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Bunion Exercises and When to Consult a Podiatrist

Bunions are bony bumps that form on the joint at the base of the big toe, often causing pain, swelling, and stiffness. While bunions are primarily structural issues, targeted exercises can help manage discomfort, improve flexibility, and slow progression. Toe stretches, big-toe circles, and towel scrunches are effective for maintaining joint mobility. Resistance exercises with a band around the big toe can also strengthen the surrounding muscles, helping stabilize the foot. However, if pain from a bunion persists or limits your daily activities, it is suggested that you visit a podiatrist for a comprehensive treatment plan, which may include custom orthotics, footwear advice, and in severe cases, surgical options.

If you are suffering from bunion pain, contact the podiatrists of Boston Common Podiatry. 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 our office located in Boston, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Exploring Hammertoe Surgery

Hammertoe is a condition characterized by an abnormal bend in the middle joint of a toe, often caused by imbalanced muscle or tendon forces,  wearing ill-fitting footwear, or underlying conditions like arthritis. Symptoms include pain, swelling, and difficulty wearing shoes, which can lead to corns and calluses. When conservative treatments, such as orthotics or targeted exercises fail, a podiatrist may recommend surgery. Two common types are fusion and tendon transfer. Fusion involves permanently joining the affected joint to correct the toe's position. Tendon transfer repositions the tendon to restore balance and function, allowing for better alignment. Recovery from hammertoe surgery varies, but patients typically need to wear a special boot and limit activity for an extented period of time. A podiatrist can provide a comprehensive evaluation and help determine what the best surgical approach is for each individual case. If you are experiencing symptoms of hammertoe, it is suggested that you schedule an appointment with a podiatrist for tailored treatment options, which may include surgery for relief.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact the podiatrists of Boston Common Podiatry. 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 our office located in Boston, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Foot and Ankle Surgery

Heel Pain Can Be Treated!

Do you suffer from heel pain when you get up in the morning? If so, you should seek the professional help of your podiatrist and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.

Foot Pain Should not Be Ignored

Foot pain can signal various underlying conditions, some of which should not be ignored due to their potential severity. Gout, caused by a buildup of uric acid crystals in the joints, leads to sudden, intense pain, especially in the big toe, and requires medical treatment to prevent damage. Diabetic foot pain often results from neuropathy, which can reduce sensation and lead to serious complications like ulcers or infections. Psoriatic arthritis may cause joint pain and swelling in the toes, needing ongoing management. Heel pain, often linked to plantar fasciitis, may worsen without proper care. Stress fractures, small cracks in the bone caused by overuse, can develop into more serious injuries if untreated. Lastly, foot pain caused by a blood clot, especially with accompanying redness, swelling, or warmth, requires immediate medical attention, as it could indicate deep vein thrombosis, a life-threatening condition. If you have persistent or worsening foot pain, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and appropriate treatment.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with the podiatrists from Boston Common Podiatry. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This 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

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

If you have any questions, please feel free to contact our office located in Boston, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Osteoarthritis and Falls Prevention

Osteoarthritis, or OA, is a degenerative joint disease that can increase the risk of falls, especially in older adults. When OA affects the feet, it leads to joint stiffness, pain, and limited mobility, which can make walking and balancing difficult. In the feet, OA commonly affects the ankles and toes, causing discomfort with every step and reducing stability. To prevent falls, people with osteoarthritis should focus on maintaining mobility and strengthening muscles surrounding the affected joints. Wearing well-fitted, supportive shoes and using custom orthotics can improve balance and reduce pain. A podiatrist can provide valuable care by fitting custom orthotics, recommending appropriate footwear, and guiding patients through foot-specific exercises that enhance stability and reduce the risk of falls. If you have osteoarthritis of the feet or ankles, it is suggested that you include a podiatrist on your health care team for routine exams and help with falls prevention.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with the podiatrists from Boston Common Podiatry. Our doctors will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

  • Enrolling in strength and balance exercise program to increase balance and strength
  • Periodically having your sight and hearing checked
  • Discuss any medications you have with a doctor to see if it increases the risk of falling
  • Clearing the house of falling hazards and installing devices like grab bars and railings
  • Utilizing a walker or cane
  • Wearing shoes that provide good support and cushioning
  • Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

If you have any questions, please feel free to contact our office located in Boston, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Common Diabetic Foot Problems

