Tuesday, 16 January 2024 00:00

Surgical Options for Big Toe Pain

The metatarsophalangeal, or MTP, a joint that connects the first metatarsal to the big toe's phalanx, is vital for walking. A stiff big toe, medically known as hallux rigidus, can hinder daily activities. If conservative treatments fail, surgery becomes an option. Cheilectomy involves removing bone spurs and bony material from the MTP joint to enhance toe movement. Recovery includes wearing specialized shoes and potentially physical therapy. For severe cases, joint fusion, or arthrodesis, eliminates joint surfaces and fuses bones with wires or plates. Although toe flexibility is lost, joint fusion effectively alleviates most big toe pain, allowing a return to athletic activities post-healing. For moderate to severe hallux rigidus in less active individuals, arthroplasty or joint replacement may be considered. Arthroplasty removes bone and aligns the joint with a pin. Joint replacement substitutes the joint with an artificial one. Long-term outcomes of joint replacement require further research for informed decision-making, comparing it to fusion. For help in understanding these surgical options, it is suggested that you schedule an appointment with a podiatrist who can determine what the best approach is for you. Treatment will be based on severity, pain levels, and activity. 

Toe pain can disrupt your daily activities. If you have any concerns, contact one of our podiatrists of Active Foot and Ankle Care, LLC. Our doctors 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 Fair Lawn, Riverdale, and Englewood, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Toe Pain
Tuesday, 16 January 2024 00:00

Toe Pain

Toe pain can originate from corns, calluses, hammertoes, and bunions, as well as ingrown toenails, sprains, fractures, and dislocations. Corns develop as the toe rubs against the inside of a shoe which causes the skin to thicken as a form of protection. A corn is typically cone-shaped and has a small, hardened spot that points inward. When a corn is pressed into the skin, the toe becomes painful. Corns usually form on the top or side of the toe. A callus is also a thickened patch of skin that generally forms on the bottom of the foot. Calluses are the result of friction from the toe rubbing against the inside of a shoe. They may also occur by walking barefoot or having flat feet. A hammertoe is a bump on the knuckle of the second toe that is produced by wearing shoes that are too short for your feet. The bony protrusion rubs against the top of the shoe causing pain and irritation. A bunion is a malformation of the big toe. The base of the big toe pushes away from the smaller toes, forcing the top of the big toe to press toward the other toes. Bunions can be hereditary, or they can result from injury to the toe joint or from wearing high heels with a narrow toe box. The toe becomes inflamed, and a bump may develop at the end of the misplaced bone. Ingrown toenails typically affect the big toe and its surrounding skin. The nail will dig into the skin and become painful. Wearing tight or narrow shoes that compress the big toe causes the nail to grow into the fleshy part of the toe. Cutting toenails incorrectly can also add to the development of an ingrown toenail. A toe sprain originates from a torn or stretched ligament. Strapping the injured toe to the toe next to it for stabilization is common. A broken or fractured toe usually occurs from trauma like dropping a heavy object on it or bumping into something extremely hard and rigid. Osteoporosis, a thinning of the bones, can also bring about toe fractures. 

Any of the conditions mentioned can lead to pain and irritation. While some are more serious than others, seeking an examination and diagnosis from a podiatrist is a good idea. A podiatrist can treat each ailment and get you back on your feet again without pain.


 

Tuesday, 09 January 2024 00:00

Foot Stretches for Graceful Toe Point

Achieving a beautifully pointed toe is a hallmark of grace in ballet, and dedicated foot stretches can significantly contribute to this desired aesthetic. Begin by sitting with your legs extended and gently flex and point your toes, emphasizing the extension of each digit. A towel stretch proves effective, which is done by looping a towel around the ball of your foot and gently pulling it towards you, feeling the stretch along the arch and toes. Rolling a tennis ball beneath the arches and toes massages and improves flexibility. Additionally, the seated toe stretch involves sitting back on your heels, elongating the toes, and fostering a deep stretch. Practicing these stretches regularly enhances the flexibility and strength of the foot's intrinsic muscles, contributing to a more refined toe point. Incorporating these targeted stretches into your ballet warm-up or cool-down routine can cultivate the suppleness necessary for achieving that coveted, elegant toe point on stage. If you would like additional information about effective foot and toe stretches, it is suggested that you confer with a podiatrist.

