Flattening of the arch, rolling in of the foot and ankle, swelling of the inner foot and ankle and the foot is painful. PTTD is progressive in nature and needs to be treated.

Tenderness of the back aspect of the Calcaneus (heel bone) in children age 8-14 years old. The area that is painful is the growth plate of the heel which results in pain and inflammation of the growth plate. 

Ankle sprain is an injury to the ligament or ligaments of the ankle. It is common at any age. Ankle sprains vary from mild to severe depending on which ligament or ligaments are involved and injured. Depends if the ligament is fully or partially torn or stretched. The ligaments role is for stability of the ankle and limit inversion and eversion (role in or role out of the ankle). Ankle ligament injury is classified as grade 1 mild, grade 2 moderate, grade 3 severe.

Achilles tendonitis is of short duration, degeneration of the Achilles tendon. Tendinosis is more long term, where small tears are formed due to repetitive trauma from activity. The Achilles tendon helps with heel raise in walking and running. This condition is common in runners who have a quick increase of running, the weekend warrior, common from tennis, worn out heel of the shoes.

ailor’s bunion is the shifting of the 5th metatarsal outward and the 5th toe inward. Tailor’s bunion is the enlargement of bone on the outside of the foot- 5thmetatarsal head. Tailor’s bunion is not as common as the bunion on the inside of the foot. The enlargement over the side of the bone may also have overlying soft tissue swelling called a bursa. If Tailor’s bunions are not treated they may probably increase over time.

Morton’s Neuorma is thickening of the nerve that occurs between the metatarsal heads at the ball of the foot. The nerve develops an onion bulb swelling before it splits to inner side of two adjacent toes. The nerve gets compressed and causes the neuroma symptoms. The neuroma affects the ball of the foot and radiates into the toes. The most common interspace for the neuroma to occur is the 3rd followed by the 2nd interspace radiating into their associated toes. The swelling can cause a clicking sensation called Mulder’s sign.

Hallux abducto valgus occurs when the big toe angles towards the second toe while the first metatarsal angles the other way. This results in a bump on the side of the joint and angulation of the toe. The enlargement over the side of the joint area may also have overlying soft tissue swelling called a bursa. If bunions are left untreated they will probably increase over time.

There are many shoe features that Podiatrists recommend to their patients.  The following are some of the most important. These features apply from kids to seniors.

Metatarsalgia is ball of the foot pain.  Metatarsalgia is a catch all term for ball of foot pain. There are different types of ball of the foot pains.  In this article I will address general ball of foot pain.  The patient will have pain of the bones and or joints of the ball of the foot.  I will review general metatarsalgia and future articles I will address more specific ball of foot pain for example; Morton’s neuroma, plantar plate injury, metatarsal fracture, hammertoes.  

The patient presents to the office and the Podiatrist discusses the chief complaint.  Following that a history of the issue and physical exam.  The physical exam includes- dermatologic, vascular, neurologic, and biomechanical examination.

Plantar Fasciitis is the painful inflammation of a band beneath the heel and arch that inserts at the base of the toes.  Plantar fasciitis is what is most commonly called but can also be called Plantar Fasciosis.  One of the most common foot problems a Podiatrist treats and affects 10% of the population.