August 2023

Peripheral artery disease, abbreviated PAD, also referred to as peripheral vascular disease, is a condition that arises from the reduced flow of blood to the body’s extremities, including the lower legs and feet. People with diabetes are more susceptible to developing PAD, as a result of weakened and damaged blood vessels from having high blood sugar. Blood clot formation within the vessels can also contribute to this condition. Conditions such as arthritis, which causes inflammation of the arteries, can further fuel peripheral artery disease. Other factors, such as smoking, hypertension, and obesity, increase the risk of developing PAD. Symptoms can include intermittent pain, coldness, numbness, and a bluish hue in the skin. In more advanced stages, wounds that resist healing, and areas of skin that blacken may develop due to the lack of adequate blood flow. In such cases, swift medical intervention is extremely important. If you suspect you may have peripheral artery disease that is affecting your lower extremities, it is suggested that you make an appointment with a podiatrist, who is specifically trained to manage this condition.

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 Brian D. Jackson, DPM from Neuhaus Foot and Ankle. 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 one of our offices located in Columbia and Pulaski, TN . We offer the newest diagnostic and treatment technologies for all your foot care needs.

When rheumatoid arthritis, RA, targets the feet and ankles, life can feel unsteady. Foot and ankle arthritis not only brings pain but also disrupts balance and movement, making tasks like standing and walking difficult. Experts say 90% of RA patients experience foot or ankle pain, a rate twice that of the general population and primarily affecting women under 60. RA's impact is profound, and crippling foot pain can curtail daily activities. Symptoms of RA in the feet include swelling, stiffness, and deformities. Common issues include painful nodules, dislocated toe joints, bunions, and Achilles tendon pain. RA can strike the forefoot, midfoot, hindfoot, and ankle, altering mobility and causing distressing discomfort. While there is no cure for rheumatoid arthritis, various treatments alleviate RA-related foot pain. Strategies include gentle exercises, ice application, orthotics, braces, and accommodating shoes. Other measures include physical therapy, steroid injections, and surgical procedures. Surgery is a last resort and ranges from joint fusion to a replacement, each with unique risks and benefits. If you are suffering from rheumatoid arthritis that is affecting your feet, it is suggested that you make an appointment with a podiatrist.

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Brian D. Jackson, DPM from Neuhaus Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a term that is commonly used to describe joint pain.  The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it.  Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.

Symptoms

• Swelling
• Pain
• Stiffness
• Decreased Range of Motion

Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.

Risk Factors

• Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
• Obesity – Excess weight can contribute to osteoarthritis development
• Infection – Microbial agents can infect the joints and trigger arthritis
• Joint Injuries – Damage to joints may lead to osteoarthritis
• Age – Risk increases with age
• Gender –Most types are more common in women
• Genetics – Arthritis can be hereditary

If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method is best for you.

If you have any questions, please feel free to contact one of our offices located in Columbia and Pulaski, TN . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ankle sprains are common injuries that can occur during various physical activities. Ankle sprains are categorized into three degrees based on the severity of the ligament damage. A first-degree ankle sprain is mild, with stretched ligaments and minimal fiber damage. A second-degree sprain is more moderate, involving partially torn ligaments. The most severe type is a third-degree sprain, where ligaments are completely torn. Two main types of sprains are inversion and eversion. Inversion sprains occur when the foot twists inward, stretching the outer ligaments and causing pain on the outside of the ankle. Eversion sprains occur when the foot twists outward, stretching the inner ligaments and causing pain on the inside of the ankle. Ankle sprains can also also be classified based on their location. Lateral sprains occur on the outside of the ankle and makeup about 80 percent of all sprains. High, or syndesmotic, ankle sprains are rarer, seen in around 15 percent of ankle sprains. Medial sprains account for about 5 percent of all ankle sprains. Treatment for ankle sprains varies depending on the severity and location. It is suggested that you make an appointment with a podiatrist for a proper diagnosis and personalized treatment plan.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact Brian D. Jackson, DPM from Neuhaus Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

• Pain at the sight of the tear
• Bruising/Swelling
• Ankle area is tender to touch
• In severe cases, may hear/feel something tear
• Skin discoloration

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

If you have any questions, please feel free to contact one of our offices located in Columbia and Pulaski, TN . We offer the newest diagnostic and treatment technologies for all your foot care needs.

The world of Achilles tendon injuries is common among athletes across the globe. The Achilles tendon is the band of tissue connecting the calf muscles to the heel bone, enabling us to walk, jump, and run. Achilles tendon injuries are described as tears or strains that happen to this crucial tendon. These injuries can be mild, causing discomfort, or severe pain, possibly causing difficulty in walking. A common cause of an Achilles tendon injury can be from overuse. This can range from increasing speed and mileage too quickly while running to not getting adequate rest.  Wearing improper footwear, such as flip-flops during sporting activities, can also contribute to this painful condition. Additionally, sudden increases in physical activity or tight calf muscles may put stress on the Achilles tendon, leading to injuries. Effective prevention techniques can include stretching, wearing suitable shoes, and listening to your body's limits. If you have endured this type of injury, it is suggested that you visit a podiatrist sooner rather than later who can provide you with relief solutions.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Brian D. Jackson, DPM of Neuhaus Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

• Inflammation
• Dull to severe pain
• Increased blood flow to the tendon
• Thickening of the tendon

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

• Thorough stretching of the tendon before and after exercise
• Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact one of our offices located in Columbia and Pulaski, TN . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

There is a nerve between the third and fourth toes that can become affected by the foot condition known as Morton’s neuroma. It occurs as a result of this nerve becoming irritated from wearing shoes that are too tight. Women who frequently wear high heels can experience Morton’s neuroma, and relief may come from wearing shoes that have ample room in the toe area. People who have flat feet may also be prone to developing Morton’s neuroma, as can patients who have bunions and hammertoes. The symptoms that are associated with Morton’s neuroma can include toe cramping and pain in the ball of the foot. Some people can have a tingling sensation between the third and fourth toes, which may gradually become worse. If you have pain in this part of your foot, it is suggested that you visit a podiatrist who can effectively treat Morton’s neuroma.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Brian D. Jackson, DPM of Neuhaus Foot and Ankle. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

• Ill-fitting high heels or shoes that add pressure to the toe or foot
• Jogging, running or any sport that involves constant impact to the foot
• Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

If you have any questions, please feel free to contact one of our offices located in Columbia and Pulaski, TN . We offer the newest diagnostic and treatment technologies for all your foot care needs.