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Posts for category: Foot Issues

By Oakton Foot
May 20, 2020
Category: Foot Issues
Tags: Neuroma   Morton's Neuroma  
Morton's NeuromaA podiatrist can help you with a variety of conditions that affect the feet, including Morton’s neuroma. A neuroma is the thickening of nerve tissue in the body, with Morton's neuroma specifically happening in the ball of the foot. It’s caused by an irritation in the nerve between the third and fourth toes. Patients experience pain while walking, with a burning, tingling, or numbness. 
 
Developing Morton’s Neuroma
 
There isn’t any known cause for Morton’s neuroma. There are a few factors that can increase your risk though. These include: 
  • Trauma or injury to the foot, damaging the nerve and resulting in swelling.
  • Improper footwear, like shoes that squeeze the foot together. High heels also increase pressure on the vulnerable areas.
  • Recurring stress to the feet through repeated physical activities or exercise. This is common with patients who are constantly on their feet due to their job. 
  • Deformities of the foot, like a high arch or flat foot. These lead to instability throughout the foot. 
The most important thing that your podiatrist recommends is wearing comfortable shoes. You don’t want anything that squeezes or hurts. Always wear athletic shoes when engaging in any physical activity. 
 
How to Treat Morton’s Neuroma at Home
 
Start by finding shoes that give your toes lots of room and are easily adjustable. The soles need to be shock-absorbent and thick. This keeps the pressure off the feet. You should also invest in shoe inserts or soles recommended by your podiatrist. Lastly, pay attention to your feet and their pain levels. When your Morton’s neuroma starts to act up, take a minute to rest. Take off your shoe and massage the area. An ice pack brings down the swelling too. 
 
Talking to Your Podiatrist
 
You should schedule an appointment with your podiatrist as soon as you experience foot problems. Morton’s neuroma gets worse without treatment. Identifying the neuroma early on can prevent needing aggressive treatment options like surgery. 
 
For early forms of Morton’s neuroma, changing your shoes is enough to relieve your symptoms. Your podiatrist’s goal for early treatment is to relieve pressure from the affected area. After going through a physical examination and having X-rays done, your podiatrist creates a treatment plan that works for you. 
 
There are a few different options that can work for you:
  • Taping and padding: This is a special type of tape and bandages that you place on the bottom of the foot. This helps with your symptoms. 
  • Orthotics: These are the custom shoes that your podiatrist can create for you. 
  • Medication: Cortisone injections reduce the pain and inflammation in the foot. Anti-inflammatory drugs also reduce your swelling. 
  • Surgery is the last resort for treatment. The procedure is done on an outpatient basis. The injured nerve is removed and recovery takes a few weeks.
By Oakton Foot
April 20, 2020
Category: Foot Issues
Tags: Arch Problems  

The arches of the feet play a role in supporting your body’s weight when standing or in motion. The tarsal and metatarsal bones make up the arches of the feet, also receiving additional support and stability from tendons and ligaments; however, our feet, like the rest of our body, can be affected by infections, disorders, and structural changes that can impact not only the health of our feet but also our mobility. It’s important to recognize the warning signs of arch problems so you know when you to see a podiatrist.

Arch Pain Causes

If you are dealing with arch pain it is most likely caused by an injury or by structural abnormalities in the foot. For example, those with very high arches as well as those with flat feet may experience arch problems due to these common structural issues.

As a result, there are other factors that could also lead to further arch problems including:

  • Being overweight or obese
  • Aging
  • Plantar fasciitis
  • Cavus foot
  • Posterior tibial tendon dysfunction

It’s important to understand a little bit more about these common foot disorders and how they could affect the arches of your feet.

Plantar fasciitis

This condition that causes inflammation and microtears in the plantar fascia is also the most common cause of heel pain. Of course, because the plantar fascia (a ligament that connects the toes to the heel bone) also supports the arches of the feet this can also lead to arch pain. This condition is usually the result of overuse and is seen most often in runners. If you have plantar fasciitis it’s important to avoid physical activities until the fascia has fully healed.

Cavus foot

This condition, which affects the structure of the foot, leads to excessively high arches. People who’ve had a stroke, as well as people with certain conditions such as cerebral palsy may be more likely to develop cavus foot. This problem causes arch pain when standing or walking and can increase the risk for ankle injuries. Your podiatrist may choose to treat cavus foot through custom-made orthotics (shoe inserts), bracing, or by recommending specialized and supportive footwear.

Posterior tibial tendon dysfunction

The posterior tibial tendon runs from the calf muscles to the inner portion of the foot. This condition leads to changes in the tendon, which in turn affects its ability to support the arches of the foot. Flat feet can be caused by posterior tibial tendon dysfunction, and this is often the cause of flat feet that develop in adulthood. Like the other conditions above, treatment for PTTD usually involves bracing, orthotics, or providing custom devices that provide additional support to the arches of the feet.

If you are experiencing foot pain, swelling or other problems that affect mobility then it’s time that you turned to a podiatrist for care. Conditions and injuries that don’t respond to rest and at-home care may require more advanced treatments and therapies.

By Oakton Foot
March 20, 2020
Category: Foot Issues

There are 52 bones in your feet and ankles, which means that feet contain about 25 percent of the bones in our bodies. Our feet also contain about 20-25 percent of the total joints in our body; therefore, it’s not too surprising to find out that your feet and ankles are unfortunately more likely to deal with tendon and joint pain at some point, whether through injury or certain conditions such as arthritis. When pain and other foot problems arise it’s important that you have a podiatrist you can turn to.

