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Posts for: September, 2019

By Big Sky Foot and Ankle Institute
September 25, 2019
Category: Podiatry
Tags: Heel Pain  

If you have a sore or aching heel, find out the source and get relief. At Big Sky Foot and Ankle Institute, Dr. Dallin Greene and Dr. Nathan Judd provide excellent diagnostic analysis and treatment of heel pain no matter the cause.

It could be many things...

The 26 bones and 33 joints in our feet take a lot of stress. Standing, running, jumping, injuries, and age--they change how our feet look, feel, and perform. In their Bozeman and Butte offices, your foot doctors at Big Sky Foot and Ankle Institute hear many people complain of how sore their heels are. Heel pain may stem from:

  • Bone spurs, small calcified projections on the underside of the calcaneus, or heel bone
  • Very flat or very high arches
  • Obesity
  • Overuse from sports or other activities
  • Arthritis
  • Achilles tendinitis, inflammation of the large band of connective tissue running between the heel and the calf muscle
  • A deep bruise from stepping on a stone
  • Plantar fasciitis, an overstretching of the band of connective tissue between the calcaneus and the base of the toes

The most likely problem is plantar fasciitis

Plantar fasciitis is one of the most common causes of heel pain, states the American Podiatric Medical Association. How does it develop, and why does it become chronic? Usually, plantar fasciitis results from overactivity--too much and too aggressive running, jumping, dancing and so on. People notice pain upon rising, but it may increase or decrease as the day goes on.

In addition, plantar fasciitis develops if:

  • You overpronate your feet (roll toward the midline as you walk or run)
  • You are overweight
  • Shoes offer little to no support in the arches
  • Your arches are very high or very flat

What to do about heel pain

Come to Big Sky Foot and Ankle Institute in Bozeman or Butte where your foot doctor will do a complete podiatric examination, including digital X-rays and gait analysis as needed. He will review your symptoms and your medical history, arriving at a treatment plan to relieve your pain and increase your foot function.

To manage plantar fasciitis, Dr. Judd or Dr. Greene may recommend:

  • More supportive footwear, particularly in the arches
  • Custom-made shoe orthotics (inserts) to correct gait issues
  • Ibuprofen to reduce inflammation
  • Stretching exercises
  • Splints (worn at night)

In cases of persistent heel pain, surgery may be needed. Many people respond well to more conservative interventions.

Contact us

Feel like your self again, and keep moving. Come to Big Sky Foot and Ankle Institute for an evaluation of your heel pain from your foot doctor. You'll love the personalized treatment you receive from Dr. Judd and Dr. Greene. We have offices in Butte and Bozeman, MT. Call (406) 782-2278 for an appointment.


By Big Sky Foot and Ankle Institute
September 23, 2019
Category: Podiatry
Tags: Metatarsalgia  

Heel PainMetatarsalgia denotes a common foot condition characterized by pain and inflammation of the joints and bones of the ball of the foot - the area just before the toes, also called the metatarsal region.

Symptoms of metatarsalgia can develop suddenly, especially after an increase in exercise or high-impact activities, but normally the problems develop over time. Common symptoms of metatarsalgia include:

  • Sharp, aching or burning pain in the ball of your foot - the part of the sole just behind the toes
  • Pain that intensifies when you stand, walk or run
  • Pain that radiates from the balls of the feet into the toes
  • Numbness or tingling in the toes
  • A feeling in your feet as if you are walking with a pebble in your shoe
  • Pain that increases when walking barefoot

Sometimes a single factor can trigger metatarsalgia. More often, multiple factors contribute to the pain, including:

  • Over-training or Over-activity. Extensive training and high-impact sports, especially running, places an abnormal amount of stress on the balls of the feet, causing irritation, inflammation and pain.
  • Other foot disorders. High arches, hammertoes, bunions, stress fractures and Morton's neuroma can all trigger metatarsalgia symptoms.
  • Poor-fitting footwear. High heels, narrow-toed shoes and shoes without adequate padding can all contribute to metatarsal problems.
  • Excess weight. Extra weight places excess pressure on your metatarsals.
  • Aging. The fat pads on the metatarsals thin out as a person ages, diminishing the ability of the metatarsal bones to protect themselves.

Although generally not serious, metatarsalgia can disrupt your day to day activities, and when left untreated can lead to additional pain in your unaffected foot, back or hips. Treatment to eliminate metatarsalgia symptoms can be as simple as resting, icing the affected area and wearing proper-fitting shoes to significantly reduce swelling and ease pain.

When conservative treatments aren't effective and pain persists, visit our practice for a full exam and a proper diagnosis. In most cases, metatarsalgia can be treated non-surgically. An experienced podiatrist may prescribe specially-designed orthotics or shock-absorbing insoles and arch supports to prevent and minimize future problems with metatarsalgia.


By Big Sky Foot and Ankle Institute
September 12, 2019
Category: Podiatry
Tags: Foot Odor  

The feet have more sweat glands than any other part of the body, which means they have the ability to sweat profusely. With your feet encased in your shoes all day and the sweat unable to evaporate, bacteria will begin to grow rapidly. Bacteria then begins to break down the sweat, generating an unpleasant odor. Other factors can contribute to increased perspiration, including anxiety, hormonal changes, medications and various skin conditions.

Foot odor is a common problem, especially among those who perspire excessively, but it can be both embarrassing and physically uncomfortable. If you suffer from foot odor, rest assured that simple lifestyle changes and improved personal hygiene can help reduce and eliminate the smell.

Easy Ways to Eliminate Foot Odor

Since most foot odor is caused from excess sweat and the growth of odor-causing bacteria, it's relatively easy to control and reduce foot odor on your own. Start by taking the following preventative steps:

  • Keep your feet clean by washing them with an antibacterial soap on a regular basis to minimize bacteria.
  • Keep feet dry as moisture enables the growth of bacteria.
  • Alternate shoes and avoid wearing the same pair for multiple days in a row.
  • Choose open shoes such as sandals when possible, allowing air onto the feet which evaporates sweat and slows the growth of bacteria.
  • Wear cotton socks which wick away moisture and absorb perspiration.
  • Apply foot sprays and powders to the feet. Ask your podiatrist for recommended products.
  • Disinfect, wash and discard foul smelling shoes as necessary.

The causes of foot odor are typically not harmful to your health, but do create an environment for the growth of fungus and bacteria. It's not unusual for infections such as toenail fungus and athlete's foot to develop as a result.

When improving your foot hygiene doesn't help reduce the smell, you may need to visit your podiatrist, as persistent foot odor can indicate an infection or a severe case of hereditary sweating. In these cases, a prescription ointment may be required to treat the problem. Visit our office, and we'll work with you to determine the cause and most effective treatment for your condition!