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info@denielfootandanklecenter.com
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DeNiel Foot & Ankle Center
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27May

How Do I Tell Whether I’m Running Right?

by admin
Person running on the beach during sunset, promoting foot health and exercise.
Everyone runs differently

Short answer: Running form varies for everyone, but inefficient running can lead to injuries like plantar fasciitis and shin splints. If you’re serious about improving your gait, consider working with a running coach or getting a biomechanical assessment from a podiatrist. Custom orthotics may help correct mechanical instability.

Why Running Form Matters

Running seems natural, but your running form can significantly impact your body. Poor mechanics often lead to overuse injuries such as plantar fasciitis, Achilles tendonitis, and shin splints. These injuries can manifest as persistent pain in the heel, along the tendon, or the front of your lower legs. For instance, plantar fasciitis may cause a sharp heel pain, especially during your first steps in the morning. Achilles tendonitis might feel like a dull ache above your heel that worsens with activity, and shin splints often present as a throbbing pain along the inner edge of your shinbone after running. Even if running feels instinctive, it doesn’t guarantee you’re running efficiently or safely. An inefficient gait can cause stress that contributes to discomfort and increased injury risk.

Understanding Your Running Gait

Everyone has a unique running style, usually developed through a combination of personal habits and body mechanics. Some runners naturally land on their heels, which might suit those with a larger stride, while others hit the ground with their midfoot or forefoot, which can be beneficial for shorter, quicker strides. Neither style is inherently wrong, but these should complement your foot type and biomechanics. Misalignment in your gait can cause your muscles to work harder, leading to fatigue and potential injuries. For example, if your stride length is too long or you’re overstriding, you might feel discomfort in your knees or hips as they absorb extra shock. In contrast, a shorter stride that keeps your feet landing under your body can promote better shock absorption and reduce injury risk.

What You Can Do at Home

  • Track Your Stride: Record a video of yourself running or have a friend observe which part of your foot strikes the ground first. Understanding your landing can reveal insights into your running style. Note if your knees lift too high or if your arms swing incorrectly, as these can affect your gait.
  • Listen to Your Body: Take note of any unusual pains or aches. These are often signs that something is off in your running mechanics. For instance, aching shins or a sore back may indicate posture or alignment issues. Pay attention if your body feels out of balance or if you notice you’re becoming fatigued faster than usual.
  • Invest in Proper Footwear: Select shoes that are designed for your specific foot type and running style. Overpronators might benefit from stability shoes, while those with neutral gaits might find cushioned shoes more helpful. Shoes that provide adequate cushioning and support can help prevent injuries. If your shoes appear worn or uneven on the soles, it may be time for a replacement.
  • Use Custom Orthotics: Custom orthotics can be particularly beneficial by providing the specific support your feet need to correct any mechanical imbalances, helping you run more efficiently. They can address issues such as arch support or heel orientation.
  • Strength and Flexibility Exercises: Incorporate exercises that strengthen the core, hips, and legs, as well as stretches that enhance flexibility. This can improve overall stability and form while running. Exercises like lunges, squats, and calf raises can build strength, while stretches for hamstrings and Achilles tendons can enhance flexibility.

When to See a Podiatrist

  • Persistent foot, ankle, or leg pain that doesn’t subside with rest or home treatments
  • Recurring injuries such as plantar fasciitis, Achilles tendonitis, or shin splints
  • Unusual fatigue or excessive tiredness during or after running sessions
  • Visible changes in foot structure, such as fallen arches or swelling
  • Imbalance during your stride or significant deviations in posture
  • Numbness or tingling in the feet, which could indicate nerve issues

If you’re experiencing any of these problems, visiting a podiatrist can help identify inefficiencies in your running. Podiatrists can conduct a comprehensive biomechanical evaluation to assess issues related to your gait and foot mechanics. They may perform gait analysis, using video technology or walking on a treadmill to measure how your feet and ankles move while running. They may also recommend specific interventions like custom orthotics or exercises tailored to your needs. We offer foot pain relief and can provide a thorough biomechanical evaluation. If you’re in the Houston area, consider reaching out to us at DeNiel Foot & Ankle Center for further assistance.