Foot problems in diabetic patients are a leading cause of lower extremity amputations, often resulting from poor circulation and nerve damage, or neuropathy. Diabetes can reduce sensation in the feet, making it difficult to notice injuries like cuts, blisters, or ulcers. These minor injuries can easily become infected, and due to poor healing capacity, infections may worsen and lead to more severe symptoms, if not treated promptly. Regular foot screenings are essential for diabetic patients and education plays a critical role in diabetic foot care. If you have diabetes, it is strongly suggested that you have your feet checked by a podiatrist regularly for early detection of potential complications.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact the podiatrists from Boston Common Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

  • Routinely inspect your feet for bruises or sores.
  • Wear socks that fit your feet comfortably.
  • Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

If you have any questions please feel free to contact our office located in Boston, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Diabetic Foot Conditions

Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Problematic Flat Feet

Flat feet, or fallen arches, occur when the arch of the foot is lower than normal. Children are often born with flat feet, and in most cases, the condition naturally resolves by the age of seven to 10 as the foot develops. Flat feet are classified based on arch height and heel aversion angle and can be either flexible or rigid. In flexible flat feet, the arch appears when the foot is lifted but disappears when standing, while rigid flat feet have no arch even when off the ground. Flat feet can be caused by genetics, injury, or conditions like arthritis. Symptoms include foot pain, particularly in the heel or arch, and difficulty standing for long periods. Pain occurs due to abnormal pressure on muscles and ligaments. Treatment includes supportive footwear, orthotics, and targeted stretching. In severe cases, surgery may be considered to correct alignment and relieve discomfort. If you have painful flat feet, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment.

Flatfoot is a condition many people suffer from. If you have flat feet, contact the podiatrists from Boston Common Podiatry. Our doctors will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

If you have any questions please feel free to contact our office located in Boston, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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What Is Ankylosing Spondylitis?

Ankylosing spondylitis, or AS, is a type of arthritis that primarily impacts the spine but can also affect other areas, including the heel. In people with AS, inflammation can extend to the tendons and ligaments surrounding the heel, causing significant discomfort. This condition can lead to heel pain, swelling, and stiffness, which may worsen with activity or after prolonged periods of rest. Often, the inflammation in the heel is due to enthesitis, which is inflammation where tendons and ligaments attach to the bone. Managing heel pain associated with Ankylosing spondylitis typically involves a combination of medications to reduce inflammation, exercises to improve mobility, and proper footwear to provide adequate support. If you are experiencing heel pain and suspect it might be linked to AS, it is suggested that you seek specialized care from a podiatrist. A podiatrist can offer targeted treatments and strategies to alleviate discomfort and improve your quality of life.

Many people suffer from bouts of heel pain. For more information, contact the podiatrists of Boston Common Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

  • Wearing ill-fitting shoes                  
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions please contact our office located in Boston, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Heel Pain

How Foot Function in Diabetic Patients Relates to Limb Salvage

Diabetes can lead to peripheral neuropathy and poor circulation, making the foot more vulnerable to injuries. Altered foot biomechanics, such as abnormal pressure distribution or foot deformities, can increase the risk of ulcers, particularly in weight-bearing areas like the heel or ball of the foot. Without the protective sensation due to neuropathy, individuals may not notice injuries, which, combined with poor healing due to impaired circulation, can escalate to infections or deep tissue damage. This increases the risk of gangrene and amputation. Limb salvage focuses on correcting or accommodating these biomechanical issues to prevent ulceration and promote healing. This may involve custom orthotics, offloading devices, or surgical intervention to correct deformities. Early detection, proper foot care, and regular monitoring are essential to avoid complications and preserve limb function in diabetic patients. If you have diabetes, it is strongly suggested that you visit a podiatrist regularly to have your feet examined, so any abnormalities or injuries can be promptly treated.

Diabetic Limb Salvage

Diabetic limb salvage can be an effective way in preventing the need for limb amputation. If you have a foot ulcer and diabetes, consult with the podiatrists from Boston Common Podiatry. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

What Is Diabetic Limb Salvage?

Diabetic limb salvage is the attempt of saving a limb, such as the foot, that has an infected ulcer, from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.

Diabetes is the number one cause of non-traumatic amputations in the United States. Amputation has been found to lead to higher mortality rates. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.

Diagnosis and Treatment

Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated. 

If you have any questions, please feel free to contact our office located in Boston, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Diabetic Limb Salvage
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