Items filtered by date: January 2022

Some of the symptoms of peripheral arterial disease (PAD) can include pain, weakness, numbness, loss of hair on your legs, bluish-colored skin on the feet or calves, poor toenail growth, pain or cramps in your legs when walking, and wounds on your feet and legs that are slow to heal. To properly diagnose this vascular condition, your podiatrist may need to know your Ankle Brachial Index (ABI). Simply put, the ABI compares the blood pressure in the arm with the blood pressure in the ankle. Blood pressure during the heart’s contracting/pumping (systolic) phase is slightly higher in the ankle than it is in the arm for healthy people. Determining the ABI is a very simple and non-invasive procedure, using just a blood pressure cuff and a Doppler instrument. The patient lies down and rests for ten minutes. Then, blood pressure is taken at the upper arm, followed by the ankle. The ankle’s blood pressure is then divided by the arm’s blood pressure. An ABI ratio between 1.0 to 1.4 is considered normal. An ABI ratio of 0.9 or less usually indicates PAD—with moderate cases typically ranging between 0.4 to 0.7, and more severe cases falling below 0.4. If you are experiencing any symptoms of PAD, contact a podiatrist right away for a full examination and to see if your ABI should be analyzed.

Vascular testing plays an important part in diagnosing disease like peripheral artery disease. If you have symptoms of peripheral artery disease, or diabetes, 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 Vascular Testing?

Vascular testing checks for how well blood circulation is in the veins and arteries. This is most often done to determine and treat a patient for peripheral artery disease (PAD), stroke, and aneurysms. Podiatrists utilize vascular testing when a patient has symptoms of PAD or if they believe they might. If a patient has diabetes, a podiatrist may determine a vascular test to be prudent to check for poor blood circulation.

How Is it Conducted?

Most forms of vascular testing are non-invasive. Podiatrists will first conduct a visual inspection for any wounds, discoloration, and any abnormal signs prior to a vascular test.

 The most common tests include:

• Ankle-Brachial Index (ABI) examination
• Doppler examination
• Pedal pulses

These tests are safe, painless, and easy to do. Once finished, the podiatrist can then provide a diagnosis and the best course for treatment.

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.

As popular as they are, high heels can bring a variety of long-term consequences to the overall health of the feet. Because they cause strides to be shorter and with more force and cause the toes to be in a flexed position, the calf muscles can shorten and may strain easily. Also, once someone who regularly wears high heels starts wearing flat shoes, like sneakers or flip flops, there is an increased chance of injury due to the feet being placed in a new environment. A variety of conditions can be caused by regularly wearing high heels, including hammertoes, bunions, sprained ankles, bone fractures, or ligament tears. If you have been injured because of wearing high heels, or simply seek advice on avoiding injuries, it is suggested that you visit a podiatrist for more information.

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.

One common sports injury that occurs in the big toe is known as turf toe. This condition, which is most common among football and soccer players, happens when the big toe is sprained because of a repetitive upward bending of the joint. This action usually takes place when the big toe is jammed or injured when pushing off while  jumping or running. Turf toe is extremely common when playing on turf, particularly because the foot is more likely to stick to the hard surface under it and jam. Common indications of turf toe include pain, swelling, and a lack of joint movement in the big toe. Turf toe is often treated by rest, ice, compression and elevation, but in extreme cases, surgery may be necessary. Athletes who notice that they have symptoms similar to turf toe would be wise to check with a podiatrist who can properly diagnose and treat the injury.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, 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.

Common Injuries

The most common injuries that occur in sporting activities include:

• Achilles Tendonitis
• Achilles Tendon Rupture
• Ankle Sprains
• Broken Foot
• Plantar Fasciitis
• Stress Fractures
• Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

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.

Cuboid syndrome occurs when the cuboid bone in the midfoot becomes partially dislocated (subluxes). This can occur during an acute injury such as an inversion sprain of the ankle, or over time from jumping, running, etc., which can place repetitive strain on the muscle which attaches to the lateral (outer) side of the foot. When the cuboid bone subluxes, this can prevent surrounding bones from moving properly. It is believed that having flat feet, or a gait where your foot rolls inward when you walk may put you at higher risk of developing cuboid syndrome. Symptoms of cuboid syndrome can include lateral foot pain which worsens in the morning or during activity, swelling and tenderness in the area, an overall feeling of weakness or difficulty when walking, running or jumping. If you believe you may have cuboid syndrome, make an appointment with a podiatrist as soon as possible. They will use a variety of imaging and physical tests to assess your condition and create a comprehensive treatment plan to guide the cuboid bone back into position and relieve pain and swelling.

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.