How Freiberg's Disease Affects Teens

Freiberg's disease is characterized by cartilage degeneration in the lesser metatarsal heads of the feet, notably affecting adolescent females, though it can occur in both genders later in life. The condition primarily involves the second and third metatarsals. While the exact cause remains unclear, vascular problems, genetic predisposition, and altered biomechanics are common causes. Diagnosis by a podiatrist includes clinical evaluation and imaging confirmation. In many cases X-rays show normal bone formation in early stages and flattened, fragmented metatarsal heads as the disease progresses. Treatment focuses on relieving foot pressure and may involve nonoperative measures such as activity modification and custom orthotic support. Surgical interventions are considered for advanced cases. Outcomes for Freiberg’s disease from both nonoperative and operative management are generally favorable, allowing most patients to resume previous activities. To find out what may be causing metatarsal foot pain, it is suggested that you make an appointment with a podiatrist.

Some foot conditions may require additional professional care. If you have any concerns, contact one of our podiatrists of Greater Boston Foot Care, PLLC. Our doctors can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

  • Freiberg’s disease
  • Kohler’s disease
  • Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

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

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Possible Causes of Sudden Ankle Pain

Sudden ankle pain can stem from various health conditions or injuries. Arthritis, including osteoarthritis or rheumatoid arthritis, may cause inflammation and pain in the ankle joint. Lupus, an autoimmune disease, can also lead to joint pain, including in the ankles. Gout, characterized by sudden and severe pain due to uric acid buildup, may affect the ankle joint. Bursitis, an inflammation of the fluid-filled sacs around joints, can cause ankle pain and swelling. Fallen arches may result in strain and discomfort in the ankle area. Achilles tendonitis, an inflammation of the Achilles tendon, can cause pain at the back of the ankle. Infections, such as cellulitis or osteomyelitis, can lead to sudden onset ankle pain and swelling if the ankle is affected. Diagnosing ankle pain typically involves a physical examination, imaging tests like X-rays or MRI scans, blood tests, and sometimes joint aspiration to determine the underlying cause accurately. If you experience sudden ankle pain, it is strongly suggested that you make an appointment with a podiatrist for care.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with one of our podiatrists from Greater Boston Foot Care, PLLC. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

  • Types of arthritis (rheumatoid, osteoarthritis, and gout)
  • Ankle sprains
  • Broken ankles
  • Achilles tendinitis
  • Achilles tendon rupture
  • Stress fractures
  • Bursitis
  • Tarsal tunnel syndrome
  • Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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

 

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Education Requirements for Podiatrists

Becoming a podiatrist involves rigorous educational pursuits to equip individuals with the knowledge and skills necessary for foot and ankle care. Aspiring podiatrists typically embark on a journey that includes undergraduate studies, followed by enrollment in a Doctor of Podiatric Medicine, or DPM program, accredited by the Council on Podiatric Medical Education, abbreviated CPME. These programs, spanning four years, encompass coursework in anatomy, physiology, pharmacology, and podiatric medicine, supplemented by clinical rotations and hands-on training in podiatric clinics and hospitals. Upon completing the DPM program, aspiring podiatrists undertake postgraduate training through residency programs, where they gain specialized experience in podiatric surgery, wound care, sports medicine, and other facets of foot and ankle care. Obtaining state licensure requires successful completion of national and state board examinations, ensuring competency and adherence to professional standards. Continuous education and professional development are integral to the practice of podiatry, as practitioners stay abreast of advancements and best practices to deliver quality care to their patients. If you are interested in pursuing the field of podiatry, it is suggested that you speak to this type of doctor who can answer any questions or address any concerns you may have.

If you are dealing with pain in your feet and ankles, you may want to seek help from a podiatrist. Feel free to contact one of our podiatrists from Greater Boston Foot Care, PLLC. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Podiatrist?

A podiatrist is a doctor of podiatric medicine who diagnoses and treats conditions of the foot, ankle, and related structures of the leg. Your podiatrist may specialize in a certain field such as sports medicine, wound care, pediatrics, and diabetic care. Podiatrists have the ability to become board certified through training, clinical experience, and then taking an exam.

What Do Podiatrists Do?

