Who Does Sever’s Disease Affect?

Posted on January 4, 2021

An injury to the growth plate in the heel may indicate a condition that is known as Sever’s disease. It generally affects children and young teenagers who participate in sporting activities. The heel can become inflamed, which can cause severe pain and discomfort. Mild relief may be found when the activity that caused the injury is temporarily stopped, and walking patterns may be changed. It may help to wear custom made orthotics if Sever’s disease is severe, and some patients find it necessary to take pain medication. If your child complains of heel pain, please consult with a podiatrist who can properly diagnose and treat Sever's disease.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Dr. Stephen S. Pirotta from Advanced Foot & Ankle Clinics. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

If you have any questions, please feel free to contact our office located in Bentonville, AR . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

Read more about Sever’s Disease

What Is a Tailor’s Bunion?

Posted on December 28, 2020

A Tailor’s bunion, sometimes called a bunionette, is similar to a regular bunion. However, a Tailor’s bunion forms on the 5th metatarsophalangeal joint (or the “pinky toe”) instead of the big toe. Tailor’s bunions are most commonly caused by poorly fitting footwear, as well as structural foot problems. They appear as a swollen and hard bump on the outside of the foot next to the big toe, and they generally form over a long period of time and may not become painful for a while. Treatment options that a podiatrist may suggest include surgically removing the bunion, a corticosteroid injection to reduce swelling, and padding or orthotics to reduce pain. If you are dealing with pain that may be a Tailor’s bunion, be sure to consult with a podiatrist for a proper diagnosis and treatment.

If you are suffering from bunion pain, contact Dr. Stephen S. Pirotta of Advanced Foot & Ankle Clinics. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

  • Genetics – some people inherit feet that are more prone to bunion development
  • Inflammatory Conditions – rheumatoid arthritis and polio may cause bunion development

Symptoms

  • Redness and inflammation
  • Pain and tenderness
  • Callus or corns on the bump
  • Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

If you have any questions, please feel free to contact our office located in Bentonville, AR . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about What Are Bunions?

Signs of Serious Foot Problems in Diabetics

Posted on December 21, 2020

Serious foot problems can be more likely among people who have diabetes, and they can result in serious complications if left untreated. If you have diabetes, certain foot symptoms can be a cause for concern and should be examined by a professional. Tingling, burning, or numbness in the feet, a burning pain, a dull ache, a loss of sensation, foot swelling, and cramps in your calves when resting or walking are all signs of potentially serious problems. Symptoms that affect the skin of the lower limbs, such as having shiny, smooth skin on the feet, hair loss, a lack of sweat, or wounds and sores on the feet that don’t heal are also a cause for concern. Additionally, if you see changes in the color, shape, or temperature of your feet, notice a cut or blister that you can see but can’t feel, or smell a foul odor coming from a wound, then you should seek immediate medical attention. A podiatrist can help you take care of your feet.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Dr. Stephen S. Pirotta from Advanced Foot & Ankle Clinics. Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

  • Routinely inspect your feet for bruises or sores.
  • Wear socks that fit your feet comfortably.
  • Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

If you have any questions please feel free to contact our office located in Bentonville, AR . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Diabetic Foot Conditions

What Is a Sprained Toe?

Posted on December 14, 2020

A sprained toe is a very common foot injury that can affect anyone at any time. The more frequent causes tend to be stubbing the toe or injuring it during a sporting activity. A sprained toe means torn ligaments, and this can hinder completing daily activities, not to mention the pain and discomfort that often coincides. Sprained toes are classified into three categories and the healing time is governed by which area they fall into. A mild sprain takes the least amount of time to heal, and the patient may be fully recovered within two weeks. The ligaments may be partially torn in a moderate sprain, and the toe may be unstable. The healing time with this type of sprain can extend to up to five weeks. The full healing time with a severe sprain can take six weeks or longer, and can require the most amount of care. If you have a sprained toe it is advised that you consult with a podiatrist who can properly diagnose the severity of your injury and guide you toward proper treatment techniques.

A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact Dr. Stephen S. Pirotta from Advanced Foot & Ankle Clinics. Our doctor will treat your foot and ankle needs.

What to Know About a Broken Toe

Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).

Symptoms of a Broken Toe

  • Throbbing pain
  • Swelling
  • Bruising on the skin and toenail
  • The inability to move the toe
  • Toe appears crooked or disfigured
  • Tingling or numbness in the toe

Generally, it is best to stay off of the injured toe with the affected foot elevated.

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.

If you have any questions please feel free to contact our office located in Bentonville, AR . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about What to Know About a Broken Toe

Causes and Symptoms of Tarsal Tunnel Syndrome

Posted on December 7, 2020

Tarsal tunnel syndrome occurs when there is a compression or squeezing of the posterior tibial nerve as it travels through the tarsal tunnel. The tarsal tunnel is a narrow space that lies on the inside of the ankle and it contains arteries, veins, tendons and nerves, including the tibial nerve. There can be a variety of causes for this compression such as an abnormal structure in the area, a cyst or bone spur, an injury that causes inflammation like an ankle sprain, and diseases like arthritis and diabetes. Those who have flat feet are also at a higher risk for tarsal tunnel syndrome because the heel tilts and can strain or stress to the nerve. Symptoms individuals experience consist of pain or numbness to the affected area, or a burning or tingling sensation which is often described similar to “pins and needles." Common treatment options for tarsal tunnel syndrome include orthotics, braces, rest, physical therapy, and in severe cases, surgery. If you are suffering from any symptom of tarsal tunnel syndrome it is important to visit a podiatrist for a proper diagnosis.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Stephen S. Pirotta of Advanced Foot & Ankle Clinics. 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 our office located in Bentonville, AR . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Treating Tarsal Tunnel Syndrome

What Should I Look for in a Running Shoe?

