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Blog Archive

4 Subtle Signs of a Growing Bunion Apr 8th, 2024

If you have a bunion protruding from the side of your big toe, it can start as small and unintrusive. With time, though, bunions can get bigger and cause more problems. Board-certified podiatrist Thomas Rambacher, DPM, FACFAS, FAPWCA, of Podiatry Hotline Foot & Ankle in Mission Viejo, California, always recommends...

The Diagnostic Process: Getting The Right Diagnosis The First Time Mar 15th, 2024

Getting the correct diagnosis is the first step in receiving the best podiatry healthcare. An accurate diagnosis helps you receive the best treatment and care available as quickly as possible. At Podiatry Hotline Foot & Ankle in Mission Viejo, California, board-certified podiatrist Thomas Rambacher, DPM, FACFAS, FAPWCA, uses his years...

Telehealth: The Advantages of Telemedicine Feb 20th, 2024

The COVID-19 pandemic has triggered dramatic changes throughout everyday life — and in the medical community as well. Not only are providers across the country postponing elective procedures, but many are also encouraging people to avoid in-office appointments to reduce their risk of exposure to this highly contagious coronavirus.But what...

Hammer Toes: New Minimal Incision Approaches Can Prevent the Usual Scarring and Stitching of Traditi Feb 7th, 2024

When your toes firm up at the joints and can no longer bend, that’s a critical sign you have late-stage hammertoes. Now, all you can do to correct them is undergo surgery to restore flexibility and movement. Being told you need surgery is often an intimidating thought, but wonderfully, minimally...

Geriatric Podiatry: Kind and Compassionate Care at any Age Jan 8th, 2024

As you enter your senior years, taking good care of your entire body is one of the best ways to stay healthy and active for as long as possible. Keeping your feet in top shape, and treating problems that arise quickly, keeps you active and mobile. Older adults need to...

Making Sure Your Child Is Walking Correctly Nov 30th, 2023

When your child starts walking for the first time, it’s an exciting time for both of you. But issues that arise that impact your child’s mobility can quickly dampen this joyous period of life. Various foot and ankle conditions can cause your child to have an atypical walk; however, according...

Suffering From Ankle Arthritis? Try an Ankle Joint Replacement Nov 1st, 2023

When you develop ankle arthritis, over time, it can cause wear and tear on your ankle joint. If the damage gets severe enough, the only option is to perform surgery on the joint. If your ankle is severely worn down, a cutting-edge procedure called ankle joint replacement surgery can help...

Modern Reconstructive Surgery Techniques for Foot and Ankle Problems Oct 1st, 2023

Being born with structural abnormalities in your feet, serious injuries, and diseases can all cause your foot or ankle to develop problems that make it difficult to walk or maintain your quality of life. If the issues in your foot are severe enough that conservative treatment can’t help, reconstructive surgery...

Learn About our Customized Bunion Surgery Aug 31st, 2023

Many bunions can be managed with conservative treatments, but sometimes, they get too large and painful to deal with. When this happens, it’s time to get surgery to make your bunions smaller. There are different types of minimally invasive bunion surgery, and the best surgery for you depends on multiple...

How Much Is Your Leg Worth? Podiatric Salvage Techniques to Save Most Legs Aug 2nd, 2023

Have you been told that your foot or leg is so severely injured or deformed that you might need an amputation? Before scheduling an amputation, determine if your limb can be saved with limb salvage surgery. With the advancement of cutting-edge surgical techniques, board-certified podiatrist Thomas Rambacher, DPM, FACFAS, FAPWCA, from Podiatry Hotline...

Substitutes to Skin Grafting: a Technological Approach to Ulcer Care Jul 10th, 2023

When your diabetic ulcer or wound doesn’t go away, one of the ways to treat it for good is with a graft. Grafting covers your ulcer with a temporary or permanent substance safely. Traditionally, skin grafting uses your skin to create a covering; however, board-certified podiatrist Thomas Rambacher, DPM, FACFAS, FAPWCA, practicing at Podiatry...

