Tuesday, 11 March 2025 00:00

Bunions and Why They Keep Coming Back

A bunion is a bony bump that forms at the base of the big toe when the joint becomes misaligned. This occurs when the big toe gradually shifts toward the other toes, causing the joint to stick out. Bunions develop due to factors such as genetics, wearing improper footwear, flat feet, or arthritis. Even after treatment, they can return if the underlying causes are not addressed. Wearing tight or narrow shoes continues to place pressure on the joint, leading to recurrence. Weak foot muscles or improper walking mechanics may also contribute to the problem. Maintaining proper footwear, using orthotics, and strengthening foot muscles can help prevent bunions from coming back. If discomfort persists, it is suggested that you consult a podiatrist who can correct the alignment and relieve symptoms.

If you are suffering from bunion pain, contact Brian D. Jackson, DPM of Neuhaus Foot and Ankle. 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 one of our offices located in Columbia and Pulaski, TN . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Bunions

A bunion is a bump that forms at the base of the big toe. Bunions form when the big toe pushes against the next toe, which forces the big toe joint to get bigger and stick out. As a result, the skin over the bunion may start to appear red and it may feel sore.

There are risk factors that can increase your chances of developing bunions. People who wear high heels or ill-fitting shoes are more likely to develop them, in addition to those who have a genetic history of bunions or have rheumatoid arthritis.

The most obvious way to tell if you have a bunion is to look for the big toe pushing up against the toe next to it. Bunions produce a large protrusion at the base of the big toe and may or may not cause pain. Other symptoms are redness, swelling, and restricted movement of the big toe if you have arthritis.

Nonsurgical methods are frequently used to treat bunions that aren’t severe. Some methods of nonsurgical treatment are orthotics, icing and resting the foot, taping the foot, and pain medication. Surgery is usually only required in extreme cases. However, if surgery is needed, some procedures may involve removing the swollen tissue from around the big toe joint, straightening the big toe by removing part of the bone, or joining the bones of your affected joint permanently.

Your podiatrist will diagnose your bunion by doing a thorough examination of your foot. He or she may also conduct an x-ray to determine the cause of the bunion and its severity.

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Wednesday, 05 March 2025 00:00

It's Time for Beautiful Feet

You don't need an excuse to have beautiful nails. Step outside without worrying about the appearance of your feet.

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Tuesday, 04 March 2025 00:00

Causes of a Broken Ankle

A broken ankle occurs when one or more bones in the ankle joint fracture due to trauma, falls, or twisting injuries. Symptoms include intense pain, swelling, bruising, inability to bear weight, and in severe cases visible deformity. Common causes include sports injuries, car accidents, or missteps on uneven surfaces. Treatment depends on the severity of the fracture. Minor breaks may only require a cast or boot, while complex fractures might need surgical intervention to realign the bones. Recovery typically takes six to twelve weeks, with targeted stretching exercises often necessary to restore strength and mobility. If you suspect a broken ankle, seek immediate care from a podiatrist especially if there is severe swelling, deformity, or numbness.

Broken ankles need immediate treatment. If you are seeking treatment, contact Brian D. Jackson, DPM from Neuhaus Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

Excessive pain when the area is touched or when any pressure is placed on the ankle
Swelling around the area
Bruising of the area
Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

If you have any questions, please feel free to contact one of our offices located in Columbia and Pulaski, TN . We offer the newest diagnostic and treatment technologies for all your foot care needs.

All About Broken Ankle

Broken ankles or “ankle fractures” are injuries that occur when the bones that make up the ankle joint are broken. Ankle injuries are some of the most common bone and joint injuries. The ankle joint is made up of three bones that join. The tibia is the main bone, and it makes up the inside of the anklebone. The fibula is a smaller bone, and it makes up the outside of the anklebone. A membrane called the joint capsule is lined with a layer called the synovium, which covers the entire joint. The synovium produces synovial fluid which allows for the joint surfaces to move.

An ankle becomes broken when the joint is stressed beyond the strength of its limits. When an ankle is fractured, ligaments may also tear at the same time. Fractures often occur to the ankle rolling or twisting in an unusual way. At times, a fracture may even be caused by an extreme force applied to the joint.

