Tuesday, 19 August 2025 00:00

Causes and Risk Factors of Corns

Corns are thickened areas of skin, known as keratotic lesions, that often on the toes or soles of the feet form due to friction or pressure. They develop as a protective response to ongoing irritation from wearing tight footwear, abnormal foot structure, or repeated movement. Risk factors include foot deformities, improper shoe fit, or prolonged walking or standing. Corns may appear as hard, dry areas, soft corns between the toes, or seed corns on the bottom of the foot. They can become painful and interfere with daily activities. A podiatrist can identify the type and cause of corns and provide safe, effective treatment. If you have developed a painful corn, it is suggested that you consult a podiatrist who can provide effective relief and prevention tips.

Corns can make walking very painful and should be treated immediately. If you have questions regarding your feet and ankles, contact Ambrose Su, DPM of Cascade Foot Clinic. Our doctor will treat your foot and ankle needs.

Corns: What Are They? And How Do You Get Rid of Them?
Corns are thickened areas on the skin that can become painful. They are caused by excessive pressure and friction on the skin. Corns press into the deeper layers of the skin and are usually round in shape.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as:

  • Wearing properly fitting shoes that have been measured by a professional
  • Wearing shoes that are not sharply pointed or have high heels
  • Wearing only shoes that offer support

Treating Corns

Although most corns slowly disappear when the friction or pressure stops, this isn’t always the case. Consult with your podiatrist to determine the best treatment option for your case of corns.

If you have any questions, please feel free to contact our office located in Bend, OR . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Corns: What Are They, and How Do You Get Rid of Them

Corns are thickened areas on the skin’s surface, to the point of being irritating and sometimes painful. Commonly found on the feet, corns are circular or cone-shaped. They develop where there are areas of pressure or friction, such as on the little toe when it rubs up against shoes, or on the ball of your foot.

Corns are often confused with a callus, but there is a difference between them. Corns can be raised bumps that are painful to the touch. They consist of a rough, thick area of skin that may be dry or waxy. Corns tend to be surrounded by skin that is inflamed, and are usually much smaller than calluses.

Removing the dead skin that has built up is the key in treating corns. Salicylic acid medication is most common in accomplishing this. The acid works by dissolving keratin, which is the protein that makes up the majority of corns. You can purchase salicylic acid over-the-counter in products such as wart removers. It comes in a variety of forms such as medicated pads, drops, or creams. However, people who are diabetic should not use salicylic acid, but should instead consult their doctor immediately.

According to the product directions, applying the medication directly onto the corn will treat it. The top layer of the corn will begin to turn white after use. When that occurs, the layers of skin can then be peeled away, making the corn smaller. Shaving off corns with razors or other pedicure equipment is never a good idea. This can lead to infection. If your corn gets infected, and is not treated immediately, a visit to the doctor will be necessary.

Another way to treat corns and help prevent their return is by using orthotic inserts, fitted by a podiatrist. Inserts fit right into your shoes and adjusts the way your foot fits into your shoes. This fixes the way you walk. This will lower your chances of getting corns, and eliminate current corns by reducing rubbing from friction.

Surgery is rarely used to treat corns, but does occur on occasion. Surgery actually deals with the underlying issue that causes corns. During surgery, the bone is shaved and any abnormalities are corrected, thus reducing the amount of friction that occurs during walking.

To prevent corns, the first step is reducing friction. Always wear shoes that fit well and don’t rub your feet. Pads can be purchased if you notice rubbing developing. These pads can be purchased over-the-counter, and can be simply placed on the irritated area. Wearing cushioned insoles in your shoes can always reduce the friction, and making sure to wear well-fitting shoes. This will ensure that your foot is not being squeezed awkwardly, and prevent corns from forming in the first place.

Sunday, 17 August 2025 00:00

Do Your Child's Feet Hurt?

Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.

Tuesday, 12 August 2025 00:00

Broken Foot Treatment Options

A broken foot can result from trauma such as falls, car accidents, or sports injuries. Stress fractures may also develop from repetitive activity or overuse. Symptoms include immediate pain, swelling, bruising, difficulty walking, and, in some cases, visible deformity. The area may look swollen or misshapen and feel tender or throbbing, especially while bearing weight. A podiatrist can diagnose a fracture through a physical exam, and imaging like X-rays. Treatment depends on the type and severity of the break. Minor fractures may only require immobilization with a boot or cast. More serious breaks might need realignment or surgery, along with screws or plates. Healing time ranges from six to 12 weeks, depending on the location and severity of the break, as well as individual health factors. If you think you may have broken your foot, it is suggested that you make an immediate appointment with a podiatrist who can accurately diagnose and treat a foot fracture.