Posted on November 30, 2020

If you have recently started running, you may be wondering what kind of shoes you should buy. Proper running shoes are important, since the shoes you wear while you train can be the difference between a good workout and an injury that leaves you in worse shape than when you began running. When looking for a running shoe, you will need to consider multiple factors, including the fit of the shoe and your gait. To find the right fit, it is suggested that you shop in person, where a salesperson can measure your foot and where you can try on shoes prior to buying them. Knowing what type of gait, or walking and running pattern you have, is also useful, as different shoes are designed for different types of gaits. For more information about how to find the right running shoes for your feet, consult with a podiatrist today.

If you are a runner, wearing the right running shoe is essential. For more information, contact Dr. Stephen S. Pirotta from Advanced Foot & Ankle Clinics. 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 our office located in Bentonville, AR . 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

Common Foot and Ankle Injuries in Soccer

Posted on November 23, 2020

Just like most physical activities, there is a risk of a variety of foot and ankle injuries that can occur from playing soccer. While many are acute, overuse injuries can happen as well. One of the most common injuries (and re-injuries) that occurs is an ankle sprain. When the ankle rolls, the ligaments can become damaged or torn. Achilles tendonitis is another form of an overuse injury that causes pain and inflammation to the Achilles tendon in the back of the ankle. Metatarsal stress fractures are also a common overuse injury in soccer. A stress fracture is a hairline crack in the bones that causes gradual worsening pain. If you have been injured or notice moderate to severe pain or swelling, especially while walking, visiting a podiatrist for a proper diagnosis and treatment method is highly recommended.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Dr. Stephen S. Pirotta of Advanced Foot & Ankle Clinics. 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 our office located in Bentonville, AR . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Sports Related Foot And Ankle Injuries

Bunions May Develop for Several Reasons

Posted on November 16, 2020

There are several reasons why bunions may develop. These can include genetic factors, wearing shoes that do not fit correctly, a foot deformity, or from a medical condition like arthritis. A bunion is defined as a bone that protrudes from the joint in the big toe, and may cause severe pain and discomfort. Additional symptoms of a bunion can consist of swelling and redness surrounding the affected joint, and the toe may be difficult to move. After a proper diagnosis is made, which generally involves having an X-ray taken and a physical examination of the foot is performed, proper treatment can begin. Orthotics may be prescribed and it is beneficial to wear shoes that have low heels and a wide toe box. If your bunion is very painful or causing difficulty walking, it is strongly suggested that you are examined by a podiatrist.

If you are suffering from bunions, contact Dr. Stephen S. Pirotta of Advanced Foot & Ankle Clinics. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

  • Refrain from wearing heels or similar shoes that cause discomfort
  • Select wider shoes that can provide more comfort and reduce pain
  • Anti-inflammatory and pain management drugs
  • Orthotics or foot inserts
  • Surgery

If you have any questions, please feel free to contact our office located in Bentonville, AR . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Bunions

What Can Cause an Achilles Tendon Injury?

Posted on November 9, 2020

Patients who have experienced an Achilles tendon injury are often aware of the severe pain and discomfort this can cause. It can occur from repetitive irritation, or from a sudden injury. Additionally, wearing shoes that do not fit correctly, or having an abnormal foot structure may contribute to the onset of this type of injury. The symptoms that are often associated with this condition can consist of extreme tenderness in the heel, calf, and ankle, and it can be difficult to walk. It is beneficial to consult with a podiatrist if you have endured an Achilles tendon injury. A podiatrist can guide you toward the right treatments for you.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Dr. Stephen S. Pirotta of Advanced Foot & Ankle Clinics. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

  • Inflammation
  • Dull to severe pain
  • Increased blood flow to the tendon
  • Thickening of the tendon

Rupture Symptoms

  • Extreme pain and swelling in the foot
  • Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

  • Thorough stretching of the tendon before and after exercise
  • Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact our office located in Bentonville, AR . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Achilles Tendon Injuries

Do I Have an Ingrown Toenail?

Posted on November 2, 2020

The condition that is referred to as ingrown toenails is quite a common ailment. It occurs as a result of the outer edges of the toenail growing into the surrounding skin. The big toe is often affected when this condition develops, and it may happen for several reasons. These can consist of genetic factors, certain medical conditions, and wearing shoes that do not have adequate room for the toes to move freely in. Patients who are diabetic or who have poor circulation, may be prone to developing ingrown toenails. Some of the symptoms that are associated with ingrown toenails can include tenderness around the affected toe, swelling, and in severe cases, a discharge may be evident. Possible prevention techniques can include trimming the toenails correctly, and wearing shoes and socks that fit properly.  If you are afflicted with an ingrown toenail or seem to have reoccurring ingrown toenails, it is suggested that you consult with a podiatrist who can effectively treat this condition.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Dr. Stephen S. Pirotta of Advanced Foot & Ankle Clinics. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

  • Improper toenail trimming
  • Genetics
  • Improper shoe fitting
  • Injury from pedicures or nail picking
  • Abnormal gait
  • Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

If you have any questions, please feel free to contact our office located in Bentonville, AR . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Ingrown Toenails