Foot drop, a condition that affects one foot and impedes the ability to walk normally, can stem from various causes. Most commonly, foot drop results from peroneal nerve injury, often linked to sports injuries or surgical incidents, like hip or knee replacements. Spinal problems, such as slipped discs, may also compress the peroneal nerve, as can prolonged leg crossing, kneeling, or squatting. Peripheral neuropathy from diabetes can damage nerves and weaken muscles, potentially leading to foot drop. Extended immobility, such as hospital stays, can cause muscle weakness, including those governing foot movement. The main symptom of foot drop is a marching gait that requires a higher lifting of the knee with each step to allow the toe to clear the ground. Addressing foot drop can involve customized exercise regimens to strengthen and stretch leg and foot muscles. Devices, including braces, splints, or shoe inserts may help to promote foot stability and reduce fall risks. Electrical nerve stimulation aids nerve activation, which may be beneficial for stroke or multiple sclerosis patients. Surgery may be considered in cases of permanent foot drop, involving joint fusion for stability or nerve repair and grafting to restore function. For a clear idea of how to manage foot drop, it is suggested that you make an appointment with a podiatrist. 

If you have any concerns about your feet, contact one of our podiatrists from New England Foot and Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

If you have any questions please feel free to contact one of our offices located in Chelmsford and Newburyport, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A bunion, known medically as hallux valgus, is a bony deformity affecting the joint at the base of the big toe. This condition is characterized by the big toe angling outward towards the other smaller toes on the same foot. This deviation from the toe's natural alignment can lead to discomfort and pain, especially as it progresses. Bunions can manifest with various symptoms and associated issues. These may include pain, swelling, numbness, a burning sensation, or tingling around the bunion area. Footwear can exacerbate these symptoms, leading to discomfort. Additionally, hard, calloused, red, or painful skin may develop over the top of the bunion. Mobility can be restricted, with the big toe being particularly painful to move up and down. Bunions can also contribute to the development of hammertoes, corns, and calluses on the ball of the foot. These conditions can affect one's gait, causing instability while walking. Finding appropriate and comfortable shoes can become challenging due to the deformity and pain associated with bunions, further impacting daily activities and comfort. Orthotics cannot correct a bunion, but they can help with reducing pain in the big toe joint and slow its progression. Conditions such as flat feet can put more pressure on your bunion and wearing orthotics can redistribute that pressure. If you are experiencing pain from your bunion when walking or exercising, it is suggested that you make an appointment with a podiatrist to discuss the use of custom-made orthotics for increased comfort and function.

If you are suffering from bunions, contact one of our podiatrists of New England Foot and Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• Surgery

If you have any questions, please feel free to contact one of our offices located in Chelmsford and Newburyport, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Early intervention in managing painful hammertoes can prevent the need for surgery. However, for some individuals, surgery may become a viable option. It is important to address underlying factors such as rheumatoid arthritis prior to considering surgery. A number of surgical options are available, depending on the severity or advancement of the hammertoe. Tendon transfer, suitable for flexible hammertoes, involves repositioning tendons to improve alignment and appearance. Joint resection is beneficial for fixed hammertoes. This procedure consists of adjusting ligaments, tendons, and bone portions. Fusion is generally reserved for severe fixed hammertoes that may require this approach. Joint portions are removed to stimulate bone growth and straighten the toe. Toe removal is employed only in rare cases of extreme pain, although it comes with significant considerations. Surgery is often performed as an outpatient and can involve local anesthesia. Strengthening exercises and wearing proper footwear can help to aid in recovery. For guidance on managing a hammertoe, it is suggested that you consult with a podiatrist for treatment options.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact one of our podiatrists from New England Foot and Ankle. Our doctors will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

• Pain in the affected toes
• Development of corns or calluses due to friction
• Inflammation
• Redness
• Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

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

Properly caring for aging feet is crucial for maintaining a senior's health. Wearing properly fitted shoes, washing and moisturizing the feet daily, and conducting regular foot checks are all essential practices. Trimming the nails is also important, as well as seeking assistance from caregivers, family members, or other professionals for help if needed. Minimizing foot injuries is vital to prevent further issues. Participating in regular exercise will also keep the feet in good condition. Embracing nutritious diets promotes overall health. Resting the feet and avoiding high heels can further safeguard them. Special care is needed for seniors with diabetes to prevent complications. If you are a senior or you take care of one, it is suggested that you make an appointment with a podiatrist to obtain daily professional care. 

