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Big toe fusion is a surgical procedure used to treat severe arthritis in the main joint of the big toe. This joint plays an important role in walking because it helps the foot push off the ground with each step. Arthritis can damage the joint surfaces, causing pain, stiffness, and reduced movement. When symptoms become severe and other treatment options have not provided enough relief, surgery may be considered. During big toe fusion, the damaged joint surfaces are removed, and the bones are positioned together so they can heal as one solid structure. This stops painful movement within the arthritic joint.

The procedure is designed to reduce pain and provide a more stable big toe. Metal screws or a plate may be used to hold the bones in the correct position while they join together. Because the joint is permanently fused, it will no longer bend normally after surgery. However, the end joint of the big toe can still move. Most people are able to return to normal walking once healing is complete. The procedure may also help improve the position of a severely deformed big toe. As with any surgery, possible complications can occur, including infection, nerve irritation, or problems with the bones joining together.

A podiatrist can evaluate ongoing big toe joint pain and determine whether arthritis or another foot problem is affecting movement. The evaluation can help determine whether surgical treatment, including big toe fusion, may be appropriate. A podiatrist can explain how the procedure affects joint movement and discuss what to expect during recovery. The decision to have foot surgery depends on the severity of the arthritis and its effect on everyday activities. If severe big toe pain or stiffness is making walking increasingly difficult, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

In certain cases, in which the patient suffers from extreme pain or damage in a joint, joint replacement surgery may be deemed useful. If you have constant pain in a foot joint, consult with the podiatrists from Boston Common Podiatry. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

What Is Joint Replacement Surgery?

Over time, joints wear down; this can be exacerbated by diseases and conditions. Joint replacement surgery, also known as arthroplasty, is when a damaged joint is surgically removed and replaced with a prosthesis. Prostheses, which can be made of ceramic, plastic, or metal, act as joints in lieu of an actual joint. One of the most prevalent causes for joint replacement is arthritis.

Arthritis in the Foot

Arthritis can occur in any joint in the body, including in the feet. Common types of arthritis in the foot are osteoarthritis, rheumatoid arthritis, and gout. The big toe is usually where arthritis occurs in the foot; this is known as hallux rigidus.

Joint Replacement Surgery in the Foot

The most common form of joint replacement in the foot is a first metatarsophalangeal (MTP) joint placement. MTP joint replacement surgery is designed to treat hallux rigidus. Surgery is not intensive, and recovery occurs within one to two months after the procedure has been done. Overall, joint replacement surgery is a safe and effective way to treat pain in the joint of the foot.

If you have any questions, please feel free to contact our office located in Boston, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Tarsal tunnel syndrome is a nerve condition that develops when the posterior tibial nerve becomes compressed as it travels through a narrow passage near the inside of the ankle. This tunnel is located between the ankle bone and the surrounding soft tissues, with the nerve continuing into the foot. When pressure affects the nerve, symptoms can develop along the inner ankle, heel, and bottom of the foot. People may experience tingling, numbness, or shooting pain. 

Several factors can contribute to tarsal tunnel syndrome. An ankle injury or swelling may increase pressure around the nerve. Flat feet can also change foot alignment and place additional strain on the nerve whle walking. Other risk factors include repetitive activity, arthritis, and abnormal foot mechanics. Some people describe a burning sensation that travels from the inside of the ankle toward the sole of the foot. In more advanced cases, numbness or weakness may affect normal foot function.

A podiatrist can evaluate symptoms and determine whether tarsal tunnel syndrome is causing the discomfort. The examination may include reviewing medical history, checking sensation, and observing walking mechanics. The podiatrist may also perform specific nerve assessments and recommend imaging or nerve testing when appropriate. Treatment depends on the underlying cause and may include activity modification, supportive footwear, or measures to reduce swelling and pressure surrounding the nerve. Treating an underlying foot or ankle problem can also help reduce nerve irritation.

