Bunion treatment starts with understanding why the joint at the base of the big toe hurts. A bunion develops when the bones shift out of alignment, creating a bump along the inner side of the foot. Pressure from shoes irritates this area, while changes in joint position affect movement. A podiatrist examines the foot and checks how the big toe moves. X-rays help show the alignment of the bones and reveal if arthritis is present. Treatment depends on pain levels, joint damage, and limitations in daily activities. A visible bump alone does not mean surgery is necessary. Many patients find relief through treatments that reduce pressure without changing bone alignment.

Non-surgical treatment focuses on making the foot more comfortable. A podiatrist recommends shoes with enough room around the toes and evaluates whether the fit places pressure on the bunion. Protective padding cushions irritated skin. Properly-fitted toe spacers reduce rubbing between neighboring toes. Custom orthotics are prescription shoe inserts that redistribute pressure and support the foot. They help patients whose foot mechanics contribute to bunion pain. These treatments do not permanently straighten the bones or remove the bunion. Follow-up visits allow the podiatrist to assess relief and adjust the treatment plan. Persistent redness or skin breakdown also requires attention.

Bunion surgery becomes an option when pain continues despite nonsurgical treatment or interferes with everyday activities. One approach involves cutting and repositioning a bone, then securing it with screws. Another procedure corrects alignment by joining bones at a joint farther back in the foot. When arthritis affects the big toe joint, joining its bones relieves pain by stopping movement there. A podiatrist explains which procedure suits the foot and discusses recovery requirements. Risks include infection, delayed bone healing, and return of the bunion. Recovery varies with the procedure and the patient's health. If you have a painful bunion, it is suggested that you schedule an appointment with a podiatrist who can determine if bunion surgery is right for you.

If you are suffering from bunions, contact Kenneth Donovan, DPM of Advanced Care Foot and Ankle. 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?

Podiatrists 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 provider.

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 Charleston, SC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Gout is a form of inflammatory arthritis that develops when uric acid builds up in the body and forms sharp crystals inside a joint. These crystals can trigger sudden and intense inflammation. Gout most often affects the big toe, although it can also develop in other joints. A gout attack may begin quickly and cause severe pain. The affected area can become swollen, red, and extremely tender to touch.

Several factors can increase the risk of developing gout. Genetics can play a role, while certain health conditions may make high uric acid levels more likely. Eating foods high in purines can also contribute because the body breaks purines down into uric acid. Dehydration, excess alcohol, and some medications may increase risk. Men are generally more likely to develop gout earlier in life, while the risk increases for women after menopause.

The big toe is a common location because the joint is relatively cool and exposed to repeated pressure. Uric acid crystals form more easily in cooler areas, making this joint vulnerable. Walking and wearing shoes can also make an inflamed big toe especially painful. During an attack, symptoms include sudden throbbing pain, swelling, and tenderness. Without appropriate management, repeated attacks damage the joint over time.

A podiatrist examines your foot and discusses your symptoms, medical history, and possible triggers. Testing may be recommended to help confirm gout and rule out other causes of joint pain. Treatment options include measures to reduce inflammation and protect the painful joint during an attack. A podiatrist may also recommend footwear changes and strategies that support long-term foot health. If you have gout symptoms, it is suggested that you are under the care of a podiatrist who can help you to manage this painful condition. 

Gout is a painful condition that can be treated. If you are seeking treatment, contact Kenneth Donovan, DPM from Advanced Care Foot and Ankle. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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

An ingrown toenail develops when the edge of a toenail grows into the surrounding skin. This problem most often affects the big toe and can cause tenderness, redness, or pain. Some people notice drainage when inflammation or infection develops. Ingrown toenails can make wearing shoes uncomfortable, and may worsen while walking. Early attention can prevent a minor nail problem from becoming more painful or difficult to manage.

Several factors can increase the risk of ingrown toenails. Younger males may experience them more often, particularly during active years. Wearing narrow shoes can squeeze the toes and push the nail edge into nearby skin. Genetics can also play a role, because naturally curved or unusually shaped nails may be more likely to become ingrown. Diabetes is another important risk factor because foot problems may heal more slowly and complications can develop more easily.

A podiatrist can examine the nail, surrounding skin, and signs of infection before recommending treatment. Mild cases may improve with careful nail care and footwear changes. When symptoms are persistent, a podiatrist may gently lift or remove the affected nail edge. A partial nail removal procedure may be recommended for recurring cases. The area is cleaned, protected, and monitored as it heals. Patients should follow wound-care instructions and avoid pressure on the toe.

Symptoms should not be ignored when pain, swelling, or drainage continues. Proper nail trimming can help reduce future problems. Toenails should generally be cut straight across rather than deeply rounded at the corners. Wearing comfortable shoes with enough toe room can also reduce pressure. People with diabetes should seek podiatric foot care instead of attempting to treat a painful ingrown toenail themselves. If you have an ingrown toenail, it is suggested that you consult a podiatrist for effective relief and treatment solutions, which may include minor surgery.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Kenneth Donovan, DPM of Advanced Care Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

• Bacterial infections
• Improper nail cutting such as cutting it too short or not straight across
• Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
• Ill-fitting shoes that bunch the toes too close together
• Genetic predisposition

Prevention

Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

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

Bunions, plantar fasciitis, and Morton’s neuroma are frequent causes of foot pain. Each condition affects the foot differently and may develop from pressure, structural concerns, or repeated stress. Recognizing symptoms early can help you seek care before discomfort interferes with walking, exercise, or work. A podiatrist can provide helpful guidance.

A bunion is a prominence that develops at the base of the big toe when the joint moves out of alignment. Symptoms can include swelling, redness, and difficulty wearing shoes. Family history and narrow footwear can increase risk. Plantar fasciitis involves irritation of the plantar fascia, the tissue supporting the bottom of the foot. It commonly causes heel pain that is worse with the first steps after rest. Repetitive activity, tight calf muscles, and unsupportive shoes may contribute.

Morton’s neuroma is a thickening or irritation of tissue around a nerve between the third and fourth toes. Symptoms may include burning pain, tingling, or a feeling that something is inside the shoe. High-heeled or narrow shoes can increase pressure on the forefoot. Activities involving repeated impact can raise risk. Similar symptoms can come from different conditions and require different treatments.

A podiatrist begins by discussing your symptoms, activities, and medical history. A physical examination can identify tenderness, alignment changes, or movement problems. Imaging tests may be recommended to confirm a diagnosis or rule out another condition. Treatment may include wearing supportive footwear, activity changes, or orthotics. If you have foot pain or a known foot disorder, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Kenneth Donovan, DPM from Advanced Care Foot and Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This 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

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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