The musculoskeletal system of the feet, ankle joint, and lower legs involve many different parts that have to work together in unison to create smooth and pain-free movement. Whether you have slight discomfort or severe pain, we can provide you with options to better your lifestyle.

Here are some of the more common podiatric conditions we provide conservative and surgical care for at our office and surgical facilities. Please ask us if you have any questions!

Bunion Correction

A bunion is a bony bump that forms on the joint at the base of your big toe due to imbalance and realignment. Inherited foot type, shoe selection, activities and lifestyle can lead to the development of a bunion. A bunion develops through stages and pain may be mild or severe for each patient. There are both conservative and surgical treatment options of the condition. Some of the symptoms of a bunion are the following:

  • Persistent big toe or foot inflammation or pain
  • A visible bump or discoloration on your big toe joint
  • Decreased movement or pain in your big toe or foot
  • Difficulty finding shoes that fit properly

Hammertoe Correction and Balancing

A hammertoe is a deformity where the toe begins to bend outside of its normal alignment. Hammertoes typically begin with small symptoms and deformities in the flexible stage and continue to increase symptoms as the joint becomes more rigid. It is important to know the signs of hammertoes to get them evaluated early. If left untreated, hammertoes can become more firm and difficult to manipulate, requiring surgery.

Soft Tissue Lesion Diagnosis and Treatment

Lesions of the foot vary from thickened skin to palpable or non-palpable masses. A mass may or may not be painful but examination is key to determining the proper mode of treatment. Please contact us today.

Ingrown Nail Removal

Ingrown toenails are a common condition where the corner of a toenail grows into the soft flesh surrounding the toe. Ingrown toenails can be very uncomfortable and can easily lead to an infection in the foot. Treatment of the painful toe nail depends on the extent of development of the condition. Most procedures are performed in the office with local anesthesia. Dr. Bluhm has treated all ages from infants to adults with permanent relief of the condition.

Conservative and Surgical Fracture Care

Injury to the foot can occur with an immediate or delayed fracture developing. Radiographs and occasional MRI may be used as a diagnostic tool to evaluate an injury and provide guidance for treatment. Some fractures may be properly off-loaded while others are more severe or out-of-alignment and require surgery. Don’t delay calling us to help you recover from an injury. Contact us today.

Plantar Fasciitis and Heel Spur Pain>

Pain along the arch and bottom of the heel is one of the most common conditions seen in the podiatry office. This pain is caused by the irritation and inflammation of the supporting structures along the bottom of the arch and later tearing and nerve entrapment. Familiar symptoms include pain with first step or after rest or standing that improves a little after walking or rest. There are many conservative treatment modalities based upon the level of the condition. There are also minimally invasive surgical procedures that are performed in an operating room with immediate walking afterward.

It is important to pay attention to the symptoms of arch and heel pain since leaving it untreated can result in progression of symptoms.

Ulcer and Wound Care

Ulcers on the foot may not always come with pain, but they are serious conditions that should be evaluated by a medical professional. The symptoms of ulcers may include open or closed areas of tissue with drainage, color changes, skin changes. Delay in treatment could lead infection and possible systemic conditions as well as surgical intervention. Contact us today to schedule your evaluation!

Neuroma Care and Surgical Treatment

A neuroma is a swollen portion of a nerve that can occur with injury or normal foot activity. The common neuroma of the foot produces pain in the ball of the foot when pressure is applied to the foot. Pain from a neuroma varies from dull, fullness, to numbing, to tingling, to burning. One may also experience tingling sensations into the toes. Inflammation of the nerve can be treated conservatively based upon the

Compression and irritation typically cause the nerve tissue to thicken. This pressure creates inflammation of the nerve, ultimately causing untreatable damage to the nerves in the foot.

Patients generally describe symptoms of neuroma as follows:

  • Tingling, burning or numbness
  • Pain
  • A feeling that something is inside the ball of the foot
  • A feeling that there is something in the shoe or a sock is bunched up

Sports Injury Repair

Info coming soon

Achilles Tendonitis Conservative versus Surgical Repair

Achilles tendonitis is caused by overuse of the band of tissues that connect the lower region of your calf muscle to your heel bone, also known as your Achilles tendon. Runners and more active patient are generally at a higher risk for Achilles tendonitis, but pain is also noted in patients with certain foot types or shoe gear selections.

Achilles tendonitis symptoms include mild aching, tenderness, and/or stiffness in the back of the leg or above the heel when standing or walking. Conservative care modalities include off-loading, sports taping, icing, use of anti-inflammatories, a shoe orthotic, stretching, massage. For more serious cases, surgery may be required to provide relief.

Your doctor will conduct a thorough examination and will discuss the best course of action with you.
If you have symptoms of Achilles tendonitis and would like to schedule an appointment, please contact us today!

Pediatric Foot Maladies

Info Coming Soon

Growth Plate Injuries

Routine Diabetic Foot Care

Having diabetes makes your feet more susceptible to complications. Education about these risks may prevent injury and avoidable damage to the feet while maintaining a healthy lifestyle.

Daily foot examination and care can help you decrease your risk of developing serious conditions like ulcers, infection, circulatory or nerve issues, and injury. Inspecting your feet to look for any abnormalities, maintaining proper hygiene, keeping your feet warm in cold weather, encourage blood flow in the feet, and maintaining an overall healthy lifestyle can discourage other conditions from developing.

Ankle Sprain Off-loading or Surgical Repair

An sprained ankle occurs when you twist your ankle in an abnormal way causing the ligaments holding your ankle bones together to stretch or tear. Most sprained ankles involve injuries to the ligaments on the outer side of the ankle. Treatment for a sprained ankle depends on the severity of the injury. Although you may just need proper off-loading, rest and pain medications to heal, it is important to have the sprain looked at by a professional to determine the severity and proper treatment.

Biomechanics Evaluation

Info Coming Soon

Insert versus Orthotics

Off-the-shelf inserts can be a good starting point for reducing extra motion in the foot and providing better shock absorption in the shoe. Accommodative inserts include gel, foam or a combination of a padded top cover with a small inlay of support. Functional inserts are either heat moldable or adjusted to provide better arch support with more control of the function of the foot.

Custom-made orthotics are made with the lower extremity placed in alignment and the feet are either hand cast or 3D scanned. CMOs can be soft to provide increase shock absorption or off-loading of pressure areas in the foot or more rigid to control motion, reduce strain from overuse of muscles, and assist in alignment of the knee, hip and back.

Nerve Pain Reduction/Remedy

Peripheral neuropathy can cause symptoms like weakness, numbness, burning, and tingling in the hands and feet as well as other parts of the body. Traumatic injuries, diabetes, certain medications or even exposure to toxins can cause peripheral nerve damage.

Once damage to nerve occurs, the symptoms of peripheral neuropathy are gradual and worsen with time. It is important to evaluate the status of your nerves to determine any loss or potential risk to the feet from the loss of motor and sensory nerve function. It is important to maintain a healthy lifestyle to aid in the prevention of damage to those specific nerves. For more information on nerve related symptoms of the lower extremity contact us today!