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Posts for category: Foot Condition

By Big Sky Foot and Ankle Institute
August 31, 2021
Category: Foot Condition
Tags: Cavus Foot  
High Arches in ChildrenWhen babies are born they are born with flat feet. Typically the arches of the feet don’t develop until children are 3-4 years old; however, sometimes the arches of the feet develop higher than they should, which can cause the feet to flex. This is known as cavus foot and this problem typically occurs within the first 10 years of a child’s life. Since this condition can impact mobility you must see a podiatrist if this is something you think your child might be dealing with.

The Problem with Cavus Foot

Cavus foot needs to be addressed right away by a podiatrist, as this condition can lead to a variety of issues for your child. Cavus foot is more likely to lead to imbalances within the feet, which in turn can also impact the function of the ankle, legs, hips, and even lower back. Children and teens with cavus foot may be more likely to deal with aches, pains, and strains within the feet, ankles, legs, and hips. This condition can also lead to metatarsalgia, Achilles tendonitis, and chronic ankle sprains.

Causes of Cavus Foot

In many cases, a muscle or nerve disorder that impacts how the muscles function causes cavus foot. This leads to imbalances that cause the distinctive high arches of this condition. Of course, other conditions such as Charcot-Marie-Tooth disease, muscular dystrophy, and spina bifida can also increase the chances of developing cavus foot.

Treating Cavus Foot

You must be watching your little ones as they start to walk to see if you notice any differences in how they move. Catching these issues early offers your child the best chance at improved mobility and less risk for developing foot problems later on. Your podiatrist may work together with a neurologist to pinpoint whether a nerve disorder could be the underlying cause.

Once your foot specialist determines the root cause of your child’s cavus foot then they can map out a customized treatment plan. Milder cases may benefit from more conservative treatment options such as custom orthotics and arch supports; however, surgery is often necessary to correct this problem.

Any issues with mobility, particularly in children, should be addressed and assessed as quickly as possible. Turn to a podiatrist that also specializes in providing pediatric podiatry to children and teens, as they will be able to provide the most thorough treatment plan for your little one.
By Big Sky Foot and Ankle Institute
February 15, 2021
Category: Foot Condition
Tags: Ankle Pain  

Ankle pain can affect your mobility by making it uncomfortable and difficult to stand or walk. A common cause of ankle pain is a sprain, but several other factors can lead to ankle pain as well. You should not ignore ankle pain. The ankle might not heal properly without treatment, which could lead to chronic pain and instability. Dr. Dallin Greene and Dr. Nathan Judd, the skilled foot doctors at Big Sky Foot and Ankle Institute in Bozeman, Anaconda, and Butte, MT, can diagnose the cause of your ankle pain and develop a treatment plan to alleviate pain and help your ankle heal.

Causes of Ankle Pain

Ankle pain can be due to a number of causes, such as an old injury that never healed properly. It is important to see one of the knowledgeable foot doctors at our office in Bozeman for an accurate diagnosis of the cause so you can receive the right treatment to help your ankle heal. Some common causes of ankle pain include:

  • Sprains or fractures
  • Arthritis or osteoarthritis
  • Achilles tendon injury
  • Peroneal tendon injury
  • Talar dome lesion
  • Tarsal tunnel syndrome
  • Ankle instability
  • Gout

Treatment Options

Ankle pain can be associated with many different symptoms, including tenderness, swelling, stiffness, and instability. Without treatment, these symptoms can become worse and lead to additional foot problems. Some ankle injuries, such as a sprain, can be treated by resting, icing, and elevating the foot. Immobilization with a cast or brace, can also be helpful. Anti-inflammatory medications can alleviate pain and swelling.

Another treatment option is physical therapy, which can strengthen the ankle joint, improve mobility, and reduce instability. Severe ankle injuries or chronic pain are sometimes best treated through surgery. Our experienced podiatrists can recommend a specific treatment plan for you based on the cause and severity of your ankle injury, as well as other factors.

Don’t ignore your ankle pain. Without treatment, the pain could worsen and your ankle might not heal properly. Dr. Greene or Dr. Judd can help. To schedule an appointment with one of our foot doctors, call Big Sky Foot and Ankle Institute in Bozeman, MT, at (406) 782-2278. We have office locations in Butte and Anaconda, as well. Call (406) 782-2278.

By Big Sky Foot and Ankle Institute
October 27, 2020
Category: Foot Condition
Tags: Sesamoiditis  
SesamoiditisA sesamoid is a bone that connects to a tendon or muscle instead of another bone. The most common sesamoids are the patella (kneecap) and two bones found under the forefoot. The sesamoids in the foot help to provide the foot with weight-bearing support. Unfortunately, just like another bone, sesamoids can fracture or become inflamed. An inflamed sesamoid is known as sesamoiditis and it’s most often found in athletes.
What are the symptoms of sesamoiditis?
So, how do you differentiate pain from sesamoiditis from other causes of pain? You could be dealing with an inflamed sesamoid in the foot if you are experiencing:
  • Pain at the ball of the foot near the big toe
  • Pain when bending or straightening the big toe
  • Swelling
  • Pain that comes up gradually
Pain that comes on suddenly may be a sign of a fractured sesamoid rather than sesamoiditis, which is a form of tendinitis. You may experience pain when putting weight on the foot.

How is sesamoiditis treated?

