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An ankle-foot orthosis, or AFO, is a brace designed to support the ankle and foot, improving stability and alignment. It works by restricting movement in specific directions, thereby aiding in mobility and reducing the risk of injury. AFOs are commonly prescribed for individuals with conditions such as cerebral palsy, stroke, multiple sclerosis, or severe ankle arthritis. They are also used for drop foot, where the individual has difficulty lifting the front part of the foot. Diagnosing the need for an AFO involves a thorough examination by a podiatrist, including medical history, physical assessment, and sometimes imaging studies to understand the underlying condition and its severity. There are various types of AFOs, including rigid AFOs for maximum support, articulated AFOs allowing controlled movement, and dynamic AFOs designed for more natural movement. If you suffer from ankle pain, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment. If an AFO will help you, this foot doctor can provide personalized advice and a proper fitting.

If you are having discomfort in your feet and would like to try orthotics, contact one of our podiatrists from Foot Health Center of Merrimack Valley. 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 one of our offices located in North Andover, and Tewksbury, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

As individuals age, the risk of experiencing a fall increases, posing significant threats to their health and independence. Understanding the factors that contribute to falls is vital in implementing preventive measures. Common risk factors for falling in older people include muscle weakness, balance impairment, vision problems, and certain medications that may cause dizziness or lightheadedness. Environmental hazards, such as uneven surfaces, poor lighting, or slippery floors also heighten the risk. Fortunately, proactive steps can be taken to reduce the likelihood of falls. Engaging in regular exercise to improve strength, balance, and flexibility can enhance stability and coordination. Conducting home safety assessments and making necessary modifications can help create a safer living environment. Included are installing grab bars, securing rugs, and improving lighting. Regular vision check-ups and medication reviews with healthcare providers help decrease potential risks. Falling can seriously impact the feet as well as other body parts. If this has happened to you, it is suggested that you visit a podiatrist who can assess your foot condition, provide treatment, and offer you effective fall-prevention techniques.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with one of our podiatrists from Foot Health Center of Merrimack Valley. Our doctors will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

If you have any questions, please feel free to contact one of our offices located in North Andover, and Tewksbury, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Pediatric foot alignment deformities encompass a range of conditions affecting the structure and function of children's feet. These deformities can manifest in various forms, including flat feet, toe walking, in-toeing, and out-toeing. While some children may outgrow these issues naturally as they develop, others may require intervention to prevent potential complications. Diagnosis typically involves a thorough physical examination by a podiatrist, assessing gait patterns, foot alignment, and range of motion. In some cases, imaging studies such as X-rays may be utilized to further evaluate the condition. Treatment approaches vary depending on the specific deformity and its severity, ranging from observation and monitoring to orthotic devices, or surgical intervention in more severe cases. Early detection and intervention are essential in addressing pediatric foot alignment deformities, ensuring proper development and function of the feet as children grow and mature. If your child has been born with any type of foot deformity, it is suggested that you have a podiatrist on your healthcare team who can monitor and treat the specific condition.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact one of our podiatrists of Foot Health Center of Merrimack Valley. Our doctors can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

• Make sure their shoes fit properly
• Look for any signs of in-toeing or out-toeing
• Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
• Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
• Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
• Cut toenails straight across to avoid ingrown toenails
• Keep your child’s foot clean and dry
• Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

If you have any questions, please feel free to contact one of our offices located in North Andover, and Tewksbury, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Neuropathy, often silently lurking until later stages of life, can significantly impact foot health. It is a condition characterized by nerve damage, leading to numbness, tingling, and pain in the feet. Causes range from diabetes and infections to injuries and hereditary factors. Neuropathy can manifest in various foot problems, including loss of sensation, burning or shooting pain, and muscle weakness, making simple tasks challenging. Diagnosing neuropathy typically involves a thorough medical history, physical examination, and nerve conduction tests to assess nerve function. Prevention strategies include managing underlying conditions like diabetes, maintaining a healthy lifestyle, and avoiding prolonged pressure or trauma to the feet. While there is no outright cure for neuropathy, treatments focus on symptom management and slowing its progression. This may involve medications and lifestyle modifications. If you are experiencing symptoms of neuropathy in your feet, it is suggested that you consult a podiatrist for a thorough exam and tailored treatment plans.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with one of our podiatrists from Foot Health Center of Merrimack Valley. Our doctors will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

