Pain under the base of the big toe may be caused by two small bones, called sesamoids. They sit beneath the end of the long bone that connects to the big toe. The tiny bones help the big toe move and absorb pressure as the foot pushes off the ground. In some cases, a sesamoid bone is fractured or shifts from its usual position. Dancers, certain athletes, and runners face a higher risk because their activities place repeated pressure on the front of the foot. High arches, bunions, and frequent wearing of high-heeled shoes can also increase strain in this area.

Pain from sesamoiditis is usually centered under the big-toe joint and can develop gradually. It may become sharper when walking, running, or bending the big toe upward. Walking barefoot can be painful because there is little protection beneath the sore area. Wearing thin-soled and high-heeled shoes can also make symptoms worse. The skin near the joint may appear red, warm, or swollen. These signs can resemble a fracture, arthritis, or gout. Continuing to place pressure on the area can limit movement and make a patient change how the foot meets the ground.

A podiatrist can examine the painful area, check big-toe movement, and evaluate the way pressure moves through the foot. X-rays can help identify a fracture, arthritis, or a change in the position of a sesamoid bone. An MRI scan or another imaging test can provide more detail when the source of pain remains unclear. A podiatrist can provide offloading pads, prescribe custom orthotics, or recommend shoes with thick soles and lower heels. A podiatrist also may suggest taping, a brace, or a walking boot to limit painful movement while healing. Surgery is rarely considered, but it can be an option for severe damage that does not improve with other care. If you have symptoms of sesamoiditis, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Toe pain can disrupt your daily activities. If you have any concerns, contact Leonard Talarico, DPM of Georgia. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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

A bunion forms when the big toe begins to angle toward the other toes, and the long bone behind the joint shifts outward. This change creates a noticeable bump along the inside of the foot. Bunions can run in families, and extra movement within the foot joints can contribute to their development. Wearing narrow or pointed shoes and high heels can make bunions progress more quickly. Some bunions cause little discomfort, while others become painful enough to limit walking and other activities. The size of the bump does not always match the amount of pain a patient feels.

Bunion pain can become stronger when shoes press or rub against the enlarged joint. A podiatrist can examine the foot and assess the position of the big toe to diagnose the problem. Imaging can also help rule out other causes of pain or provide details when surgery is being considered. Treatment depends on the patient’s symptoms and how much the bunion affects movement. Wearing wide-fitting shoes can reduce pressure against the bump. A podiatrist can also recommend cushioning pads or specialized insoles to reduce discomfort and improve support while walking.

Non-surgical care can reduce bunion pain, but it cannot permanently correct the changed shape of the joint. A podiatrist can study the way a patient stands and walks to determine whether an orthotic, which is a specialized shoe insert, could improve comfort. For severe pain, other treatments can be considered based on the patient’s needs. Surgery is the only treatment that can correct the bunion’s shape and can be considered when pain limits activity despite appropriate care. A podiatrist can explain the available choices and help patients understand which approach fits their symptoms. If you have developed a bunion, it is suggested that you schedule an appointment with a podiatrist for effective relief and treatment solutions.

If you are suffering from bunion pain, contact Leonard Talarico, DPM of Georgia. 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 Pooler, GA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Foot biomechanics refers to how the bones, muscles, and other structures of the feet work together during movement. Each step requires the foot to support body weight, absorb force, and help move the body forward. The position and movement of the feet can also influence the ankles, knees, and other areas involved in walking. When foot mechanics are working efficiently, pressure is distributed across the foot as the body moves. Differences in foot structure or movement patterns, however, may change where that pressure is placed. These changes can contribute to discomfort or make certain activities more difficult.

Problems with foot biomechanics can affect people in different ways. Some individuals may place more pressure on the inside or outside of the foot while walking. Others may have changes in their arches or joint movement that affect how the foot handles weight. These patterns may contribute to foot pain, heel discomfort, or ankle problems. Altered foot mechanics can also influence balance and the way a person walks. Since many factors can affect movement, pain does not always come from the area where the original problem began. A professional biomechanical assessment can provide a clearer picture of how the feet function during standing and walking.

A podiatrist can evaluate foot biomechanics by examining foot structure, joint movement, and walking patterns. This assessment can help identify areas of unusual pressure or movement that may be contributing to pain. Depending on the findings, podiatric care may include custom orthotics, footwear recommendations, or other treatments designed to improve support and function. Treatment is based on each patient’s foot structure, symptoms, and activity needs. Addressing biomechanical problems may help improve comfort and reduce stress on the feet during movement. If foot pain or changes in your walking pattern are affecting your mobility, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

If you have any concerns about your feet, contact Leonard Talarico, DPM from Georgia. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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