Forefoot pain and deformity decrease the quality of life because of deteriorated gait function. Metatarsalgia, pain in the ball of the foot, is a common orthopedic problem often not understood because it is not clear as heel pain. When the metatarsalgia condition is influenced by Morton’s neuroma, it is known as Metatarsalgia neuroma. Metatarsalgia can be diagnosed by clinical examination and the medical history of the patient. The symptom is at the metatarsophalangeal articulations with electrifying, dull, and burning pain occasionally radiating to the toes. The pain has a V-shape between the second and third toes, at the pressure point of the interphalangeal joint striking against the shoe front. There are diverse causes, but the treatment of the underlying problem is crucial for successful metatarsalgia treatment.
Primary metatarsalgia – This is the uncoordinated relationship between the metatarsal and other parts of the foot. It causes increased MT declination with the first ray unable to bear the weight it transfers the pressure to other areas of the foot.
Secondary metatarsalgia – Is caused by the indirect overloading of the forefoot. For example, trauma to the foot can alter the foot alignment causing rotational and angular displacement. If the structures that support the metatarsal joint are injured or fractured, the biomechanical alignment of the foot is unstable and painful. Other causes of secondary metatarsalgia include Morton’s neuroma, chronic inflammatory diseases, tarsal tunnel syndrome, hallux rigidus, and Freiberg infarction.
Iatrogenic metatarsalgia – This arises from complications after surgery of the forefoot, affecting the MT osteotomy, or having excessive shortening of the MT. Other complications include avascular necrosis, nonunion, or malunion.
Metatarsalgia treatment
The condition deteriorates the biomechanical condition of the foot, increasing pressure on the MT head when bearing weight. Several measures can improve or prevent the condition:
Put up the feet and rest them and avoid activities that cause pain to the foot, such as active sports that involve lots of jumping or running. Engage in low-impact activities such as swimming or cycling.
Apply an ice pack for 20 minutes and do it several times a day. Do not apply ice directly to the skin to avoid damage.
Change your footwear to flat shoes with plenty of room. The sole should be well-cushioned. Choose good sports shoes and replace any worn-out footwear.
Use shock-absorbing insoles and pads that fit in your shoes that are available in the sports shops, pharmacies, or buy online.
Adopt a healthy and balanced diet to maintain a healthy weight. Keep low-impact exercises to help you lose weight.
Take over-the-counter painkillers to relieve swelling and pain.
If the pain gets worse despite the above measures or you experience severe pain that interferes with your normal activities, and if you develop severe foot pain that threatens to change the shape of the foot you need immediate treatment. Metatarsalgia issues can be very uncomfortable to live with. If you are experiencing pain with your metatarsalgia neuroma, contact the podiatrist at DeNiel Foot & Ankle Center. Our doctor can provide the care you need to keep you pain-free and on your feet.
A foot blister is a fluid-filled pocket that develops in response to an infection or an injury, and it occurs in the top layer of the skin. Blister on foot happens over a damaged area to cushion the feet from further harm. Foot blister pain is because of the pressure on the feet.
Causes of blisters on the feet
Pressure and friction – When the feet continually rub against a rough surface, shoe, or socks it causes foot blisters. Inflammation and irritation result in redness, pain, and swelling. Initially, a red sore appears, then the body sends fluids to fill the opening to protect the underlying tissue layers that are delicate.
Burning – If the skin is burnt, the body responds by creating a blister to avoid further damage to the underlying tissues. Blisters develop after about two days but in severe burns, they appear immediately and the blister on foot heals when the burn itself heals.
Freezing – Frostbite happens in extremely cold conditions where the skin cells die and foot blisters form to keep the body warm and prevent further damage.
Medical conditions – Various medical conditions weaken the outer layer of the foot skin leaving it vulnerable to foot blisters. A blister can also signify infections, disorders, and diseases. These medical conditions include eczema, chickenpox, antibiotic treatment, blood-thinning medications, and being overweight.
Ruptured blood vessels – The tiny blood vessels in the epidermis of the skin break, they cause a blood blister. It occurs when the skin is pinched or crushed.
Contact dermatitis – Skin inflammation or dermatitis occurs when the foot skin is exposed to an irritant. If the exposure continues the condition progresses to form a blister on foot.
Other contact dermatitis foot blisters include
Insect stings and bites.
Skin allergens.
Nickel
Sulfates
Toxic chemical agents.
