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Managing Bunions

A bunion, or hallux valgus, is a deformity at the base of the big toe, affecting the metatarsophalangeal, or MTP, joint. It occurs when the first metatarsal bone angles outward, while the top of the big toe tilts inward. This results in a protrusion that can become inflamed and painful. Shoes with a narrow toe box or high heels often worsen the discomfort by putting pressure on the misaligned joint. Bunions can develop due to inherited foot structures, such as flat feet or low arches. They are more common among women, especially those in occupations requiring prolonged standing or who frequently wear high heels. Left untreated, a bunion may lead to additional foot issues, including calluses, hammertoes, or pain in the ball of the foot. A podiatrist can evaluate the severity of your bunion and suggest custom orthotics to improve alignment, padding to reduce friction, or, in severe cases, surgery to restore function. If you experience toe pain caused by a bunion, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment options.

If you are suffering from bunion pain, contact Jeffrey Parrett, DPM of Parrett Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

  • Genetics – some people inherit feet that are more prone to bunion development
  • Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

  • Redness and inflammation
  • Pain and tenderness
  • Callus or corns on the bump
  • Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

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

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Ankle Injury From Stair Falls

Falling down a flight of stairs can result in serious injuries, including broken ankles, sprains, fractures, or even head and back injuries. The ankle is particularly vulnerable due to its role in balancing and bearing weight. A broken ankle may cause severe pain, swelling, bruising, and difficulty walking. Such injuries can limit mobility and daily function. Preventing stair falls involves simple safety measures such as installing sturdy handrails, keeping stairs well-lit, and removing tripping hazards like loose rugs or clutter. Wearing supportive, slip-resistant footwear also helps reduce risks. A podiatrist can assess the damage using imaging tests like X-rays and recommend appropriate treatment. Depending on the severity, treatment may involve a cast, targeted exercises, or surgery. If you suspect an ankle injury, it is suggested that you seek immediate care from a podiatrist.

Broken ankles need immediate treatment. If you are seeking treatment, contact Jeffrey Parrett, DPM from Parrett Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

  • Excessive pain when the area is touched or when any pressure is placed on the ankle
  •  Swelling around the area
  •  Bruising of the area
  • Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

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

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Understanding and Managing Pain From Achilles Tendinopathy

Achilles tendinopathy is a common foot and ankle issue caused by overuse of the Achilles tendon. It can be classified into two types, which are insertional, where the tendon attaches to the heel, and non-insertional, which impacts the middle portion of the tendon. While both cause pain, swelling, and stiffness, insertional tendinopathy often involves discomfort at the back of the heel, while non-insertional pain is felt higher up along the tendon. If left untreated, the tendon can go through non-healing stages known as reactive tendinopathy, or early swelling and pain, tendon disrepair, and degenerative tendinopathy, causing long-term damage with thickening and weakness. Proper treatment includes rest, targeted exercises, and addressing any biomechanical issues. If you are experiencing persistent pain in your Achilles tendon, it is suggested that you see a podiatrist for an accurate diagnosis and an effective treatment plan.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Jeffrey Parrett, DPM of Parrett Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

  • Inflammation
  • Dull to severe pain
  • Increased blood flow to the tendon
  • Thickening of the tendon

Rupture Symptoms

  • Extreme pain and swelling in the foot
  • Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

  • Thorough stretching of the tendon before and after exercise
  • Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact our office located in Waxahachie, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Marathon Running and Stress Fractures

Stress fractures are a common injury among first-time marathoners, often caused by the repetitive impact of running long distances. These small cracks in the bones, typically found in the feet or lower legs, occur when the body is not given enough time to recover between runs. First-time marathoners are particularly susceptible due to a sudden increase in training intensity or from wearing inadequate footwear. Repetitive striking of the ground with each step, combined with poor running form or weak muscles, can lead to these microfractures. The primary cause of stress fractures is overuse, but factors like improper shoes, running on hard surfaces, or inadequate nutrition can contribute. Symptoms include localized pain, swelling, and tenderness that worsens with activity. Early intervention is key to preventing further injury. A podiatrist can diagnose the fractures, provide a treatment plan, and offer advice on proper footwear, running techniques, and rehabilitation exercises to prevent future issues. If you are a first-time marathoner experiencing pain, it is suggested that you schedule an appointment with a podiatrist.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact Jeffrey Parrett, DPM from Parrett Podiatry. Our doctor can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

  • Gender – They are more commonly found in women compared to men.
  • Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
  • Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
  • Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
  • Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

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

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Wounds That Don't Heal Need to Be Checked

Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

Common Reasons for Ankle Pain Upon Waking

Waking up with ankle pain can be caused by several factors. One common reason is the dawn phenomenon, which refers to increased inflammation and stiffness that occurs in the early morning, often due to the body’s natural circadian rhythms. Arthritis, particularly osteoarthritis, can lead to morning ankle pain as the joints become stiff overnight, making movement difficult. Inflammation caused by overuse, poor posture, or injury can also contribute to discomfort. Plantar fasciitis, a condition that affects the bottom of the foot, can also cause pain in the ankle area, especially in the morning when taking the first few steps. This pain is often sharp and decreases with movement as the tissues loosen up. If you are experiencing any type of ankle pain, it is strongly suggested that you contact a podiatrist who can determine what the cause is, and offer appropriate treatment solutions.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with Jeffrey Parrett, DPM from Parrett Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

