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Types of Ankle Fractures

Types of Ankle Fractures

Ankle fractures, involving breaks in the bones forming the ankle joint, vary in location and severity. A lateral malleolus fracture occurs in the fibula, which is the smaller leg bone, and is the most frequent type of ankle fracture. Medial malleolus fractures affect the tibia's inner side, while a posterior malleolus fracture involves the back of the tibia. Bimalleolar fractures involve both the medial and lateral malleoli, and trimalleolar fractures include the posterior malleolus as well. Pilon fractures are severe, affecting the bottom of the tibia and potentially damaging the ankle joint's surface. Stress fractures, resulting from repetitive stress rather than a single injury, are minor cracks in the bone. Each type of ankle fracture varies in treatment and recovery, with severity ranging from simple breaks that may heal with rest and immobilization to complex fractures requiring surgical intervention. If you have fractured your ankle, it is strongly suggested that you schedule an appointment with a podiatrist who can determine the type and severity of the break, and provide appropriate treatment options.

Broken ankles need immediate treatment. If you are seeking treatment, 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. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

  • Excessive pain when the area is touched or when any pressure is placed on the ankle
  •  Swelling around the area
  •  Bruising of the area
  • Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

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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Foot Orthotics

Foot Orthotics

Orthotics are shoe inserts that are meant to correct an irregular walking gait or provide cushioning to the feet.  Orthotics come in a variety of different models and sizes, including over-the-counter and customizable variants. Customizable orthotics can be shaped and contoured to fit inside a specific shoe and are typically prescribed through a podiatrist who specializes in customized footwear and orthotics design and management.

Orthotics are beneficial because they can help prevent injuries from occurring and provide cushioning to keep pain levels down to a minimum. They also allow for the correct positioning of the feet. Orthotics can act as shock absorbers to help remove pressure from the foot and ankle. Therefore, orthotics can make bodily movements, such as walking and running, become more comfortable as well as help prevent the development of certain foot conditions.

Orthotics alleviate pain and make the foot more comfortable by slightly altering the angle at which the foot strikes the ground surface, therefore controlling the movement of the foot and ankle. Orthotics come in different variants and can be made of various materials. To determine what type of orthotic is most suited to your feet and your needs, it is best to consult your podiatrist. He or she will be able to recommend a type of orthotic that can help improve your foot function or prescribe a custom orthotic to best fit your feet.  

Can Dancers Benefit from Orthotics?

Can Dancers Benefit from Orthotics?

Dancers face unique challenges when it comes to choosing the right footwear. Their preference for wearing tight-fitting dance shoes often leads them towards ill-fitting street shoes, which can further strain their feet. To protect their feet, it is important to allow toes to spread naturally and provide proper arch support through suitable footwear. Dancers often transition from demi-pointe to high heels, which can increase stress on the balls of their feet and shorten their Achilles tendons. This practice raises the risk of developing conditions such as bunions, metatarsalgia, sesamoiditis, and Achilles tendonitis. To mitigate these issues, it is helpful for dancers to opt for supportive footwear such as walking or running sneakers with firm heel counters and outsoles. Custom orthotics can further enhance comfort and address problems like plantar fasciitis and neuromas. For indoor use, slip-on clogs or sneakers with orthotics can be worn. If you are a dancer and would like more information on how wearing custom orthotics may benefit you, it is suggested that you make an appointment with a podiatrist to further discuss this.

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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Choosing the Right Running Shoe for Your Foot Type

Choosing the Right Running Shoe for Your Foot Type

Running may seem like a simple to do. However, running is actually a complex movement that puts stress on the ligaments, bones, and joints of the body.  Selecting the correct running shoe is important for increasing performance and avoiding risk of injury.  Running shoes should be selected based on your foot type.  Considerations such as trail versus road shoes are important. Your foot type dictates the degree of cushioning, stability and motion control you require.  The most accurate way to learn your foot type is to visit a local shop that specializes in running shoes.  Professionals can measure your arch type, stride and gait and help you with your shoe needs.

