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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

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If left untreated, an ingrown toenail can lead to greater issues. Give us a call, and get treated!

Monday, 29 April 2019 00:00

How to Care for Wounds

When existing wounds are treated promptly and correctly, there is a difference between a quick recovery and a longer healing time. It is helpful to wash the surface of the wound with salt water, followed by wiping the area with sterile gauze. If bleeding is present, it is helpful to apply pressure to the affected area. This is often accomplished by covering the wound with a dry cloth, and exerting pressure on it for several minutes. Research has indicated it is beneficial to cover moist wounds with dressings, and this may accelerate the healing process. If you have wounds on your feet, it is suggested to be under the care of a podiatrist, who can guide you toward proper wound care.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, 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 Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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 Wound Care
Tuesday, 23 April 2019 00:00

Types of Foot Pain

Many people experience heel pain at some point in their lives. Research has indicated that the most common form of heel pain is known as plantar fasciitis. This condition develops when the tendon that connects the heel to the toes becomes inflamed and irritated. Possible causes for this may be flat feet or if the arch is exceptionally high. Sever’s disease is a foot condition that may be experienced by teenagers who frequently participate in sporting activities. When this occurs, trauma is inflicted in the growth plate of the heel bone and may result in pain and discomfort. The Achilles tendon connects the heel bone to the calf muscles, and if this should become torn, pain is generally felt in the heel of the foot. If you are experiencing any type of foot pain, it is strongly suggested that you consult with a podiatrist who can properly diagnosis and treat your foot condition.

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, 15 April 2019 00:00

Symptoms of Morton’s Neuroma

The place on the foot where pain from Morton’s neuroma is typically felt is the bottom of the third and fourth toes. This condition can develop as a result of a swollen nerve in the ball of the foot. Some of the symptoms that patients may experience can include numbness or a tingling sensation, a burning pain, or a feeling that something is inside the bottom of the foot. There are, however, some methods that can be implemented which may help in finding mild relief. These may include performing exercises to aid in strengthening and stretching the foot, in addition to massage therapy. Patients may also find comfort in resting the foot, or wearing shoes that have adequate room for the toes to move freely. If you have any kind of pain in your foot, it is suggested that you speak to a podiatrist who can properly diagnose and treat the cause.

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 and ankle 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

Plantar Fasciitis refers to inflammation on the plantar fascia ligament, this ligament connects the heel to the toes. Overuse and strain can cause this condition, which affects the under arch of the foot and causes pain. This inflammation can also cause tension in surrounding muscles, and this can lead to the pain expanding into the calf. Stretches are beneficial in reducing tension, and therefore help to reduce overall pain. Towel curls can be performed by curling a towel with your toes. This stretch is done by placing a towel on the floor then while sitting, place your feet flat on the towel. By grasping the towel with your toes and curling inward you are stretching out the right parts of your foot. Foot flexes are also effective and are performed by sitting on the floor with your legs straight, then after wrapping an elastic band around your feet, begin to point your toes away from your body. If you believe you have plantar fasciitis, then it is highly recommended you speak to a podiatrist to learn about treatment options.

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
Monday, 01 April 2019 00:00

How to Prevent Athlete’s Foot

The symptoms of a condition that is referred to as athlete’s foot may consist of dry, flaky and cracked skin between the toes or on the soles of the feet. It is typically caused by a fungus which thrives in warm and moist areas. These may include public swimming pools, shower room floors, or locker rooms. It is known to be extremely contagious, and there are measures that can be implemented to avoid contracting athlete’s foot. These may consist of wearing appropriate shoes in public areas, and keeping your shoes and socks dry. Additionally, it may be helpful to wash and dry your feet daily, followed by utilizing a powder between the toes. This may aid in keeping the feet dry. If you have athlete’s foot, it is advised to consult with a podiatrist who can properly diagnosis and treat this condition.

Athlete’s Foot

Athlete’s foot is often an uncomfortable condition to experience. Thankfully, podiatrists specialize in treating athlete’s foot and offer the best treatment options. If you have any questions about athlete’s foot, consult with Dr. James Kutchback from James Kutchback, DPM, ABLES, CWS-P. Our doctor will assess your condition and provide you with quality treatment.

What Is Athlete’s Foot?

Tinea pedis, more commonly known as athlete’s foot, is a non-serious and common fungal infection of the foot. Athlete’s foot is contagious and can be contracted by touching someone who has it or infected surfaces. The most common places contaminated by it are public showers, locker rooms, and swimming pools. Once contracted, it grows on feet that are left inside moist, dark, and warm shoes and socks.

