When Flat Feet Need a Surgical Solution

Flat feet, a condition where the arches of the feet are significantly reduced or absent, can cause discomfort and limit mobility for some individuals. While many cases of flat feet can be managed with conservative treatments like orthotics, exercises, and supportive footwear, there are situations where surgery becomes a viable option. Surgical intervention for flat feet typically aims to reconstruct and restore the arches of the feet, improving overall foot function and alleviating pain. This procedure is known as flatfoot reconstruction surgery. Podiatric surgeons may employ various techniques, such as tendon transfers, bone realignment, or the use of implants to achieve the desired results. Candidates for flatfoot surgery often include people who experience severe pain, difficulty in walking, or whose flat feet result from structural abnormalities. If you suspect you may need flatfoot surgery, it is suggested that you schedule an appointment with a podiatrist to discuss whether this is a correct option for you.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Jeffrey Parrett, DPM from Parrett Podiatry. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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.

Read more about What is Flexible Flat Foot?

Cuboid Syndrome

Cuboid syndrome mostly affects athletes, although it can affect non-athletes too. It is also known as cuboid subluxation or cuboid fault syndrome.  This condition occurs when joints and ligaments near the cuboid bone of the foot are damaged, or when the cuboid bone itself is dislodged from its natural position. It is usually marked by pain on the outer side of the foot, which may be persistent or may come and go. Cuboid syndrome can be difficult to diagnose unless it becomes severe and more noticeable. Your doctor will likely ask questions about when the pain began and how long it has been present, and will put pressure on the cuboid bone to determine if that area is the origin of the pain.

Causes of Cuboid Syndrome

  • Any repetitive stresses placed on the foot due to athletic activities are a common cause of cuboid syndrome.
  • Although it develops over time, it is possible that this syndrome can occur all of sudden due to a single event or injury.
  • Over-pronation can exacerbate the condition if not corrected.

Disagreements Amongst Podiatrists Regarding Cuboid Syndrome

  • Some refer to it as the dislocation of the calcaneal-cuboid joint only.
  • Other podiatrists see it as an injury of the ligaments located nearby, which also involves the cuboid bone.

It is very important that when you experience any kind of pain on the side of your foot, you should seek medical care right away. If a subluxed cuboid is caught early, your feet may respond well to the treatment, and you can get back into sports or other activities again as soon as the pain subsides.

What Area of the Foot Is Affected by Cuboid Syndrome?

Cuboid syndrome, a lesser-known but impactful foot ailment, develops in the lateral midfoot region. Situated on the outer side of the foot, the cuboid bone plays a pivotal role in maintaining the stability and functionality of the foot's arch. When this small, cube-shaped bone becomes dislocated or irritated, it gives rise to cuboid syndrome. The affected area often encompasses the lateral aspect of the foot, extending from the midfoot toward the outer edge. Symptoms can include pain, swelling, and a decreased range of motion, affecting the smooth coordination of the foot during movement. Precise anatomical alignment is vital for the cuboid and its neighboring bones, and any disruption can lead to discomfort. If you have endured an injury and there is existing pain in the outer area of your foot, it is suggested that you visit a podiatrist who can accurately diagnose and treat cuboid syndrome.

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 Jeffrey Parrett, DPM from Parrett Podiatry. 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 our office located in Waxahachie, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

 

Read more about Cuboid Syndrome

Injury From a Winter Sport? Get the Care You Need

Winter sports can be fun for many – but only with the proper protective gear. Even with the right equipment, however, injuries can happen. If you’ve sustained foot or ankle trauma or a foot or ankle injury, we’re here to help.

Foot Pain

Our feet are arguably the most important parts of our bodies because they are responsible for getting us from place to place.  However, we often don’t think about our feet until they begin to hurt. If you have pain in your feet, you need to first determine where on the foot you are experiencing it to get to the root of the problem. The most common areas to feel pain on the foot are the heel and the ankle.

Heel pain is most commonly attributed to a condition called plantar fasciitis. Plantar fasciitis occurs when the plantar fascia, which is the band of tough tissue connecting the heel bone to the toes becomes inflamed. Plantar fasciitis pain is usually worse in the morning, and it tends to go away throughout the day. If you have plantar fasciitis, you should rest your foot and do heel and foot muscles stretches. Wearing shoes with proper arch support and a cushioned sole has also been proven to be beneficial.

Some common symptoms of foot pain are redness, swelling, and stiffness. Foot pain can be dull or sharp depending on its underlying cause. Toe pain can also occur, and it is usually caused by gout, bunions, hammertoes, ingrown toenails, sprains, fractures, and corns.

If you have severe pain in your feet, you should immediately seek assistance from your podiatrist for treatment. Depending on the cause of your pain, your podiatrist may give you a variety of treatment options.

Common Causes of Lateral Foot Pain

Lateral foot pain can be the result of various conditions, each with distinct features and treatments. Ankle sprains, often caused by rolling the ankle, result in ligament tears, possibly leading to side foot pain, swelling, and instability. Cuboid syndrome may be noticed after an ankle sprain as the cuboid bone shifts out of position. This can cause ongoing foot pain, especially after activity. Peroneal tendonitis, due to repetitive stress, leads to lateral foot pain that worsens with activity. Stress fractures, often caused by repeated stress from sports or increased activity, result in progressive pain during physical activity, localized swelling, and tenderness. Diagnosis relies on bone scans or MRIs, and surgery may be needed in severe cases. Bunions, caused by genetics, wearing tight shoes, flat feet, or arthritis, may lead to symptoms like a rotated big toe, pain, and deformity. Corns and calluses, characterized by thick, raised skin areas, often occur due to excessive friction from tight shoes, foot deformities, or aging. Posterior tibial tendonitis is associated with flat feet, and results from irritation and inflammation of the posterior tibial tendon. This causes pain on the inner side of the ankle and foot during activity. For help with any of the above conditions, it is suggested that you make an appointment with a podiatrist.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Jeffrey Parrett, DPM from Parrett Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This 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

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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.

