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November 2022

Tuesday, 29 November 2022 00:00

Dealing With Overpronation of the Feet

The term pronation has to do with the turning inward or outward of the foot when walking and running. When the foot overpronates, it rolls excessively inward, which can negatively affect the gait. Overpronation can affect the way you stand, run, and distribute your weight while active. Overpronation, which is often termed flat foot, also can lead to posture or walking problems and may even result in back pain. A podiatrist can determine the extent of overpronation by examining the wear pattern on the bottom of your shoes, as well as studying the foot from front to back. An imaging test, such as an X-ray, ultrasound, CT scan, or MRI may be performed to determine the extent of the imbalance. Many people with overpronation difficulties rely on foot orthotics to correct the inherent problems. A podiatrist can create a custom orthotic for you that helps to relieve the pain and discomfort caused by overpronation. In addition, several muscle-strengthening exercises can be prescribed to increase arch support. Please contact a podiatrist today for further guidance.

If you have any concerns about your feet, contact Deborah Holte, DPM from Northeast Missouri Foot Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

  • Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
  • In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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 and ankle needs.

Read more about Biomechanics in Podiatry
Tuesday, 22 November 2022 00:00

Toe Pain and Biking

Toe pain can be an annoyance for a variety of different individuals. Different kinds of activities can increase one’s susceptibility to toe pain or exacerbate existing toe pain. Cycling/biking is one such activity. If you are a cyclist that feels pain in their toes after cycling, then it is possible that your cycling shoes are simply too tight. Often, cycling shoes are more restrictive. Since one’s feet can expand in size during a session of cycling, this can make the feet feel as if they do not fit in the shoes. Toe pain might result from this. As a general rule, the toes should have sufficient space in one’s cycling shoes to move freely. This can potentially reduce the extent to which one might experience toe pain. If you are a cyclist, contact a podiatrist today for more information.

Toe pain can disrupt your daily activities. If you have any concerns, 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 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


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.


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 Kirksville, MO . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Tuesday, 15 November 2022 00:00

What Is Tennis Toe?

Tennis can be fun, but as with most sports, injuries can happen. The most common injury to the lower extremities from tennis is tennis toe. Tennis toe is considered the most painful injury one can experience from this sport. It is often also referred to as runner’s toe. Tennis toe is caused by pressure on the toe which causes blood to collect in the nail of the toe. It happens when a player is continuously moving around, jumping, or stopping. It can also develop from wearing shoes that do not fit well and cause the toe to rub against the shoe resulting in pain. If you play tennis and feel pain in your toes that persists or if your nail has turned purple or blue, contact a podiatrist who can offer you proper treatment.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, 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.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

  • Plantar Fasciitis
  • Plantar Fasciosis
  • Achilles Tendinitis
  • Achilles Tendon Rupture
  • Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

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 and ankle needs.

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Tuesday, 08 November 2022 00:00

How Hammertoe Occurs

Many people do not think twice about their toes until a foot condition develops. Hammertoe is one such condition that is considered to be a deformity. An imbalance of the toes can cause the second and third toes to bend downward at the middle joint, resembling the shape of a hammer. The toes contribute to maintaining balance and pushing off while walking. Hammertoe may develop from wearing shoes that do not have adequate room for the toes to move freely. When high heels are frequently worn, the toes may gradually bend to fit into the narrow toe box, causing a hammertoe. Additionally, blisters may form on the affected toes due to friction as they rub against the top of the shoes. Existing medical conditions like arthritis, bunions, and high or low arches may lead to the development of hammertoe. Relief may be found when the shoes have ample room for the toes. It can also be beneficial to wear a protective pad over the affected toes. Surgery may be suggested in severe cases to obtain permanent straightening. Please consult a podiatrist who can determine the best course of treatment.


Hammertoes can be a painful condition to live with. For more information, contact Deborah Holte, DPM from Northeast Missouri Foot Clinic. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.


  • Pain in the affected toes
  • Development of corns or calluses due to friction
  • Inflammation
  • Redness
  • Contracture of the toes


Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe


Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

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

Read more about Hammertoe

If you are suffering from tenderness, pain, or stiffness in the joints of your feet or ankles, call us to schedule an appointment.

Tuesday, 01 November 2022 00:00

Morton’s Neuroma Is Treatable

Morton’s neuroma is the thickening of the tissue that surrounds the digital nerve leading to the ball of the foot between the 3rd and 4th toes. Wearing high heels, flip-flops, or any shoes that are ill-fitting can increase the pressure on the toes and ball of the foot and make the condition worse. Activities that over-pronate the foot, such as walking barefoot in sand, or high-impact activities, such as jogging, are likely to increase pain with Morton’s neuroma. Walking can exacerbate the discomfort of the ailment but if the foot is protected and relieved from pressure, it can be continued. Shoes that provide a heel that is higher than the toes can reduce suffering. Beyond changing footwear, decreasing activity, massage, stretching, and using metatarsal insoles can help with this condition. If left untreated, Morton’s neuroma can lead to nerve damage. If you are experiencing foot pain and think you might be suffering from this condition, see a podiatrist who can help with a proper diagnosis and treatment options. 

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Deborah Holte, DPM of Northeast Missouri Foot Clinic. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

  • Ill-fitting high heels or shoes that add pressure to the toe or foot
  • Jogging, running or any sport that involves constant impact to the foot
  • Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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.

Read more about Morton's Neuroma
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