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Tue, 08 Jun 2021

5 Common Foot Problems

Miller Orthopedic Specialists is a foot and ankle center in Omaha, NE and Council Bluffs, IA.

Your foot is made up of 26 bones, which connect tendons, ligaments, and muscles that experience significant pressure and stress every single day. It’s important to make sure they remain healthy and be aware of symptoms that may cause common foot pains.


bunion is a bony bump on the joint at the base of your big toe. They develop slowly when your big toe pushes against your second toe, ultimately leading to the joint getting larger and protruding from your foot. Some of the symptoms may include pain, soreness, numbness, burning, swelling, and redness.

There are several options for bunion treatment. Some patients find pain relief with treatments that reduces pressure on the big toe, such as padding, splinting, medication, wearing wider shoes, or using pads in shoes. If these measures do not help, your podiatrist may recommend surgical correction.

Corns and Calluses

Corns and calluses are painful hard areas found on your feet. They happen from wearing poorly fitted shoes that cause friction and pressure. A callus is an area typically found on the bottom of your foot that thickens after friction. A corn is a type of callus that is found on top of and between the toes.

Some common symptoms of corns and calluses include bumps or patches on the skin, tenderness, burning, and pain with touch and pressure. You should not try to cut corns or calluses at home to avoid a potential infection. Most corns and calluses will go away when the friction or pressure that is causing them stops, along with doing some home treatments.

Plantar Fasciitis

Plantar Fasciitis is caused by an inflammation in the band of tissue known as the plantar fascia. This tissue is found in the area that connects your heel bone to your toes. The pain is usually found near the heel, but it can actually be felt anywhere along the plantar fascia ligament.

There are many reasons why one might develop plantar fasciitis. Some of these factors include being overweight, being on your feet for extended periods, wearing shoes with inadequate support, and high-impact sporting activities. Also, flat feet or high arches, excessive pronation (when the foot rolls severely inward when walking), or wearing high heels regularly can be aggravating factors.

Stretching is the single most important thing to do to eliminate and prevent pain. Over-the-counter anti-inflammatory medications such as ibuprofen and the use of ice and massage can be used to reduce inflammation and pain.  If pain continues, it is important to see a podiatrist for a more comprehensive treatment plan.

Bone Spurs

A bone spur is an abnormal bone growth that can develop in any bone, but most frequently they occur in high-impact areas such as your feet. Bone spurs develop over long periods of time, usually near joints. Heel spurs are found at the back of the heel or under the heel, beneath the arch of the foot, and described as a bony, pointed growth. While there are many causes, they often do occur from plantar fasciitis.

Heels spurs may cause the most pain early in the morning after rest. It can appear as a sharp pain on the bottom of your foot, but may also be a mild and dull pain throughout the day. If it’s from plantar fasciitis, there may be symptoms of inflammation and tenderness on the bottom of the foot too. Keep in mind that not all heel spurs cause any pain or discomfort.

If you have heel spurs, talk with your doctor about treatment and you may find recommendations for comfortable shoes, orthotic devices, anti-inflammatories, exercises, injections, or surgical procedures for more severe cases.


A hammertoe is a deformity of the second, third, or fourth toes where the toe is bent at its middle joint and looks like a hammer. The causes of hammertoe can include arthritis, tight shoes, high heels, pointy shoes, toe injuries, high foot arch, and bunion pressure. Some of the mild symptoms of hammertoe include the toe bending downward, pain, corns, calluses, inability to straighten your toe, claw-like toes, difficulty walking, swelling, redness, or burning.

Treating hammertoes early on during mild symptoms involves simple treatments such as changing the type of shoes you wear, exercises, and using cushions to help relieve pain. You should not pop any blisters on your toes, as it could cause additional pain and infection. If mild treatments do not work, surgery may need to be considered.

Are you having pain in your feet? Our Podiatrist, Dr. Panesar, can help you with a diagnosis and a treatment plan to get you back to your activities. Contact us today to schedule your appointment.

Thu, 29 Apr 2021

Patient Success Story: One Happy Camper

Outpatient Hip Replacement Surgery by Miller Orthopedic Specialists

Condition: Osteoarthritis of the left and right hip

Treatment: Same-Day Outpatient Total Left and Right Hip Replacements

Results: Improved mobility, pain relief, and quality of life regained

Tammie Stoneking of Grant, Iowa came to Dr. Boese at Miller Orthopedic Specialists for hip pain in both her left and right hip, requiring a total hip replacement on both. Tammie says, “I’m so glad I had a hip replacement done! I couldn’t be more pleased with my results. I was able to camp this past summer and climbed the steps repeatedly in and out of my camper, which I couldn’t do before surgery.”

Dr. Boese explains, “Tammie is a pretty typical patient coming in for a consultation because she was in pain. That first step is the most important in order to determine and make a plan for treatment. We did x-rays and a complete exam, which led to her diagnosis of severe osteoarthritis. I knew right away that I could help her and provided my recommendation for total hip replacement.”  

MOS: What prompted you to make an appointment with Dr. Boese initially?

Tammie: “I knew it was time to discuss surgery when the pain began to interfere with my daily activities. I couldn’t go camping, which I love to do! It was too painful to climb the stairs in and out of my camper. I chose Dr. Boese based on his reputation and he also replaced my father’s hips.”

MOS: Did you have any concerns before your surgery? 

Tammie: “I’ll admit I was a little scared before my first hip replacement surgery. I didn’t know what to expect but I felt secure being in Dr. Boese’s capable hands.”

MOS: What advice would you give others who may be considering a same-day outpatient hip replacement?

Tammie: “If you are having a lot of hip pain and are unable to comfortably go about daily activities like I was, don’t put it off! I have absolutely no regrets. If it’s at all possible to have your surgery on an outpatient basis — that’s the way to go. I didn’t have to spend a single moment in the hospital and that was awesome.

One important thing that I learned is you should definitely follow the instructions you’re given for your recovery. I didn’t listen well with my first hip replacement surgery, as I thought I’m only 57 and I don’t need to take it easy like an ‘old’ person. I thought I was invincible but I was wrong. For my second hip replacement surgery, I followed the rules to the letter which resulted in a much more comfortable recovery.”

Tammie is just over two years post-op on her left hip and over a year on her right hip. Dr. Boese shares on Tammie’s recovery, “Tammie recovered as expected and received great results with her surgery that relieved her pain. In just three months post-surgery, Tammie was released to doing full activities without any restrictions. Her new hips are expected to last her for another 20-30 years!”   

For more information, visit our Same-Day Outpatient Total Joint Replacement page.
Dr. Boese is a highly regarded surgeon, fellowship-trained at John Hopkins University, and is a recognized leader specializing in total joint replacements. Schedule your appointment to learn if you are an eligible candidate for outpatient total hip replacement by calling Miller Orthopedic Specialists at 712-323-5333 or online.


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