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Podiatrist, Foot Doctor James Kutchback, DPM, ABLES, CWS-P located in The Woodlands, TX 77384 and Woodville, TX 75979 area

The Woodlands
Woodville
(936) 273-3311

 
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Tuesday, 28 March 2023 00:00

Psoriatic Arthritis and the Feet

Psoriasis is a skin condition that causes red patches of skin with silvery scales. Psoriatic arthritis or PsA is a kind of inflammatory arthritis that affects people who suffer from psoriasis. PsA causes pain, swelling, and tenderness in joints, and it can affect the feet, toes, and toenails. In fact, these are some of the unique traits of this type of arthritis. When PsA leads to swelling of the toes, it is called dacylitis of the toes. This swelling, caused by tenosynovitis or inflammation of the tendon sheath, usually impacts the entire toe rather than a single joint, and the toe can look like a sausage. Psoriatic arthritis can also result in swelling and tenderness in the ankles and heels, accompanied by a red or purple tint of the skin. Furthermore, PsA sufferers can develop enthesitis, which is inflammation where the tendons and ligaments connect with bone. This often affects one's Achilles tendon, which connects the heel to the calf muscles. This, too, leads to swelling and pain in the back of the heel and ankle, as well as the sole of the foot. The effects on the feet from psoriatic arthritis are numerous. If you have developed this condition, it is strongly suggested that you have a podiatrist on your medical team who can help you navigate the uncomfortable symptoms you may feel.

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Dr. James Kutchback from James Kutchback, DPM, ABLES, CWS-P. Our doctor can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a term that is commonly used to describe joint pain.  The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it.  Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.

Symptoms

  • Swelling
  • Pain
  • Stiffness
  • Decreased Range of Motion

Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.

Risk Factors

  • Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
  • Obesity – Excess weight can contribute to osteoarthritis development
  • Infection – Microbial agents can infect the joints and trigger arthritis
  • Joint Injuries – Damage to joints may lead to osteoarthritis
  • Age – Risk increases with age
  • Gender –Most types are more common in women
  • Genetics – Arthritis can be hereditary

If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method is best for you.

If you have any questions, please feel free to contact our offices located in The Woodlands and Woodville, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about How to Care for Your Arthritic Foot
Tuesday, 21 March 2023 00:00

Two Activities Requiring Different Shoes

Walking and running are considered to be different hobbies that require appropriate shoes to be worn for the chosen activity. Both have excellent health benefits and engage many of the same muscles, but this is where the similarities end. The joints in the feet move differently during walking and running, and the body absorbs approximately twice the body weight as it lands. With running, the feet strike the ground with more impact than with walking, and create different types of wear and tear patterns in the shoe. Running shoes can offer more cushioned support in the arch and midfoot, and can help the body to propel forward. Conversely, walking shoes have the flexibility that can ensure a good range of motion. If you would like more information about the differences between walking and running shoes, it is suggested that you speak with a podiatrist who can help you to choose what type of shoe is best for you.

For more information about walking shoes versus running shoes, consult with Dr. James Kutchback from James Kutchback, DPM, ABLES, CWS-P. Our doctor can measure your feet to determine what your needs are and help you find an appropriate pair of footwear.

Foot Health: The Differences between Walking & Running Shoes

There are great ways to stay in shape: running and walking are two great exercises to a healthy lifestyle. It is important to know that running shoes and walking shoes are not interchangeable. There is a key difference on how the feet hit the ground when someone is running or walking. This is why one should be aware that a shoe is designed differently for each activity.

You may be asking yourself what the real differences are between walking and running shoes and the answers may shock you.

Differences

Walking doesn’t involve as much stress or impact on the feet as running does. However, this doesn’t mean that you should be any less prepared. When you’re walking, you land on your heels and have your foot roll forward. This rolling motion requires additional support to the feet.

Flexibility – Walking shoes are designed to have soft, flexible soles. This allows the walker to push off easily with each step.

If you have any questions, please feel free to contact our offices located in The Woodlands and Woodville, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Differences between Walking and Running Shoes
Tuesday, 14 March 2023 00:00

Am I Wearing the Right Shoe Size?

