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16 Nov 2014 
Hammer toe is thought to develop (this is only 1 way it can form and not the sole reason. Footwear is actually the leading cause of this type of toe deformity so much so that people sometimes require hammer toe surgery to undo some of the damage. The ankle is a delicate part of the body.


Lack of sensation in the feet increases the risk for unnoticed foot injuries, which may lead to serious infections. Diabetic peripheral neuropathy can affect the muscle-related, or motor, nerves of the feet and lower legs. Damage to these nerves commonly causes weakness of the associated muscles, which can lead to foot deformities, notes the American College of Foot and Ankle Surgeons on the patient information website Foot Health Facts. Claw toe and hammertoe deformities, in which the toes curl rather than lying flat, frequently occur in people with diabetic motor neuropathy of the feet. These deformities often cause bunions, calluses and corns, which may lead to foot ulcers. The University of Chicago Center for Peripheral Neuropathy reports that pain, tingling or numbness of the hands can occur with diabetic peripheral neuropathy, affecting the sensory nerves of the hands. Claw toes result from an inherent muscle imbalance. A terrific skin care regime.


Pleaseámake an appointment with Dr. Morris or Dr. Boggs at theáEverett Podiatric Sports Medicine clinic today! If the pain is resolved, then you can assume that your shoes were the cause. But, a quick look at them will show that they are, for the most part, poorly designed for good foot health. It's okay to wear high heels or dress shoes with pointy toes, as long as you only do so occasionally. A variety of toe deformities occur in children's feet.


Glenntaj - while it could be - hereditary (in my case) is not as logical of an avenue (for me to dig into) as other potential causes and potential things that could help. Raglet...... ugg - we have something to deal with ok. I have studied (need more) about the imbalance - weakness that causes it. Right now I am digging at some potential logical causes (in my case). AND - I can straighten my big toe - (without touching it) even at a 90degree (leg/foot) angle.Plantar Fasciitis,Pes Planus,Mallet Toe,High Arched Feet,Heel Spur,Heel Pain,Hammer Toe,Hallux Valgus,Foot Pain,Foot Hard Skin,Foot Conditions,Foot Callous,Flat Feet,Fallen Arches,Diabetic Foot,Contracted Toe,Claw Toe,Bunions Hard Skin,Bunions Callous,Bunion Pain,Ball Of Foot Pain,Back Pain


Pads will relieve skin pressure, taping and splints will temporarily hold the toe down while they are applied, and inserts will do....well, nothing. An exception is the use of a prescription insert made of a mold of one's foot while that foot is held in a very specific anatomic neutral position.Plantar Fasciitis,Pes Planus,Mallet Toe,High Arched Feet,Heel Spur,Heel Pain,Hammer Toe,Hallux Valgus,Foot Pain,Foot Hard Skin,Foot Conditions,Foot Callous,Flat Feet,Fallen Arches,Diabetic Foot,Contracted Toe,Claw Toe,Bunions Hard Skin,Bunions Callous,Bunion Pain,Ball Of Foot Pain,Back Pain


Emotional and physical stress from both the surgery and recovery time changes your metabolism, which increases acid production. The use of both general and local anesthesia, pain medication, anti-inflammatory medications and other medications such as antibiotics will also introduce more acid to your system, lowering the alkalinity. To maintain your body's proper pH, keep yourself well hydrated prior to and after surgery. These include: aspirin, ibuprofen (Advil, Motrin) and naproxen sodium (Aleve).Arrange for a ride home from surgery and for someone to look after you for at least the first 24 hours.Avoid long trips for at least two weeks after surgery.Avoid eating and drinking anything after midnight the night before surgery. After surgery you will receive pain medication and care instructions.


According to Tilgner, juniper berries have been used to help treat arthritis, gout and sciatica and other conditions, due to their ability to inhibit prostaglandins. The big toe joint is often affected, but other joints such as the ankle, wrist, fingers and elbows can also be involved. In addition to sharp crystal deposition in joints, uric acid may also contribute to kidney stones and build-up as lumps under the skin called tophi, according to the Textbook for Functional Medicine." A gout attack can be triggered by alcohol or foods high in purines such as red meat, organ meats, shellfish, sardines, anchovies and mushrooms.
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20 Mar 2014 



How to Get Rid of Bunions Without Surgery google_image_size : '300x250';
Step 4Take over-the-counter non-steroidal anti-inflammatory medications, such as naproxen or ibuprofen, as needed. These medications will reduce inflammation and minimize pain. Prescription medications are available if over-the-counter drugs are not strong enough to control your pain.

