The Anatomy and Causes of Bunions

The Anatomy and Causes of Bunions

Bunions, medically known as hallux valgus, are a foot deformity that affects the joint at the base of the big toe. This condition occurs when the bone or tissue at the joint shifts out of place, causing the big toe to lean inward toward the other toes. The anatomy of a bunion involves the misalignment of the metatarsophalangeal, known as the MTP, joint that leads to a bony bump on the side of the foot and the deviation of the big toe. Several factors contribute to the development of bunions, including genetics, improper footwear, and structural foot abnormalities. Individuals with a family history of bunions are more predisposed to developing them, as are those who frequently wear tight or narrow shoes that squeeze the toes together. Additionally, conditions, such as flat feet or low arches, can increase the risk of bunions by placing excessive pressure on the MTP joint. Understanding the anatomy and causes of bunions is helpful for effective prevention and treatment strategies. If you have a bunion, it is suggested that you consult a podiatrist who can offer you effective management techniques.

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

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

  • Refrain from wearing heels or similar shoes that cause discomfort
  • Select wider shoes that can provide more comfort and reduce pain
  • Anti-inflammatory and pain management drugs
  • Orthotics or foot inserts
  • Surgery

If you have any questions, please feel free to contact our offices located in Mount Pleasant and Charleston, SC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Bunions

Bunions

A bunion is a bump that forms at the base of the big toe. Bunions form when the big toe pushes against the next toe, which forces the big toe joint to get bigger and stick out.  As a result, the skin over the bunion may start to appear red and it may feel sore.

There are risk factors that can increase your chances of developing bunions. People who wear high heels or ill-fitting shoes are more likely to develop them, in addition to those who have a genetic history of bunions or have rheumatoid arthritis.

The most obvious way to tell if you have a bunion is to look for the big toe pushing up against the toe next to it. Bunions produce a large protrusion at the base of the big toe and may or may not cause pain. Other symptoms are redness, swelling, and restricted movement of the big toe if you have arthritis. 

Nonsurgical methods are frequently used to treat bunions that aren’t severe. Some methods of nonsurgical treatment are orthotics, icing and resting the foot, taping the foot, and pain medication. Surgery is usually only required in extreme cases. However, if surgery is needed, some procedures may involve removing the swollen tissue from around the big toe joint, straightening the big toe by removing part of the bone, or joining the bones of your affected joint permanently.

Your podiatrist will diagnose your bunion by doing a thorough examination of your foot. He or she may also conduct an x-ray to determine the cause of the bunion and its severity.

Foods to Be Mindful of That Can Trigger Gout

Foods to Be Mindful of That Can Trigger Gout

Gout, a form of inflammatory arthritis that often affects the big toe, can be triggered by certain foods high in purines, compounds that break down into uric acid. Uric acid buildup can lead to the formation of painful urate crystals in the joints, commonly affecting the big toe. To manage gout effectively, it is essential to be mindful of foods that can exacerbate symptoms. These can include foods rich in purines such as red meat, organ meats like liver and kidneys, shellfish, anchovies, and sardines. Additionally, high-fructose corn syrup found in sweetened beverages and foods can increase uric acid levels, as can alcohol consumption, particularly beer and spirits. Processed foods, refined carbohydrates, and sugary snacks should also be limited. Instead, focus on a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. By avoiding or moderating the consumption of gout-triggering foods and prioritizing a healthy lifestyle, individuals can better manage their condition and reduce the frequency and severity of gout attacks. If you have had one or more gout attacks, it is strongly suggested that you are under the care of a podiatrist who can help you manage this condition, which often includes effective preventative methods.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact one of our podiatrists from Carolina Foot & Ankle Specialists. Our doctors will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

If you have any questions please feel free to contact our offices located in Mount Pleasant and Charleston, SC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Everything You Need to Know About Gout

Everything You Need to Know About Gout

Gout, typically found in diabetic patients, is an unusually painful form of arthritis caused by elevated levels of uric acid in the bloodstream. The condition typically strikes the big joint on the big toe. It has also been known to strike the knees, elbows, fingers, ankles and wrists—generally anywhere that has a functioning, moving joint.

The high level of uric acid in a person’s bloodstream creates the condition known as hyperuricema—the main cause of gout. Genetic predisposition occurs in nine out of ten sufferers. The children of parents who suffer gout will have a two in ten chance of developing the condition as well. 

This form of arthritis, being particularly painful, is the leftover uric acid crystallizing in the blood stream. The crystallized uric acid then travels to the space between joints where they rub, causing friction when the patient moves. Symptoms include: pain, redness, swelling, and inflammation. Additional side effects may include fatigue and fever, although reports of these effects are very rare. Some patients have reported that pain may intensify when the temperature drops, such as when you sleep.

Most cases of gout are easily diagnosed by a podiatrist’s assessment of the various symptoms. Defined tests can also be performed. A blood test to detect elevated levels of uric acid is often used as well as an x-ray to diagnose visible and chronic gout.

