Items filtered by date: July 2025

The Achilles tendon plays a vital role in walking, running, and standing on your toes. When it becomes strained or inflamed, even simple movements can become painful. Identifying risk factors early can help prevent long-term problems. Tight calf muscles, poor ankle flexibility, and a sudden increase in physical activity are common contributors. Wearing unsupportive shoes or changing exercise routines without preparation can also place added stress on the tendon. Age may also be a factor, as tendons naturally lose flexibility over time. People who have flat feet or high arches may place uneven pressure on the Achilles tendon, increasing the risk of injury. Past ankle injuries and certain medications can also weaken the tendon. If you are experiencing tightness, swelling, or pain near the back of your heel, it is suggested you visit a podiatrist to assess your risk, treat various foot conditions, and discuss steps to protect your Achilles tendon.

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.

Choosing the right running shoes begins with understanding your foot type, such as flat, neutral, or high-arched, as each requires different support. Your running style, whether on roads or trails, also affects the type of shoe you need. Shoe categories include stability, cushioned, or motion control, each offering unique benefits based on foot biomechanics. Achieving the perfect fit means ensuring proper toe room, arch support, and heel grip without discomfort. A podiatrist can analyze your gait, assess foot structure, and recommend shoes or inserts tailored to your needs. If you have developed foot pain from running, it is suggested that you consult a podiatrist who can treat various foot conditions and guide you on selecting the right running shoe.  

You should always make sure your running shoes fit properly in order to avoid injury. For more information, contact Joseph M. LaCava, DPM from Arkansas. Our doctor can provide the care you need to keep you pain-free and on your feet.

Choosing the Right Running Shoe for Your Foot Type

Improper shoe sizing can cause a myriad of problems for your feet. Shoes that don’t fit you properly can lead to muscular imbalances in your body, which can result in foot, knee, and hip injuries.

Tips for Finding the Right Running Shoe

• Make sure you have a thumb’s width of wiggle room between the end of your longest toe and the front of the shoe.
• There should be little to no slipping at the heel
• Don’t assume your size in one shoe brand will be your size in another
• Do not lace up your shoes too tightly
• Walk around in the store with your new shoes before you buy them

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.

Gout is a type of arthritis that causes sudden, intense joint pain, often starting in the big toe. It happens when there is too much uric acid in the body, which can form sharp crystals in the joints. These crystals lead to swelling, redness, and severe tenderness that may appear without warning, often overnight. Certain foods and drinks, such as red meat, seafood, and alcohol, may increase the risk of a flare-up. Gout attacks can become more frequent or affect other joints, if left untreated. Managing the condition involves lifestyle changes, staying hydrated, and, in many cases, medication to control uric acid levels. Wearing comfortable shoes and avoiding excess pressure on the affected foot can help during flare-ups. If you are experiencing sudden joint pain or swelling in your toe or foot, it is suggested that you see a podiatrist for an accurate diagnosis and care plan.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Joseph M. LaCava, DPM from Arkansas. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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.

Custom foot orthotics are medical devices made to support and align the foot based on a person’s individual structure and walking pattern. Unlike store-bought insoles, custom orthotics are crafted from a mold or digital scan of the foot to target specific problems. They are commonly used to relieve pain, correct abnormal movement, and improve comfort during daily activities. These devices can help manage plantar fasciitis, flat feet, high arches, bunions, and heel pain. Athletes and anyone who stands for long periods of time may also benefit from orthotics, which help reduce strain on the feet, ankles, knees, and even the lower back. Materials and design vary depending on age, activity level, and the type of correction needed. Custom orthotics are often worn inside regular shoes and can be part of a long-term treatment plan. If you are experiencing discomfort or pain in your feet, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

If you’re experiencing foot discomfort, have a history of foot and ankle injuries, or are interested in exploring Custom orthotics, don’t hesitate to contact Joseph M. LaCava, DPM at Arkansas. Our doctor is dedicated to offering the care required to help you remain pain-free and stay on your feet. 

What are Custom Orthotics?

Custom orthotics refer to custom inserts designed for placement in different shoe types, including athletic and formal footwear, with the purpose of alleviating a spectrum of foot-related problems such as flat feet, heel pain, and overall foot discomfort. These inserts are instrumental in providing relief and comfort for a diverse range of foot conditions, including heel pain, and can also act as a proactive approach to injury prevention. 

Medical Grade Shoe Inserts: 

A diverse array of shoe inserts is available for addressing foot pain, heel discomfort, and minor issues. For instance, you can place arch supports in your shoes to rectify overarched or flat feet, and gel and cushioned insoles are frequently chosen for the comfort and relief they provide from foot and heel pain by reducing pressure. 

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.

Runners should include regular stretching in their routine to help prevent injuries and support muscle recovery. The best time to stretch is after a light warmup or following a run, when muscles are more receptive. Stretching improves blood flow, increases flexibility, reduces muscle pain, enhances overall performance, and helps lower physical stress. Key areas to focus on include the feet, ankles, and the Achilles tendon. A podiatrist can assess running form, address any biomechanical concerns, and recommend personalized stretching techniques or orthotics for improved support. If you have sustained a foot or ankle injury from running, it is suggested that you consult a podiatrist who can treat various foot conditions, and guide you on reaching your goals by staying pain-free.

All runners should take extra precaution when trying to avoid injury. If you have any concerns about your feet, contact Joseph M. LaCava, DPM of Arkansas. Our doctor will treat your foot and ankle needs.

How to Prevent Running Injuries

There are a lot of mistakes a runner can make prior to a workout that can induce injury. A lot of athletes tend to overstretch before running, instead of saving those workouts for a post-run routine. Deep lunges and hand-to-toe hamstring pulls should be performed after a workout instead of during a warmup. Another common mistake is jumping into an intense routine before your body is physically prepared for it. You should try to ease your way into long-distance running instead of forcing yourself to rush into it.

More Tips for Preventing Injury

• Incorporate Strength Training into Workouts - This will help improve the body’s overall athleticism
• Improve and Maintain Your Flexibility – Stretching everyday will help improve overall performance
• “Warm Up” Before Running and “Cool Down” Afterward – A warm up of 5-10 minutes helps get rid of lactic acid in the muscles and prevents delayed muscle soreness
• Cross-Training is Crucial
• Wear Proper Running Shoes
• Have a Formal Gait Analysis – Poor biomechanics can easily cause injury

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.

Tarsal tunnel syndrome is a condition where the posterior tibial nerve is compressed as it travels through the tarsal tunnel on the inside of the ankle. This can lead to tingling, burning, numbness, or sharp pain in the foot and ankle. Causes include hindfoot deformities, diabetes, hypothyroidism, excess weight, and excessive use of alcohol or tobacco. These factors can increase pressure around the nerve or contribute to nerve damage. A podiatrist can diagnose the condition using physical exams and imaging, then recommend treatment such as bracing or custom orthotics. If you are experiencing persistent foot or ankle pain, it is suggested that you schedule an appointment with a podiatrist who can accurately diagnose and treat what may be going on.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Joseph M. LaCava, DPM of Arkansas. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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.