Blog

Shoe inserts that are designed to help relieve pain for a variety of foot conditions (including corns and calluses, tendonitis, bunions, heel pain, and recurring stress fractures) are known as orthotics. Orthotics can be made from various materials, such as rubber, plastic, leather, and in some cases, even metal. Podiatrists often make custom orthotics to treat specific issues. Podiatrists customize orthotics by accounting for the biomechanics of the foot as well as the function and structure of the foot. Patients who are struggling with pain in their feet may wish to consult a podiatrist who can prescribe custom orthotics that are specific to your foot.

If you are having discomfort in your feet and would like to try orthotics, contact the podiatrists from Boston Common Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

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.

As the feet age over time, they begin to wear down. For example, a lot of the cushioning and the fat pads of the heel and ball of the foot begins to wear away. The skin on the feet loses elasticity and the nails become more brittle. Bone deformities and other conditions, like bunions and arthritis, may lead to an increased risk of falls. Due to the different affects aging can have on the feet, it is very important to implement routine foot care and daily inspections. If you notice that the skin on your feet has become dry, or if you are experiencing a burning or tingling sensation in your feet, it is suggested that you consult with a podiatrist right away. A podiatrist can properly diagnose and treat a wide variety of foot conditions. If it becomes too difficult to inspect your feet daily, it is suggested to schedule regular checkups with a podiatrist, especially if you have diabetes.

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 and ankle needs.

Poor circulation refers to inadequate or limited blood flow. The lower limbs, and particularly the feet, are often affected. There are various medical conditions that can cause poor foot circulation. These include Raynaud’s disease, acrocyanosis, diabetes, arteriosclerosis, and peripheral artery disease. People who have a sedentary lifestyle, smoke, or have high cholesterol or high blood pressure are at an increased risk of developing poor lower limb circulation as well. If you have symptoms of poor circulation, such as coldness, numbness, discoloration, dry or cracked skin, hair loss, weak toenails, and poor wound healing on your feet, it is strongly suggested that you seek the care of a podiatrist. 

Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact the podiatrists of Boston Common Podiatry. Our doctors will treat your foot and ankle needs.

Poor Circulation in the Feet

Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.

Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.

Causes

Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development. It can also cause:

• Muscle pain, stiffness, or weakness   
• Numbness or cramping in the legs 
• Skin discoloration
• Slower nail & hair growth
• Erectile dysfunction

Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

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.

Hammertoes typically occur in the smaller toes of the foot. They can also be referred to  as “Mallet Toe” or “Claw Toe,” depending on how the foot is affected. These conditions often occur when the soft tissues of the foot become too tight or get injured. Tight shoes are the most common cause of hammertoe, and of the variations  can be the easiest to fix by wearing open-toed shoes and sandals, or roomy, softer closed-toe shoes. Shoe inserts, wrapping the toes after exercise, and maintaining a healthy body weight can help prevent excess pressure on the feet and toes. If discomfort persists, see a podiatrist who can recommend exercises and offer other solutions.

Hammertoes can be a painful condition to live with. For more information, contact the podiatrists of Boston Common Podiatry. Our doctors will answer any of your foot- and ankle-related questions.

Hammertoe

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.

Symptoms

• 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

Treatment

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 office located in Boston, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

If you suffer from sudden pain, swelling, tenderness, heat, and stiffness in the joint of your big toe, you may have gout. This condition is an inflammatory form of arthritis where excess uric acid forms hardened crystals in the joints. The big toe is usually where gout occurs. People most at risk of developing gout are those with diabetes, hypertension, obesity, kidney dysfunction, or a genetic predisposition to it. Some believe that eating foods that are rich in purines can also contribute to gout’s formation in a person’s body. Uric acid is a byproduct of the body’s process of breaking down purines. People who suspect they have gout should consult with a podiatrist who can not only diagnose the condition, but help manage pain with anti-inflammatory medicine, make dietary recommendations, and even remove uric crystals in severe cases.

Gout is a painful condition that can be treated. If you are seeking treatment, contact the podiatrists from Boston Common Podiatry. Our doctors will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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.

Ankle sprains can occur when one or more ligaments in the ankle are overstretched or torn, usually due to a sudden, twisting injury of the ankle. Sprains can range from mild to severe, but in all cases, a full recovery is vital to prevent future ankle injuries. For all ankle sprains, it is important to protect the sprained ankle from further injury by resting it. Applying ice, compressing, and elevating the injured ankle can help reduce swelling and inflammation. Taking over-the-counter anti-inflammatory drugs can be useful for pain management. Gentle stretching and strengthening exercises can help during the recovery process as well. Moderate to severe sprains will usually require further treatments to ensure proper healing. These may include footwear modifications, wearing orthotics, going to physical therapy, wearing an ankle brace or support, and in particularly severe cases, undergoing surgery to repair a torn ligament. If you have sprained your ankle, it is suggested that you seek the care of a podiatrist. 

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact the podiatrists from Boston Common Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

• Pain at the sight of the tear
• Bruising/Swelling
• Ankle area is tender to touch
• In severe cases, may hear/feel something tear
• Skin discoloration

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

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.

Posterior tibial nerve neuralgia, also known as tarsal tunnel syndrome, is a nerve disorder that is caused by compression of the posterior tibial nerve. This nerve runs through the tarsal tunnel, an area along the inside of the ankle that houses nerves, blood vessels, and tendons. When the posterior tibial nerve is compressed, it causes symptoms such as foot, ankle, and toe pain, a pins and needles sensation in the foot, and numbness. Conservative treatments such as resting and icing the foot, wearing orthotics, and taking pain medications can help relieve symptoms. For more information about tarsal tunnel syndrome and to discover the best course of treatment for you, please consult with a podiatrist. 

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact the podiatrists of Boston Common Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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.