Because people put weight on their feet every day, the nerves and musculo-skeletal structures of the feet and ankles are under a lot of strain. Inflammation of the joints, tendons, and nerves is a common problem. Dr. Young is an expert at diagnosing and treating these disorders. In-office injections of cortisone or other anti-inflammatory medications is a time-tested and effective approach to reducing pain and getting people back on their feet, without the need for surgery.
What is a neuroma and how do I know if I have one?
A neuroma is a benign lump of tissue that forms when nerves are irritated by surrounding tissue or bones rubbing against them. Neuromas most frequently develop between the third and fourth toes, but can occur in other places. Common causes include wearing tight or high-heeled shoes, or a structural abnormality in your feet. You may feel like you are walking on a rock or a stone in your shoe or feel like your sock is bunched up.
Dr. Young will diagnose a neuroma with both a detailed foot exam to feel the lump in your foot and an x-ray to rule out other conditions like a tumor of another variety.
What are the treatment options for neuroma?
Many neuromas respond well to injection therapy. Surgery may be recommended for neuromas that worsen over time. At home, you can help prevent neuroma and alleviate discomfort, swelling, and irritation by wearing properly fitting shoes with a roomy toe box. High heels or narrow-toed shoes that put pressure on the forefoot should be avoided. You can rest, ice, and elevate your foot when necessary.
What are the non-surgical treatment options for arthritis?
Your feet are more susceptible to developing arthritis than other body parts, because they consist of more than 30 joints and bear the impact of the entire body’s weight. There is currently no cure for arthritis, but early diagnosis and proper treatment can limit and slow its advancement.
A combination of cortisone injections to calm the pain and inflammation and a set of custom orthotics to support the joints and prevent deterioration is a very effective treatment for arthritis in your feet and ankles. Dr. Young sees many patients with advanced arthritis and helps them stay active for years and years with regular (every six months or so) injections and properly fitted orthotics. Since surgical treatment for arthritis involves fusing the joint and greatly reduces people’s mobility, injection therapy is the most common treatment choice.
How long do the effects of injections last?
The effect of cortisone injections is temporary. Depending on your condition and other individual variations, a treatment can last as long as a year or as short as three months.