Foot and Ankle Doctor Blog Space

Month: November 2014

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Got a pump bump?

A Haglund’s deformity also known as “pump bump” is a bony enlargement at the back of the heel that becomes irritated when rubbed against the stiff heel counter of shoes. It commonly presents in women who wear high-heeled shoes (pumps) for long periods of time. The bump appears near the attachment of the Achilles tendon and becomes red and swollen. There is a fluid filled sac called a bursa that sits between the heel bone and the Achilles tendon, which becomes inflamed and very painful with constant aggravation.

Dr. Nejad first recommends taking your shoes off and resting while icing the back of your heel for 20 minutes. He also recommends placing heel pads in the back of your shoes to relieve the pressure from the area of discomfort. In most cases the shoes you are wearing is the culprit so try switching from closed back shoe to an open back shoes or shoes with a softer heel counter. If the pain persists come see Dr. Nejad at Foot & Ankle Doctors, Inc.

 

Other treatment options include shoe modifications, topical anti-inflammatory medications that can directly be applied to the heel, ultrasound treatments and steroid shots to reduce the inflammation. In some patients the Achilles tendon or heel cord is tight and can compress the bursa causing pain. Stretching exercises can reduce the tightness of the Achilles tendon and relief pressure off the bursa. Heel lifts added to the shoe can also reduce the tension from the Achilles tendon. Custom orthotics can aid in controlling abnormal motion of the foot contributing to symptoms. In more extreme cases a walking cast may be used immobilize the foot reducing pressure and allowing the inflammation to subside. If these treatment options don’t provide adequate relief, surgery may be required to remove the bony bump from the heel.

Dr. Farshid Nejad

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Feeling pins and needles in your feet?

If you experience burning, tingling, stabbing, pins-and-needles sensation in your feet, you’re not alone. This sensation is referred to as peripheral neuropathy and commonly affects diabetics. 60-70% of diabetics will develop peripheral neuropathy because they have uncontrolled blood sugars which damage nerves in the hands and feet leading to a tingling sensation and loss of feeling. Your feet may feel numb and you may loose the ability to feel temperature and pain making you more susceptible to injury, infection and burns. It is important to check your feet every day for signs of injury or infection. Many patients suffering from peripheral neuropathy are unable to sense a small pebble in their shoe and after walking on it all day long can develop a wound. It is important to wear properly fitted shoes and avoid walking barefoot. Make sure to check the temperature of the shower water before jumping in to avoid burning your feet.

There is no cure for peripheral neuropathy but there are medications that can help with the tingling sensation. Controlling blood sugar can help prevent the onset of peripheral neuropathy.

Peripheral neuropathy can also be caused by a vitamin B deficiency, certain medications, alcoholism, autoimmune diseases, infections, toxins and by many others. A herniated disk can also produce symptoms of a burning, tingling pain in the legs and feet. Come see Dr. Dardashti at Foot& Ankle Doctors, Inc for adequate diagnosis and treatment of your foot pain.

Dr. David Dardashti

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Budding Bunions

Bunions are every shoe lover’s worse nightmare. A bunion is a painful bump that forms on the joint at the base of the first or fifth toe making it difficult to wear shoes. These deformities progress over time and can be debilitating especially in runners. Overpronators are more prone to bunions because they place excessive stress on the big toe when running. This repetitive stress causes changes to the joint resulting in deviation of the toe inwards towards the other toes.

Padding and taping your foot before running can help position the foot in a more “normal” alignment and prevent abnormal stresses. Toe exercises can help strengthen the foot muscles and reduce the progression of the deformity. Physical therapy and anti-inflammatory medications can reduce the inflammation at the joint. Orthotics and proper fitted shoes with a deep and wide toe box are also recommended. If these treatment options fail or in severe cases surgical intervention is required to realign the joint and remove the bony bump on the side of the foot.

If you are concerned about your bunion come and see Dr. Nejad for a consult.

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Kevin Durant suffers from a Jones fracture

We are sad to hear that Kevin Durant is suffering from a Jones fracture. A Jones fracture is a common fracture of the 5th metatarsal (a long bone on the outside of the foot that connects to the little toe) commonly caused by an inward twisting injury of the foot.

Durant most likely experienced pain, swelling and tenderness along the outside of his foot, had difficulty walking and may have had some bruising. It was crucial that Durant was diagnosed and treated immediately because the 5th metatarsal has a poor blood supply that impedes the healing process.

Nonsurgical treatments for Durant includes resting and icing, immobilizing his foot with a cast and avoiding placing any weight on his foot. Jones fractures can take 6 weeks to heal and another 2-3 weeks of rehabilitation to build up muscle strength and range of motion.

Most professional athletes opt to treat a Jones fracture operatively with a screw or plate placed across the fracture site to avoid the possibility of delayed healing or non-unions, which are frequent with Jones fractures. It could be 8-12 weeks before Durant returns to the court if he decides to have surgery.

All of us at Foot & Ankle Doctors, Inc. are wishing Durant a speedy recovery.

 

Dr. Dardashti

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