Dealing with Stress Fractures of the Foot and Ankle
Stress fractures are small breaks in the bone that are caused by repetitive stress. They typically occur due to overuse, forcing the bones of the foot or ankle to continually absorb the full impact of each step taken. Stress fractures can also be caused by abnormal foot structure, osteoporosis, bone deformities, or wearing improper footwear during exercise.
Stress fractures are common for individuals whose daily activities cause high levels of impact on their feet and ankles. Those who run, play tennis or basketball, or practice gymnastics tend to experience these fractures more frequently. Anyone is susceptible to this problem, though. Individuals who are normally sedentary and suddenly begin an intense, high impact workout may sustain stress fractures. This is because their muscles are not yet strong enough to handle and cushion the intensity of their activity. Osteoporosis may also cause someone to get stress fractures, because the disease weakens an afflicted person's bones and makes it easier for them to break down.
Pain from stress fractures typically occurs in the general area of the fracture. Pain can also manifest as “pinpoint pain” or pain that is felt when the site of the injury is touched, and can be accompanied by swelling. It may occur during or after activity, and it may disappear while resting and return when standing or moving. Engaging in any kind of activity, high impact or otherwise, will aggravate the pain. If the intensity of the activity increases before the stress fracture has properly healed, it can cause a full fracture.
Treatment can vary depending on the individual and the degree of injury. The primary way to treat a stress fracture is to rest the hurt foot. Some fractures will heal quickly with only a little bit of rest, while others may require a long rest period and the use of crutches, immobilization, or physical therapy. Under certain circumstances, surgery may be required to install support pins around the fracture to assist in healing.
If you are undergoing a new exercise regimen in running or some other kind of high impact activity, set incremental goals on a weekly basis so you can build up muscle strength. Make sure to wear supportive shoes to better protect you feet.
If you begin to experience any symptoms of stress fractures, you should stop exercising and rest. If the symptoms persist, consult with your podiatrist. Remembering these tips can help you prevent stress fractures to your foot and ankle, and allow you to continue living normally.
How High Heels Can Damage the Feet
Wearing high heels can be stylish, but wearing them too often may have severe long term impacts on the feet. While wearing high heels, the ankles are forced to bend forward and essentially make it like the wearer is standing on their tip toes. This can lead to potential problems like restricting blood circulation, or shortening of the calf muscles as well as the Achilles tendon. High heels with a narrow toe box can lead to other problems too, such as bunions. Because of the stress that these shoes put on the body, osteoarthritis is yet another condition that may result from wearing high heels frequently. Not only do high heels have an impact on the feet, but high heels can lead to concerns with your back and knees as well. If you are experiencing any problems with your feet due to high heels, please consult with your local podiatrist. A podiatrist will be able to treat any foot condition that may have developed, as well as provide shoe inserts or orthotics, and make recommendations on other stylish shoes that can be healthier for your feet.
High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact one of our podiatrists from Princeton Foot and Ankle Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.
Effects of High Heels on the Feet
High heels are popular shoes among women because of their many styles and societal appeal. Despite this, high heels can still cause many health problems if worn too frequently.
Which Parts of My Body Will Be Affected by High Heels?
- Ankle Joints
- Achilles Tendon – May shorten and stiffen with prolonged wear
- Balls of the Feet
- Knees – Heels cause the knees to bend constantly, creating stress on them
- Back – They decrease the spine’s ability to absorb shock, which may lead to back pain. The vertebrae of the lower back may compress.
What Kinds of Foot Problems Can Develop from Wearing High Heels?
- Corns
- Calluses
- Hammertoe
- Bunions
- Morton’s Neuroma
- Plantar Fasciitis
How Can I Still Wear High Heels and Maintain Foot Health?
If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems. Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet. Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising. If you walk to work, try carrying your heels with you and changing into them once you arrive at work. Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available.
If you have any questions please feel free to contact our offices located in Princeton, and West Windsor, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Effect of High Heels on the Feet
High heels are uncomfortable, but many women sacrifice comfort to be stylish. There are many problems that stem from wearing high heels, however these issues can be avoided by wearing proper shoes.
Heels are bad because they push your weight forward toward the fall of the foot. The higher the heel is, the more weight and pressure get shifted. This process causes the back to hyperextend backwards to counterbalance which may cause pain in the leg, hip, and back. Consequently, major posture problems may occur, and these issues may eventually become permanent.
Wearing high heels is one of the leading cause of ingrown toenails. Heels create a great deal of pressure on the big toenails which disrupts proper toenail growth. This may eventually lead to the big toenail growing into the skin. Another common problem that stems from high heels is bunions. If bunions go untreated, they can cause serious scar tissue to form along with severe pain.
