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Symptoms and Causes of Achilles Tendonitis

When the back of the heel hurts, it may be caused by a condition known as Achilles tendonitis. This ailment occurs when the strong Achilles tendon becomes inflamed, largely the result of overuse or a sudden increase in activity. Symptoms include pain, stiffness, and discomfort above the area of the heel that is used when stretching or standing on your toes. There are two types of Achilles tendonitis, insertional and noninsertional. The former is the result of tiny tears that occur when the lower portion of the tendon breaks down. The latter is when the tears occur in the middle part of the tendon. Common ways the Achilles tendon becomes compromised include failing to warm up before exercise, wearing high heels, and increasing activity too quickly. Other causes include overpronation, bone spurs, and gout. To find out more about dealing with the pain of Achilles tendonitis, please consult a podiatrist.
Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact the foot specialists of Table Mountain Foot and Ankle. Our doctors 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 office located in Wheat Ridge, CO . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Achilles Tendon Injuries
The Achilles tendon is the largest tendon in the body; it is a tough band of fibrous tissue that stretches from the bones of the heel to the calf muscles. This tendon is what allows us to stand on our toes while running, walking, or jumping, it is common for this tendon to become injured. In severe cases, the Achilles tendon may become partially torn or completely ruptured. However, this tendon is susceptible to injury because of its limited blood supply and the high level of tension it endures.
The people who are more likely to suffer from Achilles tendon injuries are athletes who partake in activities that require them to speed up, slow down, or pivot. Consequently, athletes who engage in running, gymnastics, dance, football, baseball, basketball, or tennis are more likely to suffer from Achilles tendon injuries. Additionally, there are other factors that may make you more prone to this injury. People who wear high heels, have flat feet, tight leg muscles or tendons, or take medicines called glucocorticoids are more likely to have Achilles tendon injuries.
A common symptom of an Achilles tendon injury is pain above the heel that is felt when you stand on your toes. However, if the tendon is ruptured, the pain will be severe, and the area may become swollen and stiff. Other symptoms may be reduced strength in the lower ankle or leg area, and reduced range of motion in the ankle. When the Achilles tendon tears, there is usually a popping sound that occurs along with it. People who have acute tears or ruptures may find walking and standing to be difficult.
If you suspect you have injured your Achilles tendon, you should see your podiatrist to have a physical examination. Your podiatrist will likely conduct a series of tests to diagnose your injury including a “calf-squeeze” test. Calf squeeze tests are performed by first squeezing the calf muscle on the healthy leg. This will pull on the tendon and consequently cause the foot to move. Afterward, the same test will be performed on the injured leg. If the tendon is torn, the foot won’t move because the calf muscle won’t be connected to the foot.
Why Your Toes May Hurt

Toes are tiny parts of the body but when there is something wrong, the pain can be substantial. Nerve damage can be the cause of pain in the foot or big toe. Peripheral neuropathy is a condition that results from damage to the peripheral nerves and can cause numbness, pain, and weakness in the feet and toes. While it can be hard to figure out if this is going on, some things to look for include a slow but continual onset of numbness, a pins and needles feeling, or sharp, jabbing, or shooting pains in the feet that can spread to the toes. Additionally, one can suffer from a lack of coordination and falling as peripheral neuropathy can cause muscle weakness and paralysis. There are a host of causes for peripheral neuropathy, including but not limited to diabetes, autoimmune diseases, and infections. If you experience any of the symptoms described, it is important for you to see a podiatrist as soon as possible to get a proper diagnosis and treatment.
Toe pain can disrupt your daily activities. If you have any concerns, contact the foot specialists of Table Mountain Foot and Ankle. 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 our office located in Wheat Ridge, CO . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Walking While Working

Studies have shown people who have jobs that require standing for long periods can benefit from incorporating small increments of walking throughout their day. The benefits may include increased energy and cognitive function, whereas stress and fatigue levels may decrease. Additionally, the appetite may be reduced when daily activity is pursued, and blood circulation is often increased. Research has been conducted on people who include walking outside as often as possible during their workday. The results have shown that people are generally happier when connecting with nature, which may help to improve work performance. It may also help to lower the risk of heart disease and expand opportunities to be creative. Walking has many positive aspects in strengthening all areas of the body, including the feet. If you would like to know why walking during work is good for the feet, please consult a podiatrist who can provide all the additional benefits as well as implement a routine that is best for you.
While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact the foot specialists from Table Mountain Foot and Ankle. Our doctors will treat your foot and ankle needs.
Working on Your Feet
Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.
Positive Changes
Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.
Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.
Eliminate Pain
Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.
Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen.
With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.
If you have any questions please feel free to contact our office located in Wheat Ridge, CO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
How Obesity Affects the Feet

