Items filtered by date: August 2022

Tuesday, 30 August 2022 00:00

What Is Charcot Foot?

Charcot foot is a condition that causes weakened bones in the foot. This can occur in people who have significant nerve damage or neuropathy in the foot. Neuropathy decreases sensation and the ability to feel temperature, pain, or trauma. Because of this, a person with Charcot foot may continue walking and exacerbate the condition. The bones become weak enough to break, and if walking is continued, the foot will eventually change shape. As time goes on, the condition causes joints to collapse and the foot to take on an abnormal shape, like a rocker-bottom appearance. If one has this ailment, they will feel warmth in the affected foot, notice redness and swelling in the area, and experience pain or soreness. It is a serious condition that can lead to disability and even amputation. Those who have diabetes, a disease often associated with neuropathy, or those with a tight Achilles tendon are at more risk for developing Charcot foot and should take preventative measures. You should contact a podiatrist as soon as signs or symptoms appear, as successful treatment is dependent on early diagnosis.

Some foot conditions may require additional professional care. If you have any concerns, 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.

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 our office located in Cary, NC . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
 

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Tuesday, 23 August 2022 00:00

Typical Pregnancy Foot Problems

Although it might not seem immediately intuitive to some pregnant women, pregnancy can seriously impact and affect the feet. While a baby grows inside a pregnant woman, the woman’s center of gravity changes, forcing the feet to adapt. Additionally, during pregnancy, the woman produces a variety of pregnancy hormones that can have significant effects on the feet. One typical problem that you might encounter during your pregnancy is flat feet. Flat feet occur when the feet lose their natural arch and the entire foot presses directly against the ground when standing. Pregnant women can sometimes develop flat feet because as they gain a notable amount of weight, they exert more and more pressure on the feet, which can reduce the arch in the feet. Secondly, another common pregnancy foot problem is swelling in the feet. Swollen feet can frequently occur in pregnant women because, throughout the pregnancy, the pregnant woman’s body must produce a significantly larger amount of blood to support the growing baby. This excess of blood and fluids might sometimes lead to swelling in the feet. As a result, you might notice your foot size increasing, causing your feet to temporarily require larger shoes. If you are pregnant, it might be a good idea to reach out to your podiatrist who can help you manage symptoms on your feet.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Michael Tomey, DPM from Cary Foot & Ankle Specialists. Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

  • Wearing orthotics can provide extra support for the feet and help distribute weight evenly
  • Minimize the amount of time spent walking barefoot
  • Wear shoes with good arch support
  • Wear shoes that allow for good circulation to the feet
  • Elevate feet if you experience swelling
  • Massage your feet
  • Get regular, light exercise, such as walking, to promote blood circulation to the feet

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.

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Saturday, 20 August 2022 00:00

Treat Your Feet to Diabetic Shoes

Diabetic shoes can bring relief to the feet of patients suffering from diabetes. 

Tuesday, 16 August 2022 00:00

The Ankle: A Complex Structure

The ankle is a complex structure composed of three bones known as the tibia, fibula, and talus along with ligaments, tendons, muscles, nerves, and blood vessels. Ankle stability is very important, as this joint needs to be able to withstand 1.5 times the body’s weight when walking and 8 times the body’s weight when running. Because the ankle is so critical in movement and bearing weight it can be prone to certain painful injuries such as ankle sprains, fractures, nerve compression, and tendonitis. Ankle pain can also be caused by certain diseases that attack joints such as arthritis, gout (a form of arthritis), and diabetes. Ankle pain and discomfort can vary depending upon the source ranging from stiffness, warmth, redness, and inflammation, to varying degrees of pain and/or immobility. If you have any kind of ankle pain, have a podiatrist examine you and diagnose your condition. Proper treatment is critical to relieve pain and help your ankle to heal properly.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, 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.

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.

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.

 

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The foot condition that is known as Morton’s neuroma affects the nerve between the third and fourth toes. In severe cases, it is quite painful. This can possibly be treated without surgery in the beginning stages. It happens as a result of wearing shoes that do not have adequate room for the toes to move freely in. High heels fit into this category, and it is suggested to refrain from frequently wearing them. The nerve can gradually become compressed, and it will feel like there is a pebble in the sock or shoe. Additional symptoms can consist of burning pain and numbness in the toes. The pain may radiate to the ball of the foot, and it can be difficult to complete daily activities. A qualified doctor can perform a diagnosis by having an X-ray taken, and this can be helpful in ruling out a stress fracture. An MRI or ultrasound can also be performed, and these can eliminate conditions that may include bursitis and Freiberg’s disease. Some patients find it helpful to stretch the Achilles tendon and plantar fascia, which are located on the bottom of the foot. This may help to reduce a portion of the pain. If you have Morton’s neuroma, it is suggested that you meet with a podiatrist who can recommend the best treatment for you.

 

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Michael Tomey, DPM of Cary Foot & Ankle Specialists. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

  • Ill-fitting high heels or shoes that add pressure to the toe or foot
  • Jogging, running or any sport that involves constant impact to the foot
  • Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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.

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Peripheral neuropathy, or neuropathy, is a term for nerve damage to the peripheral nervous system. These are nerves that are outside of the brain and spinal cord. Peripheral neuropathy can create various symptoms which may impair a person’s balance and their perception of their body and its movement. These symptoms include numbness, pain, and weakness in the feet. Older adults are more prone to developing peripheral neuropathy as a complication of diabetes, which can cause them to have foot drop, difficulty walking up stairs, rising out of their chairs, and standing up from a crouching position. All of this can increase the elderly person’s already heightened risk of falls. If you or someone you love is experiencing any of the symptoms mentioned here, it is suggested that you make an appointment with a podiatrist for a full examination and evaluation.


 

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, 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 for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

  • Numbness
  • Sensation loss
  • Prickling and tingling sensations
  • Throbbing, freezing, burning pains
  • Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then 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.

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