A bunion is seen as an enlargement or “bump” on the inside of the foot near the big toe.
In more severe cases when the big toe joint is unable to move at all, the condition is called hallux rigidus (rigid big toe joint).
A tailor’s bunion (bunionette)is seen as an enlargement or “bump” on the outside of the foot near the little toe.
A callus is an area of thickened skin located on the bottom of the foot, in most cases on the ball of the foot and/or heel.
Hammer Toes occur when the tendons and ligaments around the toes become contracted and the toes take on a “claw-like” appearance.
A soft corn forms between the toes when the bony prominence known to doctors as the “condyle” of a toe rubs against the condyle of the adjacent toe while walking.
The most common cause of thick toenails is a fungus infection similar or identical to the fungus that causes “athlete’s foot.”
An Ingrown Toenail occurs when the side of a toenail begins to cut through the surrounding skin which is referred to by doctors as the ungualabia or “nail lip.”
Morton’s Neuroma occurs when one of the nerves on the bottom of the foot becomes “pinched” between two adjacent metatarsal bones or the base of the bones of two adjacent toes.
EPAT is an acronym for Extracorporeal Pulse Activation Treatment. “Extracorporeal” means “outside the body.”
Heel pain is usually caused by acute or chronic inflammation of the plantar fascia, a ligament-like structure located on the bottom of the foot.
The use of a series of 4% ethyl alcohol sclerosing solution showed an 89% success rate.
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Osteomyelitis is an infection of the bone. In order for the bone to become infected, a pathogenic or infection producing organism must gain access to the involved site. There are two basic types of osteomyelitis; acute and chronic. Acute osteomyelitis is one in which there is an "active" infection. The skin surrounding the wound is usually red, warm, swollen, and frequently has a foul smelling discharge from the wound site. Chronic osteomyelitis is just how it sounds; "a chronic or long-standing infection". The difference between acute and chronic osteomyelitis is that the acute form shows the traditional clinical signs of infection where the chronic form usually does not. Chronic osteomyelitis frequently involves exposed bone. However, the redness, heat, swelling, and malodorous drainage is usually not present.
Osteomyelitis can be caused by a number of factors. An aggressive infection that breaks through the skin and penetrates the bone is usually the way it works. A simple opening in the skin from an ulcer, trauma, or surgery can cause this condition. If the infection is not quickly treated, an osteomyelitis may form. Diabetics are often prone to developing this type of bone infection. The reason is that many diabetics do not have adequate feeling on the bottom of their feet and will develop ulcers without being aware of the problem. The infection then progresses and is often not treated in time to prevent a bone infection. If you have an "opening" or localized wound site on your foot that seems to be slow or non-healing, a foot specialist should be consulted.
Osteomyelitis can be treated either conservatively or aggressively depending on the severity of the condition. Conservative treatment would consist of intravenous antibiotics without removing bone. This treatment is frequently utilized initially until lab studies identify the actual organism causing the infection. A more specific medication may be used in an IV fashion to more effectively treat the infection while further studies are done to evaluate the extent of bone involvement. Once this information is available via bone biopsy, bone scan, MRI or x-rays, the offending bone should be removed as well as using IV antibiotics.