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Posts for category: Foot Care

By Peter Y. Siroka, DPM
December 24, 2020
Category: Foot Care
Tags: Bunions  

Bunions are bony protrusions along the side of the foot near the base of the big toe. They can develop when the metatarsophalangeal joint that connects the large toe to the rest of the foot becomes dislocated. Bunions will not heal on their own, but different treatment options are available. Plus, there are steps you can take to prevent them in the first place. Dr. Peter Siroka, the experienced podiatrist at our office in Stamford, CT, can help with bunions treatment and prevention.

Causes of Bunions

The primary cause of bunions is a dislocated toe joint. When the metatarsophalangeal joint slips out of place, the big toe slants toward the smaller ones. This slanted position can cause the dislocated joint to push up against the side of the foot and protrude outward, resulting in the formation of a bony bump which is known as a bunion. In addition to the discomfort of a dislocated big toe joint, the friction produced when the interior of the shoes rub against the bunions can also lead to pain and discomfort.

Many factors can contribute to a dislocated metatarsophalangeal toe joint. A toe or foot injury is one possible cause. Other causes include foot deformities or certain medical conditions, such as arthritis. Additionally, wearing shoes with high heels or that are extremely narrow or too tight on a regular basis can also cause the metatarsophalangeal joint to become dislocated. Bunions can develop when any of these factors lead to dislocation of the metatarsophalangeal joint.

Preventing Bunions

It is possible to prevent bunions by avoiding some of the factors that can contribute to a dislocated toe joint. For example, wearing shoes that have enough room for the toes so they are not cramped together can minimize the possibility of developing bunions. Further, wearing shoes with a low heel is also helpful.

Another way to prevent bunions from forming is by wearing custom orthotics inside your shoes. Orthotics provide cushioning, stability, and support. Additionally, custom orthotics correct foot alignment problems that could be putting excess strain on the metatarsophalangeal joint. Wearing orthotics can help reduce friction, inflammation, instability, pain, and discomfort.

Treatments for Bunions

Several methods are available for treating bunions. It is best to seek professional treatment if you do develop bunions since they will not go away on their own. Some options available at our office in Stamford for treating bunions include:

  • Special exercises to increase joint mobility
  • Custom orthotics to stabilize the toe joint
  • Protective padding in the shoes to reduce friction
  • The use of a night splint to realign the toe joint
  • Removal of foot corns and calluses
  • Surgical intervention

There are two main methods for performing bunion surgery. One approach is referred to as a head procedure. It involves strategically cutting the bone just behind the toe joint so that the joint can be repositioned. A pin or screw is used to hold everything in place so the joint does not become dislocated again. The other method is called a base procedure. This approach is a bit more involved and treats the bone near or behind the joint of the big toe. Different methods can be used in based procedures to return the bone and joint back to the proper position.

We can help you prevent bunions with individualized recommendations, such as specific exercises for improving joint mobility or custom orthotics to reduce friction and correct faulty foot alignment. Schedule an appointment with Dr. Peter Siroka for help preventing or treating bunions by calling our office in Stamford, CT, at (203) 614-8185.

By Peter Y. Siroka, DPM
November 05, 2020
Category: Foot Care
Tags: orthotics   Custom Orthotics  

Do you suffer from foot, ankle, leg or back pain? Custom orthotics provided by your Stamford, CT, podiatrist, Dr. Peter Siroka, may offer the solution to your problem.

What are orthotics?

Your feet must be perfectly aligned and balanced to properly support the weight of your body. Even minor issues can affect foot balance, alignment and stability and lead to foot, leg or back pain. Your arches might be too high or too low, your feet may turn in or out when you walk, or you may have a foot injury or deformity. Your orthotics are custom-designed for your feet and your specific foot condition.

Orthotics don't just offer arch support, although that's certainly an important function. The prescription shoe inserts also keep your feet properly aligned, prevent excessive foot motion and absorb shock. Thanks to the cushioning effect they offer, orthotics can reduce the risk of sores and blisters if you have diabetes or help you avoid common running injuries like shin splints, runner's knee and tendonitis.

