Achilles Tendon Injury Diagnosis
Diagnosing an Achilles tendon injury, such as a tear or rupture, involves several precise steps to ensure accurate identification and treatment. First, a podiatrist will discuss your symptoms, focusing on any sharp pain in the ankle or back of the leg, difficulty walking, or an audible snap at the time of injury. A thorough physical examination follows, often starting with the Thompson test, where the podiatrist will squeeze your calf muscle while you lie face down. A lack of foot movement suggests a tear. Plantar flexion tests assess your ability to flex the foot and stand on your toes. Visible signs, like a soft spot or bruising near the tendon, also may indicate damage to the Achilles tendon. Weight-bearing tests evaluate your capacity to stand on the injured foot and detect limping. For a more detailed view, imaging tests such as ultrasound or MRI may be performed. An ultrasound provides 2D images to pinpoint partial tears, while an MRI offers 3D images, which are particularly useful for identifying complete ruptures where tendon ends are detached. If you suspect an Achilles tendon injury, it's suggested that you make an immediate appointment with a podiatrist for a diagnosis and treatment.
Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Glenn Aufseeser, DPM of Lakewood Foot and Ankle Specialists. 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 Lakewood and Manchester Township, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
The Causes, Types, and Treatments of Achilles Tendon Injuries
Tendons are fibrous tissues that connect muscles with bone. The Achilles tendon is the largest tendon in the body. It connects the calf muscles at the back of the leg with the heel, and facilitates movements such as jumping, running, and walking.
Because the Achilles tendon is engaged so frequently and bears a great deal of pressure and stress throughout the day, it can become injured. Achilles tendon injuries cause the tissue to become irritated, inflamed, and swollen. Pain can come on gradually or be immediate, and will vary from mild to severe depending upon the injury. Where the pain occurs will vary as well, from just above the heel up through the back of the leg. There may also be stiffness in the tendon.
Achilles tendon injuries can often be caused by repetitive stress. They may also occur while running, playing tennis, gymnastics, football, basketball, dancing, soccer, baseball or other sports that require speeding up, slowing down, or pivoting quickly. Wearing high heels, falling from an elevation, stepping in a hole, having flat feet, bone spurs, tight leg muscles or tendons, wearing improper athletic shoes, exercising on uneven surfaces, or starting a new type of exercise can also cause Achilles tendon injuries.
The two most common Achilles tendon injuries are tendonitis and ruptures. Tendonitis causes painful inflammation and can occur in different parts of the tendon. Non-insertional Achilles tendonitis occurs when the fibers in middle of the tendon begin to break down, thicken, and swell. This condition typically affects younger, more active adults. Insertional Achilles tendonitis occurs where the tendon inserts into the heel bone. It is common for bone spurs to form with this type of injury. This condition can affect people of any age and level of activity.
Achilles tendon ruptures are a tear in the tendon. These breaks may be partial or complete. There may be an audible popping noise at the moment of injury and the pain will be sudden and severe.
An Achilles tendon injury can be diagnosed by your podiatrist after they examine you, check your range of motion, and possibly perform a calf squeeze test or review an X-ray or MRI. Depending on the type and severity of your injury, your podiatrist may treat your condition with rest/ice/compression/elevation (RICE), nonsteroidal anti-inflammatory medications, heel lifts, and stretching and strengthening exercises. If you have torn your Achilles tendon, treatment may include physical therapy, ultrasound, shockwave therapy, or possibly even surgery.
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Fixes for Foot Pain
Foot pain can be debilitating, affecting daily activities and quality of life. Thankfully, several remedies can alleviate discomfort. Massaging the feet can help relax muscles and improve circulation, providing temporary relief. Custom orthotic inserts or wearing supportive footwear can provide long-term relief by correcting biomechanical issues and providing proper arch support. Stretching exercises can also improve flexibility and reduce muscle tension in the feet. However, if you have foot pain that persists or worsens despite these remedies, it is suggested that you seek professional help from a podiatrist who can diagnose the underlying cause of the pain and provide personalized treatment options.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Glenn Aufseeser, DPM from Lakewood Foot and Ankle Specialists. Our doctor 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 offices located in Lakewood and Manchester Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Foot Pain
The feet, being the foundation of the body, carry all of the body’s weight and are therefore prone to experiencing pain and discomfort. If you are experiencing foot pain, it is important to determine where in the foot you are experiencing this pain to help discover the cause of it. While pain can be experienced virtually anywhere in the foot, the most common sites of foot pain are in the heel and ankle.
