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Posts for tag: Bunions

By Dr. Howard Schaengold
May 01, 2018
Category: Foot Care
Tags: Bunions  

BunionsWhat is a Bunion?

Are you dealing with a bunion? A bunion is a protrusion of the bone at the base of the big toe. While a bunion may seem like a bump, according to the (APMA) American Podiatric Medical Association a bunion is actually the enlargement of the joint at the base of the big toe – the metatarsophalangeal (MTP) joint. While bunions are a common foot disorder, it is not something that you should ignore as bunions can cause discomfort and become inflamed if left untreated.
 

What Causes Bunions?

Bunions can be hereditary and aggravated by the shoes you wear, especially high heels or shoes that don’t have enough room for your toes. Certain factors can also contribute to the development of bunions, such as if you have flat feet or low arches or if your feet pronate (when the ankles roll in towards each other during movement and cause excessive and prolonged pressure on the joints in the feet). If you are dealing with bunions, or think that you are, it’s important to seek help from a qualified podiatrist to get the care you need to relieve your pain and discomfort.
 

How a Podiatrist Can Help

Your podiatrist may recommend certain conservative at home steps you can take to minimize the discomfort. The first thing they may recommend is that you look at or change the kind of shoes you wear. It’s important to find shoes that are wide enough to accommodate your toes. Shoes such as high heels are likely to make the problem worse. Bunion pads can also help with your discomfort.
Severe bunion pain can restrict your mobility. Untreated bunions can continue to get worse if you don’t do something about them and can lead to other issues such as calluses and corns, or you may experience pain or redness on the site of the bunion, as well as swelling.
Other treatment options include orthotics or a combination of physical therapy and medication to relieve pressure and inflammation of the bunion. In severe cases, surgery may be needed to resolve the issue.
 

Prevention is Key

We all like to remain active, and oftentimes it is the result of this activity that can make your bunion pain worse. You should visit your podiatrist if you notice any issues so they can be caught and treated as early as possible. Call our office today.
By Dr. Howard Schaengold
September 27, 2017
Category: Foot Condition
Tags: Bunions  

BunionsA bunion is an abnormal, bony prominence that develops on the joint at the base of your big toe. As the big toe joint becomes enlarged, it forces the toe to crowd against your other toes, and the pressure exerted on your big toe joint results in inflammation and pain. Early treatment is necessary to decrease the risk of developing joint deformities.

Bunions develop due to prolonged abnormal pressure or motion on your big toe joint, most often caused by inherited structural defects, poor-fitting shoes, foot injuries, or congenital deformities. Women are generally more prone to bunions because of the shoe types typically worn, such as high-heels and narrow-toed shoes.

Bunion pain can range from mild to severe, often making it difficult to wear shoes and perform normal activities. You should contact our office if you notice the following symptoms:

  • An enlarged, visible bulge on your big toe joint
  • Restricted movement of your big toe or foot that prevents you from performing normal activities
  • Irritation, corns or calluses caused by the overlap of the first and second toes
  • Frequent pain, swelling or redness around your big toe joint

Treatment For a Bunion

Treatment for a bunion will vary depending on its severity. Identifying the condition in its early stages is important to avoid surgery, with the main objective of early treatment being to relieve pressure and stop the progression of the deformity. Many times conservative treatments, such as padding, modified footwear or orthotic devices can be highly effective for preventing further growth and reducing the pressure and pain.

We recommend the following for reducing pressure and pain caused by bunions:

  • Wear comfortable shoes that don't cramp or irritate your toes and avoid high-heeled shoes
  • Apply ice to reduce inflammation and pain
  • Our podiatrists can show you how to apply padding to your foot to place it in its normal position and reduce stress on the bunion

When early treatments fail or the persistent pain associated with your bunion is interfering with your daily activities, a surgical procedure may be recommended as a last resort to realign the toe joint and alleviate the pressure. We can advise you on the best treatment options available to relieve pressure on the bunion and slow the progression of the joint deformity.

By Dr. Howard Schaengold
March 14, 2014
Category: Sports Injuries
Tags: Bunions   neuromas   sports injuries   skiiing   nerves   damage   pressure  

SkiingIs this the weekend you’re heading up to the Summit at Snoqualmie for a super time on the slopes? With four great areas and a few of the steepest runs in the area, plus a great network of cross country trails, it’s a paradise for skiers. Don’t let poorly fitted ski boots ruin the day! When toes are cramped, the nerves can be affected, and athletes with neuromas know how painful they can be.