If you need your feet checked, contact one of our podiatrists of New England Foot and Ankle. Our doctors will attend to all of your foot and ankle needs and provide you with quality treatment.

Geriatrics and Podiatry
When people age, some common issues that may occur are bone density loss, dry skin, poor circulation, and rough brittle nails. These issues may also affect your foot health if the necessary steps are not taken to alleviate the problems.

It is important to take care of your feet because feet that are injured or diseased can affect your overall health. Having painful feet hinders your ability to do daily activities or may decrease your willingness to do the things that you need to do.

Visiting Your Geriatrician
As we age, health problems become more likely, so it is essential to visit your doctor for check-ups to ensure that you are doing the best you can to take care of your health. It is recommended to check your feet frequently for any possible cuts, bruises, swelling, corns or any other irregularities. 

Taking Care of Elderly Feet
Cracked or dry feet can be treated by applying moisturizer often. It is also important not to wear old socks because the older the sock is, the higher the possibility there will be that there is bacteria there. Wear fresh socks and make sure they fit properly.

Proper foot health means that you can have a more active lifestyle and you will not be bogged down by pain. Foot health also leads to good circulation, which is paramount for overall health.

If you have any questions, please feel free to contact one of our offices located in Chelmsford and Newburyport, MA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Several members of  Sri Lanka’s cricket team have been revealed to be suffering from flat feet. A podiatrist was sent to the team to discover why so many of them were suffering from foot related injuries. When the doctor discovered how many of them had flat feet, the connection to the increasing amount of injuries was made. The solution to the issue, according to the podiatrist, would be to, “Get them to wear the right shoes.”

Flatfoot is a condition many people suffer from. If you have flat feet, contact one of our podiatrists from New England Foot and Ankle. 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 one of our offices located in Chelmsford and Newburyport, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Hyperhidrosis is a surprisingly common condition that causes people to sweat more than usual. While the condition can affect the entire body, it can also be limited to certain areas such as the feet. In regards to the condition, a private doctor in the UK states, “Unfortunately it is still not known why some people suffer with sweating more than others. It appears to be that specific glands in these areas are overactive.” Hyperhidrosis can occur to anyone of any age, but at times, puberty can trigger the condition. While sweating itself isn’t a serious health condition, it can play a negative role in your social life. Hyperhidrosis has also been found to trigger feelings of depression and anxiety.

If you are suffering from hyperhidrosis contact one of our podiatrists of New England Foot and Ankle. Our doctors can provide the care you need to attend to all of your foot and ankle needs.

Hyperhidrosis of the Feet

Hyperhidrosis is a rare disorder that can cause people to have excessive sweating of their feet. This can usually occur all on its own without rigorous activity involved. People who suffer from hyperhidrosis may also experience sweaty palms.

Although it is said that sweating is a healthy process meant to cool down the body temperature and to maintain a proper internal temperature, hyperhidrosis may prove to be a huge hindrance on a person’s everyday life.

Plantar hyperhidrosis is considered to be the main form of hyperhidrosis. Secondary hyperhidrosis can refer to sweating that occurs in areas other than the feet or hands and armpits. Often this may be a sign of it being related to another medical condition such as menopause, hyperthyroidism and even Parkinson’s disease.

In order to alleviate this condition, it is important to see your doctor so that they may prescribe the necessary medications so that you can begin to live a normal life again. If this is left untreated, it is said that it will persist throughout an individual’s life.

