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Monday, 22 March 2021 00:00

Types Orthotics for Foot and Ankle Pain

Orthotics are specialized shoes or heel inserts that are made to treat various foot and ankle problems. They can be bought over the counter at major retailers or be custom-made by a podiatrist. Different types of orthotics are designed to treat different types of foot and ankle problems. Full support shoe orthotics, such as orthotic inserts, splints, and traction devices, are useful for patients who have injuries associated with overuse, stress, or arthritis. Heel pads are a type of orthotic often used to correct foot overpronation, a type of gait where the foot rolls inward while standing or walking. Traction shoes or traction ankle supports are orthotic devices used to reduce pain and swelling from conditions such as bunions or ankle sprains. To see if orthotics are right for you, please consult with a podiatrist.

If you are having discomfort in your feet and would like to try orthotics, 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 Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

If you have any questions please 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 Foot Orthotics
Monday, 15 March 2021 00:00

What Is Tarsal Tunnel Syndrome?

Tendons, blood vessels, and nerves—such as the tibial nerve which provides feeling and mobility in the foot—travel through the tarsal tunnel in the ankle. When the tibial nerve gets constricted or damaged, Tarsal Tunnel Syndrome can occur. This condition produces tingling or numbness, pain, and a weakening in muscles and various parts of the foot. It can be triggered by swelling, abnormal growths in bones and joints, varicose veins, abnormal arches, and various systemic diseases. A complete recovery is possible if the condition is diagnosed and treated in its early stages. To avoid permanent complications such as pain, numbness, and immobility, it is suggested to consult with a podiatrist who can provide a variety of treatments and therapies.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, 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.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

  • Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
  • Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
  • At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

  • Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
  • The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
  • If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require 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 and ankle needs.

Read more about Treating Tarsal Tunnel Syndrome
Monday, 08 March 2021 00:00

What Is Limb Salvage Surgery?

Limb salvage surgery is a surgical procedure designed to prevent amputation of a limb. The main goal of this surgery is to save the limb, restore or improve its function, and help the patient return to their daily activities. Certain conditions may endanger your lower extremities and require surgery to prevent amputation of the affected limb. Specific types of bone fractures, advanced diabetic wounds, infections, cancers, frostbite, and poor circulation may need surgical intervention to save the affected limb. For more information about limb salvage surgery as it pertains to the lower extremities, please consult with a podiatrist.

Limb salvage can be an effective way in preventing the need for limb amputation. If you have diabetes, cancer, or any other condition that could lead to foot amputation if left unchecked, 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 Limb Salvage?

Limb salvage is the attempt of saving a limb, such as the foot from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Diabetes is the number one cause of non-traumatic amputations in the United States. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.

However, there are other causes as well, such as cancer and traumatic injury. Links between higher mortality rates and amputation have been found. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.

Diagnosis and Treatment

Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated. 

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 Limb Salvage
Monday, 08 March 2021 00:00

It's Time for Beautiful Feet

You don't need an excuse to have beautiful nails. Step outside without worrying about the appearance of your feet.

Tuesday, 02 March 2021 00:00

Possible Foot Concerns with Aging

Because each foot consists of several bones, ligaments, and tendons provide stability to the body, there are conditions that gradually develop and affect the feet. These can include nail infections, gout, a neuroma, bunions, corns, hammertoes, and heel pain. Because of this, many older patients are concerned about foot disorders and the pain that may be associated with them. It may be difficult for older people to maintain balance which may lead to falling. Additionally, it can be challenging to climb stairs and exercise which can lead to weakness and muscle pain. If you are experiencing any type of foot pain, it is strongly advised that you are under the care of a podiatrist who can diagnose and offer correct treatment solutions.

If you need your feet checked, contact Dr. James Kutchback of James Kutchback, DPM, ABLES, CWS-P. Our doctor will attend to all of your foot and ankle needs and provide you with quality treatment.

Geriatrics and Podiatry
When people age, some common issues that may occur are bone density loss, dry skin, poor circulation, and rough brittle nails. These issues may also affect your foot health if the necessary steps are not taken to alleviate the problems.

It is important to take care of your feet because feet that are injured or diseased can affect your overall health. Having painful feet hinders your ability to do daily activities or may decrease your willingness to do the things that you need to do.

Visiting Your Geriatrician
As we age, health problems become more likely, so it is essential to visit your doctor for check-ups to ensure that you are doing the best you can to take care of your health. It is recommended to check your feet frequently for any possible cuts, bruises, swelling, corns or any other irregularities. 

Taking Care of Elderly Feet
Cracked or dry feet can be treated by applying moisturizer often. It is also important not to wear old socks because the older the sock is, the higher the possibility there will be that there is bacteria there. Wear fresh socks and make sure they fit properly.

