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Highlighted Achilles tendons showing injury or strain in the lower legs.
20Jul

achillesTendon

Experiencing pain or swelling in the posterior aspect of the ankle is a sign of Achilles tendon disorder. The Achilles tendon is susceptible to damage since it is the largest tendon with a limited supply of blood and subject to a lot of pressure. The two causes of Achilles tendon disorders are increased activity and aging. The onset of the disorder can be gradual or sudden, but either way, the healing process is lengthy. A medical practitioner does a thorough physical examination and medical history for appropriate diagnosis and Achilles tendonitis treatment plan. When the proper treatment is administered, it leads to full recovery.

Achilles tendon pain

Pain associated with the Achilles tendon often begins with mild pain above the heel or back of the leg after an activity such as running. After some time, you might experience more severe pain after prolonged activity. You might also notice stiffness or tenderness in the morning, which vanishes with mild activity. If you are dealing with Achilles tendon pain, you may want to seek help from a foot specialist. Feel free to contact our office to make an appointment with our podiatrist. Our foot and ankle doctor, Dr. Ejodamen Shobowale will provide you with the care you need to keep you pain-free on your feet.

One of the main symptoms of Achilles tendon disorders is the sore Achilles and buildup of pain. Soreness is noticeable a few centimeters above the heel bone. The lower leg can feel weak, stiff, and slow.

Achilles tendon rupture

If you overstretch, the Achilles tendon might partially or completely rupture. If it is an achilles tendon rupture, you might hear a pop sound followed by an immediate sharp pain at the back of the ankle. Your ability to walk will be affected while some people might get well through nonsurgical treatment, a ruptured tendon can be corrected through surgery.

Achilles tendonitis treatment

A prolonged tendon disorder may require long term treatment or surgery. Seeking treatment right away is very important, but it is crucial to follow the doctor’s instructions for quick recovery. It might take a few months to recover fully from surgery.

Some disorders can go away following proper care, but if you continue putting pressure on the tendon it will take longer to heal. It is important to rest, ice, compress and elevate which is the RICE method.

Rest: whenever possible, avoid pressure on your tendons, sit, or sleep, and you might use crutches for long distances. The injury heals faster if no additional strain is put on the tendon.

Ice: apply ice several times for 15 to 20 minutes a day. This reduces inflammation and swelling fast.

Compression: compress the injury by wrapping an athletic tape or bandage or clothing. The wrapping should not be too tight to limit blood flow.

Elevation: to keep the swelling down, raise your foot above your chest when lying down. Use a pillow or a raised surface to achieve this.

Surgery:

If treatment and other interventions are ineffective, the doctor may suggest surgical intervention, especially if the condition worsens. Depending on the severity of the condition, the doctor might recommend a few surgery options.

In case you fear of complications of Achilles tendon disorder due to severe pain, disabling your ability to carry on normal activity you need to visit a doctor. If you have any questions, please feel free to contact our office located in Houston, TX. Our Houston, TX office can handle all of your foot and ankle issues. We will provide you with the latest diagnostic and treatment methods for treating all foot or ankle related issues.

Pregnant woman's swollen feet and ankles on wooden floor.
15Jul

swollenfeetYou are already conscious of your pregnancy then you have swollen feet, it’s frustrating. The feet swelling might get worse if the due date is near, or during warm weather and in the evenings. Mild swelling is not a cause for concern, but sudden swelling to the hands and face signify a more serious underlying condition. When you notice extreme swelling, please consult a  health professional. Feet swelling, or edema, is prevalent around 22 to 27 weeks of the pregnancy sometimes until the due date.

Causes of swollen feet during pregnancy

Feet swelling during pregnancy occur because of increased body fluids, increased blood flow, and pressure from the growing uterus. All these are meant to nurture the baby and can lead to swelling. Consult a health professional if you notice excessive swelling of the feet and face accompanied by elevated blood pressure, protein in the urine, and rapid weight gain.

Swollen feet after birth (Postpartum edema)

Excess fluids in the body after childbirth can lead to postpartum swelling. When you near the due date, the body prepares for birth by retaining water to adapt to the baby’s growth. After childbirth, the body naturally eliminates the fluids. During the first week after pregnancy, the body flushes the excess water out, however this varies depending on the ability to eat healthy, stay hydrated, and having plenty of rest. The outer layer of the feet might be puffy or shiny.

 

When is postpartum edema alarming? If you experience headaches and intense pain in the feet, it is time to see the doctor. Also, if you notice pain in one area or on one foot, you need a physician to look at the possibility of a blood clot.

