Causes & Treatments for Arch Pain

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Article featured on Sydney Heel Pain

Arch pain can be the result of one or a combination of conditions that develop in the sole of the foot. Patients will often describe a tightness, pulling, strain, burning or ripping sensation through the mid arch of the foot, in front of the heel but behind the ball of the foot.

The pain in the arch can come on suddenly as in a one off day of increased walking or a sporting event, or progressively over a period of time as in walking in inappropriate shoes. Arch pain can be present every day and can be consistently present, in that it interferes with day to day activity. It will often feel worse in bare feet or thongs or flat and flimsy shoes such as ballet flats.

In extreme cases the pain can be excruciating and can cause burning and throbbing in bed at night. The soft tissue in the arch can be torn and this can be detected via ultra sound or MRI.

Conditions Causing Arch Pain

Do You Have Burning Arch Pain in Your Foot?

Discover this leading Podiatrist’s exciting new approach to arch pain treatment, for Plantar Fasciitis, by reading this un-missable article here.

ARCH PAIN TREATMENT

It is important to assess and diagnose which part of the foot is affected and causing the pain. Physical examination is usually sufficient but in complex cases the patient can be referred for ultra sound imaging. An MRI is not usually necessary.

It is also important to determine whether or not the ligament, fascia or tendon has been torn as this will determine which treatment path to take. If the tissue is not torn, then it is important to determine what has caused the condition so that these contributing factors can be resolved. Factors such as footwear, exercise or even stretching techniques are common contributing factors.

If there are bio mechanical issues affecting the patients foot then these need to be addressed also. Orthotics can be arranged and shoes can be changed. Strapping can be applied to the foot and in extreme cases an immobilisation boot can be used.

Shock wave therapy can applied to the foot which can stimulate blood flow and accelerate healing in addition to relieving pain. Correct stretching techniques must be instructed and followed.

TREATMENT OPTIONS

  • Strapping
  • Orthotics where necessary
  • Footwear changes
  • Shock wave therapy
  • Stretching
  • Immobilisation boot

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

 

Common Reason for Foot Pain and Problems

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Article featured on Brigham and Women’s Hospital

Anatomy of the foot

The foot is one of the most complex parts of the body. It’s made up of 26 bones connected by many joints, muscles, tendons, and ligaments. The foot is at risk of many stresses. Foot problems can cause pain, inflammation, or injury. These problems can result in limited movement and mobility.Top view of foot showing bones, muscles, ligaments, nerves, and tendons.

What are the different types of foot problems?

Foot pain is often caused by incorrect foot function. Shoes that don’t fit well can make foot problems worse and, in some cases, cause them. Shoes that fit correctly and give good support can prevent irritation to the foot joints and skin. There are many types of foot problems that affect the heels, toes, nerves, tendons, ligaments, and joints of the foot.

The symptoms of foot problems may look like other health conditions and problems. Always see your healthcare provider for a diagnosis.

What are heel spurs?

A heel spur is a bone growth on the heel bone. It’s often located on the underside of the heel bone where it attaches to the plantar fascia. This is a long band of connective tissue running from the heel to the ball of the foot. This connective tissue holds the arch together and acts as a shock absorber during activity. The plantar fascia can be overstretched from running, wearing poor-fitting shoes, or being overweight. Then pain can result from the stress and inflammation of the tissue pulling on the bone. Over time, the body builds extra bone in response to this stress, causing heel spurs. Treatment methods may include:

  • Rest
  • Cold packs
  • Anti-inflammatory medicine, such as ibuprofen
  • Correct stretching before activity
  • Correct footwear or shoe inserts
  • Achilles stretching
  • Corticosteroid shots (injections)
  • Surgery (for more severe, prolonged conditions)

What is a corn?

Corns are yellowish, callus growths that occur on top of the toes. Corns develop because of irritation or stress. Often, a corn develops where a toe rubs against a shoe or another toe. Corns can cause extreme discomfort and pain. Treatment may include:

  • Trimming the corn by shaving the layers of dead skin
  • Applying pads around the corn area
  • Wearing larger shoes to comfortably fit your foot without rubbing
  • Surgery

To prevent corns, always buy shoes that fit correctly.