Heal the Wound in a Fraction of the Time May 31st, 2023

Most wounds on your feet heal quickly and naturally, but the consequences can be serious when you have a wound that just won’t go away. Diabetic wounds, ulcers, and other serious foot wounds that won’t heal can have long-term consequences. If you have a foot wound or ulcer that isn’t...

4 Steps to Take to Prevent Gout Attacks May 4th, 2023

Experiencing pain and swelling can be miserable in any body part. When it attacks your feet, it can make it especially difficult to be mobile or go about your daily routine. If you have agonizing swelling and pain in your big toe, you could have a type of arthritis called gout. Thomas Rambacher,...

What Puts You Most at Risk of Developing Bunions? Mar 14th, 2023

There’s no getting around it; bunions on your feet are unsightly to look at, make it harder to find shoes you love that fit, can cause extreme pain, and sometimes limit your mobility. If you have family members or friends with bunions, you’re probably wondering how to reduce your risk...

When Should I See a Specialist for an Ankle Sprain? Feb 13th, 2023

All it takes is one misstep or fall while playing sports, running to catch up with the bus, or even going on a gentle walk. Suddenly, you experience that immediate pain and swelling that often means you have an ankle sprain. Ankle sprains aren’t always serious injuries, but without the right...

Ankle and Leg Ulcers: How An Orthoplastic Approach Can Help Jan 18th, 2023

When you have diabetes, one common side effect when it’s not well managed is developing ulcers and wounds in your lower body. Without the right care, these ulcers can develop several potentially serious consequences. As an experienced podiatrist on the cutting edge of ulcer care in the ankles and feet,...

Neuropathy and Nerve Entrapment of the Foot and Ankle Dec 14th, 2022

If you have pain in your foot or ankle but don’t have an obvious injury, deformity, mass, or wound, your nerves might be to blame. When the nerves in your feet or ankle get trapped, you can experience repeated, debilitating pain that interrupts your life. Nerve entrapment and neuropathy in your foot...

How Ganglion Cysts Can Affect Your Feet Nov 8th, 2022

Has a big lump recently appeared on your foot? If it’s soft, smooth looking, and moves around when you touch it, you could have an uncomfortable soft tissue mass called a ganglion cyst. Ganglion cysts are benign, but they can cause discomfort and other problems that get in the way of your...

Post-Traumatic Reconstruction of the Ankle Oct 6th, 2022

After accidents or trauma to your ankle, you can end up with damaged ligaments, broken bones, and soft tissue injuries. With time and rehabilitation, many ankle injuries heal under conservative care, but sometimes, this treatment isn’t enough. When your ankle isn’t healing after trauma, Thomas Rambacher, DPM, FACFAS, FAPWCA, the lead...

Understanding the Different Types of Minimally Invasive Hammertoe Surgeries Sep 1st, 2022

Do your toes bend in unexpected ways or don’t move well at all? If so, you might have hammertoes, a condition that causes pain and overly flexible toes that can eventually become locked. If you have late-stage hammertoes, podiatrist Thomas Rambacher, DPM, FACFAS, FAPWCA, at Podiatry Hotline Foot & Ankle...

Here’s How Arthritis Can Affect Your Ankle Aug 4th, 2022

When you develop arthritis in your ankle, you have a degenerative condition that can develop slowly over time and continue to worsen. Without treatment or other measures that slow or stop its progression, ankle arthritis can take over your life and make it difficult to do your favorite activities. Depending on the...

Warts in Children: What You Need to Know Jul 1st, 2022

Thanks to the swimming pools, communal showers, and shared locker rooms that are a common part of childhood, warts are extremely common in children. Warts occur more often in children than adults, and they can be painful and difficult to treat. Warts are uncomfortable for children, but luckily, they are...

Are Hyper Mobile Foot and Mid Foot The Cause of My Bunion? Jun 1st, 2022

When bumps start appearing on the side of one or both of your big toe joints, it means you’ve begun to develop bunions. Sometimes bunions stay small and don’t interfere with your life, but as they keep growing, they can cause pain, make mobility more difficult, and change the alignment of...

