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 …

Peroneal Tendon Tears

What are the peroneal tendons? The peroneal tendons consist of the peroneus longus and brevis which are located on the lateral side of your ankle and connect to the base of the 5th metatarsal and base of the 1st metatarsal/medial cuneiform. The function of the peroneus muscles and tendons are to evert/stabilize your ankle and plantar flex the 1st metatarsal.  …

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 …

Best Ankle braces

What is an ankle brace?  An ankle brace is an external device used to support an injured, weak, painful ankle. Most commonly ankle braces are worn after ankle sprains and can be used for people that have ankle or subtalar ankle arthritis.  How does an ankle brace work?  An ankle brace provides support by limiting the range of motion of …

Os Trigonum Syndrome

What is the Os Trigonum? The Os Trigonum in an extra bone that can develop behind the ankle joint behind the talus. This accessory bone is connected to the talus by a fibrous band and is present at birth. It can be present in either one or both ankles.  What is Os Trigonum Syndrome? Most people with an os trigonum …

Achilles Rupture: Operative vs. Nonoperative Treatment

What is an achilles rupture? The achilles tendon is formed by the gastrocnemius and soleus tendon and inserts into the back of the heel (calcaneus bone). The achilles tendon is the major tendon involved in bending the ankle down (plantar flexion) and allowing the foot to push off the ground.  Why is it important to treat an achilles rupture? If …

Chilblains of the toes (pernio)

What is chilblains of the toes? Chilblains is a painful inflammation of the small blood vessels of the skin caused by cold temperatures and damp environment.  What does chilblains of the toe look like? The toes can become red, swollen, itchy and painful. Red to purple soft tissue discoloration of the toes can appear and possibly become blisters. The symptoms …

Webbed Toes or syndactyly

What is webbed toes? Webbed toes is a condition that people are born with when two or more toes are partially or fully connected by a flexible skin bridge or bony fusion. Webbed toes are seen in 1 in 2000 births and most commonly occur between the 2nd and 3rd toe. Tibial syndactyly is between the 1st and 2nd toe, Central …

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 …

Urea cream

What is Urea cream? Urea is a natural substance made in the body to help with the metabolism and excretion of nitrogen. Scientist have learned to synthesize it and it is used for many different purposes. Urea cream typically ranges from 2% to 40% in potency and is used to help soften thick layers of skin and nails, also it …