Various Causes of Ankle Pain
Ankles are joints that connect bones in the feet with bones in the lower leg. They are comprised of bones, ligaments, muscles, tendons, blood vessels, and nerves. The ankle joint allows the foot to move side-to-side, as well as up-and-down.
Ankle pain can be caused by a variety of conditions, but is most commonly due to soft tissue injuries such as ankle sprains and strains.
An ankle sprain occurs when one or more of the strong ligaments that support and stabilize the ankle become overly stretched or even torn if the ankle rolls, turns, or twists awkwardly. Depending on the grade of sprain (mild-moderate-severe), there will be varying degrees of pain, swelling, and restricted range of motion, along with tenderness, bruising, and ankle instability. There may even be an audible popping noise at the moment of injury.
Ankle strains can sometimes produce similar symptoms of pain, swelling, and loss of motion, however, they are due to overly stretched muscles and tendons—not ligaments. Ankle strains may also cause muscle cramps in the feet, calves and shins.
Ankle fractures are another common source of ankle pain and occur one or more of the three bones in the ankle become fractured (broken). These breaks can be stress fractures (due to repetitive stress) or traumatic fractures (due to an acute injury). Depending on where and how severe the fracture is, symptoms can include pain and swelling that can sometimes spread up to the knee, bruising or discoloration, and an inability to bear weight. A visible deformity or exposed bone may occur in severe fractures.
Various forms of arthritis may also cause ankle pain. Rheumatoid arthritis (RA) causes the immune system to attack healthy joints, like the ankle joint, by mistake, causing stiffness and swelling in both ankles. Osteoarthritis occurs when cartilage covering the ends of bones wears down, causing the bones to rub against each other. This results in pain, stiffness, and reduced range of motion in the ankle. Gout is a form of arthritis where excess amounts of uric acid in the bloodstream crystallize and build up on joints, causing severe pain and swelling. Reactive arthritis causes joint pain and swelling in the ankle in response to an infection in another part of the body.
Other forms of ankle pain include bursitis (an inflammation of a cushioning bursa sac between tendons and bone), scleroderma (a thickening of connective tissues), chronic ankle instability (caused by improperly healed ankle sprains), Achilles tendon injuries, flat feet, or an infection in the ankle.
Understanding Morton’s Neuroma
Morton’s neuroma is a painful condition involving the thickening of tissue around a nerve leading to the toes, most commonly affecting the area between the third and fourth toes. It often feels like standing on a pebble or experiencing a burning, tingling pain in the ball of the foot. Causes include repetitive stress or compression, commonly from wearing tight or high-heeled shoes. High-impact activities, flat feet, and bunions also increase the risk of developing Morton’s neuroma. Diagnosis typically involves a physical exam, imaging, and recreating symptoms through pressure on the affected area. Treatments range from footwear modifications, orthotics, and anti-inflammatory medications to more invasive options like corticosteroid injections or, in severe cases, surgery. The outlook is generally positive with proper management, and prevention focuses on wearing supportive, well-fitted shoes and avoiding prolonged foot stress. If you have symptoms of Morton’s neuroma, it is suggested that you visit a podiatrist who can provide a tailored treatment plan for relief.
Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact one of our podiatrists of DeCaro Total Foot Care Center. Our doctors will attend to all of your foot care needs and answer any of your related questions.
Morton’s Neuroma
Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.
What Increases the Chances of Having Morton’s Neuroma?
- Ill-fitting high heels or shoes that add pressure to the toe or foot
- Jogging, running or any sport that involves constant impact to the foot
- Flat feet, bunions, and any other foot deformities
Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.
If you have any questions, please feel free to contact our office located in West Hatfield, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.
What is Morton's Neuroma?
Morton’s neuroma, (also referred to as Morton’s metatarsalgia, Morton’s neuralgia, plantar neuroma or intermetatarsal neuroma) is a condition that is caused when the tissue around one of the nerves between your toes begins to thicken. This thickening can result in pain in the ball of the foot. Fortunately, the condition itself is not cancerous.
Morton’s neuroma affects women more often than men with a ratio of 4:1. It tends to target women between the age of 50 and 60, but it can occur in people of all ages. There are some risk factors that may put you at a slightly higher risk of developing the condition. People who often wear narrow or high-heeled shoes are often found to be linked to Morton’s neuroma. Additionally, activities such as running or jogging can put an enormous amount of pressure on the ligament and cause the nerve to thicken.
There usually aren’t any outward symptoms of this condition. A person who has Morton’s neuroma may feel as if they are standing on a pebble in their shoe. They may also feel a tingling or numbness in the toes as well as a burning pain in the ball of their foot that may radiate to their toes.