Common Causes of Tendon and Joint Pain in the Feet

Tendons are soft tissues that connect the muscles to the bones. Everything from overuse and foot injuries to structural imbalances can lead to pain. Common causes of tendon and joint pain include:

  • Tendonitis: inflammation of the tendon caused by injury or overuse
  • Sprains and strains: a common but usually minor foot and ankle injury, typically caused by physical activity
  • Arthritis: a chronic, progressive condition that leads to joint pain, stiffness, and damage (osteoarthritis is the most common type of arthritis to affect feet and ankles)
  • Obesity: being overweight or obese can also put excessive pressure on the joints and tendons of your feet and ankles, leading to pain and other problems

Treating Tendon and Joint Pain

Visiting a podiatrist is the best choice you can make if you are dealing with severe, persistent, or new foot and ankle pain. Since some conditions can get worse without proper care and rest it’s important to find out what’s causing your pain so you know how to effectively treat it.

If you are dealing with pain caused by a sports injury or strain it’s a good idea to see a medical professional so you know the extent of the injury. More severe sprains may require protective boots or crutches to reduce the amount of weight being placed on the injured ankle or foot.

Arthritis is also a surprisingly common cause of foot pain. If you notice joint pain and stiffness that affects functionality, range of motion and mobility in your feet then you could be dealing with arthritis. Since arthritis can get worse without treatment, it is important that you work with your pediatrician and a team of medical professionals to determine the best medications and course of action to help manage your foot pain and to prevent permanent joint damage.

If you are experiencing foot pain it’s important to see a qualified medical professional that can determine the best way to treat your symptoms. Call your podiatrist today for a comprehensive evaluation.

By Steven R Vetter, DPM
October 01, 2019
Category: Foot Issues
Tags: Orthotics  

How orthotics from your podiatrists in Fairfax, VA, can help you

If your feet hurt on a day-to-day basis, you owe it to yourself to learn more about orthotics and what they can do for you. Here at Oakton orthoticsFoot and Ankle Center in Fairfax, VA, your foot doctors, Dr. Steven Vetter and Dr. Jugal Dharia, offer a full range of footcare services, including orthotics, to help you and your feet. Read on to learn more!

 

What orthotics can do for you

Whether you stand all day, walk for extended periods of time, or play foot-stressing sports, your feet sure can take a beating on a day-to-day basis. Additionally, aging, weight gain, diabetes, and other issues can also increase the pressure felt by your feet. Fortunately, orthotics support and cushion your feet, providing them with the TLC they need to get you through your day.

Custom-fit orthotics aren’t just the cookie-cutter inserts you purchase in the grocery store—they are handcrafted just for you in order to provide the individual support you and your feet need. Consider:

  • Rigid orthotics if you are having joint or tendon problems; rigid orthotics help relieve the strain on tendons and joints, giving strong support to your feet, legs, and lower back. Rigid orthotics are made of hard plastic and provide great support.
  • Soft orthotics if need help with balance and stress relief for your feet; soft orthotics are an excellent choice if you are diabetic, have arthritis, or are suffering foot pain from bone deformities.
  • Semi-rigid orthotics if you are playing sports, jogging, or walking regularly need added support; semi-rigid orthotics are made of a combination of soft and rigid materials, so you get the benefit of both.

 

Interested? Give us a call

To learn more about the different types of orthotics and what they can do for you, call Dr. Steven Vetter and Dr. Jugal Dharia of Oakton Foot and Ankle Center in Fairfax, VA, by dialing (703) 352-8888 today!

By Oakton Foot and Ankle Center
May 10, 2019
Category: Foot Issues
Tags: Neuroma  

Are you dealing with pain, burning, tingling or numbness between your toes or in the ball of the foot? If you said “yes” then you could be dealing with a neuroma, Neuromaa pinched nerve or benign tumor of the nerve that is often found between the third and fourth toes.

The classic symptom of a neuroma is pain, particularly when walking—a factor that leads many people to liken the condition to feeling like a pebble is in their shoe. You may find that the pain eases up whenever you aren’t walking or when you rub the pained area with your hands. While neuromas can happen to anyone, they are most commonly found in women.

Neuroma Causes

While the causes of a neuroma are still not clear, there are factors that can increase the likelihood of developing one, such as:

  • Extremely high arches
  • Flat feet
  • Trauma that leads to nerve damage in the feet
  • Improper footwear (high heels over two-inches tall; pointed toes)
  • Repeated stress placed on the foot

Treating a Neuroma

A neuroma will not go away on its own, so it’s important to see a podiatrist if you are experiencing any of the condition's symptoms. The type of treatment or treatments recommended to you will depend on the severity of the neuroma.

Those with minor neuromas may be able to lessen symptoms by wearing shoes that provide ample room for the toes and offer thick soles that provide more support and cushioning for the toes and balls of the feet. Sometimes a podiatrist may recommend custom orthotics to place inside the shoes, as well.

Your podiatrist may also recommend padding or taping the ball of the foot to improve faulty biomechanics and reduce discomfort. While medication will not eliminate the problem, it can temporarily alleviate symptoms. Over-the-counter anti-inflammatories can often briefly reduce pain and swelling, but for those dealing with more severe pain, steroid injections may be necessary to ease symptoms.

Surgery for a Neuroma

Surgery only becomes necessary when conservative treatment options have failed to provide relief, or when the neuroma has progressed enough that conservative care won’t be enough. During surgery, the inflamed nerve is removed through a simple outpatient procedure. Afterward, there is a short recovery period of a couple of weeks before patients are able to move about pain-free once again!

Give us a Call!

If you are dealing with new or worsening foot pain it’s important that you turn to a podiatrist that can help give you the answers you need. Schedule an appointment today.



Contact us 

Oakton Foot & Ankle Center, PLLC

Fairfax, VA Podiatrist
Oakton Foot and Ankle Center
10721 Main St., Suite #3500
Fairfax, VA 22030
(703) 352-8888
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