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Toll-Free: 855-997-2367
Phone: 540-904-1458
Shenandoah Podiatry
Toll Free: 855-997-2367
Roanoke: 540-904-1458

Find Answers From Our Roanoke Podiatrists About Your Foot and Ankle Pain...and About Our Practice!

We love to hear (and answer) your questions! Listed are some frequently asked questions we receive at office, as well as some answers to others that we think you may find very informative. Make sure to check out our blog as well, where you’ll find in-depth articles on common feet and ankle problems. 

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  • Why does my 2nd toe hurt?

    When you experience a vague pain in your forefoot, particularly with regard to your second toe, it is possible that you have a condition known as Freiberg’s disease. In addition to pain, other observable symptoms of this ailment include stiffness, a limp, or even swelling if the synovial membrane that lines the inside of your joint has become inflamed.

    This condition is more likely to be found in patients aged 13-18, and especially female athletes who fall in that age range. The exact cause of Freiberg’s disease is unknown, but it can arise from traumatic injury or an interrupted growth process in the metatarsal. It is also more common for individuals who have long second toes, because this situation increases the amount of weight placed on the second metatarsal head.

    If you, or a loved one, are experiencing pain in the second toe, come see Shenandoah Podiatry as soon as possible. Early treatment for this ailment can help prevent it from becoming a chronic condition. Our expert staff will administer the care you need when you visit our Roanoke, VA office. To make an appointment, call our Roanoke office at (540) 904-1458, or use our online form.

  • What is Freiberg’s Disease?

    Freiberg’s disease is a rare condition that can become a debilitating ailment if not treated properly; it can even cause the onset of arthritis at a young age. Symptoms of this disease often include a vague forefoot pain, stiffness (particularly in the second toe), and a limp. Swelling may become apparent if there is inflammation of the synovial membrane on the inside of the joint.

    The exact cause of this condition is unclear. Some, but not all, cases can be traced to a traumatic injury. In other instances, typically noted in adolescent patients, Freiberg’s stems from interruptions of normal growth processes at either the end of the bone (the epiphysis) or the growth plate (the apophysis) and results in fragmentation of the joint surface. Also, when the second toe is longer than the big toe, it assumes greater pressure and weight than it should, which leads to issues in its metatarsal joint.

    When you, or a loved one, have the symptoms of Freiberg’s disease, it is important to come in and see us at Shenandoah Podiatry sooner rather than later. Our expert staff will give you the treatment and care that you need. Call our Roanoke, VA office at (540) 904-1458, or schedule an appointment online today.

  • Is there a certain time of day to buy shoes?

    Our feet tend to change size during the day, so the time you go shoe shopping actually can make a difference when it comes to finding a proper, comfortable fit. The best time to try on shoes is toward the end of the day, during the late afternoon or early evening. Our feet typically swell throughout the day, and the later hours is when our feet are usually at their largest. That’s the best time to fit; otherwise, a shoe purchased in the morning might not feel so perfect later on. Also remember to measure both feet and to concentrate on fitting the one that is larger, if one is.

    If you have more questions about how footwear applies to your foot health, Dr. Jennifer Keller and the staff of Shenandoah Podiatry can provide the answers you need. You can schedule an appointment with us by calling (540) 904-1458 for our Roanoke office.

  • What insurance do you accept?

    We accept most insurances including:

    Anthem Blue Cross Blue Shield
    United Health Care
    Optima Health
    Mutual of Omaha
    Coventry Health Care
    Carilion Clinic Medicare
    Tricare and Tricare for Life
    VA Premier

    Will I need a referral?
    Our office does not require referrals, however if your insurance provider requires a referral, we will need a formal referral sent from your primary care doctor. Some insurances that usually require referrals are:

    Tricare Prime
    Medicaid Medallion
    United Healthcare Services Co. of the New River Valley
    Anthem Healthkeepers
    Also, most HMO Plans

    Is insurance going to pay for this visit/treatment/product?
    All visits are subjecto to co-pay and deductable. All information given to us by the insurance company is only a quote and not a guarantee of payment.

  • Why do you need to know when I was seen by my family doctor last?

    With any patient seen for diabetic foot care or at risk foot care, the insurance companies require the date of your last family doctor visit, diabetic doctor or cardiologist be listed and be within the past six months when submitting the insurance claim in order for the visit with us to be covered.

  • Why do you need to get my weight, blood pressure, etc. to treat my foot problem?

    These are all a part of your vital signs which are recorded at each visit as part of your chart. If we see that your blood pressure is low or high we may suggest you be seen by your Family Doctor. Some medications we may prescribe may depend on weight for the dose amount.

  • Is this procedure/shot, etc. going to hurt?

    Everyone has a different tolerance for pain. The shot may feel like a bee sting, we use a cold spray to reduce the chance of you feeling the needle. We will go slow and explain what we are doing as we go along to make you feel as comfortable as possible.

  • How long has Dr. Keller been in this office/in practice?

    Dr. Keller (formerly Dr. Feeny) started the practice in Troutville in 2001.

  • Is there a certain time of day that is best to shop for shoes?

    Oddly enough, yes! It is best to shop for shoes at the end of the day. As the day progresses, your feet change in width and length. To prevent injury to your feet caused by an ill-fitted shoe, wait until the evening to go shopping.