Step 5Apply an ice pack to your bunion several times throughout the day. Icing your foot will reduce pain and swelling, according to the Mayo Clinic.

Step 6Undergo injections of corticosteroids if your bursa is inflamed. The bursa is a fluid-filled sac that surrounds and protects your joint. The American College of Foot and Ankle Surgeons states that corticosteroid injections are not always necessary or recommended for bunions.

Things You'll Need Bunion padsOver-the-counter non-steroidal anti-inflammatoryIce pack



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19 Mar 2014 



Ankle Pain and Tendinitis (Tendonitis) Causes, Diagnosis, Symptoms and Treatment - MedicineNet
ArticleRelated Diseases
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Ankle Pain and Tendinitis (Tendonitis)View the Least Effective Exercises Slideshow PicturesLeast Effective Exercises SlideshowDehydration SlideshowFirst Aid Care and Pain Relief for Minor InjuriesMedical Author:William C. Shiel Jr., MD, FACP, FACRWilliam C. Shiel Jr., MD, FACP, FACR
William C. Shiel Jr., MD, FACP, FACR
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
View Full ProfileMedical Editor:Dennis Lee, MDDennis Lee, MD
Dennis Lee, MD
Dr. Lee was born in Shanghai, China, and received his college and medical training in the United States. He is fluent in English and three Chinese dialects. He graduated with chemistry departmental honors from Harvey Mudd College. He was appointed president of AOA society at UCLA School of Medicine. He underwent internal medicine residency and gastroenterology fellowship training at Cedars Sinai Medical Center.
View Full ProfileMedical Editor:Melissa Conrad St?ppler, MDMelissa Conrad St?ppler, MD
Melissa Conrad St?ppler, MD
Melissa Conrad St?ppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. St?ppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
View Full ProfileAnkle pain and tendinitis factsHow is the ankle designed, and what is the ankle's function?What injuries can cause ankle pain?What diseases and conditions can cause ankle
pain, and how are they treated?Patient Comments: Ankle Pain And Tendinitis - SymptomsPatient Comments: Ankle Pain and Tendinitis - TreatmentsFind a local Orthopedic Surgeon in your town



Ankle pain and tendinitis facts
The ankle is a "hinged" joint.

Ankle pain can be caused by injury or disease of the ankle joint.

The severity of ankle sprains ranges from mild (whichcan resolve within 24 hours) to severe (which can require surgical repair).

Tendinitis of the ankle can be caused by trauma
or inflammatory arthritis.



How is the ankle designed, and what is theankle's
function?


The ankle isa "hinged" joint capable of moving the foot in two primary directions: away fromthe body (plantar flexion) and toward the body (dorsiflexion). It is formed bythe meeting of three bones. The end of the shinbone of the leg (tibia) and asmall bone in the leg (fibula) meet a large bone in the foot, called the talus,to form the ankle. The end of the shinbone (tibia) forms the inner portion ofthe ankle, while the end of the fibula forms the outer portion of the ankle. Thehard, bony knobs on each side of the ankle are called the malleoli. These providestability to the ankle joints, which function as weight-bearing joints for thebody during standing and walking.



Ligaments on each side of the ankle also provide
stability by tightly strapping the outside of the ankle (lateral
malleolus) with the lateral collateral ligaments and the inner
portion of the ankle (medial malleolus) with the medial collateral
ligaments. The ankle joint is surrounded by a fibrous joint capsule.
Tendons that attach the large muscles of the leg to the foot
wrap around the ankle both from the front and behind. The large
tendon (Achilles tendon) of the calf muscle passes behind
the ankle and attaches at the back of the heel. A large tendon
of the leg muscle (posterior tibial tendon) passes behind the
medial malleolus. The peroneal tendon passes behind the lateral
malleolus to attach into the foot.



