Our feet, remarkable in their complexity, house a network of 26 bones each, expertly coordinated to support our body weight and facilitate movement. These bones can be categorized into three main groups, notably the tarsal bones in the ankle, the metatarsals in the arch, and the phalanges in the toes. Tarsal bones, including the heel bone, or calcaneus, and the talus, provide stability and shock absorption. The metatarsals form the longitudinal arch of the foot and act as a lever for propulsion, while the phalanges allow dexterity and balance. Ligaments, tendons, and muscles work in harmony to control these bones and facilitate various movements. The interplay of these bones enables the foot's natural shock-absorbing mechanism, dissipating the forces generated during walking, running, or jumping. Proper alignment and functioning of these bones are essential for maintaining foot health and overall well-being. Understanding the intricate mechanics of the foot's bone structure can help us appreciate the importance of foot care and the significance of maintaining proper posture and gait. If you would like to know more about the biomechanics of the feet, it is suggested that you consult a podiatrist who can provide you with useful information.

If you have any concerns about your feet, contact one of our podiatrists from InStride Family Foot Care. 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 offices located in Concord, Charlotte, and Salisbury, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Pickleball, a fast-growing racquet sport, is loved for its accessibility and friendly competition. However, the rapid lateral movements and frequent stops and starts can take a toll on your feet, leading to a variety of injuries. Ankle sprains are perhaps the most common, often resulting from quick direction changes or missteps. Plantar fasciitis, characterized by heel pain, can arise due to the constant motion and stress on the arches. Overuse injuries, such as tendinitis, are also prevalent, typically affecting the Achilles tendon or the tendons in the foot. Wearing improper footwear, especially shoes without adequate arch support or cushioning, can exacerbate these problems. To enjoy pickleball safely, it is vital to prioritize injury prevention, which can range from Investing in quality court shoes and practicing proper warm-ups. If you are interested in pursuing pickleball, prior to playing, it is suggested that you speak with a podiatrist, who can advise you on additional injury prevention strategies.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with one of our podiatrists from InStride Family Foot Care. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

• Achilles Tendonitis
• Achilles Tendon Rupture
• Ankle Sprains
• Broken Foot
• Plantar Fasciitis
• Stress Fractures
• Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

If you have any questions, please feel free to contact our offices located in Concord, Charlotte, and Salisbury, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ingrown toenails are a common condition in which the corner or side of a toenail grows into the soft flesh. The result is pain, inflamed skin, swelling and, sometimes, an infection. Ingrown toenails, which most commonly affect the big toe, can be painful and frustrating, but the good news is that there are several effective treatment options available to alleviate the discomfort and promote healing. Ingrown toenails often result from improper nail care, wearing tight-fitting shoes, or trauma to the toe. Cutting your nails too short or rounding the edges instead of trimming them straight across can also increase the risk. Find shoes that have a wider toe box, to avoid having the toes squeezed too tightly. If ingrown toenails develop frequently, custom orthotic devices also can help redistribute pressure on the toes. A podiatrist may prescribe antibiotics to treat or prevent infection. In more severe cases, a podiatrist may need to remove a portion of the ingrown toenail to promote healthy nail growth. If you are suffering from the pain of an ingrown toenail, it is suggested that you make an appointment with a podiatrist for proper diagnosis and treatment.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact one of our podiatrists of InStride Family Foot Care. Our doctors can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

• Improper toenail trimming
• Genetics
• Improper shoe fitting
• Injury from pedicures or nail picking
• Abnormal gait
• Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