Foot Blister Treatment
Foot blister pain can be very uncomfortable to live with. If you are experiencing pain with your foot blister, contact the podiatrist at DeNiel Foot & Ankle Center. Our doctor can provide the care you need to keep you pain-free and on your feet and it can heal in a few days.
Leave it alone – Blisters heal naturally and provide a safe space for healing allowing new skin to grow. After the new skin grows, the body slowly reabsorbs the fluid and the skin dries up and flakes off.
Protect it – Protect the blister to prevent it from popping to decrease the time it takes for it to heal. Avoid friction around the blister and cover it with a loose bandage to allow airflow necessary for drying out the blister. Use an adhesive bandage to secure it in position.
Cushion the blister with a cushioned adhesive bandage designed for blisters to reduce pain and keep out blisters as the blister heals.
Pad it with a moleskin that absorbs pressure to avoid putting it on the blister.
Draining a blister
If the blister is in an inconvenient place or it is large, a foot doctor can advise you to drain the blister. It is best to let your doctor drain the blister without damaging the covering of the blister. The draining is usually done within 24 hours after it forms.
When you notice that the blister has green or yellow fluid or the pain gets worse, or the area is hot to touch or inflamed, contact a podiatrist immediately for foot blister treatment. Also, if the blister keeps coming back, or the pain gets worse or it is a symptom of an allergic reaction a foot doctor will know how best to treat it.
Frequently Asked Questions
How do you heal a blister on your foot fast?
To heal a blister quickly, keep it clean and protected. Wash the area gently with soap and water, apply an antiseptic, and cover it with a bandage or moleskin. Avoid pressure or friction on the blister, and let it heal naturally. If it bursts, clean it, apply an antibiotic ointment, and cover it to prevent infection.
Is it better to pop a blister or leave it?
It’s generally better to leave a blister intact, as the fluid inside acts as a cushion and promotes healing. If the blister is large or painful, you can drain it safely using a sterilized needle. Avoid removing the skin flap, as it protects the underlying tissue.
Can I walk with a blister on my foot?
Yes, you can walk with a blister, but it’s best to reduce friction and pressure. Use protective padding like moleskin or blister cushions. If walking causes significant pain, take breaks to rest your feet and avoid aggravating the blister.
What ointment is good for blisters?
Antibiotic ointments like Neosporin or Bacitracin are good for blisters, especially if they’ve popped. They help prevent infection and keep the area moisturized for faster healing. Aloe vera gel can also soothe and aid in recovery.
Have you been experiencing pain and swelling around my toe around the nail? Could it be an ingrown toenail? An ingrown toenail is a condition where one or both corners of the toenail grow into the soft flesh of the toes skin. It is a common condition and it affects the big toe. The result is swelling, pain, redness, and in severe cases, the toe is infected. The nail may have overgrown and inflamed skin over the tip that may be painful in response to pressure.
It can be treated at home but if you have questions about ingrown toenail treatment, reach out to a foot specialist for his/her expert advice. Feel free to contact our office to make an appointment with our podiatrist. Our foot and ankle doctor, Dr. Ejodamen Shobowale can provide you with the care you need to keep you pain-free on your feet.
Causes of ingrown toenails
Cutting the nails short and not cutting straight across.
Tight-fitting stockings, socks, or tight also increase the chances of ingrown toenails.
Too tight, short, narrow ended or flat shoes, increase the chances of developing ingrown toenails.
Injury through something dropping on the toe or kicking something hard.
Walking and standing posture can affect the likelihood of ingrown toenails developing.
Excess sweaty feet keep the skin moist and warm, leaving the toenails susceptible to the development of ingrown toenails and increased chances of ingrown toenail infection.
Ingrown toenails can be heredity.
Genetic factors, such as people with larger toenails.
Seek medical attention as soon as ingrown toenail symptoms appear, and if you have nerve damage in the foot, you have diabetes and poor circulation in the foot. Before taking over-the-counter medications that may mask the pain but not solve the problem, visit a foot doctor.
Infections – Bacteria enter through the point where the nail pierces the skin. It results in infection manifested by the area becoming red, painful, warm, and swollen, some times you might notice bleeding and pus oozing out. Keep your toes and toenails clean and dry to prevent infections.
Removal – If an ingrown toenail recurs, the cells in the nail bed may be removed and destroyed using a chemical such as phenol so that the toenail cannot grow again. During ingrown toenail removal, the doctor uses a local anesthetic and when it wears off, use painkillers. During the healing process, wear soft spacious shoes.
