Blog

Swollen ankles are a common concern among older adults and can result from various underlying conditions. Arthritis can cause inflammation and stiffness in the ankle joint, while past ankle injuries may lead to chronic swelling and discomfort. Gout, a type of arthritis caused by uric acid buildup, often leads to painful swelling around the ankle and foot. Additionally, edema, or fluid retention, can also occur due to circulation issues or other health conditions. A podiatrist can evaluate the cause of ankle swelling, provide targeted treatment, and recommend exercises or footwear to improve mobility and comfort. If you are experiencing swollen ankles, it is suggested that you consult a podiatrist who can provide effective relief and treatment solutions.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact one of our doctors of New England Foot & Ankle . Our doctors can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

If you have any questions please contact our offices located in Wakefield, MA, Nashua and Derry, NH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Poor circulation in the feet occurs when blood flow is reduced, often due to narrowed arteries or underlying conditions that affect vascular health. This lack of proper circulation can lead to discomfort and serious complications, if untreated. Symptoms may include achy feet, pain when lying down, or wounds on the feet that do not heal properly. These warning signs should not be ignored, as they may point to vascular disease or other health concerns. A podiatrist can evaluate circulation, identify the underlying cause, and provide treatments or referrals to restore blood flow and prevent further damage. If you have any of the above symptoms, it is suggested that you promptly schedule an appointment with a podiatrist who can help you to manage this serious condition. 

Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact one of our doctors of New England Foot & Ankle . 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 offices located in Wakefield, MA, Nashua and Derry, NH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A bunion is a bony bump that develops at the base of the big toe when the joint shifts out of alignment. Over time, the toe drifts toward the others, creating pressure, swelling, and discomfort that can make walking or wearing shoes difficult. Genetics, flat feet, arthritis, or years of wearing tight footwear can all contribute to their development. While bunions often progress slowly, they can interfere with mobility, if left unaddressed. Wearing wide shoes, adding protective padding, and using custom orthotics may reduce pressure and ease pain. Anti-inflammatory medication can also bring relief during flare-ups. In severe cases, surgery may be considered to correct the alignment. Taking steps early helps preserve comfort and function. If you are experiencing ongoing pain or changes in your big toe joint, it is suggested that you consult a podiatrist for guidance and appropriate treatment options.

If you are suffering from bunion pain, contact one of our doctors of New England Foot & Ankle . Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

• Genetics – some people inherit feet that are more prone to bunion development
• Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

• Redness and inflammation
• Pain and tenderness
• Callus or corns on the bump
• Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

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

Flat feet in children occur when the arches of the feet are lower than normal or absent, affecting foot function and posture. Causes include genetics, ligament laxity, or developmental delays. There are two main types of flat feet which are flexible flat feet, where the arch appears when standing on tiptoes, and rigid flat feet, where the arch is absent in all positions. Symptoms may include foot pain, fatigue during activity, uneven shoe wear, or difficulty walking or running. A podiatrist can assess your child’s foot structure, recommend supportive footwear or orthotics, and provide exercises to improve strength and alignment. If your child has pain from having flat feet, it is suggested that you consult a podiatrist who can offer effective relief and management tips.

Flatfoot is a condition many people suffer from. If you have flat feet, contact one of our doctors from New England Foot & Ankle . 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 offices located in Wakefield, MA, Nashua and Derry, NH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ingrown toenails occur when the toenail pierces the skin at the fold of the nail. Some common causes of ingrown toenails may include trauma, improper toenail cutting, shoes that are too tight, sweaty feet, and medications. Ingrown toenails can also be recognized by the swelling and inflammation around the toenail that is painful when pressure is applied.  While there are many home remedies that can help reduce the pain of an ingrown toenail, it is important to visit a podiatrist in order to prevent an infection or further damage from occurring. Your podiatrist can provide a variety of home remedies, as well as provide surgical options if necessary.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact one of our doctors of New England Foot & Ankle . Our doctors can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

• Improper toenail trimming
• Genetics
• Improper shoe fitting
• Injury from pedicures or nail picking
• Abnormal gait
• Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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

Foot arch pain is discomfort that develops in the curved middle part of the foot and can interfere with walking and daily activities. Common causes include plantar fasciitis, foot cramps from overuse or dehydration, and tarsal tunnel syndrome which compresses nerves in the ankle. Symptoms may include aching, burning, or sharp pain that worsens with standing or activity. Risk factors include flat feet, high arches, obesity, and wearing improper footwear. A podiatrist can help by diagnosing the exact cause, providing custom orthotics, offering treatment options, and guiding exercises to strengthen the foot. If you have persistent foot arch pain, it is suggested that you schedule a visit with a podiatrist who can accurately diagnose and offer appropriate treatment solutions.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with one of our doctors from New England Foot & Ankle . Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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

Neuropathy is a condition that results from damage to the nerves, often affecting the feet. It can involve sensory nerves, which transmit sensations such as pain, temperature, and touch. Motor nerves control muscle movement, and autonomic nerves regulate involuntary functions like sweating and blood flow. Damage to these nerves can lead to symptoms including numbness, tingling, burning sensations, weakness, balance difficulties, and changes in skin or toenail health. Early recognition and management are vital to prevent complications. A podiatrist can evaluate nerve function, provide treatments to relieve discomfort, recommend protective footwear, and develop a comprehensive care plan. If you have unusual sensations or pain in your feet, it is suggested that you contact a podiatrist for an expert evaluation and guidance.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with one of our doctors from New England Foot & Ankle . Our doctors will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

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

The Achilles tendon is the strongest tendon in the body, connecting the calf muscles to the heel bone, yet it is prone to painful injuries. Achilles tendinopathy is a condition marked by stiffness, swelling, and discomfort along the tendon, often caused by overuse or repetitive stress. A sudden rupture, or break, occurs when the tendon tears, usually with sharp pain and difficulty walking or pushing off the foot. These injuries typically occur in the back of the ankle, just above the heel. A podiatrist can provide a thorough evaluation, advanced treatments, and guidance for safe recovery. If you are experiencing Achilles tendon pain or have sustained an injury, it is suggested that you consult this type of doctor who can accurately diagnose and effectively treat this condition. 

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact one of our doctors of New England Foot & Ankle . Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

• Inflammation
• Dull to severe pain
• Increased blood flow to the tendon
• Thickening of the tendon

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

• Thorough stretching of the tendon before and after exercise
• Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

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