Osteoarthritis of the big toe occurs when the cartilage in the main toe joint wears down, often due to aging or repeated stress on the feet. This can lead to pain, swelling, stiffness, and a limited range of motion, especially during walking or standing. The joint most commonly affected is the metatarsophalangeal, or MTP, joint, located at the base of the big toe. People may experience pain that worsens with activity and can have difficulty in bending the toe. A podiatrist can evaluate the MTP joint with imaging tests and conduct a physical exam to confirm the diagnosis. Depending on the severity, treatment options include anti-inflammatory medication or corticosteroid injections to help reduce swelling and relieve pain. If the condition progresses and causes ongoing discomfort, surgery may be needed to remove damaged tissue or realign the joint. This can help improve movement or reduce pain when other approaches have not worked. If your big toe joint becomes painful, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and appropriate treatment.

Toe pain can disrupt your daily activities. If you have any concerns, contact Richard Galperin, DPM of Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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

Diabetic foot ulcers are open sores that typically form on the bottom of the feet in individuals with diabetes. These ulcers progress through several stages, each requiring careful management. In the initial stage, the skin breaks down, often due to minor injuries or pressure. As the ulcer develops, it can deepen, affecting the underlying tissue and potentially reaching the muscle or bone. At advanced stages, infection sets in, leading to serious complications like gangrene, which may necessitate loss of limb. Seeking early treatment is critical because the earlier the intervention, the better the chances of preventing progression. Early treatment can stop the ulcer from worsening, reduce the risk of infection, and promote faster healing. If you have diabetes, it is strongly suggested that you schedule regular appointments with a podiatrist to stay on top of any developing foot problems, preventing complications.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Richard Galperin, DPM from Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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

Custom made orthotics provide essential support and alignment for athletes and active individuals, helping to improve performance and reduce injury risk. By correcting abnormal foot mechanics, these devices promote efficient movement patterns and reduce strain on muscles and joints. Proper alignment can lead to better shock absorption and stability, which is especially important during high-impact activities. Custom orthotics also address specific needs, including arch support, pressure distribution, and control of excessive motion. This personalized approach allows for greater comfort and endurance during physical activity. Whether for running, jumping, or quick directional changes, custom orthotics serve as a key tool in optimizing movement and maintaining long-term physical health for active individuals. If you have foot pain from leading an active lifestyle, it is suggested that you consult a podiatrist who can prescribe the right type of orthotics for your needs.

Custom orthotics and shoe inserts are not just for cushioning the soles; they are about supporting the foundation of our body - our feet. The advantages extend far beyond immediate relief from discomfort. These personalized solutions, that Our doctor can prescribe, can significantly impact a person’s posture, alleviate pain in various parts of the body, and even enhance athletic performance.

As we lace up our shoes each day, having the right support can make a world of difference. Custom orthotics are like tailored suites for our feet, offering a bespoke solution to address our unique biomechanical needs. They provide stability where it is lacking, correct imbalances, and ensure that every step is a confident and pain-free one. 

Custom orthotics and shoe inserts offer long-term health benefits. By addressing issues such as overpronation or underpronation, heel pain, plantar fasciitis, etc. orthotics can help prevent injuries and mitigate the progression of existing conditions. It’s an investment not just in the present, but in the future health of your feet and consequently, your overall well-being. 

If you have any questions please contact our office located in Dallas, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Sever's disease, also known as calcaneal apophysitis, is an inflammatory condition that affects the growth plate in the heel bone. It is typically seen in children and adolescents who are experiencing growth spurts and engaging in repetitive physical activity. The causes in young patients include overuse, excessive running or jumping, and wearing poor footwear. In adults, Symptoms often involve heel pain, tenderness, and stiffness, especially after activity. Sever's disease is extremely rare because the growth plates close after puberty. When heel pain occurs in adults, it is usually caused by other conditions, such as plantar fasciitis or Achilles tendinitis, rather than true Sever's disease. It is suggested that adults with similar heel pain symptoms consult a podiatrist to determine the correct diagnosis and begin an appropriate treatment plan.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Richard Galperin, DPM from Texas. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

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