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225 Church St, Stoughton WI
Adjacent to the Stoughton Hospital

By Dr. Neal J. Katz DPM
February 14, 2019
Category: Foot Conditions
Tags: Bunions  

Is there a knob  on the side of your big toe? Is it hard and bony? If that's the case, you may have a bunion and your Madison and BunionStoughton, WI, podiatrist Dr. Neal Katz can help.

More About Bunions

Bunions are a bone deformity that affects your metatarsophalangeal joint. They affect your walking because of friction and pressure that makes it painful to walk.

If you start to notice the joint of your big toe becoming larger, then you may be suffering from a bunion. Bunion protrusions can be very painful and other issues such as flat feet, foot injuries and neuromuscular problems may contribute to their formation.

Causes of Bunions

The problem with bunions is that they can cause the formation of other toe deformities, such as hammertoes, bursitis, corns and calluses.

Bunions are usually formed because of tight, narrow shoes and high heels, occupational foot stress, genetics  and  certain foot types, foot trauma, or injury and rheumatoid arthritis.

Bunion Treatments

Your Madison and Stoughton doctor may recommend an orthotic device designed to keep your toe in the proper position. If your doctor needs to take a more invasive approach, they may do the following:

  • Straightening your foot and big toe
  • Remove swollen tissue around the joint
  • Fuse your big toe joints together
  • Remove some bone in the big toe

Before resorting to surgery, there are conservative methods to help treat bunions, such as:

  • Taping foot to support bunion and cushioning it
  • Changing to wide, supportive shoes, or sandals, instead of tight, narrow shoes
  • Orthotic device (over-the-counter and/or custom made)
  • Certain exercises that help prevent stiffness, or arthritis
  • Splints for nighttime wear
  • Wearing shoe inserts, or padding to cushion bunion and reduce friction

Bunions are painful. If you have any questions or would like to schedule an appointment, just call your Madison and Stoughton, WI, podiatrist Dr. Neal Katz today!

By Dr. Neal J. Katz DPM
February 07, 2019
Category: Foot Conditions

Heel pain is one of the most common complaints a podiatrist hears about from patients. If you are dealing with heel pain above the heel bone then you could be dealing with Achilles Tendonitis, a result of overuse. The Achilles tendon is the longest tendon in the body and it serves to connect the muscles of the calf with the lower leg and heel bone.

While Achilles Tendonitis tends to occur most often in runners, this condition can still occur in athletes that play certain sports such as soccer or tennis. Unfortunately, this tendon does weaken as we get older, which makes at an increased risk for developing this overuse injury as we age.

 

What are the symptoms of Achilles Tendonitis?

The most obvious symptom of Achilles Tendonitis is pain above the heel bone. When the pain first appears it’s usually pretty mild and you may only notice it after running; however, over time you may notice that the pain gets worse after certain exercises. Along with pain you may also experience stiffness or tenderness in the heel, especially in the morning or after long periods of sitting.

 

When should I see a podiatrist?

If this is the first time that you’ve ever experienced heel pain then it’s a good idea to turn to a foot doctor who can determine whether Achilles Tendonitis is causing your symptoms or whether it’s something else. If you’re experiencing chronic heel pain around the Achilles tendon it’s also a good time to see a doctor. If the pain is severe or you are unable to put weight on your foot it’s possible that you might be dealing with a ruptured tendon, which requires immediate attention.

 

How do you treat Achilles Tendonitis?

In most cases, Achilles Tendonitis can be treated with simple self-care options. Unless symptoms are severe you may be able to treat your heel pain by:

  • Taking over-the-counter pain medications
  • Avoiding high-impact activities or activities that exacerbate symptoms
  • Elevating the foot to reduce swelling
  • Performing stretching exercises or undergoing physical therapy
  • Icing the heel
  • Wearing custom orthotics
  • Replacing worn-out shoes, especially running shoes

Surgery is only necessary if your symptoms aren’t responding to any other nonsurgical treatment options after several months or if the tendon is torn.

