Items filtered by date: December 2023

Ingrown toenails can be a painful and persistent issue, usually affecting the big toe and causing discomfort, inflammation, and sometimes bleeding. An ingrown toenail often results from wearing tight shoes, foot injuries, genetics, or poor foot care. When the curved edges of the nail pierce into the surrounding skin, pressure builds up, leading to pain, inflammation, tenderness, and redness. Beyond conservative treatments, there are two primary surgical methods for treatment, which are referred to as partial nail avulsion and total nail avulsion. Both are conducted under local anesthesia. Partial nail avulsion involves removing a portion of the nail, known as a wedge resection. The procedure trims one or both edges of the nail to make it narrower and give it a straight edge. This ingrown toenail treatment takes approximately 30 minutes and has a high success rate. With total nail avulsion, the entire nail is removed. This procedure is often reserved for those with recurrent issues or who are unresponsive to other less invasive ingrown toenail treatments. Proactive toenail care and early intervention are key to addressing ingrown toenails effectively. To manage an exceedingly painful or infected ingrown toenail, it is suggested that you make an appointment with a podiatrist for an exam, in addition to determining if surgery is best for you.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, 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.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

• Improper toenail trimming
• Genetics
• Improper shoe fitting
• Injury from pedicures or nail picking
• Abnormal gait
• Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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.

The intricate structure of the human foot, including bones, muscles, and tendons, is susceptible to deformities that either are present at birth or develop over time. Splayfoot, characterized by the widening of metatarsal bones, increases pressure on the forefoot, resulting in pain, calluses, and a heightened risk of developing bunions. Fallen arches, where the foot's arch is flatter than usual, can cause pain over time due to weak foot muscles, abnormal strain, unsuitable footwear, and joint inflammations. Pronated feet, marked by an inward-leaning heel, may arise in childhood, potentially causing issues later in life, particularly in overweight or knock-kneed individuals. People who have high-arched feet, may shift their weight to the ball of the foot, leading to pain, calluses, and an increased risk of ankle injuries. Equinus foot, where the foot points downward and the heel cannot touch the floor due to shortened calf muscles, presents challenges in walking and standing. Clubfoot, a severe congenital deformity involves the foot pointing downward and inward, restricting normal standing and walking. Causes of foot deformities also include abnormal strain, tight footwear, injuries, inflammations, being overweight, and underlying diseases such as osteoarthritis or rheumatoid arthritis. For assistance in managing any of these foot deformities, it is suggested that you add a podiatrist to your medical team and schedule an appointment for an exam and treatment options.

If you have any concerns about your feet, 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.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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.

Foot stress fractures, tiny cracks in the bones, can emerge from a myriad of factors that subject the feet to repetitive stress and strain. One primary cause is overuse, where excessive or sudden increases in physical activity like running or prolonged standing surpass the bones' capacity for repair. Wearing inadequate footwear or worn-out shoes lacking proper support amplifies the risk, as they fail to absorb shock adequately. Biomechanical factors, like abnormal foot structure or gait patterns, contribute to uneven weight distribution, placing specific areas under heightened stress. Insufficient conditioning and muscle fatigue diminish the ability of muscles to absorb impact, transferring excess force to the bones. Additionally, nutritional deficiencies, particularly in calcium and vitamin D, compromise bone strength, elevating the susceptibility to stress fractures. By wearing proper footwear, adopting a gradual training progression, and supplying nutritional support, individuals can fortify their foot health and reduce the likelihood of encountering the discomfort associated with stress fractures. If you have developed a foot stress fracture, it is suggested that you are under the care of a podiatrist who can offer you the treatment option that is right for you.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact Philip K. Schrumpf, DPM from Active Feet Clinic. Our doctor can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

• Runners                                  
• People affected with Osteoporosis
• Tennis or basketball players
• Gymnasts
• High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

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.

Plantar fasciitis is a common reason for long-lasting heel pain. It can affect both active, young people and older people who do not move as much. This condition happens when the plantar fascia, a band of tissue in the foot, is repeatedly strained. It is often linked to tight calf muscles. Podiatrists can generally diagnose this condition by talking to the patient and examining their foot. They only use imaging tests if the case is unusual or does not get better with initial treatment. The main symptom is a sore heel, especially when taking the first steps in the morning or after sitting for a while. Treatment involves changing activities and stretching the calf and foot. Special shoe inserts that support and cushion the heel can also help. If pain continues after six months, podiatrists may suggest less invasive treatments or even surgery. These treatments help the body heal itself or relieve pain. However, some injections, while they reduce pain, could also weaken the foot tissue. Surgery options involve releasing tension in the calf or making small cuts in the plantar fascia to encourage healing. If you have chronic plantar fasciitis, it is suggested that you make an appointment with a podiatrist who can determine what the best treatment options are for you.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, 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.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

• Excessive running
• Having high arches in your feet
• Other foot issues such as flat feet
• Pregnancy (due to the sudden weight gain)
• Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

• Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
• Maintain a healthy weight
• If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best 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.