Posts for: January, 2016

By New England Foot & Ankle Specialists
January 28, 2016
Tags: sesamoiditis  

Sesamoids are among the more unique bones of the body. They are small bones that are only connected to tendons or embedded in muscle and they are found in only a few places in the human body. In the foot, two tiny sesamoids (think kernel of corn size) are on the bottom of your foot up near the big toe.  In this position, the sesamoids provide a way for the tendons to slide smoothly and carry muscle force necessary for pushing off with the big toe and weight-bearing activities such as walking and running. When the tendons surrounding the sesamoids become inflamed or irritated, sesamoiditis is the result.


At New England Foot & Ankle Specialists, patients with sesamoiditis complain of pain on the ball of the foot or under the big toe. You may have difficulty bending and straightening your toe. Swelling and bruising in the affected area may also occur. Being on your feet can make the symptoms worse and people with activities that put pressure on the balls of the feet—runners, baseball catchers, ballet dancers—are particularly prone to sesamoiditis.


If these symptoms sound familiar, make an appointment with one of our board certified podiatrists: Dr. George A. Abboud, Dr. Brian D. Tedesco, Dr. Carl Conui, or Dr. Kimberly Thurmond.  After conducting a thorough examination, asking questions about your symptoms and confirming the diagnosis of sesamoiditis, the foot doctor will prescribe the right treatment for you. It may include any or all of the following:

  • Modifying or discontinuing activities that are aggravating the sesamoids
  • Cushioning or padding in your shoes to relieve pressure to the inflamed area
  • Anti-inflammatory medications taken orally or by injection to relieve pain and swelling
  • Icing
  • Choosing shoes that are low heeled and soft soled

If you feel that you might be suffering from sesamoiditis, contact our Reading office for an appointment and get back to doing the activities you enjoy.

The Denver Broncos’s David Bruton Jr. will be out for about 4 to 6 weeks as he recovers from a fractured right fibula. The injury occurred when Bruton Jr. collided with Aqib Talib of the Pittsburgh Steelers, but Bruton did not realize he had suffered an injury. He went on to keep playing and did not realize he had broken his fibula until almost a day later. Bruton Jr. needed to be helped to the locker room and was seen limping around in the last drives of the game.  

Sports related foot and ankle injuries need proper treatment before players can go back to their regular routines. If you have any concerns about your feet contact one of our podiatrists of New England Foot & Ankle Specialists. Our doctors will treat your foot and ankle needs. 

Sport Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

  • Plantar Fasciitis
  • Plantar Fasciosis
  • Achilles Tendinitis
  • Achilles Tendon Rupture
  • Ankle Sprains

Sports-related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

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

Read more about sports related injuries.

Plantar fasciitis can be described as a condition in which the heel of the foot becomes inflamed with pain. This occurs when the fibrous band of tissues that connect your heel to your toe becomes infected. There are several solutions for treating plantar fasciitis. The first recommended tip is to go see your podiatrist. Consider taking over-the-counter calcium and magnesium supplements to help with managing your foot pain. Ice the bottom of your feet, stretch your calves, and massage your feet often to help reduce inflammation and pain.

Plantar fasciitis can be very painful and inconvenient. If you have any concerns about your feet contact one of our podiatrists of New England Foot & Ankle Specialists. Our doctors will treat your foot and ankle needs.  

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 offices located in Reading, MA. We offer the newest diagnostic tools and technologies to treat your foot and ankle needs.

Read more about Plantar Fasciitis

By New England Foot & Ankle Specialists
January 15, 2016
Tags: athlete's foot  

In the cold days of winter your feet may actually be burning up from the irritation caused by athlete’s foot. Known officially as tinea pedis, athlete’s foot is often thought to be a summer time ailment, but it’s actually quite common in the winter.

