Items filtered by date: November 2022

People frequently confuse the terms sprains and strains. In short, a sprain is the tearing or rupture of a ligament that holds a joint together. A strain is the tearing or overstretching of a muscle or tendon. Strains are usually the result of putting too much stress on a tight or weak muscle. This can happen if you engage in a burst of energy without properly warming up. A sprain, however, is caused by the sudden, often forceful, twisting of a joint that causes a ligament to stretch. The severity of a sprain depends on how far the ligament is stretched. In both cases, attention must be paid to complete recovery from the injury to avoid developing a chronic condition. Several symptoms are common to both strains and sprains. Included are pain, tenderness, and limitation of movement. Swelling and inflammation are also common. Finally, the injury might cause internal bleeding, which results in a bruise. If you have incurred an injury to the foot or ankle that exhibits any of these symptoms, please see a podiatrist as soon as possible for an examination and a diagnosis.

Foot and ankle trauma is common among athletes and the elderly. If you have concerns that you may have experienced trauma to the foot and ankle, consult with Michael Tomey, DPM from Cary Foot & Ankle Specialists. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Foot and ankle trauma cover a range of injuries all over the foot; common injuries include:

• Broken bones
• Muscle strains
• Injuries to the tendons and ligaments
• Stress fractures

Symptoms

Symptoms of foot and ankle injuries vary depending on the injury, but more common ones include:

• Bruising
• Inflammation/ Swelling
• Pain

Diagnosis

To properly diagnose the exact type of injury, podiatrists will conduct a number of different tests. Some of these include sensation and visual tests, X-rays, and MRIs. Medical and family histories will also be taken into account.

Treatment

Once the injury has been diagnosed, the podiatrist can than offer the best treatment options for you. In less severe cases, rest and keeping pressure off the foot may be all that’s necessary. Orthotics, such as a specially made shoes, or immobilization devices, like splints or casts, may be deemed necessary. Finally, if the injury is severe enough, surgery may be necessary.

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

Selecting the right kind of running shoe is critically important for any runner to not only feel their best during runs, but to also protect their feet from potential injury. Far more important than selecting a pair of running shoes for how they look is selecting shoes that fit. Something to be mindful of when choosing running shoes is how the ankle collar fits. This part of the running shoe wraps around the heel at the back of the shoe. The purpose of this feature of the shoe is to hold the heel in place. When selecting a pair of shoes, you might consider taking note of how the back of your foot interacts with the ankle collar. For example, notice if the padding in the ankle collar feels comfortable or if your heel is slipping out of the shoe. For more information about the ankle collar in running shoes, contact a podiatrist today. 

If you are a runner, wearing the right running shoe is essential. For more information, contact Michael Tomey, DPM from Cary Foot & Ankle Specialists. Our doctor can provide the care you need to keep you pain-free and on your feet.

Choosing the Right Running Shoe for Your Foot Type

To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.

• Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
• Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
• Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.

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

A bunion is a foot condition involving a bony protrusion on the side of the big toe and is easy to notice. It is considered to be a deformity, and may cause the toes to shift towards each other. A common reason why people can develop bunions is from wearing shoes that are too small in the toe area. This can force the toes to squeeze together, and be uncomfortable. In severe cases, walking may become difficult, and larger shoes may need to be purchased that can accommodate the bunion. Research has shown that family genes may contribute to developing a bunion. Additionally, arthritis may lead to getting a bunion, as a result of inflamed toe joints. Symptoms of this ailment can include pain and swelling surrounding the big toe, and there may be calluses and corns that form on top of the bunion as it touches the side of the shoe. Mild relief may come from wearing a protective pad over the bunion, and orthotics may be prescribed that may help to realign the foot structure. If you have a bunion, it is strongly urged that you contact a podiatrist who can recommend the correct treatment options, which may include surgery for permanent removal. 

If you are suffering from bunions, contact Michael Tomey, DPM of Cary Foot & Ankle Specialists. 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 Cary, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Cuboid syndrome is a condition of the foot that involves the cuboid bone. This bone is located on the outside of the foot and has a slightly cubical shape. If this bone moves out of alignment with the heel bone, this condition may develop. When determining how long it will take to recover from cuboid syndrome, it is important to consider several different relevant factors. Specifically, one’s recovery time from cuboid syndrome can depend on the duration of time in which the condition was present before treatment commenced. Additionally, recovery from cuboid syndrome can be influenced by the extent to which other injuries are present in the affected areas. One common injury includes ankle sprains. If such injuries are present, then recovery might last perhaps several weeks longer. Additionally, pain relief from cuboid syndrome often occurs within a few days. If you believe that you have cuboid syndrome, contact a podiatrist today.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Michael Tomey, DPM  from Cary Foot & Ankle Specialists. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

• Injury – The most common cause of this ailment is an ankle sprain.
• Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
• Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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

There is a type of inflammatory arthritis that is known as gout. It generally causes severe pain and discomfort, and affects the big toe. High levels of uric acid are responsible for the onset of gout, and it can lodge in the form of crystals in the joints of the big toe. Eating foods that have elevated levels of purines can cause gout to occur, or it may happen for genetic reasons. These types of foods can include shellfish, red meat, and drinks that are made with large amounts of sugar. People who have frequent gout attacks may be prone to developing other medical conditions such as diabetes, kidney disease, or congestive heart failure. Some methods can be implemented, which may help limit gout attacks. These can consist of drinking plenty of water daily, limiting the amount of sugar consumed, and engaging in a gentle exercise program. Gout can compromise lifestyles, so it is strongly suggested that you are under the care of a podiatrist who can help you to manage this condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Michael Tomey, DPM from Cary Foot & Ankle Specialists. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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