What is a bunion?

A bunion is a bulge of bone or tissue around the joint of the great toe or small toe. Bunions may occur at the base of the great toe or at the base of the little toe. They often occur when the joint is stressed over a period of time. Women get bunions more often than men do because they may wear tight, pointed, and confining shoes. Bunions can also be a result of arthritis, which often affects the big toe joint.

Treatment of bunions may vary depending on the pain and deformity. Treatment may include:

  • Wearing comfortable, well-fitting shoes (particularly shoes that conform to the shape of the foot and don’t cause pressure areas)
  • Surgery (for pain, not for cosmetic reasons)
  • Applying pads to the affected area
  • Medicine, such as ibuprofen

What is Morton neuroma?

Morton neuroma is a buildup of noncancer (benign) tissue in the nerves running between the long bones of the foot. Morton neuroma occurs when 2 bones rub together and squeeze the nerve between them. Most often, neuromas develop between the bones leading to the third and fourth toes. Morton neuroma often causes swelling, tenderness, and pain. If the pain becomes severe, it may cause tingling, numbness, and burning in the toes. It often occurs after standing or walking for a long period of time. Treatment for this condition may involve rest or a change in footwear that doesn’t restrict the foot. If the problem persists, cortisone injections or surgery may be considered.

What are hammertoes?

A hammertoe is when the toe bends or curls downward. This causes the middle joint of the affected toe to poke out. Tight-fitting shoes that put pressure on the hammertoe often make this condition worse. Often a corn develops at this site. Treatment for hammertoes may include:

  • Applying a toe pad specially placed over the bony protrusion
  • Changing your footwear to accommodate the deformed toe
  • Surgical repair

What is an ankle sprain?

An ankle sprain is an injury to the ligaments in the ankle. Ligaments are tough bands of elastic tissue that connect bones to each other. Ankle sprains may occur if the ankle rolls, turns, or twists beyond its normal range of motion. Ankle sprains may be caused by awkward foot placement, irregular surfaces, weak muscles, loose ligaments, or wearing shoes with spiked heels.

The symptoms of a sprain will depend on how severely the ligaments are stretched or torn, but usually include swelling, pain, or bruising. Treatment will depend on the severity of the sprain, but may include:

  • Resting the ankle
  • Wrapping the ankle with elastic bandage or tape
  • Using an ice pack application (to reduce inflammation)
  • Keeping the ankle raised
  • Taking over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen to help reduce pain and inflammation
  • Returning slowly to walking and exercise
  • Using a walking boot (for moderate sprains)
  • Having surgery (rarely for severe sprains)
  • Getting physical therapy

What is a foot fracture?

With 26 bones in a single foot, almost any of them can be broken. Many breaks or fractures don’t need surgery, or even a cast. They will heal on their own with some support. When a foot is fractured, the site of the fracture usually is painful and swollen. The site of the fracture will determine the course of treatment, if needed, including:

  • Ankle joint fractures. These fractures may be serious and need medical care right away. Ankle fractures usually need a cast, splint, or boot. Some need surgery if the bones are too separated or misaligned.
  • Metatarsal bone fractures. Fractures of the metatarsal bones, located in the middle of the foot, often don’t need a cast. A stiff-soled shoe may be all that is needed for support as the foot heals. Sometimes surgery is needed to correct misaligned bones or displaced segments.
  • Sesamoid bone fractures. The sesamoid bones are 2 small, round bones at the end of the metatarsal bone of the big toe. Usually, padded soles can help relieve pain. But sometimes the sesamoid bone may have to be surgically removed.
  • Toe fractures. Fractures of the toes often can heal with or without a supportive hard shoe.

What is foot pain?

