Understanding Lisfranc Injuries

Understanding Lisfranc Injuries

A Lisfranc injury affects the middle part of the foot, where the long bones of the toes connect to the arch. This type of injury can happen during sports, a misstep on uneven ground, or from a heavy object falling on the foot. A Lisfranc injury may involve stretched ligaments or broken bones, depending on how serious the impact is. Common signs include swelling on the top of the foot, bruising on the bottom of the arch, and pain that makes it hard to walk or put weight on the foot. These injuries are often mistaken for a simple sprain, but if left untreated they can lead to arthritis, ongoing pain, or changes in foot shape. A podiatrist can check for a Lisfranc injury with an exam and imaging tests, and recommend the right treatment, which may include immobilization or surgery. If you have symptoms of a Lisfranc foot injury, it is suggested that you make an appointment with a podiatrist for an exam and treatment.

A broken foot requires immediate medical attention and treatment. If you need your feet checked, contact the podiatrists from Boston Common Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

Broken Foot Causes, Symptoms, and Treatment

A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury. 

Common Symptoms of Broken Feet:

  • Bruising
  • Pain
  • Redness
  • Swelling
  • Blue in color
  • Numbness
  • Cold
  • Misshapen
  • Cuts
  • Deformities

Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.

Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.

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

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Walking Shoes vs. Running Shoes

Walking Shoes vs. Running Shoes

Although walking shoes and running shoes look similar, they have characteristics that make them different from each other. Runners should avoid running in walking shoes and vice versa. It is very important that you wear the proper footwear for the activity you are going to partake in, for you to avoid injury.

If you are looking to buy a new pair of running shoes, there are certain things you should look out for. One of the main components that makes up a good running shoe is flexibility. You should be able to bend and flex the forefoot of the shoe that you are purchasing. If you can bend the entire shoe in half with ease, this is a sign that the shoe does not have enough structure for your feet. Another feature you should look for is a low heel. Certain running shoes have a low heel to support runners who land on the ball of their feet. Lastly, you should look for the fit of the running shoe. You should visit the best running shoe store in your area to have your feet properly sized for the shoes in the store. Usually, the staff will be able to help recommend the best type of running shoe for your needs.

When you are walking, the body’s weight is evenly distributed on the foot. This influences the design of shoes made for walking. If you are looking to buy a pair of walking shoes, there are different features you should look for to determine which pair of shoes is best for you. Walking shoes should be flexible through the ball of the foot to allow for a greater range of motion through the roll of the forefoot. These shoes also should have greater arch support for the foot. If you plan on walking long distances or on hard surfaces, it is best that you wear shoes that have cushioning.

When trying on a new pair of shoes, the heel should fit snugly without slip. You should shop for shoes after a long walk, since your feet tend to swell throughout the day. Many people have one foot that is a different size than the other, so it is best that you have both feet measured when looking for your true size. You should also beware that sizes vary depending on the shoe brand. A certain size in one brand may be a different size in a different brand. Lastly, you should always walk around in shoes that you plan on buying. This will help you determine whether the shoes are comfortable and if they fit well on your feet.

Always look for good shoe construction when shopping for new sneakers. The upper part of the shoe should allow for adjustment through laces or straps. If you need help with shoe sizing or if you need custom orthotics for your feet, you should make an appointment with your podiatrist for assistance. He or she will be more than happy to help you with your shoe sizing needs.  

Choosing the Right Shoes for Marathon Running

Choosing the Right Shoes for Marathon Running

Finding the right shoes for marathon running is essential for comfort, performance, and injury prevention. Shoes should provide enough length to allow natural toe movement, proper width to avoid pressure, and a secure heel fit that prevents slipping. The overall feel should support your stride without causing rubbing or tightness. Wearing the wrong shoes can lead to blisters, calluses, plantar fasciitis, or even stress fractures, over time. A podiatrist can assess your foot structure, gait and any existing conditions, as well as recommend footwear that match your needs. If you are training for a marathon, it is suggested that you consult a podiatrist to ensure you have the right support for your feet and reduce your risk of painful setbacks.

You should always make sure your running shoes fit properly in order to avoid injury. For more information, contact the podiatrists from Boston Common Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

Choosing the Right Running Shoe for Your Foot Type

Improper shoe sizing can cause a myriad of problems for your feet. Shoes that don’t fit you properly can lead to muscular imbalances in your body, which can result in foot, knee, and hip injuries.