Treatment for gout simply means eliminating symptoms. Non-steroid anti-inflammatory drugs or NSAIDs (Colchicine and other corticosteroid drugs, etc.) will quell the redness, the swelling, and the inflammation. However, managing your diet, lifestyle changes, and using preventative drugs are all helpful toward fully combating the most severe cases.

 Those that lead an inactive lifestyle are at a higher risk for gout. Any amount of exercise decreases the probability of repeat encounters with the condition. Reducing your consumption of red meat, sea food, and fructose-sweetened drinks also reduces the likelihood of chronic gout as well.

Ingesting Vitamin C, coffee, and particular dairy products can help with maintaining a healthy lifestyle. There are new drugs out on the market that inhibit the body’s production of uric acid-producing enzymes. However, reducing or eliminating your overall levels of uric acid is the best remedy to ensuring you lead a gout-free life.

See Your Foot Specialist Regularly If You Work On Your Feet

See Your Foot Specialist Regularly If You Work On Your Feet

Do you work on your feet all day and find your feet in pain? Don't go to work in pain each day. Your foot pain can be treated, and we can help.

Foot and Ankle Injuries in the NFL

Foot and Ankle Injuries in the NFL

Foot and ankle injuries are prevalent in the high-impact world of the NFL, affecting players of all positions. One common cause is the rigorous physical demands of the sport, including sudden changes in direction, high-speed collisions, and repetitive stress on the lower extremities. Sprains, strains, fractures, and tendonitis are among the most frequently encountered injuries. Symptoms vary depending on the severity and type of injury but often include pain, swelling, bruising, instability, and limited range of motion. Plantar fasciitis, Achilles tendon injuries, turf toe, and Lisfranc injuries are particularly notorious in the NFL due to the stress placed on the foot and ankle during gameplay. Additionally, inadequate rehabilitation and premature return to play can exacerbate these injuries, prolonging recovery times and increasing the risk of re-injury. If you enjoy playing football and have sustained a foot or ankle injury, it is suggested that you visit a podiatrist who can offer you a tailored treatment plan and effective preventative techniques.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact one of our podiatrists of Carolina Foot & Ankle Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

  • Plantar Fasciitis
  • Plantar Fasciosis
  • Achilles Tendinitis
  • Achilles Tendon Rupture
  • Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

If you have any questions please feel free to contact our offices located in Mount Pleasant and Charleston, SC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Sports Related Foot And Ankle Injuries

Sports Related Foot And Ankle Injuries

Foot and ankle injuries are common among people who participate in sports. Several factors contribute to this. They include failing to stretch or warm up properly, not wearing the proper type of shoe and not taping or providing other types of support for the ankle or foot. The most common foot and ankle injuries suffered by people involved in sports are plantar fasciitis, ankle sprains and Achilles tendon damage or ruptures. If not treated properly, they can lead to permanent disability.

Treating these injuries is relatively simple if they are identified and addressed early. Many athletes dismiss the initial aches and pains associated with injury as just soreness or tired muscles. Their first response is usually to try to work through it. This can lead to serious problems. Many minor injuries are made far more serious when athletes continue to put strain and pressure on them. That attitude can change a mild strain into a serious strain and a minor tear into a rupture. Athletes should have unusual aches and pains evaluated by a skilled medical professional.

Plantar fasciitis is a painful injury. It is inflammation of the plantar fascia, the thick band of tissue running from the heel to the base of the toes. If left untreated, it can lead to a degenerative disease called plantar fasciosis. There are several effective treatments for this ailment. Doctors often prescribe rest, massages, stretching, night splints, physical therapy, anti-inflammatory medication, corticosteroids or surgery, usually in that order. The most effective treatment for plantar fasciitis is orthotics, which offers foot support. Surgery is occasionally used as a last resort, but it comes with the risk of nerve damage and infection and often does not stop the pain.

The Achilles tendon is the largest tendon in the body. It connects the calf muscles to the heel bone. Running, jumping and walking all impact this tendon. Two common injuries to the Achilles tendon are tendonitis and a rupture of the tendon. Tendonitis is inflammation in the tendon often caused by an increase in the amount of stress placed on it. Non-surgical treatments include rest, ice or anti-inflammatory medication.  A rupture (tear) of the Achilles tendon can be treated by placing the lower leg in a cast for several weeks or with surgery. Many physicians feel surgery is the better option because it lowers the risk of re-ruptures. Both methods require 4 to 6 months of rehabilitation.

Ankle sprains are the most common sports related foot and ankle injury. A sprain occurs when the ligament holding the ankle bones and joint stretches beyond its normal range. It can be treated non-surgically with a combination of rest, ice wrapped around the joint for 30 minutes immediately after injury, compression by a bandage and elevating the ankle above the heart for 48 hours. This combination is referred to as RICE. Severe ankle sprains in which the ligaments are torn may require reconstructive surgery followed by rehabilitation.