Foot pain can get in the way of an active lifestyle. Foot pain can have many sources, from fractures and sprains to nerve damage. Listed below are 3 common areas of pain in the foot and their causes:

  • Pain in the ball of the foot. Pain in the ball of the foot, located on the bottom of the foot behind the toes, may be caused by nerve or joint damage in that area. In addition, a benign (noncancerous) growth, such as Morton neuroma, may cause the pain. Corticosteroid injections and wearing supportive shoe inserts may help relieve the pain. Sometimes, surgery is needed.
  • Plantar fasciitis. Plantar fasciitis is characterized by pain in the heel of the foot, especially when standing up after resting. The condition is due to an overuse injury of the sole surface (plantar) of the foot. It causes inflammation of the fascia, a tough, fibrous band of tissue that connects the heel bone to the base of the toes.

    Plantar fasciitis is more common in women, people who are overweight, people with jobs that need a lot of walking or standing on hard surfaces, people with flat feet, and people with high arches. Walking or running, especially with tight calf muscles, may also cause the condition.

    Treatment may include:

    • Rest
    • Ice packs
    • Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen
    • Stretching exercises of the Achilles tendons and plantar fascia
    • In rare cases, plantar fasciitis may need treatment with injections or surgery
  • Achilles tendon injury. The Achilles tendon is the largest tendon in the human body. It connects the calf muscle to the heel bone. However, this tendon is also a common site of rupture or tendonitis, an inflammation of the tendon due to overuse.

    Achilles tendonitis is caused by overuse of the tendon and calf muscles. Symptoms may include mild pain after exercise that gets worse gradually, stiffness that improves after the tendon warms up, and swelling. Treatment may include:

    • Rest
    • NSAIDs
    • Supportive devices or bandages for the muscle and tendon
    • Stretching
    • Massage
    • Ultrasound
    • Strengthening exercises
    • Surgery

Diabetes and vascular disease

Diabetes affects the nerves, blood vessels, and blood flow throughout the whole body, including the legs and feet. People with diabetes need to check their feet regularly to identify sores or wounds on their feet before complications develop. And to help manage diabetes-related foot problems, they may need to see a healthcare provider and orthopedic specialist, and sometimes a vascular specialist.

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

What Should I Do When My Foot or Ankle Pain Won’t Go Away?

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Article featured on PennMedicine

Foot and ankle pain is a common source of frustration because it often involves small bones, ligaments, and/or tendons, all of which can heal at somewhat unpredictable rates. A little patience is in order. But what can you do when your patience starts to wear thin because your pain doesn’t feel like it’s gotten any better over time? This article will offer some guidance.

Managing Foot or Ankle Pain Caused by an Injury

Foot or ankle pain caused by an injury occurs suddenly and includes conditions such as sprains and fractures.

What should I do after a foot or ankle injury?

If your foot or ankle pain is the result of an injury, in the moments immediately following, treating it with the tried-and-true acronym RICE, which stands for rest, ice, compression, and elevation. Try to spend as little time on your feet over the next few days as work and life will allow.

Light compression and keeping your injured foot or ankle elevated above the level of your heart will help minimize swelling. She says a heating pad can make the injury feel better initially, but because it opens blood vessels in the injured area, it can ultimately make the inflammation worse. Ice, on the other hand, will constrict the blood vessels, reducing inflammation.

When should I see a doctor for my foot or ankle injury?

Many foot and ankle injuries may be treated at home, but there are some symptoms that require immediate medical attention. They include:

  • A significant deformity. Compare your injured ankle or foot to the other one. If there’s a clear difference in appearance, seek medical attention.
  • Any large open wounds or significant bleeding
  • You’re unable to put any weight on your injured foot or ankle

Otherwise, if the pain hasn’t lessened after about three to five days of treating your injury at home, it is best to  see your primary care physician. They may order x-rays and, depending on what they show, refer you to a specialist.

Managing Foot or Ankle Pain Caused by Overuse

Foot and ankle pain can also occur slowly over time as a result of overuse and include conditions such as Achilles tendinitis and stress fractures.

