January 2026

Ankle fracture surgery is sometimes needed when the bones are not in the right position to heal on their own. The goal is to realign the joint so it can regain strength, stability, and comfortable movement. After surgery, the ankle is usually protected in a cast or boot while the bone begins to mend. Swelling, bruising, and stiffness are common at first, but these improve with time, rest, and guided activity. As healing progresses, gentle targeted exercises help restore motion and confidence with walking. Wearing supportive footwear and careful weight-bearing also play important roles in the recovery process. Paying attention to discomfort, keeping follow up appointments, and following instructions closely all help ensure the best outcome. If you have concerns about a recent ankle surgery or your recovery, it is suggested that you schedule an appointment with a podiatrist for proper guidance.

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Swollen ankles and feet can develop for many reasons, ranging from simple fluid buildup after a long day to circulation problems, vein issues, medication effects, or conditions such as diabetes and arthritis. The swelling may feel tight, heavy, or warm, and shoes may suddenly feel snug. Some people notice puffiness that improves with rest, while others see persistent fullness that returns each day. Because the feet and ankles sit far from the heart, they are especially sensitive to changes in circulation and pressure. A podiatrist can evaluate the pattern of swelling, check skin and nail health, assess circulation, and identify whether the cause is mechanical, inflammatory, or related to an underlying medical condition. Treatment may include wearing supportive footwear, targeted compression, activity guidance, or wound care if the skin becomes affected. If swelling continues or begins to limit daily movement, it is suggested that you see a podiatrist for effective relief solutions.

Swollen feet can be a sign of an underlying condition. 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.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

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

A cheilectomy, pronounced ky-lec-toe-me, is a type of surgery used to remove bone spurs that form around the big toe joint and limit motion. These extra bony bumps develop along the top or sides of the first metatarsal, which is the long bone leading to the big toe, and they can cause pain when the toe bends or when shoes press on the area. This bone spur surgery involves smoothing the bone to create more space in the joint and improve movement. After the spur is removed, many patients notice reduced stiffness, although underlying arthritis can still cause discomfort. A podiatrist can explain whether a cheilectomy is an appropriate treatment, based on how the bone spur affects walking, joint motion, and shoe comfort, especially in enclosed shoes or flip-flops. If you have symptoms of bone spurs in the big toe joint, it is suggested that you make an appointment with a podiatrist for an exam and possible surgical treatment.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Brian D. Jackson, DPM of Neuhaus Foot and Ankle. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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.

Gout is a type of arthritis that occurs when uric acid crystals accumulate in the joints, causing sudden and intense pain. Although often associated with men, women are also affected, particularly after menopause when changes in hormone levels can increase uric acid levels. Symptoms include swelling, redness, warmth, and sharp pain, most commonly in the big toe or other foot joints. Causes may include genetics, diet, obesity, certain medications, and underlying medical conditions. Left untreated, gout can lead to joint damage and decreased mobility. A podiatrist can evaluate symptoms, confirm a diagnosis, and provide treatment strategies including medication management, lifestyle guidance, and foot care to prevent flare-ups. If you have pain in the big toe, it  is suggested that you consult a podiatrist who can provide an accurate diagnosis and treatment.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Brian D. Jackson, DPM from Neuhaus Foot and Ankle. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment 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.