October 2024

Chronic ankle instability, or CAI, is a condition where the ankle frequently gives way, often following repeated sprains. It affects those who have had previous ankle injuries, particularly athletes or individuals engaging in high-impact activities. Women, people with hypermobile joints, and those with improper rehabilitation after an initial injury are at higher risk. The causes of CAI are complex and difficult to pinpoint, involving a combination of mechanical instability from loosened ligaments and neuromuscular factors, like impaired balance and body awareness. Repeated injuries can lead to muscle weakness and poor joint control, further contributing to instability. While strength training is often recommended, research on its effectiveness in preventing or treating CAI remains inconclusive. If you have chronic ankle instability, it is suggested that you consult a podiatrist for a comprehensive treatment plan.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with the podiatrists  from Dr. Siegerman & Associates. 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 tendinitis
• Achilles tendon rupture
• Stress fractures
• 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 one of our offices located in Drexel Hill and West Chester, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Plantar warts are growths that appear on the soles of the feet, caused by the human papillomavirus, or HPV. They occur when the virus enters the skin through tiny cuts or breaks, often from walking barefoot in moist environments like locker rooms or public pools. Children, teenagers, and people with weakened immune systems are more prone to developing plantar warts. These warts usually look like small, rough, grainy bumps with tiny black dots, which are clotted blood vessels. They can be painful, especially when walking or standing, as pressure pushes the wart inward, causing discomfort. Plantar warts are contagious and can spread. Treatment options include cryotherapy, or freezing the wart, or stronger treatments. If you have a plantar wart that is painful or spreading, it is suggested that you visit a podiatrist for proper removal and to prevent spreading the virus to other areas of the foot or body.

Plantar warts can be very uncomfortable. If you need your feet checked, contact the podiatrists from Dr. Siegerman & Associates. Our doctors will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

• Lesions on the bottom of your feet, usually rough and grainy
• Hard or thick callused spots
• Wart seeds, which are small clotted blood vessels that look like little black spots
• Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

• Freezing
• Electric tool removal
• Laser Treatment
• Topical Creams (prescription only)
• Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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

Measuring feet for proper shoe sizing is imperative for comfort and preventing foot problems. To get the most accurate size, measure your feet at the end of the day when they are at their largest. Use a ruler or foot-measuring tool to assess the length from heel to toe and the width at the widest point. It is important to measure both feet, as one foot is often slightly larger. Shoes should fit the larger foot. A podiatrist can provide expert guidance in finding the right shoe size, especially if you have foot issues like bunions, hammertoes, or flat arches. They can assess your foot structure and recommend orthotics or custom shoes for optimal support. A podiatrist can also help treat any foot-related problems that arise from wearing improper footwear and offer advice on the best shoes for different activities to prevent future discomfort or injury. If you have foot problems or need help in selecting well-fitting shoes, it is suggested that you consult a podiatrist.

Getting the right shoe size is an important part of proper foot health. Seek the assistance of the podiatrists from Dr. Siegerman & Associates. Our doctors will provide the care you need to keep you pain-free and on your feet.

Getting the Right Shoe Size

There are many people who wear shoes that are the incorrect size, negatively affecting their feet and posture. Selecting the right shoes is not a difficult process, so long as you keep several things in mind when it comes to choosing the right pair.

• When visiting the shoe store, use the tools available to measure your foot.
• Be sure there is ‘wiggle room’. There should be about an inch between your toes and the tip of your shoes.
• Do not always assume you are the same size, as manufacturers run differently.
• Purchase shoes later in the day, as your feet swell as the day progresses.
• If a shoe is not comfortable, it is not suitable. Most shoes can’t be ‘broken in’, and comfort should be the ultimate goal when it comes to choosing the right pair of shoes

As our feet hold our body weight and keep us moving, it is important to treat them right. Picking the right pair of shoes can provide your feet comfort and mobility without pain.

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

Ankylosing spondylitis, or AS, is a type of arthritis that primarily impacts the spine but can also affect other areas, including the heel. In people with AS, inflammation can extend to the tendons and ligaments surrounding the heel, causing significant discomfort. This condition can lead to heel pain, swelling, and stiffness, which may worsen with activity or after prolonged periods of rest. Often, the inflammation in the heel is due to enthesitis, which is inflammation where tendons and ligaments attach to the bone. Managing heel pain associated with Ankylosing spondylitis typically involves a combination of medications to reduce inflammation, exercises to improve mobility, and proper footwear to provide adequate support. If you are experiencing heel pain and suspect it might be linked to AS, it is suggested that you seek specialized care from a podiatrist. A podiatrist can offer targeted treatments and strategies to alleviate discomfort and improve your quality of life.

Many people suffer from bouts of heel pain. For more information, contact the podiatrists of Dr. Siegerman & Associates. Our doctors 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 one of our offices located in Drexel Hill and West Chester, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Splayfoot occurs when the metatarsal bones in the forefoot spread apart, causing the transverse arch of the foot to collapse. One common symptom of splayfoot is the feeling that your shoes are tighter or more uncomfortable than before. You may notice that your feet look wider, and foot pain typically worsens with walking or standing but eases with rest. Another indicator of splayfoot is the tendency to walk on the outer edges of your feet instead of pushing off with the big toe. This can cause your shoes to lean to one side when placed on a flat surface. Over time, painful calluses or pressure sores may form due to altered weight distribution. This can lead to foot deformities, fatigue, and even knee discomfort. If you observe these symptoms, a podiatrist can guide you on proper diagnosis and treatment options. If you are experiencing foot pain from splayfoot, it is suggested that you schedule an appointment with a podiatrist.

If you have any concerns about your feet, contact the podiatrists from Dr. Siegerman & Associates. 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 Drexel Hill and West Chester, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.