The Achilles tendon is a strong band of tissue that connects the calf muscles to the heel bone. It helps the foot point downward and plays an important role in walking, running, and jumping. Achilles tendon injuries range from irritation and small tissue damage to a complete tear, called a rupture. A rupture can happen when the tendon is suddenly placed under intense stress. Symptoms include pain, swelling, and difficulty walking. Some patients feel or hear a pop when the tendon tears. A complete rupture can make it difficult to push off the injured foot or stand on the toes of that leg.

Achilles tendon injuries can occur during activities that involve sudden starts, stops, or changes in direction. Running and jumping can also place significant force on the tendon. A rupture sometimes occurs in people who participate in sports only occasionally. Age can affect the tendon, and certain medications can increase the risk of injury. A podiatrist can ask how the injury happened and examine the foot, ankle, and lower leg. The examination can include checking tenderness, swelling, and ankle movement. The podiatrist can also test how well the Achilles tendon is working. Imaging tests can help determine the location and extent of an injury when more information is required.

Treatment depends on the type and severity of the Achilles tendon injury. A podiatrist can provide or coordinate care designed to protect the tendon and restore function. Treatment can include immobilization, and other forms of medical care. A complete rupture can sometimes require surgery, depending on the patient's health and activity level. A podiatrist can also monitor healing and determine when it is appropriate to increase activity. Rehabilitation can focus on restoring strength, flexibility, and normal movement. Proper evaluation is important because continuing activity with an injured Achilles tendon can interfere with recovery. The goal of treatment is to support healing and help the patient return safely to normal activities. If you have symptoms of 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 Akena Wannamaker, DPM of ASW Foot and Ankle. 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 Richmond, VA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Gout is a joint-related disease that develops when high levels of uric acid build up in the blood and form sharp crystals within a joint. These crystals often collect in the joints of the feet, especially the big toe, leading to sudden inflammation and intense discomfort. Symptoms may include swelling, redness, and severe joint pain that may limit normal movement. Risk factors may include genetic predisposition, gender differences, age-related metabolic changes, and dietary habits that increase uric acid production. Certain foods and beverages may contribute to elevated uric acid levels and trigger painful flare ups. A podiatrist can diagnose gout, help manage symptoms, and provide treatment to protect joint health. If you have symptoms of gout, it is suggested that you promptly consult a podiatrist who can verify the diagnosis and provide relief options.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Akena Wannamaker, DPM from ASW Foot and Ankle. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

If you have any questions, please feel free to contact our office located in Richmond, VA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A broken toe can cause significant pain and make standing or walking difficult. Toe fractures usually result from direct trauma, such as  kicking a hard object or dropping something heavy on the foot. Bruising and swelling can develop soon after the injury. Pain can become worse when pressure is placed on the affected toe. Although many broken toes do not require surgery, proper evaluation is important. The location of the fracture and the position of the broken bone can affect treatment and recovery.

Most toe fractures heal within six to eight weeks, although recovery varies between patients. A broken big toe can require additional support because it plays an important role in balance and walking. Some fractures are treated with buddy strapping, which means securing the injured toe to the neighboring toe for support. Sturdy shoes with a stiff sole and wide toe box can also protect the injured area. Persistent pain, numbness, or changes in circulation can signal a problem that requires prompt evaluation.

A podiatrist can examine an injured toe and determine whether a fracture has occurred. X-rays can show the location and severity of the break and help guide treatment. A podiatrist can provide appropriate support for the toe and recommend protective shoes or a special walking boot for certain fractures. Treatment also focuses on maintaining proper alignment while the bone heals. A podiatrist can also monitor healing and determine when it is safe to return to work, sports, or other demanding activities. Continued pain or difficulty walking after the expected healing period should be evaluated. If you have broken your toe, a it is suggested that you schedule an appointment with a podiatrist for effective relief and treatment solutions.

A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact Akena Wannamaker, DPM from ASW Foot and Ankle. Our doctor will treat your foot and ankle needs.

What to Know About a Broken Toe

Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).

Symptoms of a Broken Toe

• Throbbing pain
• Swelling
• Bruising on the skin and toenail
• The inability to move the toe
• Toe appears crooked or disfigured
• Tingling or numbness in the toe

Generally, it is best to stay off of the injured toe with the affected foot elevated.

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.

If you have any questions, please feel free to contact our office located in Richmond, VA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Flat feet occur when the arches on the inside of the feet are low or appear flattened while standing. This causes more of the sole to make contact with the ground. Flat feet are common, and many people have no pain or difficulty with movement. In children, the arch may not become noticeable until around 10 years of age. Some people continue to have flat feet as adults without experiencing problems. However, others may develop discomfort that affects walking or physical activity. Flat feet can be flexible, meaning an arch appears when the foot is not bearing weight, or rigid, meaning the arch remains flat.

Several factors can contribute to flat feet. Some people inherit a foot shape that makes flattened arches more likely. Other cases may develop because of problems affecting the muscles, ligaments, or bones that support the feet. Flat feet may also become more noticeable with age as the structures supporting the arch change. When symptoms occur, people may experience pain around the arch or heel. The feet may also become tired more easily after standing or walking. In some cases, flat feet can affect how the ankles and legs are positioned during movement. A professional evaluation can help determine whether flattened arches are contributing to discomfort or changes in walking.

A podiatrist examines the feet while a patient stands and walks to assess arch structure and overall foot function. The evaluation may also include checking joint movement and identifying areas of pain. If flat feet are causing symptoms, podiatry treatment can be based on the individual’s foot structure and level of discomfort. A podiatrist may recommend professionally selected footwear or orthotic devices when appropriate. Further testing may be needed if another problem is suspected. If flat feet are causing persistent pain or making walking and physical activity difficult, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Akena Wannamaker, DPM from ASW Foot and Ankle. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

If you have any questions, please feel free to contact our office located in Richmond, VA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Sever’s disease is a heel condition that can affect children while their bones are still growing. It develops when repeated stress irritates the growth plate at the heel. The Achilles tendon attaches in this area and can place increased pulling force on the developing heel during activity. Symptoms include heel pain, tenderness, and discomfort after running or jumping. A child may also limp or avoid activities that put pressure on the heel.

This condition most affects active children during growth spurts, between 8 and 14 years old. Boys and girls can develop Sever’s disease. Children who participate in sports involving running and jumping may have greater risk because their heels experience impact. Tight calf muscles, increased sports participation, and limited recovery between activities can also contribute. Symptoms may become more noticeable when training intensity increases.

A podiatrist evaluates the child’s symptoms, activity level, and walking pattern. The provider may examine ankle flexibility and calf tightness to understand how stress is affecting the heel. Imaging is sometimes used when symptoms are unusual or another injury needs to be excluded. Treatment is usually conservative and focuses on reducing stress. Care may include activity modification, wearing supportive footwear and heel lifts. Follow-up visits help monitor improvement and adjust treatment.

Relief at home can begin by reducing activities that trigger pain and allowing recovery between active days. Supportive shoes can reduce strain, while gentle stretching may help improve calf flexibility when recommended. Children should not be encouraged to continuplayig sports through heel pain. Most children improve as the growth plate matures, but persistent symptoms require evaluation. If your active child has symptoms of Sever’s disease, it is suggested that you consult a podiatrist for effective relief and management solutions. 

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Akena Wannamaker, DPM from ASW Foot and Ankle. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

If you have any questions, please feel free to contact our office located in Richmond, VA . We offer the newest diagnostic and treatment technologies for all your foot care needs.