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Ankle Pain

The ankle is the region that joins the foot and leg. It consists of three joints that allow the foot to move. Pain in the ankle is typically the result of injury or inflammation from a wide variety of conditions, such as strains, sprains, fractures, or arthritis. Symptoms that often co-occur with ankle pain include swelling, bruising, numbness, tingling, stiffness, joint instability, and difficulty walking. 

The underlying cause of your ankle pain can be diagnosed by a chiropodist. A diagnostic visit to this specialist typically involves providing a medical history, describing your ankle pain, and undergoing a physical examination. In some cases, the chiropodist may order imaging studies, such as an X-ray or ultrasound, to rule out or confirm a diagnosis. 

The right treatment for your ankle pain will depend on the underlying cause of the pain. In many cases, your chiropodist may recommend that you follow the R.I.C.E. acronym: resting, icing, compressing, and elevating the affected ankle. Taking these actions generally decreases swelling and inflammation, reduces pain, and promotes healing. Taking over-the-counter, nonsteroidal anti-inflammatory drugs may also help with pain management. The chiropodist may also prescribe custom orthotics, immobilize the affected ankle, or recommend activity and footwear modifications. In cases of more severe injuries, surgical treatment may be necessary. 

If you are experiencing ankle pain, it is recommended that you seek the care of a chiropodist. 

Peripheral Artery Disease

Peripheral artery disease (PAD) is characterized by poor circulation in the lower limbs. This is caused by a buildup of plaque in the arteries that supply the legs, ankles, and feet. As plaque sticks to the walls of the arteries, it can form blockages and make the arteries harden and narrow. Eventually, the arteries become so narrow that blood can no longer flow adequately to the lower limbs. Without an adequate blood supply, the lower limb muscles will not have enough oxygen and nutrients to function properly, leading to various symptoms and complications. 

The symptoms of PAD include leg cramps, pain, weakness, and fatigue. These symptoms tend to come and go, usually worsening with physical activity, and are known as intermittent claudication. As PAD progresses, the lower limbs can also become numb, cold, and discolored. The risk of developing sores and wounds, which tend to heal slowly and poorly and may become infected, also increases. 

Some people with PAD have no symptoms. This can be dangerous, as they are at risk of cardiovascular problems without even being aware of it. Because of this, it is important to get screened for PAD, especially if you have a personal or family history of high blood pressure, high cholesterol, diabetes, or cardiovascular problems. Your chiropodist can perform simple, safe, and non-invasive vascular tests to assess your risk of developing PAD.

Elderly Foot Care

Like any other part of the body, the feet are vulnerable to wear and tear throughout our lives. As we age, our feet may require more care and attention. Elderly people are especially prone to developing a variety of foot problems, including dry skin, corns, calluses, blisters, ingrown toenails, deformities, arthritis, fungal infections, and plantar warts. Additionally, systemic conditions such as diabetes or poor circulation can have noticeable effects on foot health. 

The first step to preventing foot health problems at any age is to establish a good daily foot care routine. Washing the feet with soap and warm water daily, then drying them thoroughly is very important. Applying a moisturizer to the soles of the feet can help prevent dry skin. When trimming the toenails, use nail clippers to trim them straight across. This can prevent painful ingrown toenails. Doing daily foot exercises and stretches can help maintain the strength and flexibility of the feet. 

A critical step of the daily foot care routine, especially for those who have systemic conditions like diabetes, is the daily foot inspection. Check your feet each day for any cuts, scrapes, sores, or other abnormalities. By catching and treating any foot problems early, you can prevent infection and other serious complications. A hand mirror can be used to help you see any hard-to-reach areas. 

Another important aspect of caring for your feet is wearing the right shoes and socks. Footwear should be comfortable, supportive, flexible, and made of breathable materials. For some people, orthotic inserts can help make shoes more comfortable. 

If you have any foot problems, or questions about maintaining the health of your feet, please consult with a chiropodist. 

Sports Related Foot and Ankle Injuries

Participating in sports is great for maintaining your health and fitness, but can sometimes result in injuries to your feet or ankles. Common sports-related foot and ankle injuries include Achilles tendonitis, ankle sprains, stress fractures, turf toe, and plantar fasciitis. 

Achilles tendonitis is a common injury in which the Achilles tendon located at the back of your ankle becomes inflamed due to overuse or biomechanical issues with the feet. Symptoms of Achilles tendonitis include pain in the lower calf, swelling, stiffness, redness, warmth, and reduced strength and range of motion. 

