April 2024

Lisfranc dislocation is a complex injury affecting the midfoot, specifically the articulation between the metatarsal and tarsal bones. Commonly caused by trauma such as falls, twists, or direct impact, it is often misdiagnosed due to its rarity and subtle symptoms. High-energy injuries like car accidents or sports collisions are typical culprits. Mismanagement can lead to long-term complications like chronic pain and arthritis. Severity is graded from mild ligament sprains to severe dislocations. Treatment ranges from conservative methods like immobilization to surgical intervention for severe cases, often involving realignment and fixation. If you believe you may have sustained such an injury to your midfoot, it is suggested that you schedule an appointment with a podiatrist for an examination, diagnosis, and treatment.

Foot and ankle trauma is common among athletes and the elderly. If you have concerns that you may have experienced trauma to the foot and ankle, consult with one of our podiatrists from Greater Boston Foot Care, PLLC. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Foot and ankle trauma cover a range of injuries all over the foot; common injuries include:

• Broken bones
• Muscle strains
• Injuries to the tendons and ligaments
• Stress fractures

Symptoms

Symptoms of foot and ankle injuries vary depending on the injury, but more common ones include:

• Bruising
• Inflammation/ Swelling
• Pain

Diagnosis

To properly diagnose the exact type of injury, podiatrists will conduct a number of different tests. Some of these include sensation and visual tests, X-rays, and MRIs. Medical and family histories will also be taken into account.

Treatment

Once the injury has been diagnosed, the podiatrist can than offer the best treatment options for you. In less severe cases, rest and keeping pressure off the foot may be all that’s necessary. Orthotics, such as a specially made shoes, or immobilization devices, like splints or casts, may be deemed necessary. Finally, if the injury is severe enough, surgery may be necessary.

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

Custom orthotics offer significant benefits in managing bunions, hammertoes, and Achilles tendinosis by controlling pain and slowing the progression of deformities. Specifically designed to fit the unique contours of an individual's foot, these orthotic devices provide support and stability, redistributing pressure away from problem areas. For bunions, orthotics can alleviate discomfort by cushioning the joint and preventing further misalignment. In the case of hammertoes, custom orthotics help stabilize flexible deformities, promoting proper alignment and relieving pressure on the affected toes. Additionally, orthotics can address Achilles tendinosis by reducing strain on the tendon and promoting optimal foot positioning during movement. By providing support and alignment, custom orthotics not only manage symptoms but also help prevent the worsening of these conditions, allowing individuals to maintain an active lifestyle with reduced pain and improved function. If you have foot pain from one of the above-mentioned conditions, it is suggested that you schedule an appointment with a podiatrist to discuss how custom-made orthotics can help you.

If you are having discomfort in your feet and would like to try orthotics, contact one of our podiatrists from Greater Boston Foot Care, PLLC. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

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

Foot assessment is a fundamental tool in classifying foot types and identifying potential problems. By analyzing the position of the foot at rest and during dynamic movement, podiatrists can infer dynamic foot function and identify abnormalities. Radiologic evaluations serve as the gold standard for assessing foot structure and alignment, providing detailed insight into bone structure and joint alignment. Podiatrists assess feet and conduct thorough evaluations, interpret radiographic findings, and develop tailored treatment plans. Through a combination of physical examination, gait analysis, and imaging techniques, podiatrists can identify conditions such as flat feet, high arches, bunions, and stress fractures, among others. If you would like to understand how your foot structure may be causing your foot problems, it is suggested that you schedule an appointment with this foot doctor for a consultation.

If you have any concerns about your feet, contact one of our podiatrists from Greater Boston Foot Care, PLLC. Our doctors can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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

As individuals age, various changes occur in the feet that can affect mobility and comfort. Reduced flexibility, decreased muscle mass, and thinning fat pads are common occurrences. These changes can lead to issues such as stiffness, difficulty walking, and increased risk of foot injuries. To mitigate these effects, incorporating foot exercises, stretching routines, and maintaining a healthy weight can help preserve foot health and function. Wearing supportive footwear with cushioning and adequate arch support can also alleviate discomfort and reduce the risk of developing foot problems. Consulting a podiatrist is beneficial for personalized foot care as this medically trained foot doctor can provide tailored recommendations and interventions. If you are experiencing foot problems due to aging, and want to preserve the health of your feet, it is suggested that you schedule an appointment with a podiatrist for an assessment and advice on how to best care for your feet.

If you need your feet checked, contact one of our podiatrists of Greater Boston Foot Care, PLLC. Our doctors will attend to all of your foot and ankle needs and provide you with quality treatment.

Geriatrics and Podiatry
When people age, some common issues that may occur are bone density loss, dry skin, poor circulation, and rough brittle nails. These issues may also affect your foot health if the necessary steps are not taken to alleviate the problems.

It is important to take care of your feet because feet that are injured or diseased can affect your overall health. Having painful feet hinders your ability to do daily activities or may decrease your willingness to do the things that you need to do.

Visiting Your Geriatrician
As we age, health problems become more likely, so it is essential to visit your doctor for check-ups to ensure that you are doing the best you can to take care of your health. It is recommended to check your feet frequently for any possible cuts, bruises, swelling, corns or any other irregularities. 

Taking Care of Elderly Feet
Cracked or dry feet can be treated by applying moisturizer often. It is also important not to wear old socks because the older the sock is, the higher the possibility there will be that there is bacteria there. Wear fresh socks and make sure they fit properly.

Proper foot health means that you can have a more active lifestyle and you will not be bogged down by pain. Foot health also leads to good circulation, which is paramount for overall health.

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

Children's feet undergo significant changes as they grow, making proper shoe selection an important consideration. Typically, infants' feet are soft and pliable, with bones gradually forming over time. They usually start walking between nine and 18 months, signaling the need for wearing supportive shoes to protect their delicate feet. As they grow, their feet require shoes with adequate room for movement and growth, typically needing replacements every few months to accommodate size changes. Parents should watch for signs such as blisters, redness, or complaints of discomfort, indicating that shoes may be too small. Regular check-ups with a podiatrist can help address any developmental concerns, such as flat feet or gait abnormalities, ensuring healthy foot development. If you have an infant, it is suggested that you schedule an appointment with a podiatrist for a consultation on proper foot care and footwear to set the foundation for a lifetime of healthy walking and foot function.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact one of our podiatrists of Greater Boston Foot Care, PLLC. Our doctors 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 Plymouth, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.