If you have any questions, please feel free to contact one of our offices located in North Andover, and Tewksbury, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Rheumatoid arthritis, or RA, can manifest in various parts of the body, including the feet, where early detection is vital for effective management and prevention of complications. One common sign of RA in the feet is joint stiffness, particularly in the morning or after periods of inactivity, which can make walking and movement uncomfortable. Swelling and tenderness in the affected joints, often accompanied by warmth and redness, are also indicative of RA. Deformities such as bunions, hammertoes, and claw toes may develop as the condition progresses, altering the foot's structure and causing further discomfort. Additionally, RA can lead to nodules or lumps under the skin, typically around pressure points like the heels or toes. Changes in gait or difficulty in walking due to foot pain and stiffness are further indications of RA involvement. If you are experiencing symptoms of RA that are affecting your feet, it is suggested that you visit a podiatrist who can offer you relief and treatment strategies.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact one of our podiatrists of Foot Health Center of Merrimack Valley. Our doctors will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

• Swelling and pain in the feet
• Stiffness in the feet
• Pain on the ball or sole of feet
• Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

If you have any questions please feel free to contact one of our offices located in North Andover, and Tewksbury, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Surgery for flat feet, also known as flatfoot reconstruction, presents individuals with both advantages and disadvantages to consider before making a decision. On the positive side, surgery can correct structural abnormalities, realign bones and tendons, and restore the arch of the foot, potentially alleviating pain and improving mobility. For individuals experiencing severe symptoms or those whose quality of life is significantly affected by flat feet, surgery can offer long-term relief and enhanced functionality. However, it is essential to weigh the potential drawbacks. Surgery entails inherent risks, including infection, nerve damage, and prolonged recovery periods. Additionally, the success of the procedure may vary, and there's no guarantee of complete symptom resolution. Furthermore, undergoing surgery requires a commitment to post-operative rehabilitation and lifestyle adjustments, such as avoiding high-impact activities and wearing supportive footwear. If you have flat feet that are causing you discomfort, it is suggested that you consult a podiatrist who can help you determine if surgery is right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact one of our podiatrists of Foot Health Center of Merrimack Valley. Our doctors 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 one of our offices located in North Andover, and Tewksbury, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Diabetic foot ulcers are serious complications of diabetes, occurring due to poor circulation, nerve damage, and reduced immune function. High blood sugar levels can impair blood flow and sensation in the feet, leading to delayed wound healing and increased vulnerability to infections. Left untreated, diabetic foot ulcers can result in severe complications, including tissue damage, gangrene, and even limb amputation. Non-invasive treatment typically involves wound debridement, dressings, offloading pressure, and antibiotic therapy to promote healing and prevent infections. More invasive interventions may include surgical debridement, skin grafts, or in severe cases, amputation. If you have diabetes, it is strongly suggested that you schedule an appointment with a podiatrist for a comprehensive assessment, wound care, and education on preventive measures tailored to your specific situation.

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 Foot Health Center of Merrimack Valley. 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 one of our offices located in North Andover, and Tewksbury, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Tarsal tunnel syndrome is a relatively lesser-known condition compared to other nerve-related disorders, yet it can cause significant discomfort and affect daily life. This syndrome occurs when the tibial nerve, which runs along the inside of the ankle, becomes compressed or squeezed as it passes through the tarsal tunnel, which is a narrow space formed by bone and ligaments on the inner side of the ankle. One important fact about tarsal tunnel syndrome is that it shares similarities with carpal tunnel syndrome, a condition affecting the wrist. Individuals with tarsal tunnel syndrome may experience symptoms such as numbness, tingling, burning pain, or electric shock-like sensations in the ankle, heel, and sole of the foot. Various factors, including injury, inflammation, flat feet, or systemic conditions like diabetes, can contribute to the development of this syndrome. If you are experiencing pain in this part of your foot, it is suggested that you visit a podiatrist who can diagnose and treat tarsal tunnel syndrome.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact one of our podiatrists of Foot Health Center of Merrimack Valley. Our doctors can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please feel free to contact one of our offices located in North Andover, and Tewksbury, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.