Limb Salvage Surgery: No Part of the Foot Is too Small to Save May 1st, 2022

After a severe fracture or suffering from serious side effects of certain medical conditions, your foot might be in a state where an amputation is a possible option. Fortunately, with recent medical advances, you can now often get limb salvage surgery instead of amputating your foot. At Podiatry Hotline Foot...

Why Diabetics Need to Take Special Care of Their Feet Apr 1st, 2022

If you have diabetes, it means you need to live a lifestyle that keeps you healthy and from developing complications from this chronic condition. One part of your body that needs special attention and care is your feet. With good foot care at home and regular check-ins with Thomas Rambacher, DPM,...

Lifestyle Habits that Make Morton’s Neuroma Worse Mar 6th, 2022

Chronic pain, burning, tingling, and tingling in the ball of your foot might mean you have a painful medical condition called Morton’s neuroma. Unmanaged, Morton’s neuroma makes it difficult to play sports and can cause so much discomfort it limits your mobility. While Morton’s neuroma can be debilitating, double board-certified...

Returning to Sports After ACL Surgery Feb 9th, 2022

For many active athletes, an anterior cruciate ligament (ACL) injury can stop them right in their tracks. If you’ve gone through or been told you need surgery for your ACL, you’re likely eager to know when you can return to your favorite sports. ACL surgery recovery requires time and a...

Why You Shouldn’t Ignore Your Ingrown Toenail Jan 5th, 2022

Initially, getting an ingrown toenail might not seem like a big deal. With it might cause a bit of pain and redness, it might seem like more of a nuisance, similar to getting a minor ingrown hair, but sometimes, further trouble can occur. Ingrown toenails aren’t usually serious, but according...

Bunion Surgery — When to Do Proximal and Distal Osteotomy Dec 2nd, 2021

When your bunions have gotten extremely painful or so large you struggle to find shoes, it might be time to consider surgery to remove them. These days, there are a number of minimally invasive bunions removal procedures that permanently get rid of your bunions, with significantly less pain, correction of...

Bone and Soft Tissue Stimulation Uses in Foot and Ankle Nov 4th, 2021

Fractures and soft tissue injuries are a fairly common occurrence in our regularly exercised feet and ankles. Sometimes, these injuries heal easily, with minimal or no treatment, but other times, these types of problems fail to heal and cause debilitating chronic pain in the process. If you’re experiencing a foot...

Hammertoe — Easy Surgical Corrections at Any Age Oct 3rd, 2021

If your toes bend in a manner that is unusual or strange, you might have a hammertoe. Hammertoes can be very painful and sometimes progress to the point of severity where you aren’t able to move your impacted toe. That might not sound like good news for your feet, but...

Ankle Reconstruction — Allow Complete Healing With Stage Surgical Intervention Sep 6th, 2021

It can be frustrating when it feels like you’ve done everything you can to heal your ankle, and nothing you do seems to be bringing the improvement necessary for a full recovery. When your ankle has structural abnormalities that can’t be fixed by nonsurgical methods, board-certified podiatrist, Dr. Thomas Rambacher...

Heel Pain ― How to Tell When It’s More Than Just Plantar Fasciitis Aug 9th, 2021

If you’ve been experiencing pain in your heel when you walk, you might assume you’re suffering from plantar fasciitis. Plantar fasciitis is one of the most common conditions that causes heel pain. However, experiencing heel pain doesn’t always mean you have plantar fasciitis. According to Dr. Thomas Rambacher and Dr....

How to Tell the Difference between Bone Damage and Ligament Damage in Ankle Sprains Jul 14th, 2021

Having an injury in your ankle can leave you out of commission for a period of time and in a significant amount of pain. Ankle sprains, fractures, and other ankle injuries can all present with similar symptoms. It can be hard to tell the difference between the different types of...

Avoid Amputation with Limb Salvage Surgery Jun 21st, 2021

Needing to get your foot amputated is a life-changing prospect. Although amputations are sometimes medically necessary, thankfully, it’s now often possible to avoid limb amputations with sophisticated limb salvage surgery. If your foot is at risk of needing to be amputated, our board-certified podiatrists, Dr. Thomas Rambacher and Dr. Michael...

