Tuesday, 12 September 2023 00:00

Footwear Influence on Bunions

Bunions, or hallux valgus, is a foot deformity where the big toe tilts toward the second toe, causing a bony lump on the side of the foot. Symptoms include pain, swelling, callused skin, and changes in foot shape. Contrary to popular belief, fashion shoes such as high heels do not directly cause bunions. Bunions are primarily the result of a genetic predisposition and the mechanical structure of the foot. However, wearing shoes that squeeze the forefoot and crowd the toes can worsen an existing condition and lead to pain and joint deformity. Bunions can also develop due to factors such as age, arthritis, or sports activities. Preventing bunions involves choosing sensible, well fitting footwear with ample toe room. Avoiding pointed shoes and excessive heels can be helpful. Proper footwear, non surgical treatments and wearing orthotics are initial choices. Surgery is typically the last option for bunions causing significant pain. This involves removing the bony lump and realigning the big toe, ultimately improving foot function and comfort. If you have a bunion that is causing discomfort, it is suggested that you make an appointment with a podiatrist to have it evaluated and obtain appropriate treatment.

If you are suffering from bunion pain, contact the podiatrists of Issaquah Foot & Ankle Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

  • Genetics – some people inherit feet that are more prone to bunion development
  • Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

  • Redness and inflammation
  • Pain and tenderness
  • Callus or corns on the bump
  • Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

If you have any questions, please feel free to contact one of our offices located in Issaquah, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 12 September 2023 00:00

Bunions

A bunion is an enlargement of the base joint of the toe that connects to the foot, often formed from a bony growth or a patch of swollen tissues. It is caused by the inward shifting of the bones in the big toe, toward the other toes of the foot. This shift can cause a serious amount of pain and discomfort. The area around the big toe can become inflamed, red, and painful.

Bunions are most commonly formed in people who are already genetically predisposed to them or other kinds of bone displacements. Existing bunions can be worsened by wearing improperly fitting shoes. Trying to cram your feet into high heels or running or walking in a way that causes too much stress on the feet can exacerbate bunion development. High heels not only push the big toe inward, but shift one's body weight and center of gravity towards the edge of the feet and toes, expediting bone displacement.

A podiatrist knowledgeable in foot structure and biomechanics will be able to quickly diagnose bunions. Bunions must be distinguished from gout or arthritic conditions, so blood tests may be necessary. The podiatrist may order a radiological exam to provide an image of the bone structure. If the x-ray demonstrates an enlargement of the joint near the base of the toe and a shifting toward the smaller toes, this is indicative of a bunion.

Wearing wider shoes can reduce pressure on the bunion and minimize pain, and high heeled shoes should be eliminated for a period of time. This may be enough to eliminate the pain associated with bunions; however, if pain persists, anti-inflammatory drugs may be prescribed. Severe pain may require an injection of steroids near the bunion. Orthotics for shoes may be prescribed which, by altering the pressure on the foot, can be helpful in reducing pain. These do not correct the problem; but by eliminating the pain, they can provide relief.

For cases that do not respond to these methods of treatment, surgery can be done to reposition the toe. A surgeon may do this by taking out a section of bone or by rearranging the ligaments and tendons in the toe to help keep it properly aligned. It may be necessary even after surgery to wear more comfortable shoes that avoid placing pressure on the toe, as the big toe may move back to its former orientation toward the smaller toes.

Tuesday, 05 September 2023 00:00

Types and Causes of Broken Toes

A broken toe, though seemingly minor, can cause significant pain and disruption to daily life. The types and causes of these kinds of fractures encompass a range of scenarios. First, a common cause of a broken toe can happen when the toe is stubbed against a hard surface, and is often classified as a traumatic break. Second, stress fractures, which can result from repetitive impact, can occur, particularly in athletes or people who engage in rigorous physical activities. Fractures due to osteoporosis may also cause a broken toe, especially in the elderly. Vigorous activities, accidents, falls, and even dropping heavy objects onto the foot are common triggers for toe fractures. Recognizing the types and understanding the causes of broken toes is vital in seeking timely medical attention and implementing precautionary measures to prevent these painful disruptions. If you have broken your toe, it is suggested that you consult with a podiatrist who can accurately diagnose toe fractures and guide you toward the treatment method that is correct for you.

Broken toes may cause a lot of pain and should be treated as soon as possible. If you have any concerns about your feet, contact the podiatrists from Issaquah Foot & Ankle Specialists. Our doctors will treat your foot and ankle needs.

What Is a Broken Toe?

A broken toe occurs when one or more of the toe bones of the foot are broken after an injury. Injuries such as stubbing your toe or dropping a heavy object on it may cause a toe fracture.