If you are dealing with swollen feet during or after pregnancy, you may want to seek help from a foot specialist. 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.

Dealing with feet swelling during pregnancy

Swollen feet pregnancy and after pregnancy means taking extra care to avoid complications. These are some simple steps that will go a long way relieving.

  • Avoid long periods of standing.
  • Hold up your feet while sitting.
  • Take time to stretch every few minutes.
  • The left side acclaimed as the precise resting position.
  • When possible, wear stockings for support.
  • Exercise regularly, try walking and swimming.
  • Lack of fluids causes the body to retain fluid in the body; increase the intake of fluids and water throughout the day.
  • Wear comfortable shoes such as orthotic shoes and inserts.
  • Moderate your salt intake.

If you have any questions, please feel free to contact our office located in Houston, TX. Our Houston, TX office will handle all of your foot and ankle issues. We will provide you with the latest diagnostic and treatment methods for treating all foot and ankle related issues.

Illustration of nervous system with affected hands and feet in peripheral neuropathy.
5Jul

Illustration of nervous system with affected hands and feet in peripheral neuropathy.

The peripheral nervous system is responsible for sending information to the central nervous system (spinal cord) and the brain. Peripheral neuropathy is a result of damage to the peripheral nerves and nerves outside the brain. The cause of neuropathy can be because of infections, exposure to toxins, traumatic injuries, inherited causes, and metabolic problems. These cause pain, numbness, and weakness, especially in the feet and hands.

Cause of neuropathy

Different health conditions causing peripheral neuropathy include

  • Diabetes patients are more likely to develop a kind of neuropathy.
  • Autoimmune diseases such as chronic inflammatory demyelinating polyneuropathy, lupus, rheumatoid arthritis, Sjogren’s syndrome, vasculitis, and Guillain-Barre syndrome.
  • Inherited disorders such as Charcot-Marie-Tooth.
  • Bacterial and viral infections including hepatitis B and C, Lyme disease, HIV, shingles, leprosy, Epstein-Barr virus, and diphtheria.
  • Bone marrow disorders, a form of bone cancer, abnormal protein in the blood, the rare disease amyloidosis, and lymphoma.
  • Connective tissue disorders, hypothyroidism, kidney disease, and liver disease.
  • Other causes of neuropathies include alcoholism, medications, trauma to the nerve, pressure on the nerve, exposure to poisons, and vitamins B and E deficiencies.

If you are dealing with a nerve pain in your legs, you may want to seek help from a foot specialist. 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.

Diagnosing peripheral neuropathy

The doctor first conducts a full medical history, including your family history of neurological disease, drinking habits, lifestyle, and exposure to toxins. The doctor can then recommend a neurological examination to check your sensations, nerve pain in legs, tendon reflexes, muscle tone and strength, coordination, and posture.

Tests used for diagnosis include

  • Imaging test- MRI or CT scans to check for abnormalities such as tumors and herniated disks.
  • Blood tests that effectively detect diabetes, vitamin deficiencies, and abnormal immune function.
  • Nerve function tests – In this test, a thin needle is inserted into the muscles to record the electrical activity of the muscle.
  • Skin biopsy where a small portion of the skin is tested for the reduction of nerve endings.
  • Nerve biopsy involves removing a small portion of the nerve to check for nerve abnormalities through a sensory nerve.
  • Other nerve function tests include an autonomic reflex screen which records how the nerve fibers work, a sweat test to determine the body’s sweating ability, and sensory test to record reactions to different senses such as heat, cooling, touch, and vibration.

Treatment for neuropathy in legs and feet

If you are experiencing burning feet because of neuropathy, it is very important to stop the nerve damage. Treatment of underlying diseases can improve the symptoms of neuropathy, but if not the doctor can focus on treating the symptoms. Some medications that can be administered to relieve symptoms include

Pain relievers: Nonsteroidal anti-inflammatory drugs can be used to relieve mild symptoms, but for severe symptoms, the doctor can prescribe medications.

Anti-seizure medications: these are used to treat epilepsy and very handy in relieving nerve pain.

Topical treatments: this includes the use of capsaicin cream, which contains a substance found in hot pepper. It reduces irritation and burning skin when applied and the symptoms lessen over time. Other topical treatments include lidocaine patch applied to the skin for pain relief.

Antidepressants: Tricyclic antidepressants such as nortriptyline and doxepin relieve pain by interfering with the chemical processes spinal cord and brain. Norepinephrine reuptake inhibitor, duloxetine, serotonin, and venlafaxine are extended-release antidepressants that ease pain likely caused by diabetes.

