Haglund's Deformity

Haglund’s Deformity, sometimes called “pump hump” is a bony enlargement on the back of the heel bone. This condition is most common in women who wear pump-style shoes. The shape of the foot can also contribute to the development of this condition. If you have high arches, a tight Achilles tendon or a tendency to walk on the outside area of your feet, you are more likely to develop Haglund’s Deformity.

 

The inflammation on the back of the heel is caused when the soft tissue around the Achilles tendon becomes irritated. Irritation in this area is often the result of pressure caused by the back of pump-style shoes. Those suffering from Haglund’s Deformity often exhibit the following symptoms:

• Enlarged bony prominence on the back of the heel
• Heel pain
• Blisters on the heels
• Swelling in the back of the heel and redness or inflamed tissue at the site of the swelling

Our team at Affiliated Ankle & Foot Care Center will carefully examine your feet and record a thorough medical history evaluation. There are many treatment options available, these options include shoe modification, medication, immobilization and in extreme cases, surgery. When home remedies do not work or the bump continues to enlarge, it’s time to seek medical attention from a podiatrist. Call today to schedule an appointment with our team. 

Bunions

A bunion is a “bump” on the metatarsophalangeal (MTP) joint near the base of the big toe that forms when the bone or tissue at the big toe joint moves out of place. Because the MTP joint supports the body’s weight while walking, bunions can be extremely painful if left untreated. Bunions can also form on the outside of the foot along the little toe. Dr. Harry Cotler and his team here at Affiliated Ankle & Foot Care Center in Soldotna, AK treat this condition regularly.

 

There is evidence that shows that bunions are genetic and can be inherited, they can also result from various foot injuries or any birth deformities. Studies have also shown that bunions occur nearly 10 times more frequently in women. It has been suggested that wearing tight-fitting shoes, especially high-heel and narrow-toed shoes can greatly increase the risk of bunions. Some common symptoms of bunions include:

• Development of a firm  bump on the outside of the foot
• Thickening of the skin at the base of your big toe
• Persistent or intermittent pain
• Redness, swelling or pain at or near the MTP joint
• Corns or other irritations caused by the overlap of the first and second toes
• Restricted or painful motion of the big toe

Treatment for bunions varies depending on the type and severity of each individual case. If we are able to catch the bunion early enough, it can be treated with padding or medications but if it goes untreated it can result in surgery. Contact us at Affiliated Ankle & Foot Care Center today to begin the process of treating your bunions!

Flatfoot

Flatfoot is a deformity in which the arch of the foot collapses, with the entire sole of the foot coming into contact with the ground. In some individuals, the arch simply never develops in one foot or both feet. Tendons attach the heel and foot bones to cause the arch. When the tendons do not pull together properly, there is little or no arch, causing flatfoot.

 

This condition is common in both children and adults and is treatable. Adults often suffer from flat foot that is caused by stretched or torn tendons, broken or dislocated bones, obesity, diabetes and aging. In some cases, those suffering from flat feet will have no problems or symptoms at all, they require no treatment. Many other patients experience the following symptoms:

• Pain along the course of the PT tendon which lies on the inside of the foot and ankle
• Pain that worsens with activity
• Swollen feet
• Back and leg pain

Those suffering from flat foot are often unable to properly support bodyweight properly, causing extreme pressure in the joints in the ankles, knees and hips. At Affiliated Foot and Ankle Care Center, we can provide various treatment options that include stretching exercises, orthotic devices and more. Our competent staff is well versed in the diagnosis and treatment of flatfoot, call (907) 260-3668 today to schedule an appointment!

Achilles Tendonitis

If you are suffering from painful swelling in the back of the foot, just above the heel, you might be experiencing Achilles Tendonitis issues. This condition affects millions of Americans, from athletes to couch potatoes. At Affiliated Ankle and Foot Care Center, we see and treat this condition quite regularly.

 

This condition affects the Achilles tendon, which is the strongest and largest tendon in the body. It also connects the leg to the foot as it stretches from the lower leg to the heel bone. The Achilles tendon is crucial to sustaining normal walking patters as it allows the foot to rise up on the toes.

This condition typically develops gradually as the tendon inflammation and may include one or more of the following three stages:

• Peritenonitis – an inflammatory and fibrous reaction between the tendon and the paratenon (areolar tissue filling the space between a tendon and its sheath). It may occur by itself or in conjunction with tendinosis.
• Tendinosis ­– typically an asymptomatic stage that may result in a nodule, or know to swelling at the back of the leg
• Peritenonitis with tendinosis - this stage may lead to a rupture of the tendon and it is characterized by pain and swelling during and after activity.

Similarly to most medical conditions, Achilles tendonitis is best treated early in its development. If you are experiencing pain and/or swelling in this region, a consultation with Dr. Harry Cotler will give you the best chance for a full recovery. You can schedule an appointment at our Soldotna, AK practice by calling (907) 260-3886 or visit us online at www.hcotler.com to learn more about our practice!

