Athlete’s Foot (Tinea Pedis): A fungal or yeast infection of the skin presenting with an appearance that can vary from simple scaling of the skin, with minimal itching, to macerated raw areas with spread of the infection to the undersurface of the toes or to the dorsum of the foot with blistering and inflammation.
Fungal Nails (Onychomycosis): A fungal or yeast infection of the nail that may present with an appearance that can vary from white discoloration at edges of nail to thickened, crumbly, yellowish discoloration that may involve the entire nail plate.
Ingrown Nails (Onychocryptosis): A condition where a spike, shoulder or serrated edge of the nail has grown into the skin, usually at the nail edges. It produces significant pain and may become inflamed, red, shiny and tense (Paronychia) with swelling of the toe. This may be from nail injury, shoe gear or from curving of the nail.
Corns & Calluses: Thickening of skin in areas of increased pressure. Often a symptom of abnormal ambulation pressures, poor fitting shoes or bony prominences that increase pressure to areas of the foot. These can be problematic and often become very painful, especially with increasing thickness.
Plantar Verruca (Warts): Thickened, yellow lesions with small pinpoint areas of bleeding or black specks (from clotted capillaries). These may present as single lesions or multiple lesions that come together as one large lesion (Mosaic Wart). They can be transmitted by contact with individuals, in swimming pools, locker rooms or other areas of public traffic.
Plantar Fasciitis: A common problem encountered by physicians described as sharp pain, aching or stiffness on the bottom of one or both heels. The pain is usually localized to the bottom of the foot where the heel comes in contact with the arch. The pain is usually worst on the first step in the morning, after long periods of rest/sitting or after long periods of standing and ambulation. Metatarsalgia: Pain localized to the “ball of the foot” that is often produced by ambulating barefoot, high heeled shoes, tight achilles tendon (Equinus), or loss of plantar fat pad (with increasing age). This is often exacerbated by ambulation on hard floors, change of flooring in house or changing of shoe gear.
Neuromas: Pain, numbness, tingling, cramping or burning localized to “ball of foot” that may start gradually and progress over time. Symptoms usually present after ambulating or standing for a period of time. It might feel like standing on a ball or rope. It usually presents in the area between the third and fourth toes, but may also affect other areas of the foot.
Neuropathy: Pain, burning, numbness, tingling or loss of feeling to feet usually progressing from toes to the heel and then the ankle and knee (as if pulling a sock on). Often associated with Diabetes Mellitus, but may be associated with alcohol abuse, leprosy, nerve injury and multiple other causes (including an unknown etiology). This is particularly problematic as it may lead to other serious problems of the foot and leg.
Tendonitis: Inflammation or pain to a tendon from traumatic injury, increased stress or abnormal ambulation. Over time this may lead to scaring of the tendon, increasing pain or limitation of ability to ambulate normally. Arthritis: Pain to foot in the area of joints that may initiate as stiffness and progress to increasing pain as bone rubs on bone. This is produced by break down of joint surfaces (cartilage) and production of irregular joint surfaces.
Gout: An arthritic condition usually presenting in the great toe joint (Podagra) secondary to sodium urate crystal deposition in that joint. This is due to excess uric acid in the circulation leading to crystal deposition in the tissues.
Bunions: A bunion is a protuberance or enlargement of bone or tissue at the base of the great toe. This occurs when the great toe begins to migrate towards the lesser toes and may be exacerbated by abnormal ambulation patterns, tight/pointed shoe gear. As such, it often is seen in families and is more common in women. Bunions may be without symptoms or may progress to severe pain that interferes with shoe wear, ambulation and standing.
Tailor’s Bunions (Bunionette): Similar to the bunion deformity of the great toe, this protuberance or enlargement of bone or tissue is localized to the base of the little toe. These are also often seen in families. These may present with or without painful symptoms.
Hammer Toes: Hammer toes are little toes that buckle or curl under. These may develop in any of the toe joints: joint at end of toe (Mallet Toe), joint in middle of toe (Hammer Toe), joint at ball of foot (Hammer Toe), or combination of all joints (Claw Toe). Over time, these toes may hurt, may produce corns or calluses on the toes or may limit ambulation and shoe gear.
Foot or Ankle Fractures: All 28 bones of the foot and 2 bones of the ankle can be fractured or dislocated. Proper healing and return to function requires knowledge of normal anatomic alignment.
Foot or Ankle Sprain/Strain: A sudden sideways motion, a twist, a misstep, or a foot landing off balance combined with muscles giving way may produce stretching of tendons or ligaments (Strain) or rupture/tear of ligaments (Sprain). These injuries are often painful at time of injury and throughout the healing process. Correct treatment can increase speed of recovery and limit reinjury.
