February 2024

A sign of ankle impingement is the appearance of bony growths that restrict normal range of motion. There are two types of ankle impingement, anterior and posterior. Anterior impingement often follows ankle sprains, resulting in persistent pain at the front or sides of the ankle, weakness, and discomfort during dorsiflexion. With posterior impingement, more common among ballet dancers, the pain is at the back of the ankle and often occurs when pointing the toes or tiptoeing. Impingement syndrome arises when tissues become trapped between bones during extreme ankle movements. Ligament thickening and scar tissue formation can worsen the condition. In severe cases of ankle impingement, surgical intervention may be necessary. If you experience intense pain when either flexing or pointing your feet, it is suggested that you make an appointment with a podiatrist to determine whether you have an ankle impingement.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Pete O’Donald, DPM from Texas. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendinitis
• Achilles tendon rupture
• Stress fractures
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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

Bunions, a foot deformity that impacts mobility and causes discomfort, afflicts millions of people across the globe. These bony protrusions form at the base of the big toe, gradually pushing it outward while forcing the tip to move toward the other toes. Despite common misconceptions, bunions are not solely caused by wearing ill-fitting shoes. Rather, they often stem from inherited structural issues, such as foot mechanics or arthritis. Bunions tend to worsen over time, leading to swelling, redness, and pain, especially when wearing tight or narrow footwear. Bunions can hinder daily activities and contribute to other foot ailments, like corns and calluses. While conservative measures, such as wearing wider shoes, using toe spacers, and applying ice packs can provide temporary relief, surgical intervention may be necessary for severe cases to realign the toe joint and alleviate discomfort. If you have developed a bony protrusion at the base of your big toe, it is strongly suggested that you consult a podiatrist who can confirm a bunion diagnosis, and offer relief and treatment options.

If you are suffering from bunions, contact Pete O’Donald, DPM of Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• Surgery

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

Hansen's disease, commonly known as leprosy, is a bacterial infection caused by Mycobacterium leprae. One of its hallmark symptoms is the loss of sensation in various parts of the body, including the feet. This sensory loss occurs due to the bacteria's damaging effects on peripheral nerves. As the disease progresses, it can lead to nerve damage and the loss of the ability to feel pain, temperature changes, and touch in the affected areas, including the feet. This sensory impairment can result in injuries and wounds going unnoticed, which may lead to secondary infections and complications. The loss of sensation in the feet is particularly concerning because it can hinder mobility and self-care, making early detection and treatment crucial in preventing severe deformities and disabilities associated with Hansen's disease. Creating orthotics for individuals without sensation requires extra care as they cannot provide feedback on fit and comfort. Frequent skin inspections are necessary to prevent irritation and skin breakdown. Custom orthotics can be made by molding the material directly to the patient's foot. Contours may be added for pressure relief, and localized relief can be achieved with various tools. Monitoring foot health closely with new shoes and orthotics is vital, looking for signs of redness, temperature changes, calluses, swelling, pre-ulceration, or recurrent ulcers. Prompt attention to pressure signs helps prevent ulcers. Orthotic selection depends on the degree of sensation loss, deformity, ulceration, and callus development. If you have Hansen’s disease and you have a loss of sensation in your feet, it is suggested that you make an appointment with a podiatrist to discuss whether orthotics can help you.

If you are having discomfort in your feet and would like to try orthotics, contact Pete O’Donald, DPM from Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

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

Ankle arthroscopy is a minimally invasive surgical procedure designed to diagnose and treat various ankle joint conditions. This specialized technique involves the use of a small camera, known as an arthroscope, which is inserted into the ankle joint through tiny incisions. The arthroscope transmits high-quality images to a monitor, allowing the podiatric surgeon to visualize the internal structures of the ankle in detail. This procedure is particularly beneficial for addressing issues such as joint inflammation, cartilage damage, and ligament injuries. During ankle arthroscopy, the surgeon can also perform corrective measures by utilizing additional small instruments, minimizing the need for larger incisions. The advantage of ankle arthroscopy lies in its reduced invasiveness, resulting in shorter recovery times, less postoperative pain, and a quicker return to regular activities. If you have chronic ankle pain or have endured an ankle injury, it is strongly suggested that you consult a podiatrist who can determine if this type of foot surgery is appropriate for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Pete O’Donald, DPM of Texas. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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