However, there are ways to minimize the harmful risks associated with wearing heels. You should try to massage and stretch your legs and feet after wearing heels for an extended time. Stretching helps prevent the Achilles tendons and calf muscles from becoming too tight. A good substitute for heels are platforms which provide a better surface area to evenly distribute the body’s weight.
If you are experiencing any painful foot conditions from wearing high heels, you should consult with your podiatrist right away.
Three Types of Flat Feet
The medical name for flat feet is pes planus. Flat feet are a foot condition that affects the arch, which can be absent or extremely low. Many patients have no symptoms with this condition, and it does not interfere with accomplishing daily activities. Some people, however, are severely affected by flat feet, and can experience symptoms that often include easily becoming tired, pain in the heel and arch area, and difficulty standing on the toes. Flat feet can be caused by genetic factors, foot injury, aging, and pregnancy. There are three groups of flat feet. Mild cases may be relieved when arch supports are used. Moderate flat feet may affect the Achilles tendon, and can be painful. If flat feet are severe, the foot may be deformed. It is suggested that patients who have any type of flat feet be under the care of a podiatrist who can effectively treat this condition.
Flatfoot is a condition many people suffer from. If you have flat feet, contact one of our podiatrists from Princeton Foot and Ankle Associates. 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 Princeton, and West Windsor, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Flatfoot
Flatfoot is a foot disorder that is not as straightforward as many people believe. Various types of flatfoot exist, each with their own varying deformities and symptoms. The partial or total collapse of the arch, however, is a characteristic common to all types of flatfoot. Other signs of flatfoot include:
- “Toe drift,” or the pointing outward of the toes and the front part of the foot
- The tilting outward of the heel and the tilting inward of the ankle
- The lifting of the heel off the ground earlier when walking due to a tight Achilles tendon
- Hammertoes
- Bunions
One of the most common types of flatfoot is flexible flatfoot. This variation usually starts in childhood and progresses as one ages into adulthood. Flexible flatfoot presents as a foot that is flat when standing, or weight-bearing. When not standing, the arch returns. Symptoms of flexible flatfoot include:
- Pain located in the heel, arch, ankle, or along the outside of the foot
- Overpronation, or an ankle that rolls in
- Shin splint, or pain along the shin bone
- General foot aches or fatigue
- Pain located in the lower back, hip, or knee
Your podiatrist will most likely diagnose flatfoot by examining your feet when you stand and sit. X-rays may be taken to define the severity and help determine the treatment option best for your condition. Nonsurgical treatments can include activity modification, weight loss, orthotics, immobilization, medications, physical therapy, shoe modifications, and ankle foot orthoses (AFO) devices. If nonsurgical methods prove ineffective, surgery may be considered. Multiple surgical procedures can correct flatfoot; and depending on your specific condition, one may be selected alone or combined with other techniques to ensure optimal results.
Do Your Child's Feet Hurt?
Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.
Peroneal Tendon Injuries
The peroneal tendons are two bands of tissue located in the foot, behind the outer ankle bone. They connect muscles to bones and stabilize the foot and ankle, protecting them from sprains. These important tendons can become injured in various ways. They may become inflamed (tendonitis) due to overuse, which can lead to pain, swelling, and warmth to the touch. The peroneal tendons can also tear due to overuse or trauma. A rupture may cause pain, swelling, weakness, and ankle instability. Overuse during a long period of time may cause degenerative tearing of the tendons. The tendons could also slip out of their proper positions, usually due to another injury, such as an ankle sprain. If you are suffering from ankle pain, it is strongly suggested that you see a podiatrist, who can diagnose and treat your condition.
Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with one of our podiatrists from Princeton Foot and Ankle Associates. Our doctors will assess your condition and provide you with quality foot and ankle treatment.
Common Injuries
The most common injuries that occur in sporting activities include:
- Achilles Tendonitis
- Achilles Tendon Rupture
- Ankle Sprains
- Broken Foot
- Plantar Fasciitis
- Stress Fractures
- Turf Toe
Symptoms
Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.
Treatment
Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.
If you have any questions, please feel free to contact our offices located in Princeton, and West Windsor, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Sports Related Foot and Ankle Injuries
Foot and ankle injuries are common among athletes and those who exercise frequently. Most of these injuries are non-life-threatening and can heal in weeks with proper treatment and care. Serious injuries, however, require urgent medical treatment.
Common minor injuries include ankle sprains, ankle strains, Achilles tendonitis, plantar fasciitis, stress fractures, and turf toe. An ankle sprain is when the ligaments in the ankle have either become stretched or torn. When the muscle or tendon is stretched or torn, it is an ankle strain. When the big toe is sprained, it is known as turf toe. Achilles tendonitis is the overuse and inflammation of the Achilles tendon. Plantar fasciitis is the inflammation of the plantar fascia and generally occurs from overuse in athletics. Stress fractures are also caused from overuse and are small cracks in the bone.
