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Bunions and How Podiatrists Treat Them

A bunion is a bony bump that forms at the base of the big toe. It develops as the top of the big toe shifts toward the second toe, pushing the joint out of alignment. The bump can become red, swollen, and tender. Other symptoms include aching pain, stiffness, and a burning feeling. Some patients also develop corns where the toes rub together. Bunions can limit shoe choices and make walking difficult. The condition tends to progress gradually, although the rate of change differs among patients. Some bunions remain painless, while others interfere with work, exercise, or performing daily activities.

An inherited foot structure is a factor in bunion development. Certain foot shapes place extra stress on the joint at the base of the big toe. Shoes with a narrow toe box do not directly create the deformity, but they often place added pressure on the area. Wearing high heels may also crowd the toes and worsen discomfort. Because a bunion involves changes in bone alignment, the visible bump does not disappear on its own. Seeking help from a podiatrist when symptoms begin can help to protect the joint.

A podiatrist can examine the foot, assess joint movement, and observe how the patient walks. X-rays can show the position of the bones and the severity of the bunion. Treatment is based on the patient’s pain, activity level, and joint condition. A podiatrist can recommend fitted shoes with a wide toe box. Treatment also includes protective padding or custom orthotics to reduce pressure and improve foot function. When these measures do not provide enough relief, the podiatrist can discuss whether surgery is appropriate. Bunion surgery can realign the bones, correct damaged tissues, and reduce pain. The procedure selected depends on the bunion’s structure and severity. If you are experiencing pain from a bunion, it is suggested that you schedule an appointment with a podiatrist for effective relief, treatment, and management solutions.

If you are suffering from bunion pain, contact Dr. Yeon A. Shim of Roselle Podiatry Group. 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 Roselle, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Winograd Technique for Ingrown Toenail Treatment

The Winograd technique is a surgical procedure used to treat certain painful or recurring ingrown toenails. An ingrown toenail occurs when part of the nail grows into the surrounding skin, creating irritation along the nail border. Common symptoms include pain, redness, and swelling. Tenderness and drainage may also be common. The condition often affects the big toe and may become more difficult to manage when pressure from shoes continues to irritate the area.

During a Winograd procedure, a podiatrist first examines the affected toe and determines whether surgery is appropriate. The toe is typically numbed with local anesthesia before treatment begins. The podiatrist removes the affected section of the nail along with a small amount of nearby tissue. In many cases, part of the nail-producing tissue is also treated to reduce the chance that the troublesome nail edge will grow back.

Healing begins after the procedure is completed and the toe is dressed. A podiatrist provides specific instructions for cleaning and protecting the surgical site. Patients may need to limit activities that place pressure on the toe and choose comfortable, open, or roomy footwear while healing. Follow-up appointments help the podiatrist evaluate the wound, monitor nail growth, and address any concerns. Keeping the area clean and following instructions can support a smoother recovery.

The Winograd technique can be helpful when an ingrown toenail repeatedly causes discomfort or does not respond to simpler treatment. It is not necessary for every case, so professional evaluation is important before deciding on surgery. If you have persistent symptoms, recurring ingrown toenails, or difficulty walking because of nail pain, it is suggested that you consult a podiatrist who can discuss the benefits of this procedure with you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Yeon A. Shim of Roselle Podiatry Group. 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 Roselle, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Causes and Symptoms of Achilles Tendinitis

Achilles tendinitis is a common overuse condition that affects the Achilles tendon, which connects the calf muscles to the heel bone. This strong tendon plays a key role in walking, running, and jumping by allowing the foot to push off the ground. Achilles tendinitis develops when the tendon becomes irritated or inflamed due to repetitive strain. It is frequently seen in active individuals, especially those who increase activity levels too quickly or engage in high-impact exercise without proper preparation.

Symptoms of Achilles tendinitis often begin with mild pain or stiffness along the back of the heel, especially after periods of rest or in the morning. As the condition progresses, the pain may worsen during physical activity and continue afterward. Swelling, tenderness, and a thickened appearance of the tendon may also occur. Some individuals experience limited flexibility in the ankle or discomfort when climbing stairs or walking uphill. Early recognition of these symptoms can help prevent more serious tendon damage.

The primary cause of Achilles tendinitis is repetitive stress placed on the tendon without adequate recovery time. Sudden increases in physical activity, tight calf muscles, and improper warm up routines can contribute to strain. Wearing unsupportive footwear or exercising on hard surfaces may also increase the load on the tendon. Poor foot mechanics, such as flat feet or overpronation, can create uneven stress and increase the likelihood of irritation. These factors often work together to weaken the tendon over time.

Risk factors include age, high activity levels, and lack of flexibility. Individuals who participate in running or jumping sports are at greater risk. Preventive care includes gradual training progression, proper stretching, and supportive footwear. Early treatment can improve recovery and prevent long-term complications. If you have Achilles tendon pain, it is suggested that you consult a podiatrist who can accurately diagnose and treat Achilles tendinitis.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Dr. Yeon A. Shim of Roselle Podiatry Group. 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 Roselle, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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How Runners Can Manage Plantar Fasciitis and Heel Pain

Running puts repeated force on the feet, and the plantar fascia absorbs stress. The plantar fascia is a band of tissue that runs from the heel to the toes and supports the arch. When this tissue becomes irritated, heel pain can develop. Pain from plantar fasciitis is sharpest with the first steps after waking. A run may feel manageable at first, but discomfort can increase as the foot works harder. Sudden changes in mileage, faster training, and hills can place extra strain on the heel. Shoes that lack proper support can add stress.

Runners should not assume heel pain will fade. Continuing the same training schedule can make irritation harder to settle and affect running form. A runner may alter their gait by shortening each step or shifting weight away from the sore heel. These changes can strain the ankle, knee, or other foot. A podiatrist can examine the painful area and evaluate how the foot moves to rule out a stress fracture. Imaging can clarify the diagnosis if needed. An early evaluation gives the runner a clear plan and can reduce time away from training.

Treatment from a podiatrist focuses on easing heel stress and supporting a safe return to running. The podiatrist can recommend activity changes and prescribe custom orthotics to improve foot support. This helps avoid the motion that pulls on the plantar fascia. The doctor may suggest supportive shoes or a night splint, which keeps the foot in a gentle stretch while sleeping. Advice about mileage, running surfaces, and warm-up habits can lower the chance of another flare-up. Follow-up visits allow the podiatrist to check progress and adjust treatment. Surgery is rarely required, but a podiatrist can discuss it when pain remains severe despite careful treatment. If you are a runner with symptoms of plantar fasciitis, it is suggested that you schedule an appointment with a podiatrist for effective relief and treatment solutions.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. Yeon A. Shim  from Roselle Podiatry Group. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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

Read more about Plantar Fasciitis
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