Symptoms of a broken ankle include pain, swelling, bruising, discoloration, numbness, and an inability to move the toes. If you have a broken ankle, you may also hear something tear or snap when you initially suffered the injury. If you have pain from a broken ankle, beware that the pain will not always come from the exact area of the fracture; you may also experience pain from associated foot fractures. The swelling you may experience can suggest that soft tissue damage may have occurred due to the injury.

There are differences between an ankle fracture and an ankle sprain. The difference is that a fracture or break in the bone is required to classify an injury as a broken ankle. An ankle sprain occurs when there is a tear or disruption of ligaments in the ankle. In some cases, the prognosis of an ankle sprain may be worse than that of a fracture.

X-rays are the most common way to diagnose a broken ankle. X-rays show if the ankle is broken and where exactly the fracture is located. It will also show how many pieces of broken bone there are. A second method of testing to see if an ankle is broken is a stress test. To do this, the doctor will put pressure on the ankle and perform a stress test to determine if the fracture requires surgery. Other methods for diagnosis include CT scans and MRI scans.

If you are suffering from a broken ankle, consult with your podiatrist immediately to receive a proper diagnosis and treatment.

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Tuesday, 25 February 2025 00:00

Achilles Tendon Injuries in Cyclists

Achilles tendon injuries are a frequent concern for cyclists due to the repetitive motion and sustained force placed on the lower leg. The Achilles tendon connects the calf muscles to the heel bone, and excessive strain can lead to inflammation or degeneration. Poor bike fit, improper cleat placement, and muscle imbalances may increase the likelihood of an Achilles tendon injury, particularly when the heel or toes are forced into an unnatural position while pedaling. Symptoms include stiffness, swelling, and pain near the heel or along the tendon, which may worsen in the morning or after cycling. People with tight calf muscles or restricted ankle mobility may also be at higher risk, as limited flexibility can cause additional strain on the tendon. A podiatrist can evaluate your foot and ankle mechanics, recommend custom orthotics to improve alignment, and provide treatment to reduce pain and promote healing. Severe cases may require surgery to repair tendon damage. If you are experiencing Achilles tendon pain, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment options.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Brian D. Jackson, DPM of Neuhaus Foot and Ankle. 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 one of our offices located in Columbia and Pulaski, TN . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Tuesday, 25 February 2025 00:00

Achilles Tendon Injuries

The Achilles tendon is the largest tendon in the body; it is a tough band of fibrous tissue that stretches from the bones of the heel to the calf muscles. This tendon is what allows us to stand on our toes while running, walking, or jumping, it is common for this tendon to become injured. In severe cases, the Achilles tendon may become partially torn or completely ruptured. However, this tendon is susceptible to injury because of its limited blood supply and the high level of tension it endures.

The people who are more likely to suffer from Achilles tendon injuries are athletes who partake in activities that require them to speed up, slow down, or pivot. Consequently, athletes who engage in running, gymnastics, dance, football, baseball, basketball, or tennis are more likely to suffer from Achilles tendon injuries. Additionally, there are other factors that may make you more prone to this injury. People who wear high heels, have flat feet, tight leg muscles or tendons, or take medicines called glucocorticoids are more likely to have Achilles tendon injuries.

A common symptom of an Achilles tendon injury is pain above the heel that is felt when you stand on your toes. However, if the tendon is ruptured, the pain will be severe, and the area may become swollen and stiff. Other symptoms may be reduced strength in the lower ankle or leg area, and reduced range of motion in the ankle. When the Achilles tendon tears, there is usually a popping sound that occurs along with it. People who have acute tears or ruptures may find walking and standing to be difficult.

If you suspect you have injured your Achilles tendon, you should see your podiatrist to have a physical examination. Your podiatrist will likely conduct a series of tests to diagnose your injury including a “calf-squeeze” test. Calf squeeze tests are performed by first squeezing the calf muscle on the healthy leg. This will pull on the tendon and consequently cause the foot to move. Afterward, the same test will be performed on the injured leg. If the tendon is torn, the foot won’t move because the calf muscle won’t be connected to the foot.

