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November 2023

Tuesday, 28 November 2023 00:00

Stress Fractures of the Foot and Ankle

Our bones are important aspects of our body and they are constantly changing. The heavier the workload for a bone, the more likely it is that calcium will be placed in it. When a bone isn’t used often, there won’t be much calcium within it. When stress from repetitive loads prevent the bone from being able to repair itself, cracks will start to form. Stress fractures are defined as cracks in a bone that result from repetitive force, such as overuse.

The most common cause of stress fractures is a sudden increase in intensity and duration of physical activity. For example, if you begin to run long distances without working your way into doing so, you will be more likely to develop a stress fracture.

Common symptoms of stress fractures are pain and swelling near the weight bearing area on the injured bone. When initial x-rays are performed, it is possible that the fracture will not show up. However, once the stress on the area continues, the damage will increase, and the fracture will be severe enough to show up on an x-ray. Certain parts of the foot are more likely to develop stress fractures than others. Areas that typically have these fractures are: the metatarsals, the navicular bone, the calcaneus, tibia, and fibula.

Since women are at an increased risk of developing osteoporosis, they are twice as likely as men to sustain a stress fracture. Additionally, old age causes a decrease in bone mineral density which is why elderly people are also likely to develop these fractures.

It is important for you to be professionally diagnosed by a podiatrist if you suspect you have a stress fracture, because there are other injuries that can easily be mistaken for a fracture.  Sprains, strains, shin splints, plantar fasciitis, and Morton’s neuroma can all easily be mistaken for stress fractures in the foot. Your podiatrist will likely ask you a series of questions to determine what type of pain you are experiencing. These questions will help your doctor identify whether you have a stress fracture.

The best method of treatment for a stress fracture is rest. Additionally, a walking boot, cast, or crutches, will help rest the area that is injured. The typical healing time for stress fractures is 4-12 weeks, however this depends on which bone is involved.

Published in Featured
Tuesday, 28 November 2023 00:00

What Causes Stress Fractures?

Foot stress fractures, though diminutive in size, can pack a punch when it comes to discomfort and disruption in daily activities. These fractures occur when the normal balance between bone formation and breakdown is disrupted, often due to repetitive stress or overuse. High-impact activities like running or jumping, sudden increases in physical activity, or wearing inadequate footwear can all contribute to the development of stress fractures. The bones in the foot, particularly the metatarsals, are vulnerable to micro-cracks when subjected to repetitive loading without sufficient time for recovery. Factors such as improper training techniques, changes in exercise surfaces, or underlying conditions that affect bone density can heighten the risk. If you have developed a foot stress fracture, it is suggested that you schedule an appointment with a podiatrist who can accurately diagnose and treat this condition.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact one of our podiatrists from McKinney Podiatric Associates, PA. Our doctors can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

  • Gender – They are more commonly found in women compared to men.
  • Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
  • Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
  • Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
  • Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

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

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Tuesday, 21 November 2023 00:00

Gout

Gout is a form of arthritis that is caused by a buildup of uric acid crystals in the joints. This considered to be one of the most frequently recorded medical illnesses throughout history. Gout occurrences in the US have risen within the past twenty years and the condition now affects 8.3 million people which is 4% of all Americans. Researchers have found that gout affects men more than women and African-American men more than white men. 

Symptoms of gout are warmth, swelling, discoloration, and tenderness in the affected joint area. The small joint on the big toe is the most common place for a gout attack to occur.

People who are obese, gain weight excessively, drink alcohol heavily, have high blood pressure, or have abnormal kidney function are more likely to develop gout. Furthermore, certain drugs and diseases are likely to increase levels of uric acid in the joints which eventually leads to gout. You are also more likely to develop gout if you eat a lot of meat and fish.

Many who experience gout attacks will experience repeated attacks over the years. Some people who have gout symptoms, may never have them again, but others may experience them several times a year. If you have gout symptoms throughout the year, you may have recurrent gout. Those who have gout should also be careful about their urate crystals collecting in their urinary tract, because this may lead to kidney stones.

