Achilles Tendonitis

If you are experiencing painful swelling in the back of your foot just above the heel, you may be suffering from Achilles Tendonitis. This troublesome condition affects the Achilles tendon, which is the strongest and largest tendon in the body and connects the leg to the foot as it stretches from the lower leg to the heel bone. This tendon is crucial to normal walking patterns as it allows the foot to rise up on the toes.
Foot Conditions — Podiatrist Checking Machine in Lake Zurich,  IL
This condition typically develops gradually as the tendon inflammation and may include one or more of the following three stages:

Peritenonitis – this stage is characterized by localized pain during or after activity

Tendinosis ­– typically an asymptomatic stage that may result in a nodule, or know to swell at the back of the leg 

Peritenonitis with tendinosis - this stage may lead to a rupture of the tendon and it is characterized by pain and swelling during and after activity. 

As with all health conditions, Achilles tendonitis is best treated early in the development of the condition. If you are experiencing pain and/or swelling in this region, a consultation with our experienced podiatry professionals will give you the best chance for a full recovery.

Brachymetatarsia

Typically occurring in both feet, brachymetatarsia is a condition characterized by a short metatarsal. The foot has five metatarsals and this condition results in one shortened toe. If more than one of the long bones of the foot is affected, it is known as brachymetapody. The causes of brachymetatarsia are genetic or situational, meaning that you can be born with it or it can be induced by premature closure in the metatarsal growth plate due to trauma.

If you suffer from brachymetatarsia, you may find it difficult to properly balance or smoothly transfer weight across the toes when walking or running. In order to correct this problem, extra padding can be used in the shoe to protect the shorter toe from excessive friction and pressure. Orthotics may also be used to properly distribute the weight across the foot while in motion. The surgical grafting of bone to lengthen the short toe may also be an option in some cases.

If you suffer from brachymetatarsia, our podiatry professionals can help you find the right treatment option for you based on your unique situation. Contact us today to learn how we can help you regain a greater sense of balance and a smoother range of motion.

Foot and Ankle 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 growth, such as a bunion, 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.

Foot Pain

If you are experiencing foot pain, it is important to determine where in the foot you are experiencing this pain to help discover the cause of it. While pain can be experienced virtually anywhere in the foot, the most common sites of foot pain are in the heel and ankle.

Heel pain can be due to a multitude of conditions including plantar fasciitis, Achilles tendinitis, and heel spurs. Pain experienced in the ankle can be a sign of an ankle sprain, arthritis, gout, ankle instability, ankle fracture, or nerve compression. In more serious cases, pain in the foot can be a sign of improper alignment or an infection.

Foot pain can be accompanied by symptoms such as redness, swelling, stiffness, and warmth in the affected area. Whether the pain can be described as sharp or dull depends on the foot condition behind it. It is important to visit your local podiatrist if your foot pain and its accompanying symptoms persist and do not improve over time.

Depending on the location and condition of your foot pain, your podiatrist may prescribe certain treatments. These treatments can include but are not limited to, prescription or over-the-counter medications, certain therapies, cortisone injections, or surgery.

Ganglions

Ganglions are usually caused by repeated irritation that weakens joint or tendon lining. If you wear boots or other restrictive footwear, you may be more susceptible to this condition. Individuals with bone spurs may also find that the pressure of these bony growths can cause ganglions as well.

The symptoms of this condition range from tingling and numbness to pain. These sensations are caused when ganglions come into contact with and put excessive pressure on nerves within the foot.

Haglund's Deformity

Sometimes known as “pump bump” because of its prevalence among women who wear pump-style shoes, Haglund's deformity can occur in one or both of the feet. It is caused by a combination of genetic and external factors and can lead to discomfort and even pain in the back of the heel.

If you are suffering from Haglund's deformity you will most likely have noticed a bony enlargement at the back of the heel. This inflammation is caused when the soft tissue around the Achilles tendon becomes irritated. Irritation at this particular spot is often the result of pressure caused by the back of pump-style shoes. Other signs of Haglund's deformity include pain in the back of the heel, where the Achilles tendon and the heel meet, swelling in the back of the heel and redness or inflamed tissue at the site of the swelling.

Although surgery is an option, non-surgical treatment options are plentiful.

Hallux Rigidus

Hallux Rigidus is a condition that affects the joint at the base of the big toe. If you suffer from this condition, you will notice pain and stiffness in the big toe. The symptoms often worsen while walking, running or performing other exercises and when the weather is cold or damp. Additionally, individuals with this condition may notice swelling and inflammation around the joint. If the condition worsens, the big toe joint may become painful when at rest and bone spurs may develop. Often to lessen the pain, sufferers will begin to limp or otherwise alter walking mechanics, which can lead to pain in the ankles, knees, hips and lower back.

Heel Pain/Fasciitis

Heel pain can be due to a multitude of conditions including plantar fasciitis, Achilles tendinitis, and heel spurs. Pain experienced in the ankle can be a sign of an ankle sprain, arthritis, gout, ankle instability, ankle fracture, or nerve compression. In more serious cases, pain in the foot can be a sign of improper alignment or an infection.

Metatarsalgia

If you are experiencing pain or inflammation in the ball of your foot, you may have metatarsalgia. This condition is especially prevalent in physically active individuals as it may be caused by repeat impact on the ball of the foot while running and jumping. 