The normal ankle has the ability to move the foot,
from the neutral right-angle position to approximately 45 degrees
of plantar flexion and to approximately 20 degrees of dorsiflexion.
The powerful muscles that move the ankle are located in the front
and back portions of the leg. These muscles contract and relax
during walking.


Next: What injuries can cause ankle pain?
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Ankle Pain and Tendinitis Index
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Patient Comments
Viewers share their commentsAnkle Pain And Tendinitis - SymptomsQuestion: How long did the symptoms of your ankle pain and tendinitis last? Was there anything in particular that helped with pain/symptom relief?View 29 CommentsoSubmit >>Ankle Pain and Tendinitis - TreatmentsQuestion: What treatments were effective for your ankle pain and tendinitis?View 12 CommentsoSubmit >>
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17 Mar 2014 



Claw Toe | Knee Surgery, Shoulder Surgery, Sports Rehab & Physical Therapy

Overview
Claw toe is often blamed on wearing shoes that squeeze your toes or shoes that are too small or have heels that are too tall. But claw toe is most often caused by nerve damage caused by diseases such as diabetes or alcoholism, which can weaken the muscles in your foot. Having claw toe means that your toes dig down into the soles of your shoes, creating painful calluses. The condition can get worse without treatment and may even become a permanent deformity over time.



Symptoms
Symptoms of claw toe are easy to observe and include:
Toes that are bent upward from the joints at the ball of the foot. Toes that are bent downward at the middle joints toward the sole of your shoe. Toes can also bend downward at the top of the joints, curing under the foot. Corns can develop over the top of the toe or under the ball of the foot.
If you have symptoms of claw toe, you will want to see one of the sports doctors at the FHCH Sports Medicine Program. They will evaluate the condition and perform additional testing if required to rule our neurological disorders that can also be responsible for weakening your foot muscles. Trauma and inflammation can also cause claw toe deformities.



Treatment
Claw toe deformities remain flexible at first, but they harden into place over time. That's why it's important to seek the advice of a doctor early on when it's easier to correct the problem using a splint or tape to hold the toes in their proper positions.

Additional options include:
Wearing shoes with soft, roomy toe boxes and avoiding high heels and tight shoes. Stretching your toes and toe joints with your hands toward their normal positions. Exercising your toes by using them to pick up marbles or a crumpled tow on the floor.
If these measures do not help, doctors at the Florida Hospital Celebration Health Sports Medicine Program may recommend foot surgery to correct the issue.

If you have questions about claw toe or want to make an appointment with us, please contact one of our Patient Care Coordinators and they'll be happy to help you.



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16 Mar 2014 



Athlete's Foot
Symptoms
Typical symptoms include scaling and peeling in the toe webs (the area between the toes) generally without any accompanying pain, odor, or itching. The infection may also involve the soles of the feet where athlete's foot may present as redness, blistering, and scaling along the sides and soles of the feet, taking on what is termed a moccasin pattern.

Over time, this condition can lead to a secondary bacterial infection. It's possible for the fungus to set off a reaction that results in tissue breakdown -- soggy skin and eroded areas between the toes. In advanced cases, the toe webs become whitened, softened, and soggy; they may itch severely, and there may be a foul odor. As the condition worsens, painful cracking in the toe webs and some oozing may develop.

Athletes foot can sometimes be associated with onychomycosis, a fungal infection of the toenails. However, the usual case of athlete's foot is a more superficial infection than the more stubborn and deep seated nail infection.

Sometimes after an episode of athlete's foot, if particles enter the bloodstream, there may be an allergic reaction causing blisters on the fingers, toes or hands.

If you have diabetes or an illness that makes it harder for your body to fight off infections, athlete's foot can become a very serious infection in itself or facilitate secondary infections with other serious organisms. You should see a doctor immediately if your feet develop severe redness or swelling, areas of pus, and/or severe pain.




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14 Mar 2014 
The Anatomy of the Bones of the Foot | Foot Vitals

Over 25 percent of our bones are located in our feet. There are twenty-six bones that make up the complex structure of each foot. The foot is a strong mechanism, and it supports our entire body weight during all upright activities (standing, walking, running, etc). It remains flexible, durable, and resilient under enormous pressure. Structurally, the foot consists of three main parts: the forefoot, midfoot, and hindfoot. Anatomically, the bones of the foot are known as the tarsal bones, metatarsal bones, and phalanges. Let's break down each category and discuss the importance of each bone.