Read more about Foot Pain

Ankle Foot Orthotics for Athletes

Ankle foot orthotics are shoe inserts that offer support to control the placement and movement of the ankle, correct deformities, and compensate for weakness. These inserts are used to stabilize the foot and ankle and provide toe clearance during the swing phase of gate.

Athletes often suffer foot problems because their feet are not being supported within the shoe. Ankle and foot orthotics are custom made inserts that alleviate stress on the foot. However custom orthotics should be prescribed by a podiatrist who specializes in customized footwear and orthotics design. These inserts are used by athletes for different reasons. Runners use orthotics to absorb shock at heel contact and to set up the forefoot for push-off. Basketball players wear them to control their forefeet while jumping and running.

The two main types of orthotics are over-the-counter orthotics and custom-made orthotics. To be eligible for custom orthotics, an examination of the foot and ankle will need to be completed. Afterward, both the foot and ankle will need to be casted and fitted for the proper orthotic. When the fitting process is complete, adjustments can be made to make sure everything fits perfectly.

Over the counter orthotics tend to be more popular than custom fit ones. Athletes who have less severe aches and pains in the foot, ankle or lower back area can use the over-the-counter version of orthotics. Unfortunately, over-the-counter orthotics tend to not work in treating severe injuries or ailments. Whenever you suspect you may need an ankle foot orthotic, you should consult with your podiatrist to determine which type of orthotic is right for you.

Can Dancers Benefit from Orthotics?

Dancers face unique challenges when it comes to choosing the right footwear. Their preference for wearing tight-fitting dance shoes often leads them towards ill-fitting street shoes, which can further strain their feet. To protect their feet, it is important to allow toes to spread naturally and provide proper arch support through suitable footwear. Dancers often transition from demi-pointe to high heels, which can increase stress on the balls of their feet and shorten their Achilles tendons. This practice raises the risk of developing conditions such as bunions, metatarsalgia, sesamoiditis, and Achilles tendonitis. To mitigate these issues, it is helpful for dancers to opt for supportive footwear such as walking or running sneakers with firm heel counters and outsoles. Custom orthotics can further enhance comfort and address problems like plantar fasciitis and neuromas. For indoor use, slip-on clogs or sneakers with orthotics can be worn. If you are a dancer and would like more information on how wearing custom orthotics may benefit you, it is suggested that you make an appointment with a podiatrist to further discuss this.

If you are having discomfort in your feet and would like to try orthotics, contact Jeffrey Parrett, DPM from Parrett Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

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

Read more about Ankle Foot Orthotics for Athletes

How to Handle a Long Work Day on Your Feet

In 2014, the American Podiatric Medical Association surveyed 1,000 American adults and found that half of all respondents lived with foot pain. Fortunately, there are ways to avoid foot problems such as following a daily footcare routine and wearing proper footwear at work.

If you have a job that requires you to be on your feet, it is best that you do not wear flat sole shoes. Your heel should be slightly elevated (less than 2 inches, but at least ¼-inch) if you are going to be standing for a prolonged period. You should also make sure that the shoes you wear are not too small. Tight shoes may cut off circulation to your feet, which will result in pain and blisters. It is always best to purchase fitted shoes later in the day, because the feet tend to swell as the day progresses. It may also be helpful to buy shoes a half size larger if you plan on wearing custom orthotics or arch supports.

Your muscles may become stiff when you are constantly standing up. It is important to take breaks every hour to stretch and relax. One tip is to perform calf raises, because this exercise will help improve your circulation. To perform this stretch, you first need to stand on the edge of a step with your abdominal muscles pulled inward. You then need to grip the step with the balls of your feet with your heels hanging over the edge. Next, try to raise your heels above the step by a few inches while standing on your tiptoes; hold this pose for a second. You should then lower your heels back even to the platform. These calf raises should be done ten times for full effectiveness.

You should also take care of your feet while you are at home. One of the best ways to prepare your feet for a long day of work is to soak them in ice water. Doing so for 20 minutes will help fight the swelling and inflammation that results from being on your feet at work.

Nevertheless, if you are experiencing pain in your feet, you should seek help from your podiatrist. Your doctor will help treat any ailments you may have in addition to helping you prevent any other ailments from developing in the future.

Safeguarding Your Feet Throughout the Workday

In the hustle and bustle of the workday, it is easy to overlook the importance of foot health. Neglecting your feet can lead to discomfort and long-term issues. Begin by selecting proper footwear that provides ample support and a comfortable fit. Ensure your shoes are appropriate for your specific work environment, offering protection against potential hazards. Take breaks to stretch and move, promoting healthy blood circulation and preventing stiffness. Elevating your feet during breaks can also alleviate pressure. Maintain a clean and organized workspace to minimize the risk of tripping or falling. For employees who use ladders, it is beneficial to ensure the ladder stands securely on the ground. If your job involves prolonged periods of standing or walking, invest in anti-fatigue mats to cushion your feet. Regularly inspect your feet for any signs of discomfort, blisters, or swelling. Addressing issues promptly can prevent more serious complications. If you would like additional information about foot protection during the work day, it is suggested that you confer with a podiatrist.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Jeffrey Parrett, DPM from Parrett Podiatry. Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

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.

Read more about How to Handle a Long Work Day on Your Feet
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