August 2021

If one of your toes is permanently bent at the middle joint, preventing it from laying flat like the other toes, it could be a hammertoe. Hammertoes can occur in any toe other than the big toe. This condition gets its name because your toe is bent into a shape resembling the head of a hammer. Hammertoe develops over time, and is typically caused by an imbalance in the foot’s tendons and muscles. If you have a genetic predisposition towards this condition, you may exacerbate its development by wearing pointy shoes or high heels, which place pressure on your toes and force them into a narrow space. Injuries and foot conditions such as bunions can also contribute to the formation of a hammertoe, as well as arthritis. Hammertoes are a progressive condition, meaning they worsen with time and, therefore, may become rigid. That is why it is important to get them diagnosed and treated by a podiatrist as early as possible—while they are still flexible and there is a greater chance to correct the deformity.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Dr. John L. Coleman from Florida. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

• Pain in the affected toes
• Development of corns or calluses due to friction
• Inflammation
• Redness
• Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

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

Tarsal tunnel syndrome can occur when the posterior tibial nerve that runs along the back of the ankle is pinched due to swelling or trauma. This can lead to symptoms that may include tingling, numbness, burning, or shooting pain in the affected leg. While anybody can get tarsal tunnel syndrome, it most frequently affects adults, and particularly those who have arthritis and other systemic diseases or previous injuries to the ankle area. To diagnose this condition, a podiatrist may take your medical history, conduct a physical examination, and perform a nerve conduction study or EMG. Imaging studies, like MRIs, may be used to rule out other causes for your symptoms. If you are experiencing any lower limb pain, it is suggested that you see a podiatrist. 

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. John L. Coleman of Florida. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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

Heel spurs are pointy calcium deposits on the heel bone that develop after there is repeated inflammation at the site where ligaments or tendons attach to it. You might be asking what causes this inflammation? Strain injuries due to athletics, chronic inflammatory disorders, and arthritis that affects tendons and ligaments all can play a factor in the development of heel spurs. Heel spurs can be associated with other conditions as well. For instance, spurs on the back of the heel bone may be associated with Achilles tendonitis, and spurs on the bottom of the heel bone may be associated with plantar fasciitis. While heel spurs don’t always cause symptoms, in some cases they have been known to create tenderness and pain where the Achilles tendon attaches to the back of the heel bone, or where the plantar fascia attaches to the bottom of the heel bone. By using x-rays and other diagnostics, a podiatrist can identify the bony outgrowth and heal the underlying condition with a variety of treatments and custom orthotics.

Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Dr. John L. Coleman from Florida. Our doctor will do everything possible to treat your condition.

Heels Spurs

Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.

Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.

Pain

The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.

Treatments

There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.

If you have any questions feel free to contact our office located in Macclenny, FL . We offer the latest in diagnostic and treatment technology to meet your needs.

Older adults often deal with swelling, or edema, in the feet and ankles. Edema occurs when fluids from blood vessels move into the spaces between cells near the surfaces of the feet and ankles. Common causes of lower limb edema include chronic venous insufficiency, congestive heart failure, certain medications, liver disease, kidney disease, or lymphedema. New or worsening swelling in the lower limbs should be evaluated by a doctor, especially if you also experience pain that limits your mobility or interferes with daily activities. If the cause of your swelling is chronic venous insufficiency, which is very common, it may help to elevate the legs, reduce salt intake, wear compression stockings, or exercise the calf muscles. To learn more about elderly foot care, please consult with a podiatrist. 

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Dr. John L. Coleman from Florida. Our doctor can provide the care you need to keep you pain-free and on your feet.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

• Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
• Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
• Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
• Gouging toenails affecting nearby toe
• Shoes that don’t fit properly
• Pressure sores
• Loss of circulation in legs & feet
• Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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