The good news is that this inflammatory condition can be treated with rest and home care designed to ease the inflamed tendon or muscle. At-home care for sesamoiditis looks like:
  • Avoiding any activities that put pressure on the foot
  • Taking a pain reliever such as ibuprofen to reduce pain and swelling
  • Wearing supportive shoes with ample cushioning
  • Applying ice to the foot for 10-15 minutes every few hours
  • Avoiding shoes with pointed toes or high heels
It can take up to six weeks for sesamoiditis pain and inflammation to go away. If you are dealing with severe pain or swelling, or if you have trouble walking, then you must see a podiatrist right away. In more severe cases your doctor may recommend bracing the foot or using steroid injections to target unresponsive and more serious inflammation.

If you are experiencing severe or persistent foot pain, you must seek podiatry care from a qualified foot and ankle specialist. Foot pain should not go ignored. Call your podiatrist today. 
By Big Sky Foot and Ankle Institute
April 22, 2020
Category: Foot Condition
Tags: Arch Problems  

The arches of the feet play a role in supporting your body’s weight when standing or in motion. The tarsal and metatarsal bones make up the arches of the feet, also receiving additional support and stability from tendons and ligaments; however, our feet, like the rest of our body, can be affected by infections, disorders, and structural changes that can impact not only the health of our feet but also our mobility. It’s important to recognize the warning signs of arch problems so you know when you to see a podiatrist.

Arch Pain Causes

If you are dealing with arch pain it is most likely caused by an injury or by structural abnormalities in the foot. For example, those with very high arches as well as those with flat feet may experience arch problems due to these common structural issues.

As a result, there are other factors that could also lead to further arch problems including:

  • Being overweight or obese
  • Aging
  • Plantar fasciitis
  • Cavus foot
  • Posterior tibial tendon dysfunction

It’s important to understand a little bit more about these common foot disorders and how they could affect the arches of your feet.

Plantar fasciitis

This condition that causes inflammation and microtears in the plantar fascia is also the most common cause of heel pain. Of course, because the plantar fascia (a ligament that connects the toes to the heel bone) also supports the arches of the feet this can also lead to arch pain. This condition is usually the result of overuse and is seen most often in runners. If you have plantar fasciitis it’s important to avoid physical activities until the fascia has fully healed.

Cavus foot

This condition, which affects the structure of the foot, leads to excessively high arches. People who’ve had a stroke, as well as people with certain conditions such as cerebral palsy may be more likely to develop cavus foot. This problem causes arch pain when standing or walking and can increase the risk for ankle injuries. Your podiatrist may choose to treat cavus foot through custom-made orthotics (shoe inserts), bracing, or by recommending specialized and supportive footwear.

Posterior tibial tendon dysfunction

The posterior tibial tendon runs from the calf muscles to the inner portion of the foot. This condition leads to changes in the tendon, which in turn affects its ability to support the arches of the foot. Flat feet can be caused by posterior tibial tendon dysfunction, and this is often the cause of flat feet that develop in adulthood. Like the other conditions above, treatment for PTTD usually involves bracing, orthotics, or providing custom devices that provide additional support to the arches of the feet.

If you are experiencing foot pain, swelling or other problems that affect mobility then it’s time that you turned to a podiatrist for care. Conditions and injuries that don’t respond to rest and at-home care may require more advanced treatments and therapies.

By Big Sky Foot and Ankle Institute
November 07, 2019
Category: Foot Condition
Tags: Bunions  

Find out when you should turn to a podiatrist for personalized bunion treatment.

When the big toe begins to lean inward on the smaller toes this often leads to the characteristic bump that is associated with a bunion. This Bunionsfoot deformity most commonly affects the joint at the base of the big toe; however, it can also affect the smaller joints of the toes (this condition is known as a bunionettes). From the office of our Bozeman, MT, podiatrist Dr. Dallin Greene and Dr. Nathan Judd, find out more about treating a bunion and when to see a doctor.

The goals of bunion treatment are to alleviate pain and swelling and to prevent the bunion from getting worse. Here are some of the ways to reduce your bunion symptoms.


Wear the Proper Shoes

Your Bozeman, MT, foot doctor can provide you with specific recommendations for the appropriate footwear to wear when you have bunions. Along with finding properly fitted shoes that don’t put pressure on the bunion, it’s also important that you avoid shoes with pointed toes and high heels. Wearing appropriate footwear can prevent a bunion from getting worse.


Consider Shoe Inserts

While the shoes you wear are important for keeping your feet healthy and free of bunion-related aches and pains, you may also want to talk with your podiatrist about the benefits of wearing custom shoe inserts. Prescription orthotics are made specifically for you and the condition you are dealing with to ensure that they provide the proper cushioning, support and shock absorption.



A simple and easy way to alleviate pain and swelling is to ice the bunion for up to 20 minutes at a time when you notice your bunion acting up. Make sure to always wrap ice packs in a towel before applying to the skin (placing ice directly on skin can lead to serious burns). Conversely, some patients prefer warm soaks to ease their bunion symptoms. Try both out to see which one provides you with the pain relief you’re looking for.



Splinting the foot can help realign the deformed joint at the base of the big toe. While it will not correct the alignment it can take pressure off the joint, particularly when you are sleeping. Splinting the bunion at night before bed can reduce morning achiness and pain.

Big Sky Foot and Ankle Institute in Bozeman and Butte, MT, is dedicated to providing patients of all ages with the comprehensive foot and ankle care they need. If you are dealing with a bunion, make sure you are treating it properly. Call our office today at (406) 782-2278.