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Cuboid Sling Surgery for Midfoot Stability

Cuboid sling surgery is a procedure used to address ongoing pain and instability along the outside of the foot, often involving the cuboid bone. This small bone plays a key role in foot balance and weight transfer during walking. When the cuboid shifts or becomes unstable due to injury, ligament damage, or chronic strain, patients may experience sharp lateral foot pain that does not improve with conservative care. A cuboid sling procedure is designed to stabilize the bone by supporting it with surrounding soft tissue, helping restore proper alignment and reduce abnormal motion. The goal is to improve function, decrease pain, and allow the foot to move more efficiently. Recovery typically includes a period of protection followed by gradual return to activity. If outer foot pain persists despite treatment, it is suggested that you see a podiatrist to determine whether surgical correction is appropriate.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Dr. Michael T. Hames from Florence Foot Center. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

  • Injury – The most common cause of this ailment is an ankle sprain.
  • Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
  • Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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

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When Foot Structure Matters With Recurring Ingrown Toenails

Ingrown toenails are often blamed on trimming habits or wearing tight shoes, but underlying foot structure can sometimes influence how often the problem returns. In most cases, changes to overall foot alignment are not needed to prevent or manage this condition. Many people develop ingrown nails despite having otherwise typical foot mechanics. There are situations, however, where a flattened arch changes how pressure is distributed across the forefoot. This altered loading can increase stress along the edges of the toenails, especially while walking or standing for long periods of time. Gradually, that added pressure may worsen nail irritation or make healing more difficult after treatment. Addressing footwear, nail care, and pressure relief usually remains the primary focus, but structural factors may be considered in select cases. If ingrown toenails are persistent or painful, it is suggested that you see a podiatrist for a proper diagnosis and appropriate treatment.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Dr. Michael T. Hames of Florence Foot Center. 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

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 Florence, Alabama . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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It's Time for Beautiful Feet

You don't need an excuse to have beautiful nails. Step outside without worrying about the appearance of your feet.

Erythromelalgia and Painful Burning Feet

Erythromelalgia is a rare condition that affects blood flow and nerve function, often causing intense burning pain in the feet. Symptoms may include redness, warmth, swelling, and severe discomfort that worsens with heat, walking, or standing. Many people notice flare-ups at night or after activity, making sleep and daily movement difficult. The condition may occur on its own or be associated with nerve disorders, autoimmune disease, or blood-related conditions. Because symptoms can fluctuate, management focuses on identifying triggers and reducing flare intensity. Cooling strategies, activity pacing, and careful footwear selection may help, although excessive cold exposure should be avoided. Medications aimed at nerve pain or circulation issues are sometimes used as part of treatment. Early evaluation is important to rule out other causes of burning foot pain and guide care. If persistent burning, redness, or foot pain develops, it is suggested that you see a podiatrist for a proper diagnosis and appropriate treatment.

Some foot conditions may require additional professional care. If you have any concerns, contact Dr. Michael T. Hames of Florence Foot Center. 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 Florence, Alabama . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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When a Small Nerve Causes Big Foot Pain

Morton’s neuroma is a painful condition that affects the nerve between the toes, most often between the third and fourth toes. It is caused by repeated pressure or irritation from tight shoes, high heels, foot structure, or high impact activity that thickens the nerve tissue. Symptoms often include burning, tingling, numbness, and a sensation that feels like standing on a pebble. The foot may look normal from the outside, though mild swelling or tenderness can appear between the toes. The pain may worsen with walking and improve when shoes are removed. A podiatrist can help by starting with a careful exam and imaging when needed to confirm the diagnosis. Treatment may begin with shoe changes and custom orthotics, then progress to targeted exercises, anti-inflammatory care, or injections to calm the nerve. In persistent cases, surgery may be discussed. If you suspect you might have a Morton’s neuroma, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment plan.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Dr. Michael T. Hames of Florence Foot Center. 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 Florence, Alabama . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Morton's Neuroma

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