
Deciding What to Do About a Bunion

A bunion, or hallux valgus, is a bony bump that forms at the base of the big toe, often causing the toe to lean inward. This condition can lead to pain, swelling, and difficulty wearing shoes. For mild cases, simple changes like wearing wider shoes and using padding or toe spacers can provide relief. Custom orthotics may also help by reducing pressure on the joint and slowing the bunion’s progression. When symptoms worsen or interfere with daily life, surgery may be considered to correct the alignment and relieve discomfort. Each case is different, and treatment depends on the severity of the bunion, activity level, and how much pain it causes. Waiting and watching may work for some, while others benefit from early support or surgical correction. If you have a bunion that is becoming painful or limiting your mobility, it is suggested that you see a podiatrist.
If you are suffering from bunions, contact one of our podiatrists of Highpoint Foot & Ankle Center. Our practitioners 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?
Doctors 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 doctor.
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 offices located in Chalfont, Doylestown, and Hatboro, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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.
How to Care for Diabetic Foot
Millions of people are affected by diabetes each year. Diabetes damages blood vessels in all parts of the body, especially the feet. The legs and feet may develop slow blood flow, which causes neuropathy, or nerve damage. Once a diabetic patient develops neuropathy, it is important that the feet are well taken care of. Otherwise, the lower limbs may have to be amputated. This only happens in drastic cases, but it shows how seriously diabetic foot care should be taken.
It is very important to always wash and dry the feet thoroughly, especially in between the toes, if you’re a diabetic. Secondly, examining your feet and toes for redness or sores must be done, even if you do not feel pain. You may also want to examine your feet from the bottom. Try to avoid wearing colored socks to prevent infections that may occur from the dye. Well-fitting socks are also highly recommended.
A diabetic’s physician should always monitor their blood levels to test how well blood sugars are being maintained. In addition to giving advice about everyday eating habits and foot care, a physician may prescribe medicine to help with the diabetic patient’s neuropathy. It is also advised to see a podiatrist if experiencing any feet conditions. Toenails may also need to be taken care of by a podiatrist. This prevents patients from cutting too deeply around their cuticles, which can lead to infection.
A person can take care of their feet at home by following the instructions of their physician. Using creams on one’s feet is also an effective way to heal dryness. Proceed with caution when using tools to remove calluses, as severe diabetics may not be able to feel pain on their feet. If any complications arise do not hesitate to contact a podiatrist.
On a daily basis, diabetic feet must be checked. If you are ever concerned about something, contact your health care professional. You never want to wait until a wound becomes too severe to treat. If left untreated, gangrene may develop. Gangrene is a serious infection that can lead to sepsis or amputation. It is also important for diabetics to be on the lookout for ulcers. Ulcers are sores that develop from tissue loss on the skin. They can be quite painful and require intensive treatment. Early treatment and everyday inspection are imperative to staying healthy.
What Is a Hammertoe?

Hammertoe is a condition where one or more of the smaller toes bends at the middle joint, causing a curled appearance that resembles a hammer. This condition often develops due to an imbalance in the tendons controlling toe movement. It may result from genetics, injury, or pressure from other foot issues such as bunions. The second toe is most commonly affected. The pain can be quite uncomfortable, especially when wearing tight shoes. In addition to pain, you may notice corns on the top of the toe and calluses on the ball of the foot due to extra pressure during walking. A podiatrist can diagnose the condition, often with an X-ray to assess its severity. Treatment may involve taping or splinting the toe to reduce strain, along with custom orthotics to improve foot alignment and redistribute pressure. In more severe cases, a podiatrist may recommend surgery for relief and to restore proper foot function. If you have a painful hammertoe, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment.
Hammertoe
Hammertoes can be a painful condition to live with. For more information, contact one of our podiatrists from Highpoint Foot & Ankle Center. Our practitioners will answer any of your foot- and ankle-related questions.
Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.
Symptoms
- Pain in the affected toes
- Development of corns or calluses due to friction
- Inflammation
- Redness
- Contracture of the toes
Causes
Genetics – People who are genetically predisposed to hammertoe are often more susceptible
Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur
Trauma – Direct trauma to the toes could potentially lead to hammertoe
Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe
Treatment
Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it
Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used
Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option
If you have any questions please contact our offices located in Chalfont, Doylestown, and Hatboro, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
What Are Hammertoes?
Hammertoes are painful deformities that frequently form on the second, third, or fourth toe. The condition is often caused by an issue in foot mechanics. This can be caused by the person’s specific gait or the manner in which they walk, or by shoes that do not comfortably fit the deformity. Hammertoes can be formed after wearing shoes that are too narrow or short for the foot or have excessively high heels. Shoes that are not properly sized will force the toes into a bent position for long periods of time. This can cause the muscles to shorten and toes to bend into the deformity of a hammertoe.
Hammertoe can also be caused by complications from rheumatoid arthritis, osteoarthritis, trauma to the foot, heredity, or a cerebral vascular accident. Pain and difficult mobility of the toes, deformities, calluses, and corns are all symptoms of a hammertoe.
Someone who suspects they have the symptoms of a hammertoe should consult with a physician—particularly a podiatrist. Podiatrists diagnose and treat complications of the foot and ankle. If the podiatrist discovers that the affected toes are still flexible, treatment for the hammertoe may simply involve exercise, physical therapy, and better-fitting shoes. Treatment for hammertoes typically involves controlling foot mechanics, such as walking, through the use of customized orthotics.
For more serious cases in which the toes have become inflexible and rigid, surgery may be suggested. During the operation, the toe would receive an incision to relieve pressure on the tendons. A re-alignment of the tendons may then be performed by removing small pieces of bone to straighten the toe. In some cases, the insertion of pins is needed to keep the bones in the proper position as the toe heals. The patient is usually allowed to return home on the same day as the surgery.
If surgery is performed to repair a hammertoe, following the postoperative directions of your doctor is essential. Directions may include several stretches, picking up marbles with your toes, or attempting to crumple a towel placed flat against your feet. Wear shoes that have low heels and a wide amount of toe space to maintain comfort. Closed-toe shoes and high heels should be avoided. Shoes with laces allow the wearer to adjust how fitted he or she may want the shoes to be and also allow for greater comfort. To provide adequate space for your toes, select shoes that have a minimum of one-half inch of space between the tip of your longest toe and the inside of the shoe. This will also relieve pressure on your toes and prevent future hammertoes from forming.
Other preventative measures that can be taken include going shopping for new shoes in the middle of the day. Your feet are its smallest in the morning and swell as the day progresses. Trying on and purchasing new shoes midday will give you the most reliable size. Be sure to check that the shoes you purchase are both the same size. If possible, ask the store to stretch out the shoes at its painful points to allow for optimum comfort.
Understanding Peripheral Arterial Disease

