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Podiatrist, Foot Doctor James Kutchback, DPM, ABLES, CWS-P located in The Woodlands, TX 77384 and Woodville, TX 75979 area

James Kutchback, DPM, CWS-P

Taylor Saucier, DPM, AACFAS

The Woodlands
Woodville
(936) 273-3311

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Tuesday, 11 January 2022 00:00

How Turf Toe Occurs

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.

Read more about Sports Related Foot and Ankle Injuries
Tuesday, 29 June 2021 00:00

What Is a Metatarsal Fracture?

The metatarsals are five long, slim bones that run the length of the foot to the base of the toes. They are a common site of fractures. The fifth metatarsal bone, which is located on the outside of the foot and connects your pinky toe to the rest of the foot, is the most likely foot bone to be fractured due to an acute injury. Metatarsals can also be the site of stress fractures, which occur over time due to overuse. Like other fractures, metatarsal fractures may be open or closed. Open fractures refer to broken bones that break through the skin, while closed fractures are internal. Metatarsal fractures can also be displaced, where the bones have become misaligned, or nondisplaced. If you suspect that you may have broken a bone in your foot, it is suggested that you see a podiatrist as soon as possible. 

A broken foot requires immediate medical attention and treatment. If you need your feet checked, 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.

Broken Foot Causes, Symptoms, and Treatment

A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury. 

Common Symptoms of Broken Feet:

  • Bruising
  • Pain
  • Redness
  • Swelling
  • Blue in color
  • Numbness
  • Cold
  • Misshapen
  • Cuts
  • Deformities

Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.

Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.

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 Causes, Symptoms, and Treatment for a Broken Foot

The most common reason for a stress fracture to develop is from overuse and participating in repetitive activities. Sporting events that require frequent running and jumping may cause stress fractures to gradually occur and this may cause pain and discomfort. Many patients may feel mild symptoms immediately following this type of injury and choose to ignore them. This can cause the stress fracture to worsen and the symptoms to intensify. People may also find if they increase the speed and duration of their training too quickly, a stress fracture may result from not gradually increasing speed and distance. Additionally, this type of ailment may occur from an abnormal foot structure or from wearing shoes that do not fit properly. If you incur this type of injury, it is suggested that you confer with a podiatrist when signs and symptoms first arise as there are several treatment options available.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact Dr. James Kutchback from James Kutchback, DPM, ABLES, CWS-P. Our doctor can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

  • Runners                                  
  • People affected with Osteoporosis
  • Tennis or basketball players
  • Gymnasts
  • High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

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 Dealing with Stress Fractures of the Foot and Ankle

Peripheral arterial disease (PAD) occurs when the outer, or peripheral, arteries narrow due to a build-up of plaque. Peripheral arteries transport blood—which carries oxygen and nutrients—to the legs and arms, keeping the skin and underlying tissue alive and healthy. When PAD is present in the legs, it can reduce the normal amount of blood flow, oxygen, and nutrients to the feet. This may lead to dysfunction in the skin and tissue, causing it to break down and make it more susceptible to developing wounds. PAD can be an inherited disease, or may be caused by diabetes, hypertension, high cholesterol, or obesity. Symptoms of PAD in the feet may include burning, aching, coolness, redness, reoccurring infections, and sores in the toes and feet that do not heal. If you are experiencing any of these symptoms, contact a podiatrist for a full examination, testing, diagnosis and proper 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, 18 May 2021 00:00

Why Aging Feet Need Regular Care

Foot care for the elderly is important as skin tends to thin out and lose elasticity, and nails can become dry and brittle—making the feet more susceptible to infections, blisters, toenail fungus, ingrown toenails, and more. It is important for an aging adult to practice regular foot care, or if they cannot do it themselves, have a caretaker do it. Toenails should be trimmed and filed regularly: straight across, and not too short in order to avoid ingrown toenails. Nail clippers should be sanitized and never shared. Feet should be cleaned, moisturized, and inspected daily for signs of infection which may include cracks, blisters, discolored nails, or bleeding sores. Footwear should be properly sized with good arch support to aid in mobility and prevent slips and falls. Shoes should never force the feet or toes into a position that is uncomfortable or restricts circulation. Additionally, older adults should make an appointment with a podiatrist for an examination and possibly even a gait analysis to detect and treat any developing or existing conditions.

