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Forefoot disorders are common and can significantly impact a person's ability to walk and may affect their overall quality of life. One prevalent issue is metatarsalgia, which causes pain in the front part of the foot. To alleviate metatarsalgia, individuals can use metatarsal pads, bars, or forefoot cushions. Another common problem is hallux valgus, characterized by the deviation of the big toe towards the other toes. Treatment options for hallux valgus include toe spreaders, valgus splints, and bunion shields. Hallux limitus and hallux rigidus, which cause limited movement in the big toe, can benefit from kinetic wedge foot orthoses or rocker soles. Additionally, hammer, claw, and mallet toes, which involve unusual bending of the smaller toes, can be managed with toe sleeves, padding, or metatarsal off-loading insoles. Morton's neuroma, a painful condition affecting the metatarsal area due to a benign nerve growth, can be relieved through the use of metatarsal bars, plantar pads, or cushioned insoles. It is important for individuals with these forefoot disorders to avoid wearing tight-fitting or high-heeled shoes and instead opt for comfortable footwear. If you suffer from forefoot pain, including toe pain, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and appropriate management strategies.

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.

The journey of infancy unveils the uniqueness of every child, including the diverse ways their little feet may develop. Clubfoot and metatarsus adductus stand out as congenital foot conditions that influence the early stages of a child's mobility. Clubfoot presents as a deformity where the foot turns inward and downward, affecting the bones, muscles, tendons, and ligaments. Conversely, metatarsus adductus, involves a curved or turned in position of the front part of the foot. Both conditions are noticeable from birth and can be attributed to a combination of genetic and environmental factors. While clubfoot necessitates gentle manipulations and casting to guide the foot into proper alignment, metatarsus adductus often resolves with stretching exercises and wearing proper footwear. Understanding these congenital foot conditions empowers parents and podiatrists to initiate timely interventions, providing the best foundation for a child's healthy and active future. If your child has been born with one of these foot conditions, it is strongly suggested that you are under the care of a podiatrist who can promptly begin the correct treatment.

Congenital foot problems require 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.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

• Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
• Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
• Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
• Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
• Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
• Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome 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.

Gout is a form of inflammatory arthritis characterized by sudden, severe attacks of pain, redness, and tenderness in joints, often at the base of the big toe. It is caused by elevated levels of uric acid in the blood, which can form needle-like crystals in a joint, triggering inflammation and intense pain. Risk factors for developing gout can include a diet rich in purines, found in red meat, seafood, and alcohol. Additionally, obesity, and certain health conditions such as high blood pressure, diabetes, and kidney problems may also lead to developing gout. Men and postmenopausal women are more susceptible. If you think you may have gout and you have pain in your big toe, it is suggested that you make an appointment with a podiatrist for an evaluation and treatment that can restore your comfort.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact one of our doctors from New England Foot & Ankle . Our doctors will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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.

Morton's neuroma, a nerve condition that affects the ball of the foot, can bring about discomfort and pain. Its symptoms are often distinctive and can be recognized with attention to detail. Individuals with Morton's neuroma may experience a sharp, burning, or tingling pain that radiates from the ball of the foot, typically between the third and fourth toes. This discomfort often feels as if there is a small pebble or an object inside the shoe, causing an irritation. It tends to worsen with weight-bearing activities, such as walking or standing and may improve with rest. Wearing tight, constrictive footwear can exacerbate the symptoms, making shoe choices essential for managing the condition. Additionally, some individuals may feel numbness in the affected toes, contributing to a sense of discomfort and imbalance. Swelling or a palpable mass at the base of the toes is occasionally noticed. Early recognition of these common symptoms is essential for timely diagnosis and appropriate treatment of Morton's neuroma, helping individuals find relief from their foot discomfort. If you have pain in this part of your foot, it is strongly suggested that you schedule an appointment with a podiatrist. This type of doctor can accurately diagnose and treat Morton’s neuroma.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact one of our doctors of New England Foot & Ankle . Our doctors will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

• Ill-fitting high heels or shoes that add pressure to the toe or foot
• Jogging, running or any sport that involves constant impact to the foot
• Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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.

