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Symptoms and Treatment of Hammertoes
Hammertoe is a common condition where one or more of the smaller toes bend at the middle joint, creating a curled or Z-shaped appearance. A hammertoe deformity often results from an imbalance in the tendons that control toe movement, which can develop due to genetic factors, injury, or pressure from other foot conditions like bunions. The second toe is most commonly affected, and symptoms include pain and difficulty wearing tight shoes. Corns on the top of the toe and calluses on the ball of the foot may form by extra pressure while walking. An X-ray may be taken to determine the severity of the hammertoe. Treatment options include taping or splinting the toe to reduce strain, as well as wearing orthotics that help redistribute pressure and improve foot alignment. A podiatrist can offer noninvasive measures as well as surgical solutions to relieve pain and restore proper foot function. If you have a painful hammertoe, it is suggested that you schedule an appointment with a podiatrist for treatment.
Hammertoes can be a painful condition to live with. For more information, contact Dr. James Kutchback of James Kutchback, DPM, ABLES, CWS-P. Our doctor will answer any of your foot- and ankle-related questions.
Hammertoe
Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.
Symptoms
- Painful and/or difficult toe movement
- Swelling
- Joint stiffness
- Calluses/Corns
- Physical deformity
Risk Factors
- Age – The risk of hammertoe increases with age
- Sex – Women are more likely to have hammertoe compared to men
- Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
- Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe
Treatment
If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work 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.
Running Blisters and How to Prevent Them
A running blister is a painful pocket of fluid that forms between layers of skin due to friction. This common injury occurs when repetitive rubbing from shoes or socks irritates the skin, causing it to separate and fill with fluid. Blisters are most likely to appear on the feet, particularly on the heels, toes, or soles, during long runs or intense physical activity. Prevention is key to avoiding blisters. Wearing well-fitted shoes that provide proper support and minimize friction is essential. Choosing moisture-wicking socks can help reduce the build-up of sweat, which increases the risk of blister formation. Using blister prevention tape or cushioned insoles can provide additional protection in high-risk areas. Finally, gradually increasing running distances allows the feet to adapt, reducing the likelihood of blisters. Foot blisters can be uncomfortable and may become infected if not properly treated. If you have a foot blister, it is suggested that you contact a podiatrist for proper treatment and prevention techniques.
Blisters may appear as a single bubble or in a cluster. They can cause a lot of pain and may be filled with pus, blood, or watery serum. If your feet are hurting, 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.
Foot Blisters
Foot blisters are often the result of friction. This happens due to the constant rubbing from shoes, which can lead to pain.
What Are Foot Blisters?
A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.
Symptoms
(Blister symptoms may vary depending on what is causing them)
- Bubble of skin filled with fluid
- Redness
- Moderate to severe pain
- Itching
Prevention & Treatment
In order to prevent blisters, you should be sure to wear comfortable shoes with socks that cushion your feet and absorb sweat. Breaking a blister open may increase your chances of developing an infection. However, if your blister breaks, you should wash the area with soap and water immediately and then apply a bandage to the affected area. If your blisters cause severe pain it is important that you call your podiatrist right away.
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.
Heel Pain Can Be Treated!
Do you suffer from heel pain when you get up in the morning? If so, you should seek the professional help of your podiatrist and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.
Finding the Right Shoe Fit
Choosing the correct shoe fit is both an art and a science. It begins with matching the shoe shape to the natural form of your foot, ensuring the shoe follows your foot’s contour. Size is also key, and it is best determined by the length of the arch rather than simply by toe position. A well-fitting shoe should allow the first metatarsal joint, the base of the big toe, to sit in the shoe’s widest area. For maximum comfort, look for lightweight shoes with soft midsoles and gently curved rocker soles. These features tend to feel better for everyday wear. Flexibility in the sole, internal shoe temperature, and insoles can affect comfort, although these factors may vary based on individual needs and activities. Ultimately, a good fit supports foot health and enhances comfort, helping you stay active and pain-free. If you want assistance in selecting the right shoe fit for you, it is suggested that you reach out to a podiatrist for guidance.
Getting the right shoe size is an important part of proper foot health. Seek the assistance of Dr. James Kutchback from James Kutchback, DPM, ABLES, CWS-P. Our doctor will provide the care you need to keep you pain-free and on your feet.
Getting the Right Shoe Size
There are many people who wear shoes that are the incorrect size, negatively affecting their feet and posture. Selecting the right shoes is not a difficult process, so long as you keep several things in mind when it comes to choosing the right pair.
- When visiting the shoe store, use the tools available to measure your foot.
- Be sure there is ‘wiggle room’. There should be about an inch between your toes and the tip of your shoes.
- Do not always assume you are the same size, as manufacturers run differently.
- Purchase shoes later in the day, as your feet swell as the day progresses.
- If a shoe is not comfortable, it is not suitable. Most shoes can’t be ‘broken in’, and comfort should be the ultimate goal when it comes to choosing the right pair of shoes
As our feet hold our body weight and keep us moving, it is important to treat them right. Picking the right pair of shoes can provide your feet comfort and mobility without pain.
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.
