Hammertoe is a foot deformity where one or more toes bend abnormally at the middle joint, resembling a hammer. It often results from muscle imbalance, causing ligaments and tendons to become tight and toes to curl downward instead of lying flat. Common causes include wearing ill-fitting shoes, especially those with narrow toe boxes or high heels, which can crowd the toes and force them into unnatural positions. Additionally, genetics, trauma, and certain medical conditions, such as arthritis, can contribute to hammertoe development. Treatment options range from conservative measures to surgery, depending on the severity of the condition. Conservative approaches may involve wearing properly fitting shoes with a roomy toe box, using orthotic inserts or pads to relieve pressure, and performing toe exercises to strengthen muscles. In more severe cases, where pain persists or mobility is significantly affected, surgical correction may be recommended to realign the toes and restore normal function. If you have a hammertoe that is causing discomfort, it is suggested that you schedule an appointment with a podiatrist for treatment that is deemed appropriate for you.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Katie Besselman, DPM from Advanced Podiatry. Our doctor 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 office located in Saint Peters, MO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Broken feet encompass various fractures, including metatarsal, calcaneus, and toe fractures, each requiring specific treatments and healing approaches. They can be complete or partial fractures. Without proper treatment, complications like chronic pain, deformity, and impaired mobility may arise. Initial treatment often involves immobilization through casting, bracing, or splinting to facilitate proper bone alignment and healing. Depending on the severity, surgical intervention may be necessary to realign bones and stabilize fractures. Bone healing progresses through stages, beginning with inflammation, followed by the formation of soft callus and eventual remodeling into mature bone tissue. Podiatrists play a significant role in managing a broken foot by providing accurate diagnosis, customized treatment plans, and ongoing monitoring throughout the healing process. If you have sustained a foot fracture, it is suggested that you schedule an appointment with a podiatrist for proper intervention, and to minimize complications.

A broken foot requires immediate medical attention and treatment. If you need your feet checked, contact Katie Besselman, DPM from Advanced Podiatry. Our doctor 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 office located in Saint Peters, MO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Patients often rely on podiatrists to understand how orthotics alleviate pain and prevent injuries. Determining the right orthotic type demands expertise in biomechanics, gait analysis, and understanding the patient's specific condition. Orthotics function by providing support, cushioning, and realignment to the feet, thereby correcting biomechanical abnormalities or imbalances. They distribute pressure evenly, reducing stress on vulnerable areas and promoting proper foot function. By stabilizing the foot and ankle, orthotics can correct issues such as overpronation or supination, which can lead to various foot and lower limb problems if left untreated. Additionally, orthotics can help improve posture and alleviate discomfort in other parts of the body, such as the knees, hips, and lower back. Podiatrists assess patients comprehensively to determine the most suitable orthotic design, material, and level of support to address their specific needs and enhance overall foot health and function. If you have chronic foot pain, it is suggested that you make an appointment with a podiatrist to determine if orthotics can help you.

If you are having discomfort in your feet and would like to try orthotics, contact Katie Besselman, DPM from Advanced Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

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.

Diabetes raises the risk of foot ulcers, with a 40 percent five-year mortality rate. Limb salvage is preferred, but if a podiatrist finds that an amputation is necessary, partial-foot amputations, or PFAs, are preferred. PFAs offer better mobility and quality of life, but complications like re-ulceration persist. Assessing quality of life involves considering function and patient preferences. Shared decision-making integrates medical, psychological, and patient factors, which are critical for complex choices like limb salvage versus amputation. If you are a diabetic, it is strongly suggested that you make regular appointments with a podiatrist to have your feet routinely examined and problems dealt with as soon as possible. Preventing complications leading to limb-threatening conditions and improving quality of life is the goal.

Limb salvage can be an effective way in preventing the need for limb amputation. If you have diabetes, cancer, or any other condition that could lead to foot amputation if left unchecked, consult with Katie Besselman, DPM from Advanced Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Limb Salvage?

Limb salvage is the attempt of saving a limb, such as the foot from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Diabetes is the number one cause of non-traumatic amputations in the United States. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.

However, there are other causes as well, such as cancer and traumatic injury. Links between higher mortality rates and amputation have been found. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.

Diagnosis and Treatment

Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated. 

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.

As we age, foot problems can pose significant challenges, making it harder to maintain physical activity and increasing the risk of falls. Conditions such as bunions, corns, calluses, and warts can cause discomfort and hinder mobility, impacting overall quality of life. To ensure healthy and pain-free feet, maintaining proper foot hygiene by keeping the feet clean and dry and regularly trimming toenails to prevent ingrown nails is even more important. However, seeking professional care is equally important. Regular visits to a podiatrist can help detect and address foot issues early, preventing them from worsening and reducing the risk of complications. Podiatrists can provide personalized advice on foot care, recommend appropriate footwear, and offer treatments tailored to individual needs, promoting optimal foot health and mobility in older adults. If you are elderly or taking care of someone in this age group, it is strongly suggested that you incorporate regular visits to a podiatrist into your healthcare routine.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Katie Besselman, DPM from Advanced Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

• Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
• Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
• Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
• Gouging toenails affecting nearby toe
• Shoes that don’t fit properly
• Pressure sores
• Loss of circulation in legs & feet
• Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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 and ankle needs.