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Philip Schrumpf, DPM
2835 Fort Missoula Road
Physician Center 3, Suite 304
Missoula, MT 59804

March 2022

A bursa sac is a fluid-filled membrane that cushions and reduces friction between bones and tendons, as well as between muscles and joints. There are bursae throughout the body. The bursa sac at the back of the foot (behind the ankle) is meant to cushion and reduce friction between the Achilles tendon and the heel bone. By not warming up properly, doing repetitive movements with your ankle, or overusing the heel during physical activities, you may cause this bursa to become irritated. This condition, known as bursitis of the heel, can also be brought on by certain forms of arthritis or direct impact injuries. Symptoms may include heel pain, inflammation, stiffness, redness and warmth in the bursa area, as well as decreased motion in the ankle. If you are experiencing these symptoms, it is wise to make an appointment with a podiatrist. This form of bursitis can be treated with various conservative therapies such as resting, icing, therapeutic ultrasound, anti-inflammatory medicine, physical therapy, custom orthotics, and changes in footwear.

Many people suffer from bouts of heel pain. For more information, contact Philip K. Schrumpf, DPM of Active Feet Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

  • Wearing ill-fitting shoes                  
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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

Read more about Heel Pain

Did you know gout is a form of arthritis? It is known to cause severe pain and discomfort, and it is often difficult to walk. It can develop as a result of excess uric acid that forms in the joints of the big toe. This can happen due to genetic reasons, or from eating foods that have high levels of purines. These types of foods can include shellfish, red meat, or it may come from drinking excessive amounts of alcohol. There may be existing medical conditions that can lead to the onset of gout, such as high blood pressure, diabetes, or kidney disorders. The symptoms that many patients experience can be tender joints in the big toe, excruciating pain, and the affected area is often tender and hot. If you have symptoms of gout, it is strongly advised that you are under the care of a podiatrist who can properly treat this condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Philip K. Schrumpf, DPM from Active Feet Clinic. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

  • Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
  • Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
  • Inflammation and Redness -Affected joints may become swollen, tender, warm and red
  • Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

  • Genetics - If family members have gout, you’re more likely to have it
  • Medications - Diuretic medications can raise uric acid levels
  • Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
  • Diet - Eating red meat and shellfish increases your risk
  • Alcohol - Having more than two alcoholic drinks per day increases your risk
  • Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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

Read more about Everything You Need to Know About Gout
Tuesday, 15 March 2022 00:00

The Prevalence of PAD

Peripheral artery disease (PAD) is a condition that causes poor circulation in the extremities due to a narrowing or blockage of blood vessels that supply those areas. PAD is particularly dangerous because it is often asymptomatic, especially in its initial stages. As the disease progresses, symptoms such as leg pain, muscle weakness, numbness, and skin discoloration may appear. PAD is more common in people who smoke, have high blood pressure, high cholesterol, or a history of atherosclerosis or diabetes. It is also more common in older adults than it is in those under age 60. After age 60, PAD is seen in men more frequently than in women. For more information about PAD, please consult with a podiatrist. 

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Philip K. Schrumpf, DPM from Active Feet Clinic. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

  • Claudication (leg pain from walking)
  • Numbness in legs
  • Decrease in growth of leg hair and toenails
  • Paleness of the skin
  • Erectile dysfunction
  • Sores and wounds on legs and feet that won’t heal
  • Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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

Read more about Peripheral Artery Disease
Wednesday, 09 March 2022 00:00

Are You Suffering From Ingrown Toenails?

If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!

Cracked heels, or heel fissures, can develop when skin on the heel dries out and becomes callused. This dried out skin can then crack when weight placed on the heel causes the fat pad under the heel to spread out. If these cracks are left untreated, they can deepen to the point where they bleed or even become infected. This is not only painful, but can be very dangerous—especially for individuals with diabetes. Certain factors—along with having dry, thickened skin—can contribute to the formation of cracked heels, such as standing for prolonged periods of time, going barefoot, wearing open-backed shoes, and carrying extra weight. Also, diabetes, hypothyroidism, atopic dermatitis, psoriasis, and other conditions that can cause dry skin can be associated with cracked heels. Sometimes, cracked heels can be lessened by using topical water-retaining creams. If your cracked heels do not improve with regular moisturizing, if they are deep or bloody, or if you have diabetes, it is suggested that you seek professional treatment from a podiatrist.

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact Philip K. Schrumpf, DPM from Active Feet Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin. 

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed. 

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

Read more about Solutions for Cracked Heels
Tuesday, 01 March 2022 00:00

Types of Metatarsal Fractures

The metatarsals are the five long bones located in the middle of your foot which connect the toes to the rest of the foot. When any of these bones break, it is known as a metatarsal fracture. There are several types of metatarsal fractures. Stress fractures occur when a bone develops one or more tiny cracks due to it being unable to bear the load placed on it. A Lisfranc fracture-dislocation occurs when the second metatarsal bone is broken and knocked out of place. A fracture of the fifth metatarsal bone, the most common type of metatarsal fracture, occurs when excessive stress or overuse causes the bone that connects your pinky toe to the rest of your foot to break. If you have symptoms of a broken foot bone, such as pain, swelling, bruising, and difficulty walking or bearing weight on the injured foot, it is strongly suggested that you seek the care of a podiatrist as soon as possible.

A broken foot requires immediate medical attention and treatment. If you need your feet checked, contact Philip K. Schrumpf, DPM from Active Feet Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

Broken Foot Causes, Symptoms, and Treatment

A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury. 

Common Symptoms of Broken Feet:

  • Bruising
  • Pain
  • Redness
  • Swelling
  • Blue in color
  • Numbness
  • Cold
  • Misshapen
  • Cuts
  • Deformities

Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.

Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.

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

Read more about Causes, Symptoms, and Treatment for a Broken Foot
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