Prevention and Awareness
Services and Conditions
From routine checkups and conservative treatments to reconstructive surgery, ProMedica's podiatry team is equipped to handle all of your foot and ankle needs. Conditions treated, but not limited to:
The Achilles is the longest and largest tendon in the body. The Achilles tendon runs from the back of the calf muscle to the heel. Two common conditions that affect the Achilles tendon are Achilles tendonitis (inflammation and swelling of the tendon) and Achilles tendonosis (degeneration or weakening of the tendon). Both conditions increase the risk of tendon rupture.
A condition characterized by weakness, instability, and a recurring "giving way" of the outside of the ankle. Ankle instability can be inherited, but is usually the result of a prior ankle injury that has not been adequately treated or has not been rehabilitated completely. Repeated sprains can lead to further injury to the ligaments, joint damage and eventually arthritis.
An injury to one or multiple ankle ligaments, usually on the outside of the ankle. Ligaments are bands of tissue, like thick rubber bands, that connect one bone to another at the joints. The ligaments control and limit the motion of the joint. The severity of the sprain is dependent on whether the ligament(s) are stretched, partially torn, or completely torn. At a minimum, a complete exam and x-rays are needed to accurately diagnose and treat the injury.
A skin disease caused by a fungal infection, often occurring between the toes. The infection can spread across the entire bottom of the foot causing dryness, cracking, itching and blisters. Feet are vulnerable to fungal infections because shoes create a warm, dark, and humid environment which encourages fungus growth. Other conditions that can mimic Athlete's Foot infections are allergic reactions to the dyes or adhesives in shoes, eczema, and psoriasis.
A bunion is a visible bump of bone that reflects changes to the bony framework at the ball of the foot. Bunions are a progressive disorder that becomes increasingly prominent over time. Bunions are most often caused by inherited faulty foot bio-mechanics. Wearing high heeled shoes, pointed shoes, shoes that crowd the toes, and shoes that are too small can aggravate existing deformities and can make a mild condition much worse.
A sudden breakdown of the bones and joints in the foot that occurs in diabetics with significant nerve damage (neuropathy). Charcot foot is a very serious condition that can lead to severe deformity, infection, disability, and even amputation. Because of its seriousness, it is important that diabetics take preventive action. Regularly scheduled foot exams are important and necessary. Any sudden swelling or redness of a foot, even if it is painless, must be evaluated immediately to avoid catastrophic deformity.
The most common complications of diabetes affecting the foot are nerve damage (neuropathy), decreased or blocked blood circulation (PAD), and decreased response to infection (immune compromise). These complications place diabetics at risk for serious infection and worse.
Bone fractures can be divided into two categories: traumatic fractures and stress fractures. Traumatic fractures are caused by an incident, a direct blow or an injury that resulting in bruising, swelling, and pain. Stress fractures are caused by repetitive stress over time resulting in increasing pain and swelling. Stress fractures can cause pain during activity that may go away after rest. They can be caused by an increase in exercise intensity or new activity.
Fungal nails are caused by fungus or yeast infections of the nail or nail bed. Often associated with Athlete's foot, this condition can become chronic and resistant to treatment. Laboratory confirmation of the infection and aggressive treatment can successfully clear the infection without surgery.
A jelly-like fluid in a balloon-type growth under the skin. Ganglion cysts are among the most common benign soft-tissue masses. They can vary in size getting smaller or larger over time. They are common on the foot and the wrist and are often associated with a tendon or joint. Early treatment by injection can help avoid surgery needed for larger lesions.
This is painful disorder usually associated with the big toe. It is the result of an accumulation of uric acid in a joint or in the tissues. Symptoms of gout include sudden intense pain, redness, swelling, and extreme skin sensitivity of the affected area. Blood tests and joint fluid analysis are used to diagnose gout.
An arthritic condition of the joint located at the base of the big toe. Hallux rigidus is a form of degenerative arthritis, a wearing out of the joint cartilage surface within in the joint, with bone spurring and joint enlargement. A progressive condition that causes pain, stiffness, swelling, and inflammation of the big toe joint.
A contracture, or bending, of one or both joints in the toes. Hammertoes usually start out as mild deformities and get progressively worse over time. Left untreated, the progress from flexible to rigid and the severity of the deformity increases. Patients often develop corns or ulcerations on the toes as a result of the toe deformities. Surgery may be needed to straighten the toe(s).
Heel pain is most often caused by plantar fasciitis, an inflammation of the tendon-like band of tissue that extends from the heel to the ball of the foot. Heel pain may also be caused by a stress fracture, bone spur, tendonitis, arthritis, or nerve irritation. Because there are multiple causes, it is important to have heel pain properly diagnosed.
When the nail is deformed, curving down or inward, and growing into the skin at the nail border. This irritation of the skin creates pain, redness, and swelling in the toe. The affected toe is often irritated by shoe or sock pressure. If an ingrown nail causes a break in the skin, bacteria may enter and cause an infection.
Metatarsalgia is a generalized term used to describe a nonspecific painful condition in the ball of the foot, usually under the 2nd metatarsal head. There is often swelling in this area.
Morton's neuroma is the most common neuroma in the foot. A neuroma is an enlargement and scaring of the nerve tissue in the foot between the base of the third and fourth toes. It is a result of compression, trauma, or irritation of the nerve. Patients describe a sharp pain or numbness in the associated toes, cramping in the foot, or the sense that their sock is curled up under the ball of the foot. If a neuroma is left untreated, it could lead to permanent nerve damage.
Osteoarthritis is a condition characterized by the breakdown and eventual loss of cartilage from the surface of the joint. When "wear and tear" causes the cartilage to deteriorate, painful symptoms develop that can restrict one's ability to easily perform daily activities. In the foot, the disease often occurs in the big toe joint, but is also found in the midfoot and ankle joints.
Plantar fasciitis is an inflammation, weakness, or tearing of the tissue called the plantar fascia, anywhere along the bottom of the foot. Symptoms are usually the worst with first standing in the morning or after sitting for a meal or driving in a car. Wearing poorly constructed or non-supportive shoe, going barefoot, or even wearing flip-flops can cause this problem. Proper foot support is needed.
PTTD is an inflammation, weakness, overstretching, and/or tearing of the posterior tibial tendon inside the foot and ankle. In PTTD, the tendon's ability to help support the arch is impaired and results in a flattening of the foot. PTTD is often called "adult acquired flat foot" Orthotic and/or brace supports are necessary to avoid collapse of the foot. Surgical repair may be necessary.
A Tailor's Bunion is an enlargement of the bone at the base of the little toe. It is also called a bunionette. Bunionettes are aggravated by shoe pressure. Wearing shoes that are too tight can make the deformity progressively worse.
Tarsal Tunnel Syndrome arises from the compression of the post tibial nerve. The post tibial nerve runs along the inside of the ankle into the foot. Tarsal tunnel syndrome is similar to carpal tunnel syndrome of the wrist. The nerve compression may initially cause numbness or pain at the great toe, plain in the heel, or cramping in the arch. Progression of this condition can lead to muscle wasting, chronic foot pain, and permanent nerve damage.
Warts are caused by a viral infection in the skin. Warts come in different shapes and sizes including flat warts, mosaic warts, and plantar warts. Different types of warts respond best to different treatments. Most can be treated with chemical treatment but some require laser treatment, freezing (cryo), or surgical excision.