Dr. Kenneth Rosenthal
Dr. Jonathan C. O’Quinn
Dr. Michael J. Price

(252) 830-1000

Greenville, North Carolina
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Understanding Bunions

Bunions are characterized by a noticeable bump on the side of the big toe, resulting from an abnormality in the foot bones that causes the big toe to lean toward the second toe instead of remaining straight. While some bunions may initially be painless, over time they can lead to toe crowding and discomfort, potentially causing permanent deformity. Genetics play a significant role in the development of bunions, as they are often associated with faulty foot structure inherited from family members. Other contributing factors include flat feet, excessively flexible ligaments, and abnormal bone structure. Symptoms of a bunion may include red and inflamed skin, thickened skin on the underside of the big toe, calluses on the second toe, foot pain, and limited flexibility in the big toe. If you have a bunion with persistent foot pain, decreased flexibility, and difficulty finding comfortable shoes, it is suggested that you make an appointment with a podiatrist who can assess the severity of the bunion and provide treatment options.

If you are suffering from bunions, contact one of our podiatrists of Eastern Carolina Foot & Ankle Specialists. Our doctors 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 Greenville, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Understanding Problems That Affect the Toes

The toes endure daily pressure with every step, which makes them vulnerable to a wide range of injuries and conditions. Sudden trauma, such as stubbing the toe or dropping something heavy on the foot, may result in fractures, sprains, or nail damage. Ongoing stress can cause painful calluses, corns, or ingrown toenails. Over time, structural changes like hammertoes and bunions may develop, leading to discomfort and difficulty wearing certain shoes. Arthritis can also target the joints of the toes, creating stiffness and swelling that interfere with mobility. Even minor toe problems can worsen if overlooked, sometimes leading to more serious complications. Early recognition and proper care are essential in keeping feet healthy and functional. If you experience lasting pain or visible changes in your toes, it is suggested that you schedule a visit with a podiatrist for an expert evaluation and appropriate treatment.

Toe pain can disrupt your daily activities. If you have any concerns, contact one of our podiatrists of Eastern Carolina Foot & Ankle Specialists. Our doctors 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 contact our office located in Greenville, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Peripheral Artery Disease and the Feet

Peripheral artery disease, or PAD, affects the blood vessels that deliver oxygen-rich blood to the legs and feet. The narrowing of these arteries can cause serious complications in the lower limbs. When blood flow to the feet is restricted, symptoms such as pain while walking, coldness, tingling, or numbness may develop. Cuts or sores on the feet and ankles may take longer to heal, raising the risk of infection and tissue damage. People with diabetes are at an even higher risk of peripheral artery disease, as high blood sugar can further damage blood vessels and reduce circulation. In advanced cases, untreated PAD can contribute to ulcer formation and limb loss. A podiatrist can evaluate circulation in the feet, identify early warning signs, and recommend effective treatment to restore blood flow and protect against further damage. If you have symptoms of peripheral artery disease that are affecting your feet, it is suggested that you schedule an appointment with a podiatrist for an evaluation and appropriate treatment options.

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 one of our podiatrists from Eastern Carolina Foot & Ankle Specialists. Our doctors 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 Greenville, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Plantar Warts Can Be Treated!

Plantar warts are small growths that develop on parts of the feet that bear weight. They're typically found on the bottom of the foot. Don't live with plantar warts, and call us today!

How Orthotic Insoles Help Adults with Flexible Flatfoot

Flexible flatfoot is a condition where the arches of the feet collapse under weight, often causing discomfort during walking or standing. Orthotic insoles can provide essential support by redistributing pressure, stabilizing the arches, and improving overall foot alignment. In different walking conditions, such as uneven surfaces, inclines, or long distances, orthotics help reduce strain on the muscles, ligaments, and joints, minimizing pain and fatigue. By enhancing stability and cushioning, these insoles improve balance and prevent long-term complications. A podiatrist can evaluate your foot structure, recommend the most effective orthotic devices, and guide you through proper use and adjustment. If you have flat feet that cause discomfort, it is suggested that you contact a podiatrist to explore customized solutions for lasting relief.

If you are having discomfort in your feet and would like to try orthotics, contact one of our podiatrists from Eastern Carolina Foot & Ankle Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

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

Read more about Foot Orthotics
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