The hallmark of an overuse foot or ankle injury is an aching pain that comes on gradually. You may start to notice discomfort in the area of the injury during certain activities. Eventually, it will become more persistent. Achilles tendonitis, for example, may be agitated only during runs or long walks initially. Left unchecked, running will become impossible, and simple everyday activities, like making dinner, will feel like they’re straining the tendon.

What should I do at the first sign of foot or ankle pain caused by overuse?

Similar to the advice above for an injury, treat the initial pain with RICE and acetaminophen or ibuprofen. In some cases, overuse injuries will heal on their own with at-home treatment and time off from activities that put stress on the injured area.

Exactly how much time off will depend on the type and severity of the injury. In general, you can return to light activity that involves the injured area if you haven’t experienced pain there, without the use of ibuprofen or acetaminophen, for a week. If, after another week, you’re still pain-free, you can gradually ramp up your intensity. But be honest with your self-assessments. If you feel any discomfort, limit your activity and continue resting.

When should I see a doctor for my foot or ankle pain caused by overuse?

The vast majority of overuse foot or ankle injuries do not require immediate medical attention. The exception is those that escalate to the point of causing any of the symptoms listed above for an injury that would prompt urgent treatment.

Aside from these instances, the guidance is similar to that of a foot or ankle injury: If the pain hasn’t diminished or resolved after about three to five days of treating it at home, see your primary care physician. They will help address your concerns by performing a thorough examination, obtaining x-rays, and initiating a consultation/referral to an orthopaedic foot and ankle specialist.

Why should I consult an orthopaedic surgeon for my foot or ankle pain?

As mentioned earlier, feet and ankles can be finicky. For that very reason, consulting an orthopaedic surgeon should be your next step if your primary care physician refers you to a specialist. Orthopaedic surgeons undergo rigorous training.

While waiting for the x-rays, the Dr will ask about the patient’s medical conditions, past injuries, general lifestyle, and what sorts of physical activity they engage in on a regular basis. The responses, along with the x-rays and observations during a physical exam, will help develop a more complete understanding of the injury and inform treatment strategy.

Often, patients will want to know if they did anything that made their foot or ankle more susceptible to injury so that they won’t unknowingly cause another injury. They sometimes also ask if this is something that could get better on its own.

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

Why You Shouldn’t Ignore Foot Pain

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Article featured on Mass General BrighamAthletes generally don’t hesitate to seek medical attention for acute (sudden) foot injuries. But it may be tempting to ignore pain that lingers or pain that comes and goes. This type of chronic pain often occurs with overuse.

Persistent foot pain or pain accompanied by certain other symptoms should be assessed by a specialist.

Foot pain causes

Overuse foot pain can occur in a wide variety of sports, particularly those that involve a lot of running. The most common overuse injuries in the foot are:

  • Achilles tendonitis: The Achilles tendon connects the calf muscle to the heel bone. Tendonitis is a common condition that involves irritation and inflammation of a tendon. Untreated, Achilles tendonitis can lead to a tendon tear or rupture.
  • Morton’s neuroma: Also called intermetatarsal neuroma, this condition affects the ball of the foot. The nerve tissue thickens, causing pain in that specific area. It may feel like burning, tingling, or like you’re walking on a pebble.
  • Plantar fasciitis: This condition happens when the plantar fascia, a band of tissue that supports the arch of your foot, becomes inflamed. Also called plantar heel, it causes heel pain and stiffness.
  • Sever’s disease: This condition involves inflammation in the growth plate in the back of the heel. It is a common cause of heel pain, particularly in children who play sports or exercise regularly.
  • Stress fracture: A stress fracture is a small crack in a bone. It occurs when too much repetitive pressure is put on a bone over time. Stress fractures can become full fractures if they are not allowed to heal.
  • Tarsal tunnel syndrome: This condition involves the posterior tibial nerve, located on the inside of the ankle. If the nerve is compressed (squeezed), it can cause painful feelings like electrical shocks in your ankle and foot.

Early treatment for better outcomes

Some athletes hesitate to seek treatment because they don’t want to hear that they need a procedure or rest. An overuse injury can get worse over time and eventually prevent you from participating in the things you love.