Ankle sprains occur when the ligaments in the ankle are overstretched or torn. Depending on the severity of the injury, you may experience symptoms such as localized pain, swelling, and bruising at the site of the sprain, a limited ability to move the affected ankle, and difficulty walking. 

Stress fractures are fine cracks that occur in the bones when they can’t bear the load placed on them. These fractures often occur in the foot bones and get worse over time if they are not promptly diagnosed and treated. Symptoms of stress fractures in the feet include tenderness, deep and dull or sharp and localized pain, weakness, swelling, and bruising. 

Turf toe is a sprain of the largest joint in the big toe. It can cause symptoms such as pain, swelling, or tenderness that vary in intensity depending on the severity of the injury. 

Plantar fasciitis is an inflammation of the ligament that runs along the bottom of the foot. This condition usually causes stabbing heel pains, arch pain, and pain when taking your first steps after a long period of rest.

If you have injured your feet or ankles while playing sports, it is recommended that you see a chiropodist who can diagnose and treat your condition and get you back on your feet. 

Foot Pain

Foot pain is a common symptom of a large variety of injuries and medical conditions. A diagnosis can be narrowed down by describing the locations and type of pain that you are experiencing. 

Pain in the heel is often caused by plantar fasciitis, an inflammation of the ligament that runs along the bottom of the foot and connects the heel to the toes. Plantar fasciitis usually causes stabbing heel pains and the pain is at its worst upon arising in the morning or when taking your first steps after a long period of rest. Heel pain can also be caused by heel spurs, bruises on the fat pad of the heel, or heel fractures.

Pain in the ball of the foot can be caused by Morton’s neuroma, in which the tissue of the nerves between the bases of the toes become thickened, causing tingling and numbness. Other causes of pain in the ball of the foot include metatarsalgia or sesamoiditis. 

Pain in the arch of the foot can be caused by plantar fasciitis or having flat feet or fallen arches. Pain in the toes can be caused by many conditions, including gout, bunions, hammertoes, ingrown toenails, toe sprains or fractures, arthritis, and corns. 

To find out what is causing your foot pain, it is recommended that you consult with a chiropodist, who can diagnose your condition and offer the appropriate treatments. 

Flip-Flops and Feet

When getting ready for a trip to the pool, the beach, or the boardwalk during the summer months, you may slip on a pair of flip-flops. While wearing these shoes for short periods of time is typically not a problem, wearing flip-flops all day, every day, all summer long is not great for your feet. Frequent flip-flop wear is associated with a host of foot and ankle problems. 

Flip-flops are usually flimsy, providing no arch support to the feet. This can make foot pain more likely, particularly in the arches and heels. Your ankles, legs, hips, and even back can also be affected. Flip-flops also provide no protection from the elements or from injury. Cracked heels, direct impacts to the feet, and viral, fungal, and bacterial infections may be more likely to occur if you wear flip-flops often. 

Perhaps one of the biggest problems with flip-flops is how difficult they are to keep on your feet. As you walk with flip-flops on, several changes are taking place. Your gait, or walking pattern, shifts to shorter strides, and your toes grip the edges of the flip-flops to keep them on your feet. Over time, these changes can cause toe and foot deformities, such as hammertoes and bunions. You’re also more likely to slip and fall as your shoes flop on your feet and catch on things on the ground below. 

To learn more about the dangers of flip-flops, and for help finding alternative summer shoe options, please consult with a chiropodist. 

Systemic Diseases of the Feet

Systemic diseases affect the entire body, rather than a single organ or body part. When a patient presents with a systemic disease, they may also exhibit foot and ankle symptoms. Some of the most common systemic diseases that affect the feet and ankles include peripheral artery disease (PAD), peripheral neuropathy, diabetes, arthritis, and gout. 

Peripheral artery disease is a condition caused by a buildup of plaque in the arteries that supply the lower limbs. This causes the arteries to narrow and harden, thereby reducing blood flow to the feet and ankles. Though often asymptomatic in its early stages, people with PAD can develop symptoms as the disease worsens. These may include pain in the lower limbs, cramping, numbness, tingling, difficulty walking, discoloration, hair loss, and wounds. 

Peripheral neuropathy refers to nerve damage in the lower limbs. This condition is often accompanied by diabetes. Symptoms of peripheral neuropathy include numbness, a pins and needles sensation, sharp, throbbing, or burning pain, muscle weakness, and difficulty walking. 

