A bunion is a foot deformity that develops when the big toe gradually leans toward the smaller toes. As the toe shifts, the joint at its base begins to stick outward, creating a noticeable bump. Bunions do not always cause symptoms, but they can become painful as the foot changes. Discomfort may develop around the big-toe joint, beneath the ball of the foot, or in nearby toes. The joint can also become red, swollen, and harder to move. Bunions may also place pressure on nearby toes and contribute to changes in their position.

Several factors may increase the likelihood of developing bunions. Genetics can play a role because some people may inherit weaker tendons and ligaments that affect foot stability. Flat feet and certain joint diseases may also increase the risk. Tight or pointed shoes are not considered the main cause of bunions, but they can increase pressure on the toes and make symptoms worse. As the deformity progresses, the front of the foot may become wider. Some people eventually experience increasing pain or difficulty walking, while others continue to have only mild symptoms.

A podiatrist can evaluate a bunion and determine how much the position of the big toe has changed. The examination may include observing the foot while standing and walking. A weight-bearing X-ray can provide a clearer view of the deformity and show the position of the bones. Treatment depends on symptoms, the degree of deformity, and other medical conditions. Professional nonsurgical care may help reduce discomfort, but it does not permanently correct the misalignment. When a bunion causes severe pain and other treatment has not helped, surgery may be considered to correct the position of the toe. If a bunion is causing persistent foot pain or difficulty walking, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

If you are suffering from bunions, contact Joseph M. LaCava, DPM of Arkansas. 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?

Podiatrists 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 provider.

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 Hot Springs, AR . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A blood clot in the foot is a mass of thickened blood that forms inside a blood vessel and can interfere with normal circulation. A deep vein thrombosis, or DVT, usually develops in a deeper vein of the leg, but symptoms can extend toward the foot and ankle. Common warning signs include swelling, warmth, and aching. Some clots cause few symptoms, so unexplained changes should never be ignored.

Several factors can raise the risk of a blood clot. Recent surgery, prolonged sitting, and limited movement can slow circulation. Other risks include previous clots, older age, or limited mobility. An injury may also increase risk when swelling and reduced activity affect normal blood flow. Because clot symptoms can resemble other foot or ankle problems, a podiatric evaluation is important when swelling or pain appears suddenly.

A podiatrist will review your symptoms, health history, and recent injuries. The foot and leg may be examined for swelling, tenderness, and temperature changes. If a clot is suspected, the podiatrist may recommend urgent medical evaluation and testing, such as an ultrasound. Your podiatrist can treat and monitor your foot.

Do not massage a painful, swollen area when a blood clot is suspected. Seek prompt medical evaluation rather than waiting for symptoms to improve. If you develop sudden chest pain, difficulty breathing, or severe weakness, seek emergency care immediately because these may indicate a pulmonary embolism. Knowing the warning signs can help you act quickly and confidently. If you have symptoms that may indicate a blood clot in the foot, it is suggested that you are under the care of a podiatrist who can help you to monitor this potentially serious condition. 

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Joseph M. LaCava, DPM from Arkansas. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This 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

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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

Hallux rigidus is a form of arthritis that affects the metatarsophalangeal joint at the base of the big toe. As cartilage wears down, the joint can become stiff, painful, and difficult to move. Common symptoms include big toe pain, swelling around the joint, and reduced flexibility when walking. Symptoms may become more noticeable during activities that require the toe to bend, including walking, running, or climbing stairs. Some people also develop a noticeable bump on top of the joint.

Several factors can increase the risk of developing hallux rigidus. Previous injury to the big toe, repetitive stress, abnormal foot structure, and a family history of joint problems may contribute. Because symptoms can develop gradually, early evaluation is important. A podiatrist can examine foot movement, assess walking mechanics, and use X-rays when necessary. Repetitive forefoot pressure can also increase irritation.

Foot orthotics can help reduce stress on the big toe joint, particularly during the early stages of hallux rigidus. Depending on the individual foot structure, a podiatrist may recommend an orthotic device that supports alignment, limits painful joint motion, or redistributes pressure away from the affected area. Treatment may begin with a thorough examination and gait assessment, followed by footwear recommendations and a properly fitted orthotic. The podiatrist may also suggest activity changes and other conservative treatments. Orthotics do not reverse arthritis, but they may improve comfort and daily movement during everyday activities.

Early treatment can help manage hallux rigidus before stiffness and joint damage become more advanced. A podiatrist can monitor changes over time and adjust treatment. If you have hallux rigidus and want to explore using orthotics, it is suggested that you consult a podiatrist for effective relief and management solutions. 

Custom orthotics can be an important solution for reducing foot pain by targeting its structural causes rather than just the symptoms. When the feet are misaligned, excess strain develops in the muscles, tendons, and ligaments, often resulting in discomfort in the arches, balls of the feet, or toes. Orthotics are designed to match each foot’s natural shape, supporting proper alignment and evenly distributing pressure to ease pain and improve movement.

Foot pain is commonly caused by overuse, wearing improper footwear, or biomechanical issues that place added stress on sensitive areas. By stabilizing the foot and restoring natural motion, custom orthotics help reduce strain, calm inflammation, and promote healing. Many patients experience lasting relief and greater comfort while walking, standing, or exercising.

Created from a detailed assessment using advanced imaging or casting, each pair of orthotics is tailored to your individual needs. If you are experiencing ongoing foot pain, it is suggested that you contact our office for an evaluation and treatment.

If you have any questions, please feel free to contact our office located in Hot Springs, AR .