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.” - Brian Stahl, 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 and foot and ankle surgeon Brian Stahl, DPM, with LVPG Podiatry–Hecktown Oaks, and with Lehigh Valley Orthopedic Institute, part of Jefferson Health. “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. Stahl 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 and reconstructive foot and ankle surgeon Elliot Busch, DPM, with LVPG Podiatry–Carbon, LVPG Podiatry–Independence Road and LVPG Podiatry–Station Circle. 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. Busch says.