Diagnosis for gout is done by checking the level of uric acid in the joints and blood. Your podiatrist may also prescribe medicine to reduce uric acid buildup in the blood, which will help prevent any gout attacks.

To treat gout, your podiatrist may also prescribe you Anti-inflammatory medication (NSAIDs) which will relieve the pain and swelling of a gout episode and it can also shorten a gout attack. Maintaining a healthy diet is also a proven method to prevent gout attacks. 

Published in Featured
Tuesday, 21 November 2023 00:00

How Gout Affects Older Women

Gout, which is typically associated with men, can also affect women. Characterized by sudden, intense joint pain, swelling, and stiffness, this inflammatory condition primarily targets the feet and ankles in women. Symptoms of gout include redness, warmth, and limited mobility. Several factors contribute to gout in older women, including obesity, high blood pressure, and menopause, which heightens the risk. Menopausal hormonal changes disrupt uric acid balance, rendering women more susceptible to gout flares. Medication such as diuretics, commonly prescribed for high blood pressure, also may elevate uric acid levels, further affecting women. Postmenopausal women face an increased risk due to hormonal shifts. As estrogen declines during menopause, the risk of gout rises. Recognizing this connection is important for monitoring signs of gout in older women. Effective gout management in women includes implementing dietary modifications to reduce purine rich foods, in addition to weight maintenance and proper hydration. A podiatrist may prescribe certain medications that can help control uric acid levels. Gout's impact on women, particularly those who are postmenopausal, calls for some level of proactive measures. For more information about how to manage gout, it is suggested that you make an appointment with a podiatrist. 

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our podiatrists from McKinney Podiatric Associates, PA. Our doctors will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

  • Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
  • Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
  • Inflammation and Redness -Affected joints may become swollen, tender, warm and red
  • Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

  • Genetics - If family members have gout, you’re more likely to have it
  • Medications - Diuretic medications can raise uric acid levels
  • Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
  • Diet - Eating red meat and shellfish increases your risk
  • Alcohol - Having more than two alcoholic drinks per day increases your risk
  • Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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

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Tuesday, 14 November 2023 00:00

How to Treat Your Toenail Fungus

While not a serious issue, toenail fungus, or onychomycosis, can be an embarrassing and uncomfortable condition to experience. Toenail fungus is often caused from public areas that harbor fungi and improper cleaning/drying of the foot. Once infected, the fungus grows deeper into the nail and can be very hard to get rid of.

There are different types of fungus that cause toenail fungus. Dermatophytes, yeasts, and molds are the most frequent forms of fungus to infect the toenail. Dermatophytes are the most common among the three. Symptoms associated with fungal nails include the discoloration of the toenail, brittleness, and in some circumstances, a smell. Pain is rarely a symptom caused by toenail fungus.

Diagnosis of fungal nails is generally a rather quick process. However podiatrists will make sure that the cause is not another condition such as lichen planus, psoriasis, onychogryphosis, or nail damage. Podiatrists will make use of fungal cultures and microscopy to verify that it is fungus.

While over-the-counter ointments are readily available, most are ineffective. This is due to the fact that the nail is very protective and that the fungus slips in between the nail plate and bed. Podiatrists can offer oral medication which currently provides the best results.

Ultimately, prevention is the best line of defense against toenail fungus. Avoid unsanitary public showers. If you do use a public shower, use shower shoes to provide your foot with protection. Once you are finished showering, make sure to thoroughly dry your feet. Fungi thrive in warm, dark, and moist places like sweaty, warm feet that are left dark in shoes all day.