Therapies

TENS (Transcutaneous electrical nerve stimulation) – A gentle electric current is administered at varying frequencies on the skin. This should be about 30 minutes for about a month.

Plasma exchange and intravenous immune globulin –beneficial for people with inflammatory conditions because it suppresses the immune system activity. Plasma exchange, your blood is removed, and anti-bodies and proteins removed from it then returned to the body. In immune globulin therapy, the body receives immunoglobulins, which work as antibodies.

Physical therapy– This improves movements and aids can be used such as foot and hand braces, a walker, cane, among others.

Surgery– if the condition is due to pressure on nerves from tumors.

If you have any questions, please feel free to contact our office located in Houston, TX. Our Houston, TX office can handle all of your foot and ankle issues. We will provide you with the latest diagnostic and treatment methods for treating all foot neuropathy related issues.

Foot surgery illustration showing incision and surgical tools.
28Jun

Arthritis in Your Feet: Causes, Symptoms, and Treatment

Arthritis of the foot predominantly affects the joints and your foot has more than 30 joints. It causes painful effects in your feet if you have arthritis. However, arthritis can affect one or more joints. It is common in people over the age of fifty and it is common in women and overweight people.

 

Foot surgery illustration showing incision and surgical tools.

Different kinds of arthritis that hurt your feet

Osteoarthritis: This mostly affects the first metatarsophalangeal joint (MTP) at the big toe of the foot. This also affects the mid-foot and ankle.

Rheumatoid arthritis: This occurs on both feet affecting the same joints. It is different from OA which affects one specific joint.

Gout: It affects the feet only especially the big toe.

Psoriatic arthritis (PsA):  Often seen on the toes, causing sausage-like swelling. It causes inflammation of the ligaments and tendons attached to the bones. It may be confused with plantar fasciitis.

Ankylosing spondylitis: It causes pain in the Achilles tendon and the plantar fasciitis.

Post-traumatic arthritis: This happens after a bone fracture or dislocation and is noticeable after some years.

Causes of foot and ankle arthritis

The causes of foot and ankle arthritis vary depending on the form or type of arthritis. Most types of arthritis have been linked to a combination of different factors causing the situation to be unpredictable. For example, people who inherit the disease develop some arthritic conditions, but another factor such as smoking, infections, or injury causes a full-blown arthritic condition. Some possible causes, however, include

  • Abnormal metabolism leading to pseudogout and gout.
  • Degenerative arthritis caused by an injury
  • Osteoarthritis is inherited.
  • Immune system dysfunction.
  • Lyme disease infection.
  • Diet and nutrition can leave the body susceptible to the risk of developing arthritis. Some foods increase inflammation and worsen the symptoms of arthritis, such as highly refined sugars, animal-derived foods. Diets that have high purine, such as meats, seafood, and red wine can trigger flare-ups of arthritis, especially gout.

Symptoms of foot and ankle arthritis

  • Pain when you move.
  • Tenderness in the joint, especially when you touch.
  • Joint swelling with stiffness and swelling.
  • The feet might be warm to the touch.
  • Pain and swelling even after resting and sitting.

Risk factors

Some factors have been associated with arthritis, some are modifiable while others are non-modifiable. Some non-modifiable risk factors include sex, age, and genetic factors. Some modifiable risk factors include joint injuries, infections, overweight or obesity, and certain occupations, especially ones that require you to be on your feet most of the time.

Diagnosis

If you have been diagnosed with arthritis of the foot, chances are you feel pain with each step you take.

If this is the case, you may want to seek help from a foot and ankle specialist such as Dr. Ejodamen Shobowale of DeNiel Foot and Ankle Center. She can provide you with the utmost care you need to keep you pain-free and on your feet.

The doctor will ask about your medical history then move on to conduct a physical exam. Then the doctor may refer you for an x-ray, MRI or CT scans to make a proper diagnosis.

Foot Arthritis Treatment

Treatment of arthritis varies when considering the causes and symptoms of arthritis.

  • Anti-inflammatory drugs to take down swelling
  • Steroid medications can be injected into your joints.
  • Pads, inserts, and arch support your feet.
  • Braces or canes for support.
  • Pain relievers.
  • Physical therapy.
  • Custom-fitted shoes.

Houston arthritis Surgery

Some patients require at least one kind of surgery to treat ankle and foot arthritis some surgeries include

  • Joint replacement surgery, which is used in severe cases to take out the damaged cartilage and bone to replace it with plastic or metal parts. It is also known as arthroplasty.
  • Fusion surgery, also called arthrodesis involves fusing bones together with plates, screws, pins, and platters. After they heal the bones remain joined.

