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Tuesday, 27 July 2021 00:00

Ankle-Brachial Index and PAD

The ankle-brachial index test is a relatively quick, painless, and non-invasive screening measure used to test for the presence of peripheral artery disease (PAD). PAD is a condition in which circulation in the lower limbs is reduced, typically due to a buildup of plaque in the arteries that can cause them to narrow and harden, thereby impeding blood flow. Symptoms of PAD may include leg cramps, numbness, muscle weakness, and difficulty walking, but in its earlier stages, this condition is often asymptomatic. For this reason, it is important to get tested for PAD. People who are older and those who have a history of cardiovascular disease are especially at risk and can be tested by their podiatrist. During the ankle-brachial index test, the podiatrist measures the blood pressure at the upper arm and at the ankle, comparing the resulting numbers to form a ratio that predicts the likelihood of you having PAD. A high ankle-brachial index score can predict not only PAD, but also cardiovascular events, such as a heart attack or stroke. If you are at risk of PAD or are experiencing any symptoms, talk to your podiatrist about vascular testing today. 

Vascular testing plays an important part in diagnosing disease like peripheral artery disease. If you have symptoms of peripheral artery disease, or diabetes, 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.

What Is Vascular Testing?

Vascular testing checks for how well blood circulation is in the veins and arteries. This is most often done to determine and treat a patient for peripheral artery disease (PAD), stroke, and aneurysms. Podiatrists utilize vascular testing when a patient has symptoms of PAD or if they believe they might. If a patient has diabetes, a podiatrist may determine a vascular test to be prudent to check for poor blood circulation.

How Is it Conducted?

Most forms of vascular testing are non-invasive. Podiatrists will first conduct a visual inspection for any wounds, discoloration, and any abnormal signs prior to a vascular test.

 The most common tests include:

  • Ankle-Brachial Index (ABI) examination
  • Doppler examination
  • Pedal pulses

These tests are safe, painless, and easy to do. Once finished, the podiatrist can then provide a diagnosis and the best course for treatment.

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.

 

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Tuesday, 20 July 2021 00:00

Signs of Cuboid Syndrome

The cuboid is a cube-shaped bone located in the middle of your foot. This bone can become injured or dislocated following an injury to the foot. People who play sports that put a lot of stress on the feet and people with notable overpronation of the feet are said to have an increased risk for developing this condition. The most common symptom of cuboid syndrome is pain and weakness in the affected foot, particularly when bearing weight. The foot may also be swollen, tender, or red. These symptoms can be severe enough to make walking or standing difficult, sometimes causing a limp, and interfering with daily activities. Symptoms can also have a sudden or gradual onset. If your foot is showing any signs or symptoms of cuboid syndrome, it is suggested that you consult with a podiatrist as soon as possible.

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 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.

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 offices located in The Woodlands and Woodville, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

 

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Tuesday, 13 July 2021 00:00

Understanding Morton’s Neuroma

A neuroma is a condition where the tissue that surrounds a nerve becomes thickened and inflamed. A neuroma can materialize around any nerve of the body, but when it occurs between the 3rd and 4th toes (or less commonly the 2nd and 3rd toes), it is known as Morton’s Neuroma. This benign growth of nerve cells can cause tingling, pain, and numbness in the ball of the foot—often making it feel as if there is a pebble stuck in your shoe. It is suggested that you see a podiatrist if you suspect you have Mortaon’s neuroma, as the condition may worsen and possibly lead to permanent nerve damage.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Dr. James Kutchback of James Kutchback, DPM, ABLES, CWS-P. 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 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 Morton's Neuroma
Monday, 12 July 2021 00:00

Plantar Warts Can Be Treated!

Plantar warts are small growths that develop on parts of the feet that bear weight. They're typically found on the bottom of the foot. Don't live with plantar warts, and call us today!

Tuesday, 06 July 2021 00:00

Should I Treat My Bunions?

Bunions are bony growths that appear on the outer side of the foot at the base of the big toe joint. This is a deformity that may cause pain, swelling, redness, and difficulty wearing shoes and while walking. When left untreated, bunions tend to progressively worsen over time. As a bunion grows, it pushes the big toe towards the smaller toes, changing the shape of the foot in the process. The misaligned big toe may then push the second toe out of alignment. Bunions can also lead to arthritis in the big toe joints. Bunions can be managed and their progression can be slowed through a variety of conservative treatments, such as footwear modifications. Surgery may also be an option and can permanently correct a bunion. If you suffer from bunions, it is suggested that you see a podiatrist for treatment.

If you are suffering from bunions, 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.

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 The Woodlands and Woodville, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 29 June 2021 00:00

What Is a Metatarsal Fracture?

The metatarsals are five long, slim bones that run the length of the foot to the base of the toes. They are a common site of fractures. The fifth metatarsal bone, which is located on the outside of the foot and connects your pinky toe to the rest of the foot, is the most likely foot bone to be fractured due to an acute injury. Metatarsals can also be the site of stress fractures, which occur over time due to overuse. Like other fractures, metatarsal fractures may be open or closed. Open fractures refer to broken bones that break through the skin, while closed fractures are internal. Metatarsal fractures can also be displaced, where the bones have become misaligned, or nondisplaced. If you suspect that you may have broken a bone in your foot, it is suggested that you see a podiatrist as soon as possible. 

A broken foot requires immediate medical attention and treatment. If you need your feet checked, 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.

Broken Foot Causes, Symptoms, and Treatment

A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury. 

Common Symptoms of Broken Feet:

  • Bruising
  • Pain
  • Redness
  • Swelling
  • Blue in color
  • Numbness
  • Cold
  • Misshapen
  • Cuts
  • Deformities

Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.

Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.