27May

Can I Run If My Feet Hurt?

by admin
Running woman
Running woman

Short answer: Running when your feet hurt might cause more harm than good. Pain is a sign that something is wrong, and ignoring it can lead to more severe injuries. It’s important to find out the cause of the pain before continuing to run. Consider consulting a podiatrist if pain persists.

Understanding Foot Pain When Running

Foot pain during or after running is a signal from your body that something might be wrong. While muscle soreness is common after exercise, actual pain can indicate an injury or another underlying issue. This pain can be sharp, dull, throbbing, or burning, depending on the cause. Common causes include wearing poorly fitting shoes, running on hard surfaces, overuse, or conditions like plantar fasciitis or tendonitis. For example, plantar fasciitis often causes stabbing pain near the heel, especially in the morning or after periods of rest. Recognizing these signals is crucial to avoiding further injury.

What You Can Do at Home

If you experience foot pain during running, it’s important to act quickly to prevent the situation from worsening. Begin by resting your feet and cutting back on your running intensity. This gives your body a chance to start repairing itself. Applying ice can help reduce swelling and numb the area. Place an ice pack wrapped in a cloth on the painful area for 15-20 minutes, several times a day. Be sure to protect your skin with a cloth to avoid frostbite.

Over-the-counter pain relievers, like acetaminophen or ibuprofen, can help manage pain and reduce inflammation. Always follow the instructions on the label for safe usage. Take a close look at your running shoes to ensure they fit well and offer sufficient support and cushioning. Worn-out soles or inadequate shoes can contribute to foot injuries. You might consider using custom orthotics to provide better support and help distribute your weight more evenly. Stretching regularly, especially focusing on your calves and the arches of your feet, can also help improve flexibility and alleviate pain.

How a Podiatrist Can Help

Consulting a podiatrist is crucial if your foot pain doesn’t improve, becomes severe, or interferes with your normal activities. At DeNiel Foot & Ankle Center, we get to the root cause of your pain through a thorough examination. This usually involves a physical assessment and could include imaging tests like x-rays or MRIs to identify any hidden issues.

Once we determine the cause, we develop a treatment plan tailored to your needs. This plan might involve physical therapy exercises to strengthen the muscles in your feet and legs, improving overall movement and reducing pain. For conditions like heel pain, we may recommend shockwave therapy to encourage healing in damaged tissues. In cases where toenail fungus is an issue, laser therapy can help clear the infection without disrupting your running schedule. Our primary aim is to assist you in returning to running safely and comfortably.

When to See a Podiatrist

  • Pain that persists even when you are not running
  • Noticeable swelling, redness, or warmth in the foot area
  • Difficulty or inability to bear weight on the affected foot
  • Visible changes in foot structure, such as bunions or hammertoes
  • Signs of infection, such as fever, pus, or an open wound
  • Individuals with diabetes or poor circulation who experience foot pain
  • Repetitive incidents of sharp or severe pain that disrupt your running

If foot pain is affecting your running routine, seeking professional advice is crucial for effective management and prevention of further complications. Visit the DeNiel Foot & Ankle Center where we offer personalized care and solutions to get you back on track quickly and safely.

27May

How Close Should I Get My Foot Pain Evaluated Before My Race?

by admin
Sprinters at the starting blocks ready for race on track.
Runners on track

Short answer: If you have foot pain before your race, it’s best to see a podiatrist as soon as possible. Early evaluation can prevent worsening of the injury and help you resume training with minimal interruption. Waiting until the last minute may require more time for treatment, impacting your race plans.

Why Early Evaluation Matters

Getting your foot pain evaluated early is crucial, especially if you’re preparing for an upcoming race. Pain is your body’s way of signaling that something is wrong. Ignoring it can lead to more serious injuries such as stress fractures, tendon injuries, or worsening of existing conditions like plantar fasciitis. These issues can cause severe discomfort, such as sharp pain in your heel or arch, aching during rest, or intense pain with each step. By addressing foot pain early, you can often receive treatment that is more effective and less invasive, allowing you to maintain your training schedule with minimal disruption.