There are various ways to determine your shoe size and ensure a proper fit. Using a Brannock device is an effective measuring tool that is found in most shoe stores. However, many people opt to know their shoe size before going to the store and this can be accomplished at home. The first step is to trace the foot on a piece of paper while wearing the intended socks. This is followed by using a size conversion chart and matching the length of the traced foot to its corresponding size. When a shoe fits properly, there is adequate room for the toes to move freely, and the heel and midfoot fit snugly. It is beneficial to measure the feet each time new shoes are purchased. The best time of day to measure the feet is in the afternoon when the feet are at their largest. If you would like more information on how to find shoes that fit properly, please speak with your local podiatrist.

Finding a properly-fitting shoe is important in reducing injuries and preventing foot problems. For more information about treatment, contact Dr. James Kutchback from James Kutchback, DPM, ABLES, CWS-P. Our doctor will treat your foot and ankle needs.

Proper Shoe Fitting

A common concern when it comes to foot health, having properly fitted shoes can help prevent injuries to the foot. Out feet affect our posture and gait, which in turn affects the biomechanics and overall bodily structure. With 33 joints, 26 bones, and over 100 ligaments, the potential for serious injury is much greater than one realizes. Although the feet cease growth in adulthood, they still change shape as they mature. Here are some factors to consider when it comes to investing in proper fitting shoes:

  • Be sure the shoes fit correctly right away
  • Ensure the ball of your foot fits comfortably in the widest portion of the shoes
  • Even though they may look fashionable, improper fitting shoes can either create adverse conditions or exacerbate existing ones you may already have
  • Walk along a carpeted surface to ensure the shoes comfortably fit during normal activity

Keeping in mind how shoes fit the biomechanics of your body, properly-fitting shoes are vitally important. Fortunately, it is not difficult to acquire footwear that fits correctly. Be sure to wear shoes that support the overall structure of your body. Do your feet a favor and invest in several pairs of well-fitted shoes today.

If you have any questions please feel free to contact our offices located in The Woodlands and Woodville, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Proper Shoe Fitting
Monday, 13 March 2023 00:00

Are You Suffering From Ingrown Toenails?

If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!

Tuesday, 07 March 2023 00:00

Preventing Falls in the Grocery Store

When a senior grows older, it is common for the strength in their feet to be diminished. As a result, they might be likely to fall due to this diminished strength, which might, in turn, further injure the feet. The grocery store is one such place in which a senior might be particularly susceptible to suffering a fall. For example, there might be fluids on the floor that could prove to be especially slippery. Also, it is possible that items and products might have fallen from the shelves, creating tripping hazards for seniors. It can be important to do all you can to prevent falling in the grocery store to protect your feet from injury. One important way to do this is to improve mobility and strength in the feet. If you are a senior, you might contact a podiatrist today for more information on how you can prevent falls and to receive treatment for any foot condition you might have. 

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Dr. James Kutchback from James Kutchback, DPM, ABLES, CWS-P. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

  • Enrolling in strength and balance exercise program to increase balance and strength
  • Periodically having your sight and hearing checked
  • Discuss any medications you have with a doctor to see if it increases the risk of falling
  • Clearing the house of falling hazards and installing devices like grab bars and railings
  • Utilizing a walker or cane
  • Wearing shoes that provide good support and cushioning
  • Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

If you have any questions, please feel free to contact our offices located in The Woodlands and Woodville, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Falls Prevention
Tuesday, 28 February 2023 00:00

Children’s Socks

Many children might resist their parent’s efforts to make them wear socks. Some children might find socks annoying or even uncomfortable. However, it is important for children to wear socks for a variety of reasons. Most importantly, when a child wears socks with their shoes, they are essentially protecting their feet from developing blisters. Wearing socks with shoes can also help protect a child’s feet from encountering bacteria. In turn, this might make the development of infections less likely. Lastly, wearing socks around the house can prevent your child’s feet from getting cold. Socks for children come in many different types. Some socks for children are even made with rubber “grippers.” This feature is essentially meant to help the child feel more stable and less wobbly when walking. It is suggested that you contact a podiatrist today for more information about children’s socks.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Dr. James Kutchback of James Kutchback, DPM, ABLES, CWS-P. Our doctor can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

