My Blog

Posts for category: Foot Condition

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.

By Big Sky Foot and Ankle Institute
April 23, 2019
Category: Foot Condition
Tags: Ingrown Toenail  

How your podiatrists in Bozeman, MT, can help your ingrown toenail

If you have an ingrown toenail, it’s easy to think you can just take care of it yourself—however, it's sometimes inevitable that you will need ingrown-toenaila little help from your foot doctor. Drs. Dallin Greene and Nathan Judd at Big Sky Foot & Ankle Institute offer a full range of foot and ankle services including ingrown toenail treatment to help your toes heal. With two convenient office locations in Bozeman and Butte, MT, Drs. Greene and Judd are here to help!


More about Ingrown Toenails

So, how do you know if you have an ingrown toenail? Well, you will generally experience pain, pressure, and throbbing in your toe. Your toe will also look swollen and dark.

However, you can do a lot to prevent ingrown toenails. Remember to:

  • Avoid cutting your toenails too short
  • Always cut your toenails straight across, with no rounded corners
  • Wear protective shoes appropriate to the activity you are doing
  • Wear shoes with plenty of room for your toes

If you do develop an ingrown toenail, try these tips at home to help heal your toe:

  • Soak your toe in warm water several times during the day
  • Place dental floss under your toenail to push it up out of your skin
  • Apply antibiotic cream underneath your nail to reduce infection
  • Cushion your toe with cotton or bandages
  • Wear open shoes or sandals until your toe heals
  • Take over-the-counter pain medications like Tylenol or Advil

For stubborn ingrown toenails, you need a little help from your foot doctor. At Big Sky Foot & Ankle Institute, your podiatrists may recommend:

  • Lifting and separating your toenail from the skin around it so as to free the nail
  • Trimming off the ingrown part of your toenail so that your toenail will grow normally
  • Removing your toenail entirely so a new, healthy toe will grow in its place


Need Help? Give Us a Call!

If you have an ingrown toenail, you may heal more quickly and easily with help from your podiatrist. Don’t suffer from ingrown toenail pain—dial (406) 782-2278 to reach one of Big Sky Foot & Ankle Institute's offices in Bozeman or Butte, Montana. Feel better fast by calling today!

By Big Sky Foot and Ankle Institute
April 19, 2019
Category: Foot Condition
Tags: Ingrown Nails  

Swelling, reddened flesh, shooting pain, and pus are just some of the incredibly uncomfortable symptoms of having an ingrown toenail. Although this condition can sometimes be successfully treated through home remedies, ingrown toenails often progress to the point of infection, a point that then requires professional treatment. Read on to learn what causes this problem, when it’s right to seek medical help, and how our podiatrists can help get your foot back to a healthy state!

The Causes and Symptoms

Before we cover how to treat ingrown toenails, let’s first review the core causes and symptoms that hallmark this condition…

Ingrown toenails initially develop due to a few different factors, including:

  • Cutting the toenail too short
  • Rounding the toenail during grooming
  • Wearing improperly fitting shoes
  • Experiencing toe trauma

If the flesh on the side of the toe has become red, swollen, and tender, you likely have an ingrown toenail. If you have caught this problem while it’s still in its early stages, you can try implementing some of the home remedies listed in the next section. However, if your toe is exhibiting some of the following signs of infection, you should seek professional podiatric help:

  • Pervasive shooting or throbbing toe pain
  • Regular bleeding
  • The presence of a pus-filled blister
  • The skin has started growing over the nail

Home Remedies

As mentioned above, if an ingrown toenail is caught before infection sets in, there are a few different methods that you can practice at home in order to clear up the issue. Some of these include:

  • Around 3 to 4 times a day, submerge your foot into warm water for 15 to 20 minutes. Regularly doing this should reduce swelling and provide pain relief.
  • Following each soaking, use cotton to separate the ingrown toenail from the flesh that it is starting to grow under. This should allow the nail to grow above the skin again.
  • Avoid snug or constraining shoes.

If these actions fail to clear up the problem in 2 to 3 days, you should pursue professional treatment.

Professional Treatments

In the case of a severe or recurring infection, there are a few different procedures that your podiatrist can perform to make your toe healthy again. Depending on the specifics of your ingrown toenail, one of the following treatments may be recommended:

  • Partial Nail Removal: In the case of a severe ingrown toenail, your doctor can numb your toe before physically removing the ingrown portion of the nail.
  • Nail and Tissue Removal: If the same toe is repeatedly experiencing the same ingrown toenail problem, this procedure can be performed to prevent future recurrences. It entails your podiatrist removing a portion of the underlying nail bed, thus preventing the nail from become ingrown again.

Concerned About Your Toe? Give Us a Call!

If your ingrown toenail needs medical attention, call our podiatric office today!

By Big Sky Foot and Ankle Institute
March 06, 2019
Category: Foot Condition
Is heel pain keeping you down? Pain that occurs following an injury or early in an illness may play a protective role, warning us about the damage we have suffered. SoYour Heel Pain Could Be Plantar Fasciitis what causes heel pain?
Plantar fasciitis is a foot condition in which a band of tissue in the sole of the foot becomes inflamed, leading to severe heel pain. The pain can be so bad that it hurts to walk, much less exercise or perform daily activities. If one step causes shooting pain in your heel—especially when you first get out of bed in the morning or stand up after sitting for a long period of time—plantar fasciitis may be to blame. Contact your podiatrist immediately for proper diagnosis and treatment of your pain. 

Understanding Heel Pain with Help from Your Podiatrist

Plantar fasciitis, or heel pain, occurs when the plantar fascia is strained over time beyond its normal extension. This causes the soft tissue fibers of the fascia to tear or stretch at points along its length, leading to inflammation, pain and possibly the growth of a bone spur where it attaches to the heel bone.
Inflammation may become irritated by shoes that lack appropriate support, mainly in the arch area and by the constant irritation associated with an athletic lifestyle. Resting may provide temporary relief, but when you resume walking you may experience a sudden elongation of the fascia band, which stretches and pulls on the heel. As you walk the pain may lessen or even disappear, but that may just be a false sense of relief, as the pain will often return after prolonged rest or extensive walking.  
You can take steps now to avoid heel pain, including:
  • Wear shoes that fit well
  • Wear proper shoes for each activity
  • Do not wear shoes with excessive wear on heels or soles
  • Prepare properly before exercising by stretching and warming up
  • Pace yourself when you participate in athletic activities
  • Don’t underestimate your body’s need for rest and good nutrition
  • Lose excess weight
If pain and other symptoms of inflammation persist, you should limit your normal daily activities and contact your podiatrist immediately.