Flatfoot is a condition that occurs when the arches on the foot are flattened, which allows the soles of the feet to touch the floor. Flatfoot is a common condition and it is usually painless.
Throughout childhood, most people begin to develop arches in their feet, however, some do not. Those who do not develop arches are left with flatfoot. The pain associated with flat feet is usually at its worse when engaging in activity. Another symptom that may occur with those who have this condition is swelling along the inside of the ankle.
It is also possible to have flexible flatfoot. Flexible flatfoot occurs when the arch is visible while sitting or standing on the tiptoes, but it disappears when standing. People who have flexible flatfoot are often children and most outgrow it without any problems.
There are some risk factors that may make you more likely to develop flatfoot. Those who have diabetes and rheumatoid arthritis have an increased risk of flatfoot development. Other factors include aging and obesity.
Diagnosis for flat feet is usually done by a series of tests by your podiatrist. Your podiatrist will typically try an x-ray, CT scan, ultrasound, or MRI on the feet. Treatment is usually not necessary for flat foot unless it causes pain. However, therapy is often used for those who experience pain in their flat feet. Some other suggested treatment options are arch supports, stretching exercises, and supportive shoes.
Flat feet, or fallen arches, occur when the arch of the foot is lower than normal. Children are often born with flat feet, and in most cases, the condition naturally resolves by the age of seven to 10 as the foot develops. Flat feet are classified based on arch height and heel aversion angle and can be either flexible or rigid. In flexible flat feet, the arch appears when the foot is lifted but disappears when standing, while rigid flat feet have no arch even when off the ground. Flat feet can be caused by genetics, injury, or conditions like arthritis. Symptoms include foot pain, particularly in the heel or arch, and difficulty standing for long periods. Pain occurs due to abnormal pressure on muscles and ligaments. Treatment includes supportive footwear, orthotics, and targeted stretching. In severe cases, surgery may be considered to correct alignment and relieve discomfort. If you have painful flat feet, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment.
Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.
Conditions & Problems:
Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.
Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.
Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.
Symptoms
Pain around the heel or arch area
Trouble standing on the tip toe
Swelling around the inside of the ankle
Flat look to one or both feet
Having your shoes feel uneven when worn
Treatment
If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle.
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 and ankle needs.
Heel pain can be difficult to deal with, especially if you do not know what the underlying cause is. If you ignore your heel pain, the pain can magnify and potentially develop into a chronic condition. Depending on the location of your heel pain, you have developed a specific condition.
One condition is plantar fasciitis. Plantar fasciitis is caused by the inflammation of the plantar fascia, or the band of tissue that connects the heel bone to the base of the toes. The pain from this condition is initially mild but can intensify as more steps are taken when you wake up in the morning. To treat this condition, medication will likely be necessary. Plantar fasciitis is often associated with heel spurs; both require rest and special stretching exercises.
There are various options your podiatrist may suggest for heel pain. Treatment options for heel pain typically include non-steroidal anti-inflammatory drugs (NSAIDS), which may reduce swelling and pain. Other options are physical therapy, athletic taping, and orthotics. In severe cases of heel pain, surgery may be required.
Preventing heel pain is possible. If you are looking to prevent heel pain from developing in the future, be sure to wear shoes that fit you properly and do not have worn down heels or soles. Be sure to warm up properly before participating in strenuous activities or sports that place a lot of a stress on the heels. If you are experiencing any form of heel pain, speak with your podiatrist to determine the underlying cause and receive the treatment you need.
Ankylosing spondylitis, or AS, is a type of arthritis that primarily impacts the spine but can also affect other areas, including the heel. In people with AS, inflammation can extend to the tendons and ligaments surrounding the heel, causing significant discomfort. This condition can lead to heel pain, swelling, and stiffness, which may worsen with activity or after prolonged periods of rest. Often, the inflammation in the heel is due to enthesitis, which is inflammation where tendons and ligaments attach to the bone. Managing heel pain associated with Ankylosing spondylitis typically involves a combination of medications to reduce inflammation, exercises to improve mobility, and proper footwear to provide adequate support. If you are experiencing heel pain and suspect it might be linked to AS, it is suggested that you seek specialized care from a podiatrist. A podiatrist can offer targeted treatments and strategies to alleviate discomfort and improve your quality of life.
Many people suffer from bouts of heel pain. For more information, contact the podiatrists of Boston Common Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.
Causes of Heel Pain
Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.
Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.
Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.
Why Might Heel Pain Occur?
Wearing ill-fitting shoes
Wearing non-supportive shoes
Weight change
Excessive running
Treatments
Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.
If you have any questions please contact our office located in Boston, MA. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Limb salvage is a procedure that involves saving a lower extremity from amputation. In podiatry, limb amputation often occurs as a result of diabetes. The fundamental goal of limb salvage is to restore and maintain stability and movement of the affected lower extremity.
The procedure typically involves removing the diseased tissue and a small portion of the surrounding healthy tissue, as well as the removal of any affected bone if necessary. If bone is removed it is then replaced with prostheses, or synthetic metal rods or plates, or grafts from either the patient’s body or a donor. Limb salvage is typically the preferred choice of procedure over amputation, as the procedure preserves both the patient’s appearance and allows for the greatest possible degree of function in the affected limb.
Upon diagnosis and determining that limb salvage is the appropriate treatment, the podiatrist may enlist the help of a physical and/or occupational therapist to prepare the patient for surgery by introducing various muscle-strengthening, walking, and range of motion exercises. Such exercises may be continued as rehabilitation post-procedure.
