October 2021

The Ankle-Brachial Index (ABI) test is a screening measure that a podiatrist can use to determine a patient’s risk of having peripheral artery disease (PAD). As many as 50% of people who have PAD are asymptomatic. This makes screenings very important for detection, diagnosis, and treatment. During an ABI test, the doctor uses a blood pressure cuff or ultrasound to take your blood pressure at the brachial artery in both upper arms and at the anterior and posterior tibial arteries in both lower legs. The doctor then takes the higher of the two brachial blood pressures and the highest of the anterior or posterior tibial artery blood pressures and compares the two numbers to form a ratio. This ratio correlates to one’s risk of having PAD. A ratio of 1.0-1.4 is considered within the normal range, while a ratio below 0.90 is considered abnormal. It is said that the lower the ratio, the more severe the PAD. For more information about vascular testing, please consult with a podiatrist. 

Vascular testing plays an important part in diagnosing disease like peripheral artery disease. If you have symptoms of peripheral artery disease, or diabetes, consult with Deborah Holte, DPM from Northeast Missouri Foot Clinic. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Vascular Testing?

Vascular testing checks for how well blood circulation is in the veins and arteries. This is most often done to determine and treat a patient for peripheral artery disease (PAD), stroke, and aneurysms. Podiatrists utilize vascular testing when a patient has symptoms of PAD or if they believe they might. If a patient has diabetes, a podiatrist may determine a vascular test to be prudent to check for poor blood circulation.

How Is it Conducted?

Most forms of vascular testing are non-invasive. Podiatrists will first conduct a visual inspection for any wounds, discoloration, and any abnormal signs prior to a vascular test.

 The most common tests include:

• Ankle-Brachial Index (ABI) examination
• Doppler examination
• Pedal pulses

These tests are safe, painless, and easy to do. Once finished, the podiatrist can then provide a diagnosis and the best course for treatment.

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

Tendonitis is a common cause of foot and ankle pain. It occurs when there is inflammation or irritation to the tendons that run along the feet and ankles, helping them move properly. When these tendons are injured through a sudden impact, repetitive overuse, or from biomechanical or medical conditions, the result is tendonitis, which can cause foot pain, swelling, stiffness, and changes in the shape of the feet. There are several different types of tendonitis, including Achilles tendonitis, peroneal tendonitis, posterior tibial tendonitis, extensor tendonitis, and anterior tibial tendonitis. If you are suffering from foot or ankle pain, it is strongly suggested that you seek the care of a podiatrist. 

Foot and ankle trauma is common among athletes and the elderly. If you have concerns that you may have experienced trauma to the foot and ankle, consult with Deborah Holte, DPM from Northeast Missouri Foot Clinic. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Foot and ankle trauma cover a range of injuries all over the foot; common injuries include:

• Broken bones
• Muscle strains
• Injuries to the tendons and ligaments
• Stress fractures

Symptoms

Symptoms of foot and ankle injuries vary depending on the injury, but more common ones include:

• Bruising
• Inflammation/ Swelling
• Pain

Diagnosis

To properly diagnose the exact type of injury, podiatrists will conduct a number of different tests. Some of these include sensation and visual tests, X-rays, and MRIs. Medical and family histories will also be taken into account.

Treatment

Once the injury has been diagnosed, the podiatrist can than offer the best treatment options for you. In less severe cases, rest and keeping pressure off the foot may be all that’s necessary. Orthotics, such as a specially made shoes, or immobilization devices, like splints or casts, may be deemed necessary. Finally, if the injury is severe enough, surgery may be necessary.

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

Growth plates are discs of cartilage that a developing child has at the end of their bones, which allow bone growth until the plate closes. The growth plate located at the heel bone can become overly stressed during growth spurts, or through athletics involving running and jumping—such as soccer, gymnastics, and basketball. These things may cause the Achilles tendon to pull excessively on the heel bone and irritate the growth plate, triggering inflammation and pain. This condition is known as Sever’s disease: named after the doctor who first identified it in 1912. Sever’s disease typically affects girls between the ages of 8-10, and boys between 10-12 years of age. A podiatrist can help ease the pain of Sever’s disease with RICE (resting, icing, compression, and elevation), as well as immobilization, medication, and prescribed supportive devices to reduce stress on the heel. If your child is complaining about heel pain, schedule an appointment with a podiatrist for proper diagnosis and treatment.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact Deborah Holte, DPM of Northeast Missouri Foot Clinic. 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 Kirksville, MO . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A bunionectomy is a surgical procedure that is used to remove a bunion and bring the big toe (and any other affected structures in the foot) back into proper alignment. During the surgery, anesthesia is used to numb your foot. The surgeon then makes one or more incisions near the bunion to remove extra bone or tissue, realign the bones, or straighten the toe. In some cases, the toe joint may be operated on to rebuild or repair it. Bunionectomies are typically outpatient procedures, which means that you will get to go home the same day as your surgery. You may be given a toe spacer, post-surgical shoe, or mobility device to help hold your foot in the right position and keep weight off of it while you heal. It can take several months to fully recover. To learn more about bunion surgery and to find out if it’s the right treatment for you, please speak with a podiatrist. 

If you are suffering from bunions, contact Deborah Holte, DPM of Northeast Missouri Foot Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• Surgery

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