Non-medical remedies for arthritis pain

  • Wear shoes shaped like your foot.
  • Seek shoes with good support.
  • Wear rubber-soled shoes for more cushioning.
  • Flexibility
  • Proper fitting shoes
  • Exercise helps your feet be more flexible, strong and pain-free.
  • Creams with capsaicin or menthol, which stop the nerves from sending pain signals.
  • Apply heat or cold in the inflamed area.
  • Gentle exercises.
  • Massage
  • Acupuncture
Illustration of tarsal tunnel with nerve compression in the ankle.
27May

 

This is a condition brought about by compression, pressure, or squeezing, to the posterior tibial nerve causing harm. The tarsal tunnel is the narrow space inside of the ankle next to the ankle bones.

tarsal tunnel

Causes

  • People with flat feet are at a greater threat of developing the tarsal tunnel condition because the heel impact point tilts outwards with a fallen curve causing strain and pressure the nerve.
  • Abnormal or enlarged structures that occupy space can compress the tibial nerve. Forms of such structures are ganglion cyst, arthritic bone spur, benign bony growths, varicose vein, and swollen tendons.
  • An ankle sprain injury causes inflammation and swelling affecting the tibial nerve.
  • Systemic diseases like arthritis or diabetes cause the body to be vulnerable to tibial neuropathy.
  • Common with athletes who have suffered from tibial plateau fractures.

Symptoms

The symptoms vary for different individuals as some progress gradually while some people experience the symptoms almost immediately. Some symptoms aggravate with physical activity, but if the condition is long-standing, pain and tingling can be felt when sleeping.

These symptoms are evident along the tibial nerve, at the sole of the feet, or inside the ankle:

  • Numbness
  • Shooting pain
  • Burning sensation
  • Tingling sensation similar to an electric shock.

Diagnosis

If you are dealing with a tibial nerve injury or tibial nerve dysfunction, you may want to seek help from a foot specialist. 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.

The podiatrist first examines if there is a loss of feeling by positioning the foot and tapping. If they are evident symptoms the area is pressed to determine if there is a mass present. Further imaging studies may be recommended to evaluate nerve problems. If non-surgical treatments do not work the doctor might need to conduct a nerve conduction velocity (NCV) or an electromyography (EMG) to determine the cause of the syndrome. The doctor determines if surgery is the best option to treat tarsal tunnel syndrome.

Non-surgical interventions that may be recommended include

  1. Letting the foot have plenty of rest to prevent further injury and encourage healing.
  2. Applying an ice pack on the affected area for twenty minutes, then wait for 40 minutes before applying the ice again.
  3. Non-steroidal anti-inflammatory drugs can be recommended to reduce inflammation and the pain.
  4. A cast might be applied to the foot to restrict movement in the nerve and surrounding tissue.
  5. Physiotherapy is recommended to reduce the symptoms of tarsal tunnel syndrome.
  6. Local anesthetic injections may be offered to provide pain relief and treat inflammation.
  7. Orthotic gadgets such as custom shoe additions may be prescribed to confine unnecessary motion.
  8. Supportive footwear may be advocated.
  9. Braces might be fitted especially for flat-footed people to relieve pressure off the foot.

If the condition is not treated, it results in irreversible nerve damage leading to difficulties in walking. If you have any questions, please feel free to contact our office located in Houston, TX. Our Houston, TX office can handle all of your foot and ankle issues. We will provide you with the latest diagnostic and treatment methods for treating all foot-related stress fractures.

Frequently Asked Questions

How do you treat tarsal tunnel syndrome?

Treatment for tarsal tunnel syndrome typically includes rest, ice application, and anti-inflammatory medications to reduce swelling. In more severe cases, physical therapy, corticosteroid injections, and custom orthotics may help. Surgical intervention is considered for persistent cases that don’t respond to conservative treatments.

What is the difference between tarsal tunnel and neuropathy?

Tarsal tunnel syndrome is a specific type of neuropathy that occurs when the posterior tibial nerve is compressed as it passes through the tarsal tunnel in the ankle. Neuropathy, on the other hand, refers to general nerve damage or dysfunction, which can be caused by various factors, such as diabetes, and affects nerves throughout the body.

What is the best exercise for a tarsal tunnel?

Stretching exercises for the calf and foot muscles, along with strengthening exercises for the ankle, are often recommended. Calf stretches, toe curls, and ankle mobility exercises can help relieve pressure on the tibial nerve, improving flexibility and reducing discomfort.

Is heat good for tarsal tunnel syndrome?

