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Podiatrist, Foot Doctor James Kutchback, DPM, ABLES, CWS-P located in The Woodlands, TX 77384 and Woodville, TX 75979 area

James Kutchback, DPM, CWS-P

Taylor Saucier, DPM, AACFAS

The Woodlands
Woodville
(936) 273-3311

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Toe walking is a common behavior observed in children, where they walk on their toes rather than with their feet flat on the ground. One of the primary causes of toe walking is habitual behavior, where children simply adopt this pattern without any underlying medical issue. However, in some cases, toe walking may be linked to sensory processing differences, where children may prefer the sensation of walking on their toes due to heightened or reduced sensitivity to touch. Another cause is tight calf muscles, which may restrict the ability to walk normally and lead to toe walking as a compensatory movement. Neurological conditions, such as cerebral palsy or other motor disorders, can also contribute to toe walking due to muscle weakness or coordination issues. In any case, if toe walking persists beyond early childhood, it is suggested that you consult a podiatrist who can assess the cause and determine the most appropriate course of action.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Dr. James Kutchback of James Kutchback, DPM, ABLES, CWS-P. Our doctor can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

If you have any questions please feel free to contact our offices located in The Woodlands and Woodville, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about What to Do to Keep Your Child’s Feet Healthy
Tuesday, 14 January 2025 00:00

Why Are My Toenails So Thick?

Thick toenails, medically known as onychomycosis, is a fungal infection where the toenails become discolored, thickened, and brittle. The nails may appear yellow, white, or even brown, and can sometimes separate from the nail bed. This infection typically  occurs after exposure to fungi that thrive in warm, damp environments, such as sweaty shoes or communal areas like swimming pools. Poor foot hygiene, a weakened immune system, or diabetes can also increase the risk of developing onychomycosis. Symptoms include thickened, misshapen nails, crumbling edges, and a foul odor. If left untreated, the infection can worsen, leading to pain and difficulty walking. A podiatrist is trained to diagnose and treat nail fungus effectively. Treatments may include antifungal medications, topical solutions, laser therapy, or in severe cases, nail removal. Your podiatrist will assess the severity of the infection and recommend the best course of treatment. If you are dealing with this issue, it is suggested that you schedule an appointment with a podiatrist.

For more information about treatment, contact Dr. James Kutchback of James Kutchback, DPM, ABLES, CWS-P. Our doctor can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

If you have any questions please feel free to contact our offices located in The Woodlands and Woodville, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about How to Treat Your Toenail Fungus
Monday, 13 January 2025 00:00

Wounds That Don't Heal Need to Be Checked

Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

Tuesday, 07 January 2025 00:00

Plantar Fasciitis and the Windlass Mechanism

Plantar fasciitis causes pain in the heel and bottom of the foot. It occurs when the plantar fascia, the thick band of tissue connecting the heel bone to the toes, becomes inflamed due to repetitive stress. This condition often results in sharp pain, especially with the first steps in the morning or after periods of rest. The Windlass mechanism plays a key role in this condition. It refers to the natural process that occurs when the toes are dorsiflexed, or bent up, causing the plantar fascia to tighten and lift the arch of the foot. This action helps with walking and running but can aggravate plantar fasciitis if the tissue is overstressed. Over time, excessive strain on the plantar fascia can lead to inflammation and pain, making it difficult to walk or stand for long periods. If you have heel pain, it is suggested that you contact a podiatrist who can accurately diagnose and effectively treat the problem.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. James Kutchback  from James Kutchback, DPM, ABLES, CWS-P. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

If you have any questions please feel free to contact our offices located in The Woodlands and Woodville, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Plantar Fasciitis
Tuesday, 31 December 2024 00:00

Causes of Foot Stress Fractures

Foot stress fractures occur when repeated stress or impact overwhelms the foot's bones, often from activities like running or jumping. A sudden increase in exercise intensity, duration, or frequency can place excessive strain on the bones, particularly if the body has not adjusted to the added workload. Changes in surface, such as moving from a soft running track to a hard sidewalk, may also trigger stress fractures. Wearing ill-fitting footwear that lacks proper support and cushioning can lead to uneven pressure distribution. Biomechanical issues, including bunions or improper gait, may force certain areas of the feet to bear more weight, which adds to the stress. Athletes, especially those involved in high-impact sports, are particularly vulnerable, but non-athletes engaging in prolonged walking or standing on hard or uneven surfaces can also develop stress fractures. A podiatrist can diagnose the injured foot using digital imaging and develop a treatment plan. If you experience foot pain after running, playing a sport or exercising, it is suggested that you schedule an appointment with a podiatrist to find out whether you may have developed stress fractures.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact Dr. James Kutchback from James Kutchback, DPM, ABLES, CWS-P. Our doctor can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

  • Runners                                  
  • People affected with Osteoporosis
  • Tennis or basketball players
  • Gymnasts
  • High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

If you have any questions please feel free to contact our offices located in The Woodlands and Woodville, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Stress Fractures of the Foot and Ankle
Tuesday, 24 December 2024 00:00

Common Causes of Heel Pain

Heel pain is often caused by excessive pressure, injury, or strain. The heel’s fatty cushion helps absorb impact during movement, but activities like running, jumping, or standing on hard surfaces can lead to pain. This is particularly true among older adults, pregnant women, and people who are overweight. Ill-fitting shoes and abnormal walking patterns can also contribute to heel pain. Plantar fasciitis, a common cause, occurs when the band of tissue along the sole becomes inflamed, often resulting in sharp pain under the heel. Heel spurs, which are bony growths on the heel bone, can develop from chronic strain and can be painful. In children, Sever’s disease is a frequent cause of heel pain due to stress on the heel bone's growth plate during physical activity. A podiatrist can evaluate your symptoms, identify the root cause, and provide effective treatment, including custom orthotics, supportive footwear, or other measures to alleviate pain and improve foot function. If you are experiencing heel pain, it is suggested that you schedule an appointment with a podiatrist to find out the cause, and receive the appropriate treatment.

