A hammertoe develops when the middle joint of one of the smaller toes bends downward, often due to muscle and tendon imbalances in the foot. It is commonly linked to wearing high-heeled or narrow shoes. People with long toes, flat feet, bunions, or a family history of foot deformities may also be more likely to have a hammertoe. Early symptoms include discomfort, swelling, and the formation of corns where the toe rubs against footwear. A podiatrist can examine the foot and use imaging tests to determine if the toe is still flexible or has become rigid. For flexible hammertoes, medical treatment may include switching to shoes with a wide toe box or using custom orthotic devices to support the foot and relieve pressure. When the deformity becomes fixed or painful, surgery may be recommended. Procedures to restore alignment include tendon lengthening, tendon transfer, or arthrodesis, which involves removing part of the joint to fuse the bones and straighten the toe. If you experience pain from a hammertoe deformity, it is suggested that you schedule an appointment with a podiatrist for regular treatment.

Hammertoes can be a painful condition to live with. For more information, contact Michael Tomey, DPM of Cary Foot & Ankle Specialists. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

• Painful and/or difficult toe movement
• Swelling
• Joint stiffness
• Calluses/Corns
• Physical deformity

Risk Factors

• Age – The risk of hammertoe increases with age
• Sex – Women are more likely to have hammertoe compared to men
• Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
• Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.

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

A bruised heel, also known as a heel contusion, occurs when the fat pad under your heel becomes damaged from repeated impact or a hard landing. Common causes include running on hard surfaces, jumping sports, or wearing shoes that lack proper support. It typically feels like a deep, dull ache or tenderness directly under the heel, especially when standing or walking. In contrast, a broken heel, or heel bone fracture, is much more severe, and often results from a traumatic injury like a fall from height or a car accident. Symptoms include intense pain, swelling, bruising, and difficulty bearing weight. Both conditions can make walking painful, but a broken heel usually requires more intensive treatment and a longer recovery period. A podiatrist can perform a physical exam and imaging tests to determine the cause of your heel pain and develop a personalized treatment plan that may include rest, orthotics, or targeted exercises. If you have heel pain, it is suggested that you schedule an appointment with a podiatrist.

Many people suffer from bouts of heel pain. For more information, contact Michael Tomey, DPM of Cary Foot & Ankle Specialists. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                  
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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

A newborn’s foot is soft, flexible, and still developing. At birth, the bones are not fully formed and are mostly made of cartilage, which allows the foot to adapt and grow. It is normal for baby feet to appear flat because the arches have not yet developed. Toes may be curled or turned slightly due to their position in the womb, and in most cases, these resolve naturally over time. Gentle movement, barefoot time, and avoiding tight shoes or socks help promote healthy development. While most newborn foot shapes and positions are harmless, certain conditions like clubfoot or metatarsus adductus may require early treatment. Regular check-ups can help ensure your baby’s feet are growing as expected. If you notice stiffness, unusual shape, or difficulty with movement, it is suggested that you see a podiatrist for a proper evaluation and peace of mind.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Michael Tomey, DPM of Cary Foot & Ankle Specialists. Our doctor can provide the care you need to keep you pain-free and on your feet.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

• Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
• Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
• Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
• Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
• Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
• Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

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

Some people develop a hard lump under the toenail, often near the big toe. This bump, known as subungual exostosis, is an overgrowth of bone that can push the nail upward or make shoes feel uncomfortable. Over time, the pressure may lead to a painful ingrown toenail, a condition called chronic onychocryptosis. This happens when the nail grows into the surrounding skin, causing swelling, redness, and sometimes infection. The bone growth and the ongoing nail problem often go hand in hand, making the toe sore and hard to treat at home. A podiatrist can take X-rays to confirm the bone growth and suggest the best treatment, which may include minor surgery to remove the bump and help the nail grow normally again. If you have a painful or abnormal toenail that does not get better, it is suggested that you see a podiatrist for a proper diagnosis and appropriate treatment.

Toe pain can disrupt your daily activities. If you have any concerns, contact Michael Tomey, DPM of Cary Foot & Ankle Specialists. 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 Cary, NC . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Peripheral artery disease, or PAD, is a condition in which narrowed arteries reduce blood flow to the limbs, most commonly affecting the legs and feet. It occurs due to a buildup of fatty deposits in the arteries, a process known as atherosclerosis. Symptoms often include leg pain or cramping during walking, known as claudication, which improves with rest. Other signs may include numbness, weakness, slow-healing wounds, and a change in skin color or temperature. Causes of this condition include smoking, diabetes, high blood pressure, and high cholesterol, which contribute to artery damage. Poor circulation from this disease increases the risk of infections and complications. If you have symptoms of this condition, it is suggested that you consult a podiatrist who can guide you toward relief and treatment tactics.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Michael Tomey, DPM  from Cary Foot & Ankle Specialists. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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