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

The Woodlands
Woodville
(936) 273-3311

 
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Gout, a form of arthritis, and kidney disease share a complex interconnection that significantly impacts an individual's health. Gout is characterized by the accumulation of uric acid crystals in joints, causing intense pain and inflammation, commonly beginning in the big toe. This can temporarily cause the inability to walk, and medical attention from a podiatrist is often sought. Interestingly, uric acid is primarily filtered and excreted through the kidneys. In individuals with gout, high levels of uric acid can strain the kidneys, potentially leading to kidney stones or reduced kidney function. Conversely, pre-existing kidney issues can hinder the efficient elimination of uric acid, contributing to elevated levels in the bloodstream and subsequent gout attacks. Furthermore, medications commonly prescribed for gout can impact renal function, posing challenges for those already grappling with kidney disease. Understanding and managing this intricate relationship between gout and kidney disease is crucial for comprehensive treatment strategies that address both conditions and enhance overall well-being. If you have developed gout, it is strongly suggested that you are under the care of a podiatrist who can help you manage this condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. James Kutchback from James Kutchback, DPM, ABLES, CWS-P. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

  • Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
  • Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
  • Inflammation and Redness -Affected joints may become swollen, tender, warm and red
  • Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

  • Genetics - If family members have gout, you’re more likely to have it
  • Medications - Diuretic medications can raise uric acid levels
  • Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
  • Diet - Eating red meat and shellfish increases your risk
  • Alcohol - Having more than two alcoholic drinks per day increases your risk
  • Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment 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 Everything You Need to Know About Gout
Tuesday, 17 October 2023 00:00

Why Do I Have Foot Pain?

Foot pain is a common complaint that can have various origins, making it necessary to pinpoint the underlying cause for effective treatment. One common culprit is overuse or strain, often seen in athletes or individuals who spend long hours on their feet. Arthritis, both osteoarthritis and rheumatoid arthritis, can trigger pain by causing inflammation and joint damage in the feet. Footwear plays a significant role and wearing ill-fitting shoes or high heels can lead to pain and discomfort. Additionally, flat feet or high arches can cause biomechanical imbalances, leading to pain. Infections, such as athlete's foot or fungal nail infections, can be a source of discomfort. Nerve issues consisting of neuropathy, can also manifest as foot pain. Trauma or injuries, like sprains, fractures, or torn ligaments, require immediate attention. Diabetes related complications can contribute to nerve and circulation problems leading to chronic foot pain. Identifying the specific cause of foot pain is essential for targeted treatment and relief. If you have any type of foot pain, it is suggested that you make an appointment with a podiatrist who can determine what the cause is, and offer you correct treatment methods. 

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dr. James Kutchback from James Kutchback, DPM, ABLES, CWS-P. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This 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

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot 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 care needs.

Read more about Foot Pain
Tuesday, 10 October 2023 00:00

Facts About Morton’s Neuroma

Morton's neuroma is a relatively common but often misunderstood foot condition that can lead to discomfort and pain. This condition can be demystified by exploring essential facts about Morton's neuroma. Morton's neuroma typically occurs between the third and fourth toes, though it can develop in other spaces in the foot. Despite its name, Morton's neuroma is not a tumor. It is actually a thickening of the tissue surrounding the nerves leading to the toes. Common symptoms can include sharp, burning pain or the sensation of a pebble in the shoe, typically while walking or running. Morton’s neuroma can be triggered by wearing tight shoes, high heels, or activities that put repetitive pressure on the forefoot, such as running. Treatment of Morton's neuroma can be managed with conservative measures such as wearing wider shoes, or using cushioned insoles. If conservative treatments do not provide relief, surgical removal of the neuroma may be considered. Effective preventive measures include wearing proper footwear, maintaining a healthy weight, and addressing foot issues promptly. If you have any of these symptoms, it is suggested that you consult a podiatrist who can accurately diagnose and treat Morton’s neuroma.  

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Dr. James Kutchback of James Kutchback, DPM, ABLES, CWS-P. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

  • Ill-fitting high heels or shoes that add pressure to the toe or foot
  • Jogging, running or any sport that involves constant impact to the foot
  • Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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 Morton's Neuroma
Monday, 09 October 2023 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, 03 October 2023 00:00

Reasons High Heels Can Hurt the Feet

High heels may be fashionable and elegant but often come at a painful cost for your feet. Several reasons contribute to the discomfort and pain associated with wearing high heels. Inflammation, pain, and calluses can be caused by excessive pressure as the body weight is forced onto the balls of the feet. Additionally, posture may be affected, as wearing high heels can tilt the body forward. This can lead to strained muscles in the arches. Foot conditions such as bunions and hammertoes may develop as pointed-toe high heels can compress the toes. Many people who frequently wear high heels develop a shortened Achilles tendon that may lead to stress on the overall foot and leg. If you have questions or concerns about the effects of high heels and the feet, it is suggested that you confer with a podiatrist.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, 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.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

  • Ankle Joints
  • Achilles Tendon – May shorten and stiffen with prolonged wear
  • Balls of the Feet
  • Knees – Heels cause the knees to bend constantly, creating stress on them
  • Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