Extra weight can have a detrimental effect on your feet. Beyond achy and tired feet, problems from obesity can lead to arthritis in the feet. Overweight individuals might notice that their ankles become weaker as their weight increases, and this can lead to increased injuries. With obesity, there is also an increased chance of becoming diabetic, a condition that comes with a host of foot issues. Wearing supportive footwear is important to decrease the amount of strain put on the feet. Losing weight should be the focus of lessening how obesity affects the feet. Changing one’s diet is the most obvious way to help lose weight. Eating healthy foods and those that decrease inflammation is recommended. Diabetics need to make sure that they manage their blood sugar well. Even mild exercise will help in controlling weight. If you are obese and it is affecting your feet, seeing a podiatrist is suggested. This medical professional can help keep your feet as comfortable as possible while weight loss is undertaken.
Obesity has become very problematic at this point in time and can have extremely negative effects on the feet. If you’re an obese individual and are concerned about your feet, contact the foot specialists from Table Mountain Foot and Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.
Obesity and Your Feet
Since your feet are what support your entire weight when standing, any additional weight can result in pain and swelling. Being overweight is one of the main contributors to foot complications.
Problems & Complications
Extra Weight – Even putting on just a few extra pounds could create serious complications for your feet. As your weight increases, your balance and body will shift, creating new stresses on your feet. This uneven weight distribution can cause pain, even while doing the simplest tasks, such as walking.
Diabetes – People who are overweight are at serious risk of developing type-2 diabetes, which has a drastic impact on the health of your feet. As you get older, your diabetes might worsen, which could lead to loss of feeling in your feet, sores, and bruises. You could also become more prone to various infections.
Plantar fasciitis – Pressure and stress that is placed on muscles, joints, and tendons can trigger plantar fasciitis, which is an inflammation of tissue that forms along the bottom of the foot.
If you have any questions please feel free to contact our office located in Wheat Ridge, CO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
How Obesity Affects Your Feet
Gaining weight can happen suddenly and at any time. Usually you won’t notice the extra weight until your feet start hurting at the end of the day. This happens as your feet begin adjusting to carrying more weight. Foot swelling and pain are two of the biggest side effects of having gained weight.
Many foot-related problems can occur even after just putting on a few pounds. This includes the body ‘compensating’ by changing the way it moves. You may find yourself putting extra weight on the wrong parts of your feet and even leaning forward a bit. Your feet were designed to carry a healthy, normal body weight. Extra weight places undue stress on them.
Being overweight often causes the development of Type-2 diabetes, causing leg and foot pain. Older people who do not attempt to control their condition can even lose sensation and feeling in their legs and feet. This can lead to the development of small sores that can lead to serious infection.
Extra stress placed on the joints, tendons and muscles in the feet as a result of extra body weight may also cause heel spurs, or plantar fasciitis. Plantar fasciitis is an inflammation of the foot tissue, causing stiffness and pain when walking and climbing stairs. This can usually be relieved by foot stretches and custom made orthotic shoe-inserts.
Problems in the feet triggered by obesity can be treated by paying special attention to footwear. Proper support shoes that allow for good circulation, especially in the arch and ankle, are vital. A podiatrist can help you find what sort of shoe is most suitable for your feet. They can also measure you for special orthotics if necessary.
It could also be high time to start losing weight in order to treat and prevent diabetes as well as other life threatening diseases. Some methods include yoga and water aerobics, which benefit your entire body without placing stress on your feet. Don’t risk losing your feet by losing interest in them. Take care of your feet and your body, as they deserve the very best.
What Can Cause a Plantar Fibroma?