Why Stretching Is Important for Your Feet

Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with one of our podiatrists from Active Foot and Ankle Care, LLC. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Stretching the Feet

Stretching the muscles in the foot is an important part in any physical activity. Feet that are tight can lead to less flexibility and make you more prone to injury. One of the most common forms of foot pain, plantar fasciitis, can be stretched out to help ease the pain. Stretching can not only ease pain from plantar fasciitis but also prevent it as well. However, it is important to see a podiatrist first to determine if stretching is right for you. Podiatrists can also recommend other ways to stretch your feet. Once you know whether stretching is right for you, here are some excellent stretches you can do.

  • Using a foam roller or any cylindrical object (a water bottle or soda can will do), roll the object under your foot back and forth. You should also exert pressure on the object. Be sure to do this to both feet for a minute. Do this exercise three times each.
  • Similar to the previous exercise, take a ball, such as a tennis ball, and roll it under your foot while seated and exert pressure on it.
  • Grab a resistance band or towel and take a seat. If you are using a towel, fold it length wise. Next put either one between the ball of your foot and heel and pull with both hands on each side towards you. Hold this for 15 seconds and then switch feet. Do this three times for each foot.
  • Finally hold your big toe while crossing one leg over the other. Pull the toe towards you and hold for 15 seconds. Once again do this three times per foot.

It is best to go easy when first stretching your foot and work your way up. If your foot starts hurting, stop exercising to ice and rest the foot. It is advised that you then see a podiatrist for help.

If you have any questions, please feel free to contact our offices located in Fair Lawn, Riverdale, and Englewood, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about How to Stretch Your Feet
Tuesday, 09 January 2024 00:00

How to Stretch Your Feet

Your feet endure a great amount of stress each day from constantly allowing us to move around. It is important to stretch your feet to help prevent them from becoming injured. Your toes may easily deform into unhealthful positions if they are not stretched.

One of the most common reasons for toe deformities are the shoes you may be wearing. Shoes that are too tight may fold and shift the toes out of place. Heeled shoes may also push your toes upward. Forcing your toes into an unnatural position which may cause the muscles to tighten and prevent them from reverting to normal length. Another common reason is improper use of foot muscles. Many people fail to use the muscles in their feet or toes when they walk. Lastly, the positioning of your feet while walking may also cause toe deformities. If you walk with your feet facing outward, your “push-off” phase is on the side of your big toe instead of the bottom of your foot. This may cause the big toe to eventually tighten into a new shifted position.

There are many reasons why stretching your toes may be helpful. One reason is that healthy spacing may aid in avoiding calluses and other injuries that are caused by rubbing.  Stretching will also prevent you from developing toes that curl, hammertoes, or bunions.

A great way to stretch your toes is to place them in your hands and bend them all downward; this will help you stretch the top of your foot. Next, you should repeat this process but instead bend them upward enough to feel a nice stretch in the bottom of your foot. You should then try to pull each toe apart from the next and pull any toes that are bent upward until they are back downward.

If you are looking to practice stretching your entire foot, you can try a towel stretch. This is done by sitting on the floor with your legs in front of you. Take a towel and wrap it around your toes. Afterward, pull the towel toward you with your toes and hold this position for 15 to 30 seconds before releasing. Practice this stretch for three sets. Another stretch your feet are towel lifts. This is done by sitting in a chair and trying to pick a towel up from the ground with your toes. Try lifting the towel with your little toes for five sets before switching feet.

If you are an athlete, or exercise often, it is especially important for you to practice stretching your feet. Those who suffer from foot pain caused by poor footwear, plantar fasciitis, or long hours of standing at work may also benefit from foot exercises.