Pregnancy is a transformative journey for a woman's body, and it is not just the baby bump that undergoes changes. The feet also experienced their share of adjustments during this remarkable period. As the body produces the hormone relaxin to prepare for childbirth, it can affect the ligaments and tendons throughout, including the feet. This increased flexibility can lead to a temporary increase in shoe size. Swelling, known as edema, is another common foot change during pregnancy and is often caused by fluid retention. This can make wearing comfortable footwear imperative. Added pressure on the arches can trigger or exacerbate flat feet, resulting in discomfort or pain. Be prepared for these transformations, and remember that they are all part of the incredible journey to motherhood. If you would like more information about how to find relief from foot pain during pregnancy, in addition to learning more about how the feet change during this exciting time, it is suggested that you confer with a podiatrist who can provide you with useful knowledge.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with one of our doctors from New England Foot & Ankle . Our doctors will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

• Wearing orthotics can provide extra support for the feet and help distribute weight evenly
• Minimize the amount of time spent walking barefoot
• Wear shoes with good arch support
• Wear shoes that allow for good circulation to the feet
• Elevate feet if you experience swelling
• Massage your feet
• Get regular, light exercise, such as walking, to promote blood circulation to 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.

Poor circulation, a medical condition also known as circulatory insufficiency, refers to the inadequate flow of blood through the blood vessels, impairing the distribution of oxygen and nutrients to the body's cells and organs. The feet are often affected, leading to a variety of symptoms, including numbness, tingling, and muscle cramps. Several factors can contribute to poor circulation. Atherosclerosis, the buildup of plaque in arteries, narrows the blood vessels, reducing blood flow. Conditions such as diabetes can damage blood vessels and nerves, further impeding circulation. High blood pressure, obesity, and smoking are well-known risk factors that can harm blood vessels and hinder the circulatory system. In some cases, genetics can play a role, as a family history of circulatory issues may increase one's susceptibility. If your feet are cold for the majority of the day, it is suggested that you schedule an appointment with a podiatrist who can accurately diagnose poor circulation, and offer appropriate treatment methods.

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 and ankle needs.

Heel pain, often due to plantar fasciitis, results from chronic overuse of the plantar fascia, a thick tissue on the foot's sole that connects the heel bone to the toes and forms the arch. The most common symptom is heel pain which is typically at its worst with the first few steps after awakening. Causes encompass overuse, biomechanical abnormalities, tight or weak calf muscles, and big toe issues. Diagnosis involves a physical exam and may require imaging. This can be quite painful and interfere with comfortable functioning. It is better to try and prevent this condition than to experience it and have it treated. Preventative measures include calf stretching, plantar fascia stretches, weight management, supportive footwear, and possibly using custom-made orthotics. If you have heel pain or would like to know more about preventing it, it is suggested that you make an appointment with a podiatrist who can provide treatment and any information that can help you take the best care of your feet.

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

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 Wakefield, MA, Nashua and Derry, NH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

In recent years, an increasing number of people have chosen to pursue the field of podiatry, and this trend continues to grow. One of the driving factors behind this career choice is the rising awareness of the importance of foot health. As people become more health conscious, they recognize the critical role feet play in their overall well-being. Podiatrists are uniquely positioned to address a wide range of foot and ankle issues, from chronic conditions such as diabetes-related foot problems to sports injuries and biomechanical concerns. Additionally, the field of podiatry offers diverse career opportunities. Graduates can specialize in various areas, including sports medicine, surgery, wound care, and pediatrics, catering to a wide spectrum of patient needs. Furthermore, the demand for podiatrists is on the rise as the aging population seeks expert care for foot-related issues. The job outlook for podiatrists remains favorable, offering stability and potential for career growth. Ultimately, the combination of increasing awareness of foot health, career diversity, and strong demand for specialized care has made podiatry an attractive and rewarding field. If you are interested in pursuing podiatry as a career choice, it is suggested that you have a conversation with this type of doctor who can speak informatively about the field.

If you are experiencing pain in the feet or ankles, don’t join the stubborn majority refusing treatment. Feel free to 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.

What Is a Podiatrist?

Someone would seek the care of a podiatrist if they have suffered a foot injury or have common foot ailments such as heal spurs, bunions, arch problems, deformities, ingrown toenails, corns, foot and ankle problems, etc.

Podiatric Treatment

A podiatrist will treat the problematic areas of the feet, ankle or lower leg by prescribing the following:

• Physical therapy
• Drugs
• Orthotic inserts or soles
• Surgery on lower extremity fractures

A common podiatric procedure a podiatrist will use is a scanner or force plate which will allow the podiatrist to know the designs of orthotics. Patients are then told to follow a series of tasks to complete the treatment. The computer will scan the foot a see which areas show weight distribution and pressure points. The podiatrist will read the analysis and then determine which treatment plans are available.

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.