A bunion is a bony bump that forms at the base of the big toe when the joint gradually moves out of its normal position. As the big toe shifts toward the second toe, the joint begins to stick outward and can become painful. This change can make standing, wearing shoes, and walking more difficult. The skin over the bump can become red, swollen, and tender. Some people also notice stiffness in the big toe or have trouble moving the joint through its full range of motion. As the bunion becomes larger, it can affect balance and change the way weight is placed on the foot. A podiatrist can evaluate the joint and determine how much the bunion is affecting foot function.

Several factors increase the chance of developing a bunion. Family history plays an important role because foot shape can be inherited. Arthritis can also affect the joint and contribute to the deformity. Wearing shoes that squeeze the toes into a narrow space can place added pressure on the joint and increase discomfort. Shoes that lack proper support can place extra stress on the front of the foot while walking. A podiatrist performs a physical examination and studies the position of the bones in the foot. X-rays are frequently used to measure the alignment of the joint and to help guide treatment decisions.

Treatment depends on the severity of the bunion and the amount of pain it causes. A podiatrist can recommend custom orthotics to improve foot alignment and reduce pressure on the joint. Padding or splints can also help protect the affected area and improve comfort. When the bunion becomes severe and limits daily activities, surgery can correct the position of the joint and relieve pain. Early evaluation allows a podiatrist to monitor changes in the bunion and recommend treatment before the condition becomes more disabling. If you have symptoms of bunions, it is suggested that you make an appointment with a podiatrist for diagnosis and treatment.

If you are suffering from bunions, contact Katie Besselman, DPM of Advanced Podiatry. Our doctor 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?

Podiatrists 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 provider.

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 office located in Saint Peters, MO . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A sudden shooting pain in the foot can stop you in your tracks. It may strike the heel, ball of the foot, or toes. Some patients describe the feeling as sharp, burning, or electric. The pain might appear with the first steps of the day, while walking, or even when the foot is at rest. Where the pain begins and what triggers it can help identify the cause. Numbness, swelling, or weakness are also important signs. Shooting pain that returns or becomes stronger indicates the need to see a podiatrist.

Several problems can cause this type of pain. Plantar fasciitis irritates the band of tissue that supports the arch and can send pain from the heel forward. A pinched or damaged nerve can create electric pain, tingling, and numbness. Morton's neuroma is thickened tissue surrounding a nerve near the toes, and it can cause burning pain in the ball of the foot. Other causes of shooting foot pain include a stress fracture, tendon irritation, or gout. Because diabetes can damage nerves in the feet, patients with this condition should report new pain quickly.

A podiatrist can find the source of shooting pain through a foot exam and a review of when symptoms began. The doctor may check the foot's movement, strength, and sensitive areas. X-rays or imaging can reveal a fracture or changes within the joints. Nerve testing can help when numbness, tingling, or burning occurs. Depending on the cause, treatment options include custom orthotics, supportive shoe guidance, or medication. In some cases, a brace or walking boot may be needed for protection or stability. Severe nerve pressure, a fracture, or joint damage may require surgery. Early care can prevent a treatable problem from becoming harder to manage. If you are experiencing shooting pain in the foot, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Katie Besselman, DPM from Advanced Podiatry. 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:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

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 Saint Peters, MO . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Heel pain is a frequent foot complaint that can interfere with walking, standing, and daily comfort. It often develops when the tissues that support the heel become irritated or inflamed. Conditions that contribute to heel pain include plantar fasciitis, Achilles tendonitis, bursitis, and heel spurs. Each condition affects different structures of the foot, but all can lead to discomfort that worsens with activity or prolonged standing. Understanding the cause of heel pain is important for proper treatment and long-term relief.

Plantar fasciitis is one of the most common causes of heel pain and occurs when the thick band of tissue along the bottom of the foot becomes inflamed. This condition often causes sharp pain with the first steps in the morning or after periods of rest. Achilles tendonitis affects the tendon that connects the calf muscles to the heel. It may cause pain and stiffness at the back of the heel, especially during movement. Bursitis involves inflammation of fluid filled sacs that cushion the heel, leading to tenderness and swelling. Heel spurs are bony growths that can develop due to strain, often associated with plantar fasciitis, and may cause persistent discomfort.

Risk factors for heel pain vary by condition but often include overuse, improper footwear, and biomechanical issues. Individuals who stand for long periods, participate in high-impact activities, or wear shoes with poor arch support may be more likely to develop heel pain. Tight calf muscles, obesity, and foot structure abnormalities can also increase strain on the heel. 

Treatment for heel pain depends on the underlying cause and severity of symptoms. Rest, wearing supportive footwear, and stretching exercises can help relieve pressure and improve function. Custom orthotics may also bring relief. Early evaluation by a podiatrist can identify the specific condition and guide effective treatment. If you have heel pain, it is strongly suggested that you consult a podiatrist who can accurately diagnose and treat various causes.

Many people suffer from bouts of heel pain. For more information, contact Katie Besselman, DPM of Advanced Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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

Toe pain is a frequent concern that can result from injury, pressure, or underlying toenail problems. The toenail is a complex structure made up of four key parts, including the nail plate, nail matrix, nail bed, and nail folds. Each of these components plays a role in nail growth and protection. Disorders can affect any of these areas, leading to discomfort and visible changes. Understanding the definition of toe pain and how toenail structures function can help identify early signs of problems and guide proper care.

Symptoms of toenail disorders often include pain, discoloration, thickening, or changes in nail shape. Deformities refer to visible changes in the nail’s structure, such as curving or lifting from the nail bed. Dystrophies involve changes in texture, including brittleness or rough surfaces. Individuals may also experience swelling or redness around the nail folds, especially if infection is present. These symptoms can affect walking comfort and may worsen without timely attention.

Risk factors for toe pain and toenail problems include wearing tight footwear, repeated trauma, and poor foot hygiene. Conditions such as fungal infections or ingrown toenails can also contribute to discomfort. Damage to the nail matrix can alter nail growth, while issues with the nail bed may affect attachment and stability. Additional causes include excessive moisture, improper nail trimming, and underlying health conditions. These factors can disrupt normal nail function and increase the likelihood of chronic problems.

Maintaining healthy toenails involves proper hygiene, careful trimming, and wearing well-fitted shoes that reduce pressure on the toes. Regular inspection of the nails can help detect early changes and prevent complications. Addressing symptoms promptly can support long-term foot health and comfort. If you have toenail problems or persistent toe pain, it is suggested that you consult a podiatrist for effective relief and treatment solutions.

Toe pain can disrupt your daily activities. If you have any concerns, contact Katie Besselman, DPM of Advanced Podiatry. 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 Saint Peters, MO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.