Constant care and regular evaluation are important for a foot or ankle fracture. If left untreated, foot or ankle fractures can worsen over time and create more serious problems.

Don't wait to be examined if you believe you've experienced a foot or ankle fracture.

Ensuring an accurate foot measurement is a paramount step when delving into the world of high heels, as it profoundly impacts both comfort and foot health. Wearing ill-fitting shoes, particularly high heels, can lead to a myriad of issues, ranging from blisters and calluses to more severe problems like bunions and hammer toes. By taking the time to measure your feet accurately, you pave the way for a more comfortable and enjoyable high heel experience. An improper fit not only results in immediate discomfort but may also contribute to long-term foot ailments. Pinched toes and excessive pressure on the ball of the foot can be avoided with a precise measurement, enhancing overall foot stability. Whether shopping for the latest fashion trends or preparing for a special occasion, the importance of an accurate foot measurement cannot be overstated for those seeking both style and foot-friendly functionality in their high-heeled footwear. If have experienced foot problems related to wearing high heels, it is suggested that you visit a podiatrist.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact one of our podiatrists from Active Foot and Ankle Care, LLC. Our doctors can provide the care you need to keep you pain-free and on your feet.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

  • Ankle Joints
  • Achilles Tendon – May shorten and stiffen with prolonged wear
  • Balls of the Feet
  • Knees – Heels cause the knees to bend constantly, creating stress on them
  • Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

  • Corns
  • Calluses
  • Hammertoe
  • Bunions
  • Morton’s Neuroma
  • Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

If you have any questions please feel free to contact our offices located in Fair Lawn, Riverdale, and Englewood, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Why High Heels Are Not Ideal for Healthy Feet

It is no secret that high heels are uncomfortable to wear for long periods of time. Although beauty is pain, you should not sacrifice the health of your feet for a stylish heel. Wearing high heels can potentially cause many different foot conditions that may be avoided by wearing proper footwear.

The structure of high heels forces weight of your body to get shifted forward toward the ball of the foot. The higher the heel you wear, the more weight and pressure get shifted forward. The pressure that your toes may experience from wearing heels may lead to hammer toes, bunions, and ingrown toenails. Extra weight and pressure resulting from wearing heels may cause stress fractures. Furthermore, heels may cause pinched nerves which may result in Morton’s neuroma.

High heels are even more dangerous for people who are clumsy. Falling or tripping while wearing heels can cause an ankle sprain or twist.

What many people don’t know is that heels can also cause back and knee problems. In order for your body to stay balanced on heels, your spine has to sway unnaturally, which adds stress to your spine muscles. This may cause you to experience a sore lower back.  

If you decide to wear high heels regardless of the risks associated with them, there are ways you can minimize their harmful effects. One way to reduce injury is to massage and stretch your legs at the end of the day. Stretching can prevent the Achilles tendons and calf muscles from becoming too tight. If you are simply looking for more height, wedges and platforms provide a better surface area to distribute the body weight across compared to thinner heels.

If you experience pain from wearing high heels, it is important to see a podiatrist before any of your symptoms become worse.

Tuesday, 26 December 2023 00:00

Causes and Treatment of Toenail Fungus

Toenail fungus, or onychomycosis, affects up to 14 percent of the population, with a higher incidence in toenails. Symptoms include discoloration, thickening, brittleness, and nail distortion. Advanced cases of toenail fungus may involve nail detachment, causing pain and potential infections. Fungal nail infections result from exposure to environmental fungi, exploiting small cracks in nails or surrounding skin. Risk factors include nail injuries, foot deformities, and trauma, creating entry points for fungi. Diabetes increases susceptibility due to compromised circulation and weakened immunity. Cancer or conditions suppressing the immune system elevate vulnerability. Poor leg circulation, such as venous insufficiency, or narrowed arteries, signaling peripheral artery disease, can contribute to the susceptibility for fungal nail infections. Those with a history of fungal skin infections are also more prone, especially anyone with a weakened immune system. Secondary bacterial infections are common in people with diabetes, amplifying health risks. Understanding toenail fungus causes and symptoms is essential for early detection. If you believe you have developed a toenail fungus infection, it is suggested that you schedule an appointment with a podiatrist who has advanced measures that can help rid you of this stubborn condition.

