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December 2023
Success of Ankle Replacement Surgery
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There has been a growing interest in total ankle replacement due to concerns about the long-term results of ankle fusion surgery. This interest has led to the development of new ankle implants that better mimic the natural structure and movement of the ankle, including its ligaments and alignment. Although the newer 2nd-generation ankle replacements are showing promising results for patients with severe ankle arthritis, there are still challenges. One issue is that ankle replacements tend to fail more often than other joint replacements. This may be because it is hard for surgeons to perfectly replicate the ankle's complex stability and movement during surgery. To improve the chances of success, it is important to make sure this is the correct surgery for you. If you have not had success with more conservative treatments for ankle arthritis, it is suggested that you make an appointment with a podiatrist to see if you would be a good candidate for ankle replacement surgery.
In certain cases, in which the patient suffers from extreme pain or damage in a joint, joint replacement surgery may be deemed useful. If you have constant pain in a foot joint, consult with one of our podiatrists from Michigan Foot and Ankle. Our doctors will assess your condition and provide you with quality foot and ankle treatment.
What Is Joint Replacement Surgery?
Over time, joints wear down; this can be exacerbated by diseases and conditions. Joint replacement surgery, also known as arthroplasty, is when a damaged joint is surgically removed and replaced with a prosthesis. Prostheses, which can be made of ceramic, plastic, or metal, act as joints in lieu of an actual joint. One of the most prevalent causes for joint replacement is arthritis.
Arthritis in the Foot
Arthritis can occur in any joint in the body, including in the feet. Common types of arthritis in the foot are osteoarthritis, rheumatoid arthritis, and gout. The big toe is usually where arthritis occurs in the foot; this is known as hallux rigidus.
Joint Replacement Surgery in the Foot
The most common form of joint replacement in the foot is a first metatarsophalangeal (MTP) joint placement. MTP joint replacement surgery is designed to treat hallux rigidus. Surgery is not intensive, and recovery occurs within one to two months after the procedure has been done. Overall, joint replacement surgery is a safe and effective way to treat pain in the joint of the foot.
If you have any questions, please feel free to contact one of our offices located in Ferndale, and Milford, MI . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Joint Replacement Surgery
When conservative, noninvasive treatments prove unsuccessful, podiatrists will often turn to surgery as the last line of treatment for their patients. If patients are suffering from joint pain, issues in mobility, or are seeking to correct a deformity, joint replacement surgery is an effective option. Joint replacement surgery is also successful in treating arthritis, which is the most common cause of improperly working joints.
Patients with symptoms that include joint pain, stiffness, limping, muscle weakness, limited motion, and swelling are typically considered for joint replacement surgery. Range of motion and activity post-surgery will vary between patients and depending on the specific surgery performed, the affected joint, and the damage that will need to be repaired.
Joint replacement surgery replaces the damaged cartilage and bone, the latter if required. The damaged cartilage is typically replaced with a prosthesis that is attached to the bone, allowing the implant to grow into the bone. Following surgery, the patient will typically undergo physical therapy to become familiar with movement using the replaced joint.
A Closer Look at Causes of Cracked Heels
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Cracked heels, a common foot ailment, manifest as fissures or splits in the skin around the heel area. The primary cause of this condition lies in the lack of moisture, leading to dry and hardened skin. Prolonged standing or walking on hard surfaces can exacerbate the problem, as the pressure on the feet intensifies. Obesity is another contributing factor, as excess weight puts additional strain on the feet, fostering the development of cracks. In some cases, underlying medical conditions such as diabetes or hypothyroidism may contribute to the dryness of the skin, increasing the risk of cracked heels. Lack of proper foot care, including infrequent moisturizing and neglecting to exfoliate dead skin, further amplifies the susceptibility to cracked heels. Understanding these causes is pivotal for adopting preventive measures and a comprehensive foot care routine, ensuring the maintenance of soft, healthy heels. If you have developed cracked heels, it is suggested that you visit a podiatrist who can offer you correct treatment and prevention techniques.
If the skin on your feet starts to crack, you may want to see a podiatrist to find treatment. If you have any concerns, contact one of our podiatrists from Michigan Foot and Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.