High Arch (Pes Cavus) or Flat Feet (Pes Planus): Shoe gear is usually designed for average foot types. This causes increased difficulty for those that have genetically high arches or flat feet. This foot type also has a higher risk for ankle sprains and foot injury. Although this foot type may be without pain, accommodation with custom or semi-custom orthotics/inserts can produce greater comfort and decreased foot pain or difficulty long-term.
Lacerations: With the 107 ligaments, 19 muscles and tendons, and intricate web of nerves and blood vessels, any laceration can be problematic in the foot.
Ulcerations: Due to pressure that is constantly on the foot and leg during regular ambulation, ulcerations are particularly difficult in the lower extremity. Causes can vary from diabetic peripheral neuropathy, vascular abnormalities, high blood pressure, pressure sores or multiple other causes. All require careful management and an understanding of the available advanced wound care modalities, to produce the desired results in a reasonably shorter time.
Podiatry is a unique medical profession that provides care for all people from the very young to the very old, from the inactive to the highly active, and can usually help all overcome problems with the foot or ankle.
Peripheral Neuropathy is a common problem, now affecting over 21 million people in the United States and many additional individuals throughout the world. Peripheral neuropathy has always been present, but is often under diagnosed, misdiagnosed, poorly understood or even just considered a secondary diagnosis of another problem. This problem is, however, very important and can be very debilitating.
Dr Brandt R Gibson and Mountain West Foot & Ankle Institute has created a proprietary process to evaluate, diagnose and ultimately manage and treat Peripheral Neuropathy to allow the return to an Extraordinary Life. We feel it is imperative that you return to your life without the limitations that come from the Discomfort, Distraction and Disability of Peripheral Neuropathy.
Nobody wants to live on crutches for weeks following foot surgery. And much as we like to kick off our shoes, prop up our feet and relax, even that gets old. After all, there's work to be done, games to be played and places to go.
Our goal is to get you back on your feet faster than you'd expect.
So if you've been putting off that bunion surgery, for example, for a "less busy" period of your life, don't. Instead, opt for Dr. Gibson's self-proclaimed "walking bunions" surgery, so nicknamed because patients can walk the same day.
If you've struggled with foot pain that never left after that bad sprain, ask us about our new surgery for Lisfranc injuries, a rare but painful condition in which a sprain has not fully healed.
Also, a new no-incision surgery can help your heel pain and get you back to normal shoes within days. Usually, plantar fasciitis or heel spur surgeries would take you off your feet for weeks, but not with this new revolutionary procedure for heel pain.
The foot is a complex biological masterpiece consisting of 28 bones, 33 joints, 107 ligaments, 19 muscles and tendons and an intricate web of nerves and blood vessels.
The "practice of podiatry" is defined by Utah State Podiatry Las as "The diagnosis and treatment of conditions affecting the human foot and ankle and their manifestations of systemic conditions by all appropriate and lawful means." Treatment of various conditions may include palliative care, biomechanical modalities, physical therapy, surgical intervention, and the prescription of both systemis and topical medications.
Gait by definition is this process of motion. If any structure functions in a less than optimal fashion, the process may be accompanied by pain, deformity or even injury, That makes the analysis of the process of walking or running imperative for optimizing your own unique instruments of locomotion.
With the new trends of barefoot running, shoes designed to simulate being barefoot and new shoes to exercise your feet and legs, the question about what shoes to buy has become more common. How do you find a quality shoe?
As you look for quality shoes, whether for you or a family member, it is recommended that you follow some key recommendations. Although shoes don't usually cause foot or ankle problems, they can aggrevate a problem or a good shoe can reduce associated problems and even discomfort.
As your feet carry your through life, a shoe (if chosen correctly) can greatly improve your comfort and your ability to continue to function. Get a good shoe, you deserve it!
Our world consists of multiple small organisms that can cause an infection. In fact, we are constantly being bombarded with information about infection risks, or lifestyle changes that are important to minimize infection. Whether the infection comes from fungus, bacteria or even viruses, symptoms are usually similar and can be evaluated to determine if you have an infection.
Clinical Signs of Infection
The most common signs of infection include:
- Erythema: Increased redness to the area (usually a bright red color)
- Edema: Increased swelling or retained water to area. Severe edema can lead to "shiny skin"
- Calor: Increased heat to area
- Dolor: Increased pain, which may even be debilitating pain
Other signs may include fever, chills, nausea or vomitting.
As you look for these signs, you may have a better idea if you have an infection.
Since we can help you with almost any foot or ankle pain or problem, you can come in for any reason. Not all foot or ankle concerns require an appointment, however. Dr Gibson has provided some key reasons that people should come for an appointment.