Many people suffer from bouts of heel pain. For more information, contact Dr. James Kutchback of James Kutchback, DPM, ABLES, CWS-P. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

  • Wearing ill-fitting shoes                  
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions please contact our offices located in The Woodlands and Woodville, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Heel Pain
Monday, 23 December 2024 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.

Tuesday, 17 December 2024 00:00

Treatment for Adult Acquired Flat Feet

Progressive collapsing foot deformity, also known as adult acquired flat feet, is a condition where the arch of the foot gradually collapses, leading to a flattening of the foot. This condition typically develops over time due to weakness or dysfunction in the posterior tibial tendon, which supports the arch. As the tendon becomes weakened, it causes the arch to lose its structural integrity, resulting in a flatter appearance and altered gait. Adult acquired flat feet can cause pain, swelling, and difficulty walking, especially after long periods of standing or physical activity. Other factors, such as obesity, aging, or previous injuries, can contribute to the condition. Treatment options include orthotic devices, and in severe cases, surgical intervention. If you have flat feet, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this condition.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Dr. James Kutchback from James Kutchback, DPM, ABLES, CWS-P. 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 offices located in The Woodlands and Woodville, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about What is Flexible Flat Foot?
Tuesday, 10 December 2024 00:00

Symptoms and Treatment of Hammertoes

Hammertoe is a common condition where one or more of the smaller toes bend at the middle joint, creating a curled or Z-shaped appearance. A hammertoe deformity often results from an imbalance in the tendons that control toe movement, which can develop due to genetic factors, injury, or pressure from other foot conditions like bunions. The second toe is most commonly affected, and symptoms include pain and difficulty wearing tight shoes. Corns on the top of the toe and calluses on the ball of the foot may form by extra pressure while walking. An X-ray may be taken to determine the severity of the hammertoe. Treatment options include taping or splinting the toe to reduce strain, as well as wearing orthotics that help redistribute pressure and improve foot alignment. A podiatrist can offer noninvasive measures as well as surgical solutions to relieve pain and restore proper foot function. If you have a painful hammertoe, it is suggested that you schedule an appointment with a podiatrist for treatment.

Hammertoes can be a painful condition to live with. For more information, contact Dr. James Kutchback of James Kutchback, DPM, ABLES, CWS-P. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

  • Painful and/or difficult toe movement
  • Swelling
  • Joint stiffness
  • Calluses/Corns
  • Physical deformity

Risk Factors

  • Age – The risk of hammertoe increases with age
  • Sex – Women are more likely to have hammertoe compared to men
  • Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
  • Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.

If you have any questions, please feel free to contact our offices located in The Woodlands and Woodville, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about What Are Hammertoes?
Tuesday, 03 December 2024 00:00

Running Blisters and How to Prevent Them

A running blister is a painful pocket of fluid that forms between layers of skin due to friction. This common injury occurs when repetitive rubbing from shoes or socks irritates the skin, causing it to separate and fill with fluid. Blisters are most likely to appear on the feet, particularly on the heels, toes, or soles, during long runs or intense physical activity. Prevention is key to avoiding blisters. Wearing well-fitted shoes that provide proper support and minimize friction is essential. Choosing moisture-wicking socks can help reduce the build-up of sweat, which increases the risk of blister formation. Using blister prevention tape or cushioned insoles can provide additional protection in high-risk areas. Finally, gradually increasing running distances allows the feet to adapt, reducing the likelihood of blisters. Foot blisters can be uncomfortable and may become infected if not properly treated. If you have a foot blister, it is suggested that you contact a podiatrist for proper treatment and prevention techniques.

Blisters may appear as a single bubble or in a cluster. They can cause a lot of pain and may be filled with pus, blood, or watery serum. If your feet are hurting, contact Dr. James Kutchback of James Kutchback, DPM, ABLES, CWS-P. Our doctor can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters are often the result of friction. This happens due to the constant rubbing from shoes, which can lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

Symptoms

(Blister symptoms may vary depending on what is causing them)

  • Bubble of skin filled with fluid
  • Redness
  • Moderate to severe pain
  • Itching

Prevention & Treatment

In order to prevent blisters, you should be sure to wear comfortable shoes with socks that cushion your feet and absorb sweat. Breaking a blister open may increase your chances of developing an infection. However, if your blister breaks, you should wash the area with soap and water immediately and then apply a bandage to the affected area. If your blisters cause severe pain it is important that you call your podiatrist right away.

If you have any questions, please feel free to contact our offices located in The Woodlands and Woodville, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Blisters
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