Common Conditions

Hammer toes represent a common foot deformity characterized by an abnormal bending or curling of one or more toes, typically resembling the shape of a hammer. This condition primarily affects the second, third, fourth, or fifth toes, causing them to become permanently bent at the middle joint. Hammer toes can lead to pain, discomfort, and the development of corns or calluses on the tops of the affected toes.

Causes: Hammer toes can result from various factors, including muscle imbalances, wearing ill-fitting or tight shoes, and genetic predisposition. High heels or shoes with narrow toe boxes that force the toes into unnatural positions are common culprits. Additionally, certain medical conditions like arthritis or nerve damage can contribute to the development of hammer toes.

Symptoms: Symptoms of hammer toes may include pain and discomfort in the affected toes, particularly when wearing shoes or engaging in activities that involve toe movement. Over time, the constant friction and pressure from shoes can lead to the formation of corns or calluses on the tops of the bent toes. In severe cases, the toes may become rigid and less flexible.

Complications: If left untreated, hammer toes can lead to chronic pain, difficulty walking, and changes in foot alignment. The development of corns and calluses can also cause discomfort and increase the risk of infection.

Management: Managing hammer toes typically involves conservative treatments aimed at relieving discomfort and preventing the condition from worsening. These measures may include wearing shoes with a wider toe box to reduce pressure on the toes, using over-the-counter padding or cushioning to alleviate friction, and performing toe-stretching exercises. Custom orthotic inserts may be recommended to help maintain proper toe alignment. In some cases, splints or straps may be used to straighten the toes gradually.

For severe or persistent cases of hammer toes that do not respond to conservative measures, medical intervention, such as surgery, may be considered to straighten the toes and correct any structural abnormalities.

Early intervention and proper footwear choices are essential in effectively managing hammer toes and preventing complications. Consulting with a healthcare professional or podiatrist is recommended for an accurate diagnosis and personalized treatment plan.

Metatarsalgia is a condition characterized by pain and inflammation in the ball of the foot, which is the area located just behind the toes, specifically around the metatarsal bones. These long bones in the foot connect the toes to the midfoot. Metatarsalgia can cause discomfort ranging from aching and burning sensations to sharp pain, often making walking and other weight-bearing activities painful.

Causes: Metatarsalgia typically results from excessive pressure and stress on the metatarsal heads, which can be due to various factors. Ill-fitting shoes, particularly those with high heels or inadequate cushioning, can force an uneven distribution of weight onto the front of the foot. High-impact activities like running and jumping can also contribute to the development of metatarsalgia. Certain foot conditions, such as high arches or hammertoes, can increase the risk of experiencing metatarsal pain.

Symptoms: Common symptoms of metatarsalgia include a burning or aching sensation in the ball of the foot, which can intensify with standing, walking, or running. Some individuals may feel like they are walking on pebbles or a lump in their shoe. Swelling and discomfort can extend to the toes, and the affected area may be tender to the touch.

Complications: If left untreated, metatarsalgia can interfere with an individual's ability to engage in physical activities and lead to chronic discomfort, affecting their overall quality of life.

Management: Management of metatarsalgia focuses on relieving pain and reducing pressure on the metatarsal heads. Conservative treatments may include changing to well-fitting, supportive footwear with cushioned insoles or metatarsal pads. Rest, ice therapy, and over-the-counter pain relievers can help alleviate acute discomfort. Custom orthotic inserts may be recommended to redistribute pressure and support proper foot mechanics. In some cases, physical therapy or exercises to strengthen the muscles in the feet may be beneficial. Addressing underlying foot conditions or gait abnormalities is also essential to preventing recurrent metatarsalgia.

Early intervention and lifestyle modifications are essential in effectively managing metatarsalgia and ensuring lasting relief from pain and discomfort. Consulting with a healthcare professional or podiatrist is recommended for proper evaluation and personalized treatment recommendations.

Bunions, medically referred to as hallux valgus, are bony deformities that occur at the base of the big toe, where the metatarsophalangeal (MTP) joint is located. These protrusions develop when the big toe starts to drift or angle outward toward the smaller toes, causing the joint at the base of the big toe to become misaligned. As the condition progresses, the bony bump on the side of the foot becomes more prominent. Bunions can lead to pain, swelling, and discomfort, particularly when walking, standing, or wearing certain types of shoes.

Causes: Bunions can have both genetic and environmental factors. Some individuals may have a family history of bunions, suggesting a genetic predisposition. However, wearing tight or narrow shoes that compress the toes can exacerbate the condition or contribute to its development. Other factors such as foot injuries, joint abnormalities, and conditions like rheumatoid arthritis may also increase the risk of bunions.

Symptoms: The primary symptoms of bunions include pain and discomfort at the base of the big toe, often exacerbated by pressure from footwear. The bunion may appear red, swollen, and tender to the touch. As the condition progresses, it can lead to restricted mobility of the big toe, making it difficult to engage in activities that involve toe movement.

Complications: Untreated bunions can lead to chronic pain, restricted toe movement, and the development of other foot-related conditions such as corns, calluses, and bursitis. Severe bunions may affect an individual's balance and overall foot function.

Management: The management of bunions focuses on relieving pain, slowing the progression of the deformity, and improving foot function. Conservative treatments may include wearing roomier footwear with good arch support, padding the bunion, and taking over-the-counter pain relievers. Custom orthotic inserts can help redistribute pressure on the foot. In some cases, physical therapy or toe exercises may be recommended to enhance toe flexibility and alignment. Surgical intervention may be considered for severe or debilitating bunions to realign the joint and remove the bony prominence.

