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Flat feet, also known as pes planus, occur when the arches of the feet are absent or collapse, causing the entire sole to touch the ground when standing. Flat feet may lead to discomfort in the feet, ankles, or toes, and can sometimes affect balance or mobility. They also may result from undeveloped arches in childhood, injuries, or conditions that weaken the tendons and ligaments in the feet. Common symptoms include pain, swelling, and difficulty standing on the ball of the foot. Treatment options vary based on severity. Podiatrists often recommend custom orthotics to provide arch support, improve foot alignment, and relieve pressure on the joints. In some cases, immobilization with a brace or boot may help reduce strain on the affected area. For severe cases, surgery may be necessary to reconstruct the arch or adjust bone alignment. A podiatrist can assess the severity of your condition and determine the proper path to recovery. If you have problematic flat feet, it is suggested that you schedule an appointment with a podiatrist.

Flatfoot is a condition many people suffer from. If you have flat feet, contact the podiatrists from Boston Common Podiatry. 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 our office located in Boston, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

An ingrown toenail occurs when the edge of the nail grows into the surrounding skin, causing pain, redness, and swelling. In more severe cases, the area may become infected, with pus or drainage present. The condition often affects the big toe and can make walking or wearing shoes difficult. The most common causes of ingrown toenails are improper nail trimming, wearing tight shoes, or trauma to the toe. Other factors, such as poor foot hygiene, abnormal nail growth, or hereditary factors, can also contribute to the condition. Treatment options for ingrown toenails vary depending on severity. In mild cases, soaking the foot and properly trimming the nail may provide relief. In more severe or recurring cases, a podiatrist may need to perform a procedure to remove part of the nail or realign it to prevent future issues. If you are struggling with an ingrown toenail, it is suggested that you schedule an appointment with a podiatrist to receive expert care and effective treatment.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact the podiatrists of Boston Common Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

• Bacterial infections
• Improper nail cutting such as cutting it too short or not straight across
• Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
• Ill-fitting shoes that bunch the toes too close together
• Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

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

Ankle fusion surgery, also known as ankle arthrodesis, involves fusing the bones in the ankle to alleviate chronic pain, often caused by severe arthritis. By removing damaged cartilage and stabilizing the bones with screws or other hardware, this surgery eliminates joint movement while reducing pain significantly. However, the resulting lack of joint mobility may affect activities that require flexibility in the ankle. Benefits of ankle fusion surgery include substantial pain relief and potential reduction in the need for pain medications. However, long-term risks include altered gait mechanics, increased stress on surrounding joints, and the possibility of complications like infection or bone healing issues. Also, recovery from fusion surgery often requires weeks of immobilization and exercises to restore strength and functionality. A podiatrist can evaluate whether ankle fusion surgery is suitable for you, guide your recovery, and manage complications or biomechanical adjustments. If you have chronic ankle pain, it is suggested that you make an appointment with a podiatrist.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with the podiatrists from Boston Common Podiatry. 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 our office located in Boston, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Systemic sclerosis, or scleroderma, is a rare autoimmune disease that causes skin and connective tissues to harden and tighten, often impacting the feet. This condition affects blood vessels and internal organs as well, leading to complications in various body areas. When systemic sclerosis targets the feet, it can lead to thickened skin, limited mobility, and poor circulation, increasing the risk of ulcers and infections. Although it primarily affects women, typically between the ages of 30 and 50, anyone can develop systemic sclerosis. Risk factors include genetic predisposition, environmental exposures, and certain infections. Foot care for those with systemic sclerosis includes moisturizing, wearing proper footwear, and regular foot inspections. If you have this condition, it is strongly suggested that you visit a podiatrist for tailored care. This type of specialist can help with custom orthotics, ulcer prevention, and circulation support, improving foot comfort and preventing complications related to this challenging condition.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact the podiatrists from Boston Common Podiatry. Our doctors will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

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

Bunions are bony bumps that form on the joint at the base of the big toe, often causing pain, swelling, and stiffness. While bunions are primarily structural issues, targeted exercises can help manage discomfort, improve flexibility, and slow progression. Toe stretches, big-toe circles, and towel scrunches are effective for maintaining joint mobility. Resistance exercises with a band around the big toe can also strengthen the surrounding muscles, helping stabilize the foot. However, if pain from a bunion persists or limits your daily activities, it is suggested that you visit a podiatrist for a comprehensive treatment plan, which may include custom orthotics, footwear advice, and in severe cases, surgical options.

If you are suffering from bunion pain, contact the podiatrists of Boston Common Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

• Genetics – some people inherit feet that are more prone to bunion development
• Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

• Redness and inflammation
• Pain and tenderness
• Callus or corns on the bump
• Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

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

Hammertoe is a condition characterized by an abnormal bend in the middle joint of a toe, often caused by imbalanced muscle or tendon forces,  wearing ill-fitting footwear, or underlying conditions like arthritis. Symptoms include pain, swelling, and difficulty wearing shoes, which can lead to corns and calluses. When conservative treatments, such as orthotics or targeted exercises fail, a podiatrist may recommend surgery. Two common types are fusion and tendon transfer. Fusion involves permanently joining the affected joint to correct the toe's position. Tendon transfer repositions the tendon to restore balance and function, allowing for better alignment. Recovery from hammertoe surgery varies, but patients typically need to wear a special boot and limit activity for an extented period of time. A podiatrist can provide a comprehensive evaluation and help determine what the best surgical approach is for each individual case. If you are experiencing symptoms of hammertoe, it is suggested that you schedule an appointment with a podiatrist for tailored treatment options, which may include surgery for relief.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact the podiatrists of Boston Common Podiatry. Our doctors will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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

Foot pain can signal various underlying conditions, some of which should not be ignored due to their potential severity. Gout, caused by a buildup of uric acid crystals in the joints, leads to sudden, intense pain, especially in the big toe, and requires medical treatment to prevent damage. Diabetic foot pain often results from neuropathy, which can reduce sensation and lead to serious complications like ulcers or infections. Psoriatic arthritis may cause joint pain and swelling in the toes, needing ongoing management. Heel pain, often linked to plantar fasciitis, may worsen without proper care. Stress fractures, small cracks in the bone caused by overuse, can develop into more serious injuries if untreated. Lastly, foot pain caused by a blood clot, especially with accompanying redness, swelling, or warmth, requires immediate medical attention, as it could indicate deep vein thrombosis, a life-threatening condition. If you have persistent or worsening foot pain, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and appropriate treatment.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with the podiatrists from Boston Common Podiatry. 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 our office located in Boston, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Osteoarthritis, or OA, is a degenerative joint disease that can increase the risk of falls, especially in older adults. When OA affects the feet, it leads to joint stiffness, pain, and limited mobility, which can make walking and balancing difficult. In the feet, OA commonly affects the ankles and toes, causing discomfort with every step and reducing stability. To prevent falls, people with osteoarthritis should focus on maintaining mobility and strengthening muscles surrounding the affected joints. Wearing well-fitted, supportive shoes and using custom orthotics can improve balance and reduce pain. A podiatrist can provide valuable care by fitting custom orthotics, recommending appropriate footwear, and guiding patients through foot-specific exercises that enhance stability and reduce the risk of falls. If you have osteoarthritis of the feet or ankles, it is suggested that you include a podiatrist on your health care team for routine exams and help with falls prevention.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with the podiatrists from Boston Common Podiatry. Our doctors will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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