Tips for Finding the Right Running Shoe

  • Make sure you have a thumb’s width of wiggle room between the end of your longest toe and the front of the shoe.
  • There should be little to no slipping at the heel
  • Don’t assume your size in one shoe brand will be your size in another
  • Do not lace up your shoes too tightly
  • Walk around in the store with your new shoes before you buy them

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

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Are Bunions Affecting Your Everyday Life?

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.

Achilles Tendon Injuries

Achilles Tendon Injuries

The Achilles tendon is the largest tendon in the body; it is a tough band of fibrous tissue that stretches from the bones of the heel to the calf muscles. This tendon is what allows us to stand on our toes while running, walking, or jumping, it is common for this tendon to become injured. In severe cases, the Achilles tendon may become partially torn or completely ruptured. However, this tendon is susceptible to injury because of its limited blood supply and the high level of tension it endures.

The people who are more likely to suffer from Achilles tendon injuries are athletes who partake in activities that require them to speed up, slow down, or pivot. Consequently, athletes who engage in running, gymnastics, dance, football, baseball, basketball, or tennis are more likely to suffer from Achilles tendon injuries. Additionally, there are other factors that may make you more prone to this injury. People who wear high heels, have flat feet, tight leg muscles or tendons, or take medicines called glucocorticoids are more likely to have Achilles tendon injuries.

A common symptom of an Achilles tendon injury is pain above the heel that is felt when you stand on your toes. However, if the tendon is ruptured, the pain will be severe, and the area may become swollen and stiff. Other symptoms may be reduced strength in the lower ankle or leg area, and reduced range of motion in the ankle. When the Achilles tendon tears, there is usually a popping sound that occurs along with it. People who have acute tears or ruptures may find walking and standing to be difficult.

If you suspect you have injured your Achilles tendon, you should see your podiatrist to have a physical examination. Your podiatrist will likely conduct a series of tests to diagnose your injury including a “calf-squeeze” test. Calf squeeze tests are performed by first squeezing the calf muscle on the healthy leg. This will pull on the tendon and consequently cause the foot to move. Afterward, the same test will be performed on the injured leg. If the tendon is torn, the foot won’t move because the calf muscle won’t be connected to the foot.

Understanding Achilles Tendinopathy

Understanding Achilles Tendinopathy

Achilles tendinopathy is a condition that affects the tendon connecting the calf muscles to the heel bone. It often begins with stiffness and pain in the back of the heel or lower leg, especially during walking or running. The discomfort may ease with activity at first, but can return stronger afterward. Over time, the tendon may thicken and lose flexibility, making daily movement more difficult. Common causes include overuse, sudden increases in activity, tight calf muscles, or wearing unsupportive shoes. Rest, stretching, and supportive footwear may reduce strain, while structured strengthening programs are often key to recovery. Ignoring the problem can increase the risk of a more serious tendon injury, including rupture. If you are experiencing persistent pain or stiffness in your Achilles tendon, it is suggested that you consult a podiatrist for an accurate diagnosis and a personalized treatment plan.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact the podiatrists of Boston Common Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

  • Inflammation
  • Dull to severe pain
  • Increased blood flow to the tendon
  • Thickening of the tendon

Rupture Symptoms

  • Extreme pain and swelling in the foot
  • Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

  • Thorough stretching of the tendon before and after exercise
  • Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact our office located in Boston, MA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Taking Care of Elderly Feet

Taking Care of Elderly Feet

Many foot diseases and conditions become more serious and common among the elderly. Some of these conditions include diabetic ulcers, ingrown toenails, fungus, arthritis, corns, and calluses. Unfortunately, it may be harder for older adults to take care of their own feet, but there are some precautions they can take in order to avoid any serious conditions.

Dry, cracked heels tend to be a common problem for older people. In order to avoid this, you should always keep your feet clean and well moisturized. Special feet moisturizers should be used as average lotions might not provide enough moisture for dry and cracked heels. Daily foot inspections are crucial for the elderly to detect any irregularities in their earliest stages. During the aging process, blood circulation tends to slow down causing older people to not feel their feet as well as they used to. This often results in foot problems going unnoticed.

