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Podiatrist - Cromwell
162 West St Ste K
Cromwell, CT 06416

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By Feet First Foot Care Specialists
October 07, 2020
Category: Toe conditions

At Feet First Foot Care Specialists, we know most of our Middlesex County patients can easily identify a hammertoe by the telltale hammer-like appearance of a toe.  Still, they may not be as familiar with the cause or progression of this deformity.

Here are some do’s and don’ts regarding the common condition of hammertoes:

  • Don’t: ignore a toe that seems to be moving into a hammer position. It’s not your imagination, and it’s not going to go away on its own. Hammertoe is a progressive condition that needs treatment to be slowed or corrected. If you believe your toe is changing its shape or position, you should contact our Cromwell office by calling: (860) 632-5499, so our podiatrist, Dr. Adam Mucinskas, can evaluate your condition.
  • Do: be prepared to give the podiatrist a family medical history at your appointment. The foot doctor will want to track down the cause of your hammertoes, which can be a hereditary condition. Other possible causes include a muscle/tendon imbalance, which can lead to mechanical or neurological changes that result in a hammertoe.
  • Don’t: put off seeking treatment for a hammertoe. It may not be painful at first, but as time goes by, it will worsen. In the early stages, you have multiple non-invasive options to help, including:
    • Physical therapy
    • Custom orthotics
    • Splinting or strapping the affected toes
    • Medications to help with pain and inflammation
  • Do: rethink your shoe choices. Shoes that don’t have enough room in the toe box may be contributing to a hammertoe, particularly if you have one toe that is longer than the others. High heels that force your foot forward and flip flops that need your toes to grip the front of the shoe to keep them on are all detrimental to patients with a hammertoe.
  • Do: treat secondary conditions caused by hammertoes. Corns and calluses may form due to friction from footwear. These can be very painful and develop into open sores. Use padding to protect these areas while your podiatrist works on treating the underlying cause of a hammertoe.

If you notice anything out of the ordinary about any of your toes, don’t hesitate to contact us.

By Feet First Foot Care Specialists, LLC
January 29, 2020
Category: Toe conditions
Tags: toe pain   toe deformities  

At Feet First Foot Care Specialists, a condition we often see in our Middlesex county office is deformities of one or more toes. Many patients mistakenly think that there is nothing that can be done about these disorders and unfortunately doesn’t come to our Cromwell office to have them evaluated by our podiatrist, Dr. Adam Mucinskas, until they have become extremely painful and debilitating. At that point, toe deformities are more difficult to treat and correct. Below are three common toe problems and what to do about them. 

Hammertoe

This deformity affects the second, third or fourth toe and is marked by a bend in the middle joint causing it to resemble its namesake hammer appearance. Hammertoes most often occur due to a muscle imbalance or wearing improperly fitting shoes. When diagnosed in the early stage—while the toe is still flexible—the podiatrist can try strapping the toe, exercises to strengthen surrounding muscles and shoe modifications to slow the progression of the deformity. Left untreated, hammertoes can become rigid in the bent position. In that case, only surgery will be able to correct the deformity.

Claw Toe

Patients with claw toe have usually suffered nerve damage from a disease like diabetes or alcoholism. The nerve damage causes the muscles to weaken in the foot and the toes begin to take on a claw-like appearance. The abnormal bend of the toe makes wearing shoes uncomfortable and painful corns may then develop. When detected early, the foot doctor can use splints and tape to hold the toe in its correct position.

Bunions

A bunion is actually a bone deformity where the joint at the base of the big toe becomes enlarged and starts to move out of place, producing the easily identified bulge on the side of the big toe. Not only do many patients consider this condition unsightly, but it also can be extremely painful as the protrusion rubs against footwear, becoming red and tender. Corns may form and walking hurts. Over time, arthritis or bursitis may set in and calluses can form on the bottom of the foot. Fortunately, there are several conservative and surgical treatment options available.

The key with all of these deformities is to contact us as soon as you notice a toe appears to be moving out of place or taking on an abnormal shape. The sooner we can treat a toe deformity, the greater the likelihood that a conservative measure will take care of the problem.

By Feet First Foot Care Specialists, LLC
December 23, 2019
Category: Gout
Tags: gout   toe pain  

Here is a scenario that is not uncommon for us here at Feet First Foot Care Specialists in Middlesex County to see at this time of the year. After a delicious and rich holiday meal of shrimp cocktail followed by roast beef, potatoes in cream sauce and red wine, topped off with a nice glass of brandy, a patient wakes up in the middle of the night with agonizing pain in the big toe joint. This is the calling card of an arthritic condition known as gout. 

What’s Going On?

Gout attacks happen when uric acid builds up in the body and crystallizes in a joint. Uric acid is a byproduct of the breakdown of chemicals called purines which occur naturally in our bodies and in certain foods. In some cases, the body may produce too much uric acid or it may have difficulty eliminating normal amounts from the system. The big toe is the most frequent target of gout because the uric acid crystalizes at cooler temperatures and the toe is the body part that is the coldest, being the farthest from the heart. For some patients the tendency for gout is genetic. There are other risk factors too, however. These include:

  • Obesity
  • High blood pressure
  • Diabetes
  • Stress
  • Chemotherapy and certain medications
  • Surgery

What Can Be Done?

If it’s your first time having gout, you should contact our Cromwell office for an appointment by calling (860) 632-5499. Our podiatrist Dr. Adam Mucinskas will examine your foot and toe and also get a complete medical history. X-rays or lab tests may be conducted to rule out other conditions with similar symptoms. The foot doctor may recommend that you avoid foods high in purines (shellfish, red meat, red wine, organ meats, and brandy). Drinking plenty of water can help flush excess uric acid from your body. Medications are also available to help prevent future attacks.



 








 

 

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162 West St Ste K
Cromwell, CT 06416