Big toe joint pain can develop from several conditions that affect movement and weight-bearing. One common cause of big toe joint pain is arthritis of the joint. This occurs when cartilage wears down and leads to stiffness, pain, and reduced motion over time. Bunions can also create big toe joint pain by shifting the toe out of alignment and forming a hard bump at the base. Sudden, intense big toe pain may be linked to gout, caused when crystals build up in the joint and cause swelling and redness. Pain under the toe can come from irritation of two small bones beneath the big toe joint due to repeated pressure. Injuries, such as a sprain from bending the toe too far backward, can also lead to ongoing discomfort. Nerve irritation may cause burning or tingling sensations. A podiatrist can examine the big toe joint, assess movement, and use imaging to identify the exact cause and guide treatment. If you have big toe joint pain, it is suggested that you make an appointment with a podiatrist.

Toe pain can disrupt your daily activities. If you have any concerns, contact Akena Wannamaker, DPM of ASW Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please contact our office located in Richmond, VA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Sever’s disease is a heel condition seen in growing children, especially during growth spurts when bones develop quickly. It involves irritation of the growth plate at the back of the heel, an area of soft, developing bone. Several risk factors increase the chance of Sever’s disease. High-impact activities like running and jumping place repeated stress on the heel. Tight calf muscles can pull on the heel and increase strain. Limited ankle motion may also add pressure. Poor foot alignment, including flat feet or high arches, can change how weight is distributed. Wearing worn or low-cushioned athletic shoes and playing on hard surfaces further increases the risk. Increased body weight and rapid growth can also contribute. A podiatrist can provide medical treatment to reduce stress on the heel and support healing. If your active child experiences heel pain, it is suggested that you make an appointment with a podiatrist for treatment.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Akena Wannamaker, DPM from ASW Foot and Ankle. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

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

Diabetes can affect the feet in ways that are easy to miss at first. High blood sugar over time can damage nerves, a condition called diabetic neuropathy. This may cause numbness, tingling, or burning pain, and small injuries may go unnoticed. Diabetes can also reduce blood flow to the feet, slowing healing and increasing the risk of infection. Even a minor cut or blister can develop into a serious wound. Skin changes are also common. The feet may become dry and cracked, creating openings for bacteria. Toenails may thicken, and foot shape can change, leading to pressure points and ulcers. Without proper care, these issues can lead to long-term complications. Daily foot checks, wearing proper footwear, and regular podiatric care are important. If you have diabetes and notice changes in your feet, it is suggested that you are under the care of a podiatrist who can help you to manage this serious condition.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Akena Wannamaker, DPM from ASW Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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

Morton’s neuroma is a condition in which the nerve between the metatarsal bones becomes thickened from repeated compression and irritation. It most often develops between the third and fourth toes and is commonly seen in individuals who wear narrow shoes or participate in high impact activities. Rather than visible swelling, the primary complaint is nerve-related pain. Patients frequently describe electric, shooting discomfort in the ball of the foot, along with tingling or numbness in the toes. Some feel as though their sock is bunched up or that they are stepping on a small object. Symptoms may worsen with prolonged walking and improve when shoes are removed. A podiatrist can identify the affected area through examination and specific pressure testing, and imaging may be used to confirm the diagnosis. Treatment may include footwear changes, custom orthotics, anti-inflammatory care, or injections to calm the nerve. If you suspect you may have Morton’s neuroma, it is suggested that you make an appointment with a podiatrist for proper evaluation and treatment.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Akena Wannamaker, DPM of ASW Foot and Ankle. 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?

• Ill-fitting high heels or shoes that add pressure to the toe or foot
• Jogging, running or any sport that involves constant impact to the foot
• Flat feet, bunions, and any other foot deformities

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 Richmond, VA . We offer the newest diagnostic and treatment technologies for all your foot care needs.