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Due to the spread of the corona virus our office is taking extra precautions to keep our patients safe. We want our patients to feel safe coming to our office. We are screening each patient that comes in, disinfecting our waiting area and back office as usual, as well as keeping the wait time down in the waiting area. We will continue to see patients in the office and please don’t hesitate to call if you have any questions.
We are now accepting Telehealth appointments, please give the office a call for details.

The Woodlands(936) 273-3311

Blog

Monday, 07 October 2019 00:00

The Location of the Cuboid Bones

If the cuboid bone should shift from its normal location, it is known as cuboid syndrome. These particular bones are located on the outer edge of the foot. This ailment can happen as a result of an ankle sprain, or from repetitive motion that can come from running or participating in certain sporting activities. Common symptoms that are often associated with cuboid syndrome can include bruising, swelling, pain on the outside of the foot, and it may be difficult to walk. Patients may find moderate relief when the affected foot is elevated, in addition to practicing strengthening exercises. Additionally, the foot may feel better when it is taped, and this may be helpful in providing adequate support. If you have pain in this area of the foot, it is suggested that you consult with a podiatrist who can guide you toward proper techniques. 

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, 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.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

  • Injury – The most common cause of this ailment is an ankle sprain.
  • Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
  • Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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 Cuboid Syndrome
Monday, 30 September 2019 00:00

How To Reduce Foot Pain

Research has indicated that foot pain may be diminished from standing for the majority of the day if the muscles are strong. When the body is properly aligned, it may help to keep foot pain to a minimum. It is beneficial to wear shoes that provide adequate support and fit correctly. Additionally, it is important to keep the body strong, and this can be done by practicing a frequent exercise or yoga routine. When stretching techniques are performed before and after the work day, muscle tension may be avoided, and the feet can remain flexible. If you would like additional information about how to reduce foot pain during the work day, it is recommended that you speak to a podiatrist.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Dr. James Kutchback from James Kutchback, DPM, ABLES, CWS-P. Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

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 Working on Your Feet
Friday, 27 September 2019 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!

The most common type of skin infection caused by a fungus is referred to as athlete’s foot. This fungus lives and thrives in warm and moist environments that often consist of public pools, shower room floors, locker rooms and surrounding areas. Noticeable symptoms that often accompany this condition can include severe itchiness on the soles of the feet, between the toes, and the skin may crack and appear scaly. If you are affected by athlete’s foot, moderate relief can be found when an antifungal medication is used. This can be applied in the form of a spray, cream, or lotion. There are methods that can be taken which may help to prevent contracting this condition. These can include wearing appropriate shoes while in moist environments, in addition to keeping your feet clean and dry. If you are afflicted with a severe case of athlete’s foot, it is strongly suggested that you consult with a podiatrist who can properly treat this condition.

Athlete’s foot is an inconvenient condition that can be easily reduced with the proper treatment. If you have any concerns about your feet and ankles, contact Dr. James Kutchback from James Kutchback, DPM, ABLES, CWS-P.  Our doctor will treat your foot and ankle needs.

Athlete’s Foot: The Sole Story

Athlete's foot, also known as tinea pedis, can be an extremely contagious foot infection. It is commonly contracted in public changing areas and bathrooms, dormitory style living quarters, around locker rooms and public swimming pools, or anywhere your feet often come into contact with other people.

Solutions to Combat Athlete’s Foot

  • Hydrate your feet by using lotion
  • Exfoliate
  • Buff off nails
  • Use of anti-fungal products
  • Examine your feet and visit your doctor if any suspicious blisters or cuts develop

Athlete’s foot can cause many irritating symptoms such as dry and flaking skin, itching, and redness. Some more severe symptoms can include bleeding and cracked skin, intense itching and burning, and even pain when walking. In the worst cases, Athlete’s foot can cause blistering as well. Speak to your podiatrist for a better understanding of the different causes of Athlete’s foot, as well as help in determining which treatment options are 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 and ankle needs.

Read more about Athlete’s Foot
Monday, 16 September 2019 00:00

Certain Medical Conditions May Cause Hammertoe

A hammertoe is considered to be a deformity of the foot. It is also referred to as a “contracted toe” and is most likely noticed on the second and third toes. In severe cases, it can resemble a hammer, because the middle joint in the second toe bends in a downward direction. This deformity can happen for a variety of reasons. These can include having high arches, wearing shoes that do not have adequate room for the toes to move freely in, and prior toe injuries. Additionally, medical conditions such as arthritis and bunions may play a significant role in developing hammertoe. Mild relief can be found when the toes are gently stretched and wiggled, and it can help to wear shoes that have ample room in the toe area. Patients with a severe case of hammertoe may choose surgery, which can permanently straighten the toe. If you are afflicted with this condition, it is advised that you seek the counsel of a podiatrist who can guide you toward proper treatment options.