Proper foot health means that you can have a more active lifestyle and you will not be bogged down by pain. Foot health also leads to good circulation, which is paramount for overall health.

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 Geriatrics and Podiatry
Monday, 22 February 2021 00:00

Why Is the Outside of My Ankle Swollen?

The outer part of your ankle may be swollen due to an injury or because of an underlying medical condition. Ankle injuries such as sprains, fractures, and tendinopathies can make the ankle swell. Arthritis can affect any joint in the body, including the ankle joint. When the arthritic ankle joint is inflamed, it can cause the ankle to swell. You may also notice symptoms like warmth and redness around the joint and difficulty moving the ankle. Cellulitis, a skin infection, can also make the feet and lower legs swell. If you notice swelling around your ankle, it is suggested that you see a podiatrist for treatment.

Ankle pain can be caused by a number of problems and may be potentially 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
  • Bursitis
  • 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.

 

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Monday, 15 February 2021 00:00

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.

Sever’s disease occurs when the bones in the calves grow faster than the Achilles tendon, which connects the heel bone to the calf muscle. When this happens, the tendon begins to tighten, and the heel becomes swollen and sore. Sever’s disease often affects children between the ages of 9 and 13 who are participants in running and jumping sports such as soccer, gymnastics, baseball, basketball, and football.  There is rarely swelling as a result, and most often, the heel pain is worse when running with shoes that have limited support. The pain usually goes away with rest and does not have an impact with low impact sports such as cycling and swimming. If your child complains of heel pain, you should take them to see a podiatrist for a proper examination. Upon examination, a podiatrist will be able to provide a proper diagnosis and treatment method.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Dr. James Kutchback from James Kutchback, DPM, ABLES, CWS-P. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

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 injuries.

Read more about Sever's Disease
Monday, 08 February 2021 00:00

What Can Cause an Ingrown Toenail?

Ingrown toenails can occur from a sudden injury, genetics, or from wearing shoes that do not fit correctly. Additionally, ingrown toenails can develop if the toenails are cut improperly. The big toe is most frequently affected. Common symptoms that are often associated with this ailment include reddened skin surrounding the ingrown nail, tenderness, and pain. This is a result of the nail growing into the skin. If the area becomes infected, drainage may ooze from the sides of the nail. Some patients find it beneficial to soak their toe in warm water, as this may help to soften the affected area enough to separate the nail from the skin. It is strongly suggested that you consult with a podiatrist if you have an ingrown toenail.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, 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.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

  • Improper toenail trimming
  • Genetics
  • Improper shoe fitting
  • Injury from pedicures or nail picking
  • Abnormal gait
  • Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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 Ingrown Toenails
Monday, 01 February 2021 00:00

Treatment for Hyperhidrosis

Plantar hyperhidrosis causes excessively sweaty feet. This problem can be embarrassing, and having constantly wet feet may increase your risk of developing certain foot problems, such as blisters or athlete’s foot. Fortunately, there are many treatments available for plantar hyperhidrosis. For mild to moderate cases, using an antiperspirant is recommended. Antiperspirants can come in a variety of forms to help reduce sweating by blocking the pores from which sweat escapes. Another potential treatment is iontophoresis, which can inhibit the overactive sweat glands’ ability to produce sweat. If you have excessively sweaty feet, it is suggested that you see a podiatrist, who can help you find the right treatment for you. 

If you are suffering from hyperhidrosis contact Dr. James Kutchback of James Kutchback, DPM, ABLES, CWS-P. Our doctor can provide the care you need to attend to all of your foot and ankle needs.

Hyperhidrosis of the Feet

Hyperhidrosis is a rare disorder that can cause people to have excessive sweating of their feet. This can usually occur all on its own without rigorous activity involved. People who suffer from hyperhidrosis may also experience sweaty palms.

Although it is said that sweating is a healthy process meant to cool down the body temperature and to maintain a proper internal temperature, hyperhidrosis may prove to be a huge hindrance on a person’s everyday life.

Plantar hyperhidrosis is considered to be the main form of hyperhidrosis. Secondary hyperhidrosis can refer to sweating that occurs in areas other than the feet or hands and armpits. Often this may be a sign of it being related to another medical condition such as menopause, hyperthyroidism and even Parkinson’s disease.

In order to alleviate this condition, it is important to see your doctor so that they may prescribe the necessary medications so that you can begin to live a normal life again. If this is left untreated, it is said that it will persist throughout an individual’s life.

A last resort approach would be surgery, but it is best to speak with your doctor to find out what may be the best treatment 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 Hyperhidrosis of the Feet
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