Items filtered by date: January 2025

Big toe pain can stem from various conditions, including turf toe and sesamoid fractures, both of which are common in athletes. Turf toe is a sprain of the ligaments surrounding the big toe joint. It is typically caused by hyperextension of the toe during activities like running or football. Symptoms include pain, swelling, and limited movement in the big toe. A sesamoid fracture involves a break in the small bones called sesamoids, under the big toe joint. This injury is often caused by repetitive stress, sudden impact, or wearing improper footwear. Symptoms include localized pain, swelling, bruising, and difficulty bearing weight on the foot. Treatment for both conditions may involve rest, anti-inflammatory medications, and wearing a stiff-soled shoe or brace to limit toe joint movement. In severe cases, a podiatrist may recommend custom orthotics, targeted exercises, or surgery to promote healing. If you have toe pain, it is suggested that you schedule an appointment with a podiatrist.

Toe pain can disrupt your daily activities. If you have any concerns, contact Robert Hutchison, DPM, FACFAS of Lower Keys Foot & Ankle Surgery. 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 feel free to contact our office located in Key West, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

An ingrown toenail occurs when the edge of a toenail grows into the surrounding skin causing pain, redness, swelling, and sometimes infection. This condition is most common on the big toe and can occur from improper nail trimming, wearing tight shoes, or injury to the toe. When conservative treatments such as soaking, proper nail care, and antibiotics for infection do not provide relief, ingrown toenail surgery may be necessary. A podiatrist numbs the toe with a local anesthetic during the procedure to ensure comfort. This is followed by carefully removing the portion of the nail that is growing into the skin. In more severe cases, part of the nail bed may also be removed to prevent the nail from growing back into the skin. The area is cleaned and a dressing is applied. With proper care and hygiene, recovery typically takes a few weeks to ensure a successful healing process. If you have an ingrown toenail, it is suggested that you contact a podiatrist who can provide the best treatment solutions which may include surgery.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Robert Hutchison, DPM, FACFAS of Lower Keys Foot & Ankle Surgery. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

• Improper toenail trimming
• Genetics
• Improper shoe fitting
• Injury from pedicures or nail picking
• Abnormal gait
• Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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

A plantar fibroma is a benign growth of fibrous tissue that forms on the bottom of the foot, typically along the arch. It is often described as a lump or nodule and can vary in size. The main symptom of a plantar fibroma is localized pain or discomfort in the affected area, particularly when walking or standing for long periods. In some cases, the fibroma may not cause pain but may still be noticeable as a firm lump under the skin. The exact cause of plantar fibromas is not entirely understood but is believed to be linked to genetic factors, trauma, or certain medical conditions such as diabetes or liver disease. Diagnosis is usually made through a physical examination, where a podiatrist may palpate the foot to feel for the fibroma. Imaging tests like an ultrasound or MRI may also confirm the diagnosis and rule out other conditions. If you have developed a lump along the arch of your foot, it is suggested that you consult a podiatrist who can accurately diagnose and treat a plantar fibroma.

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Robert Hutchison, DPM, FACFAS of Lower Keys Foot & Ankle Surgery. 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 Key West, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Barefoot walking offers many advantages for children, particularly in helping them develop essential skills for movement and coordination. By walking without shoes, children strengthen the muscles and tendons in their feet, which supports their ability to walk properly as they grow. The natural movement of the feet also promotes better alignment of the body, which can lead to improved posture. In addition to the physical benefits, barefoot walking supports brain and nervous system development. The soles of the feet are rich in sensory receptors that help send signals to the brain, enhancing sensory processing and motor function. This sensory feedback helps children improve their balance, coordination, and spatial awareness, contributing to cognitive development. If you would like to learn about additional benefits from having your child walk barefoot, it is suggested that you contact a podiatrist who can monitor your child’s foot health, and discuss whether this is a viable option for your lifestyle.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact Robert Hutchison, DPM, FACFAS of Lower Keys Foot & Ankle Surgery. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

• Make sure their shoes fit properly
• Look for any signs of in-toeing or out-toeing
• Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
• Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
• Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
• Cut toenails straight across to avoid ingrown toenails
• Keep your child’s foot clean and dry
• Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

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