Lapiplasty® vs. PROstep™—Minimally Invasive Bunion Surgery May 10th, 2021

Bunions can be excruciatingly painful and make it difficult to walk, and sometimes, getting surgery is the only solution. Having heard bunion surgery causes pain and requires a long recovery period, many people who would benefit from having bunions removed avoid surgery. The exciting news is, with the advent of...

When to Consider Custom Orthotics Apr 1st, 2021

Your feet and ankles are vulnerable from supporting your body weight, and sometimes, they need a little extra help to do their job well. Wearing medical-grade custom orthotics can decrease your pain, correct alignment issues, and generally support your feet. Our podiatrists at Podiatry Hotline Foot & Ankle in Mission...

Medical Intervention of Slow Healing Fractures Mar 3rd, 2021

Foot and ankle fractures are common injuries that can occur in anyone, no matter how old you are or what your lifestyle looks like. If you experience pain in your foot while you walk, it’s possible you have an undiagnosed fracture. Worse yet, if your foot pain has gone on...

In-Office Wound Grafting With Stem Cells Feb 7th, 2021

Getting a wound on your foot can lead to serious problems, especially if you have diabetes. Diabetic foot ulcers can cause serious problems if they remain untreated, including requiring amputation of your foot. If you’re prone to diabetic foot ulcers and looking for a solution, stem cell grafts just might...

Arthritis in Your Feet Jan 1st, 2021

Your feet work hard every day to support your body and safely move you when you walk around. The amount of work your feet put in on a regular basis makes them especially susceptible to developing arthritis. Arthritis in your feet can be painful and uncomfortable, but with proper treatment,...

When Should You See a Podiatrist for a Foreign Body in Your Foot? Dec 2nd, 2020

Your feet take thousands of steps every day, many of them barefoot or only wearing socks. With the amount of contact your bare feet can have with the ground, it’s no wonder getting foreign bodies, like splinters, glass, and thorns, stuck in your feet is a common problem. Often, you...

What Causes a Ganglion Cyst on Your Foot and Ankle? Nov 1st, 2020

As you go about your life, you can develop irritating growths on your feet and ankles that cause you discomfort or pain. These growths can have different causes, but frequently they’re non-cancerous soft-tissue masses. According to board-certified podiatrist Thomas Rambacher, DPM of Mission Viejo, California-based Podiatry Hotline Foot & Ankle,...

Common Foot Infections Oct 1st, 2020

Thanks to their high levels of activity and the moisture that can get caught in socks and shoes, your feet are especially vulnerable to becoming infected. Foot infections are a common ailment that can cause your feet to hurt and even make walking more challenging.  When you develop a foot...

When is it a Callus and When is it a Wart? Sep 17th, 2020

Getting a large growth on the bottom of your foot can be uncomfortable and feel downright unpleasant. If you have a callus or wart on the bottom of your foot, you’ll want to take steps eliminate it right away. There’s just one problem: you’re not sure if what you have...

When is Surgery Required for an Ankle Injury? Aug 10th, 2020

When you injure your ankle, most of the time it can be treated through conservative measures. Sometimes, though, you’ll need to get surgery on your ankle to make a full recovery. After spraining or otherwise injuring your ankle, always seek a medical opinion from a podiatrist in case your ankle...

Do You Have a Burning Pain in Your Foot? You May Have Peripheral Neuropathy Jul 20th, 2020

Experiencing chronic pain in your foot that feels like a burning sensation can be uncomfortable, frustrating, and make it difficult to go about your day. Getting burning pain in one or both feet can have multiple causes, but one of the most common reasons for this symptom is peripheral neuropathy....

What is Brachymetatarsia? Jun 5th, 2020

Having five toes, or metatarsals, of similar length is something the vast majority of us take for granted. However, a few of us have one metatarsal that’s significantly shorter than the rest of our toes. This condition is called brachymetatarsia. If you have brachymetatarsia, you might have difficulties with the...