Diabetes can lead to peripheral neuropathy and poor circulation, making the foot more vulnerable to injuries. Altered foot biomechanics, such as abnormal pressure distribution or foot deformities, can increase the risk of ulcers, particularly in weight-bearing areas like the heel or ball of the foot. Without the protective sensation due to neuropathy, individuals may not notice injuries, which, combined with poor healing due to impaired circulation, can escalate to infections or deep tissue damage. This increases the risk of gangrene and amputation. Limb salvage focuses on correcting or accommodating these biomechanical issues to prevent ulceration and promote healing. This may involve custom orthotics, offloading devices, or surgical intervention to correct deformities. Early detection, proper foot care, and regular monitoring are essential to avoid complications and preserve limb function in diabetic patients. If you have diabetes, it is strongly suggested that you visit a podiatrist regularly to have your feet examined, so any abnormalities or injuries can be promptly treated.
Diabetic Limb Salvage
Diabetic limb salvage can be an effective way in preventing the need for limb amputation. If you have a foot ulcer and diabetes, consult with the podiatrists from Boston Common Podiatry. Our doctors will assess your condition and provide you with quality foot and ankle treatment.
What Is Diabetic Limb Salvage?
Diabetic limb salvage is the attempt of saving a limb, such as the foot, that has an infected ulcer, from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.
Diabetes is the number one cause of non-traumatic amputations in the United States. Amputation has been found to lead to higher mortality rates. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.
Diagnosis and Treatment
Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated.
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.
Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.
People are constantly wearing improperly-fitting shoes. Though it isn’t hard, picking the right shoes does require keeping a few things in mind.
Shoe stores have rulers so you can get an exact measurement of your feet. Be sure to always measure your feet with your shoes on. Measuring just your foot will give you a shoe size that is 1-2 inches too small for picking the right size shoe.
To ensure that your toes won’t be cramped, make sure there is wiggle room. Approximately one inch should be between your toes and the tip of your shoe. It is easy to tell if your shoes are too tight, because you will start to experience pain, blisters, and swelling.
Additionally, do not always assume your shoe size will be the same at every store. Manufacturers sometimes run differently, and your size will vary from brand to brand. Make sure the stores you purchase from have return policies, in case there is a problem.
Rather than shoe shopping in the morning, it is advised to shop for shoes later in the day. Your feet will swell as the day passes. If shoes are purchased in the morning, they may not be as snug as they should be. Furthermore, not all two feet are the same size. Therefore, accommodations may be necessary.
An overall concern in buying shoes is making sure they are comfortable and supportive. There is no such thing as a shoe being ‘broken in’. If they are uncomfortable at the store, they likely will always be uncomfortable.
Since we do a lot of walking, it is important that we pick the right shoes. Our feet will benefit from this, and we will be happier and healthier because of it.
As we age, feet change shape, often becoming wider or flatter due to the loss of fat padding and muscle tone. It is important to ensure shoes provide both comfort and support, fitting snugly without being too wide or narrow. Poorly fitted shoes can worsen issues like osteoarthritis, diabetic nerve damage, hammertoes, bunions, and calluses. Shoes with rubber soles and treads offer the best traction on most surfaces, reducing the risk of falls. Different shoes should be worn for different activities. Supportive walking shoes, for instance, differ from athletic shoes. When shopping for shoes, measure your feet and shop later in the day, when feet are naturally swollen. Shoes should feel immediately comfortable, requiring no breaking in. Proper fit and support can help alleviate foot pain and improve overall mobility, making it important to regularly assess your footwear needs. If you have foot or ankle discomfort, it is suggested that you schedule an appointment with a podiatrist who can offer a proper diagnosis, treatment, and additional pointers on choosing well-fitting footwear.
Getting the right shoe size is an important part of proper foot health. Seek the assistance of the podiatrists from Boston Common Podiatry. Our doctors will provide the care you need to keep you pain-free and on your feet.
Getting the Right Shoe Size
There are many people who wear shoes that are the incorrect size, negatively affecting their feet and posture. Selecting the right shoes is not a difficult process, so long as you keep several things in mind when it comes to choosing the right pair.
When visiting the shoe store, use the tools available to measure your foot.
Be sure there is ‘wiggle room’. There should be about an inch between your toes and the tip of your shoes.
Do not always assume you are the same size, as manufacturers run differently.
Purchase shoes later in the day, as your feet swell as the day progresses.
If a shoe is not comfortable, it is not suitable. Most shoes can’t be ‘broken in’, and comfort should be the ultimate goal when it comes to choosing the right pair of shoes
As our feet hold our body weight and keep us moving, it is important to treat them right. Picking the right pair of shoes can provide your feet comfort and mobility without pain.
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.
The ankle joint is the point at which the bones of the leg and foot join. This joint is crucial because it is responsible for the foot’s mobility. Ankle pain is typically the result of inflammation from an injury to bones, joint space, cartilage, ligaments, tendons, or muscles in the area. Commonly associated symptoms with ankle pain are bruising, redness, numbness, stiffness, weakness, and tingling.
The most common causes of ankle pain are sprains and injuries. Ankle sprains are one of the most common musculoskeletal injuries. Sprains occur when the ligaments of the ankle become partially or completely torn due to sudden stretching. Sprains can occur on either the inner or outer sides of the ankle joint. Usually, these injuries occur when the ankle is twisted in an activity by stepping off an uneven surface. More specific causes include rheumatoid arthritis, gout, osteoarthritis, and Achilles tendonitis.
If you are experiencing ankle pain, you should consult with your podiatrist to choose the best method of care. Your doctor will conduct an examination of your ankle to determine the underlying cause of the pain.
