Foot and Ankle Specialist

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Arthritis Can Cause Pain in the Feet and Ankles
How to Tell if You Have a Broken Toe
Broken toes can occur due to sports injuries, accidents, or even wearing improper footwear. Although it may not always be easy to detect, a broken toe should be treated properly to ensure correct healing and avoid any future complications. A broken toe may give you discomfort ranging from mild tenderness, to numbness, to very intense pain, and limited range of motion. There may be swelling at the site, and possibly even weakness and spasms in the muscles connected to the broken toe. Blood from the broken bone and fluids released into the tissues under the skin may cause partial or entire bruising of the toe and surrounding area. The toe may be twisted, bent out of its normal shape, or the bone may pierce through the skin. If you have had recent trauma to one of your toes and are experiencing any of these symptoms, schedule an appointment with a podiatrist who can diagnose a broken toe and help it heal properly.
Broken toes may cause a lot of pain and should be treated as soon as possible. If you have any concerns about your feet, contact Don A. Shumway, DPM from Arizona. Our doctor will treat your foot and ankle needs.
What Is a Broken Toe?
A broken toe occurs when one or more of the toe bones of the foot are broken after an injury. Injuries such as stubbing your toe or dropping a heavy object on it may cause a toe fracture.
Symptoms of a Broken Toe
- Swelling
- Pain (with/without wearing shoes)
- Stiffness
- Nail Injury
Although the injured toe should be monitored daily, it is especially important to have a podiatrist look at your toe if you have severe symptoms. Some of these symptoms include worsening or new pain that is not relieved with medication, sores, redness, or open wounds near the toe.
If you have any questions, please feel free to contact our office located in Snowflake, AZ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Read more about What to Know About a Broken ToeWhat to Know About a Broken Toe
The forefoot is composed of five metatarsal bones and fourteen phalanges. Each toe has three phalanges except for the big toe which only has two. Our toes play an essential role to the walking process, which is why a broken toe could seriously disrupt one’s ability to move around. Toe fractures are common and can be very painful. Fortunately, these injuries rarely require surgery and usually heal with rest and a change in activity.
Broken toes typically result from a traumatic event such as falling, stubbing the toe, or dropping something on the toe. Traumatic toe fractures may be categorized as either minor or severe fractures. At times, one may hear a “pop” or “crack” sound when the bone breaks. Common symptoms of a traumatic toe fracture include pain, throbbing, bruising, swelling, and redness.
Another type of toe fractures is a stress fracture. These injuries usually appear in the form of small hairline breaks on the bone. Stress fractures develop after repetitive activity instead of a single injury. Stress fractures occur when the muscles in the bone become too weak to absorb impact. Consequently, the toe bone becomes vulnerable to any pressure and impact it endures. Symptoms for a stress fracture in the toe include swelling without bruising, tenderness to the touch, pain that goes away with rest, and pain after walking or running.
If you suspect that you have a broken toe, you should make an appointment with your podiatrist. He or she will likely diagnose you by performing a physical exam and an X-ray. Treatment for a broken toe may include the R.I.C.E. method, buddy taping, surgery, or antibiotics. The R.I.C.E. method (Rest, Ice, Compression, and Elevation) is a common treatment method for many injuries because it decreases pain. Buddy tapping involves wrapping the injured toe next to an adjacent toe to keep it supported and protected. These two methods have proven to be effective in the healing process for toe fractures. The estimated healing time for a broken toe is approximately four to six weeks. If the injury becomes infected or requires surgery, the estimated healing time may take eight weeks or more.
How to Prepare for Foot or Ankle Surgery
If you are getting ready to undergo surgery to correct a foot or ankle issue, it is important to be prepared and know what to expect. Store up on food and supplies, and set up a comfortable spot in your home with everything you’ll need within arm’s reach as you convalesce: your computer, phone, medicine, TV and remote, pillows, a foot elevation apparatus to reduce swelling, convenient access to ice packs, and more. Ask your podiatrist if you’ll need a knee roller/walker, crutches or wheelchair. Place a shower stool and grab bars in your shower, and have a cast protector handy to keep your cast dry while showering. Ask your podiatrist what you need to do to help aid your recovery, and approximately when you may be able to return to work; it can take weeks, months, or sometimes longer to fully recover from foot or ankle surgery. Also, find out when you might be able to drive again, and make arrangements to get a Temporary Handicap placard prior to surgery. Ask your podiatrist about over-the-counter painkillers or if they will prescribe medication to help reduce swelling and pain after surgery. With proper planning and communication with your podiatrist, you can help make your recovery as smooth and successful as possible.
Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Don A. Shumway, DPM of Arizona. Our doctor 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 our office located in Snowflake, AZ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Read more about Foot SurgeryFoot 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.
Avoid Open-Back Shoes
The feet change as the aging process occurs, which can make elderly individuals more prone to developing foot complications. In the warmer months, many people wear shoes that have an open back, including elderly patients. This can lead to painful foot conditions consisting of cracked heels, plantar fasciitis, and toe injuries. It is beneficial to instead wear shoes that fit correctly, in addition to washing, drying, and moisturizing the feet as part of your daily routine. Shoes that are made from breathable materials may help to avoid foot fungi, including athlete’s foot. Patients who are diabetic must pay extra attention to their feet, and it is important to promptly treat cuts or bruises that appear. If you would like more information about how to care for elderly feet, it is suggested that you confer with a podiatrist.
Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Don A. Shumway, DPM from Arizona. Our doctor can provide the care you need to keep you pain-free and on your feet.
The Elderly and Their Feet
As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.
Common Conditions
- Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
- Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
- Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
- Gouging toenails affecting nearby toe
- Shoes that don’t fit properly
- Pressure sores
- Loss of circulation in legs & feet
- Edema & swelling of feet and ankles
Susceptible Infections
Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.
