Advanced Foot and Ankle Center Blog
By ADVANCED FOOT AND ANKLE CENTER
May 10, 2019
Category: None
Tags: Untagged

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, Neuromaa 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.

At Advanced Foot and Ankle Center, we see patients everyday that are suffering from pain due to inflammation.  Most of our patients are treated with an anti-inflammatory medication either in oral form or by injection with steroid and many people get great results with these types of treatments.  However, there are many patients that we see who cannot take oral anti-inflammatories because they have stomach issues, are taking blood thinners, have kidney or cardiac issues or other various reasons.  Another group of patients cannot receive a steroid injection due to the location of the pain because it could damage nearby anatomy or they have diabetes and it could fluctuate their blood sugars.

 

Because of this, we are happy to announce a new treatment available for inflammation and pain called Traumeel.  Traumeel is imported from Germany where it has been used by doctors there for years. It is a combination of 12 plant medicines and two mineral extracts.  All 14 of these medicines are micro-dosed and are intended to stimulate your body to resolve its own pain. It works by inhibiting specific chemical messengers which cause swelling, pain and inflammation.  Traumeel can be used as either a topical cream or it can be injected at the site of pain either in a joint or along a tendon. Traumeel can be used without any drug-to-drug interaction with your current medications.  

 

This is a great option for patients who are unable to take NSAIDs like Ibuprofen and Aleve or for patients who cannot have a steroid injection due to diabetes or location of the injection.   Traumeel’s efficacy and safety has been established in multiple clinical trials that include studies under real-life conditions and published case reports. The medication is not a narcotic and it is not addictive.  It is an excellent treatment option for patients who would like a more natural therapy as well.

 

If you would like to begin this treatment or have any other foot/ankle questions, please call us at 972-542-2155.  

 

Have a wonderful day

 
April 30, 2019
Category: Uncategorized
Tags: Untagged

We get a lot of patients everyday who are experiencing foot pain for one reason or another.   Some of these patients will have no injury that they can recall. It just came on without any reason or cause that they can remember.   When this happens patients will sometimes ask if they have gout. These patients usually have had a relative or friend who had a gout attack in the past which caused the unexplained pain.  Gout is a type of arthritis that develops due to a high amount of uric acid in your body. You can have a value from either your body overproducing or underexcreting the uric acid. Either way, the high uric acid content develops crystals. These crystals are very painful because they cause a lot of inflammation which results in heat, swelling and redness. The joint is so painful that even the weight of the sheets on the area can be unbearable.   

 

The diagnosis of gout is usually made clinically after one of our providers performs a history and physical examination.  We will usually obtain X-rays to see if there have been any bony changes to the joint from the crystals and order a blood test to check your uric acid levels. There are multiple treatment options for gout including cortisone injections into the affected joint and a variety of oral medication.  The best treatment option will be presented to you based on your medical history, current medications, allergies, etc.

 

At Advanced Foot and Ankle Center, our providers are also some of the only physicians in the DFW area who prescribe IV medication that removes gout crystals from your body. If you have questions about this or any other foot/ankle issue, please call us at 972-542-2155 for more information.  

 

Have a Wonderful Day,

Dr. Witt

 
By ADVANCED FOOT AND ANKLE CENTER
April 29, 2019
Category: Foot Care
Tags: Bunions   Bunion Surgery  

A bunion is one of the most common foot deformities, often affecting the joint at the base of the big toe. Anyone can develop this painful condition but it most often occurs in women. A bunion affects the structure of the foot, causing the joint to become enlarged, which causes the big toe to lean inward towards the other toes. In some cases, the big toe even overlaps the toes. This deformed joint may often become red or swollen, especially when wearing certain shoes or after certain physical activities.

A bunion is a gradual deformity, which means that as soon as you begin to notice changes in the joint or you start to experience symptoms you should consult a podiatrist. While the only way to correct the deformity is through surgery this is usually the last treatment option. After all, a foot doctor can often create a treatment plan that will reduce pain and prevent the deformity from progressing without needing to turn to surgery.

