Swollen feet and ankles, also known as edema, occur when excess fluid builds up in the tissues of the lower extremities. This condition can affect one or both feet and may develop gradually or suddenly, depending on the cause. Edema is often a sign that the body is retaining fluid due to changes in circulation, pressure, or underlying health concerns. While mild swelling can be temporary, persistent or worsening symptoms may indicate a more serious issue that requires medical attention.

Common symptoms of swollen feet and ankles include visible puffiness, stretched or shiny skin, and a feeling of tightness in the affected area. Pressing on the skin may leave an indentation, which is known as pitting edema. Some individuals experience discomfort, reduced flexibility, or difficulty walking. Swelling may worsen after long periods of standing or sitting and improve with elevation. In more advanced cases, the skin may feel warm or appear discolored, which can signal inflammation or poor circulation.

There are several causes of swelling in the feet and ankles. Pregnancy is a common factor, as increased fluid volume and pressure from the growing uterus can affect blood flow. Medical conditions such as heart disease, kidney disease, and venous insufficiency can also lead to fluid retention. Injuries, infections, and certain medications may contribute to swelling as well. Lifestyle factors, including high sodium intake and lack of movement, can further increase the likelihood of developing edema.

Risk factors for swollen feet and ankles include prolonged standing, obesity, and chronic health conditions that affect circulation. Wearing tight or poorly fitted footwear may restrict blood flow and worsen symptoms. Individuals with a sedentary lifestyle or those who travel frequently may also experience fluid buildup. Managing swollen feet involves addressing the underlying cause and supporting healthy circulation. If you have swollen feet or ankles, it is suggested that you consult a podiatrist who can determine what the cause is, and offer effective relief and management tips.

Swollen feet can be a sign of an underlying condition. 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.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

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

Morton's neuroma is a compressive neuropathy that affects a nerve in the forefoot, most commonly located between the third and fourth toes. It develops when the nerve becomes irritated, compressed, and thickened due to repeated pressure and friction. This condition is not a tumor, but rather a response to ongoing mechanical stress within the intermetatarsal space. Common causes include wearing tight-fitting shoes, high-heeled footwear, and structural foot imbalances. Over time, this constant irritation leads to inflammation of the nerve, resulting in discomfort that can interfere with daily movement and physical activity.

Symptoms of Morton's neuroma often begin gradually and may increase in intensity if left untreated. Individuals frequently report a burning or sharp pain in the ball of the foot, along with tingling or numbness that may extend into the toes. A common description includes the sensation of stepping on a small pebble or feeling a fold in the sock. Pain may worsen during walking, prolonged standing, or while wearing narrow shoes that compress the forefoot. Relief may occur temporarily when shoes are removed or the foot is massaged.

The entrapment theory explains that the nerve becomes compressed between the metatarsal bones and surrounding ligaments, leading to thickening and increased sensitivity. This repeated compression creates a cycle of irritation and inflammation. Risk factors include high impact sports, wearing improper footwear, and biomechanical conditions such as flat feet or high arches. Women are more frequently affected due to footwear that places additional pressure on the forefoot.

Early recognition and proper management can reduce symptoms and prevent further progression. Wearing supportive shoes, modifying activities, and maintaining proper foot care can help relieve pressure on the affected nerve. Addressing the underlying cause is essential for long term improvement. If you have symptoms of Morton's neuroma, it is suggested that you consult a podiatrist for effective relief and treatment solutions. 

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Akena Wannamaker, DPM of ASW Foot and Ankle. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

• Ill-fitting high heels or shoes that add pressure to the toe or foot
• Jogging, running or any sport that involves constant impact to the foot
• Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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.

Ankle instability develops when the ankle repeatedly feels weak or gives way, especially after a previous sprain. A damaged ligament, which is the strong band of tissue that connects bones, does not always heal with enough strength to keep the ankle stable. As a result, the ankle can feel unreliable while walking, climbing stairs, or changing direction. Risk factors include previous ankle sprains, weak ankle support, and playing sports that involve quick turns. Ankle instability also affects people whose jobs require standing or walking for long periods. Ignoring these symptoms can increase the chance of another injury and can place extra stress on nearby joints. 

A podiatrist evaluates the ankle to determine why it feels unstable and whether damaged ligaments or other structures are contributing to the problem. They check ankle movement, strength, and balance. Imaging tests, like X-rays or an MRI scan, can help reveal ligament damage or other injuries. Treatment focuses on improving ankle stability and reducing the risk of repeated sprains. A podiatrist can recommend ankle-support devices that match your condition. Custom orthotics can improve foot alignment and reduce strain on the ankle. Bracing also helps protect the joint during daily activities. When ligament damage is severe or repeated ankle sprains continue despite treatment, surgery can restore stability by repairing or rebuilding the damaged ligaments.

Prompt treatment gives the ankle the best chance to become more stable and comfortable. Delaying care can lead to repeated injuries, reduced confidence while walking, and damage to the cartilage that cushions the joint. A podiatrist continues to monitor healing and adjusts treatment based on your progress. Regular follow-up visits help confirm that the ankle is becoming stronger and more stable. Early diagnosis also helps patients return to work, sports, and daily activities with greater confidence. If you have a feeling that your ankle is giving way, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact Akena Wannamaker, DPM from ASW Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

• Pain at the sight of the tear
• Bruising/Swelling
• Ankle area is tender to touch
• In severe cases, may hear/feel something tear
• Skin discoloration

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

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.