The foot and ankle are complex structures comprised of bones, muscles, tendons, ligaments, and joints. The foot is made up of three main sections: the forefoot, midfoot, and hindfoot. Key bones include the tarsal bones, metatarsals, and phalanges. Major muscles and tendons control movement and stability. Surgery may be necessary for various conditions affecting the foot and ankle, such as severe fractures, ligament tears, tendon ruptures, or deformities like bunions or hammertoes. Other reasons for surgery can include chronic pain from arthritis or nerve compression, as well as congenital abnormalities requiring correction. In such cases, surgical intervention aims to restore function, alleviate pain, and improve mobility. Procedures range from arthroscopic surgery for minimally invasive joint repairs to complex reconstructions involving bone realignment or fusion. If you are having foot or ankle problems, it is suggested that you schedule an appointment with a podiatrist for a thorough assessment and to determine what the right treatment is for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Kent DiNucci, DPM of Ankle and Foot 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 Omaha, NE . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

If you have a bump forming at the base of your big toe or experience discomfort while wearing certain shoes, you might be dealing with a bunion. This foot deformity, medically known as hallux valgus, develops gradually due to various factors. Included are genetics, wearing tight or high-heeled footwear, rheumatoid arthritis, or Marfan's syndrome, which causes a loosening of joints. Symptoms of a bunion are a noticeable bump, pain, and redness of the big toe. Corns or calluses, limited toe movement, and a burning sensation or numbness may also occur. While initial treatment involves wearing proper footwear, more severe cases may require custom orthotics, toe spreaders, or surgery. A podiatrist can offer guidance on ways to manage symptoms, prevent further complications, and determine if surgery is needed to realign the toe and alleviate pressure on the joint. If you have a bunion that is causing pain or impeding daily activities, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment options.

If you are suffering from bunions, contact Kent DiNucci, DPM of Ankle and Foot 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?

Doctors 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 doctor.

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

Tarsal tunnel syndrome is a condition characterized by compression of the tibial nerve as it passes through the tarsal tunnel, a narrow space on the inside of the ankle. It typically affects individuals who engage in activities that involve repetitive ankle motion or those with foot deformities such as flat feet. Symptoms may include pain, burning, tingling, or numbness along the inner ankle and the sole of the foot. Left untreated, tarsal tunnel syndrome can lead to complications like muscle weakness or atrophy in the foot. Management often involves conservative measures such as rest, orthotic devices, and anti-inflammatory medications to alleviate symptoms and reduce nerve compression. If you have ankle pain, it is suggested that you schedule an appointment with a podiatrist who can diagnose tarsal tunnel syndrome and provide appropriate treatment.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Kent DiNucci, DPM of Ankle and Foot Clinic . 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 feel free to contact our office located in Omaha, NE . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Pregnancy, particularly during the third trimester,  can contribute to pain in the front of the foot. This discomfort is mostly because of natural weight gain and the resulting increase in pressure on the feet. Additionally, hormonal changes during pregnancy cause the ligaments in the body to relax and stretch in preparation for childbirth, which can lead to a spreading of the feet and a decrease in arch support. This combination of factors can strain the forefoot and lead to conditions like plantar fasciitis, which results in pain and inflammation in the ball of the foot or heel. Podiatrists, or foot doctors, can provide personalized advice on how to manage this pain. Suggestions may include wearing supportive footwear, custom orthotics, and engaging in gentle foot exercises. If you are pregnant and experiencing foot pain, it is suggested that you consult a podiatrist. 

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Kent DiNucci, DPM from Ankle and Foot Clinic . Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

• Wearing orthotics can provide extra support for the feet and help distribute weight evenly
• Minimize the amount of time spent walking barefoot
• Wear shoes with good arch support
• Wear shoes that allow for good circulation to the feet
• Elevate feet if you experience swelling
• Massage your feet
• Get regular, light exercise, such as walking, to promote blood circulation to the feet

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