Heel pain can be due to a multitude of conditions including plantar fasciitis, Achilles tendinitis, and heel spurs. Pain experienced in the ankle can be a sign of an ankle sprain, arthritis, gout, ankle instability, ankle fracture, or nerve compression. In more serious cases, pain in the foot can be a sign of improper alignment or an infection.
Foot pain can be accompanied by symptoms including redness, swelling, stiffness and warmth in the affected area. Whether the pain can be described as sharp or dull depends on the foot condition behind it. It is important to visit your local podiatrist if your foot pain and its accompanying symptoms persist and do not improve over time.
Depending on the location and condition of your foot pain, your podiatrist may prescribe certain treatments. These treatments can include but are not limited to prescription or over-the-counter drugs and medications, certain therapies, cortisone injections, or surgery.
If you are experiencing persistent foot pain, it is important to consult with your foot and ankle doctor to determine the cause and location. He or she will then prescribe the best treatment for you. While milder cases of foot pain may respond well to rest and at-home treatments, more serious cases may take some time to fully recover.
Surgical Excision of a Plantar Fibroma
Plantar fibromas are benign growths that develop in the arch of the foot, often causing discomfort and difficulty with walking. When conservative treatments fail to provide relief, foot surgery may be necessary to alleviate symptoms and restore mobility. During the procedure, the patient is typically placed under local anesthesia, numbing the foot to minimize pain. The surgeon then makes an incision in the skin, carefully dissecting the fibroma from surrounding tissues and nerves. Once the fibroma is removed, the incision is closed with sutures, and a dressing is applied to promote healing. Recovery time varies, depending on the size of the fibroma and the individual's ability to heal, but most patients can expect to resume normal activities within a few weeks. While surgical plantar fibroma excision offers a permanent solution, it is essential to discuss the risks and benefits with a podiatrist. If you have a plantar fibroma that is causing you pain, it is suggested that you make an appointment with a podiatrist who can determine if this surgery is right for you.
Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Glenn Aufseeser, DPM of Lakewood Foot and Ankle Specialists. Our doctor 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 offices located in Lakewood and Manchester Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Foot Surgery
In most cases, foot surgery is often chosen as the last available option for conditions that have otherwise been unsuccessfully treated. Surgery may be necessary for several reasons, including the removal of foot deformities (e.g. bone spurs or bunions), arthritis problems, reconstruction due to injury, and congenital malformations (e.g. club foot or flat feet). Regardless of one’s age, foot surgery may be the only successful option for treatment for certain conditions.
The type of surgery one undergoes depends on the type of foot condition the patient has. For the removal of a bunion growth, a bunionectomy is necessary. If the bones in the feet need to be realigned or fused together, a surgical fusion of the foot is needed. For pain or nerve issues, a patient may require surgery in which the tissues surrounding the painful nerve are removed. Initially, less invasive treatments are generally attempted; surgery is often the last measure taken if other treatments are unsuccessful.
While in many cases surgery is often deemed as the final resort, choosing surgery comes with certain benefits. The associated pain experienced in relation to the particular condition is often relieved with surgery, allowing patients to quickly resume daily activities. The greatest benefit, however, is that surgery generally eliminates the problem immediately.
Podiatry history has shown that foot treatments continue to evolve over time. In the field of foot surgery, endoscopic surgery is just one of the many advanced forms of surgery. As technology vastly improves so too will the various techniques in foot surgery, which already require smaller and smaller incisions with the use of better and more efficient tools. Thanks to such innovations, surgery is no longer as invasive as it was in the past, allowing for faster and easier recoveries.