If you have any questions please feel free to contact our office located in Snowflake, AZ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Read more about Taking Care of Elderly FeetTaking Care of Elderly Feet
Many foot diseases and conditions become more serious and common among the elderly. Some of these conditions include diabetic ulcers, ingrown toenails, fungus, arthritis, corns, and calluses. Unfortunately, it may be harder for older adults to take care of their own feet, but there are some precautions they can take in order to avoid any serious conditions.
Dry, cracked heels tend to be a common problem for older people. In order to avoid this, you should always keep your feet clean and well moisturized. Special feet moisturizers should be used as average lotions might not provide enough moisture for dry and cracked heels. Daily foot inspections are crucial for the elderly to detect any irregularities in their earliest stages. During the aging process, blood circulation tends to slow down causing older people to not feel their feet as well as they used to. This often results in foot problems going unnoticed.
Fungal and bacterial conditions thrive on elderly feet because older adults are less likely to keep their feet clean and dry; this makes it easier for bacteria to take hold in their dry, cracked skin. Elderly people should be sure to thoroughly dry their feet, especially in between the toes, after bathing. This will help them avoid developing any fungal infections. Additionally, clean cotton socks should be worn after the feet are dried.
Cutting toenails straight across will help prevent ingrown toenails. When toenails are cut too lose, the nail might break through the skin resulting in an ingrown nail. Clippers should be used to cut the nails in order to make the cut even.
Elderly people who have diabetes are at risk of developing serious foot problems that may lead to amputation. Ulcers that are left untreated can lead to gangrene. Dry and cracked feet, fungus, and untended cuts under the nails may also lead to infections.
Fortunately, Medicare covers many different types of services for foot care. Elderly people with any of these foot conditions should seek the help of a podiatrist and perform daily foot inspections in order to ensure that they have healthy feet.
Different Types of Foot Pain in Runners
Runners can sometimes experience different types of foot pain after a run. Pain experienced in the heel or arch—especially in the morning—may be plantar fasciitis. Certain stretches and orthotics may provide some relief, however, if pain persists for more than a couple of weeks, a podiatrist may be able to heal the injury using a variety of therapies. Short-term relief from a bunion may be achieved by using bunion pads. A more lasting solution would be to have the bunion removed by a podiatrist who may also create custom orthotics to avoid bunions from returning. On the top of the foot, pain while running, swelling, or a bump on the tendon may be an indication of extensor tendonitis. Shoes that are too tight, or that create pressure on the top of the foot or are laced too tightly may make this situation worse. Proper stretching, icing, and anti-inflammatories may provide relief, along with professional treatments and custom orthotics. Pain relief from tendonitis along the side of the foot may be lessened by icing and resting, however since stress fractures also cause pain in this area, early detection and professional treatment by a podiatrist is suggested for proper diagnosis and treatment.
Exercising your feet regularly with the proper foot wear is a great way to prevent injuries and build strength. If you have any concerns about your feet, contact Don A. Shumway, DPM from Arizona. Our doctor can provide the care you need to keep you pain-free and on your feet.
Exercise for Your Feet
Exercise for your feet can help you gain strength, mobility and flexibility in your feet. They say that strengthening your feet can be just as rewarding as strengthening another part of the body. Your feet are very important, and we often forget about them in our daily tasks. But it is because of our feet that are we able to get going and do what we need to. For those of us fortunate enough to not have any foot problems, it is an important gesture to take care of them to ensure good health in the long run.
Some foot health exercises can include ankle pumps, tip-toeing, toe rises, lifting off the floor doing reps and sets, and flexing the toes. It is best to speak with Our doctor to determine an appropriate regimen for your needs. Everyone’s needs and bodies are different, and the activities required to maintain strength in the feet vary from individual to individual.
Once you get into a routine of doing regular exercise, you may notice a difference in your feet and how strong they may become.
If you have any questions please feel free to contact our office located in Snowflake, AZ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Read more about Exercise for Your FeetExercise for Your Feet
Whether your feet are over-worked or under-worked, chances are they could benefit from some special attention. Even those who exercise regularly probably do not spend any time strengthening their feet. This can be just as rewarding as strengthening the rest of the body, since the health of your feet affects the health of the rest of the body as well, especially the ankles, legs, and spine.
For those who might not have any idea on how a foot-specific exercise might be conducted, there are several workouts that are fairly easy to perform in the comfort of ones’ home. One of the easiest is the toe rise, also known as the tip-toe. This exercise involves standing on the tip-toes for a count of 15 then resting the feet on the ground. This process should be repeated a minimum of three times a day in order to strengthen the feet.
Toe pick-ups strengthen the feet by working them in a very different way. In this exercise, small items are picked up using the toes in order to strengthen the muscles on the upper part of the feet. Once again three sets should be performed, with the item in question being held for 15 seconds then dropped. Items that may be picked up using the feet include marbles and even stationery, which works wonders for the toes and the surrounding muscles.
Yet another simple workout is the ankle pump. This can be done either upwards or downwards, but for the workout to be most effective both can be incorporated into the routine. As the term suggests, this involves lifting the foot off the floor and flexing the toes either towards the shin or towards the ground. This movement puts the feet and ankles through a large range of motion which works the muscles.
Last but not least, feet should be stretched so that the muscles can relax and recuperate. This can be done by placing both feet off of the floor and bracing oneself against the wall at a 45 degree angle. This ensures that the feet and ankles are adequately stretched once the workout is complete.
In short, giving the feet a good workout every now and then is important in order to avoid problems such as plantar fasciitis. It’s also important to warm-up or cool-down after running or vigorous walking. Foot exercises may be followed by a good foot massage. This encourages circulation in the feet as well as muscle relaxation.