Surgery – A toenail avulsion is removing part of the nail through surgery. A podiatrist cuts away the edges of the toenail, to make it narrow and the skin folds on either side of the toenail may be removed. In some cases, if the toenail is distorted or thick, the whole nail is removed and you will be back to normal activity the next day.
Home treatment – Most patients are advised to treat the toenail themselves. The toenails are soaked in warm water with Epsom salt up to four times a day and using a cotton bud push the skin from the toenail. Do not cut the toenail repeatedly because it could make the problem worse. Wear footwear with plenty of room.
Ingrown toenails can be prevented, if the nails are cut straight across in a straight line or if you have circulatory problems see a podiatrist for professional trimming, maintain good foot hygiene, and choose proper fitting footwear.
Tarsal tunnel inflammation is the tingling, shooting pain, burning sensation, or numbness in the foot. The tunnel is the narrow space that lies inside the ankle, covered by a thick ligament that protects the structures inside the nerves, arteries, veins, and tendons. The tarsal tunnel syndrome is caused by squeezing or compression, causing tarsal tunnel syndrome symptoms inside the ankle.
Tarsal Tunnel Inflammation Diagnosis
Make an appointment with a podiatrist who will examine the foot for diagnosis and will create a treatment plan for you. The tarsal tunnel syndrome specialist asks about the progression of the symptoms and the medical history of the affected area, followed by a physical examination. The foot is positioned to make it possible to tap on the nerve to see if tarsal tunnel syndrome symptoms will be reproduced. It is followed by pressing on the foot to determine the presence of a small mass. Additional imaging tests like electromyography are conducted to evaluate nerve dysfunction, especially if the doctor suspects the presence of a growth or mass in the foot.
Rest the foot to prevent further injury and encourage healing.
Apply ice to the affected area. Apply ice for 20 minutes and wait 40 minutes before re-applying ice again. Place a thin towel between the skin and the ice.
Immobilization. Restrict movement to enable the healing of the nerves and surrounding tissues by wearing a cast.
Take oral medications such as ibuprofen to reduce inflammation and pain.
Shoes. Wear supportive shoes recommended by the foot doctor.
Doctor-prescribed treatments
Physical therapy modalities, exercises, and ultrasound therapy are recommended to reduce symptoms.
Injection therapy of local anesthetic and corticosteroid treats inflammation of the foot.
Orthotic devices are prescribed to limit excess motion and maintain the arch to avoid further compression of the nerve.
Bracing is done for patients with flat feet and those with severe nerve damage and symptoms, to reduce pressure on the foot.
Surgery
The foot and ankle doctor determine if it is the best option for tarsal tunnel inflammation treatment. The doctor determines the appropriate procedure to use for the best relief to your foot.
Exercises
The tarsal tunnel inflammation is due to damage or irritation and so you should be gentle when exercises. Tarsal tunnel syndrome exercises reduce swelling and pain and help the tendons to heal. Exercises focus on gentle movements to build flexibility and reduce irritation in the ankle. Calf stretches are the best in reducing tightness around the ankle by relieving swelling and stress. Posterior tibialis heel lifts help the tarsal tunnel by strengthening and stretching the tendon to reduce discomfort and swelling.
Tarsal tunnel syndrome issues can be very uncomfortable to live with. If you are experiencing pain with your tarsal tunnel syndrome symptoms, contact the podiatrist at DeNiel Foot & Ankle Center. Our doctor can provide the care you need to keep you pain-free and on your feet.
Sever’s Disease Houston’s formal name is calcaneal apophysitis; it causes heel pain due to the irritation and swelling of the growth plate. The growth plate is a weaker layer of cartilage near where the bone growth takes place. The muscles and tendons become tight during growth pulling the heel and when active the tendons and muscles pull injuring the growth plate. Within a few months of management, the condition goes away without any lasting problems.
Who gets the Sever’s Disease and the Heel pain?
It is common in the skeletal of immature athletes because of an overuse injury to the Achilles tendon.
It is common in kids within the growth spurt especially between the age of 9 to 14 years old and common in males than females. It is because of the rapid growth rate in active adolescents.
iii. Young people engaging in active activities or sports that require repetitive jumping and running such as cross-country, gymnastics, basketball, and soccer.
Risk factors that increase chances of developing sever’s disease
Overuse injury from all-year-round sports or activities.
Worn-out footwear or poorly fitting footwear.
Poor training mechanics and training on hard surfaces.
Biomechanical factors such as poor heel flexibility.
Being overweight adds pressure to the foot.
Sever’s Disease Treatment
Severs disease treatment is self-limiting because it revolves around maturity and the closure of apophysis.