Achilles tendon ruptures are common, but more serious. This injury occurs when the Achilles tendon, the largest tendon in the body, ruptures. In most cases, this causes severe pain and difficulty walking; some who have experienced this injury have reported, however, no signs or symptoms. A laceration is a deep cut that can occur anywhere on the body. Lacerations on the foot are rarer, but can occur from things like metal cleats landing on the foot.
Treatment options cover a wide range of methods based upon the injury and its severity. Conditions like plantar fasciitis, stress fractures, Achilles tendonitis, turf toe and ankle sprains/ strains can heal on their own without immediate medical care, but seeing a podiatrist to monitor the injury is always recommended. Following the RICE (Rest, Icing, Compression, and Elevation) protocol is generally enough to treat minor injuries. This means resting the foot by either keeping pressure off the foot or not walking at all. Icing the injury will help reduce swelling and pain. Compressing the wound with a wrap will immobilize and help promote healing. Finally, keeping the wound elevated will also reduce swelling and also help the healing process.
It is important to note that even minor injuries can vary in severity, with grade one being a minor injury and grade three requiring urgent care by a podiatrist. Achilles tendon ruptures and lacerations on the foot generally require urgent medical care and treatment options that need a podiatrist. These could include imaging tests, stitches for cuts, rehabilitation, and casts or braces. Every case is different, however, so it is always recommended to see a podiatrist when pain in the foot does not disappear.
The Progressive Foot Disorder Known as Hammertoe
A hammertoe occurs when the middle joint in a toe is stuck in a bent position and the toe curls down, rather than laying flat. This deformity can develop in any toe other than the big toe. An imbalance in the muscles or tendons in the feet can lead to a hammertoe forming over time. Genetics may predispose certain people to hammertoes, which can be brought on by wearing pointy, narrow high heels. Having bunions, or certain diseases such as Charcot-Marie-Tooth, diabetes, or arthritis, can also contribute to the development of a hammertoe. In the early stages, the contraction is flexible and the toe can still move. In time, the bent toe can become rigid as the condition progresses. That is why it is important to seek the care of a podiatrist in the early stages, when more conservative therapies can be deployed to correct the deformity without surgery.
Hammertoes can be a painful condition to live with. For more information, contact one of our podiatrists of Princeton Foot and Ankle Associates. Our doctors will answer any of your foot- and ankle-related questions.
Hammertoe
Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.
Symptoms
- Painful and/or difficult toe movement
- Swelling
- Joint stiffness
- Calluses/Corns
- Physical deformity
Risk Factors
- Age – The risk of hammertoe increases with age
- Sex – Women are more likely to have hammertoe compared to men
- Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
- Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe
Treatment
If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.
If you have any questions, please feel free to contact our offices located in Princeton, and West Windsor, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Hammertoe
Hammertoe is a foot deformity that occurs due to an imbalance in the tendons, muscles, or ligaments that are responsible for holding the toes in their normal position. This condition may be caused by poor footwear, foot structure, trauma, and disease. The most common solution for hammertoe is to relieve the pain by changing your footwear and wearing orthotics. In severe cases, surgery may be required.
The shoes that are most likely to cause hammertoe are high heeled shoes or shoes that are too tight in the toe box. Tight shoes will force your toes to crowd together in a curled position. This position will likely continue when you take your shoes off. Another cause is trauma. When you stub your toe, you are increasing the chance that you will develop hammertoe.
There are risk factors that may make you more likely to develop this condition. Women are more likely to have the condition compared to men, and it is also more likely to appear in those who are older in age.
Many different foot problems can be avoided by wearing shoes that have adjustability, adequate toe room, and low heels. Furthermore, if you want to buy new shoes, you should look to purchase them at the end of the day and make sure you know your correct size. The importance of buying shoes at the end of the day is that your feet swell as the day progresses. You should also ensure that you are wearing your correct size because your shoe size may change as you grow older.
To diagnose someone with hammertoe, your podiatrist will need to conduct a thorough examination of your foot. Your doctor may even order an x-ray to evaluate the bones and joints of your feet and toes.
If you have hammertoe, your podiatrist may recommend that you wear shoes that fit you better along with inserts to place inside them. Additionally, he or she may suggest special exercises for you to perform to stretch your toes. One helpful exercise it to pick up marbles with your feet or crumple a towel with your toes.
Prior to meeting with your podiatrist, it will be helpful to make a list of all the symptoms you are experiencing. You should also make a note of medications you are taking and important personal information about your medical history.
