Items filtered by date: August 2023

Tuesday, 29 August 2023 00:00

Causes and Exercises for Hammertoe Relief

Hammertoe, a common foot condition, occurs when one or more toes bend abnormally at the middle joint, resembling a hammer. This condition can be caused by various factors, including wearing tight footwear that crowds the toes, having imbalanced muscles or foot abnormalities, and arthritis. Fortunately, there are exercises that can help alleviate discomfort and prevent further progression. Toe stretches, where you gently pull each toe to stretch and relax the tendons, can be beneficial. Rolling a tennis ball or cylindrical object under the arches of your feet can also help strengthen the muscles. Additionally, picking up small objects using your toes encourages flexibility and dexterity. Regularly practicing these exercises, coupled with wearing roomier shoes and using orthotic supports, can aid in managing hammertoes and maintaining foot health. If you have developed a hammertoe, it is suggested that you confer with a podiatrist who can provide you with additional relief and treatment tips.

Hammertoes can be a painful condition to live with. For more information, contact Darren Day, DPM of Hawaii. Our doctor will answer any of your foot- and ankle-related questions.


Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.


  • Painful and/or difficult toe movement
  • Swelling
  • Joint stiffness
  • Calluses/Corns
  • Physical deformity

Risk Factors

  • Age – The risk of hammertoe increases with age
  • Sex – Women are more likely to have hammertoe compared to men
  • Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
  • Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe


If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.

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

Read more about Hammertoe
Tuesday, 22 August 2023 00:00

Lyme Disease and the Feet

Lyme disease, often transmitted by ticks, can bring about various symptoms that affect the feet and other parts of the body. While fever, fatigue, and rashes may signal its presence, a definitive diagnosis requires careful consideration of symptoms and circumstances. If one has been in wooded or grassy areas during tick season, it is possible to contract Lyme disease. Lyme disease's early signs, such as fever, chills, headache, fatigue, and muscle pain, can mimic a severe cold. Knee swelling is common, and joint pain may migrate across the body. As the disease progresses, headaches, Bell's palsy, and joint pain can intensify, and rare complications like heart involvement or mental health issues may arise. Shooting pains, numbness, or tingling in the hands and feet may be felt. It is suggested that you manage pain and inflammation and focus on your overall well-being to aid in healing. If you suspect you have Lyme disease, it is suggested that you make an appointment with a podiatrist for an accurate diagnosis and effective management.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact Darren Day, DPM from Hawaii. Our doctor will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

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

Read more about Systemic Diseases of the Foot
Tuesday, 15 August 2023 00:00

Causes and Treatment of Plantar Fasciitis

Plantar fasciitis is the most common cause of heel pain. Its main symptom is inflammation of the plantar fascia, the tissue connecting the front of the foot to the heel. Plantar fasciitis affects approximately 2 million patients each year, with athletes and individuals between 40 to 60 years of age being the most susceptible. The heel pain can range from sharp to dull, often worsening after prolonged periods of standing or physical activity. Causes of plantar fasciitis include repetitive physical activity, foot arch issues, and increased body weight. If left untreated, heel pain can lead to difficulty in walking. Fortunately, plantar fasciitis can be treated with proper care. Stretching exercises can help to rehabilitate the plantar fascia, and wearing proper footwear with adequate arch support is crucial. In some cases, wearing a foot brace or night splint can help to reduce swelling and alleviate pain. A podiatrist may suggest steroid shots or injections, as well as other pain relief medication, and in extreme cases, surgery may be considered. For help with problems associated with plantar fasciitis, it is suggested that you make an appointment with a podiatrist for an exam and treatment options.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Darren Day, DPM from Hawaii. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

  • Excessive running
  • Having high arches in your feet
  • Other foot issues such as flat feet
  • Pregnancy (due to the sudden weight gain)
  • Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.


  • Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
  • Maintain a healthy weight
  • If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

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


Read more about Plantar Fasciitis

Constant care and regular evaluation are important for a foot or ankle fracture. If left untreated, foot or ankle fractures can worsen over time and create more serious problems.

Don't wait to be examined if you believe you've experienced a foot or ankle fracture.

Tuesday, 08 August 2023 00:00

The Ankle Ailment Known as Cuboid Syndrome

Cuboid syndrome, also known as cuboid subluxation or lateral plantar neuritis, is a relatively rare and painful condition that affects the cuboid bone in the foot. The cuboid bone is a cube-shaped bone located on the outer side of the foot, forming a vital part of the foot's structure and stability. Cuboid syndrome can be caused by various reasons. The cuboid bone can shift out of alignment by rolling or twisting the ankle or it can happen from overuse or repetitive stress. This is a common condition among ballet dancers, as a result of this type of dance style. Having poor foot biomechanics such as flat feet, overpronation, or other foot abnormalities also can disrupt the cuboid's positioning. Wearing shoes that do not fit properly can contribute to developing cuboid syndrome as well. Common symptoms include pain on the lateral side of the foot, difficulty in walking, and discomfort while bearing weight. Early diagnosis and appropriate treatment can aid in resolving cuboid syndrome effectively. If you have pain on the outside of your foot, it is suggested that you consult with a podiatrist for an accurate diagnosis and treatment options. 

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Darren Day, DPM from Hawaii. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.


The most common causes of cuboid syndrome include:

  • Injury – The most common cause of this ailment is an ankle sprain.
  • Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
  • Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.


A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.


Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.


Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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


Read more about Cuboid Syndrome
Tuesday, 01 August 2023 00:00

Swollen Feet Are a Normal Part of Pregnancy

One of the most common ailments women can have during their pregnancy is swollen feet. The medical term for swollen feet is edema, which can happen for many reasons. Gravity plays a role in this condition, in addition to the extra fluids the body produces to house the growing baby. Pregnancy causes pressure from the uterus on the pelvic veins and affects the large vein on the right side of the body. This vein returns the blood from the lower limbs to the heart, which may cause swollen feet. It may worsen if temperatures are warm outside or if a large amount of sodium is included in the diet. Additionally, there is a pregnancy hormone called relaxin that loosens the ligaments, which allows the bones to spread out for eventual delivery. The feet are no exception to widening, and many women must purchase larger shoes. If you have questions about why your feet become swollen during pregnancy, it is suggested that you consult with a podiatrist.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Darren Day, DPM from Hawaii. Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

  • Wearing orthotics can provide extra support for the feet and help distribute weight evenly
  • Minimize the amount of time spent walking barefoot
  • Wear shoes with good arch support
  • Wear shoes that allow for good circulation to the feet
  • Elevate feet if you experience swelling
  • Massage your feet
  • Get regular, light exercise, such as walking, to promote blood circulation to the feet

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

Read more about Foot Care for Pregnant Women

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Advanced Podiatric Procedures & Services in the Honolulu County, HI: Honolulu (Manoa, Kaneohe, Waikiki, Aiea, Waimalu, Moanalua, Kailua, Maunawili, Pearl City, Waipahu, Ahuimanu, Hawaii Kai, Waialae - Kahala) and North Shore (Kahuku, Laie, Hauula, Kawela Bay, Pupukea, Punaluu, Kaaawa, Haleiwa, Waialua, Koolauloa) areas