Heat can provide temporary relief for tarsal tunnel syndrome by relaxing muscles and improving blood flow. However, it should be used with caution, as excessive heat could aggravate inflammation. Ice therapy is often preferred for reducing swelling and inflammation, especially during flare-ups.

X-ray of foot showing stress fracture in the ankle area.
17May

A stress fracture is common on foot and ankle; it is a small crack or severe bruising within a bone. Stress injuries can be within the shin bone, foot, lower back, heel, and hip. They are common in the third and second metatarsals. The stress arises from overuse or trauma to the foot and ankle, which if it goes untreated it can cause fractures.

X-ray of foot showing stress fracture in the ankle area.

Causes of a foot stress fracture

Stress fractures occur due to weight-bearing activities and extreme impact activities. The causes of stress can be internal or external factors. If you are dealing with any foot and ankle stress fracture, you may want to seek help from a foot specialist. Feel free to contact our office to make an appointment with our podiatrist. Our foot and ankle doctor, Dr. Ejodamen Shobowale will provide you with the care you need to keep you pain-free on your feet.

Internal Factors

Age: Older people have low bone density and weakened bones that may develop stress reactions.

Weight: If you have a low BMI your bones might be weak and if you have a high BMI repetitive loading on your body weight puts you at risk of stress fractures.

Foot anatomy: Foot problems, such as tendonitis, blisters, bunions, and high or low arches, affect the way the foot strikes the ground leaving it susceptible to stress fractures.

Sex: Females are at risk of fractures, especially if they experience irregular menstrual periods.

Medical conditions: Some diseases such as osteoporosis weaken bone density and strength. Soft and weak bones might not adjust to activities, leaving them vulnerable to fractures.

External Factors

  • Practicing incorrect sport technique or training.
  • Having rapid training activities.
  • Changing training activity levels without breaks in between the change.
  • Changing exercising surfaces such as from an indoor track to concrete or gravel surfaces.
  • Running on a sloped surface.
  • The use of improper or poor equipment and footwear.
  • Repetitive, high-impact sports.
  • Low vitamin D level.
  • Poor calorie intake that does not complement the volume of sport one is engaging in.
  • Continuous sport without a break, especially for the youth.

Symptoms of a bone stress fracture

  • Pain and tenderness when the bone is touched.
  • Swelling and aches at the site of fracture.
  • Pain experienced only at the start of an activity.
  • Continues pain throughout an activity.
  • Pain in one leg and the inability of it to function normally.

Treatment

Treatment relives the fracture from pain and allows it to heal. A podiatrist’s treatment plan ensures that no further damage occurs in the bone and you get back to your activities faster. Treatment may vary considering the severity and location of the stress fracture. The efficacy and safety of Levitra were studied in randomized, placebo-controlled clinical trials involving more than 2,000 men aged 20 to 83 years with erectile dysfunction. Patients received the drug at a dose of 5, 10 and 20 mg. In two of these studies, patients with erectile dysfunction had a comorbidity (diabetes mellitus or a condition after prostatectomy for prostate cancer). Read more at https://sdarcwellness.com/buy-levitra-online/. Types of fractures that the doctor might identify include ankle stress fracture, metatarsal stress fracture, stress fracture heel, stress fracture toe, and a hairline fracture in foot. The majority of the stress fractures are nonsurgical treated.

Nonsurgical treatment

The doctor can prescribe anti-inflammatory medication and the use of crutches to keep weight off the foot until the pain subsides.

  1. Modified activities:

The podiatrist will recommend you switch to modified activities that are less stressful to your leg and foot. Cycling and swimming are some of the activities recommended until the doctor recommends.

       b. Protective footwear

The doctor may recommend wearing protective footwear to reduce stress on your leg and foot. The protective footwear may include removable short-leg fracture brace shoe, stiff-soled shoe, or a wooden-soled sandal.

      c. Casting

Stress fractures in the fifth metatarsal bone take longer to heal. The doctor may apply a cast to keep the bones in a fixed position, relieving the leg from stress.

Surgical treatment

Some stress fractures require an insert of a fastener through surgery, to support the bones. This is an internal fixation which involves plates, pins, and screws to hold the ankle and foot small bones.

It takes 6 to 8 weeks for a foot stress fracture to heal, though some serious fractures can take longer. It is not advisable to immediately return to robust activity. Re-injury, sometimes leads to chronic problems which might cause the stress fracture not to heal properly. After the pain subsides the doctor can request for an X-ray to ensure the fracture is healed. If you have any questions, please feel free to contact our office located in Cypress, TX. Our Cypress office can handle all of your foot and ankle issues. We provide you with the latest diagnostic and treatment methods for all foot-related stress fractures.