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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, 02 April 2024 00:00

Recovery From a Foot Stress Fracture

Recovery from a foot stress fracture requires patience, diligence, and strategic care to facilitate optimal healing and prevent further injury. Begin by prioritizing rest and minimizing weight-bearing activities to alleviate stress on the affected foot. Elevate the foot above heart level to reduce swelling and promote circulation, aiding in the healing process. As symptoms improve, gradually reintroduce gentle stretching and strengthening exercises to rebuild muscle strength and flexibility. Consider incorporating low-impact activities like swimming or cycling to maintain cardiovascular fitness while avoiding undue strain on the healing fracture. Ensure proper nutrition, including adequate calcium and vitamin D intake, to support bone health and expedite healing. If you have a stress fracture that has affected your foot, it is suggested that you schedule an appointment with a podiatrist who can help you properly manage this condition.

Stress fractures occur when there is a tiny crack within a bone. To learn more, 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 Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

  • Gender – They are more commonly found in women compared to men.
  • Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
  • Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
  • Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
  • Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

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 Dealing with Stress Fractures of the Foot and Ankle
Tuesday, 26 March 2024 00:00

The Functionality of Foot Arches

The biomechanics of the human foot comprises three primary arches, which are the medial longitudinal arch, the lateral longitudinal arch, and the transverse arch. These arches, constructed of bones, ligaments, and tendons, play a vital role in providing support, stability, and shock absorption during weight-bearing activities. The medial longitudinal arch, running along the inner edge of the foot, acts as a natural spring, absorbing the impact of each step and distributing the body's weight evenly. Its counterpart, the lateral longitudinal arch, assists in maintaining balance and stability by bearing weight on the outer edge of the foot. The transverse arch, situated across the midfoot, adds further structural integrity to the foot and facilitates weight transfer during movement. Together, these arches work harmoniously to adapt to various surfaces, absorb shocks, and propel the body forward efficiently. If you are interested in learning more about how the arches of the foot work in harmony with the bones, ligaments, and muscles, it is suggested that you confer with a podiatrist who can provide you with interesting information.

If you have any concerns about your feet, 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.

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 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 The Importance of Biomechanics in Podiatry
Monday, 25 March 2024 00:00

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!

Selecting the right running shoes for women is essential for a comfortable injury-free running experience. When considering footwear, it is important to understand one's foot type and running style. Women should prioritize shoes that offer adequate support and cushioning, tailored to their unique needs. Assessing factors like arch height, pronation, and foot width helps to make the best selection. For individuals with low arches stability shoes provide support, while neutral shoes suit those with normal arches. Additionally, women with high arches benefit from shoes that offer extra cushioning and flexibility. The shoe's fit should feel snug yet allow room for natural foot movement. Investing in quality footwear that aligns with your specific biomechanics enhances comfort and reduces the risk of injury, enabling women to enjoy their runs to the fullest. If you are purchasing running shoes, it is suggested that you schedule an appointment with a podiatrist to select the appropriate pair.

If you are a runner, wearing the right running shoe is essential. For more information, 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.

Choosing the Right Running Shoe for Your Foot Type

To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.

  • Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
  • Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
  • Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.

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 Choosing the Right Running Shoe for Your Foot Type
Tuesday, 12 March 2024 00:00

Indications of Toe Arthritis

Toe arthritis, a condition causing inflammation in the joints of the toes, has a range of symptoms, offering insight into its presence. Most commonly, individuals experience pain, swelling, and stiffness in the affected toes, often intensifying with movement. As arthritis progresses, the joints may lose flexibility, impeding regular toe movements. A notable sign is the development of a grinding sensation or audible cracking when the affected toes are in motion. The condition can also lead to changes in the toe's appearance, such as deformities or the formation of bunions. As arthritis takes its toll, daily activities, like walking or standing, may become increasingly challenging. Recognizing these subtle yet significant indicators enables individuals to seek timely medical attention. If you have toe pain, it is strongly suggested that you visit a podiatrist who can accurately diagnose toe arthritis and offer appropriate treatment options.

Toe pain can disrupt your daily activities. 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.

