Posts for tag: orthotic inserts
The deformity called hammertoe gets its name because of the propensity of the middle toes to bend into the shape of a hammer due to muscle and tendon imbalances. These imbalances are actually hereditary, but they can become exacerbated by stress and pressure. Shoes like high heels that push your toes together are a major cause of toe deformities like hammertoes and bunions.
Hammertoes are more flexible and more easily straightened in the early stages of the condition. Seeing your podiatrist at this stage will allow you to effectively treat your hammertoes without the need for surgery. A variety of methods are used to stretch and hold the toes in a straighter position.
Some excellent early hammertoe treatments include the following:
- Properly-fitted shoes—Always have your shoes properly fitted to provide the right combination of cushioning and support. A wide toe box is essential for giving your toes room to move without creating friction against your footwear and to allow room for pads and orthotic inserts.
- Physical therapy—Strengthening and flexing your toes with regular therapy exercises will help straighten toes and maintain flexibility in the joints, muscles, and tendons. Toe extension and towel scrunching are excellent exercises for this purpose.
- Padding and custom orthotic inserts—Orthotic shoe inserts can redirect pressure from the bent toes and aid in straightening. A variety of cushioned pads are available to help reduce rubbing against the corns that often form on top of hammertoes.
When hammertoes have become more advanced, it may be necessary to have a surgical procedure to correct them. Depending upon how rigid and bent your toes have become, several options are available that you can discuss with your foot doctor.
If you are having problems with painful hammertoes, consult with our board-certified podiatrists at Foot and Ankle Center of Fort Lee, LLC. The center offers convenient locations in Fort Lee NJ, Ringwood NJ, Flushing Queens NY, Woodhaven NY, Brooklyn NY, and Forest Hills NY. Contact us at (201) 363-9844 and schedule an appointment today!
A major cause of severe injury in people over 65 is from falling. Reduce your chances of falling to stay healthy and active as you get older through proper diet and exercise and by using the right orthotic inserts. Since many older people also have osteoporosis which causes a weakening of the bones, it is important to find ways to avoid falling in the first place.
Reducing the risk of falling and decreasing bone loss will help avoid injuries and help you stay healthy as you get older.
Try these tips to help prevent falls:
- Orthotic inserts—Your foot doctor can correct balance problems and increase ankle stability with custom orthotic inserts and braces to help avoid falling.
- Get plenty of calcium and vitamins—Enough calcium and sufficient vitamin D in the diet will help nurture your bones. Yogurt, broccoli, and cauliflower are excellent dietary sources of calcium. If you don’t get much sun, then take a vitamin D supplement.
- Exercise regularly—Strengthening the muscles, tissues and tendons surrounding your foot and ankle bones will improve stability and decrease the chance of falling.
- Install safety devices—Railings and stair lighting will help to prevent accidents.
- Stop smoking—Quitting smoking is essential for your overall health and your bones will be stronger for it.
- Avoid alcohol—Alcoholic beverages cause dehydration and balance problems that can lead to a severe fall.
If you need help getting properly-fitted shoes and choosing the right orthotic inserts and braces, contact your foot care professional for the proper care. Consult with our board-certified podiatrists at Foot and Ankle Center of Fort Lee, LLC. The center offers convenient locations in Fort Lee NJ, Ringwood NJ, Flushing Queens NY, Woodhaven NY, Brooklyn NY, and Forest Hills NY. Contact us at (201) 363-9844 and schedule an appointment today!
The condition of tarsal tunnel syndrome that affects the foot has many similarities to the wrist condition called carpal tunnel syndrome. In both cases, nerve stress and damage from repetitive use can cause numbness, pain, tingling, and a burning sensation.
In the case of your feet, inflammation and constriction of the tissues around the posterior tibial nerve can cause these uncomfortable sensations to radiate to the bottom of the foot and to the inward facing side of the ankle.
The causes and risk factors of tarsal tunnel syndrome include:
- Injuries such as ankle sprains and strains that contribute to nerve compression
- Having flat feet causes the foot to roll outward, increasing nerve stress
- Systemic diseases like diabetes, arthritis, and peripheral artery disease are risk factors
- A physical obstruction such as a varicose vein, ganglion cyst, or swollen tendon that is pressing on the nerve can cause the condition
Initial treatments for tarsal tunnel syndrome include:
- Resting and icing to lower inflammation and promote the healing response
- Ibuprofen or other NSAIDs to relieve pain and swelling
- Immobilization of the foot and ankle with a rigid boot to allow the nerves and tissues to heal
- Physical therapy to increase strength and flexibility
- Ultrasound treatments
- Custom made orthotic inserts combined with supportive and properly-fitted shoes
- Foot and ankle braces may be required to redistribute pressure
In severe cases that don’t respond to conservative methods, surgery may be needed to relieve pain and pressure.