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Tuesday, 18 February 2025 00:00

Facts About Tarsal Tunnel Syndrome

Tarsal tunnel syndrome is caused by the compression of the posterior tibial nerve as it passes through the tarsal tunnel, located on the inside of the ankle. This compression can lead to various symptoms such as numbness, tingling, burning sensations, and sharp pain in the foot and ankle area. These symptoms often worsen with prolonged standing, walking, or activity. The causes of tarsal tunnel syndrome include trauma, repetitive stress, or conditions like diabetes that lead to nerve damage. Other contributing factors include swelling, cysts, or flat feet, which can narrow the tunnel and put pressure on the nerve. To diagnose tarsal tunnel syndrome, podiatrists rely on a thorough physical examination and may use imaging tests like MRI scans or ultrasounds to assess the area. Nerve conduction studies may also be performed to measure the electrical activity of the nerves and confirm the diagnosis. If you are experiencing any of the above symptoms, it is suggested that you confer with a podiatrist who can provide an accurate diagnosis and treatment.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Brian D. Jackson, DPM of Neuhaus Foot and Ankle. 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 one of our offices located in Columbia and Pulaski, TN . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome is a condition in which there is a compression of the posterior tibial nerve. The posterior tibial nerve runs along the inside of the ankle into the foot. Tarsal tunnel syndrome is named for the tarsal tunnel, which is a thin space along the inside of the ankle beside the ankle bones. This space contains various nerves, arteries, and tendons, and includes the posterior tibial nerve. 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 compressed, causing tingling or burning, numbness, and pain.

Common causes of tarsal tunnel syndrome involve pressure or an injury. Injuries that produce inflammation and swelling in or around the tunnel may place pressure on the posterior tibial nerve. Direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or trauma to the tibial nerve, can result in tarsal tunnel syndrome. Diseases that damage nerves, such as diabetes or arthritis, may cause tarsal tunnel syndrome. Those with flat feet are at risk for developing the condition, as the extra pressure and strain placed on the foot may compress the posterior tibial nerve.

Feeling different sensations in the foot at different times is a common symptom of tarsal tunnel syndrome. An afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg. Symptoms are primarily felt on bottom of the foot and/or the inside of the ankle. Symptoms can appear suddenly and may occur due to overuse of the foot.

To diagnose tarsal tunnel syndrome, your podiatrist may examine the foot and tap the posterior tibial nerve to see if symptoms surface. He or she may also order an MRI to determine if a mass is present.

Treating tarsal tunnel syndrome will depend on the decision of your podiatrist. Multiple options are available, however, and can include rest, ice, immobilization, oral medications such as anti-inflammatory drugs (NSAIDS), physical therapy, injection therapy, orthotics, supportive shoes, braces, and surgery.

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Tuesday, 11 February 2025 00:00

Living With Sweaty Feet

Hyperhidrosis of the feet, or plantar hyperhidrosis, is a condition characterized by excessive sweating, often unrelated to temperature or activity. This persistent moisture can lead to discomfort, foot odor, and an increased risk of fungal infections, such as athlete's foot. It may also cause skin softening, making the feet prone to blisters and sores. Living with hyperhidrosis can significantly impact the quality of life. People may feel self-conscious about the condition, avoiding activities like removing shoes in public or wearing open-toed footwear. The constant dampness can also compromise shoe longevity and lead to slipping or reduced stability during physical activities. Treatments include antiperspirants, oral medications, and more innovative techniques to reduce sweat production. If hyperhidrosis is affecting your daily life, it is suggested that you see a podiatrist to explore effective solutions and regain confidence.

If you are suffering from hyperhidrosis contact Brian D. Jackson, DPM of Neuhaus Foot and Ankle. Our doctor can provide the care you need to attend to all of your foot and ankle needs.

Hyperhidrosis of the Feet

Hyperhidrosis is a rare disorder that can cause people to have excessive sweating of their feet. This can usually occur all on its own without rigorous activity involved. People who suffer from hyperhidrosis may also experience sweaty palms.

Although it is said that sweating is a healthy process meant to cool down the body temperature and to maintain a proper internal temperature, hyperhidrosis may prove to be a huge hindrance on a person’s everyday life.

Plantar hyperhidrosis is considered to be the main form of hyperhidrosis. Secondary hyperhidrosis can refer to sweating that occurs in areas other than the feet or hands and armpits. Often this may be a sign of it being related to another medical condition such as menopause, hyperthyroidism and even Parkinson’s disease.

In order to alleviate this condition, it is important to see your doctor so that they may prescribe the necessary medications so that you can begin to live a normal life again. If this is left untreated, it is said that it will persist throughout an individual’s life.

A last resort approach would be surgery, but it is best to speak with your doctor to find out what may be the best treatment for you.