Forefoot: Phalanges and Metatarsal Bones
The forefoot comprises fourteen phalanges and five metatarsal bones. One phalanx of each of the five toes connects to one of the five metatarsals. The toes are numbered one through five, starting with the big toe, which is technically known as the hallux. Some people like to call the fifth toe the "pinky." The phalanges are referred to as follows:
Small picture of the bones of the footLarge picture of the bones of the footThe proximal phalanx is the base of each toe and articulates the metatarsal bone and middle phalanx.The middle phalanx is located under the distal phalanx in the second, third, fourth and fifth toes only. The hallux does not have a middle phalanx.The distal phalanx is found at the end of each toe, forming the tip of the toes.
There are five metatarsals in each foot. The metatarsals are the long bones located between the tarsal bones and the phalanges. Each metatarsal has a long shaft with two expanded ends called the base and the head. They form part of the foot's arch and serve both as a major shock absorber and a weight-transfer mechanism. They are connected to the forefoot and midfoot by muscles, tendons, and a special ligament known as the plantar fascia. The metatarsals are not named individually; rather, they are numbered first through fifth, starting with the big toe. Here is a quick description of each of the metatarsal bones:
The first metatarsal bone is the shortest and thickest.The second metatarsal bone is the longest and is firmly held between the first and third cuneiform bones. This bone is most susceptible to injury.The third metatarsal bone is in the middle and articulates the third cuneiform, as well as the second and fourth metatarsal bones.The fourth metatarsal bone is smaller than the third, but like the third it also articulates the surrounding metatarsals (the third and fifth), and also articulates the cuboid.The fifth metatarsal bone articulates the cuboid and the fourth metatarsal. Jones fractures and stress fractures are common injuries to this bone.
There are also two tiny bones located under the hallux (big toe) called sesamoid bones. Sesamoid bones develop within the tendon of a muscle to protect the tendon from wear and tear at the point where it passes over the end of the metatarsal bone. They bear the weight of the body when the toe pushes off in walking or running. Though it is less common, sesamoid bones can be found elsewhere in the foot within other flexor tendons of the toes.


Midfoot: Lesser Tarsal Bones
The five bones that make up the midfoot are collectively known as the lesser tarsal bones. They act as an intermediary to transfer weight from the hindfoot to the forefoot with each footstep. These bones, along with the joints and ligaments that connect them, make up most of what we would consider the arch of the foot. They include:
The navicular bone is boat-shaped and located in the middle of the foot. It articulates with the talus and the three cuneiform bones.The cuboid bone is shaped like a cube and is the last of the seven tarsal bones, articulating with the fourth and fifth metatarsal bones, calcaneus, and navicular bones.There are three cuneiform bones in all: medial, intermediate, and lateral. They are located in the midfoot region, articulating with the corresponding metatarsal bones and navicular bone.


Hindfoot: Greater Tarsal bones
The hindfoot connects the foot to the leg at the ankle joint, and comprises two large bones called the talus and calcaneus. These bones articulate with each other through the subtalar joint, and also link the hindfoot to the midfoot through the mid-tarsal joint. Here is a brief description of each of the tarsal bones:
The talus connects the hindfoot to the two leg bones (the tibia and fibula) to form the ankle joint, which acts as a hinge to allow the foot to move up and down. It also links the hindfoot to the midfoot through the navicular bone to form one part of the mid-tarsal joint. From below, the talus meets up with the calcaneus to form the subtalar joint, which allows the foot to move from side to side.The calcaneus is also known as the heel bone, and it is the largest bone in the foot. It connects with the talus from above to form the subtalar joint. It also meets up with the cuboid bone to form the rest of the midtarsal joint. This joint allows some motion between the hindfoot and midfoot that gives the foot some flexibility
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11 Mar 2014 

There are a number of methods which can be used to reduce the pain from plantar fasciitis. Treating plantar fasciitis usually involves medication to ease the pain. This is most commonly anti-inflammatory drugs (NSAID's) which are helpful in alleviating pain as well as reducing inflammation. Sometimes corticosteroids may be administered either topically or by injection into the plantar fascia directly, although this is usually reserved for only the most severe cases. Extracorporeal shock wave therapy (ESWT) can be used to good effect, with the treatment using painless sound waves to help the healing process.