If you have any questions, please feel free to contact our offices located in Concord, Charlotte, and Salisbury, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Sever's disease, also known as calcaneal apophysitis, is a common heel condition affecting children during growth spurts. The primary cause lies in the heel bone's growth plate, which is still developing and can become inflamed due to repetitive stress and tension. This often occurs in active children involved in sports or activities that involve a lot of running and jumping. The growth plate is more vulnerable during this period of rapid growth, making it susceptible to injury and irritation. The good news is that Sever's disease is manageable and typically resolves on its own as the growth plate solidifies. Treatment involves rest, modifying activities, stretching exercises, and wearing supportive footwear to alleviate symptoms and promote healing. If your active child has heel pain, which is a common symptom of Sever’s disease, it is suggested that you consult a podiatrist. This type of doctor can offer tailored treatment options for this condition.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see one of our podiatrists from InStride Family Foot Care. Our doctors 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 offices located in Concord, Charlotte, and Salisbury, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

One discomfort that often accompanies pregnancy is swollen ankles, known as edema. Fortunately, there are several ways to minimize the problem. The key to managing swollen ankles during pregnancy is to defy gravity. Sit with your feet elevated to reduce pressure on the lower extremities. While seated, circle your ankles occasionally to encourage blood flow, and avoid standing for extended periods. Sleeping on your left side is believed to be beneficial for your baby and for your circulation. This position alleviates pressure on the inferior vena cava, helping to reduce ankle swelling. Elevating your legs at a gentle angle with pillows can further promote healthy blood flow. Consider investing in compression stockings to prevent blood from pooling in your ankles. Incorporate daily gentle exercises into your routine, such as swimming and walking. These activities help keep your blood flowing optimally, reducing the risk of swollen ankles. If you have concerns about swollen ankles or any other foot-related issues during pregnancy, it is suggested that you consult a podiatrist for an evaluation and recommended treatment options.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with one of our podiatrists from InStride Family Foot Care. Our doctors will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

• Wearing orthotics can provide extra support for the feet and help distribute weight evenly
• Minimize the amount of time spent walking barefoot
• Wear shoes with good arch support
• Wear shoes that allow for good circulation to the feet
• Elevate feet if you experience swelling
• Massage your feet
• Get regular, light exercise, such as walking, to promote blood circulation to the feet

If you have any questions please feel free to contact our offices located in Concord, Charlotte, and Salisbury, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Athlete's foot, or tinea pedis, is a prevalent fungal infection that primarily affects the feet. It is essential to understand the causes behind this bothersome condition for effective prevention and treatment. One leading cause is the fungus trichophyton, which thrives in warm, damp environments. Walking barefoot in public areas, such as locker rooms, swimming pools, and communal showers, can expose you to this fungus. Sharing towels, shoes, or socks with an infected person can also facilitate its spread. Sweaty feet create an ideal environment for fungal growth, making individuals with hyperhidrosis more susceptible. Wearing tight, non-breathable shoes can exacerbate the issue, trapping moisture and promoting fungal development. Certain underlying medical conditions, including weakened immunity or diabetes, can also increase the risk of athlete's foot. Preventing athlete's foot involves maintaining good foot hygiene, keeping feet dry, and choosing breathable footwear. If you suspect you have athlete's foot, it is suggested that you consult a podiatrist for a proper diagnosis and tailored treatment options that can effectively manage this condition. 

Athlete’s Foot

Athlete’s foot is often an uncomfortable condition to experience. Thankfully, podiatrists specialize in treating athlete’s foot and offer the best treatment options. If you have any questions about athlete’s foot, consult with one of our podiatrists from InStride Family Foot Care. Our doctors will assess your condition and provide you with quality treatment.

What Is Athlete’s Foot?

Tinea pedis, more commonly known as athlete’s foot, is a non-serious and common fungal infection of the foot. Athlete’s foot is contagious and can be contracted by touching someone who has it or infected surfaces. The most common places contaminated by it are public showers, locker rooms, and swimming pools. Once contracted, it grows on feet that are left inside moist, dark, and warm shoes and socks.

