Peripheral neuropathy develops when nerves outside the brain and spinal cord become damaged. These nerves carry messages about feeling and movement. Symptoms in the feet include numbness, tingling, or burning pain. Some patients notice sharp pain, muscle weakness, or sensitivity to touch. Balance can also suffer because the feet provide less reliable information about the ground. Symptoms can remain steady or come and go. Diabetes is a leading cause because high blood sugar can damage nerves in the lower limbs and feet. Other causes include physical injury, infection, or heavy alcohol use.

Loss of feeling in the feet can create serious risks. A patient might not notice a cut, blister, or pressure point because they do not feel the pain. Without prompt care, a small wound can develop into an ulcer or infection. Severe infections can damage tissue and raise the risk of limb loss. Weakness and poor balance can also make falls more likely. People with diabetes or known nerve damage can benefit from regular foot examinations. A podiatrist can check sensation, circulation, and muscle strength. The examination also includes a search for skin damage and changes in foot shape.

Podiatric treatment focuses on protecting the feet and addressing problems early. A podiatrist can trim thick nails safely, treat calluses, and care for wounds. These services matter when reduced feeling makes an injury more likely to be ignored. Custom orthotics can redistribute pressure and improve stability when weakness changes how weight is carried. A podiatrist can also recommend properly fitted shoes with enough room for the toes. Follow-up visits allow the doctor to monitor sensation, examine the skin, and respond to new concerns. Early diagnosis can limit further nerve damage, protect daily mobility, and preserve independence. If you have symptoms of peripheral neuropathy, it is suggested that you schedule an appointment with a podiatrist for effective relief and management solutions.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with James Kutchback, DPM from Kutchback Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

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.

Tarsal tunnel syndrome develops when the posterior tibial nerve becomes compressed within a narrow passage near the inside of the ankle, called the tarsal tunnel. This nerve travels through the ankle and supplies areas of the heel and bottom of the foot. When pressure develops around the nerve, pain can occur along its path. Several problems may contribute to this compression. Abnormal foot function, inflammatory arthritis, and ankle swelling are possible factors. Cysts or changes in the tissues surrounding the nerve may also reduce space within the tunnel and create irritation.

Symptoms of tarsal tunnel syndrome commonly include pain around the inside of the ankle. The discomfort may spread into the heel, sole, or toes. Some people describe the pain as burning or tingling. Symptoms often become worse while standing or walking. As nerve compression progresses, discomfort may eventually occur even while resting. Because heel and arch pain can have several possible causes, determining where the symptoms begin and how they spread is important. A professional examination can help distinguish tarsal tunnel syndrome from other foot problems that may cause similar discomfort.

A podiatrist can evaluate foot and ankle pain to determine whether the posterior tibial nerve may be compressed. During an examination, pressure or tapping near the affected nerve may reproduce tingling that travels toward the heel or toes. Nerve testing may help support a diagnosis, while an MRI can identify a growth or other structure placing pressure on the nerve. Treatment depends on the underlying cause and severity of the symptoms. Professional options may include orthotics or injections to reduce symptoms. Surgery may be necessary when persistent nerve compression does not respond to other treatments. If burning, tingling, or persistent pain is affecting your ankle or foot, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact James Kutchback, DPM of Kutchback Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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.

Sesamoiditis causes pain around two small bones located beneath the joint of the big toe. These bones are called sesamoids, and they help the big toe move while bearing pressure from the body. Unlike most bones, they are connected to tendons rather than directly to other bones. Repeated stress can irritate the sesamoid bones and the surrounding tendons. Pain usually develops in the ball of the foot beneath the big toe. Activities that place repeated pressure on the forefoot can make the discomfort more noticeable and interfere with normal movement.

Sesamoiditis can affect people whose activities place extra force on the front of the foot. Running and dancing can increase stress around the sesamoids. Sports that involve repeated jumping can also contribute to irritation. Symptoms usually develop gradually instead of appearing after one sudden injury. Patients can notice pain when bending or straightening the big toe. Swelling or bruising can also occur around the affected area. Because fractures and other forefoot problems can cause similar symptoms, a careful evaluation is important for identifying the source of pain.