Running Injuries

Now that the weather is starting to get a little nicer, we thought we’d let you know about some common running injuries and how you can best prevent them this summer. Whether you are a professional athlete or just a weekend warrior, there is always the chance that you could get hurt. The best way to prevent injuries is to prepare, work smart and recover.

Running is a great way to release some endorphins, get outside and get healthy, but if you’re not properly preparing yourself, you could find yourself on a doctor’s table pretty quickly. The most common running-related foot injuries are:

• Shin Splints – pain that occurs in the front or inside of the lower leg along the shin bone. Treatment includes rest, stretching and a slow return to your normal level of activity
• Achilles Tendinitis – this inflammation occurs in the Achilles tendon and causes pain and stiffness in the area of the tendon. Treatment includes rest, cold compress on the afflicted area and calf stretches
• Plantar Fasciitis –inflammation in the plantar fascia tissue that causes a great deal of pain during physical activity. Treatment should include calf stretches, rest and cold compress to the afflicted area
• Blisters – these fluid filled sacks occur due to friction between shoes/socks and skin. If you have blister problems, consider getting new shoes, wearing socks with a double layer and apply petroleum jelly on areas prone to blisters

If you have suffered any running injuries, take a minute to think about how important your feet are to you and your daily life. If you are in pain and your home remedies are not working, schedule an appointment with us at Affiliated Ankle & Foot Care by calling (907) 260-3668. 

Tendinitis

Your feet are one of the most important parts of your body, but are you taking care of the like you should? When your feet hit the ground in the morning, are you in pain? Do you experience pain when you walk, run or even just standing? Tendinitis is one of the most common foot conditions out there right now and if it’s treated properly, it can lead to very serious foot conditions. At Affiliated Ankle & Foot Care, we take pride in how we care for our patients so if you’re in pain, come in and we’ll take a look.

 

Tendinitis results from an injury, most likely sustained due to overuse. Improper stretching prior to exertion or incorrect form during physical activity can also contribute to this condition. Tendinitis mostly affects the tendons that connect your muscles to bone. In some cases, people suffer from Achilles tendinitis. This inflammation in the Achilles tendon is very painful and is very common amongst active adults.

 

If you are trying home remedies for the pain and it’s not working, it’s time to visit us. When you come in for your appointment, Dr. Cotler will complete a physical examination of your feet and ankles. If necessary, an X-ray will be taken in order to properly diagnose your condition. If inflammation is found, Dr. Cotler will devise a treatment plan that will include immobilization, cold compresses and even medication if necessary. 

Arch Disorders

Arch pain can be a crippling condition that makes even the simplest tasks almost impossible. Arch pain, often referred to as arch strain, is an inflammation and/or burning sensation at the arch of your foot. If you are currently having arch problems, it might be time to come in and get it checked out. At Affiliated Ankle & Foot Care, we take a proactive approach to healing your heal pain so it does not advance to a more painful condition down the road.

 

A factor in the early management of arch pain is receiving an accurate diagnosis from your podiatrist, Dr. Harry Cotler. If the symptoms are mild, Dr. Cotler may prescribe foot orthotics and stretching exercises to help the calf muscles and arch. If your symptoms are more severe, we may use tape to support the arch and restrict movement as well as prescribe an anti-inflammatory medication and possibly recommend the use of custom orthotics. If there is no relief from those treatments, further testing may be necessary to determine whether such conditions as arthritis or a more serious condition might form.

 

Arch pain is most often caused by plantar fasciitis, which can affect the heel, arch, or both. Plantar fasciitis treatment is the same, regardless of the location of foot pain. If you are suffering from fasciitis or even fallen arches, try these home remedies:

• Rest/ice
• Medicate – non-steroidal anti inflammatory
• Shoe adjustments or custom orthotics
• Use a walking boot or brace

If you are experiencing any arch problems and have tried to manage the pain on your own, it might be time to consider visiting us at Affiliated Ankle & Foot Care. Our professional staff is here to get you back to feeling great!

Work-Related Foot Problems

When it comes to work-related foot injuries, it doesn’t matter what line of work you’re in, you are at risk of foot injuries. While most foot injuries occur off the job, there are a number of work-related factors that can lead to foot problems, especially in jobs that require long periods of standing.

 

The main thing to remember when you’re thinking about your foot health while working is choosing the right footwear. Poor footwear that does not fit properly heavily contributes to foot disorders. You should look for the following in a pair of work shoes:

• Flexibility – footwear should stretch and grow with your feet
• Comfort fit – sometimes feet are different sizes so make sure to measure both feet when shopping
• Timing – buy your new shoes in the late-afternoon when feet are swollen to their maximum size
• Shock-absorbing – if the shoes you’re looking at don’t have shock-absorbing qualities, buy insoles. Your feet will thank you if you’re walking around a lot as part of your job.

Next time you have an appointment with Dr. Harry Cotler, tell him about your job and ask what types of shoes you should wear, he’s happy to help! We treat all types of foot pain, so if you aren’t sure what you have just call for an appointment. The most work-related pain we treat is:

• Bunions
• Hammertoe
• Arch disorders
• Heel spurs
• Corns and callouses
• Ingrown toenails