Diagnosing Heel Stress Fractures

Diagnosing a heel stress fracture can be challenging because early symptoms often resemble other causes of heel pain. A heel stress fracture is a small crack in the bone caused by repeated force. Patients may have deep, aching pain that worsens with standing or walking and improves with rest. During an exam, a podiatrist checks for tenderness, swelling, and pain with pressure on the heel. Standard X-rays are often the first step, but they may appear normal in early stages. If pain continues, advanced imaging like an MRI can detect subtle bone injury and confirm the diagnosis. A podiatrist can evaluate symptoms, order appropriate imaging, and determine the severity of the heel stress fracture. Treatment plans include reducing pressure on the injured area with a walking boot or brace. This approach, along with footwear changes and careful monitoring, helps promote healing and prevent complications. If you have constant heel pain, it is suggested that you make an appointment with a podiatrist for help.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact one of our podiatrists from The Foot Specialists. Our doctors can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

  • Runners                                
  • People affected with Osteoporosis
  • Tennis or basketball players
  • Gymnasts
  • High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

If you have any questions please contact our offices located in Waltham and Milford, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Why Your Ankle Keeps Giving Out

Chronic ankle instability develops when the outer side of the ankle repeatedly gives out, often after one or more ankle sprains that did not fully heal. The ligaments become stretched or weakened, making it harder for the joint to stay stable during movement. Other common causes include improper rehabilitation after a sprain, weak ankle muscles, and poor balance or coordination. Over time, this can lead to ongoing discomfort, swelling, and a higher risk of future sprains. Treatment usually begins with conservative care such as targeted exercises  to strengthen muscles and improve balance, bracing for added support, and activity modification. Anti-inflammatory measures may also help reduce pain and swelling. If symptoms persist despite these efforts, surgical options like ligament repair or reconstruction may be recommended to restore stability. If your ankle feels unstable or keeps rolling, it is suggested that you schedule a visit with a podiatrist to prevent further injury and regain confidence in your movement.

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 The Foot Specialists. 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 our offices located in Waltham and Milford, MA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Restoring Ankle Strength After a Sprain

Regaining strength after spraining an ankle is essential for stability and prevention of repeat injuries. A sprain stretches or tears ligaments, the strong bands that hold the joint together, leading to weakness and poor control of movement. Early recovery focuses on improving range of motion, meaning how well the ankle can move in different directions. As healing progresses, strengthening exercises target the muscles and tendons that support the joint. This helps the ankle handle weight and movement again. Balance training is also important, as it improves coordination and reduces the risk of chronic sprains. A podiatrist can guide this process by evaluating joint function, recommending supportive bracing, and prescribing custom orthotics to improve alignment and reduce strain. They may also design a structured rehabilitation plan to rebuild strength safely and effectively. If you have sprained an ankle, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact one of our podiatrists from The Foot Specialists. 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 are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

  • Pain at the sight of the tear
  • Bruising/Swelling
  • Ankle area is tender to touch
  • In severe cases, may hear/feel something tear
  • Skin discoloration

Preventing a Sprain

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

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

If you have any questions, please feel free to contact our offices located in Waltham and Milford, MA . 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!

Using Negative Pressure to Heal Wounds

Negative pressure wound therapy is an advanced method used to help foot wounds heal more efficiently. It works by applying gentle suction through a sealed dressing placed over the wound. This controlled suction removes excess fluid, reduces swelling, and helps improve blood flow to the area. Better circulation brings oxygen and nutrients that support healing. The therapy also promotes the growth of new tissue, which fills in the wound over time. Keeping the wound clean and reducing bacteria lowers the risk of infection. A podiatrist carefully prepares the wound, selects the proper dressing, and adjusts pressure levels based on the wound type to ensure safe care. This treatment is often used for slow-healing wounds, including ulcers or surgical sites. If you have foot wounds that are slow to heal, it is suggested that you make an appointment with a podiatrist for treatment.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with one of our podiatrists from The Foot Specialists. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions please contact our offices located in Waltham and Milford, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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