Alternative Dressings in Diabetic Ulcers
In diabetic foot care, selecting the right wound dressing is vital to aid healing and prevent infection. Dressings protect the wound and cater to specific ulcer needs. Non-stick dressings are gentle on delicate skin, preventing adherence that could cause irritation. For wounds with heavy fluid, foam and gel dressings are excellent for absorbing excess moisture. Hydrogels help with the natural breakdown of dead tissue, making them suitable for wounds with dry, necrotic areas. Antimicrobial dressings with iodine or silver help reduce infection, although sealed dressings are not recommended if an infection is present, as they can trap bacteria. Dressings should be changed frequently, particularly in highly draining ulcers, to prevent skin breakdown surrounding the wound. If you have a diabetic foot wound, it is strongly suggested that you schedule an appointment with a podiatrist who can examine your wound, and recommend the best dressing choice for your ulcer’s condition.
Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, 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 Wound Care?
Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic.
What Is the Importance of Wound Care?
While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.
How to Care for Wounds
The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.
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.
What Is a Tarsal Condition?
The talocalcaneal coalition is a common type of tarsal coalition, a condition where two or more tarsal bones in the foot are abnormally connected, often leading to restricted movement and pain. This subtype involves the fusion of the talus and calcaneus bones, impacting foot flexibility. Another frequent subtype is the calcaneonavicular coalition, where the calcaneus and navicular bones are fused. The calcaneus is the heel bone at the back of the foot. The navicular is in the midfoot, in front of the ankle bone or talus, and helps support the arch. Both coalitions are typically congenital, meaning they are present at birth, although symptoms often do not appear until adolescence when the bones fully mature. Symptoms include stiffness, pain in the foot or ankle, and a flat-footed appearance due to limited movement in the hindfoot. Diagnosis is usually confirmed through X-rays, CT, or MRI scans. Treatment may involve rest, orthotics, or targeted exercises. In severe cases, surgery is needed to resection the coalition and restore mobility, significantly improving long-term outcomes. If you have symptoms as described above, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and appropriate treatment.
Some foot conditions may require additional professional care. If you have any concerns, 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.
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 offices located in The Woodlands and Woodville, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Reminder: When Was the Last Time...?
Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!
What Can Cause Poor Circulation in the Feet
Poor circulation in the feet can result from several underlying health issues, significantly impacting overall well-being. Atherosclerosis, a condition where arteries become narrowed due to plaque buildup, restricts blood flow and can lead to inadequate circulation in the lower extremities. High blood pressure is another contributing factor, as it can damage blood vessels over time, further impeding blood flow. Peripheral artery disease, or PAD, is a narrowing of the arteries specifically in the legs and feet, leading to pain and numbness during physical activity. Heart failure can also cause poor circulation, as the heart struggles to pump blood effectively, resulting in reduced blood supply to the extremities. If you have poor circulation in your feet, it is suggested that you consult a podiatrist who can determine what the cause is and offer effective treatment solutions.
Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact Dr. James Kutchback of James Kutchback, DPM, ABLES, CWS-P. Our doctor will treat your foot and ankle needs.
Poor Circulation in the Feet
Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.
Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.
Causes
Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development. It can also cause:
- Muscle pain, stiffness, or weakness
- Numbness or cramping in the legs
- Skin discoloration
- Slower nail & hair growth
- Erectile dysfunction
Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.
As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication.
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.
Understanding Clubfoot
Clubfoot, or talipes equinovarus, is a congenital condition where a newborn’s foot appears twisted or turned inward. The exact causes of clubfoot are not fully understood, but it is believed to result from a combination of genetic and environmental factors. In many cases, clubfoot occurs in isolation, but it can also be associated with other congenital conditions. The Ponseti method is a widely recognized treatment for clubfoot, involving a series of gentle manipulations and the application of casts to gradually correct the foot’s position. This method is typically initiated shortly after birth and aims to achieve a functional and pain-free foot. After the initial treatment, a brace is often used to maintain the corrected position. Early diagnosis and intervention are critical for successful treatment, allowing children to develop normally and engage in activities without limitations. If your child has been born with clubfoot, it is suggested that you include a podiatrist on your healthcare team who can help you to properly monitor and manage this condition.
Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, 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.
Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.
What are Causes of Congenital Foot Problem?
A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.
What are Symptoms of Congenital Foot Problems?
Symptoms vary by the congenital condition. Symptoms may consist of the following:
- Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
- Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
- Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
- Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
- Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
- Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.
Treatment and Prevention
While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.
If you have any questions please feel free to contact our offices located in The Woodlands and Woodville, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Children’s Foot Pain That Requires Care
Foot pain is common in active children due to sports, play, or growth. While many foot aches resolve on their own with rest, certain symptoms can signify severe foot problems that need podiatric attention. If your child is unable to move or stand on their foot, or if the foot appears twisted or out of place, it could indicate a more serious injury. An unstable foot when stepping down is also a sign that something is wrong. Infections in the foot can present as increased pain, swelling, warmth, or redness. Red streaks leading from the sore area or pus draining from a spot on the foot should not be ignored, especially if your child develops a fever. In these cases, it is strongly suggested that you visit a podiatrist who can diagnose and treat conditions early to prevent long-term complications.
The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, 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.
Tips for Keeping Children's Feet Healthy
- Make sure their shoes fit properly
- Look for any signs of in-toeing or out-toeing
- Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
- Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
- Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
- Cut toenails straight across to avoid ingrown toenails
- Keep your child’s foot clean and dry
- Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.
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.