Bunions and buninettes develop when the bones in the toe area gradually shift out of alignment. A bunion, also called hallux valgus, forms when the big toe moves toward the smaller toes as the joint at the base of the big toe becomes enlarged and prominent. A buninette, also known as a tailor’s bunion, develops on the outside of the foot near the base of the little toe. Both conditions can change foot structure and may become painful without proper care.

Symptoms of bunions and buninettes often include a visible bump, swelling, redness, and tenderness around the affected joint. People may experience discomfort while walking or wearing shoes, especially narrow footwear that places pressure on the affected area. Other symptoms can include stiffness, difficulty moving the toe, and irritation caused by friction against shoes. In advanced cases, these deformities may contribute to changes in walking patterns and increased stress on other areas of the foot.

Several risk factors can contribute to the development of bunions and buninettes. Genetics often play a role because inherited foot structure, such as flat feet or abnormal joint alignment, can increase the likelihood of developing these conditions. Wearing tight, narrow, or poorly fitting shoes may place additional pressure on the toes and worsen symptoms. Other risk factors include arthritis, muscle imbalance, and activities that place repeated stress on the feet.

The causes of bunions and buninettes are often related to gradual changes in foot mechanics and alignment. Abnormal movement while walking can place uneven pressure on the toe joints, leading to progressive changes over time. Early evaluation and proper treatment can help reduce discomfort and support better foot function. Wearing supportive footwear, activity adjustments, and custom orthotics may help manage symptoms and improve comfort. If you have developed a bunion or bunionette, it is suggested that you consult a podiatrist for effective relief and management solutions.

If you are suffering from bunions, contact George Tellam, DPM of Ankle & Foot Associates. 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 offices located in Orange Park and Jacksonville Beach, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ballet dancing places unique demands on the feet, requiring controlled movements, pointed positions, and repeated impact. Foot injuries in ballet often occur because dancers put significant pressure on their toes, arches, and ankles during training and performances. The definition of ballet-related foot injuries includes any damage or irritation affecting the bones, joints, or soft tissues of the foot caused by dance activity. Individual foot structure can influence how a dancer responds to these demands.

Common symptoms include soreness, swelling, and pain during or after practice. Dancers may experience problems such as ingrown toenails, tendon inflammation, and stress injuries. The way the toes are positioned during ballet can place pressure on the nails, causing them to grow into the surrounding skin. Toe length also affects how weight is distributed when shaping the foot and performing movements. Some dancers may experience discomfort because their foot shape does not match the demands of specific techniques or footwear.

Risk factors include repetitive training, inadequate rest, and improper shoe fit. The natural structure of the foot, including toe length and heel shape, can influence injury development. A heel that does not fit securely may allow the foot to slide inside the shoe, increasing friction and pressure. Dancers with certain foot shapes may need specialized support to maintain proper alignment. Weak foot muscles, limited flexibility, and sudden increases in training intensity can also contribute to injuries.

Protecting ballet feet involves choosing properly fitted shoes, strengthening the muscles of the feet, and addressing pain early. Dancers should avoid ignoring symptoms, as minor problems can become more serious over time. A podiatrist can evaluate foot structure, identify injury risks, and recommend appropriate treatment options. If you have developed foot injuries from ballet, it is suggested that you seek care from a podiatrist for an accurate diagnosis and appropriate treatment.

If you have any concerns about your feet, contact George Tellam, DPM from Ankle & Foot Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

If you have any questions please feel free to contact our offices located in Orange Park and Jacksonville Beach, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Swollen feet, also known as peripheral edema, occur when excess fluid builds up in the tissues of the lower extremities. This condition can affect one or both feet, and may develop gradually or suddenly. Common causes include prolonged sitting or standing, excess salt intake, and wearing shoes that are too small. Consuming too much liquid in a short period of time may also contribute to fluid retention in some individuals. While swelling is often temporary, it can signal an underlying issue when it persists.

Symptoms of swollen feet include visible puffiness, tight skin, and a feeling of heaviness in the lower legs. Individuals may notice difficulty fitting into shoes or indentations in the skin after pressure is applied. Discomfort, stiffness, and mild pain may also occur, especially after long periods of inactivity or standing. In some cases, swelling may worsen by the end of the day and improve with rest or elevation.

Risk factors for swollen feet include sedentary behavior, high sodium intake, and poor circulation. Individuals who sit or stand for extended periods of time may experience reduced blood flow, leading to fluid accumulation. Wearing restrictive footwear can limit circulation and increase pressure on the feet. Certain lifestyle habits and dietary patterns may further contribute to swelling, particularly when combined with limited physical activity.

Managing swollen feet involves simple but effective lifestyle changes. Elevating the feet, reducing salt intake, and choosing properly-fitted shoes can help improve circulation and reduce fluid buildup. Regular movement throughout the day also supports healthy blood flow. Recognizing the cause of swelling is important for proper care and prevention. If you have swollen feet or ankles, it is suggested that you consult a podiatrist who can determine what the cause is and offer effective relief and prevention tips.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact George Tellam, DPM of Ankle & Foot Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

If you have any questions please contact our offices located in Orange Park and Jacksonville Beach, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A broken ankle is a serious injury that can affect the bones that form the ankle joint and make standing or walking extremely difficult. It often occurs after a fall, a sports injury, or a motor vehicle accident, although the severity can vary from one person to another. Some fractures involve a small crack in the bone, while others may cause the bones to shift out of their normal position. A broken ankle may also damage nearby ligaments and other soft tissues, making the injury more complex. Because ankle fractures can affect joint stability and long-term mobility, prompt evaluation and treatment are important. Early diagnosis may also help reduce the risk of complications and support proper healing.

Symptoms of a broken ankle usually develop immediately after the injury. Many people experience severe pain, swelling, or bruising around the ankle. Others find it difficult or impossible to put weight on the affected foot. The ankle may appear misshapen if the bones have moved out of alignment. Some individuals also notice tenderness or reduced range of motion because of pain and swelling. Since a severe sprain and a broken ankle can produce similar symptoms, a professional examination and imaging studies are often needed to confirm the diagnosis. Receiving timely care can help protect the joint and improve recovery.

A podiatrist is trained to diagnose and treat broken ankles and other foot and ankle injuries. During an evaluation, the podiatrist examines the ankle, reviews the injury, and determines the most appropriate treatment plan based on the type of fracture. Treatment focuses on restoring proper alignment, protecting the injured area, and supporting normal healing. Ongoing care also helps monitor recovery and improve ankle function as healing progresses. If you are experiencing severe ankle pain, swelling, or difficulty bearing weight after an injury, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Broken ankles need immediate treatment. If you are seeking treatment, contact George Tellam, DPM from Ankle & Foot Associates. Our doctor can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

• Excessive pain when the area is touched or when any pressure is placed on the ankle
• Swelling around the area
• Bruising of the area
• Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

If you have any questions, please feel free to contact our offices located in Orange Park and Jacksonville Beach, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.