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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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Tuesday, 30 January 2024 00:00

Signs That You May Have Gout

Gout, a form of inflammatory arthritis, manifests through a distinctive set of symptoms that characterize its presence. One of the most common signs is sudden, intense joint pain, often affecting the big toe. This pain is typically accompanied by swelling and redness around the affected joint, creating a visibly inflamed and tender area. The onset of gout attacks can be abrupt, with discomfort escalating rapidly. Limited mobility in the affected joint is a prevalent consequence, making it challenging for individuals to bear weight or move the joint freely. Gout attacks can also induce a discomfort that persists even between episodes. Recognizing these signs is essential for a timely diagnosis and intervention. Seeking medical advice and exploring lifestyle modifications can mitigate the impact of gout, allowing individuals to manage symptoms and lead a more comfortable, mobile life. Gout can cause extreme pain and discomfort. If you have had one or frequent gout attacks, it is strongly suggested that you are under the care of a podiatrist who can help you to successfully manage this condition.

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, 23 January 2024 00:00

Ways to Reduce Pain From High Heels

Walking in high heels can exude confidence and style, but it often comes at the expense of comfort. To navigate the world of stilettos without enduring pain, consider a few essential tips. First, choose heels with a reasonable height and platform, allowing for better weight distribution. Prioritize proper shoe size to avoid unnecessary pressure on toes and insteps. Engage core muscles for improved balance, maintaining an upright posture to alleviate strain on the lower back. Mastering a heel-to-toe walking technique ensures a smoother gait, reducing impact on the feet. Take smaller steps and embrace a slower pace to enhance stability and grace. Additionally, opt for shoes with cushioned insoles or consider using gel inserts for added comfort. Gradual practice in heels at home can help build endurance and confidence. Lastly, pamper your feet with stretches and massages. If you would like more information about how to wear high heels while protecting 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 Why High Heels Are Not Ideal for Healthy Feet
Monday, 22 January 2024 00:00

Plantar Warts Can Be Treated!

Plantar warts are small growths that develop on parts of the feet that bear weight. They're typically found on the bottom of the foot. Don't live with plantar warts, and call us today!

Tuesday, 16 January 2024 00:00

What Causes Sever’s Disease?

Sever's disease, a common heel condition affecting active children, stems from specific factors that influence the growth plate at the back of the heel. This condition primarily arises during the growth spurts of adolescence when the heel bone, or calcaneus, grows faster than the Achilles tendon. The Achilles tendon, responsible for connecting the calf muscles to the heel, becomes tight and exerts increased tension on the heel's growth plate. Simultaneously, vigorous physical activities, especially those involving running or jumping, exacerbate the stress on the growth plate, triggering inflammation and pain. Factors like improper footwear or engaging in sports on hard surfaces can contribute to the development of Sever's disease. If your active child has heel pain, it is strongly suggested that you consult a podiatrist who can successfully treat Sever’s disease.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Dr. James Kutchback from James Kutchback, DPM, ABLES, CWS-P. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their 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 injuries.

Read more about Sever's Disease
Tuesday, 09 January 2024 00:00

Foot Pain May Indicate PAD

Foot pain is more than just an annoyance. It can signal a potential threat to your overall health. One such condition linked to foot discomfort is peripheral artery disease, abbreviated PAD, and is a serious condition that, if left untreated, can have fatal consequences. PAD occurs when fatty deposits accumulate in the arteries, restricting blood flow to the leg muscles. This condition is not to be taken lightly, as it often leads to more severe complications, such as coronary heart disease and an increased risk of strokes. Recognizing the signs of PAD early on is essential for effective treatment and prevention of further complications. The primary indicators of peripheral artery disease are recurring leg pain during exercise, foot pain, persistent ulcers, and the development of gangrene. Foot pain, ranging from mild to severe, is a common symptom that typically subsides with rest. If you notice open sores, known as ulcers, on your feet or legs that do not heal, it is essential to consult with your podiatrist promptly. Gangrene, a severe condition characterized by swelling, pain, and the production of foul-smelling pus, can occur when PAD progresses. Skin changes, such as coldness, numbness, and discoloration, may also manifest. If you are experiencing symptoms of peripheral artery disease in the feet and ankles, it is suggested that you schedule an appointment with a podiatrist for treatment.

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
Tuesday, 02 January 2024 00:00

Exploring the Intricacies of Ankle Sprains

Ankle sprains, a prevalent injury, unravel an interplay of anatomy when examined through a comprehensive lens. The anatomy of an ankle involves a complex network of ligaments, primarily the lateral ligaments on the outer side and the deltoid ligament on the inner side. Ankle sprains typically occur when these ligaments undergo excessive stretching or tearing, often as a result of sudden twists or awkward landings. The lateral ligaments, comprising the anterior talofibular, calcaneofibular, and posterior talofibular ligaments, bear the brunt of lateral movements and are commonly affected during sprains. The deltoid ligament, positioned on the inner side, stabilizes the ankle against excessive inward rolling. Ankle sprains can cause severe pain and discomfort. If you have endured this type of injury, it is suggested that you speak to a podiatrist who can offer the treatment option that is best for you.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle 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.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

  • Types of arthritis (rheumatoid, osteoarthritis, and gout)
  • Ankle sprains
  • Broken ankles
  • Achilles tendinitis
  • Achilles tendon rupture
  • Stress fractures
  • Tarsal tunnel syndrome
  • Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and 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 Ankle Pain

If you are suffering from tenderness, pain, or stiffness in the joints of your feet or ankles, call us to schedule an appointment.