Minimally Invasive Bunion Surgery: All Your Questions Answered May 13th, 2020

If you’ve discovered you need surgery to correct your bunions, you might be imagining a long recovery period where you spend months off your feet. Thankfully, because of cutting-edge surgical techniques, you no longer have to choose between living with the severe pain bunions cause and a lengthy, disruptive recovery...

When You Should Get a Podiatry Second Opinion Apr 1st, 2020

Finding out you need major surgery or another significant procedure on your feet can feel scary. Understandably, you might want to talk to another specialist before committing to undergoing the treatment.   It turns out, getting a second opinion isn’t only personally reassuring, it’s also a smart medical choice. Research...

What Causes Gout (And What Can I Do About It)? Mar 10th, 2020

Gout, a painful type of arthritis that strikes your big toe, has the potential to literally stop you in your tracks. A chronic condition, gout flare-ups can come on suddenly, causing severe pain and a swollen, inflamed, and irritated big toe joint. The good news is, it’s possible to prevent...

What to Do About Your Child’s Ingrown Toenail Feb 1st, 2020

If your child is complaining of pain and redness in a toe, he or she might have an ingrown toenail. An ingrown toenail, a condition where the toenail grows into the skin of your toe, commonly occurs in children. Ingrown toenails are extremely painful and have the potential to become...

Diet and Gout: How to Prevent Flare-up Jan 1st, 2020

When your big toe swells and becomes painful, it’s possible you’re having a gout flare-up. Gout is a type of arthritis that most often aggravates the joint of your big toe. As a board-certified podiatrist, Thomas Rambacher, DPM, is highly skilled in diagnosing gout and helping you manage your condition...

Living With Plantar Fasciitis Dec 1st, 2019

Living with plantar fasciitis often means that most days when you first step out of bed, you feel immediate, stabbing pain in your heel. Typically, as you continue to move around, the pain subsides. However, if you sit at a desk for a few hours or stand on your feet...

How to Keep a Sprained Ankle from Becoming Chronic Instability Nov 1st, 2019

Are you recovering from a sprained ankle? Is it bothering you even though you’ve been using ice and getting plenty of rest? You may have injured the ligaments that connect your Achilles tendon to your calf and heel muscles. This can make any kind of movement, such as walking or...

Do All Bunions Require Surgery? Oct 1st, 2019

You’re looking at the bump on the side of your big toe; it’s likely you’ve developed a bunion.  Bunions are bony protrusions sticking out from the joint at the base of your big toe. Your big toe has gradually been pushing against your second toe, causing the big toe joint...

What Can I Do About Arthritis in My Feet? Sep 1st, 2019

When many people think of arthritis they imagine pain in the hands, hips, and knees, but it can affect any joint in the body — including the toes, feet, and ankles. Fortunately, there are a variety of treatment options available. Here at Podiatry Hotline Foot & Ankle in Mission Viejo,...

5 Reasons Why Stem Cell Therapy is All the Craze Aug 6th, 2019

Here at Podiatry Hotline Foot & Ankle in Mission Viejo, California, our patients keep asking Dr. Thomas Rambacher what all the buzz is about stem cell therapy. If you’ve been wondering why stem cell therapy is a trending topic, read on for the top five reasons why stem cell therapy...

How Does Diabetes Affect Your Feet? Jul 10th, 2019

For the 30.3 million Americans living with diabetes, it is vital to check your glucose levels daily. If left unchecked, high blood sugar can cause complications throughout your body. This includes your feet.  Dr. Thomas Rambacher and his team at Podiatry Hotline Foot & Ankle want you to have the...

The First Steps to Dealing With Heel Spur Syndrome Jun 1st, 2019

Are you finding it harder to put your heel down to the ground when walking without feeling pain? Heel spurs, bony growths on the bottom of your heel caused by calcium deposits, can make getting through your day difficult, but there are treatment options available to help you return to...

