A hammertoe is a toe that bends downward at the middle joint instead of lying flat. This change in position most often affects the second toe, although it can develop in other toes as well. At first, the toe may still move freely, but it can become more rigid as the condition progresses. The abnormal bend can create pressure inside a shoe and cause pain while walking. Corns and calluses sometimes develop where the toe rubs against the shoe. A podiatrist can evaluate the shape of the toe, identify the cause of the deformity, and recommend treatment that improves comfort and function.

Several factors can contribute to a hammertoe. Muscle and tendon imbalance is one of the leading causes because it changes how the toe moves. Tendons are strong bands of tissue that connect muscles to bones and help control movement. Arthritis, previous injuries, and shoes that lack proper support can also increase the risk. Shoes that fit too tightly around the toes can place added pressure on the joints and make the deformity worse. A podiatrist performs a physical examination and checks how well the toe moves. X-rays help evaluate the position of the bones and determine how advanced the deformity has become.

Treatment depends on the severity of the hammertoe and how much it affects daily activities. A podiatrist can recommend custom orthotics to improve foot alignment and reduce pressure on the affected toe. Other treatment options include padding and splints to improve flexibility and support better movement. Prescription medications can also help reduce pain and inflammation. When the toe becomes stiff or other treatments do not provide enough relief, surgery can straighten the toe and improve function. Early treatment helps prevent the deformity from becoming more severe and supports healthier movement. If you have symptoms of hammertoe, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Richard M. Allen, DPM from Idaho. 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.

Symptoms

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

Causes

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

Treatment

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 feel free to contact our office located in Lewiston, ID . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Falls in older people are a major health concern that can lead to serious injury, reduced independence, and decreased quality of life.  Many falls are linked to reduced ankle strength, poor balance, and changes in foot structure that occur with aging. The ankles can be strengthened by practicing specific foot stretches, making the overall foot stronger. The feet and ankles play a critical role in stability, as they provide the base of support for movement and posture. When strength and coordination decline, the risk of falling increases, especially during walking or changes in direction.

Common symptoms associated with fall risk include unsteady walking, weakness in the lower legs, and difficulty maintaining balance when standing still. Some individuals may notice slower reaction time or a tendency to shuffle while walking. Ankle pain from falling may also develop, leading to further instability and hesitation during movement. These symptoms often create a cycle where reduced confidence leads to less activity, which then weakens muscles and increases fall risk over time. Early recognition of these signs is important for prevention.

Risk factors for falls in older adults include decreased muscle strength, joint stiffness, and poor flexibility. Conditions such as arthritis, neuropathy, and vision changes can affect coordination and awareness of surroundings. Wearing improper footwear and uneven surfaces further increase the likelihood of losing balance. Weak ankles and limited range of motion reduce the ability to adjust quickly during movement. These factors combined make it more difficult to maintain stability, especially in challenging environments or during sudden movements.

Improving ankle strength and balance can significantly reduce fall risk. Simple exercises such as ankle circles, heel raises, and gentle stretches help improve flexibility and stability. Balance training, including standing on one foot or practicing controlled movements, enhances coordination and confidence. Wearing supportive footwear and having a safe home environment also play an important role in prevention. If you have injured your ankle from falling, or if balance concerns are present, it is suggested that you consult a podiatrist who can provide effective relief solutions. 

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Richard M. Allen, DPM from Idaho. our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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

Foot stress fractures are small cracks in the bones of the foot that develop from repetitive force or overuse, rather than a single traumatic injury. These injuries are common in athletes, runners, and others who suddenly increase their physical activity. In podiatry, stress fractures are considered overuse injuries that most often affect the metatarsal bones, although they can also occur in the heel, navicular bone, or other areas of the foot. Because these fractures develop gradually, they are sometimes mistaken for simple muscle strain or foot fatigue in the early stages.

Symptoms of a foot stress fracture typically begin with mild pain that worsens during activity and improves with rest. The pain may become more persistent and localized to a specific area of the foot. Swelling, tenderness, and sensitivity to pressure are also common signs. Some individuals notice pain when walking or standing for long periods, even without intense physical activity. In more advanced cases, the discomfort may become severe enough to limit daily movement and athletic participation. Early recognition of these symptoms is important to prevent the injury from worsening.

Risk factors for foot stress fractures include high-impact activities like running, basketball, and dance. Sudden increases in training intensity, frequency, or duration can place excessive stress on the bones of the foot. Footwear that lacks support or adequate cushioning also increases risk. Additional factors include low bone density, poor nutrition, and vitamin D deficiency. Biomechanical issues, such as flat feet or high arches, are other factors. People who have had previous stress fractures are also at higher risk of recurrence.

The primary causes of foot stress fractures involve repetitive mechanical loading on the bones without adequate recovery time. This repetitive stress leads to tiny cracks that gradually worsen if activity continues without rest or treatment. Poor training techniques, hard training surfaces, and improper biomechanics can all contribute to excessive bone stress. Without proper care, a stress fracture may progress and lead to a complete fracture. This may require longer recovery time and more restrictive treatment. If you have developed a foot stress fracture, it is suggested that you consult a podiatrist for an accurate diagnosis and effective relief and treatment solutions.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact Richard M. Allen, DPM from Idaho. our doctor can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

• Gender – They are more commonly found in women compared to men.
• Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
• Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
• Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
• Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

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

Corns and calluses are areas of thickened skin that form when the foot experiences repeated pressure or friction. This is the body’s way of protecting the skin, but the buildup can become painful. Corns are usually smaller and often develop on or between the toes, while calluses tend to be broader and commonly appear on the bottom of the foot. Wearing poorly fitting shoes, foot deformities, walking mechanics, and repeated stress from daily activity can all contribute. Although these areas may seem minor, ongoing pressure can lead to discomfort, skin breakdown, and difficulty walking, especially in people with diabetes or circulation concerns. Treatment focuses on reducing the source of pressure, improving foot support, and safely managing thickened skin. Simply trimming the skin at home does not address the underlying cause. If painful thickened skin continues to return, it is suggested that you visit a podiatrist for proper evaluation and appropriate treatment.

Corns can make walking very painful and should be treated immediately. If you have questions regarding your feet and ankles, contact Richard M. Allen, DPM of Idaho. our doctor will treat your foot and ankle needs.

Corns: What Are They? And How Do You Get Rid of Them?
Corns are thickened areas on the skin that can become painful. They are caused by excessive pressure and friction on the skin. Corns press into the deeper layers of the skin and are usually round in shape.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as:

• Wearing properly fitting shoes that have been measured by a professional
• Wearing shoes that are not sharply pointed or have high heels
• Wearing only shoes that offer support

Treating Corns

Although most corns slowly disappear when the friction or pressure stops, this isn’t always the case. Consult with your podiatrist to determine the best treatment option for your case of corns.

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