You should also be doing gentle calf stretching exercises. This will reduce stress on the plantar fascia in two ways. The first manner in which a relaxation of the tension in the calf muscles can help heel pain is that it will reduce the direct pull backwards on the heel bone (calcaneus). The second reason is a little bit more complicated, but essentially it is that a tight achilles tendon and calf muscles causes the rearfoot to move in a manner that causes over pronation as your leg and body move forward over your foot. To strengthen the muscles in your arch toe curls or "doming" can be done.

Is a foot condition usually felt as pain in the bottom of your foot around the heel. There are about 2 million new cases of this condition reported every year in the USA only. That pain especially hurts first thing in the morning when you try to stand on your feet, or after sitting for awhile. This pain is caused by an injury of the fascia connective tissue at the bottom of the foot. This tissue is called the plantar fascia and it connects the heel bone to the toes. Usually this injury is caused by overload of the foot.

Splints are particularly effective at preventing morning foot pain, and are strapped to the foot at bedtime and keep the tissue in its stretched state. Without the contraction the foot is prepared for the first few steps, and the devices can eradicate morning foot pain. Heel seats on the other hand are devices which are placed under the heel and fit easily into most shoes. By elevating the heel the plantar fascia is not required to stretch and flex as much when walking which eases the pain and prevents further damage. They are also particularly effective at easing the pain from heel spurs by cushioning the heel.

Plantar fasciitis is a painful inflammatory condition of the foot caused by excessive wear to the plantar fascia or plantar aponeurosis that supports the arches of the foot or by biomechanical faults that cause abnormal pronation 1 The pain usually is felt on the underside of the heel , and is often most intense with the first steps of the day. It is commonly associated with long periods of weight bearing or sudden changes in weight bearing or activity. Jobs that require a lot of walking on hard surfaces, shoes with little or no arch support, a sudden increase in weight and over activity are also associated with the condition.plantar fasciitis brace

If you walk without proper arch support in your shoes eventually your arches will fall. When this happens it causes your plantar fascia to stretch. This makes the fascia tighter than it should be and this causes pain. For many people the fascia gets so tight that it starts to pull at the heel bone. After many years of pulling these people may develop a heel spur. This is when the heel bone grows a little bump on it because of the constant pulling. This may be accompanied by pain but it may be painless.

The foot is a very unique mechanical structure. Each foot is assembled from 26 bones, 33 joints, more than a 100 muscles, ligaments, tendons and nerves. The human foot system is even more sophisticated and is a little bit different in every individual. The plantar fascia ligament part in the foot mechanism is to keep the foot longitudinal arch structure. It operates more or less like a bow string. But this structure is held also by the other parts of the foot particularly the foot's small muscles. If you exercise your feet this whole structure will get stronger.

Move your left knee slowly and deliberately to the left. As you do so, also attempt to 'point' the knee in a somewhat lateral direction. You should be able to feel this side-to-side and rotational action at the knee creating a rotational action in your left Achilles tendon. Bring the knee back to a straight-ahead position, and then move it toward the right. As you move the left knee to the right, again rotate the knee somewhat, this time to the right, creating more rotation at the Achilles tendon. Make sure that you keep most of your weight on the left leg while performing this exercise.

Why is this exercise valuable? The muscles of the feet require good strength to control the forces associated with landing on the ground during the running stride. This toe-walking exercise helps to develop the eccentric (support) strength and mobility in the muscles of the foot and calf, as well as the plantar fascia and Achilles tendon (eccentric strength means hardiness as these structures are being stretched out). The exercise also works the foot and ankle through a broad range of motion, especially for the foot which is bearing weight on the ball and toes while the ankle is extended (is in plantar flexion).

How quickly you can return to running will depend on the severity of your injury and how fast you heal. Some runners find that they can work their way back into running even while some residual arch stiffness persists, but if running is making your arch pain worse, you need more time off and more time for your rehab program to do its job. As you return to running, consider increasing your stride frequency by 10% or so to reduce your impact loading rate,16 a factor connected with the development of plantar fasciitis in runners. plantar fasciitis relief
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