Everyday foot care is very important to prevent infection and other foot ailments. If you need your feet checked, 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.

Everyday Foot Care

Often, people take care of their bodies, face and hair more so than they do for their feet. But the feet are a very important aspect of our bodies, and one that we should pay more attention to. Without our feet, we would not be able to perform most daily tasks.

It is best to check your feet regularly to make sure there are no new bruises or cuts that you may not have noticed before. For dry feet, moisturizer can easily be a remedy and can be applied as often as necessary to the affected areas. Wearing shoes that fit well can also help you maintain good foot health, as well as making it easier to walk and do daily activities without the stress or pain of ill-fitting shoes, high heels, or even flip flops. Wearing clean socks with closed shoes is important to ensure that sweat and bacteria do not accumulate within the shoe. Clean socks help to prevent Athlete’s foot, fungi problems, bad odors, and can absorb sweat.

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 Everyday Foot Care
Monday, 19 April 2021 00:00

Stretching and Breathing Before Running

Many running injuries can be prevented by properly warming up prior to jogging or running. This can be accomplished by performing leg swings and lunges, which are effective in increasing range of motion. Many people find it helpful to follow a running program. There are different facets to running, consisting of speed and endurance. It can help to focus on your breathing, and this time can be beneficial in deciding what the running goal is for the day. Using a foam roller on the hamstrings and ankles can help to loosen these areas, and posture may improve when stretches for the hip flexors are frequently performed. If you would like information about how to protect the feet before and after running, please consult with a podiatrist.

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries. 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

Many common running injuries are caused by overuse and overtraining. When the back of the kneecap starts wearing out and starts causing pain in your knee, this is commonly referred to as runner’s knee. Runner’s knee is a decrease in strength in your quadriceps and can occur if you’re not wearing properly fitted or supporting shoes. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned.

What Are Some Causes of Running Injuries?
- One cause of a common running injury is called iliotibial band syndrome.
- Plantar fasciitis is also another common injury.
- Stress fractures can occur from overtraining, lack of calcium, or even your running style.

Best Ways to Prevent Running Injuries
- Wear footwear that fits properly and suits your running needs.
- Running shoes are the only protective gear that runners have to safeguard them from injury.
- Make a training schedule. Adding strengthening exercises as well as regular stretching can help keep you strong and limber and can lessen the possibility of injuries.
- Stretching keeps muscles limber; this will help you gain better flexibility.

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 How to Prevent Running Injuries
Monday, 05 April 2021 00:00

Reasons Why a Broken Toe Can Occur

The majority of broken toes occur when it is stubbed against a piece of furniture, or when a heavy object is dropped on it. Immediate symptoms often include bruising, severe pain and discomfort, and it can be difficult to walk. A common treatment solution is referred to as buddy taping, and this is often used for mild fractures. This is accomplished by taping the affected toe to the toe next to it. This can help to provide the stability that is necessary for effective healing. It is beneficial to elevate the foot as frequently as possible, and healing may be accelerated when walking is limited. If you have broken your toe, it is strongly suggested that you speak with a podiatrist as quickly as possible who can determine what the best treatment is for you.

Broken toes may cause a lot of pain and should be treated as soon as possible. If you have any concerns about your feet, contact Dr. James Kutchback from James Kutchback, DPM, ABLES, CWS-P. Our doctor will treat your foot and ankle needs.

What Is a Broken Toe?

A broken toe occurs when one or more of the toe bones of the foot are broken after an injury. Injuries such as stubbing your toe or dropping a heavy object on it may cause a toe fracture.