A last resort approach would be surgery, but it is best to speak with your doctor to find out what may be the best treatment for you.

If you have any questions please feel free to contact one of our offices located in Chelmsford and Newburyport, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Toenail fungus is generally not a serious foot condition despite its unsightly appearance. Toenail fungus thrives in warm and moist environments, such as public swimming pools, locker rooms, and similar areas. The fungus can enter the body through small cracks in the skin of the feet, so it is beneficial to wear appropriate shoes while in these areas. People who have diabetes, immune system disorders, or nerve damage may be prone to developing toenail fungus. Symptoms can include a thickening of the nail, a change in the nail shape, and in severe cases, the nail may lift or crumble. Prevention methods can include refraining from sharing shoes, towels, and socks, and it is helpful to maintain good foot care. If you have developed toenail fungus, it is strongly suggested that you confer with a podiatrist who can effectively treat this condition, which may include prescribed medication.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact one of our podiatrists of New England Foot and Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

If you have any questions, please feel free to contact one of our offices located in Chelmsford and Newburyport, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

The feet provide us with mobility, and enable people to participate in running, walking, and jumping activities. An individual person will walk 100,000 miles during the course of an average lifetime, and research has shown that many people spend approximately 80 percent of their waking hours on their feet. This being said, it is beneficial to keep the feet as healthy as possible in order to prevent unwanted foot conditions from developing. Some of these ailments can consist of hammertoe, foot cramps, ingrown toenails, or bunions. Many of these can be remedied by purchasing shoes that fit correctly, in addition to maintaining proper foot care. Diabetic patients may be prone to developing foot ulcers. This is defined as an infection that develops on the sole of the foot, and can happen from the inability to feel existing cuts. If you have foot pain, it is strongly suggested that you confer with a podiatrist who can determine what the cause is, and treat it effectively.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with one of our podiatrists from New England Foot and Ankle. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

If you have any questions, please feel free to contact one of our offices located in Chelmsford and Newburyport, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

High-heeled shoes are the cause of many foot problems, and experts agree the higher the heel, the worse they are for your feet. When high heeled shoes also have a narrow and pointy toe box, they may become even more destructive. Add to that strappy sandals with minimal support and thin soles, and the situation worsens. Specifically, high heels force the weight of the body onto the metatarsals and sesamoid bones of the feet. This excess pressure in turn causes inflammation of the surrounding nerves. In some cases, hairline breaks in the bones, called stress fractures, can develop. In addition, the likelihood of tripping and spraining an ankle increases while wearing high heels. The answer may be simply changing your footwear or limiting the amount of time spent wearing high heels. Shoes with heels no higher than two inches are thought to be less harmful. Look for shoes with a wider toe box that allows freedom of movement for the toes and thicker heels for increased stability. For help with foot problems stemming from wearing high heels long term, it is suggested that you make an appointment with a podiatrist.

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 New England Foot and Ankle. 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 one of our offices located in Chelmsford and Newburyport, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

People who develop rheumatoid arthritis, or RA, are no strangers to the pain this condition can cause. The symptoms that often accompany this ailment can include stiffness, and the joints throughout the body may be swollen. The feet can be affected by rheumatoid arthritis, and it may be difficult to walk and complete daily activities. RA is considered to be an autoimmune disease, and it attacks the lining of the joints. Some patients can experience fevers, extreme fatigue, and possible weight loss. The components of the feet that are affected can include the cartilage, toe joints, and the joints that connect the foot and the ankle. Patients who are afflicted with RA look for relief, and may find it, by wearing custom-made orthotics, practicing a regular exercise routine, and maintaining a healthy weight. If you have foot pain, it is strongly suggested that you consult with a podiatrist who can diagnose and treat rheumatoid arthritis.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact one of our podiatrists of New England Foot and Ankle. Our doctors will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

• Swelling and pain in the feet
• Stiffness in the feet
• Pain on the ball or sole of feet
• Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

If you have any questions please feel free to contact one of our offices located in Chelmsford and Newburyport, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.