Symptoms you may experience:
  • Sharp pain or dull ache just behind the toes on the ball of the foot.
  • Pain that worsens while walking, running or jumping and improves when at rest.
  • Sharp pain or dull ache just behind the toes on the ball of the foot.
  • Pain that worsens while walking, running or jumping and improves when at rest.
  • Numbness or pain in the toes.
  • Pain in the feet that worsens when barefoot.

Morton's Neuroma

A neuroma is a thickening of nerve tissue that can develop in various parts of the body creating nerve damage. Morton’s neuroma is the most common neuroma in the foot. It occurs at the base of the third and fourth toes.

If you have Morton’s neuroma, you will likely experience the following symptoms:
  • Tingling
  • Burning
  • Numbness
  • Pain
  • A feeling that something is inside the ball of the foot

Onychomycosis

Onychomycosis is easily identified by its appearance. However, there are similar conditions and infections that can cause the nails to host a similar appearance to onychomycosis. Onychomycosis is generally established by laboratory tests before beginning treatment. Treatments for this condition can be long, expensive, and have associated health risks.

Risk factors making one more susceptible to onychomycosis include: 
  • Family history  
  • Advancing age
  • Poor health
  • Trauma
  • Showering in communal showers—such as fitness clubs
  • Habitually wearing shoes don’t allow proper airflow

Osteoarthritis

Osteoarthritis, otherwise known as a degenerative joint disease - is the most common type of arthritis. It most commonly occurs in the weight-bearing joints of the hips, knees, and spine. However, it can also disturb the fingers, thumb, neck, and large toe.

Osteoarthritis tends to affect women more often than men. Most people that are 60 years or older have osteoarthritis to a varying degree. However, it has been diagnosed in individuals in their 20s and 30s, as well. 

Symptoms often develop gradually and include: 
  • Joint aching and soreness.  
  • Pain after overuse or after long periods of inactivity.
  • Bony enlargements in the middle and end joints of the fingers - which may or may not be painful.
  • Joint swelling and fluid accumulation.

Posterior Tibial Dysfunction

Posterior tibial tendon dysfunction (PTTD) is the inflammation or overstretching of the posterior tibial tendon in the foot. The key function of the posterior tibial tendon is to support the arch in the foot. The tendon serves as a major supporting structure to assist the foot function while walking - however, if PTTD is present than the result is oftentimes an “adult-acquired flatfoot.”

Symptoms of PTTD will change as the condition worsens, but initially include:
  • Pain
  • Swelling
  • Flattening of the arch
  • An inward roll of the ankle

Rheumatoid Arthritis

Rheumatoid arthritis, otherwise known as RA, is a chronic disease. The disease causes inflammation of the lining of the joints. This disease can lead to long-term joint damage which in turns results in chronic pain, loss of function and disability.

There is no cure for RA and frequent flares in disease activity occur spontaneously. RA can also begin to affect other organs in the body. However, studies have shown that early aggressive treatment of RA can limit joint damage, somewhat eliminating loss of movement, decreased ability to work, and potential surgery.

Sesamoiditis

This generally refers to an inflammation of the sesamoid bones on the ball of the foot just behind the big toe. Generally, most bones in our body are connected to each other by joints. However, there are a few that are connected only to tendons or are embedded in muscle. These bones are called sesamoids. Because the sesamoids protrude down, underneath the “big toe,” they give these muscles extra leverage and power. This power allows the big toe to “push” us forward with extra force each time we take a step. Without the sesamoids, the big toe loses some of its power and force. 

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome is a painful foot condition in which the tibial nerve is compressed as it travels through the tarsal tunnel. This tunnel is found along the inner leg behind the medial malleolus, otherwise known as the bump on the inside of the ankle.

Symptoms of this ailment include:
  • Pain and tingling in and around ankles
  • Swelling of the feet
  • Electric shock sensations
  • Pain radiating up into the leg, and down into the arch, heel, and toes
  • Hot and cold sensations in the feet
  • A feeling as though the feet do not have enough padding
  • Burning sensation on the bottom of the foot that radiates upward
  • Pain and tingling in and around ankles
  • Swelling of the feet
  • Electric shock sensations
  • Pain radiating up into the leg, and down into the arch, heel, and toes
  • Hot and cold sensations in the feet
  • A feeling as though the feet do not have enough padding
  • Burning sensation on the bottom of the foot that radiates upward

Taylor's Bunion

Taylor’s bunions are a variation of the traditional bunion. This common foot ailment that is typically caused by continued pressure to the outside of the foot. In this case, the bunion is situated on the outside of the 5th toe. It causes the foot to rub against shoes and can create redness, swelling and even require surgery. Sometimes, even something as simple as eliminating the wear of shoes that are too small or tight can alleviate the problem.

Treatment of Taylor’s Bunions is fairly simple. Just by using padding and wearing wider, softer shoes can help the problem. Also, shoes can be spot stretched to make the area of the shoe a bit wider next to where Taylor’s bunion lies. This is typically done at a podiatrist’s office. Another treatment option requires applying Vaseline along with special wrapping which may be worn for a set amount of time. This treatment may resolve your symptoms and eliminate the need for surgery.

Toe Deformities

Because the ailment of flat feet means that the foot is longer than that of a foot with a normal arch, the flexor muscles become overpowering. The toes are generally not strong enough to resist this tension which results in one of two deformities:

Claw toe - which happens when the middle bone is pulled downward causing the proximal and middle phalanges to buckle upward.

Hammertoe - which is when the proximal phalanx causes the outer two joints of the toe to bend downward.

If left untreated, these ailments can lead to other problems such as calluses or scenarios where two bones fuse together making the only treatment a painful surgery which can require weeks of recovery.
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