Diabetes affects blood sugar. When blood sugar levels in the body are too high, multiple organ systems and biological processes are damaged. Diabetics often develop poor circulation, peripheral neuropathy, and a weakened immune system. Together, these problems can lead to wounds forming on the lower limbs. Because of neuropathy, the wounds may go undetected until they have become serious. Poor circulation means that the wounded tissues do not receive enough nutrients to heal properly, leading to slow and poor healing. Meanwhile, a weakened immune system could make the wound more likely to become infected. Proper wound care is a must for people with diabetes. 

Arthritis is a condition characterized by damage to the lining of the joints. There are various different types of arthritis, but the symptoms are similar. Arthritis can cause joint pain, stiffness, swelling, redness, and inflammation that makes it difficult to retain your mobility. 

Gout is a type of arthritis caused by urea crystals lodging themselves in your joints. These crystals aggravate the joint, leading to sudden and intense pain, swelling, and inflammation. 

If you are living with a systemic disease that affects your lower limbs, it is strongly suggested that you are under the care of a chiropodist. 

Treating Toenail Fungus

A fungal toenail infection, also known as onychomycosis, can be unsightly and uncomfortable. Infected nails often become thickened, brittle, crumbly, and discolored with white, yellow, or brown patches. The affected nails may also lift from the nail bed and emit a foul odor. 

Fungal toenail infections are contagious and are caused by a fungus getting in, on, or under the toenails. Fungi thrive in moist, warm environments like public swimming pools, locker rooms, and showers, and many people contract fungal nail infections from walking barefoot in these environments. The fungus can also spread from person to person. For this reason, it is best to avoid sharing personal items like shoes, socks, and towels with an infected individual. 

Certain factors can make one more likely to contract toenail fungus. People who have diabetes, poor circulation, or weakened immune system, are over the age of 65, wear artificial nails, have a toenail injury or damaged skin around their toenails, wear closed-toe shoes, and expose their feet to moisture for extended periods of time are at an increased risk of onychomycosis. 

Treatment options for toenail fungus include oral medications and topical solutions such as medicated nail polishes and creams. Treatment can take several months to be effective, so it is recommended that you see a chiropodist as soon as you notice the symptoms of toenail fungus. For more information about this condition, please consult with a podiatrist.  

Ankle Pain

The ankle is the region that joins the foot and leg. It consists of three joints that allow the foot to move. Pain in the ankle is typically the result of injury or inflammation from a wide variety of conditions, such as strains, sprains, fractures, or arthritis. Symptoms that often co-occur with ankle pain include swelling, bruising, numbness, tingling, stiffness, joint instability, and difficulty walking. 

The underlying cause of your ankle pain can be diagnosed by a chiropodist. A diagnostic visit to this specialist typically involves providing a medical history, describing your ankle pain, and undergoing a physical examination. In some cases, the chiropodist may order imaging studies, such as an X-ray or ultrasound, to rule out or confirm a diagnosis. 

The right treatment for your ankle pain will depend on the underlying cause of the pain. In many cases, your chiropodist may recommend that you follow the R.I.C.E. acronym: resting, icing, compressing, and elevating the affected ankle. Taking these actions generally decreases swelling and inflammation, reduces pain, and promotes healing. Taking over-the-counter, nonsteroidal anti-inflammatory drugs may also help with pain management. The chiropodist may also prescribe custom orthotics, immobilize the affected ankle, or recommend activity and footwear modifications. In cases of more severe injuries, surgical treatment may be necessary. 

If you are experiencing ankle pain, it is recommended that you seek the care of a chiropodist. 

Biomechanics of the Feet

Foot biomechanics is an area of foot care that examines the structure, function, and motion of the feet. When these factors are carefully examined, they can provide more information about potential causes of foot and ankle pain and help your chiropodist find the best treatments for the unique needs of your feet. 

The study of biomechanics dates back to ancient times but became more well known in modern history when findings claimed that changing or controlling the forces between the ankle and foot can lead to positive clinical outcomes when treating various foot and ankle conditions. 

The advent of modern technology, such as computer analysis, has continued to expand on these discoveries and helps medical professionals make informed decisions about patient care. Understanding the biomechanics of the feet can help in the diagnosis of various conditions and prescribing targeted treatments that reduce or eliminate pain. For example, a chiropodist can analyze your gait, or walking pattern, and determine if there are any abnormalities that can be treated with custom orthotics or footwear modifications.

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