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Types of Surgery for Hammertoes

Types of Surgery for Hammertoes

Hammertoes, a deformity where the toe bends upward at the middle toe joint, can cause significant discomfort. When conservative treatments fail, surgery may provide lasting relief. Several surgical options are based on the flexibility of the affected joint, often in the second toe. Tendon transfer surgery is often used for a flexible hammertoe, where tendons are repositioned to straighten the toe and restore balance. For rigid hammertoes, surgery involves cutting tendons and ligaments, sometimes removing part of the bone, and stabilizing the toe with temporary pins. Fusion surgery may also be performed, which removes parts of the joint to allow bones to fuse together, resulting in a straighter, more stable toe. In severe cases, amputation may be considered, but this is rare and typically reserved for extreme pain when no other treatments work. A podiatrist can assess the type and severity of a hammertoe to determine the most appropriate surgical approach to relieve pain and restore foot function. If you are experiencing pain from a hammertoe, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment options.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact one of our podiatrists from Associates in Podiatry, PC. Our doctors will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

  • Pain in the affected toes
  • Development of corns or calluses due to friction
  • Inflammation
  • Redness
  • Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

If you have any questions please contact our offices located in Pittsburgh-South Hills, and Pittsburgh-Bellevue, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about What Are Hammertoes?

What Are Hammertoes?

What Are Hammertoes?

Hammertoes are painful deformities that frequently form on the second, third, or fourth toe. The condition is often caused by an issue in foot mechanics. This can be caused by the person’s specific gait or the manner in which they walk, or by shoes that do not comfortably fit the deformity.  Hammertoes can be formed after wearing shoes that are too narrow or short for the foot or have excessively high heels. Shoes that are not properly sized will force the toes into a bent position for long periods of time. This can cause the muscles to shorten and toes to bend into the deformity of a hammertoe.

Hammertoe can also be caused by complications from rheumatoid arthritis, osteoarthritis, trauma to the foot, heredity, or a cerebral vascular accident. Pain and difficult mobility of the toes, deformities, calluses, and corns are all symptoms of a hammertoe.

Someone who suspects they have the symptoms of a hammertoe should consult with a physician—particularly a podiatrist. Podiatrists diagnose and treat complications of the foot and ankle. If the podiatrist discovers that the affected toes are still flexible, treatment for the hammertoe may simply involve exercise, physical therapy, and better-fitting shoes. Treatment for hammertoes typically involves controlling foot mechanics, such as walking, through the use of customized orthotics.

For more serious cases in which the toes have become inflexible and rigid, surgery may be suggested. During the operation, the toe would receive an incision to relieve pressure on the tendons. A re-alignment of the tendons may then be performed by removing small pieces of bone to straighten the toe. In some cases, the insertion of pins is needed to keep the bones in the proper position as the toe heals. The patient is usually allowed to return home on the same day as the surgery.

If surgery is performed to repair a hammertoe, following the postoperative directions of your doctor is essential. Directions may include several stretches, picking up marbles with your toes, or attempting to crumple a towel placed flat against your feet. Wear shoes that have low heels and a wide amount of toe space to maintain comfort. Closed-toe shoes and high heels should be avoided. Shoes with laces allow the wearer to adjust how fitted he or she may want the shoes to be and also allow for greater comfort. To provide adequate space for your toes, select shoes that have a minimum of one-half inch of space between the tip of your longest toe and the inside of the shoe. This will also relieve pressure on your toes and prevent future hammertoes from forming.

Other preventative measures that can be taken include going shopping for new shoes in the middle of the day. Your feet are its smallest in the morning and swell as the day progresses. Trying on and purchasing new shoes midday will give you the most reliable size. Be sure to check that the shoes you purchase are both the same size. If possible, ask the store to stretch out the shoes at its painful points to allow for optimum comfort.  

Causes of Cracked Heels

Causes of Cracked Heels

Cracked heels, also known as heel fissures, can be caused by various factors that affect foot health. Diabetes can lead to poor circulation and dry skin, increasing the risk of cracked heels. Hypothyroidism, a condition where the thyroid does not produce enough hormones, can also cause dry skin and thickened skin around the heels. Skin conditions like psoriasis and eczema can contribute to cracked heels due to dryness and irritation. Fungal infections, such as athlete’s foot, can cause the skin on the feet to peel, crack, and become inflamed. Additionally, a vitamin deficiency, especially in zinc or omega-3 fatty acids, can lead to skin issues, including cracked heels. Keeping feet moisturized, treating underlying health conditions, and practicing proper foot care are essential to prevent and manage cracked heels. Cracked heels can be painful and unsightly. If you have developed this condition, it is suggested that you schedule an appointment with a podiatrist who can successfully treat cracked heels, which often includes prescribed medication.