A podiatrist can examine the painful area and evaluate how the big toe moves. The examination can also assess foot structure and how pressure is distributed across the forefoot. Imaging tests can help determine whether a fracture or another bone problem is causing symptoms. Treatment for sesamoiditis focuses on reducing pressure around the painful area and improving foot function. A podiatrist can recommend appropriate shoe changes, padding, or custom orthotics based on examination findings. Treatment can also address movement patterns that increase stress beneath the big toe. If you have symptoms of sesamoiditis, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact James Kutchback, DPM of Kutchback Podiatry. Our doctor will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

• Sudden increase in activity
• Increase in physically strenuous movement without a proper warm up or build up
• Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

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.

A broken ankle occurs when one or more bones surrounding the ankle joint crack. A twist, fall, or direct blow can cause this injury. The break can affect the fibula and tibia, which are the two lower-leg bones, either one or both. The bony bump on the ankle’s outside, called the lateral malleolus, or the bump on the inside, called the medial malleolus, also may be injured. The back edge of the tibia, called the posterior malleolus, may be fractured. 

Pain, swelling, and trouble putting weight on the injured foot can indicate a broken ankle. Bruising or a change in the ankle’s shape can occur. Because some small breaks feel like a severe sprain, symptoms alone cannot confirm the injury. A podiatrist examines the ankle, checks tender areas, and evaluates its stability. X-rays show whether a bone is broken and if so, whether the pieces remain lined up. These findings help the podiatrist decide if the fracture is stable or unstable. Prompt diagnosis matters because an unstable joint or poorly aligned bone can lead to lasting stiffness, weakness, or arthritis.

A podiatrist creates a treatment plan based on the fracture’s location, alignment, and stability. A stable break can be protected in a walking boot or cast while the bone heals. The podiatrist monitors healing with follow-up visits and imaging. An unstable fracture can require surgery to place the bone pieces into their correct position. Plates, screws, or pins may be used to hold them steady. After treatment, the podiatrist develops a plan for a safe return to standing, walking, and regular activities. Follow-up care helps identify poor alignment or delayed healing before further problems occur. Following weight-bearing limits and appointment schedules protects the healing ankle and lowers the chance of another injury. If you have broken your ankle, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Broken ankles need immediate treatment. If you are seeking treatment, contact James Kutchback, DPM from Kutchback Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

• Excessive pain when the area is touched or when any pressure is placed on the ankle
• Swelling around the area
• Bruising of the area
• Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

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.

Ankle pain without a direct injury can seem unexpected, but several conditions can cause discomfort without a clear accident or fall. Arthritis, gout, and Achilles tendon injuries are among some of the problems that can all affect the ankle. Arthritis can cause pain, stiffness, and tenderness when the joint changes. Gout is a type of arthritis that can cause sudden, severe pain when crystals build up inside a joint. Bursitis develops when small fluid-filled sacs near the ankle become irritated. Fallen arches can also place extra stress on the feet and ankles. In addition, repeated activity can irritate the Achilles tendon, which connects the calf muscle to the heel.

A podiatrist can examine the foot and ankle to help determine what is causing the pain. The evaluation can include checking the ankle's movement, looking for swelling, and examining areas of tenderness. A podiatrist can also review your symptoms and ask about your activity level, previous foot or ankle problems, and other health conditions that could relate to the pain. Imaging tests can provide additional information when a structural problem is suspected. X-rays can show changes in bones and joints, while an ultrasound can help identify problems involving tendons. Finding the cause is important because treatment depends on what is behind the ankle pain.

Once the cause has been identified, a podiatrist can recommend an appropriate treatment plan. Treatment can include wearing supportive shoes or inserts, bracing, or medication, when appropriate. Some conditions require more specialized treatment, while severe tendon or joint problems can sometimes require surgery. A podiatrist can also monitor your progress and make changes to treatment based on your symptoms and examination findings. Ankle pain that appears without a direct injury should not be ignored, particularly when it is persistent, severe, or accompanied by swelling or stiffness. If you have ankle pain without direct injury, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with James Kutchback, DPM from Kutchback Podiatry. 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 tendonitis
• Achilles tendon rupture
• Stress fractures
• Bursitis
• 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 tools and technology to treat your foot and ankle needs.

A bunion, also known as hallux valgus, is a structural foot deformity that forms at the base of the big toe. The big toe gradually shifts toward the smaller toes, while the first metatarsal moves outward. This changes the alignment of the foot and creates a visible bump along the inside of the foot. The area may become red, swollen, or irritated, especially when shoes press against it. Over time, the big toe may angle farther inward, and the joint can become stiff, enlarged, and painful.

