Overview Of Foot And Ankle Problems

Feet

Foot and ankle problems usually fall into the following categories:

  • Acquired from improper footwear, physical stress, or small mechanical changes within the foot.

  • Arthritic foot problems, which typically involve one or more joints.

  • Congenital foot problems, which occur at birth and are generally inherited.

  • Infectious foot problems, which are caused by bacterial, viral, or fungal problems.

  • Neoplastic disorders, also known as  tumors, which are the result of abnormal growth of tissue anywhere on the foot and may be benign or malignant.

  • Traumatic foot problems, which are associated with foot and ankle injuries, such as fractures.

Beach

Leading foot problems are:

  • Bunions—misaligned big toe joints that swell and become tender, causing the first joint of the big toe to slant outward and the second joint to angle toward the other toes. Bunions tend to be hereditary, but can be aggravated by shoes that are too narrow in the forefoot and toe. Surgery is frequently performed to correct the problem.

  • Hammertoes—usually stemming from muscle imbalance, this condition occurs when the toe is bent into a claw-like position. Hammertoe can affect any toe, but most frequently occurs to the second toe, when a bunion slants the big toe toward and under it. Selecting shoes and socks that do not cramp the toes may help alleviate any aggravation of pain or discomfort.

  • Heel Spurs—these are growths of bone on the underside of the heel bone. Heel spurs occur when the plantar tendon pulls at its attachment to the heel bone. This area of the heel calcifies to form a spur. Proper warm-up and the use of appropriate athletic shoes can reduce the strain to the ligament and prevent the formation of heel spurs.

  • Ingrown Toenails—toenails with corners or sides that dig painfully into the skin. Ingrown toenails are usually caused by improper nail trimming, but can also result from shoe pressure, injury, fungus infection, heredity, and poor foot structure. This problem can be prevented by trimming toenails straight across, selecting proper shoe styles and sizes.

Happy feet

  • Neuromas—enlarged benign growths of nerves, most commonly between the third and fourth toes. and caused by tissue rubbing against and irritating the nerves. Pressure from ill-fitting shoes or abnormal bone structure can also lead to this condition. Depending on the severity, treatments may include orthotics, cortisone injections, and, in extreme cases, surgical removal of the growth.

  • Plantar Fasciitis—an inflammation on the bottom of the foot that leads to heel and/or arch pain. A variety of foot injuries or improper foot mechanics can lead to plantar fasciitis. Treatments range from icing the foot and doing foot exercises, to prescription custom orthotics required to correct the foot position and help alleviate the pain.

  • Sesamoiditis—an inflammation or rupture of the two small bones (known as sesamoids) under the first metatarsal bone. Proper shoe selection and orthotics can help.

  • Shin Splints—pain on either side of the leg bone caused by muscle or tendon inflammation. Shin splints are related to excessive foot pronation, but also may be related to a muscle imbalance between opposing muscle groups in the leg. Proper stretching before and after exercise and corrective orthotics for pronation can help prevent shin splints.

  • Stress Fractures—incomplete cracks in bone caused by overuse. With recommend complete rest, stress fractures in the toes or any bones of the foot heal quickly. Extra padding in shoes may help prevent the condition. If left untreated, stress fractures may become complete bone fractures, which require casting and immobilization.

 

See the Foot Doctor!

Services

Tenex Health TX™
  • Tenex Health TX™

    Plantar fasciitis or achilles tendonitis, an inflammation, irritation and swelling of the tendon, comes from an injury or doing the things you love or need to do—over and over again. Repetitive motions, no matter how ordinary, can cause small micro tears that occur each time you use your tendon. When the micro tears do not heal properly, tendinosis (tendon degeneration) can occur.

    Percutaneous tenotomy or percutaneous fasciotomy, using ultrasonic energy powered by the Tenex Health TX™ System, is a safe and quick procedure specially designed for those who are suffering from painful conditions associated with chronic tendon damage. The procedure treats tendinosis or fasciitis in the ankle and foot.

    Tenex Health TX is based on advanced technology developed in collaboration with the world renowned Mayo Clinic.

     

    Tenex Health TX™ benefits:

    If you have tried physical therapy, cortisone injections, medication, or just taking time to ice, stretch and rest and are still in pain, talk to us. We now have a solution that does not involve general or open surgery, may give you quick pain reduction and should have you back to enjoying the things you love in a few weeks to a few months.

    Patient benefits may include:
    ∙ Quick pain relief
    ∙ Rapid return to normal activities
    ∙ Local anesthetic used instead of general anesthesia
    ∙ No sutures, no stitches (requires only a small, adhesive bandage)
    ∙ 20­minute, minimally invasive procedure (not open surgery)
    ∙ Coverage by most insurances

  • How does Tenex Health TX™ work?

    Precisely targets your damaged tissue. Your doctor uses ultrasound imaging, just like the kind used to see babies in the womb, to visualize and identify the specific location of the damaged tendon tissue.

    Gently removes damaged tissue. Once the source of your tendon pain is identified, your doctor numbs the area with a local anesthetic, allowing you to stay awake the entire time. Many people say after the numbing process—which feels like a bee sting—they felt only a slight pressure during the procedure (if they felt anything at all). Your doctor then uses gentle ultrasonic energy designed to safely breakdown and remove the damaged tissue. The ultrasonic energy is applied with the TX MicroTip, which requires only a microincision to reach the damaged tissue. Because the incision is so small and the ultrasonic energy precisely treats only the damaged tendon tissue, the surrounding healthy tissue is left unharmed.

    Requires no stitches. When the procedure is completed, your doctor applies a small adhesive bandage; no stitches are required. Because you are awake during the procedure (no general anesthesia), many people are able to drive home after the procedure.

    Can offer nearly instant pain relief with a rapid recovery. Recovery is rapid with many people being back to normal activity within 6 weeks or less. Because the surrounding healthy tissue is not disturbed, and no stitches or general anesthesia is required, there is minimal downtime and less discomfort compared to open surgery. The speed of your recovery depends on the location of your tendinitis and your individual results may vary.

     

    What areas of the body does our practice treat with Tenex Health TX™?

    Our practice treats the ankle and foot with Tenex Health TX.

  • VIDEO: Learn more about Tenex Health TX™

    As a percutaneous tenotomy or percutaneous fasciotomy procedure, Tenex Health TX is typically covered by Medicare­approved and private health insurers. It is always recommended that patients consult the treating physician and individual health plan. For more information, visit www.tenexhealth.com.

    MKT112. Rev. C


  • LAPIPLASTY® Procedure Patient Education Video from Treace Medical Concepts on Vimeo.

Patient Portal

We are pleased to provide patients with secure, 24/7 access to their health records through the Pancholi Foot and Ankle Patient Portal. Patients can safely and easily:

  • Request prescription refills
  • Update insurance/demographic information
  • Review financial statements/make secure payments
  • View lab and test results
  • Access relevant health education materials

Patient Portal Login

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