Early evaluation may help prevent consistent nerve compression from interfering with walking and daily activities. Persistent tingling or burning should not be dismissed as ordinary foot fatigue, particularly when symptoms repeatedly occur in the same area. A personalized treatment plan can address both the nerve irritation and the mechanical factors contributing to symptoms. If you have pain in this part of your foot, it is suggested that you consult a podiatrist who can accurately diagnose and treat tarsal tunnel syndrome. 

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact the podiatrists of Boston Common Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please contact our office located in Boston, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Toe walking means a child walks on their tiptoes without letting their heels touch the ground. It can happen some, most, or all of the time. Toe walking can be part of normal development, and many children stop doing it between ages two and seven. However, continued toe walking deserves attention, especially when it affects balance, comfort, or the way a child moves. When there is no clear medical cause, it is called idiopathic toe walking. In a small number of children, toe walking can be linked to conditions that affect the brain, nerves, or muscles. These include cerebral palsy, muscular dystrophy, and autism spectrum disorder. A podiatrist can assess your child’s feet, legs, and walking pattern. They can also check muscle strength and flexibility to determine whether further evaluation is needed.

Frequent toe walking can be associated with tight calf muscles, which connect with the heel. Tight calves can make it harder for a child to place the heels flat on the ground when standing or walking. A podiatrist can help identify whether tight muscles, foot structure, or another concern is contributing to toe walking. This evaluation also helps determine whether the child’s walking pattern is changing or causing problems with everyday activities. Treatment options may include regular monitoring and supportive footwear.

Parents should seek professional advice when toe walking is apparent mainly on one side or if it begins suddenly after a child previously walked with their heels down. An exam also may be needed if the heels are prevented from touching the ground while standing. Attention is important when a child has stiff legs, unusual movements, or pain. A podiatrist can monitor changes in walking and recommend treatment when necessary. If your child exhibits toe walking on a regular basis, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact the podiatrists of Boston Common Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

If you have any questions, please feel free to contact our office located in Boston, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A broken toe can happen when the toe is struck, bent forcefully, or hit by a heavy object. Each toe contains small bones that can break after an injury. Symptoms can include pain, swelling, and stiffness. Some people notice pain while walking or putting pressure on the foot. The toe can also look crooked if the broken bone has moved out of its normal position. Injuries to the big toe deserve particular attention because this toe plays an important role in balance and movement. An open wound near the injury can also signal a more serious break. A podiatrist can examine the toe, assess its position and movement, and determine how severe the injury is.

Treatment for a broken toe depends on the location and severity of the injury. A podiatrist can examine the toe and determine whether imaging is appropriate to evaluate the bones. If the toe is out of position, treatment can focus on restoring proper alignment so the bone can heal correctly. More serious fractures can require a splint, cast, or surgery. A podiatrist can also monitor healing and help determine when it is appropriate to return to normal activities. Most broken toes heal within several weeks, but more serious injuries can take longer to heal. Professional evaluation is especially important when there is significant swelling, an open wound, severe pain, or a crooked toe.

A broken toe can interfere with walking, work, and other daily activities. Delaying evaluation can be a concern when the toe is severely painful, visibly crooked, or has an open wound. A podiatrist can assess the injury and create a treatment plan based on the type of fracture and your symptoms. Follow-up care can help track healing and make sure the toe is progressing properly. A proper evaluation can also help protect the toe from additional stress while it heals. If you have broken your toe, it is suggested that you schedule an appointment with a podiatrist for effective relief and treatment solutions.

A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact the podiatrists from Boston Common Podiatry. Our doctors will treat your foot and ankle needs.

What to Know About a Broken Toe

Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).

Symptoms of a Broken Toe

• Throbbing pain
• Swelling
• Bruising on the skin and toenail
• The inability to move the toe
• Toe appears crooked or disfigured
• Tingling or numbness in the toe

Generally, it is best to stay off of the injured toe with the affected foot elevated.

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.

If you have any questions, please feel free to contact our office located in Boston, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.