Complex regional pain syndrome, or CRPS, also known as reflex sympathetic dystrophy, is a debilitating condition affecting the feet and other body parts. It often emerges following an injury, surgery, or trauma, although its precise origins remain uncertain. CRPS encompasses a range of symptoms, notably persistent and severe pain disproportionate to the initial injury. Sensory disturbances like burning sensations, tingling, or hypersensitivity are common, in addition to vasomotor symptoms such as changes in skin temperature and color, swelling, and alterations in sweating patterns. Additionally, CRPS can lead to motor and trophic symptoms, including muscle weakness, coordination difficulties, and changes in hair and nail growth. Treatment for CRPS typically involves a multidisciplinary approach, incorporating medication and nerve blocks. Podiatrists help in managing foot-related CRPS symptoms, offering specialized care like custom orthotics and tailored pain management techniques to improve mobility and enhance the overall quality of life for individuals grappling with this challenging condition. If you have symptoms of CRPS, it is suggested that you seek help from this type of medical professional.

Some foot conditions may require additional professional care. If you have any concerns, contact Mark Isenberg, DPM of Center for Podiatric Excellence. Our doctor can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

• Freiberg’s disease
• Kohler’s disease
• Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

If you have any questions please feel free to contact our office located in Pensacola, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
 

The process of learning to walk is a significant milestone in a child's foot development, marking the transition from dependency to independence. As infants, babies typically begin to explore their surroundings by lifting their heads, rolling over, and eventually crawling. Over time, they develop the strength and coordination needed to pull themselves up and stand with support. As they gain confidence and stability, they take their first tentative steps, often holding onto furniture or caregivers for balance. With practice and encouragement, children gradually refine their walking skills, progressing from unsteady toddling to confident, independent walking. Along the way, they learn to coordinate their movements, maintain balance, and navigate obstacles in their environment. Walking not only facilitates physical exploration but also fosters cognitive and social development, enabling children to engage more actively with their surroundings and interact with others. If your child is delayed in walking, it is suggested that you confer with a podiatrist who can address any concerns you may have.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact Mark Isenberg, DPM of Center for Podiatric Excellence. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

• Make sure their shoes fit properly
• Look for any signs of in-toeing or out-toeing
• Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
• Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
• Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
• Cut toenails straight across to avoid ingrown toenails
• Keep your child’s foot clean and dry
• Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

If you have any questions, please feel free to contact our office located in Pensacola, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Tingling toes may be little more than the result of wearing tight shoes and socks or standing for long periods. But persistent or painful tingling in the toes should not be ignored, as it can signal serious underlying health issues. Among the major concerns is diabetes. High blood sugar levels damage blood vessels and nerves, which can lead to tingling, numbness, and pain in the toes if left untreated. Similarly, autoimmune disorders, such as multiple sclerosis, can disrupt nerve communication, causing tingling sensations, weakness, and numbness, particularly during exercise or rest. Raynaud’s disease, a condition triggered by extreme sensitivity to cold or stress, can lead to tingling or stinging pain in the extremities when exposed to cold temperatures. Deficiencies in essential B vitamins also can contribute to nerve damage and result in tingling, weakness, and numbness in the toes. Various other health issues can cause tingling toes, including stroke, shingles, atherosclerosis. Seizures, underactive thyroid, and certain side effects from medication are other causes. For these reasons, it is suggested that if you have been experiencing persistent tingling in the toes, please schedule an appointment with a podiatrist for a thorough exam. 

Toe pain can disrupt your daily activities. If you have any concerns, contact Mark Isenberg, DPM of Center for Podiatric Excellence. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please feel free to contact our office located in Pensacola, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Ingrown toenails occur when the nail grows into the skin of the toe, causing irritation, inflammation, and sometimes infection. Home remedies may provide temporary relief from an ingrown toenail, but if pain persists or signs of infection develop, seeking attention from a podiatrist is important. In such cases, prescription medication and surgical intervention may be necessary. Nail avulsion is a minor procedure that involves removing the ingrown portion of the nail, or the entire nail plate, under local anesthesia. Partial nail avulsion allows for regrowth within months, while complete nail avulsion is less common and results in permanent removal. For recurrent cases of ingrown toenails, a matrixectomy may be recommended. This involves removing the nail root to prevent future ingrowth. Various techniques, including chemical, electrosurgical, or surgical methods, are employed based on individual needs. When an infection develops, a podiatrist will prescribe oral antibiotics to clear the bacteria and prevent complications. If you have persistent pain or redness due to an ingrown toenail, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment options.
 

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Mark Isenberg, DPM of Center for Podiatric Excellence. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

• Bacterial infections
• Improper nail cutting such as cutting it too short or not straight across
• Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
• Ill-fitting shoes that bunch the toes too close together
• Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

If you have any questions please feel free to contact our office located in Pensacola, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Deciphering between an ankle sprain and a strain is sometimes difficult, as both injuries share common symptoms but necessitate distinct treatment approaches. An ankle sprain occurs when ligaments, resilient bands of tissue that connect bones, endure excessive stretching or tearing. Strains are the result of damage to the muscles or tendons that surround the ankle joint. Fractures typically induce excruciating pain, rendering weight-bearing nearly impossible, while sprains often permit limited mobility despite discomfort. Furthermore, the site of discomfort varies. Fractures elicit localized pain and potential deformity, while sprains cause more diffuse discomfort. Swelling and unusual sensations such as numbness or tingling are more prevalent in fractures, indicating the urgency of proper diagnosis. Consulting a podiatrist for thorough assessment via imaging techniques like X-rays or bone scans is paramount to formulate tailored treatment strategies promptly. Whether you have an ankle sprain, strain, or fracture, timely intervention is critical to avoid long-term complications. In case of any type of ankle injury, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment options.  

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Mark Isenberg, DPM from Center for Podiatric Excellence. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendinitis
• Achilles tendon rupture
• Stress fractures
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

If you have any questions, please feel free to contact our office located in Pensacola, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.