Callus – intractable plantar keratosis (IPK)

What is n painful calluses (IPKs)? An IPK is a type of painful callus that forms in areas of high pressure typically underneath the metatarsal heads. These IPKs are very painful and cause forefoot pain referred to as metatarsalgia.  Why do painful calluses (IPKs) develop? IPKs develop in areas of high pressure secondary to the foot structure and biomechanics, another …

Stingray Sting and Injury

What treatment should you do after being immediately stung by a sting ray? If you are someone is comfortable with removing the stingray stinger, make sure to remove it slowly and carefully. Breaking the stinger into the wound will make it more difficult to remove in the future. If you feel uncomfortable with removing the stinger you can seek medical …

Compression Socks or Stockings

What are compression socks? Compression socks are stretchable socks/stockings that apply gentle higher pressure from the foot to a lower pressure at the calf to promote blood flow and decrease swelling. Compression socks come in various pressure measured in units of mm Hg from light 8-15 mm Hg, mild 15-20 mm Hg, moderate 20-30 mm Hg, and firm 30-40 mm …

Plantar Fibroma (Ledderhose disease)

What is a plantar fibroma? It is a hard mass that grows in the plantar fascia and can range from 1 to multiple nodules. Plantar fibromas are benign, slow growing, and are symptomatic when they are large enough to cause pain from pressure of walking and standing.  What are the causes of plantar fibromas? The exact cause of developing plantar …

Posterior Tibial Tendon Dysfunction (PTTD)

What is the posterior tibial muscle? The posterior tibial muscle is the primary dynamic supporter of the foot arch. The muscle is responsible for inverting the rearfoot, adducting/supinating the forefoot, and plantarflexing the ankle. It’s major antagonist is the peroneus previous and activation of the PTT locks the transverse tarsal joint causing the foot to be a rigid lever arm …

Toenail Fungus – Onychomycosis or tinea unguium

What is toenail fungus? People can develop an infection of their toenails by from different types of fungus, mold, or yeast ( dermatophytes – trichophyton, candida) . The fungus can infect multiple parts of the nail unit including the nail bed and/or plate What are the types of toenail fungus? There are 4 main types of toenail fungus: distal subungual, …

Sesamoiditis of the foot

What are the sesamoids of the foot? There are two sesamoids in each foot, the Tibial and Fibular sesamoid. The sesamoid are located underneath your big toe joint forming the sesamoid apparatus. The sesamoids function as a pulley for tendons and allow leverage when the big toe pushes off the ground.  What is sesamoiditis? Sesamoiditis is inflammation of the sesamoids …