Toe pain can have various causes, and it is necessary to consider a number of possibilities to determine the underlying condition accurately. Cellulitis, a bacterial skin infection, can lead to toe pain accompanied by symptoms like redness, swelling, warmth, and sometimes fever. Cryoglobulinemia, although rare, can result in recurrent skin discoloration, known as palpable purpura, on the lower extremities, often associated with joint pain and kidney issues. Trauma is another common cause, with toe pain following a history of injury, typically displaying corresponding contusion patterns. Warfarin skin necrosis, a rare complication of anticoagulant therapy, may present as painful skin necrosis in areas with accumulated fat during the beginning of warfarin use. Lastly, blue toe syndrome can cause acute, painful cyanotic discoloration in the toes due to an embolism. If you have painful, discolored, or swollen toes and there is no obvious cause, or one that needs attention, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment.

Toe pain can disrupt your daily activities. If you have any concerns, contact Theresa Brown, DPM of Essie M.B. Smith Foot Clinic. 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 feel free to contact our offices located in Montgomery, AL. We offer the newest diagnostic and treatment technologies for all your podiatric needs.

Read More About Toe Pain

Toe pain can originate from corns, calluses, hammertoes, and bunions, as well as ingrown toenails, sprains, fractures, and dislocations. Corns develop as the toe rubs against the inside of a shoe which causes the skin to thicken as a form of protection. A corn is typically cone-shaped and has a small, hardened spot that points inward. When a corn is pressed into the skin, the toe becomes painful. Corns usually form on the top or side of the toe. A callus is also a thickened patch of skin that generally forms on the bottom of the foot. Calluses are the result of friction from the toe rubbing against the inside of a shoe. They may also occur by walking barefoot or having flat feet. A hammertoe is a bump on the knuckle of the second toe that is produced by wearing shoes that are too short for your feet. The bony protrusion rubs against the top of the shoe causing pain and irritation. A bunion is a malformation of the big toe. The base of the big toe pushes away from the smaller toes, forcing the top of the big toe to press toward the other toes. Bunions can be hereditary, or they can result from injury to the toe joint or from wearing high heels with a narrow toe box. The toe becomes inflamed, and a bump may develop at the end of the misplaced bone. Ingrown toenails typically affect the big toe and its surrounding skin. The nail will dig into the skin and become painful. Wearing tight or narrow shoes that compress the big toe causes the nail to grow into the fleshy part of the toe. Cutting toenails incorrectly can also add to the development of an ingrown toenail. A toe sprain originates from a torn or stretched ligament. Strapping the injured toe to the toe next to it for stabilization is common. A broken or fractured toe usually occurs from trauma like dropping a heavy object on it or bumping into something extremely hard and rigid. Osteoporosis, a thinning of the bones, can also bring about toe fractures. 

Any of the conditions mentioned can lead to pain and irritation. While some are more serious than others, seeking an examination and diagnosis from a podiatrist is a good idea. A podiatrist can treat each ailment and get you back on your feet again without pain.

Foot cramps are characterized by involuntary muscle contractions, and commonly occur in the arch, near the toes, or on the upper part of the foot. Various factors contribute to foot cramps, including low potassium, over exercising, dehydration, and ill-fitting footwear. Pushing muscles beyond their usual limits during physical activities, from beginners to top athletes, can lead to muscle spasms and foot cramps. Dehydration can result from diarrhea, vomiting, insufficient water intake, excessive exercise, or overheating. Signs of dehydration can include chills, dry mouth, and concentrated urine. Wearing ill-fitting footwear, particularly overly tight shoes, can impede blood circulation to the foot, causing muscles to cramp. It is essential to replace restrictive footwear with well-fitted alternatives to prevent circulation issues. Lastly, while nerve damage itself does not cause cramping, individuals with diabetes are prone to nerve damage in the feet, and factors like exposure to toxins, genetic disorders, metabolic issues, injuries, or certain medications can contribute to nerve damage. If you suffer from severe or chronic foot cramps, it is suggested that you visit a podiatrist who can determine what the cause is, and suggest appropriate treatment options.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Theresa Brown, DPM of Essie M.B. Smith Foot Clinic. Our doctor will assess your condition and provide you with quality 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 offices located in Montgomery, AL. We offer the newest diagnostic and treatment technologies for all your podiatric needs.

Read More About 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.

