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Due to the spread of the corona virus our office is taking extra precautions to keep our patients safe. We want our patients to feel safe coming to our office. We are screening each patient that comes in, disinfecting our waiting area and back office as usual, as well as keeping the wait time down in the waiting area. We will continue to see patients in the office and please don’t hesitate to call if you have any questions.
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Items filtered by date: December 2019

Monday, 30 December 2019 00:00

Who Does Sever’s Disease Affect?

If you have a teenager that frequently participates in sporting activities, it is beneficial to be informed about Sever’s disease. Your child may be experiencing the symptoms of Sever’s disease if you notice they are limping, or talking about heel pain.The most common age range this condition occurs in is typically between the ages of eight and fourteen. It occurs during growth spurts when the bones grow at a faster rate than the tendons. The symptoms many teenagers complain about can consist of heel pain while walking, and difficulty participating in activities that include running and jumping. Moderate relief may be found when the affected foot is kept elevated. Other patients have also found it beneficial to stretch the calf muscles. Additionally, wearing shoes that have adequate cushioning may help the foot to feel stable. If you feel your child has Sever’s disease, it is strongly advised that you seek the counsel of a podiatrist who can recommend the proper treatment.

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.

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Published in Blog
Monday, 23 December 2019 00:00

Foot Ulcers and Proper Treatment

Many diabetic patients are aware of the importance of properly taking care of wounds on their feet. Foot ulcers can be common in these types of patients, and can become worse as a result of damaged nerve endings that may accompany diabetes. This may cause the patient to lose feeling in the feet, making it possible that wounds on the feet are left undetected. If an existing wound becomes infected, it may develop into a foot ulcer. One of the first steps in treating a foot ulcer is to remove the affected wound tissue. This can be beneficial in helping the wound to drain, in addition to effectively examining the tissue that lies beneath it. Patients who have foot ulcers may be guided to wear a specific type of boot, or offloading device. This is a necessary step for successful healing. There are measures that can be taken which may help to prevent wounds on the feet. These can include examining the feet daily, washing and drying the feet thoroughly, and making sure blood glucose levels are within a normal range. If you have wounds on your feet, it is strongly suggested that you are under the care of a podiatrist who can help you to properly manage this 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.

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Published in Blog
Friday, 20 December 2019 00:00

Before you start dancing...

 

Published in Blog
Monday, 16 December 2019 00:00

How Does Gout Form?

Gout is a foot condition that can be brought upon by the buildup of uric acid due to high levels of purines. Uric acid can increase due to hereditary conditions as well as complications with the kidneys. Certain foods to avoid that are high in purine levels include red meats, red wine, oily fish, and certain vegetables. Obesity and high blood pressure are also linked to the formation of gout. Those with gout often experience severe joint pain, swelling, redness, and sensitivity in the joints of the foot. For more information about gout and a proper diagnosis, we recommend you meet with a podiatrist to discuss your treatment options.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. James Kutchback from James Kutchback, DPM, ABLES, CWS-P. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

  • Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
  • Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
  • Inflammation and Redness -Affected joints may become swollen, tender, warm and red
  • Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

  • Genetics - If family members have gout, you’re more likely to have it
  • Medications - Diuretic medications can raise uric acid levels
  • Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
  • Diet - Eating red meat and shellfish increases your risk
  • Alcohol - Having more than two alcoholic drinks per day increases your risk
  • Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of 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 care needs.

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Pregnancy involves several changes in the body, and the feet can bear the brunt of many of them. As the pregnancy progresses, many women notice their feet are swollen, and can ache for extended periods of time throughout the day. It is common for feet to increase in size, and a larger pair of shoes may need to be worn. Moderate relief can be found when the feet are elevated above heart level as frequently as possible. Additionally, research has shown that it is beneficial to refrain from crossing the legs, and to perform gentle foot stretches during the day. Existing arch pain may be diminished if inserts are worn in the shoes. If your feet are uncomfortable during pregnancy, it is suggested that you consult with a podiatrist who help you to manage this type of pain.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Dr. James Kutchback from James Kutchback, DPM, ABLES, CWS-P. Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

  • Wearing orthotics can provide extra support for the feet and help distribute weight evenly
  • Minimize the amount of time spent walking barefoot
  • Wear shoes with good arch support
  • Wear shoes that allow for good circulation to the feet
  • Elevate feet if you experience swelling
  • Massage your feet
  • Get regular, light exercise, such as walking, to promote blood circulation to the 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 needs.

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Published in Blog
Monday, 02 December 2019 00:00

How Is An Ankle Sprain Diagnosed?

There are ligaments that connect the bones of the feet to the ankle. If an injury occurs and tears or stretches one or more of these ligaments, it may result in an ankle sprain. It typically happens if the ankle is twisted or rolled in an abnormal manner, and the ligaments are pushed past their normal range of motion. Some of the symptoms that are typically associated with a sprained ankle can consist of extreme swelling, severe pain and discomfort, and it is generally difficult to walk. Additionally, the ankle may appear to be bruised, and it may become stiff. A proper diagnosis will often involve having an X-ray taken, which is necessary to rule out a broken ankle. Mild relief can be found when the affected ankle is elevated, and an elastic bandage is wrapped around the ankle which may be helpful in providing support. If you have fallen and twisted your ankle, please speak to a podiatrist who can guide you toward beginning the correct treatment.

Ankle sprains are common but need immediate attention. 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.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

  • Mild to moderate bruising
  • Limited mobility
  • Swelling
  • Discoloration of the skin (depending on severity)

Preventing a Sprain

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

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

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.

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