Ankle pain with each step makes everyday activities more difficult, from crossing a parking lot to moving around the house. The ankle supports body weight while allowing the foot to bend and adjust to changing surfaces. Pain develops when an injury or disease disrupts these movements. A sprain stretches or tears the ligaments, which are strong bands that connect bones. Repeated strain also irritates tendons, the cords that attach muscles to bones. Arthritis damages the joint and causes stiffness. Pain sometimes follows a clear injury, but it also develops gradually without a specific accident.

The location and timing of the pain provide useful clues. Pain along the inside of the ankle sometimes involves the tendon that supports the arch. Discomfort at the back may involve the Achilles tendon, which connects the calf muscles to the heel. An old sprain that heals poorly sometimes causes the ankle to feel unstable or prone to giving way. A podiatrist reviews previous injuries and asks when current symptoms began. The examination includes checking tender areas, assessing normal joint movement, and watching the patient walk. X-rays help identify fractures or arthritis. Ultrasounds or an MRI scan provides additional information about damaged tendons and ligaments when the examination suggests these problems.

Treatment depends on the cause and severity of the pain. A podiatrist may prescribe a brace to stabilize the ankle or a walking boot to protect an injured structure. Custom shoe inserts may be prescribed to help redistribute pressure and support foot alignment. To address advanced joint damage or a significant tear, surgery may be needed. Follow-up visits allow the podiatrist to assess healing and adjust the treatment plan accordingly. Sudden severe pain, an obvious deformity, or an inability to bear weight requires urgent medical evaluation. If you have ankle pain while walking, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Franklin Harry, DPM from Best Foot Forward. Our doctor 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 tendinitis
• Achilles tendon rupture
• Stress fractures
• 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 our offices located in Festus and St. Louis, MO . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Achilles tendon injuries from cycling occur when the strong band connecting the calf muscles to the heel becomes irritated or damaged. Although cycling is considered low-impact, repetitive pedaling can place stress on the Achilles tendon, especially during long or intense rides. Symptoms may begin gradually and include stiffness at the ankle, swelling, and tenderness near the heel. Some cyclists notice discomfort when starting a ride that improves temporarily with movement. More serious injuries can cause severe pain and make walking difficult.

Overuse is a common cause of Achilles tendon problems among cyclists. Repeating the same pedaling motion for hours can place constant strain on the tendon. A poor bike fit may also contribute by placing the ankle in an awkward position during each pedal stroke. Muscle imbalance can create uneven forces between the legs and feet, increasing stress on the Achilles tendon. Risk factors include suddenly increasing mileage, frequent hill riding, and inadequate recovery between rides. Previous Achilles problems may also increase the chance of another injury.

Pay attention to symptoms instead of trying to push through pain. Taking a break from painful activity can help prevent further irritation. Gentle movement may be appropriate when symptoms are mild, but severe pain should not be ignored. A proper bike fit can help reduce unnecessary strain on the ankle and heel. Supportive cycling footwear may also improve foot positioning. If swelling or tenderness continues after rest, professional evaluation can help identify the cause before the injury becomes more serious.

A podiatrist will examine the foot, ankle, and Achilles tendon and may assess walking and ankle movement. Treatment options include activity modification, wearing supportive footwear, or temporary immobilization depending on the injury. The podiatrist can also provide guidance for gradually returning to cycling without placing excessive stress on the tendon. If you have Achilles tendon pain from cycling, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Franklin Harry, DPM of Best Foot Forward. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

• Inflammation
• Dull to severe pain
• Increased blood flow to the tendon
• Thickening of the tendon

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

• Thorough stretching of the tendon before and after exercise
• Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact our offices located in Festus and St. Louis, MO . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

An ingrown toenail develops when the edge of a toenail grows into or presses against the surrounding skin. The big toe is affected most frequently, although the problem can occur on other toes. Pressure from shoes that are too tight, an injury, or the natural shape of the nail contribute to an ingrown toenail. Cutting the nail too short or rounding its corners also encourages the nail edge to press into the skin. Symptoms include pain, redness, and swelling along the side of the nail. The area may become sensitive when pressure is placed on the toe. An ingrown toenail also can become infected, leading to increased swelling or drainage around the nail.

A podiatrist evaluates an ingrown toenail by examining the nail and surrounding skin. The examination determines how deeply the nail edge is pressing into the skin and whether signs of infection are present. A podiatrist identifies factors that could contribute to repeated ingrown toenails, including nail shape or pressure from shoes. Treatment depends on the severity of the condition and the amount of irritation around the nail. A podiatrist carefully removes the portion of the nail that is pressing into the skin. Treatment also addresses irritated or infected tissue around the affected area. For recurring problems, the podiatrist uses techniques designed to prevent the troublesome section of nail from growing back.

An ingrown toenail makes standing, walking, and wearing shoes painful. Patients can change the way they walk to avoid pressure on the affected toe, which places added stress on other parts of the foot. A podiatrist treats the painful nail while helping protect the surrounding skin from further irritation. Level of care is based on the condition of the nail and the severity of the symptoms. Prompt evaluation helps prevent increasing pain and related complications. If you have symptoms of an ingrown toenail, it is suggested that you make an appointment with a podiatrist for diagnosis and treatment.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Franklin Harry, DPM of Best Foot Forward. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

• Improper toenail trimming
• Genetics
• Improper shoe fitting
• Injury from pedicures or nail picking
• Abnormal gait
• Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

If you have any questions, please feel free to contact our offices located in Festus and St. Louis, MO . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Gout is a form of inflammatory arthritis that develops when uric acid builds up in the blood and forms sharp crystals in a joint. These crystals can trigger sudden inflammation, making gout extremely painful. Gout commonly affects the big toe because the joint is relatively cool and receives repeated pressure from walking. Lower temperatures can encourage crystal formation. Recognizing gout symptoms can help you seek care before pain becomes difficult to manage.

A gout attack often begins suddenly, sometimes during the night. The big toe may become intensely painful, swollen, and extremely tender. Even light contact from bedding or a shoe can feel uncomfortable. Some people notice shiny skin around the affected joint. Without treatment, an attack may last for days. Repeated flares can damage the joint and contribute to the formation of tophi, which are firm deposits of uric acid crystals beneath the skin.

Several factors can increase gout risk. High uric acid levels are the main cause, but kidney problems can make it harder for the body to remove uric acid. Family history can also play a role. Certain medications, dehydration, and a diet high in purine-rich foods may increase risk. Obesity and some metabolic conditions can further contribute. A podiatrist can review your symptoms and examine the foot. Testing may also help confirm the diagnosis.

Treatment depends on the severity and frequency of attacks. A podiatrist may recommend rest, supportive footwear, and measures that reduce pressure on the painful joint. Medication may help control inflammation and pain during an acute flare. Long-term care may focus on lowering uric acid levels and preventing future attacks with guidance from your healthcare provider. If you have intense pain in your big toe, or other symptoms of gout, it is suggested that you are under the care of a podiatrist who can help you to manage this painful condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Franklin Harry, DPM from Best Foot Forward. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

If you have any questions, please feel free to contact our offices located in Festus and St. Louis, MO . We offer the newest diagnostic and treatment technologies for all your foot care needs.