Symptoms of a Broken Toe

  • Swelling
  • Pain (with/without wearing shoes)
  • Stiffness
  • Nail Injury

Although the injured toe should be monitored daily, it is especially important to have a podiatrist look at your toe if you have severe symptoms. Some of these symptoms include worsening or new pain that is not relieved with medication, sores, redness, or open wounds near the toe.

If you have any questions, please feel free to contact one of our offices located in Issaquah, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 05 September 2023 00:00

What to Know About a Broken Toe

Trauma to the foot, especially the toes, can occur in many ways. Banging them, stubbing them, or dropping something on them are a few different ways this trauma can occur. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break or fracture. Another type of trauma that can break a toe is repeated activity that places stress on the toe for prolonged periods of time.

Broken toes can be categorized as either minor or severe fractures. Symptoms of minor toe fractures include throbbing pain, swelling, bruising on the skin and toenail, and the inability to move the toe with ease. Severe toe fractures require medical attention and are indicated when the broken toe appears crooked or disfigured, when there is tingling or numbness in the toe, or when there is an open, bleeding wound present on the toe.

Generally, a minor toe break will heal without long-term complications. However, it is important to discontinue activities that put pressure on the toe. It is best to stay off of the injured toe and immediately get a splint or cast to prevent any more additional movement of the toe bones. You can also immobilize your toe by placing a small cotton ball between the injured toe and the toe beside it. Then, tape the two toes together with medical tape. Swelling can be alleviated by placing an ice pack on the broken toe directly as well as elevating your feet above your head.

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery, especially when the big toe has been broken. Due to its position and the pressure the big toe endures with daily activity, future complications can occur if it is not properly treated. Pain associated with minor toe fractures can be managed with over-the-counter pain medications. Prescription pain killers may be necessary for severe toe fractures.

The healing time for a broken toe is approximately four to six weeks. In severe cases where the toe becomes infected or requires surgery, healing time can take up to eight weeks or more. While complications associated with a broken toe are immediately apparent, it is important to note that there are rare cases when additional complications, such as osteoarthritis, can develop over time. You should immediately speak with your podiatrist if you think you have broken your toe due to trauma. They will be able to diagnose the injury and recommend the appropriate treatment options. 

Sunday, 03 September 2023 00:00

Let the Expert Treat Your Ingrown Toenails

Ingrown toenails can be painful and can make wearing shoes or walking uncomfortable. Seek professional help if you believe you've developed an ingrown toenail and be treated safely. 

Rheumatoid arthritis, abbreviated RA, is a chronic autoimmune condition that can severely impact the joints, including those in the feet. When conservative treatments fail to provide adequate relief, foot surgery becomes a viable option for managing RA and related foot deformities. Surgical procedures aim to correct joint alignment, reduce inflammation, and improve overall foot function. Common surgical interventions for RA in the feet include a synovectomy, which is the removal of the inflamed joint lining, tendon repair or transfer, joint fusion, and joint replacement. It's important to note that foot surgery for RA is considered a last resort when other treatments have proven ineffective. It is beneficial for patients to work closely with their podiatrist to determine the most suitable surgical approach based on individual needs and medical history. While foot surgery may involve a recovery period, it can significantly enhance mobility, reduce pain, and ultimately improve the quality of life for those living with RA. It is suggested that you consult with a podiatrist if this condition affects you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact the podiatrists of Issaquah Foot & Ankle Specialists. Our doctors will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions please feel free to contact one of our offices located in Issaquah, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 29 August 2023 00:00

Foot Surgery

In most cases, foot surgery is often chosen as the last available option for conditions that have otherwise been unsuccessfully treated. Surgery may be necessary for several reasons, including the removal of foot deformities (e.g. bone spurs or bunions), arthritis problems, reconstruction due to injury, and congenital malformations (e.g. club foot or flat feet). Regardless of one’s age, foot surgery may be the only successful option for treatment for certain conditions.

The type of surgery one undergoes depends on the type of foot condition the patient has. For the removal of a bunion growth, a bunionectomy is necessary. If the bones in the feet need to be realigned or fused together, a surgical fusion of the foot is needed. For pain or nerve issues, a patient may require surgery in which the tissues surrounding the painful nerve are removed. Initially, less invasive treatments are generally attempted; surgery is often the last measure taken if other treatments are unsuccessful.

While in many cases surgery is often deemed as the final resort, choosing surgery comes with certain benefits. The associated pain experienced in relation to the particular condition is often relieved with surgery, allowing patients to quickly resume daily activities. The greatest benefit, however, is that surgery generally eliminates the problem immediately.

Podiatry history has shown that foot treatments continue to evolve over time. In the field of foot surgery, endoscopic surgery is just one of the many advanced forms of surgery. As technology vastly improves so too will the various techniques in foot surgery, which already require smaller and smaller incisions with the use of better and more efficient tools. Thanks to such innovations, surgery is no longer as invasive as it was in the past, allowing for faster and easier recoveries. 