Suggested Foot Care For Diabetic Patients
Diabetes can pose significant risks to foot health due to potential nerve and blood vessel damage. Reduced sensation in the feet increases the likelihood of injuries, which may lead to serious complications like foot ulcers, often requiring hospitalization. It is important for anyone with diabetes to prioritize foot care to prevent such issues. Daily foot inspections are vital, checking for dry skin, blisters, sores, bruises, and any abnormalities. Regular washing with mild soap, careful drying, and moisturizing are also essential steps. Proper toenail trimming techniques help to prevent ingrown nails and other complications, with assistance from a podiatrist recommended for thick or discolored nails that may be infected. Corns and calluses should also be managed by a podiatrist, ensuring safe removal. Wearing well-fitting shoes and clean, dry socks are recommended at all times to prevent injuries. Any foot issues should be promptly reported to a podiatrist, rather than attempting self-treatment. It is suggested that diabetic patients seek assistance from a podiatrist for regular evaluations and necessary foot care.
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 Glenn Aufseeser, DPM from Lakewood Foot and Ankle Specialists. Our doctor 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 our offices located in Lakewood and Manchester Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Diabetic Foot Care
Diabetes affects millions of people every year. Blood vessels located all over the body are damaged due to diabetes—even the blood vessels of the feet. Neuropathy, or nerve damage, can result from slower blood flow in the legs and feet. In diabetic patients, neuropathy is very important to monitor, as diabetics are at risk for developing ulcers.
Always washing and thoroughly drying the feet are pertinent parts of diabetic foot care. There should be a focus on cleaning between the toes. Even if no pain is felt, the entire foot should be examined for redness and sores. Neuropathy can often mask the pain of sores and ulcers and can cause these conditions to be overlooked. Use a mirror to examine the underside of your feet if needed. It is recommended that diabetics wear well-fitting socks.
Patients with diabetes should have their doctor monitor their blood levels because blood sugar levels play a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised. It is very important to keep your blood sugar levels in the normal range, which can be determined by your physician. There are medications that may be prescribed to help with any neuropathy experienced by the diabetic patient. It is also advisable to visit a podiatrist if one is experiencing any conditions involving the feet, such as ingrown toenails, which in more severe cases can cause infection.
Diabetic feet must be inspected daily. Diabetic foot care at home is possible if a patient is provided with instructions from their podiatrist. Patients can relieve dry heels with creams or ointments. Suspected wounds should warrant an immediate call to the podiatrist. Gangrene is a serious problem for diabetics and can lead to sepsis and amputation in its worst cases. Early treatment and daily inspection of diabetic feet are keys to staying healthy.
Strategies for Preventing Falls
Preventing falls among older adults is paramount to maintaining quality of life and independence. Various factors contribute to an increased risk of falls in seniors. Among them are muscle weakness, gait abnormalities, and pain. Additionally, certain health conditions like inner ear problems, vision impairment, and arthritis can negatively affect balance and mobility. Medications, such as those for blood pressure and sleep disorders, can induce side effects that increase susceptibility to falls. Through comprehensive assessments and evaluations, a podiatrist can tailor interventions to reduce fall risks. These may involve strength, gait, and balance tests, blood pressure monitoring and vision assessments. Incorporating balance exercises and strength training into daily routines can significantly enhance mobility and stability, thereby reducing the likelihood of falls. Activities targeting core and leg muscles are particularly beneficial, as they play a vital role in maintaining balance and coordination. Using assistive devices, such as canes, walkers or wheelchairs, can provide additional support and safety for individuals with mobility limitations. If you are a senior and have fallen recently or experience balance problems, it is suggested that you schedule an appointment with a podiatrist for a thorough exam to determine what the reason is.
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 Glenn Aufseeser, DPM from Lakewood Foot and Ankle Specialists. Our doctor 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 offices located in Lakewood and Manchester Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