What types of orthotics are available?

During your visit to the Stamford podiatry office, your foot doctor may recommend one of these orthotic types:

  • Rigid Orthotics: These full-length inserts are made of rigid plastic or carbon. They can be helpful if you have leg pain, flat feet, back pain, different leg legs, an abnormal gait, or if you overpronate (turn your feet in when you walk.)
  • Semi-Rigid Orthotics: Semi-rigid orthotics also extend from your heels to your toes, but consist of a layer of softer materials over a rigid core. The orthotics provide a little cushioning and also help control balance and foot movement. They may be recommended if your child's toes turn in or out, or you have foot pain. Semi-rigid orthotics are a good choice for athletes too.
  • Soft Orthotics: Made of softer, more flexible materials than the other full-length orthotics, soft orthotics absorb shock, reduce pressure on the feet and offer ample cushioning. Soft orthotics may be a good option for you if you have diabetes, arthritis, bunions or hammertoes.
  • Heel Cups: Heel cups fit in the heel area of your shoes and offer extra cushioning that can reduce the pain of Achilles tendonitis, thinning fats pads under the heels, plantar fasciitis or heel spurs.

Orthotics offer a simple solution to pain and discomfort. Call your podiatrist in Stamford, CT, Dr. Siroka, at (203) 614-8185 to schedule your appointment.

By Peter Y. Siroka, DPM
August 19, 2020
Category: Foot Care
Tags: Bunions  

While many people think that bunions are just pesky bumps on the side-bottom portion of their big toe, they can be really serious since they change the affected toe’s anatomy, and in turn, the whole foot. Bunions develop over time, and what starts out as a big toe pointing directly towards the adjacent toe will gradually end up permanently altering the alignment affected foot’s bones.

This is why prompt diagnosis and treatment from your foot doctor, Dr. Peter Siroka of Peter Y. Siroka, DPM in Stamford, CT and serving Fairfield County, is critical to prevent your bunion’s progression.

Why You Have a Bunion

Bunions could be genetic or caused by constant and prolonged wearing of ill-fitting and unsupportive footwear. They likewise worsen when wearing footwear that is too small, fit improperly, and too tight. In some cases, arthritis and other inflammatory diseases could also result in bunions.

How a Bunion Feels Like

Most individuals don’t feel bunion symptoms during the early stages of its development. As the bunion grows, however, they may feel these telltale symptoms:

  • Physical pain or discomfort in the affected toe
  • Swelling, redness, and/or a burning sensation in the area
  • Walking difficulties
  • Possible numbness in the affected toe

Non-Surgical and Conservative Bunion Treatment Options

  • Wear properly-fitted footwear with sufficient toe space.
  • Have your footwear stretched professionally to provide room for the toes.
  • Cushion the bunion with pads to minimize pain.
  • Avoid things that lead to pain, including standing too long.
  • Wear customized orthotic devices as recommended by your foot doctor in Stamford, CT.

Surgical Bunion Treatment

Your podiatrist might recommend surgical intervention if after trying all the recommended non-surgical methods, you still feel pain and are having issues with walking. The specific type of bunion surgery you’ll need to undergo will be based on your age, the extent of deformity, your activity level, and overall health.

Bunion surgery is used for correcting the big toe’s anatomical position. It entails putting back the bones, nerves, tendons, and ligaments in their proper positions, and the removal of the bunion. It’s usually an outpatient procedure, and the recovery time would vary based on the procedures performed on the bunion.

Ready to Get Much-Needed Relief From Your Bunion? We Can Help

Arrange an evaluation with your foot doctor here at Peter Y. Siroka, DPM in Stamford, CT and serving Fairfield County, Dr. Peter Siroka, by dialing (203) 614-8185.