Custom-made orthotics play a vital role in foot health and comfort. They are designed to provide support, alleviate pain, and correct biomechanical issues such as flat feet or high arches. When a podiatrist makes orthotics, the size and fit of your shoes are considered, as the wrong combination can lead to discomfort or negate the benefits of the orthotics. Shoe size is not just about the length, it also involves width and depth, especially when considering the addition of orthotics. Shoes that are too tight while wearing orthotics can cause pressure and discomfort, and shoes that are too loose can result in inadequate support and stability. It is often recommended to choose shoes with a removable insole, offering extra depth and a better fit for the orthotic. Some orthotic-friendly shoes are designed with additional features like a wide toe box or extra depth, ensuring a comfortable fit without compromising the orthotic's function. If you are considering custom-made orthotics, it is suggested that you schedule an appointment with a podiatrist and wear the shoes that are best equipped for orthotic use for a proper fit.

If you are having discomfort in your feet and would like to try orthotics, contact Theresa Brown, DPM of Essie M.B. Smith Foot Clinic. 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 feel free to contact our offices located in Montgomery, AL. We offer the newest diagnostic and treatment technologies for all your podiatric needs.

Read More About Orthotics

Orthotics are shoe inserts that are meant to correct an irregular walking gait or provide cushioning to the feet.  Orthotics come in a variety of different models and sizes, including over-the-counter and customizable variants. Customizable orthotics can be shaped and contoured to fit inside a specific shoe and are typically prescribed through a podiatrist who specializes in customized footwear and orthotics design and management.

Orthotics are beneficial because they can help prevent injuries from occurring and provide cushioning to keep pain levels down to a minimum. They also allow for the correct positioning of the feet. Orthotics can act as shock absorbers to help remove pressure from the foot and ankle. Therefore, orthotics can make bodily movements, such as walking and running, become more comfortable as well as help prevent the development of certain foot conditions.

Orthotics alleviate pain and make the foot more comfortable by slightly altering the angle at which the foot strikes the ground surface, therefore controlling the movement of the foot and ankle. Orthotics come in different variants and can be made of various materials. To determine what type of orthotic is most suited to your feet and your needs, it is best to consult your podiatrist. He or she will be able to recommend a type of orthotic that can help improve your foot function or prescribe a custom orthotic to best fit your feet.  

Stretching is a vital practice for maintaining the health and flexibility of your feet and overall body. Regular stretching helps keep muscles flexible and strong, which is essential for preserving joint mobility. When muscles become tight and inflexible, it can lead to reduced range of motion, making daily activities challenging and increasing the risk of joint pain, strains, and muscle damage. For instance, sitting for prolonged periods can result in tight hamstrings, hindering leg extension and walking. When suddenly stretched during activities like sports, tight muscles may become injured, compromising joint support, and potentially causing joint injuries. Regular stretching also aids in balance, reducing the risk of falls, especially for individuals with balance issues. If you would like to learn specific exercises to do in your daily routine, it is suggested that you schedule an appointment with a podiatrist who can provide expert advice and take care of any foot issues that arise.

Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with Theresa Brown, DPM of Essie M.B. Smith Foot Clinic. Our doctor will assess your condition and provide you with quality podiatric treatment.

Stretching the Feet

Being the backbone of the body, the feet carry your entire weight and can easily become overexerted, causing cramps and pain. As with any body part, stretching your feet can serve many benefits. From increasing flexibility to even providing some pain relief, be sure to give your feet a stretch from time to time. This is especially important for athletes or anyone performing aerobic exercises, but anyone experiencing foot pain or is on their feet constantly should also engage in this practice.

Great ways to stretch your feet:

• Crossing one leg over the others and carefully pull your toes back. Do 10-20 repetitions and repeat the process for each foot
• Face a wall with your arms out and hands flat against the wall. Step back with one foot and keep it flat on the floor while moving the other leg forward. Lean towards the wall until you feel a stretch. Hold for 30 seconds and perform 10 repetitions for each foot
• Be sure not to overextend or push your limbs too hard or you could risk pulling or straining your muscle

Individuals who tend to their feet by regular stretching every day should be able to minimize foot pain and prevent new problems from arising.

If you have any questions please feel free to contact our offices located in Montgomery, AL. We offer the newest diagnostic and treatment technologies for all your podiatric needs.

Read More About Stretching the Feet

Debilitating foot pain is a problem for many people. But just as stretching the torso can help alleviate back pain, stretching the feet can also help mend existing foot problems and prevent future ones. 

