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Posts for tag: Bunions

By Dr. Neal J. Katz DPM
April 29, 2019
Category: Foot Care
Tags: Bunions   Bunion Surgery  

A bunion is one of the most common foot deformities, often affecting the joint at the base of the big toe. Anyone can develop this painful condition but it most often occurs in women. A bunion affects the structure of the foot, causing the joint to become enlarged, which causes the big toe to lean inward towards the other toes. In some cases, the big toe even overlaps the toes. This deformed joint may often become red or swollen, especially when wearing certain shoes or after certain physical activities.

A bunion is a gradual deformity, which means that as soon as you begin to notice changes in the joint or you start to experience symptoms you should consult a podiatrist. While the only way to correct the deformity is through surgery this is usually the last treatment option. After all, a foot doctor can often create a treatment plan that will reduce pain and prevent the deformity from progressing without needing to turn to surgery.

The first course of treatment is usually more conservative. You may be able to manage your bunion pain and swelling by:

  • Taking over-the-counter NSAIDs
  • Icing the bunion for up to 15 minutes at a time, 2-3 times a day
  • Placing orthotics into your shoes to alleviate pressure on the joint (talk to your podiatrist about creating custom orthotics)
  • Splinting or taping the foot to improve the structural alignment
  • Wearing appropriate and supportive footwear that doesn’t put pressure on the toes or bunion
  • Applying a bunion pad over the area to prevent a callus from forming while wearing shoes
  • Avoiding certain activities and sports that could exacerbate your condition

For many people, these lifestyle changes and simple at-home treatment options are all that’s needed to reduce bunion pain and discomfort, and to prevent the problem from getting worse. Of course, if you find that at-home care isn’t providing you with relief, or if bunion pain is persistent or severe, then you should turn to a podiatrist for an evaluation. Not sure if you have a bunion or not? Call your foot doctor.

When should someone consider bunion surgery?

As we mentioned earlier, bunion surgery is considered a last resort when all other treatment options have been exhausted and they haven’t helped get your bunion symptoms under control. You may also want to consider getting bunion surgery if:

  • Your bunion is large and makes it difficult to wear shoes
  • Your bunion pain is severe and chronic
  • You have trouble walking or moving around because of your bunion
  • Your bunion is affecting your quality of life

It can take up to 6 months to fully recover from traditional bunion surgery so it’s important to discuss all of your treatment options with your podiatrist to find the most effective method for getting your bunion symptoms under control.

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
May 01, 2018
Category: Foot Care
Tags: Bunions  

BunionsWhat is a Bunion?

Are you dealing with a bunion? A bunion is a protrusion of the bone at the base of the big toe. While a bunion may seem like a bump, according to the (APMA) American Podiatric Medical Association a bunion is actually the enlargement of the joint at the base of the big toe – the metatarsophalangeal (MTP) joint. While bunions are a common foot disorder, it is not something that you should ignore as bunions can cause discomfort and become inflamed if left untreated.
 

What Causes Bunions?

Bunions can be hereditary and aggravated by the shoes you wear, especially high heels or shoes that don’t have enough room for your toes. Certain factors can also contribute to the development of bunions, such as if you have flat feet or low arches or if your feet pronate (when the ankles roll in towards each other during movement and cause excessive and prolonged pressure on the joints in the feet). If you are dealing with bunions, or think that you are, it’s important to seek help from a qualified podiatrist to get the care you need to relieve your pain and discomfort.
 

How a Podiatrist Can Help

Your podiatrist may recommend certain conservative at home steps you can take to minimize the discomfort. The first thing they may recommend is that you look at or change the kind of shoes you wear. It’s important to find shoes that are wide enough to accommodate your toes. Shoes such as high heels are likely to make the problem worse. Bunion pads can also help with your discomfort.
Severe bunion pain can restrict your mobility. Untreated bunions can continue to get worse if you don’t do something about them and can lead to other issues such as calluses and corns, or you may experience pain or redness on the site of the bunion, as well as swelling.
Other treatment options include orthotics or a combination of physical therapy and medication to relieve pressure and inflammation of the bunion. In severe cases, surgery may be needed to resolve the issue.
 