  • Types of arthritis (rheumatoid, osteoarthritis, and gout)
  • Ankle sprains
  • Broken ankles
  • Achilles tendonitis
  • Achilles tendon rupture
  • Stress fractures
  • Bursitis
  • Tarsal tunnel syndrome
  • Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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

 

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Where Gout Develops and What Tophi Are

Gout is a form of arthritis caused by the buildup of uric acid crystals in the joints, leading to sudden and intense pain, redness, and swelling. It most commonly develops in the big toe, causing intense pain and discomfort. The accumulation of uric acid occurs when the body produces too much or fails to eliminate enough, resulting in the formation of sharp crystals that deposit in the joints. Over time, if gout is left untreated, it can lead to the formation of tophi, which are lumps or deposits of uric acid crystals under the skin. Tophi can appear around joints and can cause permanent damage to the affected areas if not properly managed. Prompt treatment and lifestyle changes can help manage gout and prevent the development of tophi. If you have developed gout, it is suggested that you are under the care of a podiatrist who can help you to manage this painful condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Jeffrey Parrett, DPM from Parrett Podiatry. 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 Waxahachie, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Types of 5th Metatarsal Fractures

The 5th metatarsal is the bone on the outer edge of the foot that connects the midfoot to the base of the pinky toe. One common injury to the 5th metatarsal is an avulsion fracture, where a tendon pulls off a small piece of bone from its base. It is also known as a pseudo-Jones fracture. This is often caused by a sudden inward roll of the foot during activities like sports or stepping awkwardly. Symptoms of an avulsion fracture include pain, swelling, and bruising on the outside of the foot, and walking may be difficult. A pseudo-Jones fracture is sometimes confused with Jones fractures, which involve a break in the shaft of the fifth metatarsal bone. These two fractures require different treatments. A pseudo-Jones fracture often heals with a walking boot or cast, while Jones fractures may require surgery. A podiatrist can identify the type of fracture through an exam and X-rays in order to recommend the best treatment. If you have injured your 5th metatarsal, it is suggested that you make an appointment with a podiatrist for the appropriate care.

A broken foot requires immediate medical attention and treatment. If you need your feet checked, contact Jeffrey Parrett, DPM from Parrett Podiatry. 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 Waxahachie, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Using a Brannock Device to Measure Feet

Measuring feet correctly using a Brannock device ensures that shoes fit properly, providing comfort and reducing the risk of foot problems. Begin by having the person stand upright with their weight evenly distributed on both feet. Place the Brannock device under the feet with the heel against the heel cup. Slide the arch gauge so that it rests just under the arch of the foot, ensuring it is snug but not tight. The length measurement is taken by sliding the heel piece to the back of the heel and reading the number on the scale. For width, use the sidebars to measure across the widest part of the foot, typically around the ball. Repeat the process for both feet, as one foot may be slightly larger than the other. These accurate measurements help in selecting the right shoe size for optimal fit and comfort. Wearing shoes that do not fit correctly can cause foot pain. If this has happened to you, it is suggested that you consult a podiatrist who can offer you treatment solutions and guide you on how to obtain the right shoe size.

Finding a properly-fitting shoe is important in reducing injuries and preventing foot problems. For more information about treatment, contact Jeffrey Parrett, DPM from Parrett Podiatry. Our doctor will treat your foot and ankle needs.

Proper Shoe Fitting

A common concern when it comes to foot health, having properly fitted shoes can help prevent injuries to the foot. Out feet affect our posture and gait, which in turn affects the biomechanics and overall bodily structure. With 33 joints, 26 bones, and over 100 ligaments, the potential for serious injury is much greater than one realizes. Although the feet cease growth in adulthood, they still change shape as they mature. Here are some factors to consider when it comes to investing in proper fitting shoes:

  • Be sure the shoes fit correctly right away
  • Ensure the ball of your foot fits comfortably in the widest portion of the shoes
  • Even though they may look fashionable, improper fitting shoes can either create adverse conditions or exacerbate existing ones you may already have
  • Walk along a carpeted surface to ensure the shoes comfortably fit during normal activity

Keeping in mind how shoes fit the biomechanics of your body, properly-fitting shoes are vitally important. Fortunately, it is not difficult to acquire footwear that fits correctly. Be sure to wear shoes that support the overall structure of your body. Do your feet a favor and invest in several pairs of well-fitted shoes today.

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

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Understanding Falls in Older Adults

Falls are a significant concern for older adults, often resulting from a combination of factors such as muscle weakness, balance issues, and environmental hazards like uneven surfaces or poor lighting. Health conditions, medications, and vision impairments can also increase the risk of falling. The fear of falling can create a cycle of anxiety, leading to reduced activity and further physical decline. This fear often results in avoidance behaviors that limit mobility and social interaction, ultimately impacting overall well-being. Addressing both the physical and psychological aspects of falling is essential. Engaging in strength and balance exercises can help improve stability, while education about preventing falls can empower older adults to navigate their environments safely. Falling can seriously impact the feet and ankles. If you have sustained a foot or ankle injury as a result of falling, it is suggested that you consult a podiatrist who can offer effective treatment and fall prevention tips.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Jeffrey Parrett, DPM from Parrett Podiatry. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

  • Enrolling in strength and balance exercise program to increase balance and strength
  • Periodically having your sight and hearing checked
  • Discuss any medications you have with a doctor to see if it increases the risk of falling
  • Clearing the house of falling hazards and installing devices like grab bars and railings
  • Utilizing a walker or cane
  • Wearing shoes that provide good support and cushioning
  • Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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

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