Got Feet? Your Guide to Sports & Running Injuries

Shenandoah Podiatry offers two free books, "Got Feet? Your Guide to Sports and Running Injuries" and "Got Feet? A User's Guide to Foot and Ankle Health." Today I'd like to take an excerpt out of our running book, as more and more people are slipping on their running shoes to hit the Huckleberry trail in this beautiful Blacksburg weather!

"Chapter 10: How Do I know if I Need Orthotics? Foot pain is not normal and should not be ignored. It can lead to complex problems that can affect the functioning of other parts of the body, including the hips, knees and back. Foot-related problems are often treated very successfully with functional orthotic shoe inserts.

Orthotics are prescribed to:

• Reduce pain
• Provide support
• Prevent or slow down the development of a foot deformity
• Provide better positioning of the foot, knee and hips
• Improve the overall biomechanical function of the body"

As you can see, Shenandoah Podiatry is here to help. We want you to be an informed patient, knowing what we can do to help and how. To receive your free book, head to our website and request either one or both!

Tailor's Bunion

Tailor's bunion is as an acquired lesion that causes chronic pain and swelling over the outer aspect of the distal foot. It is also known as a bunionette and is characterized by a painful prominence on the outer aspect of the foot in the area of the fifth metatarsal head.

These types of lesions were often seen on tailors with a cross-legged sitting posture. The posture resulted in pressure being placed on the lateral side of the foot.

Causes

Extrinsic causes - Commonly chronic

• Tailors' posture
• Footwear

Intrinsic causes

Structural Abnormalities

• Lateral bowing of the metatarsal shaft
• Enlargement of the metatarsal head
• Congenital splayfoot

Presentation

• Symptoms - Painful keratoses on the outer, bottom, or top aspect of the metatarsal head.

Imaging Studies

• Weight-bearing x rays of both feet
• Vascular studies are important with patients who have questionable circulation

Treatment

Conservative

• Padding
• Shoe modification
• Orthotic devices
• Anti-inflammatory medications
• Corticosteroid injections

Surgical Treatment

• Can be treated with simple removal of osseous bump when there is no evidence of anglular deformity
• With an angular deformity or a deviation in the bone is present an osteotomy (cut in the bone) is made and held together with a screw. The level of bone cut varies with the level of the deformity.

Possible Complications

• Malunion- Incomplete union or union in a faulty position
• Nonunion- A nonunion occurs when a broken bone does not heal
• Nerve Injury
• Joint pain and stiffness
• Symptomatic hardware
• Infection
• Recurrence