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Posts for category: Foot Issues

By Dr. Eric Arp
January 03, 2019
Category: Foot Issues
Tags: Crush   Crush Injury  

What is a Crush Injury?

Have a foot crush injury? A crush injury occurs when pressure or force is put on a body part. A foot crush injury may cause pain, swelling, and sometimes bruising. A foot crush injury may take from a few days to a few weeks to heal. If you have a foot crush injury, you should see a podiatrist. Podiatrists diagnose and treat foot and ankle conditions and injuries. Read on to learn more about foot crush injuries.


Overview- A crush injury is an injury that occurs when a body part sustains intense pressure. Minor crush injuries can be caused by dropping a heavy object on a foot. However, major crush injuries, such as those sustained in vehicle accidents, can cause serious problems. Such an injury can cause a number of issues, including pain, swelling, bruising, bleeding, laceration, fracture, and nerve injury. A crush injury can also cause compartment syndrome, which is a dangerous condition caused by pressure buildup from swelling of tissues or internal bleeding.


Causes- The primary causes of foot crush injuries include heavy falling objects, vehicles rolling over the foot, and injuries from industrial manufacturing equipment. Crush injuries are common on farms. The most serious cases occur in agriculture where heavy machinery is used and people become trapped in them or under them. This form of injury is common after some form of trauma from a deliberate attack or following a natural disaster.


Diagnosis- A proper diagnosis is key to treating a foot crush injury. Your podiatrist can accurately assess your situation and help you make the right treatment decisions for the best possible outcome. Your doctor will start with a physical exam, with attention given to the areas of complaint. Your podiatrist may take X-rays and other forms of imaging, such as magnetic resonance imaging (MRI) or computerized tomography (CT).


Treatment- Firstly, any wounds that are present will need to be cleaned and bandaged to prevent infection. Treatments for a foot crush injury may also include medication, casting, kinesiology taping, ice and heat, physical therapy, or surgery. Often more than one of these treatments are used. Crush injuries of the foot are very serious. Potentially devastating complications can occur if these injuries are underestimated or mismanaged.


A foot crush injury can affect your day-to-day activities and make your life miserable. Whether your goal is getting back to the work, the gym, hobbies, or just enjoying life, a podiatrist can help. If you want to feel better and live well, find a podiatrist near you and schedule an appointment.

By Dr. Eric Arp
September 08, 2017
Category: Foot Issues
Tags: Bunions   Bunion Surgery  

Bunion Pain

Characterized by a large, unsightly bump on the side of the big toe joint, bunions signal an underlying deformity in the structure of the foot. Left untreated, bunions may become progressively worse, causing severe discomfort, difficulty walking, redness and swelling.

Treatment options vary with the severity of each bunion. Identifying the deformity early in its development is important in avoiding surgery. Common conservative treatments include rest, ice, padding, orthotics and footwear modifications. Many times a combination of these simple lifestyle changes and non-surgical approaches are enough to relieve the pain and stop the progression of the bunion, although these treatments won’t reverse the actual deformity.

When non-surgical treatments fail to relieve your pain, or your bunion is interfering with normal, daily activities, our office may recommend a bunionectomy, which involves the surgical removal of a bunion to reduce pressure and repair the joint. There are a variety of surgical procedures available to treat bunions. The goal of surgery is to correct the deformity by realigning the toe. This is accomplished by removing the bony bump and restoring normal, pain-free function.  

When Should I Consider Bunion Surgery?

  • Nonsurgical, conservative treatment has failed to relieve your bunion pain
  • Walking or performing normal, everyday tasks is difficult and painful
  • The simple act of wearing shoes causes pain
  • Your big toe joint is constantly swollen

Your age and health may also determine your candidacy for bunion surgery. Your podiatrist will work with you to determine the best treatment for your individual needs. With the surgical removal of bunions, we can relieve your pain and help you return to the activities you enjoy!

By Dr. Eric Arp
August 02, 2017
Category: Foot Issues
Tags: Foot Injuries  

An unexpected fall or twist can result in an injury of the foot or ankle, such as a sprain or strain. Immediate first aid can help prevent complications, reduce pain and improve recovery.

Rest, ice, compression and elevation--commonly referred to as R.I.C.E.--is the first and best treatment for minor injuries. The following tips can aid in the early treatment of common foot and ankle injuries to help reduce swelling and control the inflammatory process during the initial phase of injury.

Rest: Whether you have a strain or a sprain, rest from any physical activity is essential to protecting your injured ligaments, tendons or muscles from further damage while your body starts the repair process.  Avoid putting weight on the injured foot or ankle as much as possible. In some cases, complete immobilization may be required.

Ice: Gently ice your foot or ankle with ice wrapped in a towel in a 20-minute-on, 40-minute-off cycle for the first few days post-injury. Ice is excellent at reducing inflammation and pain. 

Compression: Applying some type of compressive wrap or bandage to an injured area can greatly reduce the amount of initial swelling.

Elevation: Prop your foot up while lying down or sitting so that it is higher than or equal to the level of the heart.

After a few days of R.I.C.E., many acute injuries will begin to heal. If pain or swelling does not subside after a few days, or if you are unsure of the severity of your injury, make an appointment with your podiatrist. A skilled podiatrist can properly diagnose your injury and recommend the best course of treatment.

By Dr. Eric Arp
June 05, 2017
Category: Foot Issues
Tags: Foot Pain   Turf Toe  

Turf toe is a sprain of the joint just below the big toe, also known as the first metatarsophalangeal (MTP) joint. This foot injury is particularly common among athletes who play on artificial turf, hence the name “turf” toe. When athletes play sports on turf or other hard surfaces, the foot can stick to the ground, resulting in jamming of the big toe joint.

Typically the injury is sudden, but it can also occur after sustaining multiple injuries, such as pushing off repeatedly when running or jumping. Although it’s a condition most commonly associated with dancers, soccer players, wrestlers, gymnasts and football players, you don’t have to be an athlete to get it.

Symptoms of turf toe range from mild to severe, and may gradually worsen with continued movement. The most common symptoms of turf toe include:

  • Swelling and pain at the joint of the big toe

  • Pain and tenderness when bending the toe

  • Stiffness and limited movement of the big toe joint

If your symptoms are indicative of turf toe, then you may be able to relieve the pain and swelling with the following self-treatment, including:

  • Ice the injury

  • Apply a compression bandage

  • Rest and temporarily discontinue any physical activity

  • Wear a brace to protect the toe and to limit bending

For more severe cases of turf toe, visit our office for a proper diagnosis and treatment plan. A podiatrist can easily diagnose turf toe through an evaluation that includes a range of motion and joint stability tests.

Professional treatment may include exercises to strengthen the toe, modified footwear or splinting. With proper treatment, you can eliminate pain resulting from turf toe and return to your favorite sport or activity!