For more information about treatment, contact one of our podiatrists of Active Foot and Ankle Care, LLC. Our doctors can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

If you have any questions please feel free to contact our offices located in Fair Lawn, Riverdale, and Englewood, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Toenail Fungus
Tuesday, 26 December 2023 00:00

Toenail Fungus

Toenail fungus is a frustrating problem that affects many people. It can be persistent and hard to get rid of. As many different types of fungi are present throughout the environment, it is very easy to contract toenail fungus.  

The feet are especially susceptible to toenail fungus because shoes and socks create the ideal dark and moist environment that fungal infections thrive in. While fungal infections of the nail plate are quite common, if left untreated they can spread beyond the toenail and into the skin and other parts of the body.

Signs of toenail fungus include a thickened nail that has become yellow or brown in color, a foul smell, and debris beneath the nail. The toe may become painful due to the pressure of a thicker nail or the buildup of debris.

Treatment for toenail fungus is most effective during the early stages of an infection. If there is an accumulation of debris beneath the nail plate, an ingrown nail or a more serious infection can occur. While each treatment varies between patients, your podiatrist may prescribe you oral medications, topical liquids and creams, or laser therapy. To determine the best treatment process for you, be sure to visit your podiatrist at the first signs of toenail fungus.

Psoriasis is a visible autoimmune disease characterized by red patches of skin with silvery scales. It results from an overactive immune system, attacking healthy tissue and causing excess skin cell production. However, this immune response can also trigger inflammation in joints. Approximately one-third of psoriasis patients develop psoriatic arthritis, or PsA, a chronic inflammatory joint disease. Often, psoriasis precedes PsA, but joint issues can emerge before skin symptoms, or may be so mild that patients do not connect them with psoriasis. Psoriatic arthritis can affect any joint, including the ankles and tendons around them. Symptoms include pain, tenderness, swelling, and warmth in the joints. Foot-related problems from PsA can include swelling of entire toes, heel pain from Achilles' tendon inflammation, and sole pain due to plantar fascia inflammation. Additionally, it can cause nail changes such as lifting, pitting, discoloration, or thickening. Managing PsA involves symptom control and joint protection. If you have psoriatic arthritis and it is impacting the comfort of your feet or ankles, it is suggested that you schedule an appointment with a podiatrist for a correct diagnosis and treatment options.

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact one of our podiatrists from Active Foot and Ankle Care, LLC. Our doctors can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a joint disorder that involves the inflammation of different joints in your body, such as those in your feet. Arthritis is often caused by a degenerative joint disease and causes mild to severe pain in all affected areas. In addition to this, swelling and stiffness in the affected joints can also be a common symptom of arthritis.

In many cases, wearing ill-fitting shoes can worsen the effects and pain of arthritis. Wearing shoes that have a lower heel and extra room can help your feet feel more comfortable. In cases of rheumatoid arthritis, the arch in your foot may become problematic. Buying shoes with proper arch support that contour to your feet can help immensely.

Alleviating Arthritic Pain

  • Exercises that stretch the foot can prevent further pain and injury and increase mobility
  • Most of the pain can be alleviated with anti-inflammatory drugs, heat, and topical medications
  • Massages can help temporarily alleviate pain.

It is best to see your doctor for the treatment that is right for your needs and symptoms. Conditions vary, and a podiatrist can help you determine the right method of care for your feet.

If you have any questions, please feel free to contact our offices located in Fair Lawn, Riverdale, and Englewood, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about How to Care for Your Arthritic Foot
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