The Achilles tendon connects the calf muscles to the heel bone and plays an important role in walking, running, and jumping. It handles strong forces when the foot pushes downward or the body lands after a jump. Achilles tendon injuries can range from irritation and small tears to a complete rupture. Repeated activity can weaken the tendon, while a sudden force can cause it to tear. Basketball, track, and volleyball can place high stress on this area because they involve frequent jumping and landing. However, an Achilles injury can occur in many sports and daily activities.

A rupture can happen when the knee is straight and the foot is suddenly pulled upward while the tendon is under heavy force. Patients can hear or feel a pop at the time of injury. They can also develop immediate weakness when pushing off the foot, making walking difficult. Previous Achilles tendon irritation can increase the risk of a rupture. Weak calf muscles and poor conditioning can also raise the risk. Some patients experience Achilles pain or other symptoms in the weeks before a complete tear occurs, making early evaluation important.

A podiatrist can examine the Achilles tendon and determine the location and severity of an injury. The evaluation can include checking foot movement, calf strength, and the tendon for a gap that can indicate a rupture. A podiatrist can then develop a treatment plan based on the injury and the patient's activity level. Treatment for serious tears can involve immobilization or surgery. Prompt care is important because an untreated rupture can become stiff and scarred, making repair more difficult. If you have an Achilles tendon injury, it is suggested that you schedule an appointment with a podiatrist for effective relief and treatment solutions. 

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Joseph M. LaCava, DPM of Arkansas. 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 office located in Hot Springs, AR . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Young feet are springy, strong, and able to absorb shock. Their flexible joints, firm bones, and tendons help the body handle pressure. Aging changes these structures. Tendons lose some stretch, arches can flatten, and joints can become stiff. The padding under the heel and ball of the foot becomes thinner. As a result, standing or walking can feel less comfortable. Skin may become drier and easier to crack, while small injuries can take longer to heal. These changes can make feet less able to handle impact, pressure, and very hot or cold temperatures.

Age also affects muscle strength, circulation, and nail growth. Weaker foot and calf muscles can reduce balance and cause swelling around the feet or ankles. Bones can become thinner, which raises the risk of a fracture. Reduced blood flow can slow healing and make the feet feel cold. Toenails grow more slowly, become thicker, or turn brittle. Older adults are at increased risk of developing bunions, heel pain, and painful calluses. Arthritis, which is joint damage that causes pain and stiffness, can affect the ankle, big toe, or foot joints. These problems can change how a patient stands and walks, increasing strain in other areas.

A podiatrist can assess circulation, skin health, and the way the feet move. The podiatrist can care for thick toenails and calluses, provide padding or custom shoe inserts, and recommend footwear that provides proper support. Treatment can also reduce pressure on sore areas and address changes in foot shape. Regular visits are especially useful for patients with diabetes, poor circulation, or a history of foot wounds. Prompt care is important for swelling, numbness, or color changes. Sores that do not heal also need prompt care. If you have foot problems related to aging, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Joseph M. LaCava, DPM from Arkansas. Our doctor 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 Hot Springs, AR . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A foot wound often needs more than a clean dressing. Each step can pressure damaged skin, slow healing, and deepen the wound. An off-loading device reduces that pressure by shifting weight away from the sore area. A podiatrist can recommend a healing shoe, sandal, or walking boot. A heel-suspension boot is also a choice. Prefabricated sandals and healing shoes differ in their design, materials, and purpose. They can provide better fit, support, and protection than standard choices. However, a ready-made device needs a molded footbed or custom insert to provide proper support and pressure relief.

A podiatrist selects and adjusts the device based on the wound and foot shape. The correct device must fit well and stay in the proper position. A custom insert can have a recessed area under the wound so the sore spot does not bear weight. A metatarsal bar can move pressure away from the front of the foot. A higher boot can give added support to a foot with major shape changes. For a heel wound, a specially cut boot can keep the injured area from touching a bed, chair, or footstool. 

Off-loading works best as one part of professional wound care. A podiatrist can examine the wound, remove unhealthy tissue, and apply an appropriate dressing. Follow-up visits allow the doctor to check healing and adjust the device as swelling or pressure points change. Patients should use the off-loading device exactly as directed, including when walking or resting. A poorly fitted device can rub the skin, shift pressure to a new area, or cause the wound to worsen. Prompt care is especially important if redness, drainage, or swelling develops. Odor can also signal a problem. If you have a foot wound that needs professional care, it is suggested that you consult a podiatrist who can discuss the benefits of off-loading devices with you.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Joseph M. LaCava, DPM from Arkansas. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions please contact our office located in Hot Springs, AR . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A broken toe can cause enough pain to make walking and standing difficult. Breaks can happen after a hard stub, fall, or heavy object lands on the foot. Some fractures develop from repeated stress on the bone instead of one sudden injury. Pain and difficulty walking are key symptoms. A traumatic break can also cause throbbing, swelling, and bruising. Some patients hear a pop or crack when the injury occurs. However, being able to walk does not mean the toe is not broken.

Toe fractures range from small stress fractures to more serious breaks. A stress fracture is a tiny crack caused by repeated pressure on the bone. It can cause soreness after walking or running and tenderness when the area is touched. A displaced fracture occurs when the broken bone moves out of its normal position. The toe can look crooked, and severe injuries can break the skin. Broken toes and sprained toes can feel similar, so an accurate diagnosis matters. Most broken toes take about six to eight weeks to heal, although recovery varies by injury.

A podiatrist can examine an injured toe and determine whether symptoms point to a fracture. The evaluation can assess swelling, tenderness, and toe alignment. An X-ray can help confirm the break and show whether the bone has moved. Treatment depends on which toe is injured and how severe the fracture is. Options can include buddy taping, a rigid-sole shoe, or a walking boot. More serious fractures can require the bone to be repositioned or surgery to restore alignment. Proper treatment can lower the risk of lasting pain, reduced movement, or problems while walking. If you have broken your toe, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Broken toes may cause a lot of pain and should be treated as soon as possible. If you have any concerns about your feet, contact Joseph M. LaCava, DPM from Arkansas. Our doctor will treat your foot and ankle needs.

What Is a Broken Toe?

A broken toe occurs when one or more of the toe bones of the foot are broken after an injury. Injuries such as stubbing your toe or dropping a heavy object on it may cause a toe fracture.

Symptoms of a Broken Toe

• Swelling
• Pain (with/without wearing shoes)
• Stiffness
• Nail Injury

Although the injured toe should be monitored daily, it is especially important to have a podiatrist look at your toe if you have severe symptoms. Some of these symptoms include worsening or new pain that is not relieved with medication, sores, redness, or open wounds near the toe.

If you have any questions please feel free to contact our office located in Hot Springs, AR . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.