A bunion develops when the big toe gradually shifts out of normal alignment, creating a noticeable bump near its base. Several factors can increase the likelihood of this condition. Family history plays a major role, as inherited foot structure may make some people more prone to joint instability. Footwear that crowds the toes or places repeated pressure on the front of the foot can worsen mechanical stress, over time. Flat feet or abnormal walking patterns may also change how weight is distributed across the joint. Inflammatory joint conditions can weaken support around the area and contribute to progression. Women are affected more often, partly due to both foot structure and footwear habits. A podiatrist can assess alignment, movement, and pressure patterns to guide treatment decisions. If you notice big toe shifting or joint pain, it is suggested that you visit a podiatrist for a proper diagnosis and appropriate treatment.

If you are suffering from bunion pain, contact George Tellam, DPM of Ankle & Foot Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

• Genetics – some people inherit feet that are more prone to bunion development
• Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

• Redness and inflammation
• Pain and tenderness
• Callus or corns on the bump
• Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

If you have any questions, please feel free to contact our offices located in Orange Park and Jacksonville Beach, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Tarsal tunnel syndrome is caused by compression of the posterior tibial nerve as it passes through a narrow space along the inside of the ankle. This pressure can develop from flat feet, swelling after injury, or conditions like arthritis or diabetes. Risk factors include poor foot structure, repetitive stress, and inflammation in the area. Symptoms include tingling, burning, numbness, or shooting pain that can extend into the foot and toes. Discomfort may worsen with activity or prolonged standing. A podiatrist can evaluate the condition, identify underlying causes, and recommend treatment options. Included are supportive footwear, prescribed orthotics, or certain medication. If you have pain in this part of your foot, it is suggested that you consult a podiatrist who can diagnose and treat the problem.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact George Tellam, DPM of Ankle & Foot Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please contact our offices located in Orange Park and Jacksonville Beach, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Metatarsalgia  is pain and inflammation in the ball of the foot, often where the metatarsal bones are located. It typically develops when there is excessive pressure on the front of the foot while walking, running, or standing. Common causes include high-impact activities, improper footwear, foot deformities, or abnormal weight distribution. People with metatarsalgia may feel a sharp, aching, or burning sensation in the ball of the foot that worsens with activity and improves with rest. It can also feel like walking on a pebble or having a bruised area under the foot. A podiatrist can evaluate foot mechanics, identify pressure points, and provide treatment such as orthotic support or gait correction to reduce pain. If you have ongoing forefoot discomfort, it is suggested that you consult a podiatrist for effective relief solutions.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with George Tellam, DPM from Ankle & Foot Associates. 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 offices located in Orange Park and Jacksonville Beach, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Chronic gout is a form of inflammatory arthritis caused by repeated buildup of uric acid crystals within the joints. It often affects the big toe, midfoot, or ankle. Unlike occasional attacks, chronic gout may lead to ongoing pain, stiffness, and swelling. Joint damage may occur over time. The affected joints can appear red, enlarged, and tender. Some patients develop hard deposits called tophi beneath the skin. Walking may become difficult during flare-ups, especially when pressure is placed on the inflamed area. Chronic gout can develop when uric acid levels remain elevated for long periods. This may be due to diet, kidney problems, certain medications, or genetic factors. A podiatrist can help identify gout-related foot problems, evaluate joint damage, and work with other healthcare providers to guide treatment. Care may include medication management, supportive footwear, and recommendations to reduce stress on painful joints. If you have chronic gout, it is suggested that you schedule an appointment with a podiatrist who can offer effective relief and prevention solutions for this painful condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact George Tellam, DPM from Ankle & Foot Associates. 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 offices located in Orange Park and Jacksonville Beach, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.