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 Causes, Symptoms, and Treatment for a Broken Foot

If you are suffering from tenderness, pain, or stiffness in the joints of your feet or ankles, call us to schedule an appointment.

Tuesday, 22 June 2021 00:00

Athlete’s Foot: Not Just for Athletes

Athlete’s Foot is a fungal infection that affects the skin on the feet. Despite its name, this fungal infection does not only occur in athletes. In fact, Athlete’s foot affects 1 out of 10 Americans. Athlete’s Foot is also known as dermatophytosis of the foot or tinea pedis. The fungi that are responsible for this condition feed on skin proteins called keratin, and love hot and steamy environments such as locker rooms, swimming pools, non-breathable footwear, and blisters and cuts on the feet which allow them access into your system. Getting a proper diagnosis is important in order for your podiatrist to rule out other conditions such as eczema and pso­ri­a­sis, and to provide proper treatment.

Athlete’s foot is an inconvenient condition that can be easily reduced with the proper treatment. If you have any concerns about your feet and ankles, contact Dr. James Kutchback from James Kutchback, DPM, ABLES, CWS-P.  Our doctor will treat your foot and ankle needs.

Athlete’s Foot: The Sole Story

Athlete's foot, also known as tinea pedis, can be an extremely contagious foot infection. It is commonly contracted in public changing areas and bathrooms, dormitory style living quarters, around locker rooms and public swimming pools, or anywhere your feet often come into contact with other people.

Solutions to Combat Athlete’s Foot

  • Hydrate your feet by using lotion
  • Exfoliate
  • Buff off nails
  • Use of anti-fungal products
  • Examine your feet and visit your doctor if any suspicious blisters or cuts develop

Athlete’s foot can cause many irritating symptoms such as dry and flaking skin, itching, and redness. Some more severe symptoms can include bleeding and cracked skin, intense itching and burning, and even pain when walking. In the worst cases, Athlete’s foot can cause blistering as well. Speak to your podiatrist for a better understanding of the different causes of Athlete’s foot, as well as help in determining which treatment options are 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 and ankle needs.

Read more about How to Deal with Athlete's Foot
Wednesday, 16 June 2021 00:00

When to Consult With a Podiatrist

The foot is composed of 26 bones along with a variety of joints, tendons, ligaments and muscles. A podiatrist is a doctor that specializes in conditions that impact these structures of the foot as well as the ankle. They can specialize in a variety of specific areas, such as surgery, wound care, sports injuries, and diabetic conditions. Podiatrists can treat a variety of conditions that include (but are not limited to) bunions, heel pain, flat feet, sprains, warts, nail conditions, and corns or calluses. Podiatrists should be consulted when there is severe foot pain, swelling, numbness, an open sore or a sign of infection that lasts multiple days. You should also consult with a podiatrist immediately if the foot or ankle cannot bear any weight.

If you are dealing with pain in your feet and ankles, you may want to seek help from a podiatrist. Feel free to 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 a Podiatrist?

A podiatrist is a doctor of podiatric medicine who diagnoses and treats conditions of the foot, ankle, and related structures of the leg. Your podiatrist may specialize in a certain field such as sports medicine, wound care, pediatrics, and diabetic care. Podiatrists have the ability to become board certified through training, clinical experience, and then taking an exam.

What Do Podiatrists Do?

On a daily basis, a podiatrist may perform the following activities:

  • Diagnose foot ailments such as ulcers, tumors, fractures, etc.
  • Use innovative methods to treat conditions
  • Use corrective orthotics, casts, and strappings to correct deformities
  • Correct walking patterns and balance
  • Provide individual consultations to patients

It is very important that you take care of your feet. It’s easy to take having healthy feet for granted, however foot problems tend to be among the most common health conditions. Podiatrists can help diagnose and treat a variety of feet related conditions, so it is crucial that you visit one if you need assistance.

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 is a Podiatrist?

There are patients who have found their gait or walking style may have been altered if their lifestyle includes frequently wearing flip flops. The heel and ankles can negatively be affected, in addition to the skin on the feet when flip flops with no backs are worn often. Many people choose to wear this type of shoe for their ease and colorful designs, despite the potential damage they may cause. The toes can naturally scrunch in an effort to keep the shoe on the foot and performing this motion repeatedly can overstretch the plantar fascia, which is the band of tissue that connects the heel to the toes. If you enjoy wearing flip flops,please consult with a podiatrist who can recommend a more supportive sandal that can have less harmful side effects on the overall foot.

Flip-flops can cause a lot of problems for your feet. If you have any concerns about your feet or ankles, contact Dr. James Kutchback from James Kutchback, DPM, ABLES, CWS-P. Our doctor will assist you with all of your foot and ankle needs.

Flip-Flops and Feet

Flip-flops have managed to become a summer essential for a lot of people. While the shoes may be stylish and easy to slip on and off, they can be dangerous to those who wear them too often. These shoes might protect you from fungal infections such as athlete’s foot, but they can also give you foot pain and sprained ankles if you trip while wearing them.

When Are They Okay to Wear?

Flip-flops should only be worn for very short periods of time. They can help protect your feet in places that are crawling with fungi, such as gym locker rooms. Athlete’s foot and plantar warts are two common fungi that flip-flops may help protect your feet against.

Why Are They Bad for My Feet?

These shoes do not offer any arch support, so they are not ideal for everyday use. They also do not provide shock absorption or heel cushioning which can be problematic for your feet. Additionally, you may suffer from glass cuts, puncture wounds, and stubbed toes since they offer little protection for your feet.

More Reasons Why They Are Bad for Your Feet

  • They Slow You Down
  • May Cause Blisters and Calluses
  • Expose Your Feet to Bacteria

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 Flipping Out About Flip Flops
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