An estimated 20 million people in the United States suffer from some form of peripheral neuropathy, a condition that affects the normal activity of the nerves that connect the central nervous system — the brain and spinal cord — to the rest of the body.

Peripheral neuropathy can involve various different nerve types, including motor, sensory, and autonomic nerves. It can also be categorized by the size of the nerve fibers involved, large or small.

In the world of podiatry, most cases of peripheral neuropathy are found in the feet and develop from nerve damage caused by diabetes. Diabetic neuropathy can occur in both Type 1 and Type 2 diabetes. In Type 1 diabetes, the body does not produce the insulin necessary to convert glucose into the energy that the body needs. Type 2 diabetes, which is far more common, occurs when the body is unable to use insulin properly. It has been estimated that between 60 to 70 percent of diabetics will deal with some form of neuropathy in their lifetime, compared to only a 25 to 30 percent chance for non-diabetics.

The condition can also manifest itself in the feet as a side effect from certain medications, neurological disorders, arthritis or as a result from a traumatic injury. As of today, more than 100 types of peripheral neuropathy have been identified, each with its own symptoms and prognosis, and are classified according to the type of damage to the nerves have sustained.

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A foot bursitis is named after your bursa, which are fluid-filled cushions that protect your body’s joints. These cushions help you absorb shock, keep your joints moving smoothly, and prevent irritation from where your tendons and ligaments pass over your bones.

Although there is only a small number of bursae that occur naturally in the foot, the body creates more bursae in areas where pressure and friction of great. As we exercise, the ground surface and the shoes we wear play an important role in how much trauma our feet experience. In short, every step you take can cause a small amount of damage to a particular area in the foot which can increase the risk of bursitis.

Foot Bursitis Treatment at Delray Beach Podiatry [Image via]
Foot Bursitis Treatment at Delray Beach Podiatry [Image via]
Unfortunately, your bursa can become inflamed as your ability to absorb shock decreases, which causes the area around your joints to become irritated. In severe cases, the bursa will appear as a bump and is usually red, appearing extremely tender and painful. This swelling can hamper your ability to move your toes, foot, or ankle as the range of motion in the joints is affected.


Common causes of foot bursitis include:

  • Aging
  • A sudden injury
  • Too much repetitive motion of your joints, such as from over-exercising
  • A sudden twisting or rapid joint movement
  • Overuse and repeated movements


Common symptoms associated with foot bursitis include:

  • Pain or ache in the middle part of the underside of your heel
  • An increasing pain or discomfort while participating in weight-bearing activities
  • Pain and swelling under the heel
  • Redness under the heel

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Is a foot or ankle injury keeping you off the tennis court?

Whether you’re are a professional or beginner, your lower extremities are always at an increased risk of injury while playing tennis. Although some of these injures can be minor and treated with simple at-home methods, more often than not a professional should be consulted in order to avoid further damage.

Tennis Injures (
Tennis Injures (

As for preventative treatment, a good pair of shoes — or even custom-made orthotics — will go a long walk in keeping you out of the doctor’s office, as the movement in tennis is often erratic and in all directions: forward, back, and side to side with sudden stops and starts.

Unfortunately, even if all the proper precautions are taken, injuries will always be a part of tennis. Not all injuries were created equal, however, and it’s important to know which of these setbacks can be aided by the help of a podiatrist. In many cases, a good podiatrist is not only your best ally in helping you get healthy return to the tennis, but also helps make sure that you can stay on it longer.

With that in mind, here are several common tennis injuries that a podiatrist can help you with:

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Whether you are suffering varicose veins or edema, Dr. Ian S. Goldbaum of Delray Beach & Boynton Beach Podiatry has all of the right tools and treatments to improve both the cosmetic and internal health of your legs.

Varicose veins are the visible surface manifestations of an underlying problem with reverse venous flow, which is also termed venous insufficiency syndrome. Edema, meanwhile, is categorized as any sort of swelling of the lower extremities caused by injury or inflammation.

Varicose Veins & Spider Veins
Varicose Veins & Spider Veins

Varicose veins can be caused by weak or damaged valves in the veins. These veins have valves that act as one-way flaps to prevent blood from flowing backwards as it moves up your legs and back towards the heart. If theses valves become weak, blood can leak back into the veins and collect there. When backed-up blood makes the veins bigger, they can become varicose.

When identifying this condition, your veins can appear to be blue, red, or flesh-colored. They can also become raised above the surface of the skin and often resemble twisted, bulging cords.

Varicose veins are a very common condition in the United States and affect approximately 30-50 percent of adults. Women are four times more likely than men have varicose veins, and they become more prevalent with age.

If left untreated, varicose veins may lead to serious problems such as Thrombosis or venous stasis ulcers. Additionally, varicose veins may also indicate that you are at higher risk of other disorders of the circulatory system.

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Julio Jones underwent surgery to remove a bunion on his foot on Monday, with the Atlanta Falcons star wide receiver announcing that “surgery was a success” in a photo posted on Instagram.

The injury had been nagging Jones throughout the 2016 season and caused him to miss two games. His game and practice reps were also limited late in the regular season, but the 28-year-old wideout still managed to finish with 1,409 receiving yards, second behind T.Y. Hilton of Indianapolis (1,448).

Julio Jones (Wikimedia Commons / Thomson200)
Julio Jones (Wikimedia Commons / Thomson200)

Jones faces a 4-5 month recovery to fully heal, according to the team.

At Delray Beach Podiatry, Dr. Ian S. Goldbaum, a podiatrist with over 30 years of experience, has performed numerous bunion removal surgeries and can offer further insight into Jones’ situation.

“The only way to fully alleviate the issues caused by a bunion is to remove it,” said Dr. Goldbaum, who has offices in Delray Beach and Boynton Beach, Fla. “For someone like Julio Jones, whose profession requires him to pivot and change direction quickly, a bunion can cause serious pain and discomfort.”

A bunion is a bony bump that forms on the join at the base of your big toe. This condition occurs when your big toes pushes against your next toe, forcing the join of your big toe to get bigger and stick out.

The underlying cause of bunions is a deformity of the joint at the base of the big toe known as he hallux valgus. In this deformity, the join develops a prominent sideways angle, which pushes the bones of the big toe towards the smaller toes.

As a bunion develops, swelling, redness and pain is typically felt at the base of the big toe and in the ball of the foot. Eventually, the area becomes shiny and warm to the touch.

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