Items filtered by date: December 2024

Foot stress fractures occur when repeated stress or impact overwhelms the foot's bones, often from activities like running or jumping. A sudden increase in exercise intensity, duration, or frequency can place excessive strain on the bones, particularly if the body has not adjusted to the added workload. Changes in surface, such as moving from a soft running track to a hard sidewalk, may also trigger stress fractures. Wearing ill-fitting footwear that lacks proper support and cushioning can lead to uneven pressure distribution. Biomechanical issues, including bunions or improper gait, may force certain areas of the feet to bear more weight, which adds to the stress. Athletes, especially those involved in high-impact sports, are particularly vulnerable, but non-athletes engaging in prolonged walking or standing on hard or uneven surfaces can also develop stress fractures. A podiatrist can diagnose the injured foot using digital imaging and develop a treatment plan. If you experience foot pain after running, playing a sport or exercising, it is suggested that you schedule an appointment with a podiatrist to find out whether you may have developed stress fractures.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact Sarah Urton, DPM from Kitsilano Foot and Ankle Clinic. Our doctor can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

• Gender – They are more commonly found in women compared to men.
• Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
• Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
• Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
• Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

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

Falling down a flight of stairs can result in serious injuries, including broken ankles, sprains, fractures, or even head and back injuries. The ankle is particularly vulnerable due to its role in balancing and bearing weight. A broken ankle may cause severe pain, swelling, bruising, and difficulty walking. Such injuries can limit mobility and daily function. Preventing stair falls involves simple safety measures such as installing sturdy handrails, keeping stairs well-lit, and removing tripping hazards like loose rugs or clutter. Wearing supportive, slip-resistant footwear also helps reduce risks. A podiatrist can assess the damage using imaging tests like X-rays and recommend appropriate treatment. Depending on the severity, treatment may involve a cast, targeted exercises, or surgery. If you suspect an ankle injury, it is suggested that you seek immediate care from a podiatrist.

Broken ankles need immediate treatment. If you are seeking treatment, contact Sarah Urton, DPM from Kitsilano Foot and Ankle Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

• Excessive pain when the area is touched or when any pressure is placed on the ankle
•  Swelling around the area
•  Bruising of the area
• Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

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

Bunions are painful, bony protrusions that develop on the foot, typically near the joint of the big toe or the base of the little toe. For people with severe or persistent bunions, surgery may offer relief and restore foot alignment. Depending on the severity, surgery for bunions can involve removing the enlarged portion of the bone, repositioning the affected bones, or realigning tendons, ligaments, and muscles surrounding the joint. In advanced cases, bone fusion to stabilize the joint may be used, especially if significant damage has occurred. These procedures aim to correct the deformity, reduce pain, and improve the foot’s function. Surgery is the only way to permanently address bunions, especially for those that cause difficulty while walking, or significant foot pain. A podiatrist can evaluate the bunion through physical exams and imaging tests before recommending the most appropriate surgical approach. This foot doctor also can provide post-operative care to ensure proper healing. If you have problematic bunions, it is suggested that you schedule an appointment with a podiatrist to determine if surgery is right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Sarah Urton, DPM of Kitsilano Foot and Ankle Clinic. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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

Charcot-Marie-Tooth disease, or CMT, is a genetic condition that primarily impacts the peripheral nerves, which connect the brain and spinal cord to the rest of the body. This condition often begins to affect the feet and lower legs first, with symptoms typically starting between the ages of 5 and 15. People with Charcot-Marie-Tooth disease may experience high-arched feet, flat feet, hammertoes, muscle weakness in the lower legs, foot drop, and a distinctive high-stepping gait to avoid tripping. Over time, these issues can lead to muscle wasting in the legs, which creates challenges with walking and balance. A podiatrist plays a key role in managing the symptoms of this incurable condition by providing specialized care for foot deformities and gait issues. This may include custom orthotics to support the feet, recommendations for proper footwear, or bracing to improve stability and mobility. Such interventions can enhance a person’s quality of life and reduce discomfort associated with CMT. If you believe you have symptoms of Charcot-Marie-Tooth disease, it is suggested that you schedule an appointment with a podiatrist to help manage this condition.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Sarah Urton, DPM from Kitsilano Foot and Ankle Clinic. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

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

Plantar fibromas are benign growths of fibrous tissue that develop within the plantar fascia, the thick band of tissue running along the sole of the foot. These firm nodules are often found in the arch and may cause discomfort, especially when walking or standing. The exact cause is unknown, but plantar fibromas may develop due to genetic predisposition, minor injuries, or repetitive stress on the foot. People with a family history or those with certain medical conditions, such as diabetes or liver disease, are more likely to experience them. Diagnosis involves a physical examination by a podiatrist, who may confirm the presence of fibromas with imaging tests like an ultrasound or MRI scans. Treatment options include custom orthotic inserts, corticosteroid injections, targeted exercises, and in severe cases, surgical removal. If you have symptoms of plantar fibroma, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment.

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Sarah Urton, DPM of Kitsilano Foot and Ankle Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

Plantar Fibroma

A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.

What Causes a Plantar Fibroma?

While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.

What Are the Symptoms of a Plantar Fibroma?

There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.

Treatment and Prevention

A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:

• Steroid injections
• Orthotics
• Physical therapy to help apply anti-inflammatory creams on the bump 

Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.

If you have any questions please feel free to contact our office located in Vancouver, BC . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.