Beneath the surface of our feet lies a delicate orchestra of bones, working seamlessly to provide stability and flexibility. The ankle bones are the unsung heroes of this intricate composition. These bones, namely the tibia, fibula, and talus, form a complex network that allows us to walk, run, and jump with precision. The tibia, the weight-bearing bone, supports our body's weight, while the fibula adds extra support and stability. The talus, perched atop the heel bone, serves as a vital link between the leg and the foot, enabling pivotal movements. These bones are finely tuned instruments, ensuring smooth walking and running on various terrains. Understanding how the bones in the ankles work together sheds light on the remarkable mechanics that keep us moving effortlessly. If you would like additional information about the various functions of the ankle bones, it is suggested that you speak with a podiatrist.

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.

A broken ankle, involving a fracture of the bones in the lower leg above the foot, can result from various stresses on the ankle joint, often due to accidents or injuries. This may include rolling the ankle, twisting it, or sustaining significant force, such as landing heavily from a height. Determining whether the ankle is sprained or broken can be challenging, as both can be painful. Common signs of an ankle injury or fracture include pain, swelling, bruising, and deformity. A broken ankle is typically very painful, especially when bearing weight. Treatment for a broken ankle varies based on the type and severity of the fracture. It often involves immobilization using a boot or cast to allow for healing, along with non-weight bearing using crutches. More severe cases may require surgical intervention. After immobilization, the ankle can be left weak, stiff, and still painful. Exercises will then be needed to aid full recovery. If you suspect a broken ankle, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and treatment.

Broken ankles need immediate treatment. If you are seeking treatment, 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. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

• Excessive pain when the area is touched or when any pressure is placed on the ankle
•  Swelling around the area
•  Bruising of the area
• Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

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.

A child's developing feet undergo significant changes during their early years. The medial arch, formed by bones, muscles, and ligaments, gradually takes shape, resulting in a visible arch in the sole. Infants and young children often have flat feet, which is normal due to their flexibility. As kids learn to walk, their ligaments and muscles strengthen, and the arch area becomes less pronounced. By around six years old, most children should have developed normal arches. If a child experiences foot pain or seems to struggle to keep up with peers, a problem may be developing. Two conditions, in-toeing, when the feet turn inwards, and out-toeing, when the feet turn outwards, may require attention. In many cases, in-toeing might resolve on its own, but a persistent or severe case should be assessed, especially if it hinders the child's gait or causes tripping. Out-toeing often resolves as posture and balance improve, but serious cases or those causing pain should be addressed. Parents should also be vigilant about other symptoms like abnormally shaped toes, ingrown toenails, bunions, stiffness, limping, and sudden gait changes. If your child's feet are raising concerns or causing pain, it is suggested that you make an appointment with a podiatrist. 

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 InStride Family Foot Care. 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 offices located in Concord, Charlotte, and Salisbury, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Toenail fungus, also known as onychomycosis, is a common and bothersome condition that affects millions of people worldwide. This fungal infection occurs when microscopic fungi, such as dermatophytes or yeast, penetrate the nail bed through small cuts or openings. The warm and damp environment inside closed-toe shoes provides an ideal breeding ground for the fungi to thrive. The infection often starts with a white or yellow spot under the nail and gradually spreads, causing the nail to become discolored, thickened, and brittle. Individuals with compromised immune systems, or who have diabetes or poor circulation are generally at a higher risk. Additionally, frequent exposure to moist environments, wearing tight-fitting shoes, or walking barefoot in public places may also increase the likelihood of developing toenail fungus. Early detection and proper treatment are essential in preventing the spread of the infection and can help restore healthy toenails. Toenail fungus can be treated by a podiatrist, and it is suggested that you contact this type of doctor for relief options that are correct for you.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, 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.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

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.

The world of Achilles tendon injuries is common among athletes across the globe. The Achilles tendon is the band of tissue connecting the calf muscles to the heel bone, enabling us to walk, jump, and run. Achilles tendon injuries are described as tears or strains that happen to this crucial tendon. These injuries can be mild, causing discomfort, or severe pain, possibly causing difficulty in walking. A common cause of an Achilles tendon injury can be from overuse. This can range from increasing speed and mileage too quickly while running to not getting adequate rest.  Wearing improper footwear, such as flip-flops during sporting activities, can also contribute to this painful condition. Additionally, sudden increases in physical activity or tight calf muscles may put stress on the Achilles tendon, leading to injuries. Effective prevention techniques can include stretching, wearing suitable shoes, and listening to your body's limits. If you have endured this type of injury, it is suggested that you visit a podiatrist sooner rather than later who can provide you with relief solutions.

Achilles tendon injuries need 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.

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 offices located in Concord, Charlotte, and Salisbury, NC . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

A common side effect of diabetes is the tendency to develop peripheral neuropathy and circulation problems. Both are the result of long-term high blood sugar levels.  As a result, the feet may become numb and the ability to heal may be impeded. These consequences can lead to the development of foot ulcers. Because the feet become numb, cuts and cracks in the skin may not be felt, and because of arterial disease that constricts the blood vessels to the extremities, healing takes longer. For those reasons, a daily routine of foot care is essential to anyone with diabetes. Medical professionals, such as podiatrists, suggest that washing and drying the feet daily is a must. Examining the feet for sores or cuts should happen daily. Keeping the feet elevated as often as possible is also a good idea. Experts also recommend changing to footwear that fits well, and wearing socks can help to protect the feet. For treatment of foot problems related to diabetes, it is suggested that you make regular visits to a podiatrist.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other 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.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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.

Foot ulcers are open wounds on the feet resulting from skin breakdown. They may be deep, discolored sores that discharge pus, affecting deeper layers of the skin, and potentially spreading to muscles, tendons, or bones. Often caused by injury, friction, or pressure, ulcers are more likely to develop in people who have diabetes and peripheral neuropathy, which reduces foot sensation and can impede skin healing, raising ulcer risks. These ulcers can be painful. Untreated foot ulcers can lead to infections and complications and require serious medical intervention. To prevent ulcers, wear well-fitting shoes and regularly check your feet. If you have foot wounds, it is suggested that you seek prompt examination and treatment from a podiatrist.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, 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.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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.

The joint where the big toe connects to the foot is called the hallux. When this joint becomes stiff, it not only limits the ability to walk but also can become quite painful. This condition, termed hallux limitus, can result in arthritis and bone spurs. A callus may develop under the toe joint, and numbness and tingling may occur if nerves touch the bone spurs. Other symptoms of hallux limitus can include pain in the toe joint that worsens when you walk or flex the toe, and limping may result. Hallux limitus is thought to be caused predominantly by wear and tear in the joint. In some cases, abnormal foot structure, such as when the second toe is longer than the big toe, can possibly cause this condition. Wearing high heels that add pressure to the big toe joint is another potential reason hallux limitus can develop. A podiatrist can examine the toe joint with an X-ray to determine the extent of the condition. In some cases, custom orthotics can be prescribed to help correct the condition. If your big toe joint causes pain, especially while walking, it is suggested that you make an appointment with a podiatrist.

Toe pain can disrupt your daily activities. 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.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as 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.