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The first metatarsophalangeal, or MTP, joint replacement is also known as great toe joint replacement or great toe arthroplasty. This procedure is conducted to address arthritis in the main joint of the big toe. This joint generally experiences a lot of stress from activities like walking, running, and wearing high heels. Arthritis in this joint can cause pain and stiffness, especially with a condition called hallux rigidus. The traditional treatment for this problem is joint fusion, which eliminates pain but limits movement. Joint replacement offers an alternative, but it has been less successful than replacements in larger joints due to the high force placed on the toe. Different types of implants are available, including caps for the metatarsal head, full joint resurfacing, and newer rubber bumper implants. Recovery varies based on implant type, with a typical six-week rest period. If you have arthritis in your big toe, it is suggested that you make an appointment with a podiatrist who can see if you qualify for joint replacement and educate you on the process.

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.

High heels may add elegance and style to an outfit, but their impact on our feet is far from glamorous. The unnatural position of the foot in high heels puts excessive pressure on the toes, leading to bunions, corns, and calluses. Because the heel is elevated while high heels are worn, it can cause Achilles tendon tightness and calf muscle strain, leading to discomfort and reduced flexibility. High heels also shift the body weight forward, increasing the risk of ankle sprains and instability. Prolonged use of high heels can even alter the natural arch of the foot, leading to plantar fasciitis and other painful conditions. To reduce these risks, it is suggested that high-heel wear be limited and the shoes that are worn have low heels or supportive wedges. If you have foot pain from wearing high heels, it is suggested that you speak to a podiatrist who can help you find additional relief options.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact the podiatrists from Boston Common Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

• Ankle Joints
• Achilles Tendon – May shorten and stiffen with prolonged wear
• Balls of the Feet
• Knees – Heels cause the knees to bend constantly, creating stress on them
• Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

• Corns
• Calluses
• Hammertoe
• Bunions
• Morton’s Neuroma
• Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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 and ankle needs.

Obesity not only takes a toll on overall health, but also significantly affects the feet. The extra pounds exert excessive pressure on the feet, leading to various problems. Many people who are obese have foot pain, as a result of increased weight on the arches and tendons. Flat feet are a common issue with obesity, and the additional weight may alter the foot structure. Heel pain can signify the painful condition known as plantar fasciitis, which can happen from the added weight the heels must endure. Regular exercise, a balanced diet, and weight management are crucial in mitigating these effects. Properly fitting footwear and orthotics can also offer relief. Prioritizing foot health alongside overall well-being is essential for those struggling with obesity. It is suggested that a podiatrist is consulted who can guide you toward managing foot conditions that may result from obesity.

Obesity has become very problematic at this point in time and can have extremely negative effects on the feet. If you’re an obese individual and are concerned about your feet, contact the podiatrists from Boston Common Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

Obesity and Your Feet

Since your feet are what support your entire weight when standing, any additional weight can result in pain and swelling. Being overweight is one of the main contributors to foot complications.

Problems & Complications

Extra Weight – Even putting on just a few extra pounds could create serious complications for your feet. As your weight increases, your balance and body will shift, creating new stresses on your feet. This uneven weight distribution can cause pain, even while doing the simplest tasks, such as walking.

Diabetes – People who are overweight are at serious risk of developing type-2 diabetes, which has a drastic impact on the health of your feet. As you get older, your diabetes might worsen, which could lead to loss of feeling in your feet, sores, and bruises. You could also become more prone to various infections.

Plantar fasciitis – Pressure and stress that is placed on muscles, joints, and tendons can trigger plantar fasciitis, which is an inflammation of tissue that forms along the bottom 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 and ankle needs.

There is a nerve between the third and fourth toes that can become affected by the foot condition known as Morton’s neuroma. It occurs as a result of this nerve becoming irritated from wearing shoes that are too tight. Women who frequently wear high heels can experience Morton’s neuroma, and relief may come from wearing shoes that have ample room in the toe area. People who have flat feet may also be prone to developing Morton’s neuroma, as can patients who have bunions and hammertoes. The symptoms that are associated with Morton’s neuroma can include toe cramping and pain in the ball of the foot. Some people can have a tingling sensation between the third and fourth toes, which may gradually become worse. If you have pain in this part of your foot, it is suggested that you visit a podiatrist who can effectively treat Morton’s neuroma.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact the podiatrists of Boston Common Podiatry. Our doctors will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

• Ill-fitting high heels or shoes that add pressure to the toe or foot
• Jogging, running or any sport that involves constant impact to the foot
• Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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.

