A bunion is a shift of the toe bones into an improper position which causes pain and loss of function. The deformity involves the big toe and the long bone behind the big toe. Over time, the first metatarsal begins to move towards the other foot while the big toe moves out of joint towards the 2nd toe. As the end of the 1st metatarsal bone begins to stick out, it will be under pressure from your shoes and the ground. This constant pressure and friction causes extra bone formation, leading to a bump.
Big Toe Arthritis is inflammation of the joints (the points where bones meet) at the base of your big toe. On average, 90% of your body weight is placed upon the big toe so is easy to see why the most common type of foot arthritis is located in the big toe.
University Foot and Ankle Institute is at the forefront of big toe arthritis treatment. The leading surgical implant for great toe arthritis was clinically developed with the surgeons at University Foot and Ankle Institute. We have taught hundreds of foot surgeons how to perform the procedure for their patients.
We offer a full level of care including conservative treatment, as we try to avoid surgery whenever possible. We have a full spectrum of diagnostic imaging tools in our offices including digital x-rays, a dedicated foot and ankle MRI, CT scanning and dedicated foot and ankle physical therapy centers.
An ingrown toenail (Onychocryptosis) is a common discomfort that involves the nail curving down, into the surround skin as it grows. Ingrown toenails, absent in cultures who go barefoot, are most prevalent in the big toe.
An ingrown toenail can exhibit pain, redness, swelling and infection (yellow drainage). Frequently, ingrown toenails resolve without medical treatment. However, chronic or complicated cases may require treatment by a physician.
A fungus can invade the nail through minor cuts, or after injury. Repeated irritation to the toes may cause the nail to separate from the bed. Fungal infections of the nail plate, also known as onychomycosis and nail matrix, are the most common nail disease.
A hammer toe is a toe that is bent because of a muscle imbalance around the toe joints. The imbalance causes the toe to bend at one or more joints, pushing the middle of the toe upward in a claw-like position. Hammer toes always occur in the four smaller toes, usually the second toe. They may hurt or look odd, or both.
A Tailor’s Bunion, also known as a Bunionette, differs from a traditional bunion because it develops at the base of the baby toe instead of the side of the big toe. It is called a "tailor’s bunion" because in past centuries tailors often sat cross-legged with the outside edge of their feet rubbing against the floor, producing an area of inflammation at the bottom of the baby toe. A bunionette is also known as metatarsalgia or intractable plantar keratosis.
On the bottom of each lesser toe joint (excludes the big toe), there is a ligament between the base of the toe and the metatarsal (foot bone). This ligament is called the plantar plate. The ligament keeps the toe in the joint and prevents it from over extending or drifting out of normal range.
When one foot contacts the ground, the toes bend at the base of the toe joint, just before the foot pushes off the ground. The plantar plate holds the toe in place and brings the toe back straight. There is no muscle associated with this ligament.
Avascular necrosis of the metatarsal head, commonly known as Frieberg’s infarction, is a painful condition that is commonly misdiagnosed. The good news for sufferers is that the University Foot and Ankle Institute has revolutionized the treatment of this difficult problem.
Avascular necrosis can occur when there is an interruption of the blood supply to a toe. When this happens the tissue dies and the bone collapses. Left untreated, avascular necrosis can lead to destruction of the toe’s joint surface.
Unfortunately, not all toe surgeries result in a painless, nicely aligned toe that comfortably fits into a variety of shoes. Managing a surgery with a less than optimal outcome is an unpleasant task that requires a great doctor-patient relationship and careful consideration to appropriately correct the procedure. Fortunately for you, the team of podiatrists at University Foot and Ankle Institute specialize in revision surgery. Our physicians offer state-of-the-art care in the most friendly, professional, and comfortable environment.
There are two bones on the ball of the foot underneath the 1st metatarsal, located behind the big toe joint. These bones are called sesamoids. These bones act to absorb pressure from the ground as the foot pushes off when walking.
Because of considerable pressure sustained from ground, this area requires added support from the sesamoids. When one or both of these bones become injured, there can be pain, inflammation and disruption of the bones. This condition is called sesamoiditis.