Nobody wants to sideline you from your sport. But a quick checkup on an injury can often prevent you from missing months of your sport, instead of just missing a week or two for rest.

Many overuse injuries can be treated with short-term, non-surgical approaches, such as:

  • Activity modifications or a few weeks of rest
  • Advice on how to minimize risk factors for foot and ankle pain
  • Cast or boot rather than surgery
  • Cross-training, such as limiting high-impact movements to a few days a week and adding effective low-impact options
  • Corrections to form, such as adjustments to the way you jump or run
  • Physical therapy or nutrition counseling for musculoskeletal health
  • Proper footwear, such as a different shoe or a corrective insert

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

Why Go See a Podiatrist?

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Article featured on Northwest Extremity SpecialistsWhen your feet and ankles are tired, in pain, or not working as they should, everything else grinds to a halt. An 8-hour workday feels like 80. Daily chores, exercise, and activities that used to be fun now seem difficult to even contemplate, let alone enjoy.

You could go see your primary care physician, but there are several reasons why you should consider seeing a podiatrist—that is, a foot and ankle specialist—instead.

  • Podiatrists work exclusively on the feet and ankles, and receive extensive training in all aspects of foot and ankle care. If you’re experiencing significant foot pain, would you rather receive care from someone who treats feet once in a while, or someone who works on them all day, every day?
  • Rather than specializing in one just one area of medicine (nerves, bones, etc.), podiatrists are multi-disciplinary doctors trained to “do it all” when it comes to foot and ankle pain and conditions—everything from fungal infections to tendinitis to neuropathy to arthritis to surgery. You are more likely to get a quick and accurate diagnosis from a podiatrist than a generalist.
  • Feet are complex—they have 26 bones and 33 joints each, along with an intricate layering of muscles, tendons, ligaments, nerves, and blood vessels. Fully a quarter of your bones are at the ankle level and below!

So, now you have an idea of why a podiatrist is the best choice to provide your foot and ankle care. But how do you know when it’s time to go? How do you separate a minor ache or pain from something you should talk to a doctor about?

There are no firm rules, but any of the following scenarios would be solid grounds for booking an appointment as soon as possible:

  • You are experiencing foot pain or motion loss that is affecting your daily life in a negative way.
  • Symptoms are lingering or getting worse over time, rather than better.
  • You notice any changes to the structure or appearance of your feet—bunion, hammertoes, flattening arches, etc.
  • You notice discoloration, swelling, or pain in and around the toenails.
  • You struggle with persistent skin problems or irritation along the feet, such as corns, calluses, or chronically dry and cracked skin.
  • You have diabetes. (Because of the risks to foot health, people with diabetes should see a foot specialist at least once per year.)
  • You experienced an injury (traumatic or overuse) to your lower limb, such as an ankle sprain or Achilles tendinitis.

In short—if your feet are causing you any kind of problem, and you need help, a podiatrist is the person you want to call.

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

What is Plantar Fasciitis

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The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

What to Know About a Broken Pinky Toe

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Article featured on Healthgrades

A broken pinky toe can cause significant pain, swelling, and difficulty walking. Rest and toe support can aid recovery and protect against complications.

Some broken toes can be easily treated at home. However, severe symptoms may require a checkup to monitor healing or prevent complications.

This article reviews the symptoms, causes, and treatment of broken pinky toes.

Symptoms

You may have noticed broken toe symptoms when injured, such as pain or a grinding or snapping noise. Other symptoms of a broken pinky toe can include:

  • continued pain
  • skin discoloration or redness
  • bruising
  • swelling
  • the toe appears crooked or different from its usual shape
  • pain or difficulty when moving the toe or placing weight on it

Some people suggest that being able to walk means your toe may not be broken. However, the American College of Foot and Ankle Surgeons notes that this is a myth.