The plantar fascia is located on the sole of the foot and it connects the toes to the heels. Some patients may experience a growth that develops inside the plantar fascia, which is often benign. This is referred to as a plantar fibroma that might cause pain while walking and running. It is noticeable by the lump that forms on the bottom of the foot, generally in the center of the arch. The majority of experts agree it occurs due to genetic reasons or medical conditions like epilepsy, diabetes, and alcoholism. Other people can argue a plantar fibroma may develop after an injury occurs to the plantar fascia and the lump may be a natural reaction to the stress from the trauma. Mild relief may be found when the shoes that are worn have extra cushioning, or it may be beneficial to wear custom-made orthotics. If you have developed this condition it is advised that you are under the care of a podiatrist who can provide the treatment options that are correct for you.
A plantar fibroma may disrupt your daily activities. If you have any concerns, contact the foot specialists of Table Mountain Foot and 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 our office located in Wheat Ridge, CO . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Benefits of Using Ankle Sprain Braces

One of the best ways to heal from an ankle sprain is by using a brace. These orthotic devices not only accelerate healing, but they may help to prevent re-injury. An ankle sprain brace allows you to move the ankle, which is deemed important to the healing process, while providing stability to the joint. Research shows that moving the ankle joint stimulates the repair of injured tissue. A brace allows you to move the joint while simultaneously protecting the ligaments from becoming over stretched. These types of devices help to reduce swelling and pain, in addition to increasing the joint’s ability to know where it is, called proprioception. At the same time, a brace allows the ankle to move up and down, but prevents it from moving inward or outward. As a result, you can walk without reinjuring the sprained ligament. Because there is not a one-size fits-all ankle sprain device, choosing the one that is best for you can be a challenge. In order for your sprained ankle to safely heal, it is suggested that you consult a podiatrist for guidance in choosing an ankle sprain bracing device.
Ankle sprains are common but need immediate attention. If you need your feet checked, contact the foot specialists from Table Mountain Foot and Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.
How Does an Ankle Sprain Occur?
Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.
What Are the Symptoms?
- Mild to moderate bruising
- Limited mobility
- Swelling
- Discoloration of the skin (depending on severity)
Preventing a Sprain
- Wearing appropriate shoes for the occasion
- Stretching before exercises and sports
- Knowing your limits
Treatment of a Sprain
Treatment of a sprain depends on the severity. Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.
If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.
If you have any questions please feel free to contact our office located in Wheat Ridge, CO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Three Grades of Ankle Sprains
An ankle sprain occurs when one or more ankle ligament gets overly stretched. Ligaments are strong bands of tissue that bind and support the bones and other structures that make up the ankle. In more severe ankle sprains, the ligament(s) tear—either partially or completely—and there may be an audible popping noise at the moment of injury.
Ankle sprains are quite common and can occur when the ankle rolls outwardly (eversion) or inwardly (inversion), causing the ligament(s) to stretch beyond normal limits, or even tear. Falls, twists, or blows to the ankle during sports or other activities can cause this injury, as well as wearing improper footwear, running on uneven surfaces, or having weak ankles.
Depending on the injury’s severity, an ankle sprain will be classified as Grade I, Grade II, or Grade III. Grade I sprains involve ligament(s) being overly stretched but not torn, with symptoms of mild pain, swelling, and ankle instability. There may also be some difficulty bearing weight. A Grade II sprain usually involves a partial tear of the ligament which brings more intensity in these symptoms, along with possible bruising. With a Grade III sprain, the ligament is completely torn, the symptoms are severe, and it may not be possible to put weight on the affected foot at all.
To diagnose and grade an ankle sprain, a podiatrist will perform a physical examination, checking for tenderness and range of motion in the ankle. For more severe sprains, X-rays or other imaging studies may be necessary.
It is vitally important to have an ankle sprain treated properly as improper healing often leads to future ankle sprains and possibly even chronic ankle stability. Treatment for an ankle sprain will vary, depending on its severity, and may include the RICE method (Rest/Ice/Compression/Elevation), physical therapy, bracing, medications, and possibly even surgery to repair a torn ligament. Rehabilitation is very important for the sprain to heal properly and to restore functionality.
Falls Prevention and Bathrooms

Senior citizens can be particularly susceptible to developing health problems from tripping or falling. Often, this is related to the health of the feet because tripping may negatively impact foot health, or the fall may be caused by poor foot strength. One important aspect of preventing falls among seniors is keeping a tidy bathroom. Often, floors in bathrooms can be very slippery, either from shower water or water from the sink. This might be setting seniors up for a nasty tumble. Seniors can be diligent about keeping their bathroom floors clean and, most importantly, dry so as not to make the floor slippery. Another way to prevent trips and falls in the bathroom is to install bathroom grab bars that seniors can grab onto if they feel like they might fall. These might be especially helpful when lifting one’s body off the toilet or maneuvering in and out of the shower. If you have any more questions or concerns about preventing falls among seniors, contact a podiatrist today for more information.
Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact the foot specialists from Table Mountain Foot and Ankle. 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 our office located in Wheat Ridge, CO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.