Give Attention to Ailing Feet

Three common foot ailments – ankle sprains, plantar fasciitis and Achilles tendinitis – warrant medical attention. Here are some tips on recognizing these conditions, along with some reasons why optimal healing goes hand in hand with professional medical care.

“Repeated ankle sprains can lead to long-term issues, including arthritis and ongoing ankle instability.” - Meeta Pancholi, DPM

An ankle sprain is a painful, swelling injury that results when ligaments supporting the ankle bones and joint are stretched beyond their normal range and tear. If you can’t put weight on your ankle, seek medical care for the sprain. A doctor or clinician will assess the severity of the injury and recommend appropriate treatment, which may include medication (such as ibuprofen and naproxen), rest, compression wraps and rehabilitation exercises.

“If improperly treated, a sprain can weaken your ankle and increase susceptibility to future sprains,” says podiatrist Meeta Pancholi, DPM, with Lehigh Valley Orthopedic Institute who practices at LVPG Orthopedics and Sports Medicine–Mauch Chunk Street. “Repeated ankle sprains can lead to long-term issues, including arthritis and ongoing ankle instability.”

Plantar fasciitis is inflammation of the tissue on the sole of the foot, extending from heel to toes. “The result is heel or arch pain that gradually worsens over several months,” Dr. Pancholi says. “This pain often flares up first thing in the morning or after sitting for prolonged periods.” People with overly flat or high-arched feet are more susceptible to developing this condition. Obesity, wearing shoes with poor support on hard surfaces, and jobs requiring long periods of standing also can trigger plantar fasciitis.

A doctor’s or clinician’s assessment is needed for proper diagnosis and treatment. Effective therapy includes stretching exercises, orthotic shoe supports and foot splints worn while sleeping at night.

Achilles tendinitis is aching, stiffness, tenderness or pain in the tendon that connects the calf muscle to the heel bone. “It’s common among so-called ‘weekend warriors’ because the condition typically develops after a sudden increase in physical activity,” says podiatrist Stephen Brigido, DPM, with Lehigh Valley Orthopedic Institute who practices at LVPG Podiatry–2775 Muhlenberg. Improperly treated, this ailment can progress to Achilles tendinosis – degeneration of the tendon that often results in microscopic tears.

Immediate treatment includes rest and ice. But the most effective long-term care involves a doctor. “Treatment may involve pain medication, physical therapy, and immobilization of the foot in a cast or a removable walking boot,” Dr. Brigido says.