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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.

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.

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.

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.

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.

Neuropathy, a condition often associated with diabetes but not exclusive to it, refers to nerve damage that can result in loss of sensation in the feet. Non-diabetic foot wounds stemming from neuropathy occur due to the inability to perceive pain or pressure, leading to unnoticed injuries that can worsen into ulcers. Without proper sensation, individuals may continue walking on injured feet, exacerbating the wounds. Podiatrists play an important role in managing these ulcers by conducting thorough assessments to determine the extent of damage, implementing preventive measures to alleviate pressure on affected areas, and initiating treatment plans tailored to individual needs. This may involve wound care, infection management, offloading techniques to reduce pressure on the wound site, and patient education on foot care practices to prevent further complications. If you have a foot wound of any type, it is suggested that you schedule an appointment with a podiatrist for immediate treatment.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, 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.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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 blisters, fluid-filled sacs on the skin's surface, often result from friction, moisture, or wearing poorly fitting footwear. They commonly occur in areas prone to rubbing or pressure, like heels or toes. People who have diabetes or peripheral neuropathy may not notice a blister has formed, due to a lack of sensation. Complications may include infection if not properly cared for, particularly in those with weakened immune systems. Prevention includes wearing well-fitting shoes, using moisture-wicking socks, and applying lubricants or blister pads. If blisters persist or become infected, it is suggested that you schedule an appointment with a podiatrist for proper assessment and safe treatment, which could involve draining large blisters or prescribing antibiotics for infections.

Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, 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.

Foot Blisters

Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

How Do Blisters Form?

Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.

Prevention & Treatment

It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.

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 broken ankle, or ankle fracture, occurs when one or more of the bones making up the ankle joint break. This injury often happens due to trauma, such as twisting the ankle during a fall, sports injury, or car accident. Symptoms of a broken ankle include severe pain, swelling, bruising, inability to bear weight, and deformity of the ankle joint. Early intervention by a podiatrist is essential to properly diagnose and treat the fracture. Treatment typically involves immobilization of the ankle with a cast or brace to allow the bones to heal properly. In some cases, surgery may be necessary to realign the bones or stabilize the fracture with hardware. While recovery time varies depending on the severity of the injury, rehabilitation is often recommended to restore strength, flexibility, and function to the ankle joint. If you have sustained an ankle fracture, it is strongly suggested that you schedule an appointment with a podiatrist for proper treatment and rehabilitation, for the best possible outcome with minimal complications.

Broken ankles need immediate treatment. If you are seeking treatment, contact one of our doctors from New England Foot & Ankle . 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 offices located in Wakefield, MA, Nashua and Derry, NH . We offer the newest diagnostic and treatment technologies for all your foot care needs.