In order to properly diagnose you, the doctor will press on your foot to feel for a mass or tender spot. He may also do a series of tests such as x-rays, an ultrasound, or an MRI. X-rays are usually done to rule out any other causes for your foot pain such as a stress fracture. Ultrasounds are used to reveal soft tissue abnormalities that may exist, such as neuromas. Your podiatrist may want to use an MRI in order to visualize your soft tissues.
There are three main options for treatment of Morton’s neuroma: Injections, decompression surgery, and removal of the nerve. Injections of steroids into the painful area have been proven to help those with Morton’s neuroma. Decompression surgery has been shown to relieve pressure on the affected nerve by cutting nearby structures such as the ligaments in the foot. Another treatment option would be to surgically remove the growth to provide pain relief.
If you suspect that you have Morton’s neuroma you should make an appointment with your podiatrist right away. You shouldn’t ignore any foot pain that lasts longer than a few days, especially if the pain does not improve.
Custom Orthotics For Ankle Stability
Step with assurance, thanks to enhanced ankle stability from orthotics! If you're active and on the move, Custom Orthotics are your ally for stronger, steadier ankles. They align your foot and ankle, reducing the risk of sprains and offering solid support for every stride. Don’t let instability hold you back. Try Custom Orthotics from our office, and discover unshakable confidence in every step!
Heel Pain Can Be Treated!
Do you suffer from heel pain when you get up in the morning? If so, you should seek professional help and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.
Causes and Relief Options for Toenail Fungus
Toenail fungus, medically known as onychomycosis, is a common infection that affects the nail bed, often starting as a white or yellow spot under the nail. Over time, it can cause nails to thicken, discolor, crumble, or become misshapen, leading to discomfort, and, in some cases, pain. Toenail fungus thrives in warm, moist environments, making athletes, individuals who sweat heavily, and those who wear tight or non-breathable shoes more susceptible. Poor foot hygiene and minor nail injuries also increase risk. Treating toenail fungus can be challenging, as the infection tends to be persistent. For more stubborn infections, it is suggested that you schedule an appointment with a podiatrist who may prescribe oral antifungal medications or laser therapy to target the fungus.
For more information about treatment, contact one of our podiatrists of DeCaro Total Foot Care Center. Our doctors can provide the care you need to keep you pain-free and on your feet.
Toenail Fungus Treatment
Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.
Antifungals & Deterrence
Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.
Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.
Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.
If you have any questions please feel free to contact our office located in West Hatfield, MA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
How to Treat Your Toenail Fungus
While not a serious issue, toenail fungus, or onychomycosis, can be an embarrassing and uncomfortable condition to experience. Toenail fungus is often caused from public areas that harbor fungi and improper cleaning/drying of the foot. Once infected, the fungus grows deeper into the nail and can be very hard to get rid of.
There are different types of fungus that cause toenail fungus. Dermatophytes, yeasts, and molds are the most frequent forms of fungus to infect the toenail. Dermatophytes are the most common among the three. Symptoms associated with fungal nails include the discoloration of the toenail, brittleness, and in some circumstances, a smell. Pain is rarely a symptom caused by toenail fungus.
Diagnosis of fungal nails is generally a rather quick process. However podiatrists will make sure that the cause is not another condition such as lichen planus, psoriasis, onychogryphosis, or nail damage. Podiatrists will make use of fungal cultures and microscopy to verify that it is fungus.
While over-the-counter ointments are readily available, most are ineffective. This is due to the fact that the nail is very protective and that the fungus slips in between the nail plate and bed. Podiatrists can offer oral medication which currently provides the best results.
Ultimately, prevention is the best line of defense against toenail fungus. Avoid unsanitary public showers. If you do use a public shower, use shower shoes to provide your foot with protection. Once you are finished showering, make sure to thoroughly dry your feet. Fungi thrive in warm, dark, and moist places like sweaty, warm feet that are left dark in shoes all day.
Custom Orthotics for Blount’s Disease in Children
Orthotics can help reduce plantar pressure in children with infantile tibia vara, also known as Blount's disease. This condition affects the growth of the bones in the lower legs, causing the legs to bow outward. It can lead to uneven pressure on the feet when walking, which may cause discomfort and difficulty in moving around. Custom orthotics are designed to provide extra support and cushion for the feet. In children with Blount's disease, orthotics help distribute body weight more evenly, reducing the pressure on certain parts of the foot. This can improve walking patterns and relieve pain caused by the uneven pressure. By supporting the feet and correcting alignment, orthotics play an important role in managing plantar pressure in children with Blount's disease. They help make walking more comfortable and prevent further complications as the child grows. If your child is experiencing pain and difficulty with mobility, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment, which may involve custom orthotics.