Prevention

The most effective ways to prevent athlete’s foot include:

• Thoroughly washing and drying feet
• Avoid going barefoot in locker rooms and public showers
• Using shower shoes in public showers
• Wearing socks that allow the feet to breathe
• Changing socks and shoes frequently if you sweat a lot

Symptoms

Athlete’s foot initially occurs as a rash between the toes. However, if left undiagnosed, it can spread to the sides and bottom of the feet, toenails, and if touched by hand, the hands themselves. Symptoms include:

• Redness
• Burning
• Itching
• Scaly and peeling skin

Diagnosis and Treatment

Diagnosis is quick and easy. Skin samples will be taken and either viewed under a microscope or sent to a lab for testing. Sometimes, a podiatrist can diagnose it based on simply looking at it. Once confirmed, treatment options include oral and topical antifungal medications.

If you have any questions, please feel free to contact our offices located in Concord, Charlotte, and Salisbury, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Sudden ankle pain can strike out of nowhere, leaving you puzzled and uncomfortable. While it is easy to attribute such pain to a recent injury, there are instances when ankle pain seemingly appears out of thin air. Having an understanding the potential causes of sudden ankle pain without any obvious injury is important for proper management. One common culprit is overuse or strain. Repetitive movements, such as excessive walking or standing for extended periods, can lead to inflammation and discomfort in the ankle joint. Another factor to consider is footwear. Wearing ill-fitting shoes or high heels can strain the ankle, resulting in unexpected pain. Additionally, conditions such as gout or arthritis can manifest in the ankle joint, causing sudden and severe discomfort. Nerve compression or impingement may also be responsible for unexplained ankle pain. Additionally, changes in weather and temperature can impact joint health, potentially triggering discomfort. If you are experiencing sudden ankle pain, it is suggested that you visit a podiatrist who can determine the cause and offer appropriate treatment options.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with one of our podiatrists from InStride Family Foot Care. Our doctors 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 tendinitis
• 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 offices located in Concord, Charlotte, and Salisbury, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Heel pain can be debilitating, and one common cause is bursitis. This condition occurs when the bursa, a small fluid-filled sac that cushions and lubricates the joints, becomes inflamed. In the case of heel bursitis, the bursa located at the back of the heel becomes irritated and swollen. The bursa is typically aggravated by activities that put pressure on the affected area, such as walking or wearing tight shoes. Inflammation can also be caused by repetitive overuse or direct trauma to the heel. Diagnosis usually involves a physical examination, and sometimes imaging tests like X-rays or ultrasound are used to rule out other conditions. Treatment options range from rest and ice to reduce inflammation, to physical therapy and orthotic shoe inserts for support. In some cases, a podiatrist may recommend corticosteroid injections to alleviate pain and inflammation. If you're experiencing persistent heel pain, it is suggested that you consult a podiatrist for a proper diagnosis and personalized treatment plan. With the right care, heel bursitis can be managed effectively, allowing you to get back on your feet pain-free.

Many people suffer from bouts of heel pain. For more information, contact one of our podiatrists of InStride Family Foot Care. Our doctors can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                  
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions please contact our offices located in Concord, Charlotte, and Salisbury, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Newborns come into the world with a sense of wonder and curiosity, but some may also have foot deformities that require attention and care. One common condition is congenital talipes equinovarus, commonly known as clubfoot. This causes the baby's foot to twist inward. This congenital foot condition can be detected through having a prenatal ultrasound performed. Metatarsus adductus is another deformity where the baby's foot curves inward, often due to positioning in the womb, but it usually resolves naturally. In-toeing and out-toeing, where the feet point inward or outward, are relatively common problems that often correct themselves as a child grows. Early detection and intervention are essential in addressing these conditions. Performing gentle stretching exercises, casts, and sometimes surgery can help correct deformities like clubfoot. It is beneficial for parents and podiatrists to work together to ensure the best possible outcome. If your child has been born with a congenital foot condition, it is strongly suggested that you have this type of doctor as part of your child's healthcare team. 

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of InStride Family Foot Care. Our doctors can provide the care you need to keep you pain-free and on your feet.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

• Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
• Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
• Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
• Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
• Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
• Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

If you have any questions please feel free to contact our offices located in Concord, Charlotte, and Salisbury, NC . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.