Identifying and Managing Foot Pain at Home

If you notice foot pain during training, it’s important to take steps to manage it quickly. First, evaluate whether your shoes are contributing to the problem. Look for signs of wear, like worn-down treads or a lack of support, especially in the arch area. If your shoes aren’t giving you the support you need, it might be time for a new pair. At home, the RICE method—Rest, Ice, Compression, and Elevation—can help manage pain. Rest by cutting back on activities that cause pain, and use an ice pack wrapped in a towel on the affected area for 15-20 minutes every few hours. For compression, gently wrap your foot with an elastic bandage to control swelling without cutting off circulation. Elevate your foot on a pillow to ease swelling, especially while sleeping or relaxing. Over-the-counter pain relief may also help, but follow the label instructions and consult a doctor if you have medical conditions like diabetes.

What a Podiatrist Can Do

A podiatrist provides targeted treatment that addresses the root of your foot pain. During a visit, they will conduct a thorough history and examination, observing signs like swelling, warmth, or bruising, which provide clues to the underlying problem. They might recommend imaging tests, such as X-rays, to check for fractures or other hidden issues. Treatment options are tailored to your condition; for instance, custom orthotics can help realign your feet and improve your gait, reducing further stress on affected areas. If heel pain is a problem, shockwave therapy for heel pain might be beneficial by promoting tissue healing and relieving pain. Additionally, your podiatrist may suggest modifications to your training, such as adjusting running surfaces, incorporating swimming or cycling, and gradually increasing miles to prevent future injuries.

When to See a Podiatrist

  • Experiencing constant or recurring pain, especially while running or walking.
  • Noticeable swelling, redness, or warmth in the foot area indicating possible inflammation.
  • Pain that worsens over time or does not improve with standard home remedies.
  • Signs of infection, such as increased swelling, redness, or a fever.
  • Reduced ability to bear weight on the foot, or feelings of instability in the foot or ankle.
  • Change in the appearance of your foot, such as unusual lumps or deformities that were not previously there.
  • Loss of range of motion or difficulty moving your toes or foot.

These symptoms warrant a prompt evaluation by a professional. If you’re experiencing these issues and reside in the Houston or Cypress areas, consider visiting us at the DeNiel Foot & Ankle Center. Our team is dedicated to helping you manage your condition effectively, keeping you on track for your race day with the right care and treatment. Visit our DeNiel Foot & Ankle Center to learn more or schedule an appointment.

26May

What Are the Finest “Off the Shelf” Insoles for A Neuroma?

by admin
Insoles
Insoles

Short answer: When dealing with Morton’s neuroma, selecting the right off-the-shelf insoles is crucial. Look for insoles that offer hyperpronation control and metatarsal arch support. These features help reduce pressure on the affected area. For specialized advice, consult a podiatrist who can recommend suitable insoles or custom orthotics.

Understanding Morton’s Neuroma

Morton’s neuroma is a painful condition that often feels like standing on a small stone or having a sock bunched up underfoot, most commonly occurring between the third and fourth toes. This condition arises due to the thickening of the tissue around one of the nerves leading to your toes, resulting in discomfort. You might experience a burning sensation, sharp pain, numbness, or tingling in the toes and ball of the foot. The pain can intensify when wearing tight shoes or engaging in high-impact activities like running or jumping. For many, this discomfort is sharp and sudden, significantly impacting daily activities and quality of life.

What to Look for in Off-the-Shelf Insoles

Choosing the right insoles to manage Morton’s neuroma involves focusing on two main features: hyperpronation control and metatarsal arch support. Hyperpronation control helps prevent your foot from rolling inward too much, which can compress the metatarsal bones and make the neuroma worse. Look for insoles that specifically mention stability or motion control, as these are often designed to address hyperpronation. Metatarsal arch support, designed to alleviate extra pressure on the toes, evenly distributes weight and relieves strain on the affected nerve, providing relief at the ball of your foot.

When browsing through insoles, pay attention to the arch structure and cushioning quality. Try testing them in your hands; the metatarsal pad should feel firm yet comfortable and align naturally with your foot’s curves. Quality insoles are usually priced between $30 and $60. Generic insoles priced over $200 may not be worth the investment unless they offer specialized support tailored to your foot type and condition.