If you’re experiencing foot discomfort, have a history of foot and ankle injuries, or are interested in exploring Custom orthotics, don’t hesitate to contact one of our podiatrists at DeCaro Total Foot Care Center. Our doctors is dedicated to offering the care required to help you remain pain-free and stay on your feet.
What are Custom Orthotics?
Custom orthotics refer to custom inserts designed for placement in different shoe types, including athletic and formal footwear, with the purpose of alleviating a spectrum of foot-related problems such as flat feet, heel pain, and overall foot discomfort. These inserts are instrumental in providing relief and comfort for a diverse range of foot conditions, including heel pain, and can also act as a proactive approach to injury prevention.
Medical Grade Shoe Inserts:
A diverse array of shoe inserts is available for addressing foot pain, heel discomfort, and minor issues. For instance, you can place arch supports in your shoes to rectify overarched or flat feet, and gel and cushioned insoles are frequently chosen for the comfort and relief they provide from foot and heel pain by reducing pressure.
If you have any questions please contact our office located in West Hatfield, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Investing in Custom Orthotics Means Investing in Foot Health
Custom orthotics offer a tailored approach to foot health, providing a host of benefits that extend far beyond conventional shoe inserts. One of the primary advantages lies in their ability to address specific biomechanical issues. Unlike off-the-shelf inserts, custom orthotics are crafted based on an individual's unique foot structure, gait, and any existing foot conditions.
The personalized design of custom orthotics ensures optimal support for the arches, promoting proper alignment and distributing pressure evenly across the feet. This can be particularly beneficial for individuals dealing with issues such as overpronation or underpronation, as custom orthotics help correct imbalances that may lead to discomfort or injury.
Beyond biomechanics, custom orthotics can alleviate a range of foot problems, including plantar fasciitis, bunions, and metatarsalgia. They provide targeted relief to areas under stress, reducing pain and inflammation. Additionally, for those with specific medical conditions like diabetes, custom orthotics can play a crucial role in preventing complications associated with poor foot health.
Comfort is another key aspect of custom orthotics. By accommodating the unique contours of an individual's feet, these inserts enhance overall comfort, making daily activities more enjoyable. Whether for athletes looking to optimize performance or individuals seeking relief from chronic foot pain, custom orthotics offer a versatile solution.
Investing in custom orthotics is an investment in long-term foot health. They not only provide immediate relief but also contribute to the prevention of future issues. With the ability to seamlessly integrate into various types of footwear, custom orthotics empower individuals to prioritize foot comfort without compromising on style. In essence, custom orthotics are a personalized prescription for happy, healthy, and pain-free feet.
How Podiatrists Evaluate Ankle Injuries
When evaluating an ankle, podiatrists use a thorough, multi-step process to diagnose issues accurately. The assessment often begins with a discussion of symptoms, including pain location, duration, and any history of injury. A physical examination follows, where the podiatrist checks for swelling, bruising, tenderness, and range of motion. Specific tests, such as the anterior drawer test, can help assess ligament stability, particularly in cases of suspected sprains by gently pulling the foot forward while stabilizing the lower leg. In many cases, podiatrists may order imaging studies like X-rays, ultrasounds, or MRI scans to obtain a detailed view of bones, ligaments, and soft tissues. These images help identify fractures, ligament tears, or signs of arthritis. Gait analysis is sometimes performed to evaluate how the patient’s foot and ankle move when walking. Based on findings, the podiatrist can develop a tailored treatment plan, ranging from rest and targeted exercises to more advanced options if necessary. If you have sustained an ankle injury it is suggested that you visit a podiatrist for an exam and treatment.
Foot and ankle trauma is common among athletes and the elderly. If you have concerns that you may have experienced trauma to the foot and ankle, consult with one of our podiatrists from DeCaro Total Foot Care Center. Our doctors will assess your condition and provide you with quality foot and ankle treatment.
Foot and ankle trauma cover a range of injuries all over the foot; common injuries include:
- Broken bones
- Muscle strains
- Injuries to the tendons and ligaments
- Stress fractures
Symptoms
Symptoms of foot and ankle injuries vary depending on the injury, but more common ones include:
- Bruising
- Inflammation/ Swelling
- Pain
Diagnosis
To properly diagnose the exact type of injury, podiatrists will conduct a number of different tests. Some of these include sensation and visual tests, X-rays, and MRIs. Medical and family histories will also be taken into account.
Treatment
Once the injury has been diagnosed, the podiatrist can than offer the best treatment options for you. In less severe cases, rest and keeping pressure off the foot may be all that’s necessary. Orthotics, such as a specially made shoes, or immobilization devices, like splints or casts, may be deemed necessary. Finally, if the injury is severe enough, surgery may be necessary.
If you have any questions, please feel free to contact our office located in West Hatfield, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.