A broken foot requires immediate medical attention and treatment. If you need your feet checked, contact Ambrose Su, DPM from Cascade Foot Clinic. 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 office located in Bend, OR . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Causes, Symptoms, and Treatment for a Broken Foot

One out of ten broken bones is reported to be in the feet. When an object crushes, bends, or stretches the bone beyond acceptable ranges, bones break. A break in the foot is either a fracture or a straight break.

The location of any break can tell you how the break happened. Toes, for instance, break typically as a result of something being kicked hard and with great force. Heel breaks almost always are a result of an improper landing from a tall height. Twists or sprains are the other two frequent occurrences. As with all usual breaks, they result from unexpected accident or sudden injury. As with stress fractures, breaks form as a process over time from repeated stress on already present cracks. Runners, dancers, and gymnasts are the usual athletes who receive this type of break. Stress fractures result from incredible pressure on the feet. It is no surprise these athletes bear the majority of reported fractures.

Pain, swelling, bruising, and redness are all indicative of the typical symptoms from a broken foot. Severe pain—to the point of not being able to walk—usually depends on the location of the break in the foot. Toes are on the lower scale of pain threshold, but heels are high, as are a few other particular bones. As the severity of the broken foot increases, symptoms like blueness, numbness, misshaping of the foot, cuts, or deformities will become apparent. These symptoms indicate the need to see a medical professional with access to an x-ray facility.

Prior to seeing a specialist, precautions should be taken to reduce pain and swelling. Elevate and stabilize the foot, and refrain from moving it. Immobilization of the foot is the next priority, so creating a homemade splint is acceptable. Keep in mind that while creating a splint, any increase of pain or cutting off blood circulation means that the splint should be removed immediately. Use ice to decrease swelling and relieve pain symptoms.

When dealing with a medical center, the patient should note that the treatment can vary. The treatment will depend on the severity of the fracture and the cause of the break. Crutches, splits, or casts are common treatments while surgery has been known to be used in more severe cases in order to repair the break in the bones. 

Tuesday, 05 August 2025 00:00

Risk Factors and Treatment of Bunions

A bunion is a deformity of the joint at the base of the big toe, where the bones gradually shift out of alignment. This happens when the tip of the big toe leans toward the smaller toes, forcing the metatarsal bone inward and forming a bony lump at the joint. Bunions may develop slowly over years, or appear more rapidly in adolescents. Risk factors include family history, wearing shoes that squeeze the toes, inflammatory joint diseases like rheumatoid arthritis, and structural foot problems, such as over-pronation. Bunions often cause pain, redness, swelling, and thickened skin over the joint. A podiatrist can help by providing supportive devices to ease pressure and correcting foot mechanics. In severe cases, surgery may be required to realign the bones and relieve pain. If you have a bunion that is interfering with your daily activities, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment options.

If you are suffering from bunions, contact Ambrose Su, DPM of Cascade Foot Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Podiatrists often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your provider.

How Are Bunions Treated?

  • Refrain from wearing heels or similar shoes that cause discomfort
  • Select wider shoes that can provide more comfort and reduce pain
  • Anti-inflammatory and pain management drugs
  • Orthotics or foot inserts
  • Surgery

If you have any questions, please feel free to contact our office located in Bend, OR . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Bunions
Tuesday, 05 August 2025 00:00

Bunions

A bunion is an enlargement of the base joint of the toe that connects to the foot, often formed from a bony growth or a patch of swollen tissues. It is caused by the inward shifting of the bones in the big toe, toward the other toes of the foot. This shift can cause a serious amount of pain and discomfort. The area around the big toe can become inflamed, red, and painful.

Bunions are most commonly formed in people who are already genetically predisposed to them or other kinds of bone displacements. Existing bunions can be worsened by wearing improperly fitting shoes. Trying to cram your feet into high heels or running or walking in a way that causes too much stress on the feet can exacerbate bunion development. High heels not only push the big toe inward, but shift one's body weight and center of gravity towards the edge of the feet and toes, expediting bone displacement.

A podiatrist knowledgeable in foot structure and biomechanics will be able to quickly diagnose bunions. Bunions must be distinguished from gout or arthritic conditions, so blood tests may be necessary. The podiatrist may order a radiological exam to provide an image of the bone structure. If the x-ray demonstrates an enlargement of the joint near the base of the toe and a shifting toward the smaller toes, this is indicative of a bunion.

