January 2025

Ankle impingement occurs when soft tissues, such as ligaments or tendons, become pinched between the bones of the ankle joint, leading to pain and restricted movement. This condition often develops due to repetitive ankle use or trauma, such as a sprain, making it common among athletes, dancers, and individuals with occupations requiring repetitive ankle motion. People with ankle impingement typically feel a sharp, localized pain at the front or back of the ankle. The pain may worsen with certain movements, like deep squats, running, or jumping. Stiffness, swelling, and a clicking sensation might also accompany the discomfort. Diagnosing ankle impingement involves a physical exam, patient history, and imaging like X-rays or MRI scans to identify structural changes. Treatment ranges from rest and targeted exercises to cortisone injections or, in severe cases, surgery to relieve the pressure and restore mobility. If you have ankle pain, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with one of our podiatrists  from Piedmont Podiatry 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 Greenville, and Easley, SC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Wearing high heels regularly can significantly alter the natural anatomy of the foot, leading to a variety of long-term issues. High heels force the foot into an unnatural position, with the toes pointed downward and the weight shifted toward the front of the foot. This can place excessive pressure on the toes, leading to conditions such as bunions, hammertoes, and corns. The arch of the foot is also affected, as high heels alter the natural curvature and may lead to muscle imbalances, causing pain in the feet, calves, and lower back. Over time, wearing high heels can shorten the Achilles tendon and weaken the muscles in the feet, making it harder to walk comfortably in flat shoes. Additionally, the instability caused by the elevated heel increases the risk of sprains and other injuries. If you have foot pain from wearing high heels, it is suggested that you consult a podiatrist who can treat various foot conditions, and guide you on what type of high heels are safest to wear.

If you have any concerns about your feet, contact one of our podiatrists from Piedmont Podiatry 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 Greenville, and Easley, SC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

As people age, natural changes in gait can affect mobility and stability. Reduced calf muscle strength often leads to taking shorter steps, while balance issues may increase the period in the walking cycle when both feet are on the ground simultaneously. In younger adults, this phase typically makes up about 18 percent of the cycle, but it may increase to 26 percent or higher as people age or experience balance challenges. This added time on both feet offers greater stability, helping to lower fall risk. Joint changes, like reduced ankle flexibility, may further impact stride length. To maintain balance, older adults might shift their weight or adopt postural changes, leading to a wider stance and a less fluid movement. Neurological changes can make coordinating each step more difficult, slowing pace and reducing synchrony in body movement. A podiatrist can assess specific gait challenges in seniors and suggest exercises or custom orthotics to restore stability and improve gait mechanics. If you have trouble walking while carrying out daily activities, it is suggested that you make an appointment with a podiatrist for a gait analysis, exam, and treatment options.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact one of our podiatrists from Piedmont Podiatry Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

• Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
• Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
• Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
• Gouging toenails affecting nearby toe
• Shoes that don’t fit properly
• Pressure sores
• Loss of circulation in legs & feet
• Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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

Big toe joint pain often involves the first metatarsophalangeal, or MTP, joint. The MTP joint connects the big toe to the foot and is supported by ligaments, cartilage, and a joint capsule. Common causes of big toe pain include arthritis, such as osteoarthritis or gout, where inflammation or uric acid crystals damage the joint, leading to swelling, redness, and difficulty in walking. Bunions, a bony bump at the base of the big toe, may also lead to joint pain, especially when the toe is pushed out of alignment. Turf toe, caused by hyperextension injuries to the joint, damages surrounding ligaments and tissues. Conditions like septic arthritis, a bacterial infection in the joint, require immediate attention due to severe pain and swelling. A podiatrist can assess the cause of the MTP joint pain, and provide diagnostic imaging if needed. Treatment options include custom orthotics, medication, or surgery for long-term relief. If you have pain in the big toe joint, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment.

Toe pain can disrupt your daily activities. If you have any concerns, contact one of our podiatrists of Piedmont Podiatry Associates. Our doctors 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 one of our offices located in Greenville, and Easley, SC . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.