If the skin on your feet starts to crack, you may want to see a podiatrist to find treatment. If you have any concerns, contact one of our podiatrists from Associates in Podiatry, PC. Our doctors can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

It is important to moisturize your cracked heels in order to prevent pain, bleeding, and infection. The reason cracked heels form is because the skin on the foot is too dry to support the immense pressure placed on them. When the foot expands, the dry skin on the foot begins to split.

Ways to Help Heal Them

  • Invest in a good foot cream
  • Try Using Petroleum Jelly
  • Ease up on Soaps
  • Drink Plenty of Water

Ways to Prevent Cracked Heels

  • Moisturize After Showering
  • Skip a Shower
  • Keep Shower Water Lukewarm
  • Don’t Scrub Your Feet

If you are unsure how to proceed in treating cracked heels, seek guidance from a podiatrist. Your doctor will help you with any questions or information you may need. 

If you have any questions, please feel free to contact our offices located in Pittsburgh-South Hills, and Pittsburgh-Bellevue, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Solutions for Cracked Heels

Solutions for Cracked Heels

Solutions for Cracked Heels

Cracked heels may make you want to think twice about showing off your feet in warmer weather. However, cracked heels may be harmful to more than just the appearance of your feet. If deep fissures and cracks develop in your heels, they may make walking and standing painful for you. Additionally, these openings make way for germs to enter through your skin and cause infection.

There are several different causes of cracked heels. One of the most common reasons for this ailment is dry skin. This problem may make your keeps feel rough tight and itchy. Dry skin may be caused by cold air, extremely hot water, harsh soaps, and aging. Skin disorders such as eczema and psoriasis may eventually lead to dry skin. In some cases, complications may arise from cracked heels. Some of these complications are a loss of feeling in the heel, cellulitis, or a diabetic foot ulcer.

There are ways you can try to prevent getting cracked heels. One of the best ways to do so is to avoid wearing flip flops and sandals because these shoes increase your risk of drying out your feet. You should also avoid wearing shoes with a tall skinny heel, because these shoes cause your heel to expand sideways. At night, you should slather on a thick moisturizing cream on your feet and then cover them in socks to keep your feet moisturized overnight. Drinking water to stay hydrated is also a good way to ensure that your skin doesn’t become dry.

If you suffer from a severe case of cracked feet, you should make an appointment with your podiatrist to see what treatment methods are best for you.

Symptoms of Ankle Sprains

Symptoms of Ankle Sprains

An ankle sprain occurs when the ligaments surrounding the ankle joint are overstretched or torn, typically resulting from a twisting motion. This injury often causes immediate pain, swelling, and bruising around the ankle. People with an ankle sprain may experience difficulty walking, putting weight on the affected foot, or moving the ankle. More severe sprains can result in significant instability, where the ankle feels weak or gives way unexpectedly. Repeated or untreated sprains may lead to long-term joint pain or reduced mobility. A podiatrist can diagnose and treat ankle sprains with imaging tests, bracing, or other customized treatments to support healing and restore strength. If you believe you have sprained an ankle, it is suggested that you schedule an appointment with a podiatrist as quickly as possible so proper healing can begin.

Ankle sprains are common but need immediate attention. If you need your feet checked, contact one of our podiatrists from Associates in Podiatry, PC. Our doctors can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

  • Mild to moderate bruising
  • Limited mobility
  • Swelling
  • Discoloration of the skin (depending on severity)

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

If you have any questions please feel free to contact our offices located in Pittsburgh-South Hills, and Pittsburgh-Bellevue, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Three Grades of Ankle Sprains

Three Grades of Ankle Sprains

Three Grades of Ankle Sprains

An ankle sprain occurs when one or more ankle ligament gets overly stretched. Ligaments are strong bands of tissue that bind and support the bones and other structures that make up the ankle. In more severe ankle sprains, the ligament(s) tear—either partially or completely—and there may be an audible popping noise at the moment of injury.

Ankle sprains are quite common and can occur when the ankle rolls outwardly (eversion) or inwardly (inversion), causing the ligament(s) to stretch beyond normal limits, or even tear. Falls, twists, or blows to the ankle during sports or other activities can cause this injury, as well as wearing improper footwear, running on uneven surfaces, or having weak ankles.