The design of running shoes is created around the idea of pronation.  Pronation is the natural rolling movement of your ankle from the outside to inside when your foot strikes the ground.  If you run properly you strike the ground on the outside of your heel and roll in the direction of your big toe before pushing off once more.  Pronation is beneficial because it assists the lower half of your body in absorbing shock and storing energy.  Those considered neutral runners pronate correctly and do not need running shoes that help correct their form.  Neutral runners can choose from a wide variety of shoes, including barefoot or minimal types.  However, those who have arch problems or who adopt an incorrect form while running may experience too much or too little pronation. They may require running shoes that offer additional support.

Those who overpronate experience an over-abundance of ankle rolling.  Even while standing, those who severely overpronate display ankles that are angled inward.  It is not uncommon for them to have flat feet or curved legs.  The tendency to overpronate may cause many injuries.  Areas that tend to become injured are the knees, ankles, and Achilles tendon.  If you find that you have a tendency to overpronate, you should look at shoes that provide extra stability and motion-control.  Motion-control shoes are straight and firm. Shoes of this type do not curve at the tip.  The restricted flexibility along the middle of the shoe prohibits the foot from rolling too far inward as your foot strikes the ground.

A less common problem is underpronation.  Underpronation, also called supination, is when the feet are unable to roll inward during landing.  Those who underpronate have feet that lack flexibility and high arches.  This prevents any kind of shock absorption, even though it does place less rotational stress on ankles and knees.  This added force can cause fractures, ligament tears, and muscle strains because the legs are trying to compensate for the impact.  Those who underpronate need shoes with more cushioning and flexibility.  If you have a tendency to underpronate, selecting stability or motion-control shoes may cause you more problems by continuing to prevent pronation.

Unveiling the Secrets to Choosing the Perfect Running Shoe

Unveiling the Secrets to Choosing the Perfect Running Shoe

Embarking on a journey to find the ideal running shoe is not just about style, it is a vital step toward enhancing performance and preventing potential injuries. Begin by understanding your foot type, and this can range from neutral, overpronated, or underpronated. Consider the terrain you'll be covering, as different shoes cater to road running, trail running, or a mix of both. The right fit is paramount, and your toes should have room to wiggle, while the shoe provides ample support without feeling too tight. Arch protection and cushioning are vital factors, ensuring your feet are comfortable throughout your run. Weight, flexibility, and breathability of the shoe also contribute to a satisfying running experience. When you are ready to purchase the right type of running shoe for your needs, it is suggested that you confer with a podiatrist who can guide you toward making the right choice.

If you are a runner, wearing the right running shoe is essential. For more information, 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.

Choosing the Right Running Shoe for Your Foot Type

To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.

  • Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
  • Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
  • Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.

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.

Read more about Choosing the Right Running Shoe for Your Foot Type

Flat Feet

Flat Feet

Flatfoot is a foot condition in which the arch of the foot has either partially or totally dropped or has never developed. While it is common in babies and small children, it can become a problem for them in adulthood if the arch never forms. For adults, the development of flat feet can be brought upon by injury, as a result of pregnancy due to increased elasticity, or obesity. Those who have health concerns such as rheumatoid arthritis or diabetes may also be at greater risk for developing the condition.

If you suspect that you have flat feet, it is best to consult your podiatrist. Your foot doctor will examine the suspected foot and observe how it looks while you sit and stand. He or she may take an X-ray to determine how serious the condition is. Some common signs of flatfoot include toe drift, in which the toes and front part of the foot point outward, a short Achilles tendon, and a heel that tilts outwardly while the ankle tilts inward.

Once flatfoot has been diagnosed, your podiatrist may suggest one of several treatment options. Flat feet can be rigid, in which the feet appear to have no arch even when the person is not standing; or flexible, in which the person appears to have an arch while not standing, but once standing the arch disappears. Those with flexible flatfoot may be told to reduce any activities that cause pain and to avoid extended periods of walking or standing. Another suggestion may be weight loss, as excessive weight may be placing pressure on the arches

In few cases, if the condition is severe and all other methods have been exhausted surgery may be required. This is normally avoided, however, due to a lengthy recovery time and high cost.

