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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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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

Peripheral artery disease, abbreviated PAD, also referred to as peripheral vascular disease, is a condition that arises from the reduced flow of blood to the body’s extremities, including the lower legs and feet. People with diabetes are more susceptible to developing PAD, as a result of weakened and damaged blood vessels from having high blood sugar. Blood clot formation within the vessels can also contribute to this condition. Conditions such as arthritis, which causes inflammation of the arteries, can further fuel peripheral artery disease. Other factors, such as smoking, hypertension, and obesity, increase the risk of developing PAD. Symptoms can include intermittent pain, coldness, numbness, and a bluish hue in the skin. In more advanced stages, wounds that resist healing, and areas of skin that blacken may develop due to the lack of adequate blood flow. In such cases, swift medical intervention is extremely important. If you suspect you may have peripheral artery disease that is affecting your lower extremities, it is suggested that you make an appointment with a podiatrist, who is specifically trained to manage this condition.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, 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.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

  • Claudication (leg pain from walking)
  • Numbness in legs
  • Decrease in growth of leg hair and toenails
  • Paleness of the skin
  • Erectile dysfunction
  • Sores and wounds on legs and feet that won’t heal
  • Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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 Peripheral Artery Disease
Monday, 28 August 2023 00:00

Heel Pain Can Be Treated!

Do you suffer from heel pain when you get up in the morning? If so, you should seek the professional help of your podiatrist and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.

Tuesday, 22 August 2023 00:00

Lyme Disease and the Feet

Lyme disease, often transmitted by ticks, can bring about various symptoms that affect the feet and other parts of the body. While fever, fatigue, and rashes may signal its presence, a definitive diagnosis requires careful consideration of symptoms and circumstances. If one has been in wooded or grassy areas during tick season, it is possible to contract Lyme disease. Lyme disease's early signs, such as fever, chills, headache, fatigue, and muscle pain, can mimic a severe cold. Knee swelling is common, and joint pain may migrate across the body. As the disease progresses, headaches, Bell's palsy, and joint pain can intensify, and rare complications like heart involvement or mental health issues may arise. Shooting pains, numbness, or tingling in the hands and feet may be felt. It is suggested that you manage pain and inflammation and focus on your overall well-being to aid in healing. If you suspect you have Lyme disease, it is suggested that you make an appointment with a podiatrist for an accurate diagnosis and effective management.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact Dr. James Kutchback from James Kutchback, DPM, ABLES, CWS-P. Our doctor will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

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 Systemic Diseases of the Foot

Plantar fasciitis is a common foot condition that causes pain in the heel and bottom of the foot. The hallmark symptom is sharp, stabbing pain that is often most noticeable in the morning or after periods of inactivity. Plantar fasciitis occurs when the thick band of tissue that connects the heel bone to the toes, known as the plantar fascia, becomes inflamed or irritated. Several factors can contribute to plantar fasciitis, including overuse, high-impact activities, flat feet, and wearing improper footwear. Treatment typically involves a combination of rest, stretching exercises, physical therapy, and the use of supportive footwear or orthotic inserts. In severe cases, corticosteroid injections or extracorporeal shock wave therapy may be considered. To prevent plantar fasciitis, it is beneficial to maintain a healthy weight, wear appropriate shoes, and avoid excessive high-impact activities. Additionally, it can help to stretch regularly to keep the plantar fascia and surrounding muscles flexible and strong. Early intervention and diligent preventive measures can help alleviate the pain and discomfort associated with plantar fasciitis and promote better foot health. If you have plantar fasciitis, it is strongly suggested that you confer with a podiatrist who can offer treatment options that are best for you.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. 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 one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

  • Excessive running
  • Having high arches in your feet
  • Other foot issues such as flat feet
  • Pregnancy (due to the sudden weight gain)
  • Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

  • Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
  • Maintain a healthy weight
  • If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is 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 Plantar Fasciitis
Tuesday, 08 August 2023 00:00

Why the Feet Swell During Pregnancy

During pregnancy, many women experience a condition known as edema. This swelling occurs in various parts of the body, including the feet, especially during the second and third trimesters. An increase of fluids in the lower part of the body may be the cause of swelling during pregnancy. The fluid gathers more at the end of the day, especially after standing for long periods. As the pregnancy continues, the uterus puts more pressure on the legs, ankles, and feet. The increased pressure can slow circulation, making it more difficult to return blood to the heart. Lying or sleeping on the back only increases the problem, especially in the third trimester. Some ways to combat the swelling include gentle exercise, reducing salt intake, wearing compression socks, and drinking more water. Walking and swimming are mild exercises that can be performed. While edema is considered normal during pregnancy, if discomfort from swelling in the feet increases, it is suggested that you seek attention from a podiatrist for guidance.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Dr. James Kutchback from James Kutchback, DPM, ABLES, CWS-P. Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

  • Wearing orthotics can provide extra support for the feet and help distribute weight evenly
  • Minimize the amount of time spent walking barefoot
  • Wear shoes with good arch support
  • Wear shoes that allow for good circulation to the feet
  • Elevate feet if you experience swelling
  • Massage your feet
  • Get regular, light exercise, such as walking, to promote blood circulation to the feet

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 Foot Care for Pregnant Women
Monday, 07 August 2023 00:00

Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

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