Peripheral artery disease, or PAD, is a condition in which narrowed arteries reduce blood flow to the limbs, most commonly affecting the legs and feet. It occurs due to a buildup of fatty deposits in the arteries, a process known as atherosclerosis. Symptoms often include leg pain or cramping during walking, known as claudication, which improves with rest. Other signs may include numbness, weakness, slow-healing wounds, and a change in skin color or temperature. Causes of this condition include smoking, diabetes, high blood pressure, and high cholesterol, which contribute to artery damage. Poor circulation from this disease increases the risk of infections and complications. If you have symptoms of this condition, it is suggested that you consult a podiatrist who can guide you toward relief and treatment tactics.
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 one of our podiatrists from Highpoint Foot & Ankle Center. Our practitioners 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 Chalfont, Doylestown, and Hatboro, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Peripheral Artery Disease
Peripheral artery disease (PAD), or peripheral arterial disease, is a circulatory problem in which there is a reduction of blood flow to the limbs due to narrowed arteries. When peripheral artery disease develops, the extremities do not receive enough blood flow; this may cause symptoms to develop such as claudication, or leg pain when walking. The legs are the most common site of peripheral artery disease.
Claudication, or leg pain when walking, is one of several symptoms that can develop due to peripheral artery disease. Other symptoms caused by the disease include painful cramping in the hips, thighs, or calves after certain activities; leg numbness or weakness; coldness in the lower leg or foot; sores on the lower extremities that do not heal; hair loss on the lower extremities; and a missing or weak pulse in the lower extremities. In more severe cases, pain may even occur when the body is at rest or when lying down.
Peripheral artery disease is typically caused by atherosclerosis, a condition in which fatty deposits build up in the arterial walls and reduce blood flow. Smoking, diabetes, obesity, high blood pressure, and high cholesterol are some of the risk factors for peripheral artery disease.
If you are experiencing pain, numbness, or other symptoms in the lower extremities, see your healthcare professional immediately. Diagnosed peripheral artery disease can be treated with various medications, angioplasty and surgery, exercise programs, or alternative medicine. It is important to consult a healthcare professional to determine the best treatment for you.
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Broken Bones in the Foot

Your feet are made up of 26 bones, and any of them can break under the right circumstances. Foot fractures can happen suddenly from trauma, like a fall or dropping something heavy on it, or develop over time as stress fractures from repetitive activity. Common signs include pain, swelling, bruising, and difficulty putting weight on the affected foot. Prompt diagnosis is essential. A podiatrist will assess your symptoms and may order X-rays or other imaging tests to determine the type and severity of the fracture. Treatment varies depending on the location and extent of the injury. Minor fractures may heal with rest, immobilization in a boot or cast, and avoidance of weight-bearing activities. More complex breaks may require surgery to realign and stabilize the bones. If you think you have broken a bone in your foot or have persistent pain after an injury, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and personalized treatment plan.
A broken foot requires immediate medical attention and treatment. If you need your feet checked, contact one of our podiatrists from Highpoint Foot & Ankle Center. Our practitioners 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 Chalfont, Doylestown, and Hatboro, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Why Heels Keep Cracking

Cracked heels occur when the skin on the heels becomes dry, thick, and unable to stretch properly, leading to splits and discomfort. This condition, known as heel fissures, often results from prolonged pressure on the feet, insufficient moisture, or exposure to harsh conditions. Walking barefoot or wearing open-back shoes can increase the risk by allowing moisture to escape and causing the skin to harden. Medical conditions like diabetes, eczema, or thyroid disorders may also contribute to excessive dryness. Standing for long hours on a hard surface can worsen the problem by adding stress to the heels. This common condition can be painful. If you have developed problematic cracked heels, it is suggested that you consult a podiatrist who can offer effective treatment solutions, which may include prescribed medication for relief.
Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact one of our podiatrists from Highpoint Foot & Ankle Center. Our practitioners can provide the care you need to keep you pain-free and on your feet.
Cracked Heels
Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.
How Do You Get Them?
Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.
Promote Healing
Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.
Wear Socks – Wearing socks with medicated creams helps lock in moisture.
Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.
Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin.
Change in Diet
Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.
Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed.
If you have any questions, please feel free to contact our offices located in Chalfont, Doylestown, and Hatboro, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.