Surgical Interventions for Severe Ankle Sprains

Severe ankle sprains that do not respond well to conservative treatment methods, such as rest and elevation, may require surgical intervention to restore stability and function to the ankle. A podiatrist, or foot doctor, might suggest surgical procedures like arthroscopy, where a small camera and instruments are inserted through tiny incisions to visualize, diagnose, and repair damage to the ligaments inside the ankle. Severe tearing of the ligaments may require reconstructive surgery, which involves replacing the damaged ligament with a tendon graft taken from another part of the body or using synthetic materials to stabilize the ankle. These surgical options aim to alleviate pain, restore stability, and prevent chronic issues such as ankle instability or recurrent sprains. Post-surgery, a rehabilitation program with targeted exercises to strengthen the muscles around the ankle is important. This helps patients who have undergone ankle surgery regain full mobility and recover successfully. If you have a sprained ankle, it is suggested that you make an appointment with a podiatrist promptly for proper care. 

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact one of our doctors of New England Foot & Ankle . Our doctors will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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 and ankle needs.

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Toe Pain

Toe pain can originate from corns, calluses, hammertoes, and bunions, as well as ingrown toenails, sprains, fractures, and dislocations. Corns develop as the toe rubs against the inside of a shoe which causes the skin to thicken as a form of protection. A corn is typically cone-shaped and has a small, hardened spot that points inward. When a corn is pressed into the skin, the toe becomes painful. Corns usually form on the top or side of the toe. A callus is also a thickened patch of skin that generally forms on the bottom of the foot. Calluses are the result of friction from the toe rubbing against the inside of a shoe. They may also occur by walking barefoot or having flat feet. A hammertoe is a bump on the knuckle of the second toe that is produced by wearing shoes that are too short for your feet. The bony protrusion rubs against the top of the shoe causing pain and irritation. A bunion is a malformation of the big toe. The base of the big toe pushes away from the smaller toes, forcing the top of the big toe to press toward the other toes. Bunions can be hereditary, or they can result from injury to the toe joint or from wearing high heels with a narrow toe box. The toe becomes inflamed, and a bump may develop at the end of the misplaced bone. Ingrown toenails typically affect the big toe and its surrounding skin. The nail will dig into the skin and become painful. Wearing tight or narrow shoes that compress the big toe causes the nail to grow into the fleshy part of the toe. Cutting toenails incorrectly can also add to the development of an ingrown toenail. A toe sprain originates from a torn or stretched ligament. Strapping the injured toe to the toe next to it for stabilization is common. A broken or fractured toe usually occurs from trauma like dropping a heavy object on it or bumping into something extremely hard and rigid. Osteoporosis, a thinning of the bones, can also bring about toe fractures. 

Any of the conditions mentioned can lead to pain and irritation. While some are more serious than others, seeking an examination and diagnosis from a podiatrist is a good idea. A podiatrist can treat each ailment and get you back on your feet again without pain.


 

What Is Turf Toe?

Turf toe is a sports-related injury commonly associated with athletes who play on artificial turf. It is a sprain that occurs when the big toe joint is bent upwards at a significant angle. Turf toe injuries are frequent in sports that involve rapid starts, stops, and pivots, such as football, soccer, or basketball. Additionally, the hard surface of artificial turf increases the likelihood of turf toe, compared to natural grass, because it gives less cushioning for sudden movements. Symptoms of turf toe include pain, swelling, and limited joint movement at the base of the big toe. Rest and elevation are important for mild injuries, whereas severe cases may require immobilization of the toe with taping, stiff-soled footwear, or even a walking boot. Athletes benefit from wearing appropriate footwear that offers sufficient support to minimize the risk of turf toe and other similar injuries. If you suspect a turf toe injury, it is suggested that you make an appointment with a podiatrist for diagnosis and treatment options. 

Toe pain can disrupt your daily activities. 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 Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

  • Trauma
  • Sports injury
  • Wearing shoes that are too tight
  • Arthritis
  • Gout
  • Corns and calluses
  • Hammertoe
  • Bunions
  • Blisters
  • Ingrown toenails
  • Sprains
  • Fractures (broken bones)
  • Dislocations

When to See a Podiatrist

  • Severe pain
  • Persistent pain that lasts more than a week
  • Signs of infection
  • Continued swelling
  • Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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.