On a daily basis, a podiatrist may perform the following activities:

  • Diagnose foot ailments such as ulcers, tumors, fractures, etc.
  • Use innovative methods to treat conditions
  • Use corrective orthotics, casts, and strappings to correct deformities
  • Correct walking patterns and balance
  • Provide individual consultations to patients

It is very important that you take care of your feet. It’s easy to take having healthy feet for granted, however foot problems tend to be among the most common health conditions. Podiatrists can help diagnose and treat a variety of feet related conditions, so it is crucial that you visit one if you need assistance.

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

 

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Understanding What Bunions Are

A bunion, medically known as hallux valgus, is a common foot deformity that affects the joint at the base of the big toe. It appears as a bony bump on the side of the foot, causing the big toe to bend inward toward the lesser toes. Bunions develop gradually over time due to various factors, including genetics, foot structure, and footwear choices. Wearing tight, narrow shoes and high heels can accelerate the condition by putting pressure on the toes and forcing them out of alignment. As the bunion progresses, individuals may experience pain, swelling, redness, and restricted movement in the affected toe. Bunions can interfere with daily activities and affect overall foot function. It is suggested that you seek professional advice from a podiatrist for an exam. This medically trained foot doctor can offer treatment options that can help to alleviate symptoms and prevent complications.

If you are suffering from bunions, contact one of our podiatrists of Greater Boston Foot Care, PLLC. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

  • Refrain from wearing heels or similar shoes that cause discomfort
  • Select wider shoes that can provide more comfort and reduce pain
  • Anti-inflammatory and pain management drugs
  • Orthotics or foot inserts
  • Surgery

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

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Heel Pain Can Be Treated!

Do you suffer from heel pain when you get up in the morning? If so, you should seek the professional help of your podiatrist and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.

Diabetes-Related Foot Problems

Foot problems are a common complication of diabetes, primarily stemming from a loss of protective sensation, or LOPS, and peripheral artery disease, or PAD. The loss of feeling in the feet results from nerve damage, which can make a patient unaware of injuries. Undetected blisters or sores increase the risk of infections and complications, and may lead to ulcers. Regular foot examinations by a podiatrist are essential for a diabetic experiencing either LOPS or PAD. Prevention strategies include wearing well-fitting shoes, checking for foreign objects in shoes, and being cautious of extreme temperatures. It is important to note that peripheral artery disease decreases blood flow to the feet, which results in pain, slow wound healing, and an elevated risk of foot ulcers and amputation. A podiatrist can assess blood flow to the feet to detect PAD early, which allows for prompt management. If you are diabetic and experience numbness and slow-healing wounds, it is suggested that you make regular visits to a podiatrist. 

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact one of our podiatrists from Greater Boston Foot Care, PLLC. Our doctors can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

  • Routinely inspect your feet for bruises or sores.
  • Wear socks that fit your feet comfortably.
  • Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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

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Methods That May Prevent Diabetic Limb Loss

One of the most concerning complications of diabetes is the risk of foot amputation. However, with proper management and proactive measures, many cases of foot amputation can be prevented entirely. A few significant ways to prevent amputation are effectively managing blood sugar levels, diligent foot care, and exercise. Adopting a healthy diet, performing daily foot inspections, and including regular exercise in your daily routine is essential for diabetic patients. Daily foot inspections can identify any abnormalities such as redness, wounds, bruising, blisters, or discoloration before they escalate into ulcers. For those with limited mobility or visibility, using a magnifying mirror or enlisting the help of a caregiver for foot checks is imperative. Regularly assessing foot sensation and temperature sensitivity is also vital in detecting neuropathy, a common complication of diabetes. Other simple measures such as wearing clean, dry socks without elastic bands, wiggling toes, and moving ankles frequently can improve blood circulation in the feet. Any signs of foot problems or neuropathy symptoms, such as numbness, burning, or tingling should be promptly reported to your podiatrist. It is suggested that diabetic individuals schedule regular visits with type of doctor for help in preventing the loss of a limb. 

