Wednesday, 23 February 2022 00:00

Achilles Tendon Injuries

The Achilles tendon is the largest tendon in the body; it is a tough band of fibrous tissue that stretches from the bones of the heel to the calf muscles. This tendon is what allows us to stand on our toes while running, walking, or jumping, it is common for this tendon to become injured. In severe cases, the Achilles tendon may become partially torn or completely ruptured. However, this tendon is susceptible to injury because of its limited blood supply and the high level of tension it endures.

The people who are more likely to suffer from Achilles tendon injuries are athletes who partake in activities that require them to speed up, slow down, or pivot. Consequently, athletes who engage in running, gymnastics, dance, football, baseball, basketball, or tennis are more likely to suffer from Achilles tendon injuries. Additionally, there are other factors that may make you more prone to this injury. People who wear high heels, have flat feet, tight leg muscles or tendons, or take medicines called glucocorticoids are more likely to have Achilles tendon injuries.

A common symptom of an Achilles tendon injury is pain above the heel that is felt when you stand on your toes. However, if the tendon is ruptured, the pain will be severe, and the area may become swollen and stiff. Other symptoms may be reduced strength in the lower ankle or leg area, and reduced range of motion in the ankle. When the Achilles tendon tears, there is usually a popping sound that occurs along with it. People who have acute tears or ruptures may find walking and standing to be difficult.

If you suspect you have injured your Achilles tendon, you should see your podiatrist to have a physical examination. Your podiatrist will likely conduct a series of tests to diagnose your injury including a “calf-squeeze” test. Calf squeeze tests are performed by first squeezing the calf muscle on the healthy leg. This will pull on the tendon and consequently cause the foot to move. Afterward, the same test will be performed on the injured leg. If the tendon is torn, the foot won’t move because the calf muscle won’t be connected to the foot.

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Tuesday, 15 February 2022 00:00

What Causes Fallen Arches?

It is not uncommon for adults to experience a sudden onset of flat feet, known medically as posterior tibial tendon dysfunction (PTTD). The tibial tendon, which connects the calf muscles with bones on the inside of the foot, holds up the arch and supports the foot when you walk. This tendon can tear from playing sports like basketball, tennis or soccer, or become inflamed, causing the arch to fall. This injury is more common in women and adults over the age of 40. Other risk factors include obesity, diabetes and high blood pressure. Most fallen arches can be treated non-surgically with orthotics, shoes with good arch support, and braces. Sometimes a protective boot is worn to give the tendon a chance to heal properly. Treating PTTD early is highly recommended, as putting it off can lead to further complications, such as arthritis, that may impede your ability to walk, run, or take part in other physical activities. If you have noticed a sudden onset of flat feet, it is wise to make an appointment with a podiatrist as soon as possible for a full diagnosis and suggested treatment options.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Dr. Royall from Mountain View Foot & Ankle Clinic. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.

Symptoms

Pain around the heel or arch area
Trouble standing on the tip toe
Swelling around the inside of the ankle
Flat look to one or both feet
Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle.

If you have any questions please feel free to contact our office located in Lehi, UT . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Flat Feet

Flatfoot is a condition that occurs when the arches on the foot are flattened, which allows the soles of the feet to touch the floor. Flatfoot is a common condition and it is usually painless.

Throughout childhood, most people begin to develop arches in their feet, however, some do not. Those who do not develop arches are left with flatfoot. The pain associated with flat feet is usually at its worse when engaging in activity. Another symptom that may occur with those who have this condition is swelling along the inside of the ankle.

It is also possible to have flexible flatfoot. Flexible flatfoot occurs when the arch is visible while sitting or standing on the tiptoes, but it disappears when standing. People who have flexible flatfoot are often children and most outgrow it without any problems.

There are some risk factors that may make you more likely to develop flatfoot. Those who have diabetes and rheumatoid arthritis have an increased risk of flatfoot development. Other factors include aging and obesity.

Diagnosis for flat feet is usually done by a series of tests by your podiatrist. Your podiatrist will typically try an x-ray, CT scan, ultrasound, or MRI on the feet. Treatment is usually not necessary for flat foot unless it causes pain. However, therapy is often used for those who experience pain in their flat feet. Some other suggested treatment options are arch supports, stretching exercises, and supportive shoes.