By Peter Y. Siroka, DPM
August 09, 2018
Category: Foot Care
Tags: Heel Pain   arch pain  

About 77 percent of Americans say that they have had trouble with foot pain according to the American Podiatric Medical Association. heel painPlantar fasciitis is the primary cause of heel and foot pain in podiatry patients. It inspires about one million visits to the doctor each year according to a study published in the Journal of the American Osteopathic Association. These are some of the signs that you may have plantar fasciitis, and information on how it can be remedied by Dr. Peter Siroka, a podiatrist serving foot patients in Stamford, CT.

About Plantar Fasciitis 
Plantar fasciitis is a foot condition that causes pain and inflammation underneath the foot. A band of tissue called the plantar fascia reaches from the front of the foot to the heel, keeping your foot properly arched and supported. When it is stretched and irritated from wearing shoes that don’t fit properly or overpronation (rolling the foot inward too much) it causes heel and arch pain. This condition is also called heel spur syndrome because plantar fascia damage could cause painful bone growths to form on the heel.

Signs You Have Plantar Fasciitis
Know the signs of plantar fasciitis (heel spur syndrome) so that you can save your feet from debilitating pain and avoid the need for invasive surgery in the future. These are some of the potential signs to discuss with your Stamford foot doctor: 

- Sharp pain at the heel that causes you to avoid stepping or standing on it.
- Limping while walking.
- Flattening of the foot.
- Redness or bruising at the heel.
- Feeling a small growth of hard tissue on the heel bone (heel spur).

Repairing the Plantar Fascia Ligament
To successfully treat plantar fasciitis, the ligament needs healing, rest, and therapy. Treatments are usually conservative and non-invasive, including icing the foot, wearing custom orthotic inserts, and participating in regular physical therapy visits. Anti-inflammatory medication helps with the discomfort you feel when you walk. An advanced treatment called Extracorporeal Shock Wave Therapy (ESWT) can stimulate healing by delivering waves of energy to the plantar fascia.

Treating Heel and Arch Pain
If you think that your foot pain may be related to plantar fasciitis, Dr. Siroka can help remedy this condition using effective, conservative foot treatments. Call (203) 614-8185 today to schedule a visit to his office in Stamford, CT.

By Peter Y. Siroka, DPM
July 02, 2018
Category: Foot Care
Tags: Bunions  

How your podiatrist in Stamford can help with bunion painbunions

If you are suffering from bunion pain, you’re not alone. Bunions are a common foot problem, especially for women. A bunion appears as a hard, bony lump right next to your big toe. Bunions are caused by wearing shoes that cramp your toes, causing your big toe to bend. Your toe joint rubs against the inside of your shoe, and the friction causes a bunion. High heels add to the problem by pushing your foot forward. Bunions can also be caused by overpronation or rolling your feet when you walk.

Fortunately, there are ways to get relief from bunion pain. Dr. Peter Siroka in Stamford, CT, wants to share how to eliminate bunions and bunion pain.

At home, you can try a few simple remedies which can help including:

  • Taping your toe to support and cushion the bunion
  • Wearing cushions, wedges, or pads in your shoes to reduce friction

If home remedies don’t provide relief, and your bunion is large and painful, you need the services of an expert. Your podiatrist will take x-rays to determine the level of bone involvement and the best treatment option for you. Dr. Siroka may suggest:

  • Custom-fit night splints or orthotics to help realign your toe
  • Cortisone injections around the toe joint to reduce swelling and pain
  • Physical therapy and stretching to increase mobility and flexibility

If your bunion has a large amount of bone involvement, surgery may be indicated. There are two basic types of bunion surgery:

  • Head procedures to realign the big toe joint and fix it in place with screws or pins
  • Base procedures to realign the bone behind or close to the big toe joint

For more detailed information and facts about bunion surgery, please visit the Bunion Surgery section on the website at

Don’t be sidelined by painful bunions. You can get relief by just picking up the phone and calling your podiatrist, Dr. Siroka in Stamford, CT. Call today and get relief from your bunion pain!