Consulting a Podiatrist

If you’re unsure about which insoles to choose, or if you’ve tried several options without relief, consider visiting a podiatrist. A specialist can recommend appropriate insoles or custom orthotics designed specifically for your needs. Custom orthotics are tailored to match the unique contours of your feet, providing targeted relief and improved comfort.

During a consultation, a podiatrist will examine your feet and observe your gait to identify any underlying issues. They might use diagnostic tools such as ultrasound or X-rays for a detailed view of the affected area. With this information, a personalized treatment plan will be created, potentially including physical therapy, foot exercises to strengthen and stabilize the foot, or even medical interventions if symptoms remain severe and persistent. Our aim is to alleviate your discomfort and restore your mobility.

When to See a Podiatrist

  • Persistent pain in the ball of the foot that doesn’t improve with insoles or home treatments
  • Numbness or tingling in your toes interfering with daily activities or affecting coordination
  • Swelling, or a noticeable lump around the area, possibly signifying a more severe issue
  • Difficulty walking or changes in foot posture impacting balance
  • Signs of infection like redness, increased warmth, or pus in the affected region

If you’re experiencing ongoing foot pain or if your symptoms are affecting your quality of life, consider visiting us at DeNiel Foot & Ankle Center. Our team is here to provide effective foot pain relief and develop a management plan tailored to your Morton’s neuroma.

26May

What Else Can Assist Relieve A Neuroma Besides Drugs or A Cortisone Shot?

by admin
Orthotics can provide good support for the feet
Orthotics can provide good support for the feet

Short answer: There are several ways to relieve the pain of a neuroma besides medication or cortisone shots. Custom orthotics can help by providing metatarsal support to reduce nerve pressure. Sclerosing injections with dehydrated alcohol can also be effective. See a podiatrist to find the most suitable treatment for you.

Why a Neuroma Happens

A neuroma, specifically Morton’s neuroma, occurs when the tissue around a nerve in your foot thickens due to irritation, compression, or trauma. This thickening often happens between the third and fourth toes, leading to a burning pain, tingling, or numbness in the ball of the foot. Many people describe the sensation as if there’s a pebble in their shoe or the sock is bunched up, which can be very uncomfortable. Activities that put pressure on the ball of the foot, such as walking, running, or wearing high heels, may worsen the symptoms. Chronic irritation from improper footwear or movements may lead to prolonged discomfort.

What You Can Do at Home

There are several steps you can try at home to relieve neuroma discomfort before seeking professional treatment. First, choose shoes with a wide toe box to allow your toes more space, which helps minimize pressure on the nerve. Flat, comfortable shoes and those with cushioned soles can also provide relief. Avoid high heels or tightly fitting shoes, as these can worsen the condition.

Consider using metatarsal pads or shoe inserts, which can help distribute pressure evenly across your feet, reducing nerve compression. These pads can be easily inserted into your shoes and adjusted to fit comfortably. Applying ice to the sore area for 15-20 minutes a few times a day can reduce swelling and numb the pain, but be sure to wrap the ice pack in a towel to protect your skin from frostbite.

Gentle stretching exercises, such as rolling a tennis ball under your foot or using your toes to pick up small objects, can help maintain mobility and relieve some of the tension in your foot. Arch massages can also be soothing and might improve circulation, further contributing to pain relief.

Professional Alternatives to Drugs and Cortisone Shots

Besides medication and cortisone shots, podiatrists offer several treatments to alleviate neuroma pain effectively. Custom orthotics are a primary option. These are specially designed shoe inserts that provide metatarsal support, dispersing and realigning the bones in your foot to reduce nerve pressure and alleviate symptoms. Our custom orthotics are tailored to fit the unique structure and needs of your foot, ensuring a personalized approach to relief.

Sclerosing injections are another viable option for many patients. These injections involve using dehydrated alcohol, which reduces the size of the neuroma by damaging the surrounding nerve tissue. This can significantly decrease pain and swelling for many individuals. Combined with supportive footwear and exercises, these injections can be particularly effective.

In some cases, podiatrists might suggest physical therapy to strengthen and increase the flexibility of your foot muscles. By doing so, you can further reduce pressure on the affected nerve. Although not offered at our clinic, shockwave therapy is another treatment some practices provide, promoting healing in the tissue through non-invasive means.

