Charcot-Marie-Tooth disease is a cluster of inherited genetic disorders that impact the peripheral nervous system. These neuropathies disrupt the intricate network responsible for movement and sensation within the extremities, including the feet. The peripheral nervous system serves as a communication bridge between the brain, spinal cord, and muscles. Charcot-Marie-Tooth disease results in a range of symptoms that interfere with this process and dramatically influence foot health. Gradual muscle wasting in the feet and legs is a hallmark of this disease, causing increasing weakness and reduced control over time. This frequently leads to difficulties in mobility and balance. It also can result in high foot arches, known as pes cavus, and clawed toes. These structural changes can further impede proper foot function and comfort. An altered gait, often high-stepping, and a slapping sound when walking are only some of the common symptoms. Poor balance and a risk of falling are others, caused by weakened muscles and loss of sensation. Although there is no cure, it is possible to manage foot-related challenges and potentially slow down the progression of the disease. For guidance, it is suggested that you make an appointment with a podiatrist.

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 one of our podiatrists from Pennsylvania Foot & Ankle. 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 contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Feeling pain in the ball of the foot can be a common issue. Sometimes this is caused by wearing shoes that are too narrow or tight and the metatarsals, or long bones in the feet, squish together and compress a nerve between the second and third toes. This affliction can also be due to small joints, bursa, stress fractures in metatarsal bones, sesamoids under the big toe, or issues with the big toe joint. Factors contributing to this pain include weight gain, increased physical activity, certain types of shoes, like high heels, sports that involve jumping or sprinting, and uneven muscle strength or unique foot shapes like high arches. To address such pain, it is essential to identify the underlying causes and reduce excessive pressure on the affected area. This can involve getting new shoes, using orthotics, and doing exercises to strengthen muscles. Early intervention is key to preventing more complications down the road, so it is suggested that if you are feeling pain in the ball of the foot, you make an appointment with a podiatrist for a proper diagnosis and treatment plan.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with one of our podiatrists from Pennsylvania Foot & 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 Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Foot pain can significantly impact one's quality of life, limiting activities like walking, exercising, and even playing with your children. Morton's neuroma is an increasingly common condition that arises from the thickening of nerve tissues in the foot due to extreme compression and irritation. The condition stems from compression of the plantar digital nerves and can lead to permanent damage if not treated promptly. Morton's neuroma most often occurs between the third and fourth toes. Women are more susceptible, possibly due to wearing high-heeled shoes. Improper foot biomechanics, like flat feet or high arches, can also contribute by creating instability around the toe joints. Symptoms of Morton's neuroma include pain, tingling, numbness, and burning sensations, often felt between the toes or in the ball of the foot. Swelling is common, particularly between the toes. Tight, narrow-toed shoes can increase nerve stress and make matters worse. Walking, especially on stairs, can further intensify the pain. Non-surgical interventions include custom orthotic shoe inserts, wearing comfortable shoes with room for the toes, and taking anti-inflammatory medication. Early consultation with a podiatrist is suggested for tailored treatment plans and to avoid surgery. 

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact one of our podiatrists of Pennsylvania Foot & Ankle. Our doctors will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

• Ill-fitting high heels or shoes that add pressure to the toe or foot
• Jogging, running or any sport that involves constant impact to the foot
• Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

If you have any questions, please feel free to contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

The toes play a crucial role in our everyday movements, providing balance and stability. However, they are often overlooked when it comes to stretching and exercise routines. Just like any other part of our body, the toes can benefit from regular stretching to improve flexibility and prevent discomfort. Toe stretches can be simple yet effective, promoting blood circulation and relieving tension in the feet. One easy stretch involves sitting comfortably with feet flat on the floor and toes spread apart as much as possible. Hold this position for a few seconds and repeat it several times. Another beneficial stretch is gently pulling the toes back towards the body while keeping the foot flat on the ground. Regular toe stretching can be particularly beneficial for individuals who spend long hours on their feet, wear tight footwear, or suffer from conditions such as plantar fasciitis. If you would like additional information about various toe stretches, it is suggested that you consult with a podiatrist.

Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with one of our podiatrists from Pennsylvania Foot & Ankle. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Stretching the Feet

Stretching the muscles in the foot is an important part in any physical activity. Feet that are tight can lead to less flexibility and make you more prone to injury. One of the most common forms of foot pain, plantar fasciitis, can be stretched out to help ease the pain. Stretching can not only ease pain from plantar fasciitis but also prevent it as well. However, it is important to see a podiatrist first if stretching is right for you. Podiatrists can also recommend other ways to stretch your feet. Once you know whether stretching is right for you, here are some excellent stretches you can do.

• Using a foam roller or any cylindrical object (a water bottle or soda can will do), roll the object under your foot back and forth. You should also exert pressure on the object. Be sure to do this to both feet for a minute. Do this exercise three times each.
• Similar to the previous one, take a ball, such as a tennis ball, and roll it under your foot while seated and exert pressure on it.
• Grab a resistance band or towel and take a seat. If you are using a towel, fold it length wise. Next put either one between the ball of your foot and heel and pull with both hands on each side towards you. Hold this for 15 seconds and then switch feet. Do this three times for each foot.
• Finally hold your big toe while crossing one leg over the other. Pull the toe towards you and hold for 15 seconds. Once again do this three times per foot.