Prevention is Key

We all like to remain active, and oftentimes it is the result of this activity that can make your bunion pain worse. You should visit your podiatrist if you notice any issues so they can be caught and treated as early as possible. Call our office today.
By Dr. Neal J. Katz DPM
November 02, 2017
Category: Foot Care
Tags: Bunions  

What your foot doctor in Madison, Wisconsin wants you to knowbunions

Your foot hurts and you notice you have a large bump next to your big toe. Chances are, you have a bunion. Bunions are more common among women because women often wear high heels or shoes that are too narrow with not enough room for toes.

Fortunately, there are ways to treat bunions. One of them is surgery. So how do you know if you need bunion surgery? Dr. Neal Katz wants to help answer that question. He has convenient office locations in Madison and Stoughton, Wisconsin to serve your podiatry needs.

When you wear narrow shoes, your toes are crushed. As time goes on, your big toe can push outward, resulting in deformity of bone and increasing pain because the bunion is rubbing against your shoe, causing friction and inflammation.

Non-invasive remedies are often the first option to try before considering surgery. You can:

  • Wear inserts or padding inside your shoes
  • Try taping the bunion to cushion it
  • Change to wider, more supportive shoes

Dr. Katz might also recommend cortisone injections around the bunion. Cortisone helps to reduce swelling, inflammation, and pain. For large, severely painful bunions, surgery might be indicated. You should consider bunion surgery if:

  • Your bunion is causing severe pain that limits wearing shoes or walking
  • Your big toe is chronically swollen and inflamed from the bunion
  • Your bunion is causing stiffness or deformity in your big toe
  • You can’t get pain relief from medications or wearing appropriate shoes

Once you and Dr. Katz have decided on bunion surgery as your best option, there are several surgical options to consider including:

  • Joint fusion of your big toe
  • Straightening your big toe and foot surgically
  • Removing excess or swollen tissue surgically
  • Removing some of the bone to reshape your big toe

Bunion surgery can be a difficult decision, so don’t make it alone. Get help from an expert by calling Dr. Neal Katz, with offices in Madison, and Stoughton, Wisconsin. Call today and help your feet feel better!

By Dr. Neal J. Katz DPM
April 03, 2017
Category: Foot Care
Tags: Bunions  

BunionsA bunion is an abnormal, bony prominence that develops on the joint at the base of your big toe. As the big toe joint becomes enlarged, it forces the toe to crowd against your other toes, and the pressure exerted on your big toe joint results in inflammation and pain. Early treatment is necessary to decrease the risk of developing joint deformities.

Bunions develop due to prolonged abnormal pressure or motion on your big toe joint, most often caused by inherited structural defects, poor-fitting shoes, foot injuries, or congenital deformities. Women are generally more prone to bunions because of the shoe types typically worn, such as high-heels and narrow-toed shoes.

Bunion pain can range from mild to severe, often making it difficult to wear shoes and perform normal activities. You should contact our office if you notice the following symptoms:

  • An enlarged, visible bulge on your big toe joint
  • Restricted movement of your big toe or foot that prevents you from performing normal activities
  • Irritation, corns or calluses caused by the overlap of the first and second toes
  • Frequent pain, swelling or redness around your big toe joint

Treatment For a Bunion

Treatment for a bunion will vary depending on its severity. Identifying the condition in its early stages is important to avoid surgery, with the main objective of early treatment being to relieve pressure and stop the progression of the deformity. Many times conservative treatments, such as padding, modified footwear or orthotic devices can be highly effective for preventing further growth and reducing the pressure and pain.

We recommend the following for reducing pressure and pain caused by bunions:

  • Wear comfortable shoes that don't cramp or irritate your toes and avoid high-heeled shoes
  • Apply ice to reduce inflammation and pain
  • Our podiatrists can show you how to apply padding to your foot to place it in its normal position and reduce stress on the bunion

When early treatments fail or the persistent pain associated with your bunion is interfering with your daily activities, a surgical procedure may be recommended as a last resort to realign the toe joint and alleviate the pressure. We can advise you on the best treatment options available to relieve pressure on the bunion and slow the progression of the joint deformity.



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(608) 241-0848

664 W Washington Ave. Madison, WI

4901 Cottage Grove Rd, Madison, WI

225 Church St, Stoughton WI