When to See a Doctor

Contact your doctor if you have any broken toe symptoms, including if:

  • symptoms of pain and swelling haven’t started to improve within 2–3 days of the injury
    you continue to have symptoms weeks after the injury, such as pain when walking or difficulty moving the toe
  • you have an open wound, or the injury broke the skin
  • you have diabetes and toe symptoms
  • you have questions about your symptoms

Some cases of broken toes require immediate care. Visit your local urgent care or call 911 if:

  • your toe is misshapen or is at an unusual angle
  • you can see bone
  • you feel tingling or numbness in your toe or foot
  • you heard a snap, grinding, or pop when the injury occurred
  • you believe your big or first toe may be broken

Can a broken pinky toe heal on its own?

While some mild toe breaks or injuries may heal on their own with at-home care, it’s best to contact a doctor if you suspect a break. Untreated breaks can lead to complications, such as chronic pain or impaired healing.

Doctors can assess the severity of the injury and provide treatment.

Possible Causes

Broken pinky toes are often caused by a direct blow or injury, such as:

  • dropping something on the toe
  • accidentally stubbing your toe
  • kicking something hard

Also, other conditions may cause the same symptoms as a broken toe, such as the following:

Sprains

A sprain is when the ligaments, which connect the bones, become torn or stretched. A pinky toe sprain may occur if the toe is hit or twisted or you fall over.

Symptoms can be similar to a broken pinky toe and may include:

  • pain
  • swelling or bruising
  • difficulty moving the toe a tearing or popping sound when you became injured

Treatment

Treatment for a sprain can include:

  • resting the toe
  • applying a cool compress
  • wearing a bandage or splint
  • anti-inflammatory or pain relief medication

Fractures

A toe fracture is when a toe bone cracks rather than breaks. Sometimes, a fracture can be displaced, in which pieces of broken bone may have separated.

Fractures may develop from one direct injury or repetitive activity, known as a stress fracture. Fractured toe symptoms can include pain, swelling, and difficulty walking.

Treatment

Treatment for a fractured toe can include:

  • resting the toe
  • wearing a bandage, cast, or walking boot
  • pain relief medication

Dislocation

Dislocation is when the bones come out of position in the joint. It can occur due to a direct injury or fall. Symptoms of dislocated pinky toe include:

  • swelling
  • pain
  • a visible change in the shape of the joint or toe
  • difficulty moving the toe or walking

Treatment

Treatment for dislocated bones can include:

  • resting the toe
  • strapping the toe to the next toe for support
  • wearing a splint or bandage
  • pain medication

Differences in toe structure

Hammer toe, claw toe, and mallet toe occur when the toes can become bent out of their typical shape. They can be caused by:

  • muscle and pressure imbalances
  • wearing improperly fitting shoes or shoes that apply pressure
  • nerve damage

Also, some people may be born with an overlapping toe, whereby the pinky toe rests over the fourth toe.

Because these conditions can change the shape of the toe and cause soreness or difficulty walking, they can resemble a broken toe.

Treatment

Treatment toe structural differences can include:

  • wearing sturdy, properly-fitting shoes
  • conducting exercises to strengthen the toe and feet muscles
  • over-the-counter (OTC) straps, splints, cushions, or corn pads
  • surgery

Corns or bunions

Corns are a hardened buildup of skin formed by persistent pressure or friction. Bunions form when bone or tissue around a joint swells due to genetics and tight shoes.

Corns and bunions can cause the toe to:

  • appear a different shape
  • swell
  • be painful

Treatment

Treatment for corns and bunions can include:

  • wearing properly fitting shoes
  • OTC products such as cushions or toe spacers
  • corn removal by a podiatrist or chiropodist

Surgery may be an option for severe bunions.

Broken pinky toe treatment and management

Treatment will depend on the severity of the break. A healthcare team can X-ray the toe, which can also help rule out other conditions like fractures.