Prevention

The most effective ways to prevent athlete’s foot include:

  • Thoroughly washing and drying feet
  • Avoid going barefoot in locker rooms and public showers
  • Using shower shoes in public showers
  • Wearing socks that allow the feet to breathe
  • Changing socks and shoes frequently if you sweat a lot

Symptoms

Athlete’s foot initially occurs as a rash between the toes. However, if left undiagnosed, it can spread to the sides and bottom of the feet, toenails, and if touched by hand, the hands themselves. Symptoms include:

  • Redness
  • Burning
  • Itching
  • Scaly and peeling skin

Diagnosis and Treatment

Diagnosis is quick and easy. Skin samples will be taken and either viewed under a microscope or sent to a lab for testing. Sometimes, a podiatrist can diagnose it based on simply looking at it. Once confirmed, treatment options include oral and topical antifungal medications.

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 How to Deal with Athlete's Foot
Monday, 25 March 2019 00:00

What Causes Cracked Heels?

Patients who have cracked heels are aware of the discomfort and pain they may cause. A considerable amount of pressure is placed on the heels, and this may be noticed while walking. It may happen as a result of having extremely dry skin or standing for extended periods of time throughout the day. Additionally, if you have medical conditions, which may include psoriasis, diabetes, or a thyroid disorder, you may be prone to developing cracked heels. There are noticeable symptoms of this condition, which may include hard and callused skin surrounding the heel of the foot, and the skin in that area may appear to be brown or yellow. If you have this ailment, mild relief may be found by washing and drying the feet thoroughly, followed by utilizing a good moisturizer several times per day. If cracked heels are left untreated, an infection may develop, which may lead to cellulitis. If you have developed cracked heels, it is strongly suggested that you seek the counsel of a podiatrist who can properly diagnosis this condition and offer treatment options that are correct for you.

If the skin on your feet starts to crack, you may want to see a podiatrist to find treatment. If you have any concerns, 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.

Cracked Heels

It is important to moisturize your cracked heels in order to prevent pain, bleeding, and infection. The reason cracked heels form is because the skin on the foot is too dry to support the immense pressure placed on them. When the foot expands, the dry skin on the foot begins to split.

Ways to Help Heal Them

  • Invest in a good foot cream
  • Try Using Petroleum Jelly
  • Ease up on Soaps
  • Drink Plenty of Water

Ways to Prevent Cracked Heels

  • Moisturize After Showering
  • Skip a Shower
  • Keep Shower Water Lukewarm
  • Don’t Scrub Your Feet

If you are unsure how to proceed in treating cracked heels, seek guidance from a podiatrist. Your doctor will help you with any questions or information you may need. 

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 Solutions for Cracked Heels
Monday, 18 March 2019 00:00

How Do High Heels Affect the Feet?

Many women who enjoy wearing high heels may be unaware of the possible harm these types of shoes may do to the feet. When high heels are worn, the weight of the body may get shifted to the joint under the big toe. This may result in the formation of a bunion, which is characterized by a bony protrusion on the side of the big toe. Corns and calluses may form on the bottom of the foot and may result in metatarsalgia. This type of pain is typically felt in the ball of the foot. If you have pain in your heel and surrounding areas, it may lead to a condition that is referred to as plantar fasciitis. It may be similar to the pain and discomfort that is experienced with heel spurs, and both conditions may develop as a result of frequently wearing high heels. If you have any of these symptoms, please consult with a podiatrist who can guide you toward proper treatment.

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
Monday, 11 March 2019 00:00

Symptoms of Rheumatoid Arthritis

The medical condition that is referred to as rheumatoid arthritis is often accompanied by specific symptoms. These may include pain, stiffness in different areas of the foot, or swelling. Additionally, many patients may feel feverish, or have an overall sense of fatigue. This may be a result of how this autoimmune disorder may affect the overall body. There are treatment options that exist, which may bring a mild form of relief. Some patients benefit by wearing shoes that are comfortable, or using orthotics, which may be helpful in relieving excess pressure. If you are noticing any of these symptoms, and would like a proper diagnosis, it is suggested to consult with a podiatrist who can offer correct treatment techniques.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact Dr. James Kutchback of James Kutchback, DPM, ABLES, CWS-P. Our doctor will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

  • Swelling and pain in the feet
  • Stiffness in the feet
  • Pain on the ball or sole of feet
  • Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

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 Rheumatoid Arthritis in the Feet
Monday, 04 March 2019 00:00

Children and Sever’s Disease

Sever’s disease is a condition that only affects children because their growth plate is still in the process of maturing. A majority of the children affected by Sever’s disease participate in sports and are between the ages of 10 and 15. This condition causes inflammation around the growth plate of the heel bone, which is still growing. The extra stress placed on the foot during sports activities is usually what triggers Sever’s disease. Pain becomes present in the back of the heel, which becomes more sensitive when pressure is applied during actions like running or jumping. Children might develop a minor limp, and they will usually complain of painful sensations in the heel area. If you think your child might have Sever’s disease, it is recommended you bring them to a podiatrist to learn more about the condition and how it can be treated.

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
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