When the Sesamoid Bone Under the Big Toe Becomes Painful

The sesamoids are two small bones located beneath the joint of the big toe that help absorb pressure and assist with smooth movement during walking and push off. Pain in this area often develops from repetitive stress, high impact activity, or prolonged pressure on the forefoot. Discomfort is commonly felt under the ball of the foot, and may worsen with running, dancing, or wearing thin soled shoes. Swelling, bruising, or difficulty bending the big toe can also occur. Because the sesamoids bear significant load, irritation may linger without proper care. Management often focuses on reducing pressure, supporting the forefoot, and allowing inflammation to calm. Ignoring symptoms can lead to ongoing pain or altered walking patterns. If pain beneath the big toe affects activity or does not improve, it is suggested that an evaluation by a podiatrist be considered.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact one of our podiatrists of Foot and Ankle Clinics, PA. Our doctors will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

  • Sudden increase in activity
  • Increase in physically strenuous movement without a proper warm up or build up
  • Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

If you have any questions, please feel free to contact our offices located in Woodbury, West St. Paul, and Edina, MN . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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You don't need an excuse to have beautiful nails. Step outside without worrying about the appearance of your feet.

Pros and Cons of Plantar Fasciitis Surgery

Plantar fasciitis surgery is considered when persistent heel pain fails to improve with appropriate nonsurgical care. One option, an endoscopic plantar fasciotomy, releases a portion of the tight fascia through small incisions. Benefits include less tissue trauma than open procedures, quicker return to activity, and proven success in reducing chronic heel pain. However, this surgery has risks. Some patients develop lingering discomfort, nerve irritation, arch weakness, or altered foot mechanics if excessive tissue is released. Recovery restrictions still apply, and relief is not guaranteed. A podiatrist confirms the diagnosis, reviews imaging, and rules out other causes of heel pain before recommending surgery. Proper surgical planning and follow up monitoring help limit complications and support healing. The podiatrist also explains expected outcomes and recovery timelines before scheduling procedures. If you have pain from plantar fasciitis, it is suggested that you make an appointment with a podiatrist to find out if surgery is a viable choice for you.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our podiatrists  from Foot and Ankle Clinics, PA. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

If you have any questions, please feel free to contact our offices located in Woodbury, West St. Paul, and Edina, MN . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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When a Twisted Step Leads to Lasting Pain

A sprained ankle occurs when the ligaments that support the ankle are stretched or torn, often caused by a sudden twist, uneven surfaces, sports activity, or a simple misstep. Symptoms include swelling, pain, and difficulty bearing weight. The ankle may look puffy or discolored and can feel stiff, weak, or unstable, with pain ranging from mild soreness to sharp discomfort during movement. A podiatrist can help by beginning with a detailed examination and imaging when needed to determine the severity of the injury. Early diagnosis is important to rule out fractures and guide proper care. Treatment may start with protection and swelling control, followed by bracing, footwear guidance, and targeted exercises to restore strength and flexibility. More severe sprains may require advanced care to prevent chronic instability. Proper treatment supports healing and reduces the risk of repeat injury. If you have a sprained ankle, it is suggested that you make an appointment with a podiatrist.

Ankle sprains are common but need immediate attention. If you need your feet checked, contact one of our podiatrists from Foot and Ankle Clinics, PA. Our doctors can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

  • Mild to moderate bruising
  • Limited mobility
  • Swelling
  • Discoloration of the skin (depending on severity)

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

If you have any questions please feel free to contact our offices located in Woodbury, West St. Paul, and Edina, MN . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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How Peripheral Artery Disease Affects the Feet

Peripheral artery disease, or PAD, occurs when narrowed arteries reduce blood flow to the legs and feet. This most often develops from plaque buildup along artery walls, which limits oxygen delivery to tissues. Poor circulation can cause symptoms such as leg cramping with walking, cold feet, slow growing toenails, or skin that appears thin and shiny. In more advanced cases, wounds may heal slowly or not at all. Risk factors include diabetes, smoking, high blood pressure, high cholesterol, and increasing age. Treatment focuses on improving circulation and reducing complications. This may involve lifestyle changes, medication, wound care, and close monitoring of foot health. Early detection is important because reduced blood flow increases the risk of infection and tissue damage. If you notice persistent leg pain, changes in foot skin, or slow healing sores, it is suggested that you see a podiatrist for a proper diagnosis and appropriate treatment.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with one of our podiatrists from Foot and Ankle Clinics, PA. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

  • Claudication (leg pain from walking)
  • Numbness in legs
  • Decrease in growth of leg hair and toenails
  • Paleness of the skin
  • Erectile dysfunction
  • Sores and wounds on legs and feet that won’t heal
  • Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

If you have any questions, please feel free to contact our offices located in Woodbury, West St. Paul, and Edina, MN . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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