Dealing With Chronic Instability in the Ankles

Chronic ankle instability causes the ankle to repeatedly feel weak, wobbly, or ready to give way. The problem usually affects the outer side of the ankle and can occur while walking, exercising, or simply standing. It frequently begins after one or more ankle sprains. A sprain stretches or tears the ligaments, which are strong bands of tissue that support the joint. When an injury does not heal fully, the ankle can remain loose and poorly controlled. Symptoms include ongoing discomfort, swelling, and tenderness. The ankle may keep turning on uneven ground or while playing sports.

Each new sprain can further weaken or stretch the injured ligaments. This creates a cycle of repeated injury and increasing instability. Damage can also affect balance and the ankle muscles that help control movement. This can limit exercise, work duties, and other daily activities. Without proper care, chronic instability can contribute to cartilage damage and ankle arthritis. A podiatrist will ask about earlier injuries and when the ankle gives way. The examination includes checking swelling, tender areas, and joint movement. The podiatrist may also assess strength and balance. X-rays can reveal bone injuries or arthritis, while other imaging tests can show ligament or cartilage damage.

Treatment depends on the degree of instability, test results, and the patient’s activity level. A podiatrist can provide an ankle brace to support the joint and help prevent another sprain. A guided exercise plan can improve strength, balance, and control. Custom orthotics may improve foot alignment and help the ankle move more steadily. Early evaluation can protect the joint from repeated injuries and support a safer return to activity. If you frequently experience the feeling that your ankle is giving way, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with one of our podiatrists from Westside Podiatry Center, LLP. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

  • Types of arthritis (rheumatoid, osteoarthritis, and gout)
  • Ankle sprains
  • Broken ankles
  • Achilles tendonitis
  • Achilles tendon rupture
  • Stress fractures
  • Bursitis
  • Tarsal tunnel syndrome
  • Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

If you have any questions please feel free to contact one of our offices located in Liverpool, Camillus, Skaneateles, Oswego, and Cicero, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Poor Foot Posture and Its Connection to Low Back Pain

Poor foot posture occurs when the feet rest or move in an inefficient position that affects normal alignment and function. This can include excessive inward rolling, limited arch support, or uneven weight distribution. Poor foot function may change how the ankles, knees, and hips move during walking. These changes can affect the way the body absorbs impact. Some people may experience foot fatigue, arch discomfort, or uneven wear on their shoes. Addressing foot alignment may help improve overall movement.

Poor foot posture can also be associated with low back pain because the feet provide the foundation for the body during standing and walking. When foot mechanics change, the legs and pelvis may adjust to maintain balance. These adjustments can place additional stress on muscles and joints throughout the lower body. Risk factors include flat feet, previous foot injuries, and prolonged standing. Repetitive activities may also increase strain when the feet do not function efficiently.

 

Symptoms can vary depending on the underlying cause. Some people notice tired feet, heel discomfort, or changes in walking patterns. Others may develop discomfort that extends into the knees, hips, or lower back. A podiatrist can evaluate foot posture by examining alignment, walking mechanics, and weight distribution. They may also review footwear and assess the range of motion in the feet and ankles. Imaging tests may be recommended when structural problems are suspected.

 

Treatment depends on the cause and severity of poor foot function. A podiatrist may recommend wearing supportive footwear, custom orthotics, or targeted changes to daily activities. They may also address an underlying foot condition that is affecting alignment. Improving foot support can help create a more stable foundation for movement. If poor foot posture is affecting your comfort or contributing to low back pain, it is suggested that you consult a podiatrist for effective relief and treatment solutions.

If you have any concerns about your feet, contact one of our podiatrists from Westside Podiatry Center, LLP. 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 one of our offices located in Liverpool, Camillus, Skaneateles, Oswego, and Cicero, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Sever’s Disease Can Cause Heel Pain in Active Children

Sever’s disease causes heel pain in growing children, especially those who run or jump in sports. Despite its name, it is not an illness or disease. It is irritation and swelling at the growth plate in the heel bone. A growth plate is developing tissue where a child’s bone grows. During a growth spurt, the heel bone can grow faster than nearby muscles and tendons. The Achilles tendon then pulls tightly against the growth plate. Repeated activity can make the area sore. The problem usually develops between ages nine and 14, and does not cause lasting damage after the growth plate matures.

A child with Sever’s disease can feel pain or tenderness in one or both heels. The heel can also become swollen, red, or stiff after waking. Some children limp or walk on their toes to avoid pressure. A podiatrist asks about the child’s sports, growth, and symptoms. The podiatrist also examines the foot and gently presses the sides of the heel. X-rays do not show Sever’s disease, but the podiatrist can order them to rule out a fracture or another cause of pain.

Treatment aims to reduce strain on the growth plate and help the heel recover. A podiatrist can recommend changes to activities based on the child’s pain. This foot doctor can also check whether the child’s shoes fit correctly and provide enough cushioning and support. Heel cups or custom shoe inserts can reduce pressure and improve foot position. For severe pain, the podiatrist can prescribe a walking boot or a short cast to limit heel movement. Children should return to sports only when activity no longer causes pain. Sever’s disease usually clears as the heel finishes growing. If your active child complains of heel pain, it is suggested that you schedule an appointment with a podiatrist who can accurately diagnose and offer relief tips for Sever’s disease.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see one of our podiatrists from Westside Podiatry Center, LLP. Our doctors can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

If you have any questions, please feel free to contact one of our offices located in Liverpool, Camillus, Skaneateles, Oswego, and Cicero, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Balance Problems Increase Risk of Falls

Balance problems can make everyday movement feel uncertain and increase the chance of falling. Good balance depends on clear signals from the eyes, inner ears, and nerves. Muscles and joints provide more information about body position. The brain uses these signals to control movement. Aging can weaken vision, slow reflexes, and reduce muscle strength. Diabetes-related nerve damage can also limit feeling in the feet. Foot pain, fallen arches, and stiff joints can change the way a person walks. These changes can make it harder to react to uneven ground or a sudden loss of balance.

Several warning signs deserve attention. A person may feel unsteady when standing, drift to one side, or need support while walking. Repeated stumbling and difficulty using stairs can indicate a balance problem. Falls can lead to broken bones, head injuries, and a lasting fear of movement. Loose shoes can slide or catch against the floor. Shoes with smooth soles can reduce traction. Poor lighting, cluttered pathways, and loose rugs add further risk. Since many factors can work together, a professional evaluation can help identify the source of the problem.

A podiatrist can examine the feet and ankles for pain, weakness, or changes in structure. The exam includes checking joint movement, foot sensation, and muscle strength. The podiatrist can study how the patient stands and walks. This gait evaluation helps reveal movement patterns that affect stability. Treatment options include custom orthotics to improve foot position and reduce uneven pressure. An ankle brace can provide support when weakness or instability is present. The podiatrist can also recommend properly-fitted shoes with firm heel support and slip-resistant soles. Foot evaluations are valuable for patients with diabetes, arthritis, or previous falls. If you have fallen and have injured your foot or ankle, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

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 podiatrists from Westside Podiatry Center, LLP. 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 one of our offices located in Liverpool, Camillus, Skaneateles, Oswego, and Cicero, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!