Hammertoe and How It Affects the Toes

A hammertoe is a deformity in which one of the smaller toes bends abnormally at the middle joint, creating a curled or hammer-like appearance. It often develops gradually and can become more rigid over time, if left untreated. Common causes include muscle imbalance, improper footwear that crowds the toes, and underlying foot structure issues. Symptoms include pain, corns, calluses, redness, and difficulty wearing shoes comfortably. The affected toe may appear raised at the joint and pressed downward at the tip. A podiatrist can help by evaluating the deformity, recommending proper footwear, providing supportive treatments, and addressing underlying causes. If you have signs of hammertoe, it is suggested that you consult a podiatrist who can offer effective relief solutions, while helping you to manage this condition.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Thomas Bobrowski, DPM from InStride Crystal Coast Podiatry. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

  • Pain in the affected toes
  • Development of corns or calluses due to friction
  • Inflammation
  • Redness
  • Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

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

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Using Ultrasound to Evaluate Heel Pain in Active Patients

Heel pain in children and adults can come from different causes, including Sever’s disease, a growth-related condition in young athletes involving inflammation at the heel growth plate, and Achilles tendinitis, which involves irritation of the tendon at the back of the heel. Although symptoms may feel similar, the source of the problem is different, making accurate evaluation important. Ultrasound imaging offers a clear, real-time view of soft tissues, allowing providers to assess inflammation, tendon changes, and areas of stress without radiation. This helps guide more precise care by identifying whether the growth plate or the tendon is involved. Treatment may include activity modification, stretching, supportive footwear, or other targeted approaches based on the findings. Early and accurate identification can help prevent worsening symptoms and support a safe return to activity. If heel pain is limiting movement or performance, it is suggested that you see a podiatrist for a thorough evaluation, diagnosis, and treatment.

Many people suffer from bouts of heel pain. For more information, contact Thomas Bobrowski, DPM of InStride Crystal Coast Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

  • Wearing ill-fitting shoes                
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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

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Children With Flat Feet and Custom Orthotics

Flat feet in children occur when the arches have not fully developed or collapse during standing and walking, which may lead to discomfort, fatigue, and poor alignment. Custom foot orthotics can provide important short-term benefits by supporting the arch, improving balance, and promoting healthier foot positioning during growth. With proper support, children may experience reduced foot pain, less strain on the ankles and knees, and improved walking patterns. Early intervention can also encourage better posture and overall comfort during daily activities and sports. A podiatrist can evaluate your child’s foot structure and gait to determine if custom orthotics are appropriate. If your child’s flat feet are causing pain or discomfort, it is suggested that you consult a podiatrist for advice on wearing custom foot orthotics.

Custom orthotics play an important role in preventing and treating foot and ankle injuries by providing personalized support that aligns with the unique structure of each foot. These specially designed devices help correct biomechanical imbalances, reduce pressure on sensitive areas, and improve stability during movement. When the feet are properly supported, the risk of developing conditions such as plantar fasciitis, Achilles tendinitis, and ankle sprains can be significantly reduced. Custom orthotics also help relieve discomfort caused by having flat feet, high arches, or uneven leg length, which may contribute to recurring injuries or pain.

Foot and ankle injuries can develop gradually from repetitive strain or occur suddenly during physical activity. Without proper treatment, these injuries can affect mobility and overall quality of life. Orthotics work to redistribute weight evenly across the foot, allowing joints and muscles to function more efficiently. This not only supports recovery from injury but can also prevent future problems by promoting better posture and alignment throughout the lower body.

Unlike over-the-counter inserts, custom orthotics are designed based on a detailed evaluation of each patient’s foot structure, gait, and medical needs. Podiatrists use advanced imaging and diagnostic tools to create orthotics that fit precisely and provide targeted correction. Whether used in everyday footwear or athletic shoes, custom orthotics can improve comfort, enhance performance, and support long-term foot health.

If you are experiencing foot or ankle pain or have sustained an injury that has not improved with rest, it is suggested that you schedule an appointment with a podiatrist. Call our office for more information or to make an appointment.

If you have any questions, please feel free to contact our office located in New Bern, NC

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Heel Pain Can Slow You Down

Plantar fasciitis is a common cause of heel pain that often appears with the first steps in the morning or after periods of rest. The pain is typically sharp and located at the bottom of the heel, sometimes easing as the foot warms up but returning after long activity. It may look normal from the outside, though some patients notice mild swelling or tightness along the arch. Causes include overuse, standing for long periods, improper footwear, tight calf muscles, or changes in activity level. A podiatrist begins with a careful exam and may use imaging to confirm the diagnosis. Treatment includes supportive footwear, custom orthotics, and targeted exercises to stretch and strengthen the plantar fascia. Additional options like anti-inflammatory care or injections may be considered if symptoms persist. If you have plantar fasciitis, it is suggested that you make an appointment with a podiatrist.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Thomas Bobrowski, DPM from InStride Crystal Coast Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

  • Excessive running
  • Having high arches in your feet
  • Other foot issues such as flat feet
  • Pregnancy (due to the sudden weight gain)
  • Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

  • Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
  • Maintain a healthy weight
  • If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

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

 

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