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Tuesday, 08 February 2022 00:00

What Can Be Done About Morton’s Neuroma?

If you experience a burning sensation and pain between the 3rd and 4th metatarsal bones in the foot, you may have developed a Morton’s neuroma. Though termed a neuroma, which means tumor, it is actually the thickening of the nerve that runs between the two bones and can cause a numbing of the toes above them. Many people also say it feels like there is a pebble in their shoe. This condition is more likely to occur in women and in people between 40 and 50 years old. It is most common in those who have worn high heels or very tight shoes over many years, including ballet dancers and runners. Non-surgical treatments include changing to wider footwear with lower heels and more cushioning and wearing inserts in your shoes. If the pain continues or gets worse, it is wise to consult a podiatrist who will examine your foot and explain other treatment options. Included are injections to numb the area or reduce the pain, custom orthotics and, in some cases, surgery.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Dr. Royall of Mountain View Foot & Ankle Clinic. Our doctor will attend to all of your foot care needs and answer any of your related questions.

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

Ill-fitting high heels or shoes that add pressure to the toe or foot
Jogging, running or any sport that involves constant impact to the foot
Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

If you have any questions, please feel free to contact our office located in Lehi, UT . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Morton's Neuroma

Morton's Neuroma, also called Intermetatarsal Neuroma or Plantar Neuroma, is a condition that affects the nerves of the feet, usually the area between the third and fourth toe. Neuroma refers to a benign growth that can occur in different parts of the body. Morton's Neuroma strictly affects the feet. This condition causes the tissue around the nerves that lead to the toes becoming thick, causing pain in the ball of the foot.

This condition can be caused by injury, pressure or irritation. Normally no lump will be felt, but instead burning pain in the ball of the foot will be experienced. Numbness and tingling may also occur. With the onset of this condition, a person may feel pain when tight or narrow shoes are worn. As the condition worsens, the pain may persist for days, or even weeks.

Persistent foot pain should always be a concern. The foot should be examined by a podiatrist if pain persists longer than a few days with no relief from changing shoes. The earlier the foot is examined and treated, the less chance there will be for surgical treatment.

There are some factors that can play a role in the development of Morton's Neuroma. These include wearing ill-fitting shoes that cause pressure to the toes, such as high heels. Also, high impact exercise may contribute to the cause of this condition. Morton’s Neuroma may also develop if the foot sustains an injury. Another cause includes walking abnormally due to bunions or flat feet. This causes excessive pressure and irritates the tissue. At times, people are affected for no determinable reason.

Podiatrists can alleviate the effects of this condition using a treatment plan to help decrease the pain and heal the foot tissue. Depending upon the severity of the Morton's Neuroma, the treatment plan can vary. For cases that are mild to moderate, treatments may include applying padding to the arch to relieve pressure from the nerve and reduce compression while walking. Ice packs can also help reduce swelling. The podiatrist may also create a custom orthotic device to support the foot and reduce compression and pressure on the affected nerve. The doctor will probably advise against partaking in activities that cause constant pressure on the affected area. They may provide wider shoes to ease the pressure from the toes. If these treatments do not relieve the symptoms of this condition, the doctor may use injection therapy.

Surgical treatment may be recommended by the podiatrist if all other treatments fail to provide relief. Normally, the podiatric surgeon will decide on either a surgical procedure that involves removal of the affected nerve or will choose surgery to release the nerve. After examination, the surgeon will decide on the best approach to treat the problem.

Recovery varies according to the type of surgical procedure. The patient will also be instructed on the best shoe wear to prevent the return of this condition, along with changes to workout routines, if this was a cause. Preventative measures are important in ensuring the condition does not return.

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Wednesday, 02 February 2022 00:00

Do Your Child's Feet Hurt?

Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.

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Tuesday, 01 February 2022 00:00

What Is “Pump Bump?”