Symptoms and Risk Factors of PAD Affecting the Feet

Symptoms and Risk Factors of PAD Affecting the Feet

Peripheral artery disease, or PAD, manifests in various ways, often affecting the feet profoundly. Symptoms of PAD in the feet can include pain, cramping, or numbness, particularly during physical activity like walking or climbing stairs, which subsides with rest. In severe cases, individuals may experience non-healing wounds or ulcers on the feet or toes, indicating compromised blood flow. Several risk factors contribute to the development of PAD, including smoking, diabetes, high blood pressure, high cholesterol, and advancing age. Additionally, individuals with a sedentary lifestyle or those with a family history of cardiovascular disease are at increased risk. PAD occurs when arteries become narrowed or blocked due to the buildup of plaque, restricting blood flow to the limbs. Early detection and management of PAD are vital to prevent complications and improve outcomes. If you have symptoms of PAD in your feet, it is strongly suggested that you are under the care of a podiatrist who can help you find relief in addition to managing this condition.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with one of our podiatrists from Carolina Foot & Ankle Specialists. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

  • Claudication (leg pain from walking)
  • Numbness in legs
  • Decrease in growth of leg hair and toenails
  • Paleness of the skin
  • Erectile dysfunction
  • Sores and wounds on legs and feet that won’t heal
  • Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

If you have any questions, please feel free to contact our offices located in Mount Pleasant and Charleston, SC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Peripheral Artery Disease

Peripheral Artery Disease

Peripheral artery disease (PAD), or peripheral arterial disease, is a circulatory problem in which there is a reduction of blood flow to the limbs due to narrowed arteries. When peripheral artery disease develops, the extremities do not receive enough blood flow; this may cause symptoms to develop such as claudication, or leg pain when walking. The legs are the most common site of peripheral artery disease.

Claudication, or leg pain when walking, is one of several symptoms that can develop due to peripheral artery disease. Other symptoms caused by the disease include painful cramping in the hips, thighs, or calves after certain activities; leg numbness or weakness; coldness in the lower leg or foot; sores on the lower extremities that do not heal; hair loss on the lower extremities; and a missing or weak pulse in the lower extremities. In more severe cases, pain may even occur when the body is at rest or when lying down.

Peripheral artery disease is typically caused by atherosclerosis, a condition in which fatty deposits build up in the arterial walls and reduce blood flow. Smoking, diabetes, obesity, high blood pressure, and high cholesterol are some of the risk factors for peripheral artery disease.

If you are experiencing pain, numbness, or other symptoms in the lower extremities, see your healthcare professional immediately. Diagnosed peripheral artery disease can be treated with various medications, angioplasty and surgery, exercise programs, or alternative medicine. It is important to consult a healthcare professional to determine the best treatment for you.

Insights Into Plantar Hyperhidrosis

Insights Into Plantar Hyperhidrosis

Plantar hyperhidrosis, a condition marked by excessive sweating of the feet, poses unique challenges for those affected. This phenomenon, often overlooked, can significantly impact daily life, leading to discomfort, embarrassment, and even social withdrawal. The underlying mechanisms driving this condition remain complex, involving overactive sweat glands triggered by factors such as genetics, hormonal imbalances, or neurological conditions. While commonly dismissed as a mere inconvenience, plantar hyperhidrosis warrants attention due to its far-reaching implications. Beyond the discomfort and odor associated with perpetually moist feet, this condition predisposes individuals to fungal infections, necessitating diligent foot care routines. Despite its prevalence, awareness surrounding plantar hyperhidrosis remains limited, heightening the stigma and isolation experienced by those grappling with it. If you have developed plantar hyperhidrosis, it is suggested that you visit a podiatrist who can offer you relief and management techniques.

If you are suffering from hyperhidrosis contact one of our podiatrists of Carolina Foot & Ankle Specialists. Our doctors can provide the care you need to attend to all of your foot and ankle needs.

Hyperhidrosis of the Feet

Hyperhidrosis is a rare disorder that can cause people to have excessive sweating of their feet. This can usually occur all on its own without rigorous activity involved. People who suffer from hyperhidrosis may also experience sweaty palms.

Although it is said that sweating is a healthy process meant to cool down the body temperature and to maintain a proper internal temperature, hyperhidrosis may prove to be a huge hindrance on a person’s everyday life.

Plantar hyperhidrosis is considered to be the main form of hyperhidrosis. Secondary hyperhidrosis can refer to sweating that occurs in areas other than the feet or hands and armpits. Often this may be a sign of it being related to another medical condition such as menopause, hyperthyroidism and even Parkinson’s disease.

In order to alleviate this condition, it is important to see your doctor so that they may prescribe the necessary medications so that you can begin to live a normal life again. If this is left untreated, it is said that it will persist throughout an individual’s life.

A last resort approach would be surgery, but it is best to speak with your doctor to find out what may be the best treatment for you.

If you have any questions please feel free to contact our offices located in Mount Pleasant and Charleston, SC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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