Running has become a popular method of keeping physically fit, but it can also come at a price. Besides having a certain level of fatigue, running can also cause painful injuries to the feet. Several factors can contribute to foot pain after running, but experts believe that ignoring the pain can often make matters worse. The top three causes of most foot pain are being overweight, overtraining, and wearing improper or ill-fitting shoes. Wearing shoes that do not fit well or are the wrong type of shoe for the terrain on which running takes place can increase the chances of injury, aches, and sore feet. In addition, poor quality outsoles that fail to cushion the feet adequately can cause foot problems. Running on uneven terrain or hard surfaces can subject the feet to more pressure and lead to unnatural strides. Overtraining, especially running farther than the body can handle, often results in foot maladies such as plantar fasciitis and stress fractures. Carrying extra weight is particularly harmful to the feet, which absorb several times the body weight with each step. This opens up the runner to injury or, at the very least, foot aches and pains. If you experience foot pain after running, it is suggested that you make an appointment with a podiatrist. 

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries. If you have any concerns about your feet, contact the podiatrists of Boston Common Podiatry. Our doctors will treat your foot and ankle needs.

How to Prevent Running Injuries

Many common running injuries are caused by overuse and overtraining. When the back of the kneecap starts wearing out and starts causing pain in your knee, this is commonly referred to as runner’s knee. Runner’s knee is a decrease in strength in your quadriceps and can occur if you’re not wearing properly fitted or supporting shoes. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned.

What Are Some Causes of Running Injuries?
- One cause of a common running injury is called iliotibial band syndrome.
- Plantar fasciitis is also another common injury.
- Stress fractures can occur from overtraining, lack of calcium, or even your running style.

Best Ways to Prevent Running Injuries
- Wear footwear that fits properly and suits your running needs.
- Running shoes are the only protective gear that runners have to safeguard them from injury.
- Make a training schedule. Adding strengthening exercises as well as regular stretching can help keep you strong and limber and can lessen the possibility of injuries.
- Stretching keeps muscles limber; this will help you gain better flexibility.

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 and ankle needs.

Gout is a condition that affects the joints in the big toe. It often begins in that area, and it may spread to other parts of the foot if treatment is not received. Gout can happen when excess uric acid occurs and collects in the joints of the toes. Common symptoms that many people experience with gout can include intense pain, swelling, and it can be difficult to walk. Foods that are eaten with purines may produce uric acid, and it is beneficial to limit eating these types of foods. These can include shellfish, red meat, and drinks that are made with large amounts of sugar. Additionally, drinking plenty of water daily to stay hydrated may help to avoid painful gout episodes. Many people enjoy getting massages and have reported they may help to relieve the pain of gout. If you have pain in your big toe, it is strongly suggested that you are under the care of a podiatrist who can effectively treat and offer prevention techniques against gout.

Gout is a painful condition that can be treated. If you are seeking treatment, contact the podiatrists from Boston Common Podiatry. Our doctors will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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.

Foot injuries in the workplace are classified into two general categories, injuries or slips and falls. Common foot injuries include punctures, crushing, sprains, and cuts. Among the other conditions that result in pain are calluses, ingrown toenails, and tired feet. Long periods of standing and the type of shoes worn may also contribute to foot pain on the job. High heels, pointed shoes, lack of arch support, and shoes that are too loose or tight may contribute to foot pain. Workplace safety experts recommend replacing footwear with better options. Included are shoes that grip the heel firmly, while the front of the shoe allows the toes to move freely. Choose shoes that fasten across the instep to help prevent tripping. The heels of the shoe should be no higher than 2.5 inches and no lower than the ball of the foot. Have the feet measured properly before purchase, and if the feet are different sizes, it is best to purchase the larger size. Wearing socks and stockings that are too tight can also contribute to foot pain. If you are having trouble with job-related foot pain, it is suggested that you make an appointment with a podiatrist.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact the podiatrists from Boston Common Podiatry. Our doctors will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

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 and ankle needs.

Heel pain is a common foot condition, and there are various reasons why it can happen. The largest tendon in the body is called the Achilles tendon, and it attaches to the heel. An injury can cause this tendon to become torn or irritated, and heel pain may ensue. Many people suffer from plantar fasciitis, which is caused by an inflamed plantar fascia. This is the band of tissue that connects the heel to the toes, and the pain is often felt in the heel. The condition that is known as neuropathy can cause the inability to feel sensations in the foot, including the heel. Waking can be difficult, and patients may need to use a cane or walker to maintain balance. A stone bruise is a heel disorder that can happen to people who jump from heights and lands on their feet. This condition may affect the heel pad, which acts as a shock absorber and may possibly become damaged. If you have heel pain, it is strongly suggested that you confer with a podiatrist who can determine what the reason is and offer treatment options that are correct for you.

Many people suffer from bouts of heel pain. For more information, contact the podiatrists of Boston Common Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                  
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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.