The Right Conditions

Athlete’s foot is spread by direct contact and it loves a damp, dark environment. With all the new health club memberships that come with New Year’s resolutions to get fit, we at New England Foot & Ankle Specialists see lots of cases of athlete’s foot that stem from locker room floors and gym showers. Other prime areas to get this infection are indoor pools and even nail salons. Once your feet come in contact with the fungi that causes it, they are then usually put into warm socks and dark shoes—the perfect atmosphere for the fungi to breed and grow.

Symptoms and Treatment

The telltale signs of this skin condition are itchy, burning skin that is dry and inflamed and sometimes blisters will appear as well. Athlete’s foot most often attacks the skin between the toes but can also spread to the soles of the feet, the toenails and even other parts of your body. That’s why you want to make an appointment at either our Reading office to see one of our podiatrists, George A. Abboud, D.P.M., Brian D. Tedesco, D.P.M., Carl Conui, D.P.M., or Kimberly Thurmond, D.P.M. and get treatment for this fungal infection when you first see symptoms.  After examining your foot and confirming the diagnosis of athlete’s foot, the foot doctor will most likely prescribe a fungicide to treat the infection. In resistant cases, an oral or topical prescription antifungal drug may be required.


By taking a few precautions, you can greatly reduce your chances of getting athlete’s foot. Never walk barefoot in public areas where other people go barefoot, particularly areas that get wet, such as locker rooms, public pools and showers. Wear socks and shoes that breathe and change your socks frequently if you perspire heavily. Use talcum powder to help keep feet dry.

Start your New Year off right by taking good care of your feet. If you have any questions or concerns about any aspect of foot or ankle health, contact New England Foot and Ankle Specialists today.

By New England Foot & Ankle Specialists
January 12, 2016

It’s a New Year, new you and one of the most common New Year’s resolutions—getting in shape—can lead people to be overly enthusiastic about starting an exercise program, which at New England Foot & Ankle Specialists means we’ll most likely be seeing more patients with Achilles tendon issues. The Achilles tendon is the band of tissue that connects your calf muscles to your heel bone. It is the largest tendon in your body and can withstand forces of 1,000 pounds or more. It is also the most frequently damaged tendon in the body and this damage is most often the result of exercising the tendon too much, too soon.

Jumping into a running or other fitness program and rapidly increasing speed and distance without working up to it gradually will cause pain and inflammation in the Achilles tendon. Other causes of Achilles tendonitis include inadequate stretching and warming up before beginning exercising, improper footwear, and excessive hill or stair climbing. In cases where there is a sudden, extreme contraction of the calf muscle, like when you take off in a sprint, it is possible to actually tear or rupture the tendon.

How to Recognize Achilles Tendonitis

At first, you may notice mild pain after running or exercising that gets worse gradually and may be severe at times. You may experience swelling in the back of your leg and a feeling of sluggishness or stiffness in the tendon area. Our podiatrists, George A. Abboud, D.P.M., Brian D. Tedesco, D.P.M., Carl Conui, D.P.M., and Kimberly Thurmond, D.P.M. will take a complete medical history and examine your foot and ankle. X-rays, an MRI or other imaging studies may be ordered to give a clearer view of the Achilles tendon and to rule out other conditions that produce similar symptoms.

Treatment Options

Once a diagnosis of Achilles tendonitis is confirmed, the foot doctor will recommend the appropriate treatment which may include any or all of the following:

  • Rest and nonsteroidal anti-inflammatory medication to relieve the symptoms and reduce inflammation
  • Physical therapy to stretch the Achilles tendon
  • Orthotics to position the foot in a way that decreases stress on the tendon
  • A special bandage that restricts the motion of the tendon
  • Cross training that includes exercise activities that do not put strain on the tendon, such as swimming
  • Surgery, usually only for extreme cases or if the tendon has been ruptured

So take it slow if you are starting up a new exercise routine in the New Year and if you have any questions about your fitness plan and your feet, schedule a consultation at one of our Middlesex County offices by calling  (781) 944-4044.

Contact Us

New England & Ankle Specialists

(781) 944-4044
30 New Crossing Road Suite 311 Reading, MA 01876