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Falls Prevention

Elderly Americans are very susceptible to falls as they get older. Everyone experiences decreases in flexibility, balance, strength, and the senses as they age. This correlates to some eye-opening statistics. 1 in 4 Americans aged 65 and older fall each year. An elderly American is being treated for a fall in an emergency room every 11 seconds. In light of these striking statistics, one can see the importance of taking steps to prevent falls.

Finding an exercise program for the elderly is an excellent way to reduce the likelihood of falls. Look for an exercise program that improves strength and balance. Elderly people who live a more sedentary lifestyle, with little physical activity, are at an increased risk of falling. Wearing well-fitted footwear that provides good foot support and cushion will help prevent falls from poorly fitted shoes. Talking to a podiatrist about your susceptibility to falls and about inspecting your prescriptions will help to avoid any medication that could make falls more likely. Due to a decline in the senses among the elderly, having your eyes and hearing checked is recommended.

Around half of all falls occur in the household. Removing tripping hazards in the home and making it more accommodating to older persons can significantly reduce falls. Some notable household changes include increasing lighting around the house, installing grab bars in the shower and bathroom, and making sure the floor is clear of clutter. Other smart options include installing a shower chair, using rubber-bottomed rugs, and placing railings on both sides of stairwells.  

Finally, discuss with a doctor and your family about your fear of falling. This will help to increase awareness among the population on the need for fall prevention. A lack of awareness on the matter, and a downplaying of importance are what increase the risks of falling. Following these tips can help to reduce the risk for yourself and your loved ones.

Causes of Falling and Preventions Tips

Falls among adults can result from various factors, including vitamin deficiencies, balance issues, and vision problems. Deficiencies in vitamins such as D and B12 can weaken bones and impair nerve function, increasing the risk of falls. Similarly, balance disorders, often linked to aging or certain medical conditions, can disrupt equilibrium and stability while walking or standing. Vision impairment, whether due to age-related changes or untreated eye conditions, can also hinder depth perception and spatial awareness, heightening the likelihood of tripping or stumbling. To mitigate these risks, individuals can adopt fall prevention measures such as regular exercise to improve strength and balance, ensuring adequate intake of essential vitamins through a balanced diet and supplements, and scheduling routine eye exams to address vision issues promptly. Additionally, removing tripping hazards at home, installing handrails and grab bars, and using proper footwear with good traction can further reduce the likelihood of falls and promote safety and independence. Falling can seriously impact the feet, and cause difficulty in completing daily activities. If you have endured a foot injury from falling, it is suggested that you visit a podiatrist who can treat foot pain, and educate you about effective fall prevention methods.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with one of our doctors from New England Foot & Ankle . Our doctors will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

  • Enrolling in strength and balance exercise program to increase balance and strength
  • Periodically having your sight and hearing checked
  • Discuss any medications you have with a doctor to see if it increases the risk of falling
  • Clearing the house of falling hazards and installing devices like grab bars and railings
  • Utilizing a walker or cane
  • Wearing shoes that provide good support and cushioning
  • Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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.

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Let the Expert Treat Your Ingrown Toenails

Ingrown toenails can be painful and can make wearing shoes or walking uncomfortable. Seek professional help if you believe you've developed an ingrown toenail and be treated safely. 

Foot Pain

The feet, being the foundation of the body, carry all of the body’s weight and are therefore prone to experiencing pain and discomfort. If you are experiencing foot pain, it is important to determine where in the foot you are experiencing this pain to help discover the cause of it. While pain can be experienced virtually anywhere in the foot, the most common sites of foot pain are in the heel and ankle.   

Heel pain can be due to a multitude of conditions including plantar fasciitis, Achilles tendinitis, and heel spurs. Pain experienced in the ankle can be a sign of an ankle sprain, arthritis, gout, ankle instability, ankle fracture, or nerve compression. In more serious cases, pain in the foot can be a sign of improper alignment or an infection.

Foot pain can be accompanied by symptoms including redness, swelling, stiffness and warmth in the affected area. Whether the pain can be described as sharp or dull depends on the foot condition behind it. It is important to visit your local podiatrist if your foot pain and its accompanying symptoms persist and do not improve over time.

Depending on the location and condition of your foot pain, your podiatrist may prescribe certain treatments. These treatments can include but are not limited to prescription or over-the-counter drugs and medications, certain therapies, cortisone injections, or surgery.