Symptoms of a Broken Toe

  • Swelling
  • Pain (with/without wearing shoes)
  • Stiffness
  • Nail Injury

Although the injured toe should be monitored daily, it is especially important to have a podiatrist look at your toe if you have severe symptoms. Some of these symptoms include worsening or new pain that is not relieved with medication, sores, redness, or open wounds near the toe.

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 What to Know About a Broken Toe
Monday, 08 February 2021 00:00

What Can Cause an Ingrown Toenail?

Ingrown toenails can occur from a sudden injury, genetics, or from wearing shoes that do not fit correctly. Additionally, ingrown toenails can develop if the toenails are cut improperly. The big toe is most frequently affected. Common symptoms that are often associated with this ailment include reddened skin surrounding the ingrown nail, tenderness, and pain. This is a result of the nail growing into the skin. If the area becomes infected, drainage may ooze from the sides of the nail. Some patients find it beneficial to soak their toe in warm water, as this may help to soften the affected area enough to separate the nail from the skin. It is strongly suggested that you consult with a podiatrist if you have an ingrown toenail.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, 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.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

  • Improper toenail trimming
  • Genetics
  • Improper shoe fitting
  • Injury from pedicures or nail picking
  • Abnormal gait
  • Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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 Ingrown Toenails
Monday, 08 February 2021 00:00

Ingrown Toenails

Ingrown toenails (onychocryptosis) are a common foot ailment and it is very unpleasant to experience. The condition is caused by an increase in pressure from the ingrowth of the nail edge into the skin of the toe. Ingrown toenails commonly cause pain in those who experience them. In some cases, the skin surrounding the ingrown toenail may break which may lead bacteria to enter through and cause an infection. Common symptoms of this ailment include pain, redness, swelling, and warmth around the toe.

An imbalance between the size of the nail and the enlargement of the nail skin edge causes ingrown toenails. This condition is often caused by improperly trimming the toenails. If you are trying you cut your nails, you should always try to trim straight across instead of in a rounded shape. Ingrown toenails can also be an inherited condition and they may also be caused by improper shoe fitting.

Another common cause of the condition is wearing shoes that are either too small or too large. Other causes include poor foot hygiene, obesity, diabetes, arthritis, edema, and fungal infections. There are many risk factors that may make a person more likely to develop an ingrown toenail. Athletes who play “stop and start” sports such as tennis, soccer, and basketball are most likely to have ingrown toenails.

People who have diabetes, a compromised immune system, or poor circulation should immediately seek care from a podiatrist if they have an ingrown toenail. It is also recommended to seek professional assistance if at-home remedies are not successful within a week or if there is persistent pain.

Monday, 21 December 2020 00:00

What Is a Sprained Toe?

A sprained toe is a very common foot injury that can affect anyone at any time. The more frequent causes tend to be stubbing the toe or injuring it during a sporting activity. A sprained toe means torn ligaments, and this can hinder completing daily activities, not to mention the pain and discomfort that often coincides. Sprained toes are classified into three categories and the healing time is governed by which area they fall into. A mild sprain takes the least amount of time to heal, and the patient may be fully recovered within two weeks. The ligaments may be partially torn in a moderate sprain, and the toe may be unstable. The healing time with this type of sprain can extend to up to five weeks. The full healing time with a severe sprain can take six weeks or longer, and can require the most amount of care. If you have a sprained toe it is advised that you consult with a podiatrist who can properly diagnose the severity of your injury and guide you toward proper treatment techniques.

A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact Dr. James Kutchback from James Kutchback, DPM, ABLES, CWS-P. Our doctor will treat your foot and ankle needs.

What to Know About a Broken Toe

Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).

Symptoms of a Broken Toe

  • Throbbing pain
  • Swelling
  • Bruising on the skin and toenail
  • The inability to move the toe
  • Toe appears crooked or disfigured
  • Tingling or numbness in the toe

Generally, it is best to stay off of the injured toe with the affected foot elevated.

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.

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 What to Know About a Broken Toe
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