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Podiatrist, Foot Doctor James Kutchback, DPM, ABLES, CWS-P located in The Woodlands, TX 77384 and Woodville, TX 75979 area

James Kutchback, DPM, CWS-P

Taylor Saucier, DPM, AACFAS

The Woodlands
Woodville
(936) 273-3311

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Tuesday, 04 March 2025 00:00

Understanding Bunions

Bunions are bony bumps that form at the base of the big toe, often caused when the tip of the toe angles inward toward the other toes. This deformity can lead to pain, swelling, redness, and difficulty finding comfortable shoes. The affected area may become tender, and, as the bunion progresses, it can affect walking and lead to other foot issues like calluses or hammertoes. A podiatrist can evaluate your bunion and offer various treatments. For mild cases, they may recommend lifestyle changes, such as wearing shoes with a wider toe box or using padding to reduce pressure. Custom orthotics can help correct foot alignment, providing relief from discomfort. In more severe cases, a podiatrist may suggest surgical options to correct the deformity and improve function. If you are experiencing pain or discomfort from a bunion, it is suggested that you schedule an appointment with a podiatrist.

If you are suffering from bunions, contact Dr. James Kutchback of James Kutchback, DPM, ABLES, CWS-P. 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?

Doctors 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 doctor.

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 The Woodlands and Woodville, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Bunions
Tuesday, 25 February 2025 00:00

Peripheral Neuropathy and the Feet

Peripheral neuropathy is a condition that affects the nerves in the feet, toes, and ankles, leading to symptoms such as burning, tingling, numbness, and pain. These symptoms can make it difficult to feel injuries or changes in temperature, which increases the risk of developing blisters, sores, and infections. Over time, untreated infections may lead to serious complications, including changes in foot structure or, in severe cases, the loss of a toe or foot. People with peripheral neuropathy may also experience muscle weakness and balance problems, making them more prone to falls. A podiatrist plays a key role in managing peripheral neuropathy by performing detailed exams to assess nerve function and blood flow in the feet. Monofilament exams and tuning fork evaluations can help determine the extent of nerve damage. A podiatrist can also provide guidance on proper foot care, early treatment for injuries, and strategies to prevent complications. If you have symptoms of peripheral neuropathy that affect your feet, it is suggested that you make an appointment with a podiatrist for an exam and treatment options.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Dr. James Kutchback from James Kutchback, DPM, ABLES, CWS-P. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

  • Numbness
  • Sensation loss
  • Prickling and tingling sensations
  • Throbbing, freezing, burning pains
  • Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

If you have any questions, please feel free to contact our offices located in The Woodlands and Woodville, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Neuropathy
Monday, 24 February 2025 00:00

Are Bunions Affecting Your Everyday Life?

Have you noticed a bony protrusion on the side of your big toe? If so, you may have developed the foot condition known as a bunion. Don't let bunions interfere with your daily activities.

Tuesday, 18 February 2025 00:00

Definition and Risk Factors of Heel Spurs

A heel spur is a bony growth that forms on the underside of the heel bone, often as a result of prolonged strain and pressure on the foot. This condition is commonly associated with plantar fasciitis, an inflammation of the tissue along the bottom of the foot. The main symptom of a heel spur is sharp pain at the bottom of the heel, particularly when standing up after a period of rest, such as first thing in the morning. The pain can also worsen after prolonged periods of standing or walking. Risk factors for developing heel spurs include being overweight, having flat feet or high arches, and wearing improper footwear. Also, engaging in activities that put excessive strain on the feet, such as running or standing for long periods of time may lead to developing a heel spur. Age and certain medical conditions, like diabetes, can increase the likelihood of developing heel spurs as well. If you have heel pain, it is suggested that you consult a podiatrist who can provide an accurate diagnosis and treatment.

Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Dr. James Kutchback from James Kutchback, DPM, ABLES, CWS-P. Our doctor will do everything possible to treat your condition.

Heels Spurs

Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.

Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.

Pain

The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.

Treatments

There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.

If you have any questions feel free to contact our offices located in The Woodlands and Woodville, TX . We offer the latest in diagnostic and treatment technology to meet your needs.

Read more about How to Treat Heel Spurs
Tuesday, 11 February 2025 00:00

Managing Gout

Gout is a type of arthritis caused by the buildup of uric acid crystals in the joints, often affecting the big toe. It occurs when the body produces too much uric acid or does not excrete enough through urine. Symptoms include sudden, intense pain, redness, swelling, and warmth in the affected joint, typically during the night. Gout attacks can feel excruciating, making even the lightest touch unbearable. Treatment for gout involves medications like nonsteroidal anti-inflammatory drugs called NSAIDs, colchicine, or corticosteroids to reduce pain and inflammation. Long-term management may include medications to lower uric acid levels and lifestyle changes like reducing alcohol intake and eating a purine-free diet. A podiatrist can help diagnose gout, manage flare-ups, and provide advice on footwear and exercises to reduce strain on affected joints. If you are experiencing symptoms of gout, it is suggested that you schedle an appointment with a podiatrist for effective treatment and management.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. James Kutchback from James Kutchback, DPM, ABLES, CWS-P. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

  • Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
  • Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
  • Inflammation and Redness -Affected joints may become swollen, tender, warm and red
  • Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

  • Genetics - If family members have gout, you’re more likely to have it
  • Medications - Diuretic medications can raise uric acid levels
  • Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
  • Diet - Eating red meat and shellfish increases your risk
  • Alcohol - Having more than two alcoholic drinks per day increases your risk
  • Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

If you have any questions, please feel free to contact our offices located in The Woodlands and Woodville, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Everything You Need to Know About Gout
Tuesday, 04 February 2025 00:00