Untreated, tarsal tunnel syndrome can evolve to cause permanent damage, so be sure to consult with our board-certified podiatrists at Foot and Ankle Center of Fort Lee, LLC. The center offers convenient locations in Fort Lee NJ, Ringwood NJ, Flushing Queens NY, Woodhaven NY, Brooklyn NY, and Forest Hills NY. Contact us at (201) 363-9844 and schedule an appointment today!
Bunions are often thought of as a problem for the elderly, but they can affect people of all ages. The most obvious sign of this condition is that the big toe pushes against the second toe causing a bump to develop on the top or side of the big toe. This can also occur on the other side of your foot with the pinky toe pushing into the fourth toe. When a bump forms on the pinky toe it is sometimes called a bunionette. Each of these conditions can be very painful and cause other problems to develop including corns and calluses.
Some of the best conservative and noninvasive treatments for bunions include the following:
- Resting and icing—Apply ice to the swollen area for ten-minute intervals several times a day to relieve pain and inflammation.
- Pain relievers—NSAID pain relievers such as ibuprofen and Aleve will also reduce swelling.
- Properly fitted shoes—Wear shoes with a wide toe box and avoid wearing shoes that are too tight such as high heels that increase side pressure on your toe joints.
- Shoe inserts—Properly placed orthotic shoe inserts can help to isolate the bunion and prevent corns and calluses from starting or getting more aggravated.
- Cortisone injections—Your foot specialist may also recommend steroid injections to help reduce pain and inflammation.
- Splints and braces—A specially designed splint may be worn at night that applies pressure to pull your big toe away from the other toes and to straighten it out.
If these home and conservative remedies don’t completely eliminate your pain, it may be necessary to have surgery to realign the toe, ligaments, and tendons. Imaging studies will be performed to develop a surgical and rehabilitation plan for your unique situation.
If you are experiencing bunion pain, consult with our board-certified podiatrists at Foot and Ankle Center of Fort Lee, LLC. The center offers convenient locations in Fort Lee NJ, Ringwood NJ, Flushing Queens NY, Woodhaven NY, Brooklyn NY, and Forest Hills NY. Contact us at (201) 363-9844 and schedule an appointment today!
Having a feeling that there is a small object such as a pebble in your shoe is the main symptom of a condition called Morton’s neuroma. It occurs when a metatarsal ligament traps a nerve causing inflammation and discomfort that usually presents between the second and third, or third and fourth metatarsal bones that lead to your toes. If you don’t have an actual rock in your footwear that is causing this feeling, then you should visit your podiatrist for proper evaluation and treatment.
The actual cause of neuromas is still under investigation, but it often appears to be a result of injury and pressure that pushes on the nerves that run into your toes. Women are diagnosed with this ailment nearly three times as often as men due to the deleterious effects of wearing high heeled shoes. High impact sports such as tennis, jogging, and basketball, and any actions which cause repetitive stress to the feet, can also contribute to this condition. Individuals with foot deformities including bunions and flat feet are also more susceptible.
Treatment Options for Morton’s Neuroma
Depending on the severity of your neuroma and your particular situation, your foot doctor will customize your treatment. Suggestions may include the following:
- Change your shoes—Shoes with a wider toe box will help to relieve pressure on the interdigital nerve that is often inflamed by this condition.
- Limiting activities—Reducing the wear and tear to your feet by taking it easy with sports or other strenuous activities.
- Orthotic inserts—Properly placed custom orthotic inserts and foam pads may help to relieve pressure and irritation by shifting the stress to other parts of the foot.
- Anti-inflammatory medications—Ibuprofen or other non-steroidal anti-inflammatory drugs will reduce pain.
- Icing—Applying ice to the area for 15 minutes several times a day can help reduce swelling and pain.
- Steroid injections—These can provide long-term relief but may also be implicated as the cause of damage to surrounding soft tissues after repeated use.
If you feel like you have a pebble in your shoe, consult with our board certified podiatrists at Foot and Ankle Center of Fort Lee, LLC. The center offers convenient locations in Fort Lee NJ, Ringwood NJ, Flushing Queens NY, Woodhaven NY, Brooklyn NY, and Forest Hills NY. Contact us at (201) 363-9844 and schedule an appointment today!