Cracked Heels
It is important to moisturize your cracked heels in order to prevent pain, bleeding, and infection. The reason cracked heels form is because the skin on the foot is too dry to support the immense pressure placed on them. When the foot expands, the dry skin on the foot begins to split.
Ways to Help Heal Them
- Invest in a good foot cream
- Try Using Petroleum Jelly
- Ease up on Soaps
- Drink Plenty of Water
Ways to Prevent Cracked Heels
- Moisturize After Showering
- Skip a Shower
- Keep Shower Water Lukewarm
- Don’t Scrub Your Feet
If you are unsure how to proceed in treating cracked heels, seek guidance from a podiatrist. Your doctor will help you with any questions or information you may need.
If you have any questions, please feel free to contact one of our offices located in Ferndale, and Milford, MI . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Solutions for Cracked Heels
Cracked heels may make you want to think twice about showing off your feet in warmer weather. However, cracked heels may be harmful to more than just the appearance of your feet. If deep fissures and cracks develop in your heels, they may make walking and standing painful for you. Additionally, these openings make way for germs to enter through your skin and cause infection.
There are several different causes of cracked heels. One of the most common reasons for this ailment is dry skin. This problem may make your keeps feel rough tight and itchy. Dry skin may be caused by cold air, extremely hot water, harsh soaps, and aging. Skin disorders such as eczema and psoriasis may eventually lead to dry skin. In some cases, complications may arise from cracked heels. Some of these complications are a loss of feeling in the heel, cellulitis, or a diabetic foot ulcer.
There are ways you can try to prevent getting cracked heels. One of the best ways to do so is to avoid wearing flip flops and sandals because these shoes increase your risk of drying out your feet. You should also avoid wearing shoes with a tall skinny heel, because these shoes cause your heel to expand sideways. At night, you should slather on a thick moisturizing cream on your feet and then cover them in socks to keep your feet moisturized overnight. Drinking water to stay hydrated is also a good way to ensure that your skin doesn’t become dry.
If you suffer from a severe case of cracked feet, you should make an appointment with your podiatrist to see what treatment methods are best for you.
Foot Pain
The feet, being the foundation of the body, carry all of the body’s weight and are therefore prone to experiencing pain and discomfort. If you are experiencing foot pain, it is important to determine where in the foot you are experiencing this pain to help discover the cause of it. While pain can be experienced virtually anywhere in the foot, the most common sites of foot pain are in the heel and ankle.
Heel pain can be due to a multitude of conditions including plantar fasciitis, Achilles tendinitis, and heel spurs. Pain experienced in the ankle can be a sign of an ankle sprain, arthritis, gout, ankle instability, ankle fracture, or nerve compression. In more serious cases, pain in the foot can be a sign of improper alignment or an infection.
Foot pain can be accompanied by symptoms including redness, swelling, stiffness and warmth in the affected area. Whether the pain can be described as sharp or dull depends on the foot condition behind it. It is important to visit your local podiatrist if your foot pain and its accompanying symptoms persist and do not improve over time.
Depending on the location and condition of your foot pain, your podiatrist may prescribe certain treatments. These treatments can include but are not limited to prescription or over-the-counter drugs and medications, certain therapies, cortisone injections, or surgery.
If you are experiencing persistent foot pain, it is important to consult with your foot and ankle doctor to determine the cause and location. He or she will then prescribe the best treatment for you. While milder cases of foot pain may respond well to rest and at-home treatments, more serious cases may take some time to fully recover.
Dealing With Foot Pain
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Foot pain can stem from a myriad of causes, each intricately tied to the complex structure of the foot. One prevalent contributor is improper footwear, as shoes with an ill fit or high heels can induce foot pain and disorders. The foot, supporting the body's weight, is susceptible to injuries during high-impact activities like running or aerobics. These activities can lead to ligament sprains, muscle or tendon strains, and foot bone fractures. Degenerative conditions such as osteoarthritis and rheumatoid arthritis may also play a role in foot pain. Osteoarthritis arises from cartilage overuse around joints, commonly affecting the big toe, ankle, and midfoot. Meanwhile, rheumatoid arthritis introduces pain, stiffness, swelling, soreness, and warmth in the foot and ankle joints. Diabetes, with its repercussions like nerve damage, reduced blood flow, and ulcers, often contributes significantly to foot pain. Numerous other conditions further complicate foot health, including plantar fasciitis and Achilles’ tendonitis. Corns, calluses, bunions, and plantar warts are other sources of foot pain. Ingrown toenails, Morton’s neuroma, and hammertoes may induce pain in parts of the foot. Peripheral arterial disease, gout, and flat feet are still other conditions that generate foot pain. If you experience any type of foot pain that persists or gets worse, 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 one of our podiatrists from Michigan Foot and Ankle. Our doctors 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 one of our offices located in Ferndale, and Milford, MI . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Reminder: When Was the Last Time...?