Tuesday, 26 December 2023 00:00

Causes of Big Toe Joint Pain

One of the most important components of your foot is the big toe joint, scientifically known as the first metatarsophalangeal joint, or first MPJ. When issues arise within this joint, they can significantly impact your daily life, ranging from walking to overall body posture. Hallux limitus is a condition that pertains to the limited range of motion in the big toe joint. One of the main causes of this condition is inflammatory arthritis. Your big toe joint plays a critical role in walking and maintaining proper balance. When this joint loses its range of motion it can lead to significant difficulties in walking and cause pain during each step. This can alter the gait and in turn affect the knee, hip, and back. If arthritis is a contributing factor, disease specific medications can be prescribed. In severe cases, surgical intervention may be needed. Procedures can range from cleaning out the joint to more advanced surgeries, such as joint fusion or joint replacement. For an accurate appraisal of the problems involving your big toe pain, it is suggested that you make an appointment with a podiatrist. 

Toe pain can disrupt your daily activities. 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 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 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 Toe Pain

Embarking on a running journey brings not just the thrill of the track but also the responsibility of safeguarding against potential injuries. Start with a proper warm-up, gradually transitioning from brisk walking to a light jog, allowing muscles to adapt to the forthcoming activity. Choosing the right footwear is paramount. Opt for shoes that provide adequate support and cushioning based on your foot arch and running terrain. Maintain a balanced training routine that incorporates strength and flexibility exercises, focusing on core muscles and leg stability. Listen to your body and incorporate rest days to allow for recovery and muscle repair. Pay attention to running surfaces, choosing softer terrains when possible to reduce the impact on joints. Lastly, progress your running intensity gradually to avoid overexertion. If you would like more information about how to prevent running injuries in addition to protecting the feet, it is suggested that you consult a podiatrist.

All runners should take extra precaution when trying to avoid injury. If you have any concerns about your feet, contact Dr. James Kutchback of James Kutchback, DPM, ABLES, CWS-P. Our doctor will treat your foot and ankle needs.

How to Prevent Running Injuries

There are a lot of mistakes a runner can make prior to a workout that can induce injury. A lot of athletes tend to overstretch before running, instead of saving those workouts for a post-run routine. Deep lunges and hand-to-toe hamstring pulls should be performed after a workout instead of during a warmup. Another common mistake is jumping into an intense routine before your body is physically prepared for it. You should try to ease your way into long-distance running instead of forcing yourself to rush into it.

More Tips for Preventing Injury

  • Incorporate Strength Training into Workouts - This will help improve the body’s overall athleticism
  • Improve and Maintain Your Flexibility – Stretching everyday will help improve overall performance
  • “Warm Up” Before Running and “Cool Down” Afterward – A warm up of 5-10 minutes helps get rid of lactic acid in the muscles and prevents delayed muscle soreness
  • Cross-Training is Crucial
  • Wear Proper Running Shoes
  • Have a Formal Gait Analysis – Poor biomechanics can easily cause 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 Preventing Running Injuries

Approximately 60,000 lower extremity amputations are performed annually in the United States in patients with diabetes. This fact makes ulceration, infection, and gangrene a prevalent foot and ankle issue for diabetics people. Many amputations can be prevented through daily foot care habits and regular visits to a podiatrist to monitor foot ulcers. These experts suggest adopting an everyday foot care routine of inspecting the feet thoroughly for any changes in shape, color, sensation, or skin integrity. To prevent complications, podiatrists also recommend a gentle cleaning that involves washing feet in lukewarm water with mild soap, avoiding soaking, and ensuring thorough drying, especially between the toes. Nail care includes trimming nails straight across, avoiding rounding the corners. Callus management suggests gently reducing calluses with a foot file or pumice stone, rubbing in one direction to avoid skin tears. Diabetic patients should opt for cushioned, breathable shoes with soft uppers. Choosing cotton or natural fiber socks over synthetic materials is recommended. If you have diabetes, and are experiencing foot ulcers, it is suggested that you are under the care of a podiatrist who is medically trained to manage this condition.

Limb salvage can be an effective way in preventing the need for limb amputation. If you have diabetes, cancer, or any other condition that could lead to foot amputation if left unchecked, 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.

What Is Limb Salvage?

Limb salvage is the attempt of saving a limb, such as the foot from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Diabetes is the number one cause of non-traumatic amputations in the United States. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.

However, there are other causes as well, such as cancer and traumatic injury. Links between higher mortality rates and amputation have been found. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.

Diagnosis and Treatment

Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated. 

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 Limb Salvage
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