Bunions and buninettes develop when the bones in the toe area gradually shift out of alignment. A bunion, also called hallux valgus, forms when the big toe moves toward the smaller toes as the joint at the base of the big toe becomes enlarged and prominent. A buninette, also known as a tailor’s bunion, develops on the outside of the foot near the base of the little toe. Both conditions can change foot structure and may become painful without proper care.

Symptoms of bunions and buninettes often include a visible bump, swelling, redness, and tenderness around the affected joint. People may experience discomfort while walking or wearing shoes, especially narrow footwear that places pressure on the affected area. Other symptoms can include stiffness, difficulty moving the toe, and irritation caused by friction against shoes. In advanced cases, these deformities may contribute to changes in walking patterns and increased stress on other areas of the foot.

Several risk factors can contribute to the development of bunions and buninettes. Genetics often play a role because inherited foot structure, such as flat feet or abnormal joint alignment, can increase the likelihood of developing these conditions. Wearing tight, narrow, or poorly fitting shoes may place additional pressure on the toes and worsen symptoms. Other risk factors include arthritis, muscle imbalance, and activities that place repeated stress on the feet.

The causes of bunions and buninettes are often related to gradual changes in foot mechanics and alignment. Abnormal movement while walking can place uneven pressure on the toe joints, leading to progressive changes over time. Early evaluation and proper treatment can help reduce discomfort and support better foot function. Wearing supportive footwear, activity adjustments, and custom orthotics may help manage symptoms and improve comfort. If you have developed a bunion or bunionette, it is suggested that you consult a podiatrist for effective relief and management solutions.

If you are suffering from bunions, 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.

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

An Achilles tendon injury affects the strong band of tissue that connects the calf muscles to the heel bone. This tendon plays a key role in walking, running, and jumping by allowing the foot to push off the ground. Injuries can range from mild irritation to partial or complete tears. These injuries often develop due to overuse or sudden stress on the tendon. Understanding the definition and causes of Achilles tendon injuries can help individuals take steps to protect their mobility.

Symptoms of an Achilles tendon injury may include pain along the back of the heel, stiffness, and swelling. Discomfort is often worse during activity or after periods of rest. Some individuals notice a tight feeling in the lower leg or difficulty pushing off while walking. In more severe cases, a sudden sharp pain may occur, sometimes described as a snapping sensation. Reduced strength and limited movement can affect daily activities and athletic performance.

Several risk factors contribute to Achilles tendon injuries. Weak calf muscles and ankle instability can increase strain on the tendon during movement. Changes in playing surface, such as moving from soft to hard ground, may place additional stress on the foot and ankle. Wearing high heels regularly can shorten the tendon over time, making it more vulnerable to injury when switching to flat shoes. Other risk factors include sudden increases in physical activity, improper footwear, and inadequate warm up routines.

Preventing Achilles tendon injuries involves strengthening the calf muscles, improving flexibility, and maintaining proper footwear habits. Gradual increases in activity and attention to surface changes can reduce strain on the tendon. Stretching exercises and supportive shoes can help maintain proper alignment and reduce injury risk. Early recognition of symptoms allows for timely care and better outcomes. If you have an Achilles tendon injury, it is suggested that you consult a podiatrist for effective relief and treatment solutions.

Achilles tendon injuries need immediate attention to avoid future complications. 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.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

• Inflammation
• Dull to severe pain
• Increased blood flow to the tendon
• Thickening of the tendon

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

• Thorough stretching of the tendon before and after exercise
• Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

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.

Minimally invasive foot surgery is an advanced podiatric technique that corrects structural foot problems through very small incisions. Unlike traditional open procedures, this approach uses specialized instruments and imaging guidance to treat conditions with precision while limiting disruption to surrounding tissues. It is commonly used in modern podiatry for patients seeking effective correction with a more efficient recovery process. This method reflects a shift toward patient-centered care that prioritizes both outcomes and comfort.

Patients who undergo minimally invasive foot surgery often report less post operative pain, reduced swelling, and minimal scarring. Because the incisions are small, the body experiences less trauma, which can support quicker healing and earlier return to daily activities. Many individuals are able to walk sooner compared to traditional surgery, depending on the condition being treated. These benefits make it an appealing option for those with busy lifestyles or those who want to avoid extended downtime.

Common foot conditions treated with this technique include bunions, hammertoes, and certain cases of plantar fasciitis. Symptoms that may indicate the need for surgical correction include persistent pain, joint stiffness, and difficulty wearing shoes. Risk factors such as wearing improper footwear, repetitive stress, and biomechanical imbalance can contribute to these issues. A podiatrist evaluates each case carefully to determine whether a minimally invasive approach is appropriate.

Choosing the right treatment begins with a proper diagnosis and a clear understanding of available options. Minimally invasive foot surgery offers a modern solution that blends precision with patient comfort, making it an important advancement in foot care. If you have consistent foot pain from a specific condition,  it is suggested that you consult a podiatrist to discuss minimally invasive options and receive appropriate care tailored to your needs.

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 care needs.

Plantar fasciitis develops when the strong band of tissue that supports the arch of the foot and connects the heel to the toes becomes irritated. This irritation can cause a dull ache in the heel or a sharp pain along the arch that makes every step uncomfortable. Many people notice the pain, termed plantar fasciitis,  when taking their first steps in the morning or after sitting for a long time. The discomfort can become worse after spending hours on your feet or walking on hard surfaces. Although heel pain has several possible causes, plantar fasciitis is one of the leading reasons adults seek treatment from a podiatrist. 

Repeated strain on the plantar fascia is the main cause of this condition. Running, long periods of standing, and frequent walking can place extra stress on the feet. Risk factors include being between 40 and 60 years old, carrying excess body weight, and having flat feet or very high arches. Tight calf muscles can also increase strain on the bottom of the foot. Shoes that lack proper support or do not fit correctly can make symptoms worse. A podiatrist begins with a physical examination and asks about your symptoms, daily activities, and medical history. Watching you walk also helps identify movement patterns that place added stress on the foot. Imaging tests may be recommended when another condition is suspected.

Treatment focuses on reducing strain on the plantar fascia. A podiatrist can recommend custom orthotics, supportive braces, or other medical devices that help relieve pressure on the heel. A podiatrist can also recommend stretching and strengthening exercises that improve flexibility, reduce strain on the plantar fascia, and support recovery. In some cases, carefully placed injections help reduce pain and inflammation. Surgery is reserved for severe cases that do not improve with other treatments. If you have symptoms of plantar fasciitis, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, 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.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

• Excessive running
• Having high arches in your feet
• Other foot issues such as flat feet
• Pregnancy (due to the sudden weight gain)
• Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

• Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
• Maintain a healthy weight
• If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

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.