The non-operative options of severs disease treatment include
Resting or enjoying periods of inactivity without active sporting until the symptoms subside.
Wearing proper footwear, well maintained and updated.
The use of orthotics or casting is dictated by clinicians for severe symptoms of the condition. It may mean some periods of immobilization depending on the severity of the symptoms. Heel pads and heel cups can also be used.
Utilization of Achilles tendon stretches and include heel cord stretching, to strengthen dorsiflexor.
Apply ice to the foot before and after activities, especially sports.
Take over the counter painkillers with the guidance of a health professional.
Wear open shoes at the back to avoid irritation to the heel.
The improvement of the symptoms takes place from 6 months onwards. It might not be necessary for injections or surgical interventions since the condition does not cause long-term complications.
Preventative measures
Preventative measures should be to avoid overuse injuries to the foot. It is essential to maintain adequate hydration, have adequate sleep, a balanced diet, and increase activity level at the rate of 10 percent every week.
Use stretching to maintain flexibility and use proper equipment and techniques for sporting activity.
Specialize in one single sport in the early years. Sometimes patients are involved in multiple sports that can cause a challenge during the healing process from the disease.
Sever’s disease Houston issues can be very uncomfortable to live with. If you are experiencing pain with your sever’s disease and the heel pain, contact the podiatrist at DeNiel Foot & Ankle Center. Our doctor can provide the care you need to keep you pain-free and on your feet.
It is normal for the Achilles ligament to get injured. The tendon stretches from the heel to the calf muscles, and it is the largest tendon in the body. It is springy and is felt at the back of the ankle. It mainly helps raise your toes and point the toes towards the floor. It is common to feel stiffness or burning pain at the back of your leg, which is an indication that the Achilles tendon is partly or entirely torn. Achilles tendon pain affects your ability to walk.
Causes of Achilles tendon
Every time you walk, you use the Achilles tendon to move the foot, although, it is prone to injury due to poor circulation.
An injury can happen due to increased stress on the tendon through intense sports, especially those involving jumping, falling, or stepping into a hole.
Achilles tendinitis injury can affect some parts of the tendon. There are two main types under this category the non-insertional Achilles tendinitis, which is an injury to the middle of the tendon when it breaks or swells, and the insertional Achilles tendinitis that affects the lower part of the heel and can cause bone spurs.
Achilles tendon rupture is common among weekend warriors, who are mainly middle-aged people participating in sports part-time.
Illness or medications such as certain antibiotics or steroids weaken the tendon leaving it prone to injuries.
Achilles tendon issues can be very uncomfortable to live with. If you are experiencing pain with your achilles tendon, contact the podiatrist at DeNiel Foot & Ankle Center. Our doctor can provide the care you need to keep you pain-free and on your feet.
Some factors that increase the risk of Achilles tendon rupture include:
Age between 30 to 40 is more likely to experience Achilles injury.
Tendon injury is more likely to occur in men than women.
Recreational sports that have sudden stop and start, involving jumping or running, such as tennis, soccer, and basketball.
Antibiotics such as ciprofloxacin and levofloxacin increase the risk of tendon injury.
Being overweight puts more strain on the tendon.
Steroid injections into the ankle joint can weaken the nearby tendons and can be associated with a tendon injury.
Prevention of Achilles tendon injury
The chances of developing Achilles tendon injury can be reduced by:
Stretching the calf until there is a noticeable pull. The stretching exercise keeps the tendon strong and increases its ability to absorb force thus preventing injury.
Alternate high impact sports with low-impact sports. Alternate running with swimming, and when injured avoid activities that place excess stress on the Achilles tendons.
Avoid running or training on slippery and hard surfaces.
Dress in well-fitting athletics shoes with properly cushioned heels and in cold weather dress warmly.
Increase training intensity slowly, that is the increase in distance, duration, or frequency, should be done at a rate of 10 percent.
The obvious symptom of Achilles tendon injury is pain above your heel when you are on your feet. The injury pain is usually instant but the area might be stiff, tender, and swollen. Immediately you notice symptoms of tendon injury, start by resting and applying ice, compression, and keeping the leg elevated until you can visit an Achilles tendon specialist for further treatment.
It is normal for the Achilles ligament to get injured. The tendon stretches from the heel to the calf muscles, and it is the largest tendon in the body. It is springy and is felt at the back of the ankle. It mainly helps raise your toes and point the toes towards the floor. It is common to feel stiffness or burning pain at the back of your leg, which is an indication that the Achilles tendon is partly or entirely torn.