The first course of treatment is usually more conservative. You may be able to manage your bunion pain and swelling by:

  • Taking over-the-counter NSAIDs
  • Icing the bunion for up to 15 minutes at a time, 2-3 times a day
  • Placing orthotics into your shoes to alleviate pressure on the joint (talk to your podiatrist about creating custom orthotics)
  • Splinting or taping the foot to improve the structural alignment
  • Wearing appropriate and supportive footwear that doesn’t put pressure on the toes or bunion
  • Applying a bunion pad over the area to prevent a callus from forming while wearing shoes
  • Avoiding certain activities and sports that could exacerbate your condition

For many people, these lifestyle changes and simple at-home treatment options are all that’s needed to reduce bunion pain and discomfort, and to prevent the problem from getting worse. Of course, if you find that at-home care isn’t providing you with relief, or if bunion pain is persistent or severe, then you should turn to a podiatrist for an evaluation. Not sure if you have a bunion or not? Call your foot doctor.

When should someone consider bunion surgery?

As we mentioned earlier, bunion surgery is considered a last resort when all other treatment options have been exhausted and they haven’t helped get your bunion symptoms under control. You may also want to consider getting bunion surgery if:

  • Your bunion is large and makes it difficult to wear shoes
  • Your bunion pain is severe and chronic
  • You have trouble walking or moving around because of your bunion
  • Your bunion is affecting your quality of life

It can take up to 6 months to fully recover from traditional bunion surgery so it’s important to discuss all of your treatment options with your podiatrist to find the most effective method for getting your bunion symptoms under control.

By ADVANCED FOOT AND ANKLE CENTER
April 19, 2019
Category: Foot Conditions
Tags: Ingrown Nails  

Swelling, reddened flesh, shooting pain, and pus are just some of the incredibly uncomfortable symptoms of having an ingrown toenail. Although this condition can sometimes be successfully treated through home remedies, ingrown toenails often progress to the point of infection, a point that then requires professional treatment. Read on to learn what causes this problem, when it’s right to seek medical help, and how our podiatrists can help get your foot back to a healthy state!

The Causes and Symptoms

Before we cover how to treat ingrown toenails, let’s first review the core causes and symptoms that hallmark this condition…

Ingrown toenails initially develop due to a few different factors, including:

  • Cutting the toenail too short
  • Rounding the toenail during grooming
  • Wearing improperly fitting shoes
  • Experiencing toe trauma

If the flesh on the side of the toe has become red, swollen, and tender, you likely have an ingrown toenail. If you have caught this problem while it’s still in its early stages, you can try implementing some of the home remedies listed in the next section. However, if your toe is exhibiting some of the following signs of infection, you should seek professional podiatric help:

  • Pervasive shooting or throbbing toe pain
  • Regular bleeding
  • The presence of a pus-filled blister
  • The skin has started growing over the nail

Home Remedies

As mentioned above, if an ingrown toenail is caught before infection sets in, there are a few different methods that you can practice at home in order to clear up the issue. Some of these include:

  • Around 3 to 4 times a day, submerge your foot into warm water for 15 to 20 minutes. Regularly doing this should reduce swelling and provide pain relief.
  • Following each soaking, use cotton to separate the ingrown toenail from the flesh that it is starting to grow under. This should allow the nail to grow above the skin again.
  • Avoid snug or constraining shoes.

If these actions fail to clear up the problem in 2 to 3 days, you should pursue professional treatment.

Professional Treatments

In the case of a severe or recurring infection, there are a few different procedures that your podiatrist can perform to make your toe healthy again. Depending on the specifics of your ingrown toenail, one of the following treatments may be recommended:

  • Partial Nail Removal: In the case of a severe ingrown toenail, your doctor can numb your toe before physically removing the ingrown portion of the nail.
  • Nail and Tissue Removal: If the same toe is repeatedly experiencing the same ingrown toenail problem, this procedure can be performed to prevent future recurrences. It entails your podiatrist removing a portion of the underlying nail bed, thus preventing the nail from become ingrown again.

Concerned About Your Toe? Give Us a Call!

If your ingrown toenail needs medical attention, call our podiatric office today!





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