Published in Featured
Tuesday, 14 November 2023 00:00

Managing Stubborn Toenail Fungus

Toenail fungal infections, medically known as onychomycosis, can lead to brittle, crumbly, or ragged nails, and even separation of the nail from the nail bed. While completely curing toenail fungus can be challenging, there are effective treatments available to manage the condition. Toenail tissue is harder and thicker, which prevents antifungal creams from penetrating effectively. Even antifungal drugs taken in pill form have limited success, because toenails grow slowly and have low metabolic activity. Prescription topical products, in the form of clear lacquers, applied directly to the toenails may take up to a year to produce noticeable results, even if applied daily.  For more severe infections, oral medications taken daily in pill form for approximately three months may have a higher rate of success, potentially about 80 percent. However, they can cause side effects such as stomach upset, diarrhea, and, in rare cases, liver damage. Laser treatments, a relatively new approach to combating toenail fungus, penetrate the nail tissue to break down the fungus. Some studies have reported success rates ranging from 60 percent to 75 percent. For advice with toenail fungal infections, it is suggested that you make an appointment with a podiatrist.

For more information about treatment, contact one of our podiatrists of McKinney Podiatric Associates, PA. Our doctors can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

If you have any questions please feel free to contact one of our offices located in Pasadena, Baytown, League City, Houston, and Pearland,TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Published in Blog
Tuesday, 07 November 2023 00:00

Foot Surgery

In most cases, foot surgery is often chosen as the last available option for conditions that have otherwise been unsuccessfully treated. Surgery may be necessary for several reasons, including the removal of foot deformities (e.g. bone spurs or bunions), arthritis problems, reconstruction due to injury, and congenital malformations (e.g. club foot or flat feet). Regardless of one’s age, foot surgery may be the only successful option for treatment for certain conditions.

The type of surgery one undergoes depends on the type of foot condition the patient has. For the removal of a bunion growth, a bunionectomy is necessary. If the bones in the feet need to be realigned or fused together, a surgical fusion of the foot is needed. For pain or nerve issues, a patient may require surgery in which the tissues surrounding the painful nerve are removed. Initially, less invasive treatments are generally attempted; surgery is often the last measure taken if other treatments are unsuccessful.

While in many cases surgery is often deemed as the final resort, choosing surgery comes with certain benefits. The associated pain experienced in relation to the particular condition is often relieved with surgery, allowing patients to quickly resume daily activities. The greatest benefit, however, is that surgery generally eliminates the problem immediately.

Podiatry history has shown that foot treatments continue to evolve over time. In the field of foot surgery, endoscopic surgery is just one of the many advanced forms of surgery. As technology vastly improves so too will the various techniques in foot surgery, which already require smaller and smaller incisions with the use of better and more efficient tools. Thanks to such innovations, surgery is no longer as invasive as it was in the past, allowing for faster and easier recoveries. 

Published in Featured
Tuesday, 07 November 2023 00:00

Surgery After Recurrent Ankle Sprains

People who often twist their ankles may need a type of surgery called ankle lateral ligament reconstruction. This surgery is recommended for patients who experience recurrent ankle sprains, despite repeated conservative treatment. The aim of this surgery is to prevent the development of ankle arthritis and to reduce the risk of developing ankle joint damage, as each episode of ankle sprain may lead to ankle joint injury. In this surgery, a small cut is made near the fibula bone. The stretched out ligaments are made shorter and attached back to the fibula using two tiny bone hooks. These hooks stay in place unless they bother the patient. Following surgery, a bulky dressing is applied and should remain in place for two weeks as this provides cushioning against the pressure of the brace on the wound. During this time, it is important that the dressing is kept dry. The ankle stirrup brace needs to be worn whenever walking but may be taken off when the patient is sitting or in bed. If you have sustained repetitive ankle sprains, it is suggested that you make an appointment with a podiatrist to speak to discuss whether surgery is right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact one of our podiatrists of McKinney Podiatric Associates, PA. Our doctors will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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

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If you are suffering from tenderness, pain, or stiffness in the joints of your feet or ankles, call us to schedule an appointment.

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