Tuesday, 27 September 2022 00:00

The Diagnosis of Cuboid Syndrome

Having a physical examination performed is often an effective method to properly diagnose cuboid syndrome. This is done by applying direct pressure over the cuboid bone. A limited range of motion is often easy to notice. Pain on the outside of the foot and possibly extending to the ankle and toes may bring the patient in for an examination, and the midtarsal supination test is often performed. This consists of flexing the ankle and putting pressure on the cuboid bone. Common symptoms that are associated with this condition include intense pain, inflammation, and swelling. Relief may be found when the foot is wrapped with a protective covering that may help to provide stability as daily activities are accomplished. Despite the urge to keep moving, frequently elevating and resting the foot is beneficial as the healing process occurs. If you have pain in this part of your foot, please contact a podiatrist who can perform a proper diagnosis using the most effective methods, in addition to guiding you toward treatment techniques that are best for you.

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 Ambrose Su, DPM from Cascade Foot Clinic. 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 office located in Bend, OR . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 27 September 2022 00:00

Cuboid Syndrome

Cuboid syndrome mostly affects athletes, although it can affect non-athletes too. It is also known as cuboid subluxation or cuboid fault syndrome.  This condition occurs when joints and ligaments near the cuboid bone of the foot are damaged, or when the cuboid bone itself is dislodged from its natural position. It is usually marked by pain on the outer side of the foot, which may be persistent or may come and go. Cuboid syndrome can be difficult to diagnose unless it becomes severe and more noticeable. Your doctor will likely ask questions about when the pain began and how long it has been present, and will put pressure on the cuboid bone to determine if that area is the origin of the pain.

Causes of Cuboid Syndrome

  • Any repetitive stresses placed on the foot due to athletic activities are a common cause of cuboid syndrome.
  • Although it develops over time, it is possible that this syndrome can occur all of sudden due to a single event or injury.
  • Over-pronation can exacerbate the condition if not corrected.

Disagreements Amongst Podiatrists Regarding Cuboid Syndrome

  • Some refer to it as the dislocation of the calcaneal-cuboid joint only.
  • Other podiatrists see it as an injury of the ligaments located nearby, which also involves the cuboid bone.

It is very important that when you experience any kind of pain on the side of your foot, you should seek medical care right away. If a subluxed cuboid is caught early, your feet may respond well to the treatment, and you can get back into sports or other activities again as soon as the pain subsides.

Friday, 23 September 2022 00:00

Why Live with Pain and Numbness in Your Feet?

Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.

Tuesday, 20 September 2022 00:00

Is My Ankle Broken?

Sometimes, an individual experiencing pain in the ankle might be unsure whether or not they have broken their ankle or whether they have developed some other foot affliction. There are several signs of a broken or fractured ankle that you ought to be aware of. Most obviously, a broken ankle can be extremely painful, particularly when putting weight on the affected foot. Additionally, when an individual has a broken ankle, the affected area might begin to bruise and exhibit discoloration, caused by leaking blood from blood vessels. Of course, getting an X-ray from a medical professional is the easiest way to know for sure whether or not you have a fractured ankle. If you suspect that you have broken your ankle, contact a podiatrist today. 

Broken ankles need immediate treatment. If you are seeking treatment, 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 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 office located in Bend, OR . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about All About Broken Ankle
Tuesday, 20 September 2022 00:00

All About Broken Ankle

Broken ankles or “ankle fractures” are injuries that occur when the bones that make up the ankle joint are broken. Ankle injuries are some of the most common bone and joint injuries. The ankle joint is made up of three bones that join. The tibia is the main bone, and it makes up the inside of the anklebone. The fibula is a smaller bone, and it makes up the outside of the anklebone. A membrane called the joint capsule is lined with a layer called the synovium, which covers the entire joint. The synovium produces synovial fluid which allows for the joint surfaces to move.

An ankle becomes broken when the joint is stressed beyond the strength of its limits. When an ankle is fractured, ligaments may also tear at the same time. Fractures often occur to the ankle rolling or twisting in an unusual way. At times, a fracture may even be caused by an extreme force applied to the joint.

Symptoms of a broken ankle include pain, swelling, bruising, discoloration, numbness, and an inability to move the toes. If you have a broken ankle, you may also hear something tear or snap when you initially suffered the injury. If you have pain from a broken ankle, beware that the pain will not always come from the exact area of the fracture; you may also experience pain from associated foot fractures. The swelling you may experience can suggest that soft tissue damage may have occurred due to the injury.

There are differences between an ankle fracture and an ankle sprain. The difference is that a fracture or break in the bone is required to classify an injury as a broken ankle. An ankle sprain occurs when there is a tear or disruption of ligaments in the ankle. In some cases, the prognosis of an ankle sprain may be worse than that of a fracture.

X-rays are the most common way to diagnose a broken ankle. X-rays show if the ankle is broken and where exactly the fracture is located. It will also show how many pieces of broken bone there are. A second method of testing to see if an ankle is broken is a stress test.  To do this, the doctor will put pressure on the ankle and perform a stress test to determine if the fracture requires surgery. Other methods for diagnosis include CT scans and MRI scans.

If you are suffering from a broken ankle, consult with your podiatrist immediately to receive a proper diagnosis and treatment.

Tuesday, 13 September 2022 00:00

What Is a Plantar Fibroma?

A plantar fibroma is a fibrous nodule in the arch of the foot that is noticeable and firm to the touch. It is embedded in the plantar fascia, the band of tissue that runs from the heel to the toes on the bottom of the foot. This can occur in one or both feet, it is usually a benign development, and it can remain the same size, get bigger, or multiply over time. This problem may or may not cause pain, but when pain is felt, it is often due to shoes pushing up against the lump in the arch. Pain can also arise when walking or standing barefoot. Specific causes for this condition have not been identified. Nonsurgical treatment, such as steroid injections, orthotics, or physical therapy, may help relieve pain of a plantar fibroma, but it will not make the mass go away. Surgical removal of the fibroma can be considered if nonsurgical approaches do not work, but this can lead to a flat foot or hammertoes. This condition has a high incidence of recurrence, and it is suggested that you see a podiatrist if you think that you have a plantar fibroma to confirm the diagnosis and get a professional opinion on the right treatment for you.

A plantar fibroma may disrupt your daily activities. If you have any concerns, 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.

Plantar Fibroma

A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.

What Causes a Plantar Fibroma?

While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.

What Are the Symptoms of a Plantar Fibroma?

There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.

Treatment and Prevention

A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:

  • Steroid injections
  • Orthotics
  • Physical therapy to help apply anti-inflammatory creams on the bump 

Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.

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.

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Tuesday, 13 September 2022 00:00

Plantar Fibroma

A plantar fibroma is a knot in the arch of the foot. It can cause pain when repeated pressure is applied by walking barefoot or wearing tight shoes. While plantar fibromas can appear in anyone, men who are middle-aged or older are said to be more susceptible. The main symptom of a plantar fibroma is a firm lump on the arch of the foot. If there is pain, it can be intensified by putting pressure on the nodule. The lump can stay one size or grow larger. You may have one or more fibromas in the feet and there tends to be a high incidence of recurring plantar fibromas.  Generally, a plantar fibroma can be treated without surgery. Treatment might include steroid injections to help shrink the lump, orthotics to help redistribute weight away from the nodule, plantar fascia stretching, or physical therapy to help use anti-inflammatory medication on the lump. If a lump grows larger or more painful, a podiatrist can be consulted to confirm the diagnosis. The doctor will palpate the lump and this may cause pain that can be felt all the way to the toes. An X-ray, MRI, or biopsy might be done if further evaluation is necessary. A lump in the arch of the foot might be something other than a plantar fibroma, such as cysts, nerve or fatty tumors, swollen tendons, or an infection in the foot. It is important to see a podiatrist for proper diagnosis and treatment of plantar fibromas.

Wednesday, 07 September 2022 00:00

Is It Dangerous To Wear High Heels?

Many women enjoy high heels despite the pain that can come from frequently wearing them. There may be many pairs of high heels in their closets, but the pain may cause unwanted foot conditions. Blisters are a common ailment to get while wearing high heels, and they can be caused by a narrow space in the toe area. The toes may rub together, and a painful blister may form. When patients choose to wear high heels, it is suggested that they fit properly, as this can help to avoid sliding. This is the term that is used when the shoes are too big, and the toes grip the front of the shoe, causing toe strain. This can lead to an uneven distribution of weight, and the ball of the foot may be negatively affected. Research has shown that the ankle, joints, and surrounding tendons may become strained and may lead to incurring a stress fracture or tendonitis. If you would like more information about the dangers to the feet of wearing high heels, please consult with a podiatrist.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, 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.

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 office located in Bend, OR . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Why High Heels Are Not Ideal for Healthy Feet
Wednesday, 07 September 2022 00:00

Why High Heels Are Not Ideal for Healthy Feet

It is no secret that high heels are uncomfortable to wear for long periods of time. Although beauty is pain, you should not sacrifice the health of your feet for a stylish heel. Wearing high heels can potentially cause many different foot conditions that may be avoided by wearing proper footwear.

The structure of high heels forces weight of your body to get shifted forward toward the ball of the foot. The higher the heel you wear, the more weight and pressure get shifted forward. The pressure that your toes may experience from wearing heels may lead to hammer toes, bunions, and ingrown toenails. Extra weight and pressure resulting from wearing heels may cause stress fractures. Furthermore, heels may cause pinched nerves which may result in Morton’s neuroma.

High heels are even more dangerous for people who are clumsy. Falling or tripping while wearing heels can cause an ankle sprain or twist.

What many people don’t know is that heels can also cause back and knee problems. In order for your body to stay balanced on heels, your spine has to sway unnaturally, which adds stress to your spine muscles. This may cause you to experience a sore lower back.  

If you decide to wear high heels regardless of the risks associated with them, there are ways you can minimize their harmful effects. One way to reduce injury is to massage and stretch your legs at the end of the day. Stretching can prevent the Achilles tendons and calf muscles from becoming too tight. If you are simply looking for more height, wedges and platforms provide a better surface area to distribute the body weight across compared to thinner heels.

If you experience pain from wearing high heels, it is important to see a podiatrist before any of your symptoms become worse.

Tuesday, 30 August 2022 00:00

Hard and Soft Corns

Corns are spots that can form on the feet that are made up of thickened skin. Importantly, corns are distinct from warts and calluses. At their core, corns are hard and tough, yet are surrounded by skin that is inflamed. There are three different kinds of corns that may develop on your feet. The first is known as soft corns. This kind of corn primarily develops in between the toes of the feet. They might develop when friction occurs between the toes, typically caused by shoes with a small toe box. Soft corns also tend to be a white color. Soft corns are distinct from hard corns, the second kind of corn. Hard corns tend to develop on the flat, bony areas of the foot. In size, hard corns are both tiny and circular. A hard corn may develop in response to friction along with the inside of ill-fitting shoes. The third kind of corn is known as a seed corn, which can develop on the ball of the feet. Having corns may not seem consequential in some cases, but it is nothing to take lightly. Contact a podiatrist about your corns for treatment options. 

If you have any concerns 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 can be described as areas of the skin that have thickened to the point of becoming painful or irritating. They are often layers and layers of the skin that have become dry and rough, and are normally smaller than calluses.

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

  • Well-fitting socks
  • Comfortable shoes that are not tight around your foot
  • Shoes that offer support

Treating Corns
Treatment of corns involves removing the dead skin that has built up in the specific area of the foot. Consult with Our doctor 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.

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