  • Corns
  • Calluses
  • Hammertoe
  • Bunions
  • Morton’s Neuroma
  • Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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 Effect of High Heels on the Feet
Tuesday, 26 September 2023 00:00

Orthotics May Help to Treat Corns and Calluses

Foot corns and calluses are common conditions resulting from continuous friction and pressure. Calluses typically develop beneath the ball of the foot, around the heel area, and under the big toe. Corns are a specific type of callus characterized by a hard central core found on top of and between the toes. Various factors contribute to the formation of calluses and corns. Wearing ill-fitting shoes that are tight, narrow, or high-heeled, are frequent culprits. Underlying foot issues such as bunions, hammer toes, or arthritis can also lead to an excess buildup of calluses and corns. However, the most common cause is excessive pressure and friction due to overpronation. An effective treatment for calluses and corns can involve professional removal by a podiatrist. Custom-made orthotics offer a preventive approach by biomechanically realigning the foot, reducing excess pressure, and minimizing friction. If you suffer from calluses and corns on your feet, it is suggested that you make an appointment with a podiatrist to discuss if orthotics are the correct solution. 

Corns can make walking very painful and should be treated immediately. If you have questions regarding your feet and ankles, contact Dr. James Kutchback of James Kutchback, DPM, ABLES, CWS-P. Our doctor will treat your foot and ankle needs.

Corns: What Are They? And How Do You Get Rid of Them?
Corns are thickened areas on the skin that can become painful. They are caused by excessive pressure and friction on the skin. Corns press into the deeper layers of the skin and are usually round in shape.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as:

  • Wearing properly fitting shoes that have been measured by a professional
  • Wearing shoes that are not sharply pointed or have high heels
  • Wearing only shoes that offer support

Treating Corns

Although most corns slowly disappear when the friction or pressure stops, this isn’t always the case. Consult with your podiatrist to determine the best treatment option for your case of corns.

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 Corns: What Are They, and How Do You Get Rid of Them

Bunions, a prevalent foot condition, can cast a shadow on even the most graceful strides. A bunion, or hallux valgus, emerges when the joint at the base of the big toe shifts out of alignment, causing the toe to lean toward the other toes. The reasons why bunions may develop can vary, often stemming from genetic predisposition. Additionally, wearing ill-fitting footwear that squeezes the toes, or conditions that impact foot mechanics may lead to getting a bunion. The symptoms manifest as a bony bump at the base of the big toe, accompanied by pain, swelling, and redness. As the condition progresses, the affected toe may cross over or under the adjacent toe, causing discomfort and it can be difficult to find comfortable shoes. Recognizing the definition, causes, and symptoms of bunions is crucial in seeking the correct treatment. If you have a bunion, it is suggested that you consult with a podiatrist who can guide you toward the relief and treatment options that are best for you.

If you are suffering from bunions, 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.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

  • Refrain from wearing heels or similar shoes that cause discomfort
  • Select wider shoes that can provide more comfort and reduce pain
  • Anti-inflammatory and pain management drugs
  • Orthotics or foot inserts
  • Surgery

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 Bunions
Monday, 18 September 2023 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, 12 September 2023 00:00

Causes and Treatment for Heel Pain

Heel pain, a common ailment, can be a source of discomfort that interferes with daily activities. The causes of heel pain can vary, with one of the most prevalent being plantar fasciitis. This condition involves inflammation of the plantar fascia, the thick band of tissue that supports the arch of the foot. Other common culprits include Achilles tendonitis, heel spurs, and bursitis. The good news is that heel pain is often treatable. Treatment options for heel pain range from conservative methods to more advanced interventions. Resting and performing gentle stretching exercises can provide relief, while custom-made orthotics may help distribute pressure more evenly. In severe or persistent cases, minimally invasive procedures such as corticosteroid injections may be recommended. Consulting a podiatrist is crucial in determining the underlying cause, in addition to guiding you toward the most suitable treatment plan. By addressing the root cause and following a tailored treatment regimen, you can take significant steps towards a pain-free and active lifestyle. It is strongly suggested that you visit a podiatrist who can accurately diagnose the cause for your heel pain and treat it accordingly. 

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
Tuesday, 05 September 2023 00:00

Running With Flat Feet

Running is a pursuit that empowers both body and mind, regardless of foot arch type. Flat feet, often misunderstood, should not deter anyone from lacing up and hitting the track. There are various types of flat feet, each requiring a unique approach. Flexible flat feet involve arches that appear when one is off the foot, and rigid flat feet exhibit little to no arch, even when lifted. While some flat feet do not pose issues, others may lead to discomfort or pain during running. Wearing customized footwear with proper arch support is essential. Orthotics or insoles can aid in maintaining alignment and reducing strain. Performing strengthening exercises targeting foot muscles can enhance stability. Running with flat feet is indeed possible with the right knowledge, care, and preparation. If you have flat feet and are interested in pursuing running as a hobby, it is suggested that you are under the care of a podiatrist who can provide you with useful information.

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 Flat Feet
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