When Treatment May Be Needed for Flat Feet in Children

When Treatment May Be Needed for Flat Feet in Children

Pes planus, commonly known as flat feet, occurs when the foot's arch does not develop or collapses, leading to the entire sole touching the floor. Children typically have flat feet, and their arch develops as they grow into toddlerhood. It usually suffices for podiatrists to provide shoe advice for the majority of kids who have this condition. However, for kids with hypermobility or hypotonia, further intervention might be required. Flat feet typically emerge as the infant's fat pad recedes and motor skills progress, but sometimes arch development is impeded by factors such as calf muscle tightness or ligament hypermobility. While flat feet often do not trouble children, they can eventually cause gait changes, clumsiness, or pain. Early treatment is important to prevent these types of issues. If your child has flat feet that are causing problems, it is suggested that you make an appointment with a podiatrist for appropriate treatment.

Flatfoot is a condition many people suffer from. If you have flat feet, contact one of our podiatrists from Greater Boston Foot Care, PLLC. Our doctors will treat your foot and ankle needs.

What Are Flat Feet?

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 Plymouth, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Reminder: When Was the Last Time...?

Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Plantar Fasciitis

Plantar Fasciitis

The plantar fascia is a connective tissue in the heel that stretches across the bottom length of your foot. Plantar fasciitis occurs when the connective tissue becomes inflamed, causing heel pain and discomfort during physical activity. Although the condition is completely treatable, traditional methods can take up to a year to start becoming effective.

Plantar fasciitis is caused by a number of everyday activities, so understanding the condition is important for managing and treating it. One of the most common causes of plantar fasciitis is excessive running, especially with improper fitting or non-supportive shoes. Too much exercise can lead to the plantar fascia being overworked and overstretched, which can cause tears in the tissue. Along with improper fitting shoes, pronation, the rolling of the feet inward, is a common cause of plantar fasciitis. If not treated properly, the plantar fascia becomes overstretched and starts to tear, causing inflammation.

Despite the common causes of plantar fasciitis, there are many different treatment options. For less severe cases, conservative home remedies include taking anti-inflammatory drugs to alleviate pain, applying ice packs to the bottom of your foot and heel, slowly stretching and exercising your feet to re-strengthen the tissue, and using orthotic devices are all ways to help manage your plantar fasciitis.

For more severe cases, shockwave therapy has become a common solution for plantar fasciitis. Shockwave therapy can effectively break up the tissue on the bottom of your foot which facilitates healing and regeneration. This fights the chronic pain caused by plantar fasciitis. Even if this doesn’t work, surgery is always a final option. Surgery on the tissue itself can be done to permanently correct the issue and stop the inflammation and pain in your heels.

No matter what the case may be, consulting your podiatrist is the first and best step to recovery. Even the slightest amount of heel pain could be the first stage of plantar fasciitis. Untreated symptoms can lead to the tearing and overstretching of tissue. Because the tearing of tissue can be compounded if it remains ignored, it can evolve into a severe case. The solution is early detection and early treatment. Talk to your podiatrist about the possibilities of plantar fasciitis if you’re experiencing heel pain.

Common Causes of Plantar Fasciitis Unveiled

Common Causes of Plantar Fasciitis Unveiled

Plantar fasciitis, a commn cause of heel pain, is a condition that occurs when the plantar fascia, a thick band of tissue that connects the heel bone to the toes, becomes inflamed and irritated. Several common factors contribute to the development of plantar fasciitis. One primary cause is excessive or repetitive strain on the feet. This often results from activities that place a significant burden on the plantar fascia, like prolonged standing, walking, or running, especially on hard surfaces. Footwear with inadequate arch support or cushioning can exacerbate the condition. Sudden weight gain or obesity is another contributing factor, as it places additional pressure on the feet. Tight calf muscles and Achilles tendons can also lead to plantar fasciitis by altering the mechanics of the foot, affecting the way it absorbs shock and distributes weight. Understanding these common causes is essential for both preventing and managing plantar fasciitis. If you have heel pain, it is strongly suggested that you are under the care of a podiatrist who can effectively diagnose and treat this condition.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, 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 Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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.

Read more about Plantar Fasciitis

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