Bunion symptoms vary from mild irritation to persistent discomfort. Common signs include pain, swelling, and difficulty walking comfortably. Calluses or thickened skin may develop when pressure increases around the affected area. Risk factors include family history, inherited foot structure, and certain inflammatory or joint conditions. Narrow or pointed shoes do not usually cause bunions by themselves, but they can increase pressure and aggravate existing symptoms.

Bunions can develop because of inherited foot mechanics, uneven weight distribution, or structural changes within the foot. A podiatrist can evaluate the condition by examining the foot and discussing symptoms. The exam may include checking joint movement, looking at foot alignment, and observing walking patterns. X-rays may be recommended to assess bone positioning and determine the severity of the deformity.

Treatment focuses on relieving pressure, reducing discomfort, and supporting normal foot function. Wearing shoes with a wider toe box can give the big toe more room. Protective padding may reduce friction and pressure, while activity changes can also help limit irritation. Supportive orthotics may improve weight distribution and foot alignment. Early evaluation can help identify contributing factors and guide appropriate care before symptoms become more difficult to manage. If you have developed a bunion, it is suggested that you consult a podiatrist who can offer effective relief and management tips.

If you are suffering from bunion pain, contact James Kutchback, DPM of Kutchback Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

• Genetics – some people inherit feet that are more prone to bunion development
• Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

• Redness and inflammation
• Pain and tenderness
• Callus or corns on the bump
• Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

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.

Hammertoe occurs when one or more toes bend into an abnormal position, causing the toe to look raised at the middle joint. The second, third, and fourth toes are frequently affected. This change can cause discomfort in the front of the foot and irritation where the bent toe rubs against a shoe. A thickened area of skin called a callus can also develop from repeated pressure. Hammertoe can affect how the foot moves and places extra pressure on parts of the foot when walking. Several factors can contribute to hammertoe, including changes in toe muscle strength, limited ankle movement, and changes in foot mechanics.

The muscles that move the toes help maintain their normal position. When the muscles that straighten the toes are stronger than the muscles that bend them, an imbalance can develop. This imbalance has been linked with the amount of toe bending seen in hammertoe. Limited upward ankle movement can also be associated with the condition. Reduced movement in another foot joint can contribute as well. These factors can affect how the foot moves and how pressure is placed across the toes. A podiatrist can examine toe position, muscle function, and areas of pressure to better understand the factors affecting a patient.

Treatment depends on the flexibility of the toe, the amount of discomfort, and how the condition affects daily activity. A podiatrist can assess the deformity and recommend appropriate treatment based on the findings. Care can include changes to footwear, treatment for painful calluses, or other measures designed to reduce pressure on the affected toe. A podiatrist can also assess related foot and ankle movement to determine whether these factors are contributing to the condition. If you have developed a hammertoe, it is suggested that you schedule an appointment with a podiatrist for effective relief and management tips. 

Hammertoes can be a painful condition to live with. For more information, contact James Kutchback, DPM of Kutchback Podiatry. 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.

An Achilles tendon injury affects the strong band of tissue that connects the calf muscles to the heel bone. This tendon plays a critical role in walking, running, and pushing off the foot during movement. Injuries can range from mild inflammation to partial or complete tears. Because the Achilles tendon endures high levels of stress, it is vulnerable to damage, especially during sudden or intense activity. Understanding this condition is important for early recognition and proper care.

Symptoms of an Achilles tendon injury often appear suddenly and may be severe. Many individuals report hearing or feeling a pop or snap at the back of the ankle at the time of injury. This sensation is sometimes described as feeling like being kicked in the heel. Swelling and bruising may develop quickly, along with pain that makes walking difficult. A common sign is the inability to push off the foot or stand on tiptoe. These symptoms can significantly affect mobility and require prompt attention.

The causes of Achilles tendon injuries are often linked to sudden increases in physical activity or forceful movements. Activities that involve jumping, sprinting, or quick direction changes can place excessive strain on the tendon. Lack of proper warm up, tight calf muscles, and inadequate conditioning may increase the risk of injury. Overuse and repetitive stress can weaken the tendon over time, making it more susceptible to tears during activity.

Risk factors include active adults who participate in sports without consistent training, as well as individuals known as weekend warriors who engage in intense activity after periods of inactivity. A history of previous tendon injuries, aging, and poor footwear can also contribute to risk. Early evaluation and proper care are essential for recovery and preventing further damage. If you have an Achilles tendon injury, it is suggested that you consult a podiatrist for effective relief and treatment solutions. 

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact James Kutchback, DPM of Kutchback Podiatry. 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.