February 2022

The ankle is composed of a variety of bones, ligaments, and tendons and is designed to allow the movement for the foot and support the body. Pain in the ankle can have a variety of causes that include sprained ankles, stress fractures, tarsal tunnel syndrome, arthritis, and Achilles tendonitis. Patients who are experiencing ankle pain should look for a few signs to determine if the care of a podiatrist is necessary. These signs include severe swelling, an open wound or deformity, signs of an infection, or the inability to bear weight. Less severe injuries may still need to be looked at by a podiatrist, if the swelling has been there for 2 to 5 days or the pain has not subsided after several weeks. A podiatrist will be able to properly diagnose the source of the pain as well as suggest the best course of treatment for the condition.  

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with Dr. Thomas Madden from Advanced Foot Care Center. 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
• 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 office located in Killeen, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Joints predominantly connect bones with each other. Sesamoid bones, however, do not connect to other bones; they are small, oval shaped bones embedded within tendons. Sesamoid bones are found in the knees and hands, and two are located underneath the big toe joint of the foot. This pair of hardworking sesamoids plays a vital role in bearing weight and movement. Sesamoids help the big toe move and push off forcefully when walking and running, and they act as shock absorbers for the long metatarsal bone in the forefoot that attaches to the big toe. Physical activities such as football, basketball, running, tennis and ballet can apply excessive pressure on the ball of the foot and cause various injuries to the sesamoids and surrounding tissue and tendons. Sesamoiditis is one such injury. Sesamoiditis is a chronic inflammation of the sesamoid bones and tendons that can produce a fluctuating dull pain under the big toe joint. There are several types of treatment—both conservative and surgical (if necessary)—that your podiatrist can go over with you if you are diagnosed with sesamoiditis.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Dr. Thomas Madden of Advanced Foot Care Center. Our doctor will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

• Sudden increase in activity
• Increase in physically strenuous movement without a proper warm up or build up
• Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

If you have any questions please feel free to contact our office located in Killeen, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

While heel pain is predominantly caused by plantar fasciitis, Achilles tendonitis, flat feet, or by wearing shoes with inadequate cushioning, in rare cases it may be linked to a heel bone tumor. There are several types of heel bone tumors, which are mostly benign. Although some benign tumors in the heel bone are asymptomatic, there may be pain in the heel (which often occurs in the evening), and localized swelling in the ankle. Symptoms may also include heat and redness. Any type of heel pain should be assessed by a podiatrist as soon as possible. They will examine you and may perform an X-ray or other diagnostic imaging to make a proper diagnosis. Early detection and management are essential in yielding the best outcomes in the treatment of any type of heel pain, and particularly in the case of a heel bone tumor.

Many people suffer from bouts of heel pain. For more information, contact Dr. Thomas Madden of Advanced Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                  
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions please contact our office located in Killeen, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Sometimes children experience foot problems but either don’t know it, or don’t know how to explain them. Here are a few ways parents can be aware of actual, or potential, foot concerns. If your child seems unusually tired while running or playing, it may be a sign of flat feet. Sometimes children, especially between the ages of 8 and 14, will opt out of an activity because of heel pain due to inflammation or muscle strain from repetitive stress. Check your child’s toes for ingrown toenails, redness, swelling, blisters, or discoloration on a regular basis. If your child trips or falls a lot, it may indicate a neuromuscular or balance problem. Because children may not bring these conditions to your attention, it is a good idea to schedule an appointment with a podiatrist as a regular part of your child’s health regime. 

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Dr. Thomas Madden of Advanced Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

If you have any questions please feel free to contact our office located in Killeen, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.