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Causes of Big Toe Pain

Pain in the big toe joint can come from several conditions, but bunions and gout are two common causes that feel very different. A bunion develops slowly as the big toe shifts toward the second toe, creating a bony bump on the side of the joint. The area may be enlarged, irritated by shoes, and sore after long periods of walking or standing. In contrast, gout often appears suddenly. The joint may become red, swollen, and extremely painful within hours. Many patients describe the pain as burning or throbbing, and the skin may feel warm and tight. Bunions are usually linked to foot structure, genetics, or long-term pressure from footwear. Gout is caused by uric acid crystals building up inside the joint. A podiatrist can evaluate the toe through examination and imaging to determine the source of the pain. Treatment may include supportive footwear, custom orthotics, medication, or surgical correction for severe bunions. If you have pain in the big toe, it is suggested that you make an appointment with a podiatrist for a diagnosis and treatment.

If you are suffering from bunions, contact Dr. John Branwell of Kearny, New Jersey. Our doctor 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?

Podiatrists 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 provider.

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 our office located in Kearny, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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How Certain Genetic Conditions Can Affect the Feet

Some genetic disorders can influence the way bones, joints, and connective tissues develop in the feet. Because the feet contain many small bones and joints, inherited conditions may change their shape, alignment, or flexibility. Achondroplasia, a common form of dwarfism, affects bone growth and may lead to changes in leg alignment that place extra stress on the feet and ankles during walking. Ellis van Creveld syndrome is a rare genetic condition that can cause short limbs and sometimes extra toes, which may affect balance and shoe fit. Marfan syndrome affects the body’s connective tissue and often leads to long, flexible feet with loose joints that can increase the risk of ankle instability. These structural differences may lead to discomfort, fatigue, or changes in walking over time. When unusual foot structure or persistent pain develops, it is suggested that you see a podiatrist for a proper diagnosis and appropriate treatment.

Some foot conditions may require additional professional care. If you have any concerns, contact Dr. John Branwell of Kearny, New Jersey. Our doctor can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

  • Freiberg’s disease
  • Kohler’s disease
  • Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

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

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Helping Children With Ingrown Toenails

Ingrown toenails are common in children and can cause surprising discomfort. This problem occurs when the edge of the nail grows into the surrounding skin. Wearing tight shoes, improper nail trimming, and sports injuries are frequent causes. Early signs include redness, swelling, and tenderness along the nail border. If bacteria enter the area, drainage and increased pain may develop. Treatment depends on how advanced the condition is. Mild cases may improve with warm water soaks, gentle lifting of the nail edge, and wearing wider shoes. It is important to trim nails straight across rather than rounding the corners. When infection or severe pain is present, a podiatrist may carefully remove a portion of the nail to relieve pressure and allow healing. Prompt care prevents complications and helps children return to normal activities quickly. If your child has ongoing toe pain or signs of infection, it is suggested that you see a podiatrist for a proper diagnosis and appropriate treatment.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Dr. John Branwell of Kearny, New Jersey. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

  • Bacterial infections
  • Improper nail cutting such as cutting it too short or not straight across
  • Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
  • Ill-fitting shoes that bunch the toes too close together
  • Genetic predisposition

Prevention

Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

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

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Why Live with Pain and Numbness in Your Feet?

Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.

How to Identify Flat Feet

Flat feet occur when the arches collapse, and the entire sole touches the ground while standing. You may identify flat feet by noticing little or no arch, uneven shoe wear, or ankles that roll inward. Symptoms can include foot pain, swelling along the inside of the ankle, heel discomfort, and fatigue after standing or walking. Causes may involve genetics, injury, obesity, aging, or weakened tendons. Solutions include supportive footwear, strengthening exercises, stretching routines, and custom orthotics to improve alignment and reduce strain. A podiatrist can evaluate foot structure, perform a gait analysis, and design a personalized treatment plan. If your flat feet are causing you discomfort, it is suggested that you consult a podiatrist who can offer effective relief and management solutions.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Dr. John Branwell from Kearny, New Jersey. 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 Kearny, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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