If you notice a painful bump on the back of your heel at the location where your Achilles tendon attaches to the bone, then you may have a Haglund’s deformity. While this abnormality frequently affects women who wear high heels and is known as the “pump bump,” it can similarly affect anyone who wears shoes with tight, rigid backs.
People who have flat feet and those with tight Achilles tendons are more susceptible to developing Haglund’s deformity since these conditions increase the pressure on the heel that causes the bony enlargement to develop. Some of the symptoms include extreme heel pain, swelling, and blistering, and bursitis may also be evident.
Initial treatment for Haglund’s deformity
Eliminating the source of the irritation by wearing shoes that don’t rub on the heel will help immediately. Try wearing backless footwear like sandals or clogs to give your heels a rest. Applying ice packs to the heel will help to reduce swelling. Simple heel pads added to your footwear backs can also ease pain and rubbing. If you have a tight Achilles tendon or high arches, always use the correct arch supports and perform daily tendon stretching exercises suggested by your podiatrist. Ibuprofen or other over-the-counter pain relievers can reduce swelling and discomfort.
Further treatment options for Haglund’s deformity
If the bump continues to get larger and if the pain becomes worse, there are several other options for treatment that may include:
- Custom orthotic shoe inserts—By redistributing the pressure on the heel, these inserts can relieve swelling, rubbing, and discomfort.
- Foot immobilization—In severe cases, it may be necessary to wear a walking boot or soft cast so the foot has a chance to properly heal.
If these methods do not improve the condition, a surgical procedure may be necessary to reshape the bone.
If you are suffering with heel pain, consult with our board certified podiatrists atFoot and Ankle Center of Fort Lee, LLC. The center offers convenient locations in Fort Lee NJ, Ringwood NJ, Flushing Queens NY, Woodhaven NY, Brooklyn NY, and Forest Hills NY. Contact us at (201) 363-9844 and schedule an appointment today!
Primary causes of hospitalization and lower extremity amputation in patients with diabetes are wounds and cuts that occur on the feet and toes that can become quickly infected and gangrenous. Often a patient with diabetes is unaware that he or she has a cut because peripheral neuropathy inhibits the sensation of pain. However, foot ulcers are actually a preventable condition with the diligent intervention and care that is so very important if you have diabetes.
Foot Ulcer Prevention
Here is a list of steps to take to minimize the development of potentially dangerous and sometimes even deadly foot ulcers:
- Proper shoes—Proper shoe choice and expert fitting with orthotics are essential to the good health of your feet in general, but especially in the case of those patients who have diabetes. Specially-made shoes and custom orthotic inserts are two excellent ways of avoiding foot and ankle injuries.
- Proper washing and drying—You can help avoid infection by washing your feet daily and drying carefully.
- Foot inspections— Always carefully check between the toes and don’t forget to look at the bottoms of your feet using a mirror if needed.
- Proper nail trimming—An ingrown nail is often the place an infection starts. This can be avoided by always carefully trimming your toenail straight across rather than on a curve. Keep in mind to never share your clippers and other foot care products as well as footwear to avoid cross-bacterial and fungal contamination.
- Temperature extremes—Avoid either very hot or very cold water and air temperatures.
- Manage your disease—Keep your blood sugar in the recommended ranges. Proper exercise and eating a healthy, balanced diet are also vital.
- Regular visits to your podiatrist—It is extremely important to develop a comprehensive foot care regimen with your foot care professional to properly manage your diabetes. This also is an excellent way to be proactive with your condition and to avoid unnecessary complications.
If you are experiencing foot ulcers or other complications from diabetes, consult with our board-certified podiatrists at Foot and Ankle Center of Fort Lee, LLC. The center offers convenient locations in Fort Lee NJ, Ringwood NJ, Flushing Queens NY, Woodhaven NY, Brooklyn NY, and Forest Hills NY. Contact us at (201) 363-9844 and schedule an appointment today!
Having pain in your heel when you first put weight on your foot at the beginning of your day or after a long time sitting in one place is an indication that you may have a condition called plantar fasciitis.
This foot condition is characterized by an inflammation of the connective tissue that runs across the bottom of your foot. The plantar fascia, as this tissue is called, helps to support your arch and provides the much needed cushioning and stress absorption your body needs. People who are on their feet all day for work and athletes who experience a lot of repetitive stress to their feet and ankles are more susceptible to this condition.
Plantar Fasciitis Symptoms
- Back of the heel pain—A sharp, stabbing pain or something more dull and achy may be indicative of this condition.
- Inflammation in the arch—You may experience a burning sensation on the bottom of your foot that extends to the back of your heel.