The feet, as the body’s foundation, carry the body’s entire weight and can get easily strained from overexertion. Persistent sharp pain and cramping in the feet are often common concerns. Foot pain and foot problems can be due to any number of causes, and in many cases pain may be eased without medication or doctor visits. It is always a good idea, however, to first rule out any serious medical issues with a podiatrist.

Stretching can help relax the feet and alleviate pain, but is especially important before heavy aerobic exercise. Stretching before such activities can help you avoid experiencing painful cramps or strained foot muscles. Stretches should be performed slowly and deliberately without forceful pulling. The stretch should be held for several seconds before relaxing.

A great way to stretch out and loosen up the foot muscles while sitting is to cross one leg over the other and pull the toes carefully back without overextending. Start by resting the left ankle on the right knee. With the left hand, gently flex the left foot by pulling back on the toes. Do not pull too hard; just hard enough to feel the stretch in the arch of the foot. Then point the toes of the left foot as far as you can. Rotate the motion of pointing with pulling back on the toes. This should relax and stretch the muscles on the bottom and the top of the foot. Doing this stretch ten to twenty times should bring relief. Repeat the whole process for the other foot by resting the right ankle on the left knee.

Stretching the feet is important for athletes or those performing aerobic exercise, but it can also help anyone with foot pain caused by poor footwear, plantar fasciitis, or long hours standing and walking. Individuals who tend to their feet by regularly stretching every day should be able to minimize foot pain and prevent new problems from arising.

Choosing how to treat a hammertoe, which is a foot deformity, depends on whether the toe can still move and is flexible, or is stiff and fixed. The severity of the deformity also plays a role in deciding whether to opt for surgery. Surgery is considered when there is disabling pain that does not improve with non-surgical options, like taping for a flexible hammertoe, or wearing special shoes for a fixed hammertoe. For flexible hammertoes, soft-tissue procedures are used, while rigid ones might need surgery involving the bones. Different surgical techniques are employed based on whether the deformity is flexible, fixed, or involves a rotated toe. In some cases, shortening the metatarsal bone, which is part of the middle foot, is necessary. If you have a hammertoe that is causing pain and discomfort, it is strongly suggested that you schedule an appointment with a podiatrist for an examination and discussion of treatment options that may benefit you.

Hammertoes can be a painful condition to live with. For more information, contact Theresa Brown, DPM of Essie M.B. Smith Foot Clinic. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

• Painful and/or difficult toe movement
• Swelling
• Joint stiffness
• Calluses/Corns
• Physical deformity

Risk Factors

• Age – The risk of hammertoe increases with age
• Sex – Women are more likely to have hammertoe compared to men
• Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
• Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.

If you have any questions please feel free to contact our offices located in Montgomery, AL. We offer the newest diagnostic and treatment technologies for all your podiatric needs.

Read More About Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the tendons, muscles, or ligaments that are responsible for holding the toes in their normal position. This condition may be caused by poor footwear, foot structure, trauma, and disease. The most common solution for hammertoe is to relieve the pain by changing your footwear and wearing orthotics. In severe cases, surgery may be required.

The shoes that are most likely to cause hammertoe are high-heeled shoes or shoes that are too tight in the toe box. Tight shoes will force your toes to crowd together in a curled position. This position will likely continue when you take your shoes off. Another cause is trauma. When you stub your toe, you are increasing the chance that you will develop hammertoe.

There are risk factors that may make you more likely to develop this condition. Women are more likely to have the condition compared to men, and it is also more likely to appear in those who are older in age.

Many different foot problems can be avoided by wearing shoes that have adjustability, adequate toe room, and low heels. Furthermore, if you want to buy new shoes, you should look to purchase them at the end of the day and make sure you know your correct size. The importance of buying shoes at the end of the day is that your feet swell as the day progresses. You should also ensure that you are wearing your correct size because your shoe size may change as you grow older.

To diagnose someone with hammertoe, your podiatrist will need to conduct a thorough examination of your foot. They may even order an x-ray to evaluate the bones and joints of your feet and toes.

If you have hammertoe, your podiatrist may recommend that you wear shoes that fit you better along with inserts to place inside them. Additionally, he or she may suggest special exercises for you to perform to stretch your toes. One helpful exercise it to pick up marbles with your feet or crumple a towel with your toes.

Prior to meeting with your podiatrist, it will be helpful to make a list of all the symptoms you are experiencing. You should also make a note of the medications you are taking and important personal information about your medical history.