You may be able to heal some broken pinky toes at home. If your break is mild, your doctor may recommend:

  • resting the toe
  • avoiding unnecessary walking or weight-bearing
  • placing a small, clean piece of gauze or cotton between the pinky toe and the next toe and gently taping them together for support
  • wearing comfortable, well-secured, nonrestrictive shoes
  • taking OTC medications to relieve pain

If you have a more severe injury, your medical team may also suggest:

  • wearing a protective boot or brace around the foot
  • surgery for multiple breaks or if other treatment doesn’t help
  • antibiotics for any bacterial infection
  • nail removal

How not to care for a broken toe

When caring for a broken pinky toe, the NHS recommends not to:

  • strap up or apply pressure to your toe if it’s misshapen or at an unusual angle
  • apply ice directly on the skin
  • stand or walk for long periods
  • wear tight or pointed shoes
  • play contact sports until the pain has resolved
  • treat a child’s toe without talking with a doctor first

Outlook

According to the NHS, broken toes typically heal within 4–6 weeks. However, healing can take several months for some people.

Without effective treatment, you may experience long-term complications such as:

  • toe deformity
  • limited range of motion
  • persistent pain
  • infection

Summary

A broken pinky toe may be painful, swollen, and bruised.

Some cases can be easily cared for at home with toe taping, rest, and OTC pain medications. However, talk with a doctor if you suspect a broken toe. Severe or untreated breaks may lead to long-term effects such as persistent pain or limited use.

Contact your doctor if you have any broken pinky toe symptoms.

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

Joints That Are Most Commonly Affected by Arthritis

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Article featured on Healthgrades

Arthritis is a long-term (chronic) condition that causes joint inflammation. When you’re living with arthritis, a simple task, such as tying your shoe or buttoning your shirt can become a challenging one. Not only does the swelling and aching interfere with work and daily living activities, it can also be painful and sometimes debilitating.

There are more than 100 different types of arthritis, but the most common include rheumatoid arthritis (an autoimmune disease) and osteoarthritis (a “wear-and-tear” condition related to aging, injury or obesity). Both cause joint stiffness, pain and decreased range of motion, and can affect many different joints throughout the body.

1. Knee

The knee is one of the most common joints affected by osteoarthritis. This happens when there’s a breakdown of cartilage, which cushions the ends of the bones where they meet the joints. Symptoms of knee arthritis include stiffness, swelling, and pain, which can make it hard to walk and get in and out of chairs and bed. In severe cases, osteoarthritis in the knees can lead to disability.

2. Hand

When you have arthritis in your hands, it usually includes aching, stiffness or numbness in the fingers or at the base of the thumb joint, making it difficult to pinch or grip items. Small, bony knobs may appear on the middle or end joints (those closest to the fingernails) of the fingers, which can become enlarged and gnarled. This type of arthritis in the hands seems to run in families.

3. Hip

The hip is also a common arthritis site. You may have pain and stiffness in your hip joint, but some people also notice pain in the groin, buttocks, lower back, or front or inner thigh. Or they may have pain in only one of these areas. This type of hip arthritis can affect your ability to move or bend, and make daily activities a challenge.

4. Spine, Neck and Back

Arthritis in the spine usually results in stiffness and pain in the neck or lower back, but in some cases, it may not lead to any pain at all. Arthritis changes can also cause pressure on the nerves where they exit the spinal column, leading to weakness, tingling or numbness of the arms and legs. Since these symptoms can often seem like other health conditions, always check with your doctor for a diagnosis.

5. Foot and Ankle

Arthritis can also cause swelling and pain in the foot and ankle. It most often affects the joint at the base of the big toe, which can make walking difficult. The swelling can also lead to bunions on the toes, which can sometimes make the pain and deformity of the foot worse. With rheumatoid arthritis, the same joints on both sides of the body (such as both feet or both ankles) are usually affected.

6. Elbow

Joint inflammation can also be to blame for elbow pain or loss of function. Rheumatoid arthritis is the most common type of arthritis in the elbow, and if one elbow is affected, the other likely will be, too. While elbow osteoarthritis is more common in weight-bearing joints, such as the knee and hip, it can also occur in the elbow, and is often the result of overuse or an injury, such as in the case of a tennis or baseball player.