When to See a Podiatrist

  • Pain persists despite home treatments and over-the-counter pain relievers.
  • You notice a persistent numbness or tingling sensation in your toes, which could be a sign of nerve damage.
  • Your shoes feel increasingly uncomfortable, even with padding or larger sizes.
  • You have diabetes or circulation issues, increasing the risk of complications.
  • Frequent foot pain affects your ability to carry out daily activities comfortably.
  • There’s an increase in the severity or frequency of symptoms over time, indicating worsening of the condition.

If you’re experiencing symptoms of a neuroma, don’t hesitate to seek expert care. Our clinic in Houston offers personalized Morton’s neuroma specialist consultations to develop a treatment plan tailored to your needs. For more information, visit our foot pain relief page.

26May

Must Morton’s Neuroma Be Treated with Surgery?

by admin
Detailed illustration of a foot showing Morton's neuroma between the third and fourth toes.
Neuroma between 3rd and 4th toes

Short answer: Morton’s Neuroma can often be managed with non-surgical treatments, such as custom orthotics, anti-inflammatory medications, or injections. Surgery is considered only if these methods don’t relieve the pain. It’s typically successful when necessary, as it involves removing the inflamed nerve part causing pain.

Why Morton’s Neuroma Happens

Morton’s Neuroma is a painful condition affecting the nerve between the third and fourth toes. It happens when the tissue around this nerve thickens due to irritation, pressure, or injury. This can create a sensation often described as feeling like there is a pebble in your shoe. Women are more susceptible than men, largely due to the frequent wearing of tight shoes or high heels that squeeze the foot.

As the condition progresses, you may experience sharp, burning pain in the ball of your foot and toes. Some people also report tingling, numbness, or a prickling feeling in their toes. If you often wear constricting footwear, over time, this pressure may cause the neuroma to develop.

Non-Surgical Treatment Options

There are several non-surgical treatments available to manage Morton’s Neuroma. Custom orthotics are an effective option. These are specially designed shoe inserts that provide proper support and help distribute pressure evenly across your foot, reducing irritation on the affected nerve. You might notice relief when using them consistently.

Anti-inflammatory medications can help reduce swelling, providing relief from pain. Ensure you follow the label or guidance from your healthcare provider when taking these medications. Cortisone injections are another option that directly targets inflammation, offering more immediate relief by reducing swelling in the affected area.

Sclerosing alcohol injections aim to shrink the neuroma over time by causing a mild chemical reaction that relieves pain. Footwear changes, such as opting for shoes with a wider toe box and sufficient padding, are crucial. These adjustments decrease pressure on the nerve, allowing the area to heal. Avoid shoes with high heels and narrow tips which only aggravate the condition.

Surgical Intervention

If all else fails and non-surgical methods do not provide relief, surgery becomes an option. The typical procedure involves removing the thickened nerve tissue. While the idea of surgery might sound daunting, many find that the relief it brings is worth it. Post-surgery, patients often experience a significant reduction in pain and can return to daily activities.

It’s important to plan for some recovery time. Initially, you may need crutches or special footwear to avoid putting weight on the area. Following specific post-operative care instructions from your podiatrist is vital for optimal recovery. This could include recommendations for physical therapy to ensure you regain full mobility.

When to See a Podiatrist

  • Persistent pain in the ball of your foot that does not improve with rest or home treatments
  • Increasing numbness or tingling in your toes
  • Difficulty walking due to foot pain
  • Noticeable swelling or a lump between your toes
  • If you have diabetes or poor circulation, it’s especially important to seek evaluation early to avoid complications like ulcers or infections, which can occur more easily

If you’re struggling with persistent foot pain and suspect it might be Morton’s Neuroma, don’t hesitate to seek professional advice. Our team at Morton’s Neuroma Treatment Houston is here to help you find relief. Visit our DeNiel Foot & Ankle Center to explore your treatment options and get back to your daily activities comfortably.

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DeNiel Foot & Ankle Center

American Board of Multiple Specialties in Podiatry American College of Foot and Ankle Surgeons Temple University Winona State University

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    Houston, TX 77095 Get directions on the map
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