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Diagnosing an Achilles Tendon Rupture

Diagnosing an Achilles Tendon Rupture

An Achilles tendon rupture often presents suddenly, typically accompanied by a sharp pain in the back of the leg and sometimes an audible snapping sound. Many people with this injury mistakenly believe they have been hit in the calf. When examining for an Achilles rupture, the presence of swelling and bruising varies and is not entirely reliable. The gap in the tendon that indicates a rupture is often not easily palpable due to local swelling. In terms of mobility, patients can usually still perform some active movement in the ankle because other tendons also connect the calf to the foot. Pain affects passive movement but does not always limit it. Despite a ruptured Achilles, those affected can often still walk and may even be able to stand on tiptoes when using both feet, though not on the injured limb alone. The Simmonds' calf squeeze test is a reliable way for podiatrists to check for an Achilles tendon rupture. The test is done by having the patient kneel or lie prone with dangling feet. The healthy calf is used to see the foot flex, while no movement on the injured side indicates a ruptured Achilles tendon. If you believe you may have injured your Achilles tendon, it is strongly suggested that you make an appointment with a podiatrist for a thorough evaluation, diagnosis, and appropriate treatment.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Dr. Castillo of Bronx Foot Care. 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 Bronx, NY Yonkers, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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MLS Laser Therapy

MLS Laser Therapy

MLS Laser Therapy is an FDA-approved technology designed to treat various painful conditions.  It is often sought out as a successful alternative to surgical treatment and prescription medication that may otherwise bring about negative side effects.  During MLS Laser Therapy, light energy enters the damaged cells to stimulate intercellular activity, reducing pain in the affected area and accelerating the recovery process.

MLS Laser Therapy is used in podiatry to treat various conditions.  These include heel pain, plantar fasciitis, sports injuries, wounds, Achilles tendonitis, arthritis, neuromas, neurological pain, musculoskeletal disorders, and sore muscles.  Aside from the specific conditions MLS Laser Therapy treats, patients can also gain from the treatment’s general benefits.  These benefits include a rapid relief of pain, the reduction of swelling caused by inflammation or bruising, faster healing, improved blood circulation, the reduction of scar tissue, and improved nerve function. 

MLS Laser Therapy is a non-surgical treatment with no side effects.  The treatment process is painless and typically takes a short amount of time to complete.  Several treatments may be required depending on the specific condition.

Benefits of MLS Laser Therapy

Benefits of MLS Laser Therapy

Whether you are dealing with chronic discomfort, the aftermath of an injury, or the wear and tear of daily life, Multiwave Locked System, or MLS, laser therapy may be a solution. MLS laser therapy is a non-invasive approach to foot pain. It aids in recovery from a variety of foot ailments, including sports injuries, arthritic pain, and nerve pain from diabetes, as well as heel pain from plantar fasciitis and Achilles tendon injuries. It has also been helpful in dealing with wounds that will not heal. MLS laser therapy does not involve medication, needles, or surgery and is FDA-approved for both safety and effectiveness. Furthermore, MLS laser therapy addresses the challenge of inflammation, a common hindrance to mobility and a source of discomfort in podiatric conditions. It actively reduces inflammation, decreasing pain and increasing comfort. MLS laser therapy not only accelerates the healing process but also allows for treatment plans that cater to specific foot care needs. To determine if MLS laser therapy is right for you, it is suggested that you consult a podiatrist.

MLS Laser Therapy is a successful alternative for treating any pain you may be experiencing related to certain podiatric conditions.  If you are interested in MLS Laser Therapy, consult with Dr. Castillo from Bronx Foot Care. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

MLS Laser Therapy

Multiwave Locked System (MLS) Laser Therapy is a patented, FDA-cleared technology that helps relieve pain and inflammation from a number of podiatric conditions, including:

  • Heel Pain
  • Plantar Fasciitis
  • Sports Injuries
  • Wounds
  • Achilles Tendonitis
  • Arthritis
  • Neuropathy
  • Neuromas

MLS Laser Therapy is an ideal alternative to surgery and prescription medication, as it has no negative side effects and encourages accelerated healing. Among its many clinical benefits, MLS Laser Therapy also:

  • Reduces swelling due to bruising or inflammation
  • Blocks pain
  • Reduces formation of scar tissue
  • Improves nerve function

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

Read more about MLS Laser Therapy

Tarsal Tunnel Syndrome

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome is a condition in which there is a compression of the posterior tibial nerve. The posterior tibial nerve runs along the inside of the ankle into the foot. Tarsal tunnel syndrome is named for the tarsal tunnel, which is a thin space along the inside of the ankle beside the ankle bones. This space contains various nerves, arteries, and tendons, and includes the posterior tibial nerve. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome the tibial nerve is compressed, causing tingling or burning, numbness, and pain.

