Blog

Selecting the right hiking boots is a big decision for any outdoor enthusiast. These boots can make or break your hiking experience, impacting your comfort, support, and overall safety on the trail. This can begin by considering the terrain you plan to hike. Different types of hikes, whether on rocky trails, muddy paths, or steep ascents, require specific features in your boots. Choose a boot with appropriate sole traction, ankle support, and water resistance that matches your hiking environment. This can be followed by focusing on fit. Ensuring your hiking boots fit snugly, but leaving enough room for your toes to wiggle comfortably. Try on boots in the late afternoon when your feet are slightly swollen to mimic conditions on the trail. It is beneficial to break in your boots before embarking on a long hike. Wear them around your home or on shorter walks to allow them to mold to your feet and prevent painful blisters. Lastly, consider your personal preferences. Some hikers prefer lightweight and flexible boots, while others prioritize durability and sturdiness. If you would like more information about what type of hiking boots to buy, it is suggested that you confer with a podiatrist who can provide you with the knowledge you are seeking.

Finding a properly-fitting shoe is important in reducing injuries and preventing foot problems. For more information about treatment, contact one of our doctors from New England Foot & Ankle . Our doctors will treat your foot and ankle needs.

Proper Shoe Fitting

A common concern when it comes to foot health, having properly fitted shoes can help prevent injuries to the foot. Out feet affect our posture and gait, which in turn affects the biomechanics and overall bodily structure. With 33 joints, 26 bones, and over 100 ligaments, the potential for serious injury is much greater than one realizes. Although the feet cease growth in adulthood, they still change shape as they mature. Here are some factors to consider when it comes to investing in proper fitting shoes:

• Be sure the shoes fit correctly right away
• Ensure the ball of your foot fits comfortably in the widest portion of the shoes
• Even though they may look fashionable, improper fitting shoes can either create adverse conditions or exacerbate existing ones you may already have
• Walk along a carpeted surface to ensure the shoes comfortably fit during normal activity

Keeping in mind how shoes fit the biomechanics of your body, properly-fitting shoes are vitally important. Fortunately, it is not difficult to acquire footwear that fits correctly. Be sure to wear shoes that support the overall structure of your body. Do your feet a favor and invest in several pairs of well-fitted shoes today.

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.

Foot pain can be a significant discomfort that affects people of all ages and lifestyles. It is essential to understand that various factors can contribute to this common ailment. One common culprit is wearing improper footwear. Ill-fitting shoes or those lacking proper arch support can lead to a range of foot problems, ranging from bunions to plantar fasciitis. Overuse and excessive physical activity can also strain the feet, leading to pain. Athletes, in particular, are susceptible to conditions such as stress fractures and Achilles tendonitis due to repetitive movements. Certain medical conditions, such as arthritis or diabetes, can result in chronic foot pain, as they affect joint health and circulation. Additionally, age related changes, which can include reduced fat padding in the feet, may lead to discomfort, especially while walking or standing for extended periods. Addressing foot pain often requires a multifaceted approach, including wearing proper footwear, rest, and sometimes medical intervention. By recognizing the various causes, individuals can take proactive steps to alleviate foot pain and maintain healthy, pain-free feet. If you have any type of foot pain, it is strongly suggested that you contact a podiatrist as quickly as possible who can determine what the cause is, and offer treatment methods that are right for you. 

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.

When it comes to foot injuries, understanding the types of broken bones in the foot is essential for effective diagnosis and treatment. Each foot contains 23 bones that may sustain an injury. A closed, or simple, fracture involves a break in the bone without piercing the skin. An open, or compound, fracture is more severe, where the bone breaks through the skin or is exposed due to a wound. This requires immediate medical attention due to the risk of infection. Greenstick fractures are commonly seen in children. These involve small, slender cracks in bones, as children's bones are more flexible. Hairline fractures, often called stress fractures, result from repetitive stress, particularly in activities like jogging or running. These tiny cracks frequently may occur in the long bones of the foot. Complicated fractures entail injuries to surrounding structures, such as veins, arteries, nerves, and the bone's lining, which may call for careful assessment and treatment. Comminuted fractures shatter the bone into small pieces, resulting in a slower healing process and requiring extensive care. Avulsion fractures occur when powerful muscle contractions pull pieces of bone where muscles attach to bones via tendons. 

A broken foot requires immediate medical attention and treatment. If you need your feet checked, 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 Foot Causes, Symptoms, and Treatment

A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury. 

Common Symptoms of Broken Feet:

• Bruising
• Pain
• Redness
• Swelling
• Blue in color
• Numbness
• Cold
• Misshapen
• Cuts
• Deformities

Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.

Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.

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.