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 one of our podiatrists from Greater Boston Foot Care, PLLC. 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 Plymouth, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Custom-Made Orthotics for Individuals With Hansen’s Disease

Hansen's disease, commonly known as leprosy, is a bacterial infection caused by Mycobacterium leprae. One of its hallmark symptoms is the loss of sensation in various parts of the body, including the feet. This sensory loss occurs due to the bacteria's damaging effects on peripheral nerves. As the disease progresses, it can lead to nerve damage and the loss of the ability to feel pain, temperature changes, and touch in the affected areas, including the feet. This sensory impairment can result in injuries and wounds going unnoticed, which may lead to secondary infections and complications. The loss of sensation in the feet is particularly concerning because it can hinder mobility and self-care, making early detection and treatment crucial in preventing severe deformities and disabilities associated with Hansen's disease. Creating orthotics for individuals without sensation requires extra care as they cannot provide feedback on fit and comfort. Frequent skin inspections are necessary to prevent irritation and skin breakdown. Custom orthotics can be made by molding the material directly to the patient's foot. Contours may be added for pressure relief, and localized relief can be achieved with various tools. Monitoring foot health closely with new shoes and orthotics is vital, looking for signs of redness, temperature changes, calluses, swelling, pre-ulceration, or recurrent ulcers. Prompt attention to pressure signs helps prevent ulcers. Orthotic selection depends on the degree of sensation loss, deformity, ulceration, and callus development. If you have Hansen’s disease and you have a loss of sensation in your feet, it is suggested that you make an appointment with a podiatrist to discuss whether orthotics can help you.

If you are having discomfort in your feet and would like to try orthotics, contact one of our podiatrists from Greater Boston Foot Care, PLLC. 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 Plymouth, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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The Important Role of Daily Foot Care

In the bustle of daily life, the significance of consistent foot care often escapes notice. The feet carry you through each day and deserve thoughtful care to maintain overall well-being. Practicing everyday foot care is not just a luxury, but a necessity. Regular inspection and cleansing can help to prevent issues such as fungal infections and calluses from escalating. Moisturizing keeps the skin supple and prevents painful cracks. Trimming nails properly helps evade ingrown toenails, a common source of discomfort. Choosing comfortable, supportive footwear is paramount in preventing long-term structural problems and pain. Additionally, incorporating simple exercises and stretches into daily routines enhances foot strength and flexibility. By prioritizing daily foot care, individuals invest in their mobility, comfort, and overall health. If you experience any type of foot pain, it is suggested that you consult a podiatrist who can conduct an exam and offer both a diagnosis and treatment.

Everyday foot care is very important to prevent infection and other foot ailments. If you need your feet checked, contact one of our podiatrists from Greater Boston Foot Care, PLLC. Our doctors can provide the care you need to keep you pain-free and on your feet.

Everyday Foot Care

Often, people take care of their bodies, face and hair more so than they do for their feet. But the feet are a very important aspect of our bodies, and one that we should pay more attention to. Without our feet, we would not be able to perform most daily tasks.

It is best to check your feet regularly to make sure there are no new bruises or cuts that you may not have noticed before. For dry feet, moisturizer can easily be a remedy and can be applied as often as necessary to the affected areas. Wearing shoes that fit well can also help you maintain good foot health, as well as making it easier to walk and do daily activities without the stress or pain of ill-fitting shoes, high heels, or even flip flops. Wearing clean socks with closed shoes is important to ensure that sweat and bacteria do not accumulate within the shoe. Clean socks help to prevent Athlete’s foot, fungi problems, bad odors, and can absorb sweat.

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

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Causes and Definition of Ingrown Toenails

Ingrown toenails, a common ailment, occur when the edge of a toenail grows into the surrounding skin, leading to discomfort and potential complications. The causes often stem from improper nail trimming, tight footwear, or inherited nail shape, creating an environment conducive to ingrowth. The condition typically manifests as redness, swelling, and pain along the nail's edge. Diagnosis involves a careful examination by a podiatrist who assesses the visual symptoms and inquires about the individual's lifestyle and footwear choices. While mild cases may be managed with warm soaks and proper nail care, severe instances may require medical intervention. Podiatrists may recommend partial nail removal or antibiotics to address infection. An ingrown toenail can cause severe pain and discomfort. If you have developed this condition, it is suggested that you consult a podiatrist who can provide the treatment that is right for you.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact one of our podiatrists of Greater Boston Foot Care, PLLC. Our doctors can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

  • Bacterial infections
  • Improper nail cutting such as cutting it too short or not straight across
  • Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
  • Ill-fitting shoes that bunch the toes too close together
  • Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

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

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