A hammertoe is a common foot deformity that affects the middle joint of the smaller toes. As a result, this causes the toes to bend downward. Since this bend causes the joint to stick out this can put more pressure on the affected joints when wearing shoes, which can also make the deformity worse over time. As with most foot deformities a hammertoe will start out minor and continue to progress over time if left untreated.

During the earlier stages you may not notice much pain and discomfort. In fact the only way you may be able to tell that you have a hammertoe is by examining the foot and noticing that the small toes bend downward like a claw. Of course, at this stage the deformed joint is still flexible enough to be straightened out.

However, if the deformity progresses this can cause the joint to become rigid, which won’t respond effectively to simple conservative treatments. As you might imagine, the sooner you see a podiatrist to treat your hammertoe the better. Early intervention is key, as a hammertoe will not get better without the proper care.

Hammertoes are often the result of an imbalance in the muscle or tendon of the foot. Over time, this leads to structural changes in the foot. Genetics may also play a role in whether your feet are at risk for this deformity. A hammertoe can also be made worse by wearing shoes that are too tight and put too much pressure on the toes.

Along with the structural changes that occur with hammertoes it’s also common to experience redness, inflammation or the development of a corn or callus on the toe. If you are noticing symptoms of a hammertoe see your podiatrist for an evaluation. A simple physical exam is usually all that’s needed to diagnose a hammertoe; however, sometimes an x-ray will be performed in order to determine the extent of the deformity.

If you are dealing with a flexible hammertoe, more often than not simple nonsurgical treatment options are all that’s needed. Following simple treatment options and care can prevent the hammertoes from becoming rigid or painful. Some nonsurgical treatment options include:

• Wearing the appropriate footwear. This means wearing shoes that aren’t pointy or have high heels, which can put more pressure on the toes.
• Placing custom orthotics into your shoes, which can ease discomfort and prevent pain resulting in a muscular imbalance.
• Taking over-the-counter pain relievers such as ibuprofen, which can reduce both pain and inflammation.
• Splinting the toe or toes to keep them straight, which can also reduce stiffness, inflammation and pain.
• Applying protective non-medicated padding over the top of the toe to prevent a corn or callus from developing.

If your hammertoe is painful or rigid then you may need to discuss whether surgery is the best option for alleviating your symptom and correcting the deformity. If you are dealing with a hammertoe turn to a foot specialist for help.

Diabetic feet need special care because of decreased circulation, neuropathy, joint deterioration, and more. While your primary care physician may guide you on blood sugar control, medications, a healthy diet, and active lifestyle, your podiatrist assesses and treats how your feet and ankles function everyday and for the long term. Enlist their help in the health maintenance of your diabetic feet.

Keeping ahead of neuropathy and avoiding amputation

Those are two key goals of diabetic foot care. Your podiatrist will want to see you regularly to assess the color, temperature, sensation, function, and shape of your feet and ankles, noting any developing problems. Early detection of circulation issues, nerve degeneration (neuropathy), and deformities, such as hammertoes, bunions, and Charcot Foot, are key.

Your podiatric foot examination will include an eye-on inspection of your skin (color, temperature, texture, and integrity). Your foot doctor also may perform gait analysis to watch for changes in how you walk. Sometimes a podiatrist orders X-ray imaging or an MRI to view the internal structure of the foot and/or ankle.

Remember, that foot ulcers are the primary threat to the overall health and well-being of the diabetic, says the National Center for Biotechnology Information (NCBI). Untreated, they may lead to complications so severe amputation is the only option.

What can you do to treat your diabetic feet?

1. Be proactive. Inspect your feet daily, looking redness or skin breakdown.
2. Wash and dry your feet daily.
3. Trim your toenails carefully using a clean clippers. Trim straight across and not too short to avoid ingrown toenails.
4. Wear shoes at all times--even indoors--to avoid injury.
5. Wear clean, well-fitting, moisture-wicking socks.
6. Keep your weight and blood sugars within normal range.
7. Get in-office treatment of calluses and corns, says the American College of Foot and Ankle Surgeons.
8. Avoid all forms of tobacco.
9. Report any changes to your foot doctor as soon as possible.
10. See your podiatrist every six months or as he or she directs.

Healthy feet and a healthy you

Podiatric health is so important, but especially to the diabetic. So stay in touch with your foot doctor, and be routinized in your foot care for better long-term health.

Are you dealing with pain, burning, tingling or numbness between your toes or in the ball of the foot? If you said “yes” then you could be dealing with a neuroma, a pinched nerve or benign tumor of the nerve that is often found between the third and fourth toes.

