain at the back of the ankle or leg. Snapping or cracking sounds might be heard if you have experienced some kind of Achilles tendon injury. If you suspect that you have developed this kind of injury, do not hesitate to schedule an appointment with a podiatrist, a foot care specialist. 

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Patrick Bruton, DPM of Big Country foot and Ankle. 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 our offices located in Abilene, and Brownwood, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about What are Achilles Tendon Injuries
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