 

If you think your heel pain could be the result of Achilles Tendonitis then it’s time to turn to a podiatrist as soon as possible. A podiatrist can provide you with a variety of treatment options, from simple lifestyle modifications to custom orthotics.

By Dr. Neal J. Katz DPM
January 15, 2019
Category: Foot Care
Tags: Athlete's Foot  

Athletes FootAthlete's foot is one of the most common fungal infections of the skin and is frequently seen in our office. Whether you've had it or not, it's important to understand how you can avoid and treat this highly contagious infection if you do contract it.

The fungus that causes athlete's foot thrives in damp, moist environments and often grows in warm, humid climates, such as locker rooms, showers and public pools; hence the name "athlete's foot. " This infection can itch and burn causing the skin on your feet and between your toes to crack and peel.

Tips For avoiding Athlete's Foot:

  • Keep your feet dry, allowing them to air out as much as possible
  • Wear socks that draw moisture away from your feet and change them frequently if you perspire heavily
  • Wear light, well-ventilated shoes
  • Alternate pairs of shoes, allowing time for your shoes to dry each day
  • Always wear waterproof shoes in public areas, such as pools, locker rooms, or communal showers
  • Never borrow shoes due to the risk of spreading a fungal infection

Treatment

A mild case of athlete's foot will generally clear up on its own with over-the-counter antifungal creams and sprays. But since re-infection is common due to its contagious nature, many people require prescribed anti-fungal medication to effectively treat the infection. Generally, it's always best to consult with your podiatrist before choosing a treatment.

Mild cases of athlete's foot can turn severe and even cause a serious bacterial infection. If you notice your rash has become increasingly red, swollen and painful or you develop blisters and sores, call our office right away. Athlete's foot left untreated could eventually spread to other body parts and infect other people around you.

With the right treatment, you'll be cured of your athlete's foot in no time, which means the sooner you can enjoy the activities you love without pain and irritation!

By Dr. Neal J. Katz DPM
January 03, 2019
Category: Foot Care
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. Neal J. Katz DPM
December 17, 2018
Category: Foot Care
Tags: Sprained Ankle  

An ankle sprain occurs when the foot rolls or twists to the point where a ligament inside stretches beyond its normal capacity. Ankle sprains are extremely common, with an estimated 25,000 sprains happening in the United States every day. Athletes and people who work outdoors or on uneven surfaces are at a higher risk for spraining their ankle. Regular wear of high-heeled shoes is also a risk factor.

Sprained ankles are diagnosed by degree; that is, the severity of the sprain and the symptoms it produces. Grade 1 sprains are the mildest, with minimal swelling and tenderness due to a slight ligament tear. Usually, Grade 1 sprains still allow for weight to be put on the ankle. Grade 2 sprains have a more significant injury to the ligament and, while walking may still be possible, it is painful. Grade 3 sprains are diagnosed when the affected ligament has sustained a complete tear and the ankle cannot bear weight. Grade 3 sprains typically display obvious bruising and swelling around the ankle.

The grade of an ankle sprain will determine the treatment. The tried-and-true RICE method - rest, ice, compression, and elevation - is usually sufficient for Grade 1 sprains. Refraining from walking, keeping the ankle elevated for the first two days, stabilizing the ankle with a compression dressing, and applying ice to reduce swelling helps the sprain resolve within 2 to 4 weeks. Grade 2 sprains also respond well to RICE treatment, although healing typically takes longer and a firmer immobilization device, like a splint, is typically recommended. Grade 3 sprains often require similar treatment used for ankle fractures; a cast or brace may be needed and surgery may be considered for some patients.

To ensure proper healing, it is important to follow the recommendations of your podiatrist. Attempting to return to normal activity too soon could result in a repeat injury or permanent ankle instability.





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(608) 241-0848

664 W Washington Ave. Madison, WI

4901 Cottage Grove Rd, Madison, WI

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