Depending on the injury’s severity, an ankle sprain will be classified as Grade I, Grade II, or Grade III. Grade I sprains involve ligament(s) being overly stretched but not torn, with symptoms of mild pain, swelling, and ankle instability. There may also be some difficulty bearing weight. A Grade II sprain usually involves a partial tear of the ligament which brings more intensity in these symptoms, along with possible bruising. With a Grade III sprain, the ligament is completely torn, the symptoms are severe, and it may not be possible to put weight on the affected foot at all. 

To diagnose and grade an ankle sprain, a podiatrist will perform a physical examination, checking for tenderness and range of motion in the ankle. For more severe sprains, X-rays or other imaging studies may be necessary. 

It is vitally important to have an ankle sprain treated properly as improper healing often leads to future ankle sprains and possibly even chronic ankle stability. Treatment for an ankle sprain will vary, depending on its severity, and may include the RICE method (Rest/Ice/Compression/Elevation), physical therapy, bracing, medications, and possibly even surgery to repair a torn ligament. Rehabilitation is very important for the sprain to heal properly and to restore functionality.

Mini-BEAR Surgery

Mini-BEAR Surgery

A surgical method called the Mini-BEAR system offers a less invasive way to fix certain foot issues. Instead of using multiple long cuts like in traditional surgeries such as medial displacement calcaneal osteotomy, which involves shifting the heel bone inward to improve alignment, or lateral column lengthening, which extends the outer part of the foot to correct flat feet, this approach uses smaller incisions. This can mean shorter surgery times, quicker healing, and smaller scars for patients. This technique also reduces the amount of work done inside the foot, which can lower pain levels after surgery. Because of this, patients may need fewer painkillers like narcotics during recovery. It is a good option for people looking for a simpler, less painful treatment for their foot problems. If you think this type of procedure might help you, it is suggested that you speak to a podiatrist to learn more about your options, and the best treatment for your needs.  

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact one of our podiatrists of Associates in Podiatry, PC. 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 our offices located in Pittsburgh-South Hills, and Pittsburgh-Bellevue, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Foot and Ankle Surgery

Foot and Ankle Surgery

Foot and Ankle Surgery

When conservative, noninvasive methods prove ineffective, surgery may be selected as the next course of action for the treatment of your foot or ankle condition.  A wide number of foot and ankle surgical procedures exist, and it is up to your podiatrist to determine which intervention will be most appropriate and helpful for your case.  Some surgical procedures include bunion surgery, fusion, hammertoe surgery, heel spur surgery, metatarsal surgery, nail surgery, neuroma surgery, reconstructive surgery, skin surgery, and tendon surgery.  Typically, surgery is turned to as a definitive way to alleviate excessive pain or discomfort and to return your foot to full mobility.

Regardless of the location on the body, all surgical procedures require preoperative testing and examination to ensure the surgery’s success and preferred outcome.  A review of your medical history and medical conditions will take place, as will an evaluation of any current diseases, illnesses, allergies, and medications.  Tests such as blood studies, urinalyses, EKG, X-rays, and blood flow studies may be ordered.  Because the procedure involves the foot and/or ankle, the structures of your feet while walking may also be observed by your podiatrist.

Care post-surgery will depend on the type of surgical procedure performed.  Typically, all postoperative care involves rest, ice, compression, and elevation.  To improve and ensure a safe recovery, your foot and ankle surgeon may also employ the use of bandages, splints, surgical shoes, casts, crutches, or canes.  He will also determine if and when you can bear weight.  A timely and thorough recovery is a priority for both you and your podiatrist, and carefully following postoperative instructions can help achieve this.  

It's Time for Beautiful Feet

It's Time for Beautiful Feet

You don't need an excuse to have beautiful nails. Step outside without worrying about the appearance of your feet.

The Benefits of Letting Kids Walk Barefoot

The Benefits of Letting Kids Walk Barefoot

Allowing kids to walk barefoot offers numerous benefits for their development and overall well-being. When children walk without shoes, their feet can grow naturally, promoting healthy arch formation and improving foot strength. Barefoot walking also enhances sensory feedback, allowing children to better understand their surroundings and develop improved balance. Additionally, walking without shoes can increase safety awareness, as children become more mindful of the surfaces they walk on, which can help prevent accidents. Another advantage is that walking barefoot encourages fun and freedom, allowing children to engage more fully with their environment. By spending time barefoot, kids can also help extend the lifespan of their shoes, as they do not wear out as quickly. If you have questions or would like additional information about the benefits of your child walking barefoot, it is suggested that you speak to a podiatrist who can address any concerns you may have.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact one of our podiatrists of Associates in Podiatry, PC. Our doctors can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

If you have any questions please feel free to contact our offices located in Pittsburgh-South Hills, and Pittsburgh-Bellevue, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about What to Do to Keep Your Child’s Feet Healthy

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