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Arthritis in the Big Toe

The big toe plays an important role in our ability to walk and remain balanced. The place where the big toe connects to the foot is called the metatarsophalangeal joint (MTP). This joint, like many others in the body, is often the target of osteoarthritis because it gets a lot of wear and tear. Symptoms include pain (especially while active), stiffness, swelling, and a shifting of weight when you walk (change in gait). Occasionally, the big toe pushes toward the other toes, forming a bunion. Stiffness in the joint can result in a difficulty walking, which then can lead to the formation of calluses, corns, and hammertoes. The risk of developing osteoarthritis increases as you age, but other factors such as genetics, obesity, and prior joint injury can contribute to it. As with any progressive disease, osteoarthritis in the big toe can only become worse. Getting treatment from a podiatrist as early as possible is a good idea. X-rays can often detect the extent of the damage to the MTP joint and help the doctor to determine treatment options. Among them are certain prescription medications, changes in footwear, and in severe cases, surgery. For more information on osteoarthritis of the big toe, please consult a podiatrist.  

Toe pain can disrupt your daily activities. If you have any concerns, contact Joseph D. Ruffo, DPM, PC of New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

  • Trauma
  • Sports injury
  • Wearing shoes that are too tight
  • Arthritis
  • Gout
  • Corns and calluses
  • Hammertoe
  • Bunions
  • Blisters
  • Ingrown toenails
  • Sprains
  • Fractures (broken bones)
  • Dislocations

When to See a Podiatrist

  • Severe pain
  • Persistent pain that lasts more than a week
  • Signs of infection
  • Continued swelling
  • Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please contact one of our offices located in Sea Cliff and Babylon, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Several Reasons Why Cuboid Syndrome May Develop

People who experience pain on the outside of the foot may have cuboid syndrome. This foot condition can follow an ankle sprain and may be difficult to diagnose. It can be common among ballet dancers and can result due to the style of dance they perform. The cuboid bone is one of seven tarsal bones and lies beneath the fourth and fifth toes. If this becomes moved from gradual overuse or an injury, it may become inflamed, referred to as cuboid syndrome. Additional causes of developing cuboid syndrome can include training on uneven surfaces, lack of adequate support from wearing the wrong shoes, or possibly excessive pronation. Some people have intermittent pain and there can be tenderness along the outside of the foot which may be similar to having an ankle injury. There are various treatment options for this condition and it is strongly advised that you are under the care of a podiatrist who can determine the best course of treatment for you.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Joseph D. Ruffo, DPM, PC from New York. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

  • Injury – The most common cause of this ailment is an ankle sprain.
  • Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
  • Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

If you have any questions, please feel free to contact one of our offices located in Sea Cliff and Babylon, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Dealing With Plantar Warts

A plantar wart is a growth, usually found on the bottom of the foot, that is caused by the human papilloma virus (HPV). The virus enters the body through small cuts or breaks in the skin. Plantar warts are more common among children, teens, and seniors. Symptoms include a thickening of the skin and pain when walking or standing. They usually show up on the ball and heel of the foot. Small black dots may appear on the skin, which are dried blood from the capillaries. It is not a good idea to try to remove a plantar wart yourself. Instead, it is suggested that you visit a podiatrist, especially if the area changes color or bleeds, or if you have a compromised immune system. Among the remedies are topical creams, oral medication, laser treatments, cryotherapy (freezing the wart), acid treatments, or surgery. The podiatrist will also prescribe home foot care procedures as well as instructions for any medication prescribed. Please make an appointment with a podiatrist for safe and appropriate treatment options. 

Plantar warts can be very uncomfortable. If you need your feet checked, contact Joseph D. Ruffo, DPM, PC from New York. Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

  • Lesions on the bottom of your feet, usually rough and grainy
  • Hard or thick callused spots
  • Wart seeds, which are small clotted blood vessels that look like little black spots
  • Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

  • Freezing
  • Electric tool removal
  • Laser Treatment
  • Topical Creams (prescription only)
  • Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

If you have any questions, please feel free to contact one of our offices located in Sea Cliff and Babylon, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Do Your Child's Feet Hurt?

Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.

What Does Gout Feel and Look Like?

Gout can negatively impact your overall health and well-being. It is therefore important to make yourself familiar with the symptoms of gout in case you ever develop this condition. Gout is a specific kind of arthritis that affects joints in the toes of the feet. It is characterized by the formation of crystals around a joint which can ultimately lead to inflammation and severe pain. One sign that you might have gout in the joints of your toes is that the affected area may become hot and significantly tender to the touch. Additionally, you might notice a change of color in the skin–namely, the skin surrounding the affected joint can become bright red and shiny. Lastly, you may notice that the affected area becomes significantly swollen and inflamed. These are all very characteristic signs of gout and if you find yourself exhibiting any of these signs, you should contact a podiatrist. Upon visiting the podiatrist, you can receive an accurate diagnosis and receive the care that you need for your gout.  

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Joseph D. Ruffo, DPM, PC from New York. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

If you have any questions, please feel free to contact one of our offices located in Sea Cliff and Babylon, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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