If you are experiencing persistent foot pain, it is important to consult with your foot and ankle doctor to determine the cause and location. He or she will then prescribe the best treatment for you. While milder cases of foot pain may respond well to rest and at-home treatments, more serious cases may take some time to fully recover.

There Is Relief for Foot Pain

Foot pain can severely impact the quality of life and increase the risk of falls, affecting activities and mobility. Achy heels, bunions, calluses, and burning sensations can cause discomfort and lead to complications if left untreated. Additionally, numbness and tingling may indicate nerve issues that require prompt attention. Proper toenail care is essential to prevent ingrown nails and infections. Consulting a podiatrist can help with the effective management of foot pain. Podiatrists offer a range of solutions, from custom orthotics to specialized treatments tailored to specific conditions. By addressing the root cause of foot pain, podiatrists can alleviate discomfort, improve mobility, and reduce the risk of complications, ultimately enhancing the overall quality of life. If you are suffering from foot pain, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment.

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.

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Systemic Diseases of the Foot

There are several systemic diseases, or diseases that affect the whole body, that either display symptoms in the feet or affect the health of the feet. Common systemic diseases that affect the overall health of the feet, and the patient’s ability to walk comfortably, include gout, diabetes mellitus, neurological disorders, and arthritis, among others.

In gout, which is caused by an excessive buildup of uric acid in the body, the most common symptoms of pain, inflammation, and redness occur at the metatarsal/phalangeal joint at the base of the big toe. Any excess levels of uric acid crystallize and are deposited in tendons, joints, and surrounding bone and muscle tissue. Gout is commonly treated with NSAIDs to relieve pain and inflammation and other drugs to lower uric acid levels in the body. Gout most commonly affects those who are overweight, have low protein diets and lead a more sedentary lifestyle.

Diabetes mellitus is an increase in the level of blood sugar in which the body cannot counteract with naturally occurring insulin in the body. The three types of diabetes, Type I, Type II and Gestational Diabetes, are all signs the body is either not producing enough insulin or is not efficiently using the insulin that is produced. Gestational diabetes only affects women who are pregnant and have never, prior to pregnancy, exhibited symptoms of the disease.

There are two main issues that affect the feet that are commonly caused by diabetes. They include diabetic neuropathy and peripheral vascular disease. Diabetic neuropathy can lead to damaged nerves and affect the feet through numbness and loss of sensation. Peripheral vascular disease restricts the flow of blood to the foot and can, in extreme cases, lead to the necessity of amputating the foot. Peripheral issues that are caused by diabetes and can affect the foot include athlete’s foot, nail infections, corns, blisters, bunions, severe dry skin, plantar warts and ingrown toenails. These can all be attributed to the decrease of blood flow to the foot.

Neurological disorders and rheumatoid arthritis can also have severe impact on the health of the feet. Neurological disorders can affect the nerves in the main structure of the foot and cause loss of sensation and possible decreased muscle response. Rheumatoid arthritis can affect the bones and joint structures of the foot, making it impossible to walk normally without serious pain.

All systemic diseases that affect the foot can effectively be treated to minimize joint and muscle damage if they are diagnosed early and treated with medication and lifestyle therapy. Diabetes patients must monitor their blood sugar levels and work with their physician to keep their levels as close to normal as possible. Rheumatoid arthritis patients should work with their physician to ensure the proper medications are being taken to reduce the amount of damage to the joints of the body.

Dactylitis and Foot Problems in Children

Dactylitis, commonly known as hand-foot syndrome, and associated with sickle cell disease, or SCD, manifests as painful swelling and inflammation in the fingers and toes, primarily affecting children. The condition arises from obstructed blood flow due to sickle-shaped red blood cells, which leads to tissue damage and discomfort. Treatment focuses on managing SCD symptoms, including pain relief and anti-inflammatory measures. Podiatrists, specializing in foot health, play a vital role in dactylitis management. They diagnose the condition, implement tailored treatment plans, and offer preventive care strategies. Podiatrists educate patients and families on foot hygiene and hydration, minimizing the risk of flare-ups. Regular monitoring by podiatrists ensures early intervention and prevents long-term complications, improving overall quality of life for individuals affected by dactylitis. If your child suffers from dactylitis, it is suggested that you schedule regular appointments with a podiatrist for care.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact one of our doctors from New England Foot & Ankle . Our doctors will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

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 and ankle needs.

Read more about Systemic Diseases of the Foot
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