Drop Foot and PTTD - Podiatrist in Massapequa and Nassau County, NY - Corey Fox, DPM

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PTTD and Drop Foot - Podiatrist in Massapequa and Nassau County, NY - Corey Fox, DPM

 

 Dr. Corey Fox of Massapequa Podiatry Associates, P.C. discusses the symptoms, causes and treatments PTTD and Drop Foot.

http://www.longislandheelpain.com

Adult-acquired flatfoot or posterior tibial tendon dysfunction usually leads to a gradual loss of the arch. The posterior tibial muscle is a deep muscle in the back of the calf and has a long tendon that extends from above the ankle and attaches into several sites around the arch of the foot. The muscle acts like a stirrup on the inside of the foot to help support the arch. The posterior tibial muscle stabilizes the arch and creates a rigid platform for walking and running. If the posterior tibial tendon becomes damaged or tears, the arch loses its stability and as a result, collapses, causing a flatfoot.

Surgery is often performed to give the patient a more functional and stable foot. Several procedures may be required to correct a flatfoot deformity, depending on the severity of the problem. These may include:

• Tenosynovectomy—a procedure to clean away (debridement) and remove any of the inflamed tissue around the tendon.
• Osteotomy—removal of a portion of the heel bone (calcaneus) to move the foot structure back into alignment.
• Tendon Transfer—in which replacement fibers from another tendon are inserted to help repair damage.
• Lateral Column Lengthening—A procedure that implants a small piece of bone, usually removed from the hip, outside of the heel bone to create the proper bone alignment and rebuild the arch.
• Arthrodesis—Fusing of one or more bones together to eliminate any joint movement, which stabilizes the foot and prevents any further deterioration or damage.

 

Visit our website:  http://www.longislandheelpain.com

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Calluses - Podiatrist in Chandler, Sun Lakes and Phoenix, AZ

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Calluses Treatment - Podiatrist in Chandler, Sun Lakes and Phoenix, AZ

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Dr Alan Discont discusses the symptoms, causes and treatments for calluses.

http://www.chandlerfootandanklecare.com

A callus is an area of hard, thickened skin that can occur across the ball of the foot, on the heel, or on the outer side of the big toe. While many consider them a skin problem, they actually are systemic of a problem with the bone.

Calluses have painful nerves and bursal sacs (fluid-filled balloons that act as shock absorbers) beneath them, causing symptoms ranging from sharp, shooting pain to dull, aching soreness.

Calluses form from repeated friction and pressure, as the shoe (or ground) rubs against a bony prominence (bone spur) on the toe or foot. The skin thickens in response to this pressure. Small amounts of friction or pressure over long periods of time cause a corn or callus. A great deal of friction or pressure over shorter periods of time can cause blisters or open sores. Calluses typically develop under a metatarsal head (the long bone that forms the ball of the foot) that is carrying more than its fair share of the body weight, usually due to it being dropped down or due to its longer length.

Calluses can be treated with over-the-counter callus removers that have strong acids that peel this excess skin away after repeated application. You should be careful with these products as they can cause chemical burns when not used correctly. Begin by soaking your feet in warm soapy water and gently rubbing away any dead skin that loosens. A pumice stone or emery board is then used to "file" this thickened skin. Apply a good moisturizer to the hardened areas to keep them softer and relieve pain. Non-medicated corn pads or moleskin (a thin fuzzy sheet of fabric with an adhesive back) can relieve calluses, but should be removed carefully to avoid tearing the skin.

If you need assistance relieving calluses, contact our office. Calluses can be trimmed and comfortable padding applied to these painful areas. In addition to medication to relieve inflammation, cortisone may be injected into the underlying bursal sac to rapidly reduce pain and swelling.

A plantar callus forms when one metatarsal bone is longer or lower than the others, and it hits the ground first-and with more force than it is equipped to handle-at every step. As a result, the skin under this bone thickens like a rock in your shoe. Plantar calluses that are recurring are sometimes removed surgically in a procedure called an osteotomy, which relieves pressure on the bone.

A condition called Intractable Plantar Keratosis (IPK) is a deep callus directly under the ball of the foot. IPK is caused by a "dropped metatarsal," which happens when the metatarsal head drops to a lower level than the surrounding metatarsals and protrudes from the bottom of the foot. This results in more pressure being applied in this area and causes a thick callus to form.

A "dropped metatarsal" can either be a congenital abnormality, a result of a metatarsal fracture, or a structural change that may have occurred over time.

How to prevent calluses:

• Switch to better shoes, or even an orthotic device.
• Buy socks with double-thick toes and heels and nylon hose with a woven cotton sole on the bottom of the foot.

Visit our website: http://www.chandlerfootandanklecare.co

Dropped Metatarsals - NYC Podiatrist Manhattan and White Plains, NY

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Dropped Metatarsals (Ball of the Foot Pain) - NYC Podiatrist Manhattan and White Plains, NY

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Dr. Jeff Adler discusses the symptoms, causes and treatments for Dropped Metatarsals. http://www.adlerfootcare.com

Metatarsalgia (foot pain in ball) - Pain in the area between the arch and toes, or ball of the foot, is generally called metatarsalgia. The pain usually centers on one or more of the five bones (metatarsals) in this mid-portion of the foot. Also known as dropped metatarsal heads, metatarsalgia can cause abnormal weight distribution due to overpronation. 

Metatarsalgia occurs when one of the metatarsal joints becomes painful or inflamed. People often develop a callus under the affected joint. Metatarsalgia also can be caused by arthritis, foot injury (from sports, a car accident, or repeated stress), hard surfaces (cement or tile floors), and specific footwear (rigid-soled work boots). 

A simple change of shoes may solve the problem. In more severe cases, custom orthotics may be prescribed to alleviate the pain and prevent overpronation.

Visit our website : http://www.adlerfootcare.com