It is best to go easy when first stretching your foot and work your way up. If your foot starts hurting, stop exercising and ice and rest the foot. It is advised to then see a podiatrist for help.

If you have any questions please contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A condition known as foot drop is characterized by the inability to clear the ground while taking a step. Instead, the toe drags along the ground when you walk, causing the need to lift the foot in a march-like stance. Foot drop is caused by a weakness or paralysis of the muscles that lift the foot. It can be the result of injury or damage to the nerves in the leg. It also can be the result of a neurological condition, such as multiple sclerosis. Other conditions linked to foot drop include stroke and peripheral neuropathy. In some cases, foot drop can be managed if not cured. Certain exercises can help to strengthen muscles in the feet and lower legs. Removing loose rugs in the home that can cause tripping or falling is another measure that can reduce the effects of foot drop. An ankle-foot orthosis on the lower part of the leg can help to direct control of the foot and ankle. A change in footwear to shoes with adjustable straps and lower heels may also be needed. To find out more about ways of dealing with 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 Pennsylvania Foot & 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 Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A common side effect of diabetes is the tendency to develop peripheral neuropathy and circulation problems. Both are the result of long-term high blood sugar levels.  As a result, the feet may become numb and the ability to heal may be impeded. These consequences can lead to the development of foot ulcers. Because the feet become numb, cuts and cracks in the skin may not be felt, and because of arterial disease that constricts the blood vessels to the extremities, healing takes longer. For those reasons, a daily routine of foot care is essential to anyone with diabetes. Medical professionals, such as podiatrists, suggest that washing and drying the feet daily is a must. Examining the feet for sores or cuts should happen daily. Keeping the feet elevated as often as possible is also a good idea. Experts also recommend changing to footwear that fits well, and wearing socks can help to protect the feet. For treatment of foot problems related to diabetes, it is suggested that you make regular visits to a podiatrist.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact one of our podiatrists from Pennsylvania Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

If you have any questions, please feel free to contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Flip-flops are easy to wear, which makes them a popular shoe choice for the summer months. Despite their simplicity, they may potentially harm the feet. Many flip-flops are made of flimsy materials and lack adequate cushioning in the heel area. Heel pain may ensue, possibly leading to plantar fasciitis. Pain may also develop in the middle of the arch which may be a symptom of tibial tendonitis. The toes may become cramped from keeping the shoe on the foot, and cause the entire foot to ache. People who enjoy wearing flip-flops may benefit from walking shorter distances in them or limiting the places they are worn. They are ideal shoes to wear to the beach, pool, or locker rooms, but are not suited for other environments. It is beneficial to purchase flip-flops that have a stiff sole, and this may help to provide adequate arch support. If you have questions about how flip-flops can affect the feet, it is suggested that you confer with a podiatrist who can provide you with useful information.

Flip-flops can cause a lot of problems for your feet. If you have any concerns about your feet or ankles, contact one of our podiatrists from Pennsylvania Foot & Ankle. Our doctors will assist you with all of your foot and ankle needs.

Flip-Flops and Feet

Flip-flops have managed to become a summer essential for a lot of people. While the shoes may be stylish and easy to slip on and off, they can be dangerous to those who wear them too often. These shoes might protect you from fungal infections such as athlete’s foot, but they can also give you foot pain and sprained ankles if you trip while wearing them.

When Are They Okay to Wear?

Flip-flops should only be worn for very short periods of time. They can help protect your feet in places that are crawling with fungi, such as gym locker rooms. Athlete’s foot and plantar warts are two common fungi that flip-flops may help protect your feet against.

Why Are They Bad for My Feet?

These shoes do not offer any arch support, so they are not ideal for everyday use. They also do not provide shock absorption or heel cushioning which can be problematic for your feet. Additionally, you may suffer from glass cuts, puncture wounds, and stubbed toes since they offer little protection for your feet.

More Reasons Why They Are Bad for Your Feet

• They Slow You Down
• May Cause Blisters and Calluses
• Expose Your Feet to Bacteria

If you have any questions, please feel free to contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A plantar fibroma is a firm mass found under the skin on the sole of the foot. It is a benign growth and may be noticed while walking or standing. It is defined as excess collagen, which may cause chronic pain, in addition to gradually increasing in size. A potential cause for a plantar fibroma to develop may be trauma that has happened to the plantar fascia. This can range from a puncture to the skin from repetitive motions, like running or climbing. Studies suggest there may be genetic factors responsible for a plantar fibroma, and they may affect people of European descent more than other nationalities. This condition may be more prevalent among people with existing conditions, such as diabetes, liver disease, or specific seizure disorders. If you notice a growth in the bottom of your foot, it is suggested that you consult with a podiatrist who can guide you toward the correct treatment options.

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact one of our podiatrists of Pennsylvania Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Plantar Fibroma

A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.

What Causes a Plantar Fibroma?

While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.

What Are the Symptoms of a Plantar Fibroma?

There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.

Treatment and Prevention

A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:

• Steroid injections
• Orthotics
• Physical therapy to help apply anti-inflammatory creams on the bump 

Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.

If you have any questions, please feel free to contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.