Ganglions and Cysts

Ganglions and Cysts

What is a Ganglion?

A Ganglion is a cyst, which is a fluid filled sac that is often found on the hands and feet. It originates from a joint capsule or tendon. The cause of Ganglions is not known however could be a consequence of repetitive trauma or a single event.

What does it feel like?

A ganglion can cause some burning or tingling in the hands and feet. This is due to the sac impinging on a nerve. It may make shoes uncomfortable because if irritation against the ganglion.

Diagnosis

A Podiatrist can diagnose a Ganglion in the foot by palpating the area. It will usually move freely beneath the skin when palpated. If there is suspicion of an alternative diagnosis, then the podiatrist may request an x-ray or ultrasound to rule out other causes.

Treatment

If the cyst is causing no issues and the patient just wants clarification on the diagnosis, then the Podiatrist can monitor closely over time.

In the instance that the Ganglion is causing irritation then there are options such as:

-Shoe modifications

-Padding to offload the Cyst

-Insoles that are specific to the region and size of the cyst so that comfort can be achieved.

-Aspiration of the Ganglion can be completed, however often the cyst will return.

– Surgical removal can be completed when the previous treatments have been exhausted. Surgical removal reduces the chance of the Ganglion returning however there is still the possibility of its return.

To conclude, Ganglion cysts may come and go. If the mass is causing pain, there are treatments available to allow you to manage discomfort. See a Podiatrist to confirm a diagnosis and to create a treatment plan specific to you.

Morton’s Neuroma

Morton's Neuroma

What is Morton’s Neuroma?

Morton’s Neuroma is a thickening of the tissue that surrounds the nerve supplying the digits (toes). Patients commonly complain of a pain at the ball of the foot that feels like a stone or marble. The condition can cause nerve pain such as tingling, pins and needles or numbness.  This digital neuritis often occurs at the webspace between the third and fourth toes however can occur between any of the digits.

Who does it effect?

This condition can affect anyone, sprinters may experience it due to the compression of the nerve from pushing off at the start blocks.

Those wearing high heels can experience it, similarly due to the toes/forefoot position because of a heightened heel.

Tight, narrow shoes are a large factor contributing to the condition.

 

What else could it be?

-Stress fracture

– Capsulitis (aggravated joint capsule)

-Systemic causes such as Rheumatoid Arthritis

-Corn, Callus, Verruca.

-Foreign Body.

 

How can A Podiatrist Help?

A Podiatrist will analyse symptoms, medical history, footwear, activity changes and biomechanics. These factors alongside range of motion, mobility and strength tests will guide the Podiatrist to a diagnosis. Imaging such as x-ray can be used to rule out differential diagnosis such as fractures.

Treatment

Treatment can include footwear changes, Orthotic use, stretching and strengthening. Other treatments used for Morton’s neuroma include:

-Corticosteroid injections.

-Shockwave therapy.

-laser therapy.

-Foot and ankle mobilisations.

– Neurectomy (Surgery to remove the affected area of the nerve).

Wart is this on my foot? – Verruca Pedis

Wart is this on my foot? – Verruca Pedis

A plantar wart, also referred to as plantar verruca is a skin condition caused by the Human Papiloma Virus. This virus is very common, and presents on the feet. It infects the skin causing an abnormal reproduction of the skin’s appearance. Verrucas can be embarrassing for some however there is no need to be concerned as there are various treatments for Plantar verruca’s.

Verruca’s can be painful due to their raised appearance on the skin and are often surrounded by hyperkeratosis (callus). They often contain small black dots within them, these are small blood vessels. If you think you may have a verruca, it could be time to visit a Podiatrist.

 

What can Podiatrists do?

Podiatrists will assess the lesion to determine if it is verruca or something else like callus, or a foreign body. We will ask for a medical history so that we can determine the best treatment plan for you. Treatments can include debridement of the tissue and the use of chemicals such as silver nitrate, or salicylic acid. We can modify insoles and use padding to offload the Verruca so that you can stay active and pain free throughout treatment.  Verruca’s that don’t respond to these treatments may require further interventions such as Swift Microwave therapy or Faulkner’s needling.

What can you do?

Verruca is a virus that is transferable through direct contact or surfaces.  If you think you have a verruca it is important to wear socks around the house or public places to minimise the cross-contamination.

Rheumatoid Arthritis and your Feet​

Rheumatoid Arthritis and your Feet

Rheumatoid arthritis is a chronic autoimmune disease whereby your immune system begins to damage tissues such as cartilage and ligaments.   The condition affects the hands and feet most commonly. Females are 3 times more likely to develop this condition and the most common age category for developing it is between 40 and 60 years.

Symptoms can present as swelling and stiffness in the foot and ankle joints. Deformities such as bunions, hammer & Claw toes, pes planus (flat feet), can develop at a progressed stage of the condition.  These deformities can lead to increased pressure on aspects of the foot, causing callus buildup and possible breakdown of the tissues.

After a diagnosis of Rheumatoid Arthritis, treatment can commence in the form of medication known as disease modifying anti-rheumatic drugs (DMARDS) or non-steroidal anti-inflammatory drugs (NSAIDS) following assessment from a Rheumatologist.

A thorough assessment from our health professionals will determine the extent of deformity or progression of the disease. Treatments such as exercise therapy, Orthotic therapy and footwear modifications are excellent for slowing the progression and will often include softer materials that offload any deformities of the condition and to keep you comfortable and active.  

Why Do I Get Swollen Feet And Ankles?

Why Do I Get Swollen Feet And Ankles?

Swollen feet and ankles can be commonly associated with either oedema or an inflammatory response to injury or infection. Standing for too long or consuming excess salt through your diet can also cause excess fluid retention.

Pregnancy can cause the feet and ankles to swell due to hormonal changes, and increased pressure on veins due to extra weight in the uterus.

Acute (short term) and Chronic (long term) injuries can cause an inflammatory reaction, with an increased blood flow to the injured site. Common injuries such as ankle sprains, Achilles tendon tears, broken bones, and underlying conditions such as Diabetes, Gout, and heart failure can all cause swelling in the lower limb, foot, and ankle.

As Podiatrists we take a through history and perform a detailed assessment to determine the cause of your foot and ankle swelling.  We provide a progressive treatment plan specific to you.