Tuesday, 13 May 2025 00:00

Toe Problems and Deformities

Toe problems and deformities, such as bunions, tailor's bunions, hammertoes, claw toes, and hallux rigidus, can cause painful symptoms and make walking difficult. These toe-related issues often result from structural problems in the foot combined with pressure from tight footwear or injuries. A bunion causes a large bump at the base of the big toe, while a tailor’s bunion affects the outside of the foot near the little toe. Hammertoes and claw toes involve abnormal bending at the toe joints, creating stiff and painful deformities. Hallux rigidus leads to stiffness and swelling in the big toe joint, often due to wear and tear or injury. In the early stages, a podiatrist may recommend treatments such as orthotics, footwear changes, splinting, or medication to reduce pressure and discomfort. However, as these conditions progress and joints become rigid, surgery may be necessary to realign the bones or repair the affected joints. If you have painful toe problems, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment options.

Toe pain can disrupt your daily activities. If you have any concerns, contact Robert Hutchison, DPM, FACFAS of Lower Keys Foot & Ankle Surgery. 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 office located in Key West, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Tuesday, 13 May 2025 00:00

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.


 

A broken pinky toe can cause significant discomfort despite the small size of the bone. Symptoms include immediate pain, swelling, bruising, and difficulty walking or putting weight on the foot. In some cases, the pinky toe may appear crooked or out of alignment, and touching or moving the toe can increase the pain. Causes of a broken pinky toe typically involve direct trauma, such as stubbing the toe against a hard object, dropping something heavy on the foot, or twisting the foot awkwardly during a fall or misstep. Stress fractures from repetitive impact activities can also affect the pinky toe. If you believe you have broken your toe, it is suggested that you contact a podiatrist who can  accurately diagnose this condition and offer appropriate treatment.

A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact Robert Hutchison, DPM, FACFAS from Lower Keys Foot & Ankle Surgery. Our doctor will treat your foot and ankle needs.

What to Know About a Broken Toe

Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).

Symptoms of a Broken Toe

  • Throbbing pain
  • Swelling
  • Bruising on the skin and toenail
  • The inability to move the toe
  • Toe appears crooked or disfigured
  • Tingling or numbness in the toe

Generally, it is best to stay off of the injured toe with the affected foot elevated.

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.

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

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Tuesday, 06 May 2025 00:00

What to Know About a Broken Toe

Trauma to the foot, especially the toes, can occur in many ways. Banging them, stubbing them, or dropping something on them are a few different ways this trauma can occur. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break or fracture. Another type of trauma that can break a toe is repeated activity that places stress on the toe for prolonged periods of time.

Broken toes can be categorized as either minor or severe fractures. Symptoms of minor toe fractures include throbbing pain, swelling, bruising on the skin and toenail, and the inability to move the toe with ease. Severe toe fractures require medical attention and are indicated when the broken toe appears crooked or disfigured, when there is tingling or numbness in the toe, or when there is an open, bleeding wound present on the toe.

Generally, a minor toe break will heal without long-term complications. However, it is important to discontinue activities that put pressure on the toe. It is best to stay off of the injured toe and immediately get a splint or cast to prevent any more additional movement of the toe bones. You can also immobilize your toe by placing a small cotton ball between the injured toe and the toe beside it. Then, tape the two toes together with medical tape. Swelling can be alleviated by placing an ice pack on the broken toe directly as well as elevating your feet above your head.

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery, especially when the big toe has been broken. Due to its position and the pressure the big toe endures with daily activity, future complications can occur if it is not properly treated. Pain associated with minor toe fractures can be managed with over-the-counter pain medications. Prescription pain killers may be necessary for severe toe fractures.

The healing time for a broken toe is approximately four to six weeks. In severe cases where the toe becomes infected or requires surgery, healing time can take up to eight weeks or more. While complications associated with a broken toe are immediately apparent, it is important to note that there are rare cases when additional complications, such as osteoarthritis, can develop over time. You should immediately speak with your podiatrist if you think you have broken your toe due to trauma. They will be able to diagnose the injury and recommend the appropriate treatment options. 

If you are suffering from tenderness, pain, or stiffness in the joints of your feet or ankles, call us to schedule an appointment.

Tuesday, 29 April 2025 00:00

Bunions and Recovery After Surgery

A bunion is a bony bump that forms at the base of the big toe as the top of toe to angles inward toward the other smaller toes. This deformity often results from inherited foot structure, wearing improper footwear, or medical conditions like arthritis. Over time, bunions can lead to pain, swelling, and difficulty walking. When conservative treatments fail to relieve symptoms, bunion surgery may be recommended to correct the alignment and relieve discomfort. Recovery from bunion surgery involves rest, elevation, and wearing a special shoe to protect the foot during healing. Swelling may last for several weeks, and, with proper care, most individuals can return to normal activities. If you have a bunion that is causing you pain, it is suggested that you confer with a podiatrist who can determine if this type of foot surgery is right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Robert Hutchison, DPM, FACFAS of Lower Keys Foot & Ankle Surgery. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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

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Tuesday, 29 April 2025 00:00

Foot and Ankle Surgery

When conservative, noninvasive methods prove ineffective, surgery may be selected as the next course of action for the treatment of your foot or ankle condition.  A wide number of foot and ankle surgical procedures exist, and it is up to your podiatrist to determine which intervention will be most appropriate and helpful for your case.  Some surgical procedures include bunion surgery, fusion, hammertoe surgery, heel spur surgery, metatarsal surgery, nail surgery, neuroma surgery, reconstructive surgery, skin surgery, and tendon surgery.  Typically, surgery is turned to as a definitive way to alleviate excessive pain or discomfort and to return your foot to full mobility.