Common causes of tarsal tunnel syndrome involve pressure or an injury. Injuries that produce inflammation and swelling in or around the tunnel may place pressure on the posterior tibial nerve. Direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or trauma to the tibial nerve, can result in tarsal tunnel syndrome. Diseases that damage nerves, such as diabetes or arthritis, may cause tarsal tunnel syndrome. Those with flat feet are at risk for developing the condition, as the extra pressure and strain placed on the foot may compress the posterior tibial nerve.

Feeling different sensations in the foot at different times is a common symptom of tarsal tunnel syndrome. An afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg. Symptoms are primarily felt on bottom of the foot and/or the inside of the ankle. Symptoms can appear suddenly and may occur due to overuse of the foot.

To diagnose tarsal tunnel syndrome, your podiatrist may examine the foot and tap the posterior tibial nerve to see if symptoms surface. He or she may also order an MRI to determine if a mass is present.

Treating tarsal tunnel syndrome will depend on the decision of your podiatrist. Multiple options are available, however, and can include rest, ice, immobilization, oral medications such as anti-inflammatory drugs (NSAIDS), physical therapy, injection therapy, orthotics, supportive shoes, braces, and surgery.

Diagnosing Tarsal Tunnel Syndrome

Diagnosing Tarsal Tunnel Syndrome

Tarsal tunnel syndrome is a rare condition that affects the nerves in the foot and ankle. It can cause foot pain or tingly sensations and may weaken some foot muscles. This syndrome is usually caused by things like wearing shoes that do not fit well, or by a tight cast. Sometimes, injuries like sprains or fractures can also lead to this condition. Rarely, it could be caused by lumps, cysts, or infections. It can be hard to diagnose, but podiatrists rely on a clinical assessment and can use special tests like electromyography, EMG, or electroneurography, ENG. These diagnostic tools show which muscles are having problems because of nerve damage. If it is found that the issue is in the tarsal tunnel area of your foot, the next step is to find out what is causing the nerve to be pinched or squeezed. If you have foot or ankle pain, it is suggested that you make an appointment with a podiatrist for an evaluation, precise treatment, and management strategies for symptom relief.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Castillo of Bronx Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

  • Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
  • Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
  • At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

  • Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
  • The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
  • If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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

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Toe Pain

Toe Pain

Toe pain can originate from corns, calluses, hammertoes, and bunions, as well as ingrown toenails, sprains, fractures, and dislocations. Corns develop as the toe rubs against the inside of a shoe which causes the skin to thicken as a form of protection. A corn is typically cone-shaped and has a small, hardened spot that points inward. When a corn is pressed into the skin, the toe becomes painful. Corns usually form on the top or side of the toe. A callus is also a thickened patch of skin that generally forms on the bottom of the foot. Calluses are the result of friction from the toe rubbing against the inside of a shoe. They may also occur by walking barefoot or having flat feet. A hammertoe is a bump on the knuckle of the second toe that is produced by wearing shoes that are too short for your feet. The bony protrusion rubs against the top of the shoe causing pain and irritation. A bunion is a malformation of the big toe. The base of the big toe pushes away from the smaller toes, forcing the top of the big toe to press toward the other toes. Bunions can be hereditary, or they can result from injury to the toe joint or from wearing high heels with a narrow toe box. The toe becomes inflamed, and a bump may develop at the end of the misplaced bone. Ingrown toenails typically affect the big toe and its surrounding skin. The nail will dig into the skin and become painful. Wearing tight or narrow shoes that compress the big toe causes the nail to grow into the fleshy part of the toe. Cutting toenails incorrectly can also add to the development of an ingrown toenail. A toe sprain originates from a torn or stretched ligament. Strapping the injured toe to the toe next to it for stabilization is common. A broken or fractured toe usually occurs from trauma like dropping a heavy object on it or bumping into something extremely hard and rigid. Osteoporosis, a thinning of the bones, can also bring about toe fractures. 

Any of the conditions mentioned can lead to pain and irritation. While some are more serious than others, seeking an examination and diagnosis from a podiatrist is a good idea. A podiatrist can treat each ailment and get you back on your feet again without pain.