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

Foot or Ankle Fractures & Dislocations

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Article featured on Mercy Health

Causes of foot or ankle fractures or dislocations

A foot or ankle fracture or dislocation can be caused by a variety of factors. Some of these include:

  • An acute injury caused by direct force like a fall, car accident or a sporting accident
  • Overuse or repeated movements that wear down the musculoskeletal tissues

Risk factors for foot or ankle fractures and dislocations

Risk factors for fractures and dislocations are:

  • Foot or ankle fractures and dislocations are most common in high impact or extreme sports such as downhill skiing, football, basketball, soccer or rugby
  • Jobs and sports (such as running) that require repetitive movements lead to a higher risk for stress fractures

Symptoms of foot or ankle fractures or dislocations

The most obvious symptoms of a foot or ankle fracture or dislocation are severe pain, swelling and bruising.

Other symptoms of foot or ankle fractures and dislocations include:

  • Misaligned foot or ankle
  • Numbness to the impacted area
  • Loss of use of the injured area
  • Muscle spasms around the injured area

Not all fractures or dislocations will cause the person to lose mobility. Contact your orthopedic physician if you suspect you have a fracture or dislocation or you have several of the above symptoms. The longer you wait to see a physician, the longer the healing process will be.

Stress fractures are more challenging to self-diagnose because they can be caused by minor injuries and can be mistaken as a sprain or a strain .  If the pain does not subside in 3 – 5 days after a minor injury, schedule a consult with your physician.

Visit the emergency room immediately if the injury is severe and multiple body parts have been impacted.

Diagnosis of foot or ankle fractures or dislocations

A foot or ankle fracture or dislocation is diagnosed under the care of your orthopedic or sports medicine provider.

Typically, the physician will order an x-ray to identify the fracture. In more severe cases, your orthopedic physician will order an MRI (magnetic resonance imaging) or CT (computed tomography) scan.

Treatment for foot or ankle fractures or dislocations

After suffering a fracture or dislocation apply pressure to the impacted foot or ankle, splint the area, and call for a medical appointment as soon as possible.

  • Surgical realignment
  • Splint/Brace
  • Cast

Recovery from foot or ankle fractures or dislocations

Recovering from a fractured or dislocated foot or ankle can take anywhere from 6 weeks to more than a year depending on the severity of the injury. Staying off the ankle and rest are crucial in allowing you to heal as quickly as possible.

It is important to follow your physician’s recommendations for recovery including follow up visits and x-rays of the injured area.

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

What is Minimally Invasive Foot Surgery?

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Article featured on FootCareMD

Minimally invasive surgery (MIS) treats foot and ankle conditions and deformities using very small incisions. In these procedures, your foot and ankle orthopedic surgeon uses special instruments to cut bones under X-ray guidance and inserts screws through very small incisions. Advantages of minimally invasive surgery over traditional surgery include faster healing, smaller scars, and less stiffness. The main disadvantage is that it takes additional training and practice for your surgeon to feel comfortable performing these procedures without the traditional open visualization.

Diagnosis

A variety of foot and ankle problems, including big toe arthritis, bunions, and hammertoes, can be treated with minimally invasive surgery. Importantly, not all patients are good candidates for minimally invasive surgery, and not all surgeons perform minimally invasive surgery. If you are interested in the procedure, talk to a foot and ankle orthopedic surgeon with experience in minimally invasive surgery to see if you are a good candidate for it.

Recovery

Recovery is often faster from minimally invasive procedures compared to open procedures. Some weight-bearing can be allowed immediately after surgery, but this depends on the procedure you are having done.

Risks and Complications

The risks of minimally invasive surgery are similar to traditional, open surgeries, although the risks of infection and wound healing problems may be lower with minimally invasive surgery because the incisions are so small.

While the small incisions used in minimally invasive surgery can make it easier to damage unseen structures like nerves and tendons, research studies have not shown a higher rate of these injuries. With good technique and surgeon experience, these surgeries may even have lower risk compared to open surgeries. More research still needs to be done on these procedures to determine their risks and benefits relative to more traditional surgical methods.

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm