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Houston
Pearland


October 2017

Monday, 30 October 2017 00:00

What is Hammertoe and Mallet Toe?

An imbalance in either the muscles, ligaments, and tendons in the foot that keep the toes straight can cause hammertoe or mallet toe. Causes of this imbalance can stem from improperly-fitted shoes, trauma, and even foot structure. An abnormal bend in the middle joint of a toe is called hammertoe. When the joint nearest to the toenail is affected, this condition is called mallet toe. Poorly-fitted shoes can result in the toes becoming compressed which can result in the condition. Simply wearing properly-fitted footwear may cause the toes to become uncompressed and restore balance in the foot. However, surgery may be needed if the issue stems from trauma or foot structure, and if symptoms become more severe or do not go away.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Dr. Linda D. Nachmani from Central Foot & Ankle Associates. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

  • Pain in the affected toes
  • Development of corns or calluses due to friction
  • Inflammation
  • Redness
  • Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

If you have any questions please contact one of our offices located in Houston, and Pearland, TX. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about What Are Hammertoes?

Tough break for Boston Celtics forward Gordon Hayward. Hayward badly fractured his left ankle during the Celtics and Cleveland Cavaliers game. He jumped up for a pass but collided with Lebron James and Jae Crowder. When he landed, his foot twisted and he collapsed. Hayward had signed a $128 million four year contract with the Celtics. The Celtics and Cavaliers game was his first time playing for the Celtics.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Dr. Linda D. Nachmani of Central Foot & Ankle Associates. Our doctor 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 one of our offices located in Houston, and Pearland, TX. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Monday, 16 October 2017 00:00

What is Tarsal Tunnel Syndrome?

Tarsal tunnel syndrome is a condition in which the posterior tibial nerve in the tarsal tunnel becomes pinched or compressed. This causes a number of symptoms including burning and shooting pain, a pins and needles sensation, numbness, and tightness in the foot. There are several reasons why the nerve could become compressed, which include bony prominences, bone spurs, abnormal heel position, and the swelling of tendons in the tarsal tunnel. Due to the nature of tarsal tunnel syndrome, diagnosis may be difficult because it can seem to mimic the symptoms of other conditions; heel pain and arch pain are some examples. It is best to see a podiatrist if you are experiencing any of those symptoms. Podiatrists can offer a number of treatments, such as orthotics, taping or bracing, rest, icing, anti-inflammatory medication, or even surgery if other treatments do not improve your condition.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Linda D. Nachmani of Central Foot & Ankle Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

  • Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
  • Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
  • At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

  • Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
  • The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
  • If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please feel free to contact one of our offices located in Houston, and Pearland, TX. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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A recent study published in the Arthritis Care and Research journal found that those who are obese and have rheumatoid arthritis may benefit greatly from bariatric, or weight-loss, surgery. While the study needs more research before conclusive results can be firmly established, early statistics note huge improvements in patients.  Out of the 53 patients who have rheumatoid arthritis (RA) and undergone bariatric surgery, only six percent were found to have moderate to severe disease activity 12 months after surgery. Six years after having the surgery, 74 percent of the patients were classified as being in remission. This contrasted with the only 24 percent achieving remission with RA medications before surgery.  While these results are excellent, there are many factors that are unknown; one such factor is whether bariatric surgery is more effective in reducing RA symptoms than diet and exercise. Furthermore, bariatric surgery may potentially lead to osteoporosis, a condition characterized by weak and brittle bones.. Ultimately, for those who have RA, are obese, and considering bariatric surgery, there are many factors that have to be taken into account. If you are overweight and suffer from arthritic pain in your feet, consulting with a podiatrist is recommended. 
 

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact Dr. Linda D. Nachmani of Central Foot & Ankle Associates. Our doctor will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

  • Swelling and pain in the feet
  • Stiffness in the feet
  • Pain on the ball or sole of feet
  • Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

If you have any questions please feel free to contact one of our offices located in Houston, and Pearland, TX. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Monday, 02 October 2017 00:00

Heel Pain Can Be Treated!

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

Running is a great way to stay healthy and fit, and an important aspect of running is proper footwear. Wearing the right type of footwear can help prevent injury and strain and provide a more enjoyable experience. If you are just starting out as a runner, don’t worry too much about buying expensive, high-end shoes. Instead, look for a pair that is medium-priced, provides comfort, and is roomy. When you wear a pair of shoes that do not provide a proper fit, you risk sustaining a number of injuries such as an ankle sprain or developing foot conditions such as corns, blisters, or plantar fasciitis. Furthermore, a bad pair of running shoes can make running uncomfortable and discourage you from doing it.

If you are a runner, wearing the right running shoe is essential. For more information, contact Dr. Linda D. Nachmani from Central Foot & Ankle Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.

Choosing the Right Running Shoe for Your Foot Type

To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.

  • Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
  • Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
  • Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.

If you have any questions please feel free to contact one of our offices located in Houston, and Pearland, TX. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Choosing the Right Running Shoe for Your Foot Type
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Review Central Foot & Ankle Associates, PA: podiatrist Linda D. Nachmani, DPM
Houston and Pearland TX Podiatry Practice