Items filtered by date: July 2022

Freiberg’s disease, also known as Freiberg’s infarction or Frieberg's infraction, is associated with pain in the forefoot. It has to do with the softening of one of the metatarsal heads and typically occurs in teenagers that are growing. If excessive weight is put on this part of the foot, it can lead to a microfracture of the metatarsal head. Symptoms are swelling and discomfort at the ball of the foot and the joint associated with the affected toe – usually the base of the second toe. It is common for one with this affliction to have a long second toe that sustains repetitive force. A person with Freiberg’s disease might limp during the acute phase of the condition and it can become chronic before it is diagnosed. An X-ray or MRI can be used to help diagnose this disease and it is often treated non-invasively, with proper fitting shoes with a wide toe box and metatarsal pads to offset the pressure on the area. Sometimes a walker boot, cast, and/or anti-inflammatory medication is needed to offset weight bearing. There can be a residual deformity of the joint and discomfort that remains over time. However, rarely is surgery done to clean out the joint or shorten the metatarsal. If you/your child is experiencing pain and swelling near the ball of the foot, it is suggested you consult with a podiatrist who can take proper measures to detect the problem and treat it.

Some foot conditions may require additional professional care. If you have any concerns, contact Dr. Joshua David Scoll of Pennsylvania. Our doctor can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

• Freiberg’s disease
• Kohler’s disease
• Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

If you have any questions please feel free to contact one of our offices located in Philadelphia, Bensalem, and Fairless Hills, PA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
 

The most common method of differentiating between a broken toe and a bruised toe is to have an X-ray taken. They both can cause severe pain and discomfort. A severely broken toe can look deformed, and the bone can protrude from the toe at an abnormal angle. The symptoms that are associated with both of these types of injuries can include swelling, bruising, and difficulty walking. The buddy taping system for a bruised toe can cause the affected toe to feel better, as a result of the stability it provides. This is done by taping the toe to the toe next to it, and having it remain that way for several days. The buddy taping method works well for broken toes, as it causes the injured toe to remain still as the healing process occurs. In both scenarios, it is suggested to refrain from putting weight on the foot, which gives the broken or bruised toe ample time to heal. If you think you have broken or bruised your toe, it is advised to have it checked by a podiatrist who can guide you toward the proper treatment.

Broken toes may cause a lot of pain and should be treated as soon as possible. If you have any concerns about your feet, contact Dr. Joshua David Scoll from Pennsylvania. Our doctor will treat your foot and ankle needs.

What Is a Broken Toe?

A broken toe occurs when one or more of the toe bones of the foot are broken after an injury. Injuries such as stubbing your toe or dropping a heavy object on it may cause a toe fracture.

Symptoms of a Broken Toe

• Swelling
• Pain (with/without wearing shoes)
• Stiffness
• Nail Injury

Although the injured toe should be monitored daily, it is especially important to have a podiatrist look at your toe if you have severe symptoms. Some of these symptoms include worsening or new pain that is not relieved with medication, sores, redness, or open wounds near the toe.

If you have any questions, please feel free to contact one of our offices located in Philadelphia, Bensalem, and Fairless Hills, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

The long tendon that connects the heel bone with the calf muscles is called the Achilles tendon. The Achilles tendon is a critical component in running and walking, making it prone to wear injuries that can affect anyone. However, track and field athletes and those who play volleyball, softball, soccer, or racquet sports are more susceptible to these injuries. Pain in the lower calf, or at the back of the ankle may be indicative of an Achilles tendon injury. A common inflammatory injury to the Achilles tendon is tendonitis, which can cause sudden pain. Paratenonitis is another type of inflammatory issue which causes the covering of the Achilles tendon to thicken and inflame, thereby restricting the tendon’s movement. Tendinosis is a degenerative condition which weakens fibers in the tendon. Insertional Achilles Tendinopathy starts out with an inflammation of tendon fibers that attach to the heel bone, and then later degenerate. Athletes with any of these issues would do well to make an appointment with a podiatrist for proper diagnosis and treatment. 

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Dr. Joshua David Scoll from Pennsylvania. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

• Achilles Tendonitis
• Achilles Tendon Rupture
• Ankle Sprains
• Broken Foot
• Plantar Fasciitis
• Stress Fractures
• Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

If you have any questions, please feel free to contact one of our offices located in Philadelphia, Bensalem, and Fairless Hills, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A bunion, hallux valgus, forms when there is a gradual change to the anatomy of the big toe leading to a deformity on the side of the toe that can be painful. This condition worsens when shoes are ill-fitting or have pointed toes that apply pressure to this toe. Dancers, especially ballet dancers (who dance in pointe shoes), are prone to this ailment but anyone can get a bunion. The main symptom of a bunion is a swollen, red area over the deformed joint of the big toe that is tender when touched. One can also experience numbness or a burning sensation if the surrounding nerves become irritated. The big toe angles in and irritation of the skin can lead to blisters or bursitis at the site of the bunion. When severe and long-standing, a bunion may cause the toes to overlap and arthritis, which causes additional pain when walking or performing activities that require one to push off with the feet. To prevent bunions, one can try to change their footwear to shoes that have more room in the toe box and that are wider, modify activities that cause pain, or wear shoe inserts or spacers. It is often recommended that dancers avoid bunion surgery until they stop dancing, as it may interfere with their ability to dance. If you have a bunion that is interfering with your life, consider seeing a podiatrist for proper diagnosis and treatment options.

If you are suffering from bunions, contact Dr. Joshua David Scoll of Pennsylvania. Our doctor 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 one of our offices located in Philadelphia, Bensalem, and Fairless Hills, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.