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Dr. Kennan T. Runte, DPM, FACFAS
Dr. Panah Nabili, DPM

(530) 477-7200

152 Catherine Lane, Suite F
Grass Valley, CA 95945

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August 2022

There are several phases that the feet go through while running. The heel strike is sometimes referred to as ground contact and this happens when the foot lands on the ground. This is followed by rolling up to the forefoot and ends by pushing off. One of the responsibilities the feet have is to absorb and control the impact as walking and running take place. The term pronation is the inward movement the foot makes, and it is slightly lifted off the ground when running. When the foot strikes the ground, a normal foot structure will pronate to cushion the landing. This is followed by the arch as it lifts from its flattened state and will generally become stiff to maintain stability. Many runners have overpronation which may be common among people who have flat feet. The running shoes will often show evidence of overpronation and may show wear and tear on the inside part of the heel. If you would like to know more information about foot structure or biomechanics of the feet, feel free to consult with a podiatrist who can answer any questions you may have.

If you have any concerns about your feet, contact one of our podiatrists from Foothill Podiatry Clinic. Our doctors can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

  • Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
  • In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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

Read more about The Importance of Biomechanics in Podiatry

People who experience pain on the outside of the foot may have cuboid syndrome. This foot condition can follow an ankle sprain and may be difficult to diagnose. It can be common among ballet dancers and can result due to the style of dance they perform. The cuboid bone is one of seven tarsal bones and lies beneath the fourth and fifth toes. If this becomes moved from gradual overuse or an injury, it may become inflamed, referred to as cuboid syndrome. Additional causes of developing cuboid syndrome can include training on uneven surfaces, lack of adequate support from wearing the wrong shoes, or possibly excessive pronation. Some people have intermittent pain and there can be tenderness along the outside of the foot which may be similar to having an ankle injury. There are various treatment options for this condition and it is strongly advised that you are under the care of a podiatrist who can determine the best course of treatment for you.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with one of our podiatrists from Foothill Podiatry Clinic. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

  • Injury – The most common cause of this ailment is an ankle sprain.
  • Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
  • Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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

 

Read more about All About Cuboid Syndrome
Tuesday, 16 August 2022 00:00

Corns and Pain

The health of your feet can be compromised by a condition known as corns of the feet. Corns are a type of callus that can develop on the feet, and they are usually composed of dead skin cells. Corns typically occur as a result of pressure and/or friction being applied to an area of the foot. There are several different kinds of corns that may develop on your feet. For example, you may have hard corns, soft corns, or seed corns. In some cases, the corns on your feet may be causing discomfort and pain. While seed corns are not typically painful, for instance, soft corns can cause pain. If you have a corn, it is important for you to be mindful of any pain you feel. If the corn becomes especially painful, or if it is red and leaking liquid of some sort, it is a good idea to seek out medical attention as soon as possible. Podiatrists specialize in maintaining the health of the feet and are particularly equipped to help you with your corns. Therefore, if you are experiencing a significant amount of pain in your feet due to a corn, it is suggested that you contact a podiatrist as soon as you can, who will help you identify and address the problem.

If you have any concerns regarding your feet and ankles, contact one of our podiatrists of Foothill Podiatry Clinic. Our doctors will treat your foot and ankle needs.

Corns: What Are They? and How Do You Get Rid of Them?
Corns can be described as areas of the skin that have thickened to the point of becoming painful or irritating. They are often layers and layers of the skin that have become dry and rough, and are normally smaller than calluses.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as wearing:

  • Well-fitting socks
  • Comfortable shoes that are not tight around your foot
  • Shoes that offer support

Treating Corns
Treatment of corns involves removing the dead skin that has built up in the specific area of the foot. Consult with Our doctors to determine the best treatment option for your case of corns.

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

Read more about Corns: What Are They, and How Do You Get Rid of Them
Wednesday, 10 August 2022 00:00

Am I a Candidate for Foot Surgery?

Many people undergo foot surgeries when all other options for have failed. There are several types of foot surgery, which can be successful for permanent relief. An Achilles tendon rupture may require surgery, and this is accomplished by having a 3-inch incision cut at the back of the ankle where the tendon has ruptured. The tendon is sewn together with sutures. After closing the wound, the foot is typically placed in a protective boot as the healing process occurs. Bunion surgery is another common form of foot surgery. A bunion is a bony protrusion of the big toe that can develop from genetic factors or wearing shoes that are too tight. If the bunion becomes painful and completing daily activities becomes difficult, joint fusion may be a viable option. It is done by fusing the joint of the big toe. Another alternative may be to have a joint replacement performed. If you are considering any type of foot surgery, it is strongly advised that you are under the care of a podiatrist who can determine if you are a candidate.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact one of our podiatrists of Foothill Podiatry Clinic. Our doctors will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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

Read more about Foot Surgery

Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.

Tuesday, 02 August 2022 00:00

Pain in the Pinky Toe

Pain in the fifth toe, commonly referred to as the pinky toe, can be quite problematic. Although the pinky is the smallest of all the toes on the feet, pinky toe pain can be uncomfortable nonetheless. Since this toe is located on the outside of the foot, the pinky toe can be especially prone to stubbing and injuries. If you are experiencing pain in the pinky toe, there could be any number of causes. First, you might have broken or fractured the pinky toe. Broken toes will sometimes release a popping sound when impacted. X-rays might be needed to analyze the toe and its fracture. Another potential cause of pinky toe pain is ill-fitting footwear that makes the pinky toe rub up against the shoe. Lastly, pinky toe pain can be caused by the development of a corn. Similar to a thick, hardened callus, corns on the pinky toe can be painful when they are rubbed against the inside of a pair of shoes. Pain in the pinky toe is no joke — it is suggested you see a podiatrist who can help you address the problem.

Toe pain can disrupt your daily activities. If you have any concerns, contact one of our podiatrists of Foothill Podiatry Clinic. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

  • Trauma
  • Sports injury
  • Wearing shoes that are too tight
  • Arthritis
  • Gout
  • Corns and calluses
  • Hammertoe
  • Bunions
  • Blisters
  • Ingrown toenails
  • Sprains
  • Fractures (broken bones)
  • Dislocations

When to See a Podiatrist

  • Severe pain
  • Persistent pain that lasts more than a week
  • Signs of infection
  • Continued swelling
  • Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please feel free to contact our office located in Grass Valley, CA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Toe Pain
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