Dakota Foot & Ankle Clinic Blog

Posts for tag: Dr. Brian Gale

Diagnosis and Treatment of Bunions


A person can usually tell they have a bunion by looking at their feet.  There will usually be a bump on the side of the big toe.  However, it is best to have x-rays taken to determine what has all changed in the structure of your foot.  Bunions do not go away and usually get worse over time.  After you see a podiatrist a treatment plan can be put in place that is best suited to your needs.


Sometimes it is best to just have your bunion evaluated periodically along with x-rays to find out if your deformity is worsening.  It is best to have periodic evaluations so that no irreversible damage is caused to the joint.  There are a few options to help ease the pain, even though they won’t reverse the bunion.

-Change up the shoes.  Choose a shoe with a wide toe box and try to avoid anything with a pointed toe or high heels.  These may aggravate the bunion.

-Bunion pads. They are placed over the bunion and sometimes help minimize the pain.

-Modify activities. Standing for a long period of time and other activities may irritate the bunion and cause pain.  These types of activities should be avoided in uncomfortable shoes.

-Medications. Over the counter medication may help relieve the pain.

-Icing. Placing an ice pack on the bunion a few times a day may help reduce the inflammation and pain.

-Injection therapy.   This is rarely used, but sometimes a corticosteroid injection may be used to treat an inflamed bursa.  A bursa is a fluid-filled sac that is located in the toe joint.

-Orthotic devices. A custom orthotic may be provided by a podiatrist to treat the functional foot problems.

There are some cases of bunions that will need surgery.  If the pain from a bunion is interfering with your daily activities this may be a case that needs surgery, but should be talked over with your podiatrist.

If you are having pain from a bunion it is best to make an appointment with Dr. Brian Gale, DPM, FACFAS to see what treatment options are best for you.  Call Our Bismarck Office today at 701-255-3338 or go online to request an appointment

How to help treat your plantar fasciitis.

There are a few things that you can do at home to help relieve your
•	Get a pair of good, supportive shoes.
•	Avoid walking around without shoes on.  If you walk around without 
shoes it is putting more stress on the ligament and causing pain.
•	Icing your heel a couple times a day can reduce the inflammation.
•	Limit the time you are on your feet and if you are on your feet for 
long periods of time try to take breaks to give your heels some rest.
•	Take an anti-inflammatory drug (ibuprofen) to help reduce the 
inflammation. Make sure you don't take anti-inflammatory medications if you have been advised not to take them in the past. 
•	If you are overweight, losing weight will help reduce the stress on 
your feet.
If these steps aren’t helping and you still have pain make an appointment with a podiatrist who can offer some more help such as:
•	Fitting you with a night splint to help you keep the plantar fascia 
stretched while sleeping.
•	Recommending physical therapy.
•	Fitting you with a walking cast to help relieve some of the stress on 
your foot and help it heel.
•	Fitting you with a different insole in your shoe to provide more 
•	Fitting you with custom orthotics to put into your shoes that are 
molded to your feet.
•	Cortisone injections may be used to help reduce inflammation.

If you try the tips to help relieve your pain at home and it is not working, make an appointment with Dr. Brian Gale, DPM, FACFAS today at Dakota Foot and Ankle Clinic.  Give us a call at 701-255-3338 or Request an appointment here.