Running places repeated force on the feet and lower legs, and that force can sometimes lead to a stress fracture. A stress fracture is a small crack in a bone caused by repeated impact rather than one sudden injury. Runners can develop these fractures in the feet, shins, or hips. Pain is usually focused on one specific area and can become more noticeable with activity. Swelling and bruising can also occur. The pain can ease with rest, but returning to running before the bone heals can make the injury worse.

Several factors can increase a runner’s risk of a stress fracture. A sudden jump in weekly mileage can place more force on bones than they are prepared to handle. Running in old shoes or shoes that lack proper support can also increase stress on the feet and legs. Running form matters as well. Over-striding happens when the foot lands too far in front of the body, increasing impact. Bone health also plays an important role. Low levels of calcium or vitamin D can weaken bones. For some female runners, under-eating combined with heavy exercise can affect hormones and bone strength, raising fracture risk.

A podiatrist can examine the painful area and evaluate a runner’s symptoms, training history, and foot mechanics. Imaging tests can help identify a stress fracture, although some small fractures are difficult to see on an early X-ray. Treatment can include limiting impact and protecting the injured area with a walking boot or cast. Healing can take several weeks, depending on the location and severity of the fracture. A podiatrist can monitor healing and guide a safe return to running. If you have symptoms of a stress fracture, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact Amy DeGirolamo, DPM from Florida Foot and Ankle Associates. Our practitioner can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

• Gender – They are more commonly found in women compared to men.
• Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
• Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
• Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
• Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

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

A sprained ankle is a common injury in children, especially those who participate in sports and other physical activities. An ankle sprain happens when the strong bands of tissue that support the joint are stretched or torn. This often occurs when the foot twists or rolls unexpectedly. Children may sprain an ankle while running, jumping, or changing direction quickly. Common symptoms include pain, swelling, and bruising around the ankle. A child may also have trouble walking or putting weight on the injured foot. Because fractures can cause similar symptoms, a professional evaluation may be needed to identify the injury correctly.

Ankle sprains can range from mild stretching of the supporting tissues to more serious tears. The amount of pain does not always show how severe the injury is. Children also have areas of developing bone called growth plates, which can be injured and sometimes mistaken for a sprain. For this reason, ongoing pain or difficulty bearing weight should be carefully evaluated. A significant ankle injury may also affect joint stability and movement. Returning to normal activity before the ankle has properly healed may increase the chance of another injury. An accurate diagnosis can help guide treatment and support a safe recovery.

A podiatrist can examine a child’s sprained ankle and determine whether the injury involves the supporting tissues, bones, or growth plate. The evaluation may include checking swelling, tenderness, and ankle stability. Imaging may be recommended when a fracture or growth-plate injury is suspected. Podiatric treatment depends on the severity of the injury and can focus on protecting the ankle, restoring movement, and supporting proper healing. Follow-up care can also help determine when returning to sports or other activities is appropriate. If your child has persistent ankle pain, swelling, or difficulty walking after an injury, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Amy DeGirolamo, DPM of Florida Foot and Ankle Associates. Our practitioner can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

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

Toenail avulsion surgery removes part or all of a damaged or painful toenail. A podiatrist recommends this procedure when a nail causes repeated pain, grows into the surrounding skin, or becomes badly damaged. Surgery also helps when part of the nail keeps returning after previous treatment. Depending on the problem, the podiatrist removes only the affected section or the entire nail. In some cases, the small area that produces the nail is treated to reduce the chance of that section growing back.

Before surgery, the toe is carefully examined by a podiatrist. The area is numbed before the nail is removed, helping patients stay comfortable throughout the procedure. The nail is lifted with special instruments designed to protect the surrounding skin. After the nail is removed, the podiatrist checks the nail bed for hidden damage, infection, or abnormal tissue. The nail bed is the skin beneath the nail that supports healthy nail growth. The toe is then covered with a protective dressing before patients leave the office. Follow-up visits allow the podiatrist to monitor healing, watch for problems, and decide when normal activities can safely resume.

Toenail avulsion surgery can relieve ongoing discomfort and prevent repeated nail problems from interfering with daily life. Patients usually notice improved comfort while walking after the painful nail has been removed. A podiatrist also discusses whether future nail growth is expected or whether the treated section is intended to remain permanently absent. Prompt evaluation also allows other nail conditions to be identified before they become more serious. Early treatment can also improve shoe comfort and reduce pressure on nearby skin. It can also restore confidence when standing, walking, and participating in everyday activities without ongoing pain. If you have a toenail that has become painful, it is suggested that you schedule an appointment with a podiatrist to see if avulsion surgery is right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Amy DeGirolamo, DPM of Florida Foot and Ankle Associates. Our practitioner will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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

Ankle pain while walking can make simple activities feel difficult. The ankle supports the body and helps the foot move with each step, so pain in this area can affect balance and movement. Ankle pain can develop after an injury, but it can also have other causes. Sprains, tendon issues, and problems involving the bones or joints can all contribute to ankle discomfort. Pain may occur on one or both sides of the ankle and can range from mild soreness to sharp or severe discomfort. Swelling, stiffness, or difficulty putting weight on the foot can also occur. A podiatrist can examine the ankle and determine what could be causing the pain.

A podiatrist can assess the ankle by checking its movement, strength, and areas of tenderness. The examination helps determine whether the pain is related to an injury, a tendon, or another part of the foot and ankle. Treatment depends on the cause and severity of the symptoms. Care can include protecting the affected area, reducing stress on the ankle, and using treatment designed to improve movement and function. A podiatrist can also assess how foot structure and walking patterns affect the ankle. This can be helpful when pain continues or returns after activity. 

Ankle pain while walking should receive prompt attention when it is severe, or makes it difficult to put weight on the foot. Significant swelling, a change in the shape of the ankle, or severe pain after an injury can also require careful evaluation. A podiatrist can determine whether imaging tests or additional treatment is appropriate based on the findings. Identifying the cause of ankle pain can help guide care and reduce the chance of continued problems with movement. An evaluation is also useful when ankle pain continues without a clear injury. If you have  ankle pain while walking, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with Amy DeGirolamo, DPM from Florida Foot and Ankle Associates. Our practitioner will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendonitis
• Achilles tendon rupture
• Stress fractures
• Bursitis
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

If you have any questions please feel free to contact our office located in Miami,FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.