Managing Athlete’s Foot

Athlete's foot is a fungal infection that affects the skin on your feet, often between the toes, however, there is also a moccasin variety that affects the bottom of the feet. It is caused by dermatophytes, fungi that thrive in warm, moist environments, such as sweaty shoes or locker rooms. The condition is highly contagious and can spread through direct contact with infected surfaces or people. Common symptoms of athlete's foot include itching, burning, peeling, and redness. In more severe cases, the skin may crack, blister, or become painful. It can also spread to the toenails or other areas of the body if left untreated. Treatment typically involves antifungal creams or powders, which help eliminate the infection. Keeping your feet dry and wearing breathable shoes are also key to preventing reinfection. In stubborn cases, a podiatrist may prescribe stronger antifungal medications or recommend a more tailored treatment plan. If you are experiencing symptoms of athlete's foot, it is suggested that you schedule an appointment with a podiatrist for proper diagnosis and treatment.

Athlete’s foot is an inconvenient condition that can be easily reduced with the proper treatment. If you have any concerns about your feet and ankles, contact Dr. James Kutchback from James Kutchback, DPM, ABLES, CWS-P.  Our doctor will treat your foot and ankle needs.

Athlete’s Foot: The Sole Story

Athlete's foot, also known as tinea pedis, can be an extremely contagious foot infection. It is commonly contracted in public changing areas and bathrooms, dormitory style living quarters, around locker rooms and public swimming pools, or anywhere your feet often come into contact with other people.

Solutions to Combat Athlete’s Foot

  • Hydrate your feet by using lotion
  • Exfoliate
  • Buff off nails
  • Use of anti-fungal products
  • Examine your feet and visit your doctor if any suspicious blisters or cuts develop

Athlete’s foot can cause many irritating symptoms such as dry and flaking skin, itching, and redness. Some more severe symptoms can include bleeding and cracked skin, intense itching and burning, and even pain when walking. In the worst cases, Athlete’s foot can cause blistering as well. Speak to your podiatrist for a better understanding of the different causes of Athlete’s foot, as well as help in determining which treatment options are best for you.

If you have any questions please feel free to contact our offices located in The Woodlands and Woodville, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Athlete's Foot
Monday, 03 February 2025 00:00

Are You Suffering From Ingrown Toenails?

If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!

Tuesday, 28 January 2025 00:00

What Is Morton’s Neuroma?

Morton's neuroma is a condition that affects the nerves in the foot, typically between the third and fourth toes. It occurs when the tissue around a nerve thickens, leading to pain, numbness, or a sensation of a lump in the affected area. Symptoms may worsen when wearing tight shoes or high heels, as the pressure on the foot increases. Common causes include repetitive stress or irritation to the foot, from high-impact activities, poorly fitted footwear, or foot abnormalities like flat feet or high arches. To diagnose Morton's neuroma, a podiatrist will typically perform a physical examination, checking for tenderness or swelling between the toes. Imaging tests, such as an ultrasound or MRI scan, may also be used to confirm the diagnosis and rule out other conditions. If you have pain in this area of your foot, it is suggested that you consult a podiatrist who can provide an accurate diagnosis and treatment.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Dr. James Kutchback of James Kutchback, DPM, ABLES, CWS-P. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

  • Ill-fitting high heels or shoes that add pressure to the toe or foot
  • Jogging, running or any sport that involves constant impact to the foot
  • Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

If you have any questions, please feel free to contact our offices located in The Woodlands and Woodville, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Morton's Neuroma

Toe walking is a common behavior observed in children, where they walk on their toes rather than with their feet flat on the ground. One of the primary causes of toe walking is habitual behavior, where children simply adopt this pattern without any underlying medical issue. However, in some cases, toe walking may be linked to sensory processing differences, where children may prefer the sensation of walking on their toes due to heightened or reduced sensitivity to touch. Another cause is tight calf muscles, which may restrict the ability to walk normally and lead to toe walking as a compensatory movement. Neurological conditions, such as cerebral palsy or other motor disorders, can also contribute to toe walking due to muscle weakness or coordination issues. In any case, if toe walking persists beyond early childhood, it is suggested that you consult a podiatrist who can assess the cause and determine the most appropriate course of action.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Dr. James Kutchback of James Kutchback, DPM, ABLES, CWS-P. Our doctor can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

If you have any questions please feel free to contact our offices located in The Woodlands and Woodville, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about What to Do to Keep Your Child’s Feet Healthy
Tuesday, 14 January 2025 00:00

Why Are My Toenails So Thick?

Thick toenails, medically known as onychomycosis, is a fungal infection where the toenails become discolored, thickened, and brittle. The nails may appear yellow, white, or even brown, and can sometimes separate from the nail bed. This infection typically  occurs after exposure to fungi that thrive in warm, damp environments, such as sweaty shoes or communal areas like swimming pools. Poor foot hygiene, a weakened immune system, or diabetes can also increase the risk of developing onychomycosis. Symptoms include thickened, misshapen nails, crumbling edges, and a foul odor. If left untreated, the infection can worsen, leading to pain and difficulty walking. A podiatrist is trained to diagnose and treat nail fungus effectively. Treatments may include antifungal medications, topical solutions, laser therapy, or in severe cases, nail removal. Your podiatrist will assess the severity of the infection and recommend the best course of treatment. If you are dealing with this issue, it is suggested that you schedule an appointment with a podiatrist.

For more information about treatment, contact Dr. James Kutchback of James Kutchback, DPM, ABLES, CWS-P. Our doctor can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

If you have any questions please feel free to contact our offices located in The Woodlands and Woodville, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about How to Treat Your Toenail Fungus
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