Roy A. Rothman, DPM, PA
Podiatric Medicine and SurgeonFoot & Ankle Specialist
Erythromelalgia, or EM, can affect the feet. It is considered to be a rare foot condition, and common symptoms are redness, burning, and the skin can feel warm. There are two categories of erythromelalgia, consisting of primary and secondary. The former type may be associated with family history and can be more prevalent among children. The above symptoms can become debilitating and will generally affect both feet. The latter classification may be linked to autoimmune diseases or conditions that affect the blood and bone marrow and can be more common among adults. Research has shown that erythromelalgia may be linked to heavy metal poisoning, which may happen if exposed to air or water pollution, lead-based paints, or specific types of medication. There is no cure for this foot condition, but relief may be found by treating the symptoms. This can include taking aspirin, antihistamines, or other kinds of medicine. If you have symptoms of EM, it is strongly suggested that you are under the care of a podiatrist who can help offer relief options that are correct for you.
Some foot conditions may require additional professional care. If you have any concerns, contact Roy Rothman, DPM of Florida. Our doctor can provide the care you need to keep you pain-free and on your feet.
Rare Foot Conditions
The majority of foot conditions are common and can be treated by a podiatrist. Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care.
There are many rare foot conditions that can affect children. Some of these can include:
Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp.
Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.
Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking.
A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.
If you have any questions please feel free to contact our office located in DeBary, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
A podiatrist will be able to address a variety of rare foot conditions, particularly the ones that affect children. The most common are Kohler’s disease, Maffucci syndrome, and Freiberg’s disease. They can be properly diagnosed by having an X-ray taken, but in more serious cases an MRI may be needed. Kohler’s disease generally affects younger boys and bone deterioration may result from an interruption of blood supply. Children who have Kohler’s disease may find relief when the affected foot is rested, and a special boot is worn. Benign growths in the long bones of a child’s foot may lead to the development of bone lesions, and this is known as Maffucci syndrome. People who have this condition find mild relief when custom-made orthotics are worn. Freiberg’s disease targets the ball of the foot and can typically affect pre-teen and teenage girls. The metatarsal bone becomes deteriorated and flattened, and common symptoms include swelling and stiffness. A cast is often necessary to wear with this disease as it can help to reduce existing pain. Erythromelalgia is a rare foot condition, and its cause is unknown. Symptoms of this disease can include intense burning pain and the feet may appear red or feel warm. Relief may be found when the affected foot is immersed in ice water. It can also be beneficial to elevate the foot frequently. If your child complains of foot pain, it is strongly suggested that you consult with a podiatrist who can diagnose and treat rare foot conditions.
When the tendon that attaches the calf muscle to the heel is completely torn, it is known as an Achilles tendon tear. This injury is often seen in middle-aged male sports participants. The Achilles tendon is the largest tendon in the body, and it is prone to injury, especially during sports involving running and jumping because sudden and explosive force is exerted on it. Certain antibiotics and cortisone shots can make one more apt to tear this tendon, and some medical professionals do not give cortisone shots for Achilles tendonitis for this reason. The main symptom of an Achilles tear is sudden and intense pain behind the ankle. Some who have sustained this injury have heard a popping or cracking sound and describe it as being kicked in the heel. There is often difficulty pointing toes down and some may experience swelling and bruising around the tendon. If you think you have torn your Achilles tendon, it is strongly suggested that you see a podiatrist as soon as possible for a proper diagnosis and treatment.
Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Roy Rothman, DPM of Florida. 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
Rupture Symptoms
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:
If you have any questions please feel free to contact our office located in DeBary, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
The Achilles tendon is the largest tendon in the body; it is a tough band of fibrous tissue that stretches from the bones of the heel to the calf muscles. This tendon is what allows us to stand on our toes while running, walking, or jumping, it is common for this tendon to become injured. In severe cases, the Achilles tendon may become partially torn or completely ruptured. However, this tendon is susceptible to injury because of its limited blood supply and the high level of tension it endures.
The people who are more likely to suffer from Achilles tendon injuries are athletes who partake in activities that require them to speed up, slow down, or pivot. Consequently, athletes who engage in running, gymnastics, dance, football, baseball, basketball, or tennis are more likely to suffer from Achilles tendon injuries. Additionally, there are other factors that may make you more prone to this injury. People who wear high heels, have flat feet, tight leg muscles or tendons, or take medicines called glucocorticoids are more likely to have Achilles tendon injuries.
A common symptom of an Achilles tendon injury is pain above the heel that is felt when you stand on your toes. However, if the tendon is ruptured, the pain will be severe, and the area may become swollen and stiff. Other symptoms may be reduced strength in the lower ankle or leg area, and reduced range of motion in the ankle. When the Achilles tendon tears, there is usually a popping sound that occurs along with it. People who have acute tears or ruptures may find walking and standing to be difficult.
If you suspect you have injured your Achilles tendon, you should see your podiatrist to have a physical examination. Your podiatrist will likely conduct a series of tests to diagnose your injury including a “calf-squeeze” test. Calf squeeze tests are performed by first squeezing the calf muscle on the healthy leg. This will pull on the tendon and consequently cause the foot to move. Afterward, the same test will be performed on the injured leg. If the tendon is torn, the foot won’t move because the calf muscle won’t be connected to the foot.
A burning pain in the ball of the foot and the feeling of having a small pebble under your foot are signs that you may have Morton’s neuroma. This condition involves a thickening of the tissue across the metatarsal nerves, causing pressure and pain. It is generally felt in the space between the third and fourth toes, and may be connected to the type of shoes that are worn. High heels with pointed toes and shoes that are too tight can cause pressure on the metatarsal joints by pushing the weight onto the ball of the foot. Certain foot deformities, such as hammertoes or bunions, can cause the weight of the body to shift onto the ball of the foot. High impact sporting activities, such as tennis and running, can place increased stress in the area. Additionally, rock climbers and snow skiers may develop Morton’s neuroma, as a result of a combination of wearing tight shoes that can exert pressure on the toes. For a diagnosis and treatment options, it is suggested that you make an appointment with a podiatrist.
Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Roy Rothman, DPM of Florida. Our doctor will attend to all of your foot care needs and answer any of your related questions.
Morton’s Neuroma
Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.
What Increases the Chances of Having Morton’s Neuroma?
Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.
If you have any questions, please feel free to contact our office located in DeBary, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
A neuroma is a thickening of nerve tissue and can develop throughout the body. In the foot, the most common neuroma is a Morton’s neuroma; this typically forms between the third and fourth toes. The thickening of the nerve is typically caused by compression and irritation of the nerve; this thickening can in turn cause enlargement and, in some cases, nerve damage.
Neuromas can be caused by anything that causes compression or irritation of the nerve. A common cause is wearing shoes with tapered toe boxes or high heels that force the toes into the toe boxes. Physical activities that involve repeated pressure to the foot, such as running or basketball, can also create neuromas. Those with foot deformities, such as bunions, hammertoes, or flatfeet, are more likely to develop the condition.
Symptoms of Morton’s neuroma include tingling, burning, numbness, pain, and the feeling that either something is inside the ball of the foot or that something in one’s shoe or sock is bunched up. Symptoms typically begin gradually and can even go away temporarily by removing one’s shoes or massaging the foot. An increase in the intensity of symptoms correlates with the increasing growth of the neuroma.
Treatment for Morton’s neuroma can vary between patients and the severity of the condition. For mild to moderate cases, padding, icing, orthotics, activity modifications, shoe modifications, medications, and injection therapy may be suggested or prescribed. Patients who have not responded successfully to less invasive treatments may require surgery to properly treat their condition. The severity of your condition will determine the procedure performed and the length of recovery afterwards.
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.
Clubfoot is a common congenital foot deformity. It develops during pregnancy and can be a result of a short Achilles tendon causing the foot to turn inward. Treatment is often started immediately after birth. There are three classifications of clubfoot. If the cause is unknown, it can be categorized as idiopathic. An underlying syndrome can be called syndromic clubfoot and a nervous system condition leading to clubfoot is called neurogenic. The chances of being born with clubfoot may increase in babies whose mothers smoke or if a parent or sibling has this condition. An effective treatment method is known as Ponseti serial casting and bracing. This begins with stretching the foot and keeping it stable by using a cast. Approximately every ten days, the cast is changed and a procedure is performed during the fourth or fifth visit that can lengthen the Achilles tendon. Casting can correct the deformity, followed by using braces to maintain the correction. If your child is born with clubfoot, it is strongly suggested that you consult a podiatrist who can begin the correct treatment to help with permanent success.
Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Roy Rothman, DPM of Florida. Our doctor can provide the care you need to keep you pain-free and on your feet.
Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.
What are Causes of Congenital Foot Problem?
A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.
What are Symptoms of Congenital Foot Problems?
Symptoms vary by the congenital condition. Symptoms may consist of the following:
Treatment and Prevention
While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.
If you have any questions please feel free to contact our office located in DeBary, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
A congenital foot problem is a problem affecting the feet, toes, and/or ankle that a child is born with. Several issues with a child’s feet can occur congenitally. Such problems include clubfoot, vertical talus, tarsal coalition, polydactyly, macrodactyly, and cleft foot. Some of these problems have a genetic basis, with someone in their family history having a gene causing the condition, and some are simply an anomaly.
The following are specifics about a few of these conditions:
- Clubfoot, also called congenital talipes equinovarus or talipes equinovarus, is When the tendons of the foot shorten, the bones are of an unusual shape, and the Achilles tendon is tight, causing an inward and downward pointing of the foot. The soles of the feet might also face each other. In most cases of clubfoot, both feet are affected. If not treated, the affected child will walk on the sides of their feet or ankles.
- Polydactyly is a condition where the child has more than five fingers or toes on either or both feet. Presentation usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
- Vertical talus is where the talus bone forms in the wrong position, other bones in the foot do not line up properly, the front of the foot points up, and the bottom of the foot is stiff, has no arch, and usually curves out. This can occur in one or both feet and if left untreated, can lead to serious disability or discomfort as the child grows.
- Tarsal coalition is when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot. The tarsal bones, located toward the back of the foot and in the heel, are the ones affected. This condition is often present at birth, but signs of the disorder usually come on in early adolescence.
- Cleft foot is a rare condition where the foot has missing toes, a V-shaped cleft, and other anatomical differences. Surgery can often help improve the foot’s function since the heel remains normal and is what is most needed for walking. The main issues with this affliction are whether the affected foot can fit into a shoe and the shape and appearance of the foot.
- Macrodactyly is when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue. Having this condition makes it harder for the child to use the affected foot for certain activities.
Pain in the ball of the foot, termed metatarsalgia, can have many causes. One of the most common causes is a condition called Morton’s neuroma. This ailment is the result of a pinched nerve and is most often felt between the third and fourth toes. Symptoms include sharp pain, numbness, burning, and tingling. Bunions are another common cause of metatarsalgia. The bony bump at the base of the big toe can become painful, and the changes in gait and posture that result often bring pain to the ball of the foot. Wearing high heels, especially those with a narrow and pointed toe box, is a further cause of pain in the ball of the foot. This type of shoe places the body’s weight onto the ball of the foot and exerts pressure on the metatarsals, as well as the joints between the toes and the foot. Being overweight also puts a person at higher risk of metatarsalgia. For help with any of these symptoms, it is suggested that you make an appointment with a podiatrist for treatment options.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Roy Rothman, DPM from Florida. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Causes
Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:
Diagnosis
To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.
Treatment
Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.
If you have any questions, please feel free to contact our office located in DeBary, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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