 

Understanding the Causes of Sharp Pain in the Big Toe

Understanding the Causes of Sharp Pain in the Big Toe

Experiencing a sudden, sharp pain in your big toe can be agonizing and concerning. This discomfort can stem from various underlying causes, each demanding attention and care. One common culprit is gout, a form of arthritis where the excess buildup of uric acid crystals triggers sharp, intense pain in the big toe joint. Nerve entrapment or compression, as seen in conditions like Morton's neuroma, may also cause sharp, shooting pains. Overuse and strain from physical activities can lead to conditions such as turf toe, characterized by ligament damage and sharp pain at the base of the big toe. Ingrown toenails can induce stabbing pain if left untreated. Furthermore, acute injuries or fractures in the big toe can result in sudden, sharp pain. If you are experiencing any pain in your toes, it is strongly suggested that you seek the counsel of a podiatrist who can correctly diagnose and treat toe pain.

Toe pain can disrupt your daily activities. If you have any concerns, contact Dr. Castillo of Bronx Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

  • Trauma
  • Sports injury
  • Wearing shoes that are too tight
  • Arthritis
  • Gout
  • Corns and calluses
  • Hammertoe
  • Bunions
  • Blisters
  • Ingrown toenails
  • Sprains
  • Fractures (broken bones)
  • Dislocations

When to See a Podiatrist

  • Severe pain
  • Persistent pain that lasts more than a week
  • Signs of infection
  • Continued swelling
  • Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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

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It's Time for Beautiful Feet

It's Time for Beautiful Feet

You don't need an excuse to have beautiful nails. Step outside without worrying about the appearance of your feet.

Hyperhidrosis of the Feet

Hyperhidrosis of the Feet

Each foot, on average, has about 250,000 eccrine sweat glands that produce half a pint of sweat each day. Sweating is a natural and important bodily function. It regulates the body’s temperature by cooling the skin so that it does not overheat.  In individuals with hyperhidrosis, the sympathetic nervous system works in "overdrive", producing far more sweat than what is required. People with plantar hyperhidrosis experience an excess amount of sweat on their feet. It is estimated that 2% to 3% of all Americans suffer from some form of hyperhidrosis. This condition is often caused by neurologic, endocrine, infectious, and other systemic disease. Other factors that may trigger the condition are heat and emotions.

People with hyperhidrosis may notice an overabundance of sweat on their feet, along with a strong odor. The feet may also have a wet appearance coupled with infections such as athlete’s foot or toenail fungus. The sweat may even appear in low temperatures, such as during the winter months. People with plantar hyperhidrosis often need to change their socks several times throughout the day.

The specific cause of hyperhidrosis is unknown, and many believe it may be caused by over-activity. However, others believe the condition is genetic.  Caffeine and nicotine are known to cause excitement and nervousness which are two emotions that may make the condition worse.

If you are looking to treat your hyperhidrosis the most important thing you should do is wash your feet every day.  You may even need to wash your feet twice a day, if necessary.  You should also make sure you are wearing the right socks. Wool and cotton socks are both known to be good for ventilation, meaning they allow the feet to breathe. You should avoid socks made from nylon which trap moisture and lead to sogginess. Other common treatment options are over-the-counter antiperspirants that contain a low dose of metal salt.  In some cases, prescription strength antiperspirants that contain aluminum chloride hexahydrate may be necessary. In severe cases, surgery may be required.

Untreated hyperhidrosis can easily lead to complications.  Some complications that may arise from the disorder include nail infections, warts, and bacterial infections.  Consequently, it is important that you seek treatment from your podiatrist if you suspect that you may have plantar hyperhidrosis.

Excessive Foot Sweat

Excessive Foot Sweat

Excessive foot sweating, known as focal hyperhidrosis, is a common but distressing condition. It involves uncontrollable sweating of the feet even when not hot or physically active. Treatments can help manage its impact. Normal sweating occurs when you are hot, exercising, anxious, or nervous, as the nervous system triggers sweat glands to cool the body. Medical conditions, including diabetes, menopause, thyroid problems, and nervous system disorders, can cause excessive sweating of the feet. Some medications may contribute to this as well. While excessive sweating itself does not harm health, it can significantly affect quality of life, causing emotional distress, skin conditions, and discomfort. Diagnosis involves a medical evaluation to rule out underlying causes. Treatment options can include medications, therapy, and in severe cases, surgery. Moderate relief can consist of keeping the feet clean and dry, wearing moisture-wicking socks made from breathable fabrics, and seeking emotional support if needed. If you suffer from excessively sweaty feet, it is suggested that you make an appointment with a podiatrist for a proper evaluation and treatment.

If you are suffering from hyperhidrosis contact Dr. Castillo of Bronx Foot Care. Our doctor 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 our offices located in Bronx, NY Yonkers, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Hyperhidrosis of the Feet

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