Pressure on the toes can damage the nerves, and the tissue around them can swell up and become inflamed. Conditions like bunions and arch problems contribute to the pressure, as well as tight shoes or sports activities that give your feet a pounding. You may not feel pain at first, only a thick feeling—usually behind the third and fourth toes—or a sensation of a stone or bunched up sock under the ball of your foot. Eventually, though, the problem may increase until every step sends a shot of pain into your foot, or make your toes tingle or feel numb.

Athletes, especially those who ski, should be very careful when choosing shoes or boots. They need to be roomy enough for your cushioned socks and allow your toes to wiggle freely, while still fitting snugly enough to give support for your activity. If you notice tingly or numb toes, maybe it’s time to take a break from that activity and give your nerves a rest.

If the ball of your foot is painful, have it checked out at The Plateau Foot & Ankle Clinic. Dr. Howard Schaengold specializes in sports injuries and can help you get to the root of your discomfort. Conservative treatments often do a great deal to relieve your foot problem. For expert foot care in the Sammamish, Snoqualmie, Redmond, or Bellevue, WA area, give us a call at (425) 868-3338, and we’ll help you get back on the slopes without pain.

By Dr. Howard Schaengold
February 24, 2014
Category: Deformities

It seems NBA star LeBron James can’t go anywhere without someone taking a picture, and each one is subject to scrutiny from head to toe. So when he was snapped barefoot on a dock, columnist Matt King had a go at his “seriously messed up toes.” King seemed to think James’ overlapping toes were due to an injury, but the truth is many toe deformities are inherited.

In some people, a pinky or middle toe curls up and over another toe, and usually the condition is genetic. True, sometimes other causes like high arches or flat feet can cause a child to put weight on the foot in a different way, misplacing the pinky toe up over the next one. In adults, tight shoes that pinch the toes can cause them to move out of position. With bunions, for example, the big toe can move so far toward the second one that it overlaps it, or pushes one of the other toes out of position.

Toe deformities like these can cause pain when they rub against your shoes or each other. The irritation during movement may also bring about calluses, corns, or blisters. The abnormalities alter the way you walk or run, and even affect the bone structure in your feet. Athletes who place a lot of stress on their lower extremities may experience more severe symptoms than less active people.

What can you do for overlapping toes? Accommodate them, for a start. Make sure your shoes have enough room for the toe and don’t rub against it. Have Dr. Howard Schaengold at The Plateau Foot & Ankle Clinic take a look at them. He can recommend gel pads, taping, or toe straighteners to cushion and keep the toe in place. Taping may be helpful in infants to correct the deformity as much as possible while their bones form, although the toe may never be completely normal.

Foot deformities are one of our specialties, so call us at (425) 868-3338 for all your podiatric needs. Whether you live in Sammamish, Redmond, Issaquah or Bellevue, you can find great foot care with us!

By Howard Schaengold, DPM
August 01, 2012
Category: Foot Care

Foot PainWhether you suffer from chronic heel pain, are embarrassed by toenail fungus or were recently diagnosed with diabetes, you can benefit from visiting a professional podiatrist.

Podiatrists provide medical and surgical care for people suffering foot, ankle and lower leg problems, such as corns, warts, bunions and sprains. Common conditions, such as arthritis, diabetes and peripheral arterial disease, which can damage the feet, can also be diagnosed and treated by a podiatrist. Even back pain can be traced to your feet and relieved through proper evaluation and treatment by a skilled foot specialist.

Not all foot and ankle problems warrant an appointment with a podiatrist. In some cases, rest, ice or even a change in footwear is enough to reduce the pain and get you back on your feet. But when foot pain and discomfort cannot be resolved by home treatment, you need a professional’s care—someone who specializes in foot-related injuries and disorders.

When to Call Howard Schaengold, DPM

Feet are invariably the most ignored parts of the body. Too many people dismiss foot health until there is a serious, painful problem.Whenever a foot or ankle problem lasts for several days, contact a Sammamish podiatrist. Other signs that indicate a worsening condition and warrant medical attention, include:

  • Foot discoloration
  • Pain and swelling in one foot
  • A foot sore or wound that doesn’t heal

How often you should visit a podiatrist depends on the individual. Regular appointments can help you better understand the stresses and strains put on your feet and lower legs on a daily basis. Long-term care and prevention is also extremely important for individuals with diabetes, as podiatrists help prevent ulcerations and loss of limb with early diagnosis and care.

Remember, foot pain should never be taken lightly. Always consult Howard Schaengold, DPM for proper diagnosis of foot disorders.