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 Hammertoe
Monday, 09 September 2019 00:00

Possible Ways To Prevent Falling

Research has indicated that approximately one third of seniors in America will fall during the night. This can cause many injuries to occur, that may include painful foot ailments. There are methods that can be implemented which can help to reduce the risk of falling. These can consist of improving the lighting in the bedroom and hallways, removing worn carpeting, and installing grab bars in the shower and toilet areas. Many seniors find it beneficial to live in a home that has one level, and this can aid in preventing hazardous falls that may be caused by stairs. Additionally, it is helpful to incorporate a gentle exercise program into your daily routine. This can result in strengthening muscles which may also help to prevent falling. Please speak with a podiatrist if you would like more information on how falling may affect the feet. 

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Dr. James Kutchback from James Kutchback, DPM, ABLES, CWS-P. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

  • Enrolling in strength and balance exercise program to increase balance and strength
  • Periodically having your sight and hearing checked
  • Discuss any medications you have with a doctor to see if it increases the risk of falling
  • Clearing the house of falling hazards and installing devices like grab bars and railings
  • Utilizing a walker or cane
  • Wearing shoes that provide good support and cushioning
  • Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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 Falls Prevention
Friday, 06 September 2019 00:00

Why Live with Pain and Numbness in Your Feet?

Living with foot pain is hard on your body.  Give us a call and let us find out what's wrong.

Tuesday, 03 September 2019 00:00

Painful Symptoms of Gout

The medical condition that is referred to as gout may often come in the form of severe flare-ups. They can happen suddenly, and common symptoms can include swelling, redness, and pain surrounding the big toe. Patients who are susceptible to this condition often have elevated levels of uric acid in their bloodstream. This may come from eating foods that have high purine levels which include shellfish, red meat, and alcohol. The excess uric acid can cause crystals to form in the joints, and this typically happens in the big toe. Research has indicated many gout attacks occur at night, and this may be a result of a lower body temperature, in addition to hormone changes that may happen during sleep. It is strongly suggested that you speak to a podiatrist as soon as you can about the proper treatment techniques.

Gout is a foot condition that requires certain treatment and care. 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 type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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 Gout
Tuesday, 27 August 2019 00:00

The Feet Can Change As We Get Older

As the aging process occurs, changes in the feet typically endure. These can include dry and brittle nails, less cushioning in the foot, and sores on the feet that take longer to heal. There are a few tips to keep in mind as one gets older. Research has indicated the importance of wearing shoes that fit correctly. When shoes that are worn fit properly, certain foot conditions may be prevented from developing which include bunions, corns, and calluses. The feet will generally feel better when gentle stretching techniques are frequently performed. Additionally, it is beneficial to keep the legs uncrossed while sitting. Athlete’s foot may be avoided if appropriate shoes are worn while in public pools and surrounding areas. When the toenails are trimmed correctly, ingrown toenails may be prevented. If diabetes is an existing condition, it is suggested to be under the care of a podiatrist who can help you to maintain proper foot care. If you would like more advice, consult with a podiatrist.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and 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.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

  • Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
  • Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
  • Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
  • Gouging toenails affecting nearby toe
  • Shoes that don’t fit properly
  • Pressure sores
  • Loss of circulation in legs & feet
  • Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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 Elderly Foot Care
Monday, 19 August 2019 00:00

Sports and Achilles Tendon Injuries

People who participate in sporting activities may experience Achilles tendon injuries. If it is torn, surgery may be necessary to repair the tendon, and a lengthy recovery period is often needed. The Achilles tendon is located in the back of the calf, and its purpose is to connect the heel to the calf muscles. It may become injured if sudden jumping or sprinting is performed. This may occur if certain sports are played that can include volleyball and basketball. There are existing conditions which could weaken the Achilles tendon. These can consist of diabetes, specific forms of arthritis that can include gout, or if certain medications are taken. The symptoms that are often associated with this condition can include difficulty in walking, and there may be severe pain while attempting to point and flex the foot. If you have endured an Achilles tendon injury, it is advised to speak with a podiatrist who can guide you toward the proper treatment.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, 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 the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

  • Inflammation
  • Dull to severe pain
  • Increased blood flow to the tendon
  • Thickening of the tendon

Rupture Symptoms

  • Extreme pain and swelling in the foot
  • Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

  • Thorough stretching of the tendon before and after exercise
  • Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

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 Achilles Tendon Injuries
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