Mueller‑Weiss syndrome is a rare condition that affects the middle of the foot, but podiatrists are seeing it more frequently. It occurs when the navicular bone, located at the top of the arch, loses its blood supply and begins to collapse. This can lead to chronic foot pain, stiffness, and changes in the shape of the foot. Although the exact cause is not fully understood, it may be linked to abnormal foot structure, past injuries, or uneven pressure on the foot over time. Most patients are adults, often women in their forties to sixties, and the pain usually develops slowly. Because it can be mistaken for other foot issues, a proper diagnosis is important. Treatment may include custom orthotics, special shoes, targeted exercises, or surgery, in severe cases. If you have ongoing midfoot pain, a podiatric evaluation is suggested.

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.
 

The feet contain 26 bones each, creating numerous joints and surfaces where bone spurs may develop from repeated stress, inflammation, or injury. These bony growths, known as osteophytes, often form when the body responds to pressure or friction. If conservative care does not ease symptoms, a podiatrist may suggest surgery to remove the bone spur or address any tight tissues that may be contributing to discomfort. Resection surgery trims away the excess bone, and the type depends on the location. A dorsal spur excision is on the top of the foot, an inferior heel spur resection is under the heel, and a posterior heel spur removal is at the back of the heel. If soft tissue is involved, plantar fascia release or partial Achilles tendon release may be employed. In cases of severe joint damage, joint fusion can stabilize the area while joint replacement can restore movement. If you are experiencing this type of foot pain, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment options.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Michael Tomey, DPM of Cary Foot & Ankle Specialists. Our doctor 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.

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.

Skin peeling between the toes is often caused by moisture and friction, but several foot-related issues may also be responsible. One common reason is a fungal infection, often picked up in places like locker rooms or pool areas. This can cause peeling, itching, and cracks between the toes. Blisters from rubbing or minor injuries can also peel as they heal. If the skin stays wet for too long, it may soften and break down, especially in cold or damp conditions. In people with diabetes, peeling skin between the toes may be a sign of a sore that is not healing well. In rare cases, peeling may also be linked to a skin infection that causes swelling, warmth, or pain. A podiatrist can examine your feet, identify what is causing the peeling, and provide the right treatment. If the skin between your toes is peeling and becoming problematic, it is suggested that you make an appointment with a podiatrist for a diagnosis and treatment options.

Toe pain can disrupt your daily activities. 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.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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.

The way your feet move and function plays a major role in how you walk, stand, and complete everyday tasks. Foot biomechanics refers to how the bones, muscles, and joints work together with each step. When this system is not working well, due to flat feet, high arches, or poor alignment, other areas of the body such as the knees, hips, or back, may be affected. Small imbalances can lead to pain, fatigue, or uneven wear on shoes. Over time, this may impact posture, stability, and the ability to move comfortably. Even simple activities like climbing stairs, carrying groceries, or standing for long periods of time can become harder when the foot is not functioning properly. Paying attention to how your feet move can help prevent discomfort and injury. If you are noticing soreness, poor balance, or unusual wear patterns on your shoes, it is suggested that you see a podiatrist for evaluation and guidance.

If you have any concerns about your feet, 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.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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.

Rheumatoid arthritis is a chronic autoimmune condition that causes the immune system to attack healthy joints, often affecting the feet and ankles. It leads to inflammation, pain, stiffness, and joint deformity. Causes include genetic and environmental factors that trigger an abnormal immune response. Risk factors include family history, smoking, and age. Symptoms in the feet may include swelling, tenderness, limited range of motion, and difficulty walking. A podiatrist can help manage foot-related symptoms through custom orthotics, supportive footwear, targeted exercises, and coordination with rheumatologists. If you are experiencing persistent foot pain, stiffness, or swelling, it is suggested that you visit a podiatrist for expert care and solutions to maintain mobility and improve your quality of life.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact Michael Tomey, DPM of Cary Foot & Ankle Specialists. Our doctor will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

• Swelling and pain in the feet
• Stiffness in the feet
• Pain on the ball or sole of feet
• Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

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.