Fungal and bacterial conditions thrive on elderly feet because older adults are less likely to keep their feet clean and dry; this makes it easier for bacteria to take hold in their dry, cracked skin. Elderly people should be sure to thoroughly dry their feet, especially in between the toes, after bathing. This will help them avoid developing any fungal infections. Additionally, clean cotton socks should be worn after the feet are dried.

Cutting toenails straight across will help prevent ingrown toenails. When toenails are cut too lose, the nail might break through the skin resulting in an ingrown nail. Clippers should be used to cut the nails in order to make the cut even.

Elderly people who have diabetes are at risk of developing serious foot problems that may lead to amputation. Ulcers that are left untreated can lead to gangrene. Dry and cracked feet, fungus, and untended cuts under the nails may also lead to infections.

Fortunately, Medicare covers many different types of services for foot care. Elderly people with any of these foot conditions should seek the help of a podiatrist and perform daily foot inspections in order to ensure that they have healthy feet.

Common Foot Problems in Older Adults

Common Foot Problems in Older Adults

As people age, their feet naturally change, often becoming wider, flatter, and more prone to discomfort. Common foot problems in elderly people include gout, arthritis, ankle arthritis, bunions, neuropathy, and fungal infections. These conditions can cause pain, stiffness, numbness, or visible changes that affect mobility and daily activities. Risk factors include age, genetics, chronic health issues, wearing poor footwear, and repetitive strain. Symptoms may include swelling, inflammation, difficulty walking, or persistent soreness. A podiatrist can diagnose these conditions, provide treatment, recommend proper footwear, and offer preventive care to maintain foot health. If you are elderly and have developed foot pain, it is suggested that you are under the care of a podiatrist who can effectively treat various foot conditions.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact the podiatrists from Boston Common Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

  • Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
  • Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
  • Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
  • Gouging toenails affecting nearby toe
  • Shoes that don’t fit properly
  • Pressure sores
  • Loss of circulation in legs & feet
  • Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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

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Ingrown Toenail Care

Ingrown Toenail Care

An ingrown toenail is a nail that has curved downward and grows into the skin.  This typically occurs at the nail borders, or the sides of the nail.  As a result, pain, redness, swelling, and warmth may occur in the toe.  If a break in the skin forms due to the ingrown nail, bacteria may enter and cause an infection in the area; this is typically characterized by a foul odor and drainage.

Ingrown toenails have multiple reasons for developing.  In many instances, the condition is a result of genetics and is inherited.  The most common cause, however, is improper trimming; cutting the toenails too short forces the skin beside the nail to fold over.  An ingrown toenail can also develop due to trauma, such as stubbing the toe, having an object fall on the toe, or participating in activities that involve repeated kicking or running.  Wearing shoes that are too tight or too short can also cause ingrown toenails.

Treatment for an ingrown toenail varies between patients and the severity of the condition.  Milder cases that don’t involve infection or other medical conditions can benefit from soaking the feet in room-temperature water and gently massaging the side of the nail.  In most cases, however, it is best to see your podiatrist for thorough and proper treatment.  After examining your toe, your podiatrist may prescribe oral antibiotics to clear the infection if one is present.  Surgical removal of either a portion of the nail or the entire nail may also be considered.  In some cases, complete removal or destruction of the nail root may be required.  Most patients who undergo nail surgery experience minimal pain afterward and can return to normal activity the following day.

Ingrown toenails can be prevented with proper nail trimming and by avoiding improper-fitting shoes.  When cutting the toenails, be sure that you are cutting in a straight line and avoid cutting them too short.  Shoes should not be too short or tight in the toe box.

Possible Causes of Ingrown Toenails

Possible Causes of Ingrown Toenails

Patients who have experienced an ingrown toenail are often aware of the pain and discomfort this condition can cause. It is defined as the corner of the toenail growing into the surrounding skin. It can occur as a result of wearing shoes that do not have adequate room for the toes to move freely in, or from trimming the toenails improperly. Mild relief can be found when the affected nail is soaked in warm water. This may help in lifting a portion of the skin away from the nail while using a cotton swab. If the toenail becomes infected, a yellow discharge may appear, and a fever may develop. It is suggested that you consult with a podiatrist if you have an ingrown toenail who can determine what the best treatment method is for you.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact the podiatrists of Boston Common Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

  • Improper toenail trimming
  • Genetics
  • Improper shoe fitting
  • Injury from pedicures or nail picking
  • Abnormal gait
  • Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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

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