If you have any questions please feel free to contact our offices located in The Woodlands and Woodville, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about What to Do to Keep Your Child’s Feet Healthy
Tuesday, 21 February 2023 00:00

Plantar Fasciitis and Pickleball

Pickleball is a sporting activity that dates back 50 years. It can be compared to tennis and badminton, and the feet can often become injured. Plantar fasciitis is an injury that commonly affects pickleball players. It is defined as an inflammation of the plantar fascia, which is found on the sole of the foot. It connects the heel to the toes, and can become inflamed from straining, which can happen from overuse. This sport is played on outdoor asphalt surfaces, and can be extremely demanding on the feet. Many people enjoy playing pickleball for several hours in a row, and may find they are limping off of the court. Effective prevention methods can include wearing shoes that fit correctly, and limiting the play time for this sport. Having an abnormal foot structure, such as flat feet or high arches, may contribute to developing plantar fasciitis. People who enjoy playing pickleball that have these existing foot conditions may benefit from wearing custom-made orthotics. If you would like to have more information about how to protect your feet while playing pickleball, it is suggested that you confer with a podiatrist who can offer you additional prevention methods.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. James Kutchback  from James Kutchback, DPM, ABLES, CWS-P. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

If you have any questions please feel free to contact our offices located in The Woodlands and Woodville, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Plantar Fasciitis
Monday, 20 February 2023 00:00

Wounds That Don't Heal Need to Be Checked

Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

Tuesday, 14 February 2023 00:00

Dealing With a Torn Ligament in the Ankle

A twisted ankle is the most common cause of torn ligaments, also called ankle sprains. The foot rolls under and over-stretches the ligament that helps to stabilize the ankle joint. This can occur while stepping off a curb, landing on the foot wrong while walking or running, or playing sports where a lot of running and jumping are involved. Symptoms of an ankle sprain include pain, bruising, a loose feeling in the joint, and difficulty bearing weight. The incident may have generated a popping sound, and the ankle may begin to swell. The first way to deal with a sprained ankle is to cease the activity. Depending on the severity of the sprain, you may wish to see a medical professional, such as a podiatrist, as soon as possible. In the meantime wrapping the ankle to keep down the swelling, keeping it elevated, and applying ice is a good stopgap measure. It is exceedingly important to allow an ankle sprain to heal completely. If this is ignored, the chances are that the ankle will be re-injured, and sprains may become a chronic condition. For more information about an ankle sprain, please consult a podiatrist for an exam and long term treatment plan.  

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact Dr. James Kutchback from James Kutchback, DPM, ABLES, CWS-P. Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

  • Pain at the sight of the tear
  • Bruising/Swelling
  • Ankle area is tender to touch
  • In severe cases, may hear/feel something tear
  • Skin discoloration

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

If you have any questions, please feel free to contact our offices located in The Woodlands and Woodville, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Three Grades of Ankle Sprains
Tuesday, 07 February 2023 00:00

Various Reasons for Ankle Pain

There are many reasons why people can experience ankle pain. These include ailments that range from chronic conditions consisting of arthritis to minor injuries such as an ankle sprain. Ankle pain can happen from damage that has been done to the muscles and soft tissues that support the ankle, and it can interfere with walking. Swelling can often accompany ankle pain, and it is suggested to seek medical attention. An Achilles tendon injury can radiate to the ankle, and this can happen suddenly or gradually. It causes difficulty to stand on tiptoes, and there may be a limited range of motion. Severe pain is generally present if the ankle has fractured, and treatment can require wearing a supportive boot or cast. People who have frequent gout attacks may notice that they have ankle pain. This is considered to be a form of arthritis, and the ankle joints may become inflamed. If you have ankle pain for any reason, please contact a podiatrist as quickly as possible. This doctor can determine what the cause is, and choose the best treatment for it.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Dr. James Kutchback from James Kutchback, DPM, ABLES, CWS-P. 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 offices located in The Woodlands and Woodville, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

 

Read more about Various Causes of Ankle Pain
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