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 offices located in The Woodlands and Woodville, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Toe Pain
Tuesday, 05 March 2024 00:00

The Impact of Diabetes on Foot Health

Diabetes poses significant risks to foot health, highlighting the importance of vigilant care and preventive measures. Elevated blood sugar levels can damage nerves, known as neuropathy, and reduce blood flow, impairing sensation and circulation in the feet. Neuropathy diminishes the ability to feel pain, heat, or cold, increasing the likelihood of unnoticed injuries or wounds. Additionally, reduced blood flow hampers the body's ability to heal, increasing the risk of foot infections and ulcers. Diabetes also heightens susceptibility to foot complications like corns, calluses, and fungal infections due to impaired immune function. Charcot foot, a severe condition characterized by weakened bones and joint deformities, is another complication of diabetes that can lead to disability without proper care. To mitigate these risks, individuals with diabetes must adopt a comprehensive foot care regimen. If you have diabetes, it is strongly suggested that you are under the care of a podiatrist who can help you to manage the effects of this condition on your feet.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, 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.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

  • Routinely inspect your feet for bruises or sores.
  • Wear socks that fit your feet comfortably.
  • Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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 Diabetic Foot Care

Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.

Tuesday, 27 February 2024 00:00

Causes of Foot and Ankle Swelling

Foot and ankle swelling, medically known as peripheral edema, can be a distressing symptom with various underlying causes. One common reason for swelling is fluid retention, which can occur due to prolonged standing or sitting, especially in hot weather. Another culprit is injury or trauma to the foot or ankle, leading to inflammation and fluid accumulation in the affected area. Medical conditions such as venous insufficiency, deep vein thrombosis, or lymphatic obstruction can also result in swelling. Furthermore, heart failure, kidney disease, liver disease, and certain medications can contribute to fluid retention and subsequent swelling in the lower extremities. Hormonal changes during pregnancy or menstruation may cause temporary swelling. Lifestyle factors, like excessive salt intake, poor diet, obesity, and lack of physical activity, can cause swelling. Identifying the underlying cause of foot and ankle swelling is essential for effective management and prevention of complications. If your feet or ankles are swollen, it is suggested that you consult a podiatrist who can determine the cause and offer appropriate relief and treatment solutions.

Swollen feet can be a sign of an underlying condition. 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.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

  • Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
  • Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
  • Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
  • Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
  • Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

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.


 

Read more about Swelling of the Feet
Tuesday, 20 February 2024 00:00

What Is Hereditary Multiple Exostoses?

Hereditary multiple exostoses, or HME, is a rare genetic condition causing benign cartilage tumors to form near bone growth areas. It is often inherited, more commonly from the father. While it mostly affects males and is usually diagnosed before the age of 10, females can also carry and pass on the condition. These tumors, known as osteochondromas, can develop in various bones, such as in the feet. They can lead to discomfort, especially if the tumors press against nerves or surrounding tissues. Additionally, as the tumors grow, they can cause mechanical pain, specifically if they interfere with joint movement or cause bone deformities. Treatment typically involves surgical removal when symptoms arise or if there is a risk of cancerous changes. If you have foot pain, it is suggested that you schedule an appointment with a podiatrist. Despite its rarity, HME can significantly affect individuals' daily lives, emphasizing the importance of early diagnosis and appropriate management.

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.
 

Read more about Rare Foot Conditions
Tuesday, 13 February 2024 00:00

Senior Foot Care

As we age, elderly foot care becomes increasingly important for maintaining mobility and preventing discomfort. It is beneficial for seniors to prioritize regular foot inspections that check for any signs of cuts, sores, or infections. Keeping the feet clean and dry helps prevent fungal infections and reduces the risk of complications. Moisturizing the feet regularly, especially the heels and soles, can prevent dryness and cracking. Choosing comfortable, well-fitted shoes with ample support and cushioning is essential to prevent foot pain and reduce the risk of falls. Seniors with diabetes should pay extra attention to foot care, inspecting for any signs of neuropathy or ulcers, and seeking prompt medical attention if necessary. Additionally, elevating the feet and performing gentle stretching exercises can help alleviate swelling and improve circulation. Finally, scheduling regular visits to a podiatrist for professional foot care and addressing any foot concerns promptly ensures optimal foot health and overall well-being for seniors. If you are elderly or providing care for a senior person, it is suggested that a podiatrist is included on the professional healthcare team.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, 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.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

  • Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
  • Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
  • Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
  • Gouging toenails affecting nearby toe
  • Shoes that don’t fit properly
  • Pressure sores
  • Loss of circulation in legs & feet
  • Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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 Elderly and their Feet
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