The classic symptom of a neuroma is pain, particularly when walking—a factor that leads many people to liken the condition to feeling like a pebble is in their shoe. You may find that the pain eases up whenever you aren’t walking or when you rub the pained area with your hands. While neuromas can happen to anyone, they are most commonly found in women.

Neuroma Causes

While the causes of a neuroma are still not clear, there are factors that can increase the likelihood of developing one, such as:

• Extremely high arches
• Flat feet
• Trauma that leads to nerve damage in the feet
• Improper footwear (high heels over two-inches tall; pointed toes)
• Repeated stress placed on the foot

Treating a Neuroma

A neuroma will not go away on its own, so it’s important to see a podiatrist if you are experiencing any of the condition's symptoms. The type of treatment or treatments recommended to you will depend on the severity of the neuroma.

Those with minor neuromas may be able to lessen symptoms by wearing shoes that provide ample room for the toes and offer thick soles that provide more support and cushioning for the toes and balls of the feet. Sometimes a podiatrist may recommend custom orthotics to place inside the shoes, as well.

Your podiatrist may also recommend padding or taping the ball of the foot to improve faulty biomechanics and reduce discomfort. While medication will not eliminate the problem, it can temporarily alleviate symptoms. Over-the-counter anti-inflammatories can often briefly reduce pain and swelling, but for those dealing with more severe pain, steroid injections may be necessary to ease symptoms.

Surgery for a Neuroma

Surgery only becomes necessary when conservative treatment options have failed to provide relief, or when the neuroma has progressed enough that conservative care won’t be enough. During surgery, the inflamed nerve is removed through a simple outpatient procedure. Afterward, there is a short recovery period of a couple of weeks before patients are able to move about pain-free once again!

Give us a Call!

If you are dealing with new or worsening foot pain it’s important that you turn to a podiatrist that can help give you the answers you need. Schedule an appointment today.

Have bunions? A bunion is an enlargement of bone that forms at the base of the big toe. The main symptoms of a bunion are a bone deformity, inflammation, and pain. Various types of treatments are available to treat bunions, but the best treatment option for bunions is one that is performed by a professional. Dr. Zahid Ladha at Foot First Podiatry in New Albany, IN, offers treatments for bunions. Read on to find out how a podiatrist can help with bunions.

Padding & Taping. Bunion treatment often starts with padding and taping. Padding the bunions will ease your pain and allow you to continue an active life. Taping the bunions will keep your feet in a normal position, thus reducing pressure and pain. Padding and taping also prevents bunions from getting worse.

Bunion Splint. Wearing a bunion splint at night has been shown to be helpful when treating bunions. A bunion splint will hold your toe straight while you sleep. Splints help to correct the alignment, relieve pressure, and diminish pain. Bunion splints are a safe alternative to surgery.

Custom Orthotics. Your podiatrist may recommend custom orthotics (shoe inserts) to help position your foot correctly as it strikes the ground. Custom orthotics can prevent progression of bunions and alleviate pain. You can get custom-made orthotics from your New Albany, IN, podiatrist.

Steroid Injections- Steroid injections can ease your pain temporarily by decreasing inflammation. The injections usually comprise a local anesthetic and corticosteroid medication. They're most commonly injected into joints such as your elbow, hip, shoulder, wrist, and spine. You can receive a steroid shot at your podiatrist's office.

Bunion Surgery- If your bunion isn't painful, you do not need surgical treatment. If other treatments do not relieve your pain, Dr. Ladha may recommend surgery to remove your bunion. Bunion surgery will correct the deformity, alleviate your pain, and improve your foot function. Bunion surgery is usually performed in a surgery center or hospital under local or general anesthesia.

If you want to feel better and live well, call Foot First Podiatry at (812) 945-9221 today to schedule an appointment in New Albany, IN.

We will help you get rid of those bunions once and for all. You will experience exemplary service and state-of-the-art care at Foot First Podiatry!

Is heel pain keeping you down? Pain that occurs following an injury or early in an illness may play a protective role, warning us about the damage we have suffered. So what causes heel pain?

Understanding Heel Pain with Help from Your Podiatrist

• Wear shoes that fit well
• Wear proper shoes for each activity
• Do not wear shoes with excessive wear on heels or soles
• Prepare properly before exercising by stretching and warming up
• Pace yourself when you participate in athletic activities
• Don’t underestimate your body’s need for rest and good nutrition
• Lose excess weight