Our feet and ankles are marvels of engineering, combining intricate structures to support our weight and facilitate movement. The remarkable anatomy of the foot consists of 26 bones, comprising the tarsal, metatarsal, and phalangeal bones, forming arches that provide stability and flexibility. Ligaments connect these bones, acting like tough rubber bands to hold the structure together. Meanwhile, muscles and tendons play a crucial role in moving the foot and toes. The ankle joint forms where the lower leg meets the foot, connecting the tibia and fibula to the talus bone. Ligaments here ensure stability, while the Achilles tendon at the back enables powerful movements, such as running and jumping. Understanding the intricate web of bones, ligaments, muscles, and tendons in your feet and ankles can help you appreciate their importance. If you would like additional knowledge about the biomechanics of the feet and ankles, it is suggested that you speak with a podiatrist.

If you have any concerns about your feet, 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.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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.

Flat feet and overpronation, although often seen together, are distinct conditions that can exist independently. Flat feet, also known as fallen arches, are characterized by the lack of an arch on the inside of the foot, resulting in the entire sole touching the ground. Overpronation relates to the dynamic movement of the foot during activities such as walking or running. Pronation is the natural inward roll and lowering of the arch when weight is placed on the foot. Overpronation means this movement is excessive, potentially leading to issues due to altered force patterns on the foot and leg. The collapse of the arch when standing can lead to excessive pronation while in motion. Correcting flat feet often involves both raising the arch when standing and controlling pronation during activities such as walking or running. Some individuals may have a normal arch, but still overpronate during high impact activities. Treatment and exercises for flat feet can sometimes overlap with those for overpronation. If you have either of these conditions, it is suggested that you make an appointment with a podiatrist who can examine your feet and gait patterns to determine whether you have a problem requiring treatment.

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 and ankle needs.

Clubfoot, a congenital condition, impacts the development of a newborn's foot or feet, leading to an abnormal position. The foot is turned inward and downward, resembling the shape of a golf club, hence the name. While the exact cause is not always clear, both genetic and environmental factors can play a role. During pregnancy, abnormal positioning of the baby's feet in the womb can contribute to developing clubfoot. Early treatment of this condition is important and generally begins within weeks of birth. The Ponseti method, a non-surgical approach involving gentle manipulation and casting, is a common treatment. Braces are used to maintain correction after the casting phase. In some cases, surgery may be necessary. Timely intervention and comprehensive treatment enable children with clubfoot to lead active, fulfilling lives. If your child has been born with clubfoot, it is strongly suggested that you contact a podiatrist who can determine what the best course of treatment is to pursue.

Some foot conditions may require additional professional care. 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.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

• Freiberg’s disease
• Kohler’s disease
• Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

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.
 

Plantar fasciitis, the inflammation of the tissue on the bottom of your foot, causes heel pain and discomfort and often worsens with physical activity. Risk factors include activities stressing your heel, being overweight, pregnant, or having high arches. Beyond heel pain, symptoms of plantar fasciitis include aching, burning, or swelling. This discomfort is typically most pronounced in the morning or after prolonged sitting, standing, or activity. Causes vary from playing sports to being on your feet a lot, poor arch support, or tight calf muscles. Treatment involves rest, wearing supportive footwear, using orthotics, and stretching the affected area. In severe cases, steroid injections or surgery might be considered. Prevention includes maintaining a healthy weight, wearing supportive shoes, warming up before exercise, and allowing recovery between physical activities. If you have heel pain and suspect you might have plantar fasciitis, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and treatment.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. 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 one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

• Excessive running
• Having high arches in your feet
• Other foot issues such as flat feet
• Pregnancy (due to the sudden weight gain)
• Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

• Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
• Maintain a healthy weight
• If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

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.

Ankle sprains are a common injury, often the result of sudden twists, rolls, or impacts that stretch or tear the ligaments connecting the bones of the ankle joint. These ligaments are vital for stability and movement, making ankle sprains a significant concern. Ankle sprains typically occur during activities that involve sudden changes in direction, uneven surfaces, or accidental missteps. Sports like basketball, soccer, and trail running, as well as everyday occurrences like tripping or stumbling, can lead to these injuries. The most common type of ankle sprain is when the foot rolls inward, causing damage to the ligaments on the outer side of the ankle. Common signs of a sprain include pain, swelling, and bruising around the affected area. Walking or bearing weight on the injured ankle can be painful, and there might be a sensation of instability or weakness. In severe cases, there could be a popping sound at the time of injury, indicating a possible ligament tear. Prompt treatment is required to prevent further complications and ensure recovery. If you suspect an ankle sprain, it is suggested that you make an appointment with a podiatrist as soon as possible to determine the extent of the injury and receive the appropriate care. 

Ankle sprains are common but need immediate attention. If you need your feet checked, 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.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

• Mild to moderate bruising
• Limited mobility
• Swelling
• Discoloration of the skin (depending on severity)

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen 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 and ankle needs.