Wearing wider shoes can reduce pressure on the bunion and minimize pain, and high heeled shoes should be eliminated for a period of time. This may be enough to eliminate the pain associated with bunions; however, if pain persists, anti-inflammatory drugs may be prescribed. Severe pain may require an injection of steroids near the bunion. Orthotics for shoes may be prescribed which, by altering the pressure on the foot, can be helpful in reducing pain. These do not correct the problem; but by eliminating the pain, they can provide relief.

For cases that do not respond to these methods of treatment, surgery can be done to reposition the toe. A surgeon may do this by taking out a section of bone or by rearranging the ligaments and tendons in the toe to help keep it properly aligned. It may be necessary even after surgery to wear more comfortable shoes that avoid placing pressure on the toe, as the big toe may move back to its former orientation toward the smaller toes.

An ingrown toenail develops when the edge of the toenail presses into the surrounding skin, often causing pain, swelling, and sometimes infection. This condition commonly affects the big toe and is frequently linked to cutting the toenail too short or trimming down the sides. Shoes that press the toes out of alignment may also contribute to an ingrown toenail. When conservative care is not enough, a podiatrist may recommend surgery to relieve the discomfort and stop infection. Surgery for an ingrown toenail can involve removing part of the nail, the entire nail, or a section of nail tissue beneath the skin to help prevent the problem from returning. These procedures are typically done under local anesthesia and usually take around 10 minutes. Although there is a risk of infection, recurrence, or scarring, ingrown toenail surgery can be a reliable way to reduce pain and infection. If you have ingrown toenail complications, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment options, possibly including surgery.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Ambrose Su, DPM of Cascade Foot Clinic. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions, please feel free to contact our office located in Bend, OR . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Foot Surgery
Tuesday, 29 July 2025 00:00

Foot Surgery

In most cases, foot surgery is often chosen as the last available option for conditions that have otherwise been unsuccessfully treated. Surgery may be necessary for several reasons, including the removal of foot deformities (e.g. bone spurs or bunions), arthritis problems, reconstruction due to injury, and congenital malformations (e.g. club foot or flat feet). Regardless of one’s age, foot surgery may be the only successful option for treatment for certain conditions.

The type of surgery one undergoes depends on the type of foot condition the patient has. For the removal of a bunion growth, a bunionectomy is necessary. If the bones in the feet need to be realigned or fused together, a surgical fusion of the foot is needed. For pain or nerve issues, a patient may require surgery in which the tissues surrounding the painful nerve are removed. Initially, less invasive treatments are generally attempted; surgery is often the last measure taken if other treatments are unsuccessful.

While in many cases surgery is often deemed as the final resort, choosing surgery comes with certain benefits. The associated pain experienced in relation to the particular condition is often relieved with surgery, allowing patients to quickly resume daily activities. The greatest benefit, however, is that surgery generally eliminates the problem immediately.

Podiatry history has shown that foot treatments continue to evolve over time. In the field of foot surgery, endoscopic surgery is just one of the many advanced forms of surgery. As technology vastly improves so too will the various techniques in foot surgery, which already require smaller and smaller incisions with the use of better and more efficient tools. Thanks to such innovations, surgery is no longer as invasive as it was in the past, allowing for faster and easier recoveries. 

Tuesday, 22 July 2025 00:00

Improving Balance Can Help Prevent Falls

Good balance depends on the feet’s ability to detect movement and respond quickly to uneven surfaces or shifts in body weight. This awareness, known as proprioception, plays a key role in preventing falls.  When proprioception declines due to aging, injury, or medical conditions, balance can become less reliable, increasing the risk of falls. This is particularly noticeable when the feet struggle to detect subtle surface changes, such as stepping from pavement onto grass. Training that improves proprioception can help restore this awareness and reduce fall risk by enhancing coordination and reaction time. Exercises that challenge balance on one foot or require controlled foot movements in multiple directions can strengthen these sensory pathways. A podiatrist can assess balance problems and recommend supportive exercises, custom orthotics, or, in some cases, surgery for structural foot problems. If you are experiencing balance problems, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment plan

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Ambrose Su, DPM from Cascade Foot Clinic. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

  • Enrolling in strength and balance exercise program to increase balance and strength
  • Periodically having your sight and hearing checked
  • Discuss any medications you have with a doctor to see if it increases the risk of falling
  • Clearing the house of falling hazards and installing devices like grab bars and railings
  • Utilizing a walker or cane
  • Wearing shoes that provide good support and cushioning
  • Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

If you have any questions, please feel free to contact our office located in Bend, OR . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Falls Prevention
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