Regardless of the location on the body, all surgical procedures require preoperative testing and examination to ensure the surgery’s success and preferred outcome.  A review of your medical history and medical conditions will take place, as will an evaluation of any current diseases, illnesses, allergies, and medications.  Tests such as blood studies, urinalyses, EKG, X-rays, and blood flow studies may be ordered.  Because the procedure involves the foot and/or ankle, the structures of your feet while walking may also be observed by your podiatrist.

Care post-surgery will depend on the type of surgical procedure performed.  Typically, all postoperative care involves rest, ice, compression, and elevation.  To improve and ensure a safe recovery, your foot and ankle surgeon may also employ the use of bandages, splints, surgical shoes, casts, crutches, or canes.  He will also determine if and when you can bear weight.  A timely and thorough recovery is a priority for both you and your podiatrist, and carefully following postoperative instructions can help achieve this.  

Tuesday, 22 April 2025 00:00

Signs and Treatment of a Fractured Heel

A broken heel bone, or calcaneus fracture, is a serious foot injury that often results from high-impact trauma, such as falling from a height or being in a car accident. In some cases, athletes who engage in repetitive stress, like long-distance running, may develop a stress fracture in the heel. Signs of a broken heel bone include intense heel pain, swelling, bruising, and an inability to walk. A podiatrist will perform a thorough exam, which may include imaging tests, to determine the severity of the fracture. If the bone fragments remain in proper position, casting and immobilization may be sufficient. However, when the bone is significantly displaced or if the fracture is open, surgery may be necessary. This typically involves repositioning the bone and securing it with plates and screws. In the most severe cases, a fusion between the heel and ankle bones may be required to stabilize the foot. If you have extreme heel pain and fear it may be broken, it is suggested that you make an immediate appointment with a podiatrist for an exam, diagnosis, and appropriate treatment.

Many people suffer from bouts of heel pain. For more information, contact Robert Hutchison, DPM, FACFAS of Lower Keys Foot & Ankle Surgery. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

  • Wearing ill-fitting shoes                  
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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

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Tuesday, 22 April 2025 00:00

Heel Pain

Heel pain can be difficult to deal with, especially if you do not know what the underlying cause is. If you ignore your heel pain, the pain can magnify and potentially develop into a chronic condition. Depending on the location of your heel pain, you have developed a specific condition.  

One condition is plantar fasciitis.  Plantar fasciitis is caused by the inflammation of the plantar fascia, or the band of tissue that connects the heel bone to the base of the toes. The pain from this condition is initially mild but can intensify as more steps are taken when you wake up in the morning. To treat this condition, medication will likely be necessary. Plantar fasciitis is often associated with heel spurs; both require rest and special stretching exercises.

There are various options your podiatrist may suggest for heel pain.  Treatment options for heel pain typically include non-steroidal anti-inflammatory drugs (NSAIDS), which may reduce swelling and pain. Other options are physical therapy, athletic taping, and orthotics. In severe cases of heel pain, surgery may be required.

Preventing heel pain is possible.  If you are looking to prevent heel pain from developing in the future, be sure to wear shoes that fit you properly and do not have worn down heels or soles. Be sure to warm up properly before participating in strenuous activities or sports that place a lot of a stress on the heels. If you are experiencing any form of heel pain, speak with your podiatrist to determine the underlying cause and receive the treatment you need.

Tuesday, 15 April 2025 00:00

Managing a Sprained Ankle

An ankle sprain occurs when the ligaments that support the joint are overstretched or torn, often as a result of twisting the foot awkwardly or rolling the ankle during activity. These ligaments help prevent excessive motion, and, when injured, they can lead to pain, swelling, and bruising. Some people may also notice warmth, redness, or tingling in the area, in addition to reduced movement and difficulty walking or climbing stairs. The severity of an ankle sprain can range from a minor stretch to a complete tear, and this will affect how long it takes for the ankle to recover. Symptoms may not appear immediately and can develop over several days. A podiatrist can examine your ankle to determine the extent of the injury and recommend the appropriate treatment. In some cases, surgery may be needed if the ligament has ruptured. Prompt care can also help prevent long-term problems, such as chronic instability or repeated sprains. If you have sprained an ankle, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment as quickly as possible.

Ankle sprains are common but need immediate attention. If you need your feet checked, contact Robert Hutchison, DPM, FACFAS from Lower Keys Foot & Ankle Surgery. Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

  • Mild to moderate bruising
  • Limited mobility
  • Swelling
  • Discoloration of the skin (depending on severity)

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

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

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