- Foot stiffness—You may have problems bending your foot back and forth without pain and discomfort.
The best early treatments for plantar fasciitis include rest, icing, and stretching exercises. Medications such as Ibuprofen or acetaminophen can help with any pain you have. Custom orthotic inserts may be suggested by your podiatrist to eliminate the pressure and redistribute weight to help support the heel.
Wearing properly fitted shoes, switching to low impact activities like cycling and swimming, and keeping your weight down will also contribute to healing. The benefits of physical therapy exercise to strengthen the muscles and increase flexibility in the tendons cannot be underestimated. Laser therapy can also help by increasing circulation, decreasing swelling, and speeding the healing response.
If you are experiencing the often unrelenting pain of plantar fasciitis, the help of your foot doctor is essential for the most efficacious treatment. Do not hesitate to consult with our board-certified podiatrists at Foot and Ankle Center of Fort Lee, LLC. The center offers convenient locations in Fort Lee NJ, Ringwood NJ, Flushing Queens NY, Woodhaven NY, Brooklyn NY, and Forest Hills NY. Contact us at (201) 363-9844 and schedule an appointment today!
While physical therapy is often used to improve the rate of recovery from an injury or surgery, it can also be used to alleviate the discomfort and pain of a wide variety of conditions and even helps to prevent injuries from occurring in the first place, thus avoiding surgery. Physical therapy can be very effective when used in the treatment of a variety of conditions including hammertoes, arthritis, bunions, flat feet, tendonitis, and chronic ankle pain and instability.
Here is a list of some of the benefits of physical therapy
- Preventing injuries from falls—Balance and coordination problems are responsible for a very large number of falls each year. Some of these can be prevented through physical therapy exercises that increase ankle strength, flexibility and mobility.
- Avoiding the need for surgery—An adequate regimen of physical therapy can often avoid the need for surgery and the resultant long recovery process.
- Pain management—A variety of exercises and methods can be used to decrease pain and discomfort.
- Strength and flexibility improvement—Specific exercises to slowly increase the strength and flexibility of muscles and tendons can help you get back on your feet after a surgical procedure, and to help prevent a repeat injury.
Types of physical therapy
Some of the therapies and treatments you can discuss with your foot doctor will include the use of hot and cold compresses, physical manipulation, stretching and flexibility exercises, taping and splinting, electrical stimulation, ultrasound, and deep tissue laser therapy to help energize and increase the speed of the healing process.
A physical therapy program can be created with your unique foot and ankle needs in mind, and your foot doctor can help design and implement this plan and monitor your progress and compliance. If you are interested in a physical therapy regimen, consult with our board-certified podiatrists at Foot and Ankle Center of Fort Lee, LLC. The center offers convenient locations in Fort Lee NJ, Ringwood NJ, Flushing Queens NY, Woodhaven NY, Brooklyn NY, and Forest Hills NY. Contact us at (201) 363-9844 and schedule an appointment today!
A hammertoe deformity is characterized by one or more of your middle toes abnormally bending at the joints, causing the toe to take on the shape of a hammer, hence the name. Because of the rubbing of the bent toe on your footwear, you may also notice corns, calluses, and other problems like blisters forming in response.
Hammertoes result from an imbalance between the tendon and muscle that usually hold the toe in the correct position. The imbalance can be inherited and is often exacerbated by wearing high heeled shoes or ones that don’t offer enough arch support. Damage to the foot from an accident or injury or from arthritic complications can also cause or exacerbate hammertoes.
Hammertoes do not improve on their own, so it is important to visit your foot care professional for treatment.
Conservative treatments for hammertoes include:
- The right shoes—Low heeled shoes with a roomy toe box will help relieve the pressure that is contributing to the bending of the toe.
- Strapping and splinting—These devices can be used to realign the bent toes.
- Medications—Steroid injections and anti-inflammatory medications such as ibuprofen or other medications can reduce pain and swelling.
- Stretching—Exercises such as picking up small stones with your toes can help increase strength and flexibility.
- Orthotics—Specially-fabricated shoe inserts can control the imbalance between the muscle and tendon that is causing the toe to bend in the first place.
- Isolation pads—Corns and calluses can be cushioned to eliminate the source of rubbing.
If your hammertoes are very rigid or painful, surgery may be necessary to straighten them out. This can usually be performed on an outpatient basis by your foot care specialist, so be sure to consult with our board-certified podiatrists at Foot and Ankle Center of Fort Lee, LLC. The center offers convenient locations in Fort Lee NJ, Ringwood NJ, Flushing Queens NY, Woodhaven NY, Brooklyn NY, and Forest Hills NY. Contact us at (201) 363-9844 and schedule an appointment today!
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