General Statistics
Foot and ankle problems usually fall into the following categories:
- Acquired from improper footwear, physical stress, or small mechanical changes within the foot.
- Arthritic foot problems, which typically involve one or more joint.
- Congenital foot problems, which occur at birth, are generally inherited.
- Infectious foot problems, which are caused by bacterial, viral, or fungal disorders.
- Neoplastic disorders, usually called tumors, which are the result of abnormal growth of tissue and may be benign or malignant.
- Traumatic foot problems, which are associated with foot and ankle injuries.
The top foot problems are:
- Bunions - misaligned big toe joints that can become swollen and tender,
causing the first joint of the big toe to slant outward, and the second joint
to angle
toward the other toes. Bunions tend to be hereditary, but can be aggravated
by shoes that are too narrow in the forefoot and toe. Surgery is frequently
performed to correct the problem.
- Hammertoe - a condition, usually stemming
from muscle imbalance, in which the toe is bent in a claw-like position.
It occurs most frequently with the second
toe, often when a bunion slants the big toe toward and under it, but any
of
the other three smaller toes can be affected. Selecting shoes and socks
that do not cramp the toes will alleviate aggravation.
- Heel spurs - growths
of bone on the underside, forepart of the heel bone. Heel spurs occur when
the plantar tendon pulls at its attachment to the heel
bone.
This area of the heel can later calcify to form a spur. With proper warm-up
and the use of appropriate athletic shoes, strain to the ligament can be
reduced.
- Ingrown nails - toenails whose corners or sides dig painfully into
the skin. Ingrown toenails are frequently caused by improper nail trimming,
but
also by shoe pressure, injury, fungus infection, heredity and poor foot structure.
Women are much more likely to have ingrown toenails than men. Ingrown nails
can be prevented by trimming toenails straight across, selecting proper
shoe
style and size - not too tapered or shallow - and paying special attention
to foot pain.
- Neuromas - enlarged benign growths of nerves, most commonly
between the third and fourth toes. They are caused by tissue rubbing against
and irritating
the
nerves. Pressure from ill-fitting shoes or abnormal bone structure can
also lead to this condition. Treatments include orthoses (shoe inserts) and/or
cortisone injections, but surgical removal of the growth is sometimes necessary.
- Plantar fasciitis (heel pain) - usually caused by an inflammation on the
bottom of the foot. Our practice can evaluate arch pain, and may prescribe
customized
shoe inserts called orthoses to help alleviate the pain.
- Sesamoiditis -
inflammation or rupture of the two small bones (sesamoids) under the first
metatarsal bones. Proper shoe selection and orthoses can help.
- Shin splints - pain to either side of the leg bone, caused by muscle or tendon inflammation.
It is commonly related to excessive foot pronation
(collapsing arch), but may be related to a muscle imbalance between opposing
muscle groups
in the leg. Proper stretching and corrective orthoses (shoe inserts) for
pronation
can help prevent shin splints.
- Stress fractures -incomplete cracks in bone caused by overuse. With complete rest, stress fractures heal quickly. Extra padding in shoes helps prevent the condition. Stress fractures left untreated may become complete fractures, which require casting and immobilization.