Anyone who has ever worn high heels can probably attest to the fact that they are generally not the most comfortable shoes in the world. High heels can be damaging to the feet, increasing one’s risk of developing foot deformities like bunions and hammertoes. One type of deformity seen in people who are frequent or daily high heel wearers is a Haglund’s deformity, also known as “pump bump.” This condition occurs when an existing bony deformity that some people have on the back of their heel is irritated by habitual high heel wear. Pump bump can cause heel pain, blisters, bursitis, and Achilles tendonitis. If you are suffering from any type of heel pain, it is suggested that you seek the care of a podiatrist.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Dr. Royall from Mountain View Foot & Ankle Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal. Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

Ankle Joints
Achilles Tendon – May shorten and stiffen with prolonged wear
Balls of the Feet
Knees – Heels cause the knees to bend constantly, creating stress on them
Back – They decrease the spine’s ability to absorb shock, which may lead to back pain. The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

Corns
Calluses
Hammertoe
Bunions
Morton’s Neuroma
Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems. Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet. Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising. If you walk to work, try carrying your heels with you and changing into them once you arrive at work. Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available.

If you have any questions please feel free to contact our office located in Lehi, UT . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 25 January 2022 00:00

What to Do With a DFU

A DFU, or diabetic foot ulcer, is an unfortunately frequent complication of diabetes. Caused by a combination of high blood glucose levels, poor circulation, nerve damage, and immune insufficiency, DFUs are dangerous wounds that can form on the feet. These wounds typically heal slowly and poorly, and so they often require medical care. It is suggested that you call your podiatrist if you have a DFU and notice any new pain, drainage, discoloration, swelling, foul odor, or dead tissue at the site of the ulcer. You also may wish to seek medical treatment if the DFU increases in size or depth, or if it doesn’t heal. Some treatments that may help at the doctor’s office include debridement to remove dead tissue, medicated bandages, off-loading using orthotics, and surgery. If you have diabetes, it is suggested that you be under the regular care of a podiatrist.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Dr. Royall from Mountain View Foot & Ankle Clinic. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic.

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions, please feel free to contact our office located in Lehi, UT . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Wound Care

Diabetics must be wary of all wounds, regardless of depth or size. Diabetes, a chronic disease in which the body cannot properly use glucose the way it normally would, causes various complications that make wounds difficult to heal. Nerve damage or neuropathy will cause diabetics to have trouble feeling the pain of a blister or cut until the condition has significantly worsened or become infected. A diabetic’s weakened immune system can make even the most minor of wounds easily susceptible to infection. Diabetics are also more prone to developing narrow, clogged arteries, and are therefore more likely to develop wounds.

Wounds should be taken care of immediately after discovery, as even the smallest of wounds can become infected if enough bacteria build up within the wound. To remove dirt, wounds should be first rinsed under running water only. Soap, hydrogen peroxide, or iodine can irritate the injury and should be avoided. To prevent infection, apply antibiotic ointment to the wound and cover it with a bandage. The bandage should be changed daily. The skin around the wound may be cleaned with soap.

To prevent further exacerbation, see a doctor—especially if you have diabetes. Minor skin conditions can become larger problems if not properly inspected. As the wound heals, make sure to avoid applying pressure to the affected area.

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Tuesday, 18 January 2022 00:00

What Can Make Your Heel Hurt?

Heel pain is one of the most common reasons that people seek the care of a podiatrist. Because the heel is such a foundational part of the body, there are many potential reasons that your heel may hurt. Sometimes heel pain occurs as a natural consequence of aging. The fatty pad on the bottom of the heel, which provides cushioning and protection to the heels, slowly wears away with age, increasing the risk of heel pain. Various injuries, such as plantar fasciitis, Achilles tendonitis, fractures, sprains, and tarsal tunnel syndrome, can also make the heel hurt. Systemic conditions, including arthritis and peripheral neuropathy, may be to blame for your heel pain. Lifestyle factors, such as wearing ill-fitting shoes or standing or exercising excessively can contribute to heel pain as well. If you are suffering from heel pain, it is suggested that you see a podiatrist for treatment.

Many people suffer from bouts of heel pain. For more information, contact Dr. Royall of Mountain View Foot & Ankle Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

Wearing ill-fitting shoes
Wearing non-supportive shoes
Weight change
Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions please contact our office located in Lehi, UT . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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