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How Can You Find Relief?

Learn about common foot and ankle conditions like Plantar Fasciitis, Achilles Tendonitis, and more. Discover treatment options and ways to find relief for your foot and ankle pain.

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How Can You Find Relief?

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  1. Common Foot and Ankle Conditions: How Can You Find Relief?

  2. Your Feet and Ankles are Workhorses • They bear a lot of weight • They perform various movements

  3. Common Conditions That Cause Foot/Ankle Pain • Plantar Fasciitis • Achilles Tendonitis • Tarsal Tunnel Syndrome • Flatfeet • Bunions • Hammertoe • Arthritis • Hallux Limitus/ Rigidus

  4. Plantar Fasciitis

  5. Plantar Fasciitis • Most common cause of heel pain in adults • Typically due to repetitive or excessive stress on the foot • Gradual onset of pain at bottom of the heel • Worse when taking first steps in the morning or after prolonged sitting leads to inflammation and pain

  6. Treatment of Plantar Fasciitis • Conservative (nonsurgical): • Shoe inserts • Stretching exercises • Appropriate footwear • NSAID, such as ibuprofen • Rest • Ice • Other (physical therapy, injections, etc.) • Surgical: • If conservative treatment doesn’t work

  7. Achilles Tendonitis

  8. Achilles Tendonitis • Inflammation, often caused by repetitive stress on the tendon • Achilles tendons run down back of lower leg • Symptoms: • Aching, stiffness, soreness or tenderness within the tendon

  9. What Contributes to Developing Achilles Tendonitis? • A tight Achilles tendon • Repetitive stress • Sudden injury • Wearing high-heeled shoes or clogs frequently

  10. Treatment of Achilles Tendonitis • To reduce inflammation: • NSAID, such as ibuprofen • Ice • Rest • Heel lifts • To restore function; to remove precipitating factors: • Physical therapy • Stretching exercises • Night splints/ custom bracing

  11. Tarsal TunnelSyndrome

  12. Tarsal Tunnel Syndrome • Compressed nerve in the tarsal tunnel • Tarsal tunnel is a narrow space inside the ankle • Symptoms: • Tingling, burning, or shock-like sensation • Numbness • Pain (including shooting pain) • Symptoms can occur in one spot, or can radiate to heel, arch, toes, calf

  13. Underlying Causes of the Compression • An enlarged structure • Varicose vein, cyst, swollen tendon, bone spur, etc. • An injury • High arches or flatfeet

  14. Treatment of Tarsal Tunnel Syndrome • Conservative (nonsurgical): • Rest, ice • NSAID, such as ibuprofen • Ankle support • Shoe inserts • Corticosteroid injection • Surgical: • Decompress the nerve

  15. Flatfoot

  16. Flatfoot • Congenital: • A structural abnormality leading to abnormal rearfoot alignment, abnormal joint motion and too much pressure on rearfoot • Acquired: • Often involves progressive weakening of supportive rearfoot structures and gradual collapse of the arch

  17. Treatment of Flatfoot • Conservative (nonsurgical): • Orthotics • Bracing • Functional supports • Physical therapy • Surgical: • Reconstruction

  18. Bunions

  19. Bunions • More than just a bump • Reflects changes in the bony structure • Big toe leans toward second toe, misaligning the bones • More than just a bump • Symptoms: • Pain or soreness • Redness and inflammation • Burning or numbness • Difficulty wearing certain shoes

  20. Bunion Treatment • Conservative (nonsurgical): • Changes in shoewear • Padding • Corticosteroid injection • Orthotics • Surgical: • Bunionectomy

  21. Hammertoe

  22. Hammertoe • Abnormal bend in the 2nd, 3rd, 4th or little toe • Symptoms: • Bend in the toe • Pain / irritation when wearing shoes • Corns and calluses • Redness and inflammation • More severe cases: open sores

  23. Hammertoe Treatment • Conservative (nonsurgical): • Padding • Changes in shoewear • Orthotics • Splinting or strapping • Surgical: • Often bunionectomy and hammertoe correction at the same time

  24. Arthritis in the Foot and Ankle

  25. Arthritis in the Foot and Ankle • Most common in the midfoot, big toe or ankle • An inflammation of the joint • Symptoms: • Pain and stiffness • Swelling in or near the joint • Difficulty walking or bending the joint

  26. Ankle Arthritis Treatment • Conservative (nonsurgical): • NSAID, such as ibuprofen • Rigid ankle bracing • Corticosteroid injections • Surgical: • Fusion (arthrodesis) • Total ankle replacement (arthroplasty)

  27. Hallux Limitus/Hallux Rigidus

  28. Hallux Limitus / Hallux Rigidus • Osteoarthritis in the big toe (the hallux) • Hallux limitus • Motion is somewhat limited • Hallux rigidus • Range of motion decreases • End stage: big toe is stiff

  29. Treatment of Hallux Limitus/ Hallux Rigidus • Conservative (nonsurgical): • Changes in shoewear • Orthotics • Anti-inflammatory medication • Corticosteroid injections • Physical therapy • Surgical: • Joint-sparing procedures; fusion; joint implant, etc.

  30. Shoe Selection

  31. Shoe Selection: What You Should Know • Shoe selection depends on your needs • Some conditions may require custom-made shoes or modifications • Shoes should provide stability and rigidity • No specific company is better • Be sure to test each shoe individually

  32. Effective Relief is Available for Your Foot/Ankle Pain • New England Podiatry Associates • 2 locations: • 1244 Boylston St., Suite 101 • Chestnut Hill, MA 02467 • phone: 617-232 1752 • Newton Wellesley Hospital • 2000 Washington St. • Green Building, Suite 470 • Newton, MA 02462 • phone: 617 630 8280

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