Bunions
A bunion is an enlargement of the base joint of the toe that connects to the foot, often formed from a bony growth or a patch of swollen tissues. It is caused by the inward shifting of the bones in the big toe, toward the other toes of the foot. This shift can cause a serious amount of pain and discomfort. The area around the big toe can become inflamed, red, and painful.
Bunions are most commonly formed in people who are already genetically predisposed to them or other kinds of bone displacements. Existing bunions can be worsened by wearing improperly fitting shoes. Trying to cram your feet into high heels or running or walking in a way that causes too much stress on the feet can exacerbate bunion development. High heels not only push the big toe inward, but shift one's body weight and center of gravity towards the edge of the feet and toes, expediting bone displacement.
A podiatrist knowledgeable in foot structure and biomechanics will be able to quickly diagnose bunions. Bunions must be distinguished from gout or arthritic conditions, so blood tests may be necessary. The podiatrist may order a radiological exam to provide an image of the bone structure. If the x-ray demonstrates an enlargement of the joint near the base of the toe and a shifting toward the smaller toes, this is indicative of a bunion.
Wearing wider shoes can reduce pressure on the bunion and minimize pain, and high heeled shoes should be eliminated for a period of time. This may be enough to eliminate the pain associated with bunions; however, if pain persists, anti-inflammatory drugs may be prescribed. Severe pain may require an injection of steroids near the bunion. Orthotics for shoes may be prescribed which, by altering the pressure on the foot, can be helpful in reducing pain. These do not correct the problem; but by eliminating the pain, they can provide relief.
For cases that do not respond to these methods of treatment, surgery can be done to reposition the toe. A surgeon may do this by taking out a section of bone or by rearranging the ligaments and tendons in the toe to help keep it properly aligned. It may be necessary even after surgery to wear more comfortable shoes that avoid placing pressure on the toe, as the big toe may move back to its former orientation toward the smaller toes.
Older Women Are More at Risk for Bunions
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Hallux valgus, commonly known as a bunion, is a prevalent foot condition that affects many individuals, especially as they age. A bunion is characterized by the big toe bending towards the smaller toes, accompanied by a painful bony protrusion at the inside of the foot. Recent research shows the prevalence and factors associated with hallux valgus in an older adult population, and women in particular. The study revealed that the prevalence of bunion deformity was higher in women and increased with age. Family history, wearing high-heeled or narrow shoes, and having flat feet were identified as contributing factors. The severity of hallux valgus also significantly affected participants' quality of life. Additionally, participants reporting foot pain in the previous 12 months showed higher scores in both pain and decreased function, highlighting the substantial impact of bunions on daily activities. This research emphasizes the importance of proactive foot care, especially for older women who are more susceptible to the formation of bunions. Regular check-ups with a podiatrist, appropriate footwear choices, and early intervention can play an important role in preventing and managing this foot deformity. For help in managing the pain and side effects of bunions, it is suggested that you schedule an appointment with a podiatrist for the appropriate treatment option.
If you are suffering from bunions, contact one of our podiatrists of Michigan Foot and Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.
What Is a Bunion?
A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.
Why Do Bunions Form?
Genetics – Susceptibility to bunions are often hereditary
Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions
How Are Bunions Diagnosed?
Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.
How Are Bunions Treated?
- Refrain from wearing heels or similar shoes that cause discomfort
- Select wider shoes that can provide more comfort and reduce pain
- Anti-inflammatory and pain management drugs
- Orthotics or foot inserts
- Surgery
If you have any questions, please feel free to contact one of our offices located in Ferndale, and Milford, MI . We offer the newest diagnostic and treatment technologies for all your foot care needs.