Early intervention and appropriate footwear choices are crucial in managing bunions effectively, reducing pain, and preventing further deformity. Consultation with a healthcare professional or podiatrist is recommended to determine the most suitable treatment plan for each individual.

Heel spurs are abnormal bony growths that develop on the underside of the heel bone, also known as the calcaneus. These protrusions often form in response to repetitive stress and strain on the plantar fascia, a thick band of tissue that connects the heel bone to the toes. Heel spurs can be associated with the condition known as plantar fasciitis, where the plantar fascia becomes inflamed. However, it's important to note that not all individuals with plantar fasciitis will develop heel spurs, and not all heel spurs cause symptoms.

Causes: Heel spurs develop as a natural response to the ongoing tissue irritation and inflammation associated with plantar fasciitis. The continuous pulling of the plantar fascia on the heel bone can lead to the formation of these bony protrusions. Other factors that may contribute to their development include obesity, overuse of the feet, poor footwear choices, and structural abnormalities of the foot.

Symptoms: Heel spurs themselves are often painless and may go unnoticed. However, they can cause sharp, stabbing pain in the heel area when they press against soft tissues or nerves. This pain is typically most pronounced during weight-bearing activities such as walking or standing, especially after periods of rest.

Complications: Untreated heel spurs can exacerbate the symptoms of plantar fasciitis and lead to chronic discomfort. They may also affect an individual's gait, potentially resulting in issues such as knee, hip, or back pain. It's essential to address both the underlying causes and the symptoms of heel spurs to achieve lasting relief.

Management: The management of heel spurs often focuses on relieving associated symptoms and addressing the underlying plantar fasciitis. Conservative treatments may include rest, ice therapy, stretching exercises for the calf and Achilles tendon, supportive footwear, and custom orthotic inserts. Non-steroidal anti-inflammatory drugs (NSAIDs) may be recommended to alleviate pain and inflammation. In some cases, corticosteroid injections or physical therapy may be prescribed. Surgical removal of heel spurs is considered a last resort when conservative measures have failed to provide relief.

Early intervention and a comprehensive treatment plan are essential for managing heel spurs effectively, enabling individuals to regain comfort and mobility in their daily activities.

Plantar fasciitis is a common and often painful foot condition characterized by inflammation of the plantar fascia, a thick band of tissue that extends from the heel bone (calcaneus) to the base of the toes. This vital structure provides support to the arch of the foot and acts as a shock absorber during activities like walking, running, and standing. When the plantar fascia becomes irritated or inflamed, it can lead to intense heel pain, particularly during the first steps taken in the morning or after periods of inactivity.

Causes: Plantar fasciitis typically results from repetitive stress and strain on the plantar fascia. Common contributing factors include overuse, excessive standing or walking on hard surfaces, improper footwear, high arches, flat feet, and tight calf muscles. It can also be associated with sudden weight gain or changes in physical activity levels.

Symptoms: The hallmark symptom of plantar fasciitis is sharp, stabbing heel pain, often described as a burning or pulling sensation. This discomfort is usually most pronounced when getting out of bed in the morning or after prolonged periods of rest. As the day progresses and the foot loosens up, the pain may diminish, only to return after long periods of standing or physical activity.

Complications: If left untreated, plantar fasciitis can lead to chronic pain and functional limitations. Individuals may alter their gait to minimize discomfort, which can result in additional musculoskeletal issues, such as knee, hip, or back pain. In some cases, plantar fasciitis may cause the development of heel spurs, bony protrusions at the base of the heel.

Management: Effective management of plantar fasciitis typically involves a combination of conservative treatments. These may include rest, ice therapy, stretching exercises for the calf and Achilles tendon, custom orthotic inserts for shoes, and footwear modifications. Non-steroidal anti-inflammatory drugs (NSAIDs) can help alleviate pain and inflammation. In more severe cases, corticosteroid injections or physical therapy may be recommended. Surgery is considered a last resort and is only considered when all other treatments have failed to provide relief.

Early intervention and adherence to a tailored treatment plan can significantly improve the prognosis for individuals with plantar fasciitis, helping them regain their mobility and alleviate pain.

Flat feet, also known as pes planus, is a common foot condition characterized by the absence or collapse of the arches in one or both feet. In individuals with flat feet, the entire sole of the foot makes contact with the ground when standing, walking, or running. This lack of arch support can have a significant impact on foot mechanics and overall comfort.

Causes: Flat feet can result from various factors, including genetics, injury, or the gradual weakening of the supportive structures in the feet over time. Some people are born with flat feet, while others develop the condition later in life due to factors such as obesity, pregnancy, or aging.

Symptoms: The primary symptoms of flat feet include foot pain, particularly in the arch and heel areas. This discomfort often worsens with prolonged standing or physical activity. Individuals with flat feet may also experience swelling in the ankle and lower leg, as well as a feeling of tiredness or fatigue in the feet and legs.

Complications: Untreated flat feet can lead to various complications, including overpronation (excessive inward rolling of the feet when walking), which can contribute to ankle, knee, and hip pain. Flat feet can also increase the risk of developing other foot conditions like plantar fasciitis and bunions.

Management: While flat feet cannot always be cured, several management strategies can help alleviate discomfort and improve foot function. These may include wearing custom orthotic inserts to provide arch support, choosing supportive footwear, and performing specific exercises to strengthen the muscles in the feet and lower legs. In some cases, medical interventions such as physical therapy or surgery may be recommended to address severe symptoms or structural abnormalities.

It's crucial for individuals with flat feet to consult with a healthcare professional or podiatrist for a thorough evaluation and personalized treatment plan. With the right approach, individuals with flat feet can manage their condition effectively and enjoy improved comfort and mobility.

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