Tuesday, 22 August 2023 00:00

Why Flip Flops May Harm Your Feet

Flip-flops are a popular choice of footwear during the warm summer months, offering ease and convenience. However, beneath their casual appeal lies a hidden danger for your feet. One of the main issues with flip-flops is their lack of support and cushioning. Flip-flops provide minimal arch support, which can lead to foot conditions such as plantar fasciitis and flat feet. Additionally, the thin soles offer little protection from sharp objects or uneven surfaces, increasing the risk of foot injuries. The loose fitting design can cause the toes to grip onto the shoe, leading to toe pain and deformities that can include hammertoes. The constant flip-flop motion can strain the tendons and muscles in the feet and legs. To safeguard your foot health, it is best to limit flip-flop usage and choose more supportive footwear while walking long distances or engaging in physical activities. If you would like more information about how wearing flip-flops can affect your feet, it is suggested that you consult with a podiatrist who can provide you with the knowledge you are seeking.

Flip-flops can cause a lot of problems for your feet. If you have any concerns about your feet or ankles, contact the podiatrists from Issaquah Foot & Ankle Specialists. Our doctors will assist you with all of your foot and ankle needs.

Flip-Flops and Feet

Flip-flops have managed to become a summer essential for a lot of people. While the shoes may be stylish and easy to slip on and off, they can be dangerous to those who wear them too often. These shoes might protect you from fungal infections such as athlete’s foot, but they can also give you foot pain and sprained ankles if you trip while wearing them.

When Are They Okay to Wear?

Flip-flops should only be worn for very short periods of time. They can help protect your feet in places that are crawling with fungi, such as gym locker rooms. Athlete’s foot and plantar warts are two common fungi that flip-flops may help protect your feet against.

Why Are They Bad for My Feet?

These shoes do not offer any arch support, so they are not ideal for everyday use. They also do not provide shock absorption or heel cushioning which can be problematic for your feet. Additionally, you may suffer from glass cuts, puncture wounds, and stubbed toes since they offer little protection for your feet.

More Reasons Why They Are Bad for Your Feet

  • They Slow You Down
  • May Cause Blisters and Calluses
  • Expose Your Feet to Bacteria

If you have any questions, please feel free to contact one of our offices located in Issaquah, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 22 August 2023 00:00

Flip Flops and Your Feet

When the weather heats up, you may want to start wearing flip-flops. However, it has been proven that these are not the ideal shoes in terms of preserving the health of your feet.

Flip flops are known to expose your feet to different types of bacteria and fungal infections. When you wear your flip flops in public, you are exposing them to staphylococcus which is a skin-irritating bacterium. Athlete’s foot is also highly contagious and can be spread when you walk around nearly-barefoot.

Another harmful effect of wearing flip-flops is that they develop blisters on the feet. This is because the thin strap rubs against the skin with each step taken. Unfortunately, when blisters pop, they cause you to be more vulnerable to pathogens you pick up by having your feet exposed.

These shoes may also cause “shooting pains”. If you have flat feet, you need arch support to keep your knees, hips, and back in alignment. If you wear flat shoes, your joints are forced to compensate which can cause injuries throughout the body.

If you constantly wear flip-flops, you should avoid doing so as they can lead to many problems for your feet. If you are experiencing any of these foot issues, you should seek help from a podiatrist right away.

Tuesday, 15 August 2023 00:00

Types and Locations of Ankle Sprains

Ankle sprains are common injuries that can occur during various physical activities. Ankle sprains are categorized into three degrees based on the severity of the ligament damage. A first-degree ankle sprain is mild, with stretched ligaments and minimal fiber damage. A second-degree sprain is more moderate, involving partially torn ligaments. The most severe type is a third-degree sprain, where ligaments are completely torn. Two main types of sprains are inversion and eversion. Inversion sprains occur when the foot twists inward, stretching the outer ligaments and causing pain on the outside of the ankle. Eversion sprains occur when the foot twists outward, stretching the inner ligaments and causing pain on the inside of the ankle. Ankle sprains can also also be classified based on their location. Lateral sprains occur on the outside of the ankle and makeup about 80 percent of all sprains. High, or syndesmotic, ankle sprains are rarer, seen in around 15 percent of ankle sprains. Medial sprains account for about 5 percent of all ankle sprains. Treatment for ankle sprains varies depending on the severity and location. It is suggested that you make an appointment with a podiatrist for a proper diagnosis and personalized treatment plan.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact the podiatrists from Issaquah Foot & Ankle Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

  • Pain at the sight of the tear
  • Bruising/Swelling
  • Ankle area is tender to touch
  • In severe cases, may hear/feel something tear
  • Skin discoloration

Preventing a Sprain

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

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

If you have any questions, please feel free to contact one of our offices located in Issaquah, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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