Exercises that Will Help Prevent Achilles Tendinitis in Runners May 10th, 2019

The Achilles heel isn’t synonymous with a weak spot for nothing: Despite being the strongest and thickest tendon in your body, it’s also vulnerable to tendinitis. Achilles tendinitis is the name for a common condition where your Achilles tendon, which connects your calf muscles to your heel, becomes inflamed and...

5 Signs Your Heel Pain May Be Plantar Fasciitis Apr 11th, 2019

Are you suffering from heel pain? One of the most common causes of heel pain is plantar fasciitis. The plantar fascia is a strong band of tissue that runs along the bottom of your foot, from your heel to your toes. It supports the arch of your foot and absorbs...

Think You Have a Fractured Toe? Here's What Could Happen If You Don't Get It Checked Out Mar 1st, 2019

If you stubbed your toe and felt a snap, you may wonder if it’s broken, and you might think that the “wait and see” approach is the best course of action. However, a fracture that goes undetected and untreated can lead to complications. While not an emergency, it is vital...

How High Impact Sports Can Affect Your Feet and Ankles Feb 1st, 2019

Your feet absorb force that’s nearly three times your body weight when you run. That’s a lot of strain, especially if you’re a longtime runner or you participate in other high-impact sports. Running and sports like soccer, tennis, basketball, and football put your feet and ankles at risk for damage....

Why Is It So Important to See a Specialist If You Have A Toe Injury Jan 7th, 2019

Toes are underrated appendages, to say the least. Unless you’ve spent the day in ill-fitting shoes or made contact with a table leg, you probably don’t think too much about your toes. But once your toes suffer injury, you need to give them some attention. If you’ve injured your toe,...

How Does Arthritis Affect Your Feet? Dec 7th, 2018

Arthritis is a condition that causes inflammation in your joints. Inflammation can lead to swelling, stiffness, and pain across your body, making it uncomfortable to perform everyday tasks. Arthritis in your feet can be especially difficult, as it can decrease mobility and severely impact your quality of life. However, several...

How to Treat an Ingrown Toenail Nov 15th, 2018

Ingrown toenails can develop for several reasons. Some people get ingrown toenails because they wear tight shoes. Other people get ingrown toenails because their toes get injured, they cut their nails too short, or they cut their nails at an angle. If you have an ingrown toenail, then you probably...

Why Callus and Corn Treatment Is Important for Diabetics Oct 16th, 2018

If you’re frequently on your feet, you may be familiar with calluses and corns on your feet. These are areas of thick, tough skin that develop to protect you from the pressure and friction your feet endure. For many people, calluses and corns are simply an inconvenience. Changing footwear or...

Running Tips to Keep Your Feet and Body Healthy Sep 26th, 2018

Many people love running. It is a favorite way to keep fit. It also gets us out in the open, fresh air. Upwards of 64 million people a year go running and the benefits are obvious. Running is good for the heart, it keeps us fit, it improves the capacity...

How Bunions Affect Your Feet Aug 16th, 2018

Bunions affect your appearance and make it difficult, sometimes impossible, to find shoes that fit, but they also cause physical problems. When bunions go untreated, they lead to progressive foot damage.Here at Podiatry Hotline Inc., in Mission Viejo, California, we encourage you to come in at the first sign of...

5 Tips for Preventing a Gout Flare-Up Jul 31st, 2018

Do you feel unexplained, intense pain in your big toe? Does even the weight of your sheets against your toe cause pain? If so, you may be one of the 8 million Americans who suffer from gout. While this form of arthritis often seems to come and go at random,...

Innovations in Diabetic Wound Care Jun 20th, 2018

From comprehensive assessments to cutting-edge therapies, innovations in diabetic wound care are changing the way podiatrists treat foot ulcers and other wounds. At Podiatry Hotline, Inc., we strive to stay up-to-date on the most innovative trends and treatments in diabetic wound care, allowing us to provide the best treatments in...

How to Pick the Best Running Shoe for Your Feet May 16th, 2018

When it comes to selecting running shoes, function trumps fashion. The right shoe protects you from injury, maximizes your effort, and keeps you coming back to the track or trail day after day.The best running shoes are not the style and brand recommended by your friend. Though their shoes may...