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What Can Be Done About Bunions

A bunion is medically referred to as a hallux valgus. It is a deformity of the metatarsophalangeal joint at the base of the big toe. This type of malformation can develop when the first metatarsal bone in the foot turns out, and the big toe shifts toward the other toes. Eventually, the fluid-filled sac that surrounds and cushions the joint may become inflamed, and the entire joint can become stiff and painful. A bunion can interfere with walking or exercising. Additionally, it can be difficult to find shoes that accommodate this protrusion, and if shoes do not fit properly, extra pressure may be put on this misaligned joint. Bunions are more common in women. Perhaps this is because women are more apt to wear narrow, pointed, or high-heeled shoes. Bunions can also be genetic, or may develop from an underlying illness, such as arthritis, or an abnormal foot structure. Some foot problems, such as high arches or flat feet, can predispose one to getting a bunion. A podiatrist can determine the severity of a bunion and recommend the appropriate treatment for it. If you have a bunion, it is suggested that you make an appointment with this type of doctor for an examination and relief options.
If you are suffering from bunions, contact Michael Bess, DPM of Florida. Our podiatrist can provide the care you need to keep you pain-free and on your feet.
What Is a Bunion?
A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.
Why Do Bunions Form?
Genetics – Susceptibility to bunions are often hereditary
Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions
How Are Bunions Diagnosed?
Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.
How Are Bunions Treated?
- Refrain from wearing heels or similar shoes that cause discomfort
- Select wider shoes that can provide more comfort and reduce pain
- Anti-inflammatory and pain management drugs
- Orthotics or foot inserts
- Surgery
If you have any questions, please feel free to contact our office located in West Palm Beach, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Toe Twitching

Learning more about the biomechanics of the feet can be incredibly helpful for the patient trying to look after the health of their feet. For example, it might be beneficial to familiarize oneself with the phenomenon known as toe twitching. Essentially, toe twitching is similar to tremors or spasms. They may occur for a variety of reasons. Toe twitches may happen to an individual when they experience interruptions in the circulatory system, joints, or muscles. Fortunately, many patients are pleased to learn that most symptoms associated with toe twitching are not long-lasting. Rather, they may be notably fleeting. However, medical attention may be sought when twitching lasts longer than usual or is accompanied by more serious symptoms. To learn more about how the feet work, it is suggested that you reach out to a podiatrist who can help teach you how to best care for the health of your feet.
If you have any concerns about your feet, contact Michael Bess, DPM from Florida. Our podiatrist 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 West Palm Beach, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Causes of Peripheral Neuropathy

It is easy to recognize the symptoms of peripheral neuropathy, a condition that results from damage to the nerves in the body’s extremities. Burning, stabbing, and sometimes tingling pain in the feet are common, along with numbness and weakness. This is the result of the brain sending incorrect messages to the feet and toes. Peripheral neuropathy can be caused by diabetes, as the result of prolonged high blood sugar levels. Other causes include side effects of certain medications, hereditary factors, and autoimmune or kidney disease. It can also be a side effect of an underlying condition, such as obesity, alcohol abuse, and high blood pressure. In addition, a deficiency of vitamin B12 has been linked to developing peripheral neuropathy. While this condition is rarely cured, it can be managed to help reduce the symptoms. For more information about peripheral neuropathy that affects the feet and toes, it is suggested that you consult a podiatrist.
Neuropathy
Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Michael Bess, DPM from Florida. Our podiatrist will assess your condition and provide you with quality foot and ankle treatment for neuropathy.
What Is Neuropathy?
Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.
Symptoms of Neuropathy Include:
- Numbness
- Sensation loss
- Prickling and tingling sensations
- Throbbing, freezing, burning pains
- Muscle weakness
Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.
Treatment
To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.
Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.
If you have any questions, please feel free to contact our office located in West Palm Beach, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Why Does My Big Toe Hurt When I Run?

Pain in the joint of the big toe, termed hallux rigidus, is a form of osteoarthritis caused by the wearing away of cartilage between the base of the big toe and the first metatarsal bone of the foot. This condition often affects runners, as the big toe takes the brunt of the continual pounding with each step. Hallux rigidus often develops in runners between the ages of 30 and 60. Some possible causes include having flat feet or overpronation, which is when the foot rolls inward 15 percent or more with each step. Overtraining, a stubbed toe, gout, a toe deformity, or genetics may also play a role in the development of hallux rigidus. Limited mobility and stiffness in the big toe joint are early symptoms of this disorder. In addition, a runner may experience pain and swelling on top of the big toe. Changing to footwear with a larger toe box and stiffer sole can help relieve the pressure on the big toe. Certain medications may also help. A podiatrist can examine the toe, determine the cause of the joint pain, and offer appropriate treatment solutions. It is suggested that you make an appointment today.
Toe pain can disrupt your daily activities. If you have any concerns, contact Michael Bess, DPM of Florida. Our podiatrist 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 contact our office located in West Palm Beach, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.