Achilles tendon injuries can cast a shadow over the start of the day, with many individuals experiencing heightened discomfort in the morning. This specific pain is often a result of the tendon's response to a period of inactivity during sleep. As the body rests, the tendon may tighten, and upon resuming activity, the sudden stretching can induce pain and stiffness. This morning agony is a common symptom in conditions such as Achilles tendonitis or tendinosis, where the tendon undergoes repetitive stress or degeneration. It is essential to recognize the significance of a gradual warm-up routine before stepping out of bed, incorporating gentle stretches to prepare the Achilles tendon for the day ahead. Additionally, wearing supportive footwear and avoiding sudden, high-impact activities in the morning can contribute to managing and minimizing the discomfort associated with Achilles tendon injuries during those initial awakening moments. If you have endured this type of injury, it is suggested that you are under the care of a podiatrist who can guide you toward effective treatment and relief techniques.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Kent DiNucci, DPM of Ankle and Foot Clinic . Our doctor 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 office located in Omaha, NE . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Parental guidance is vital for families with children experiencing Sever's Disease, a common condition affecting the heels of children during growth spurts. First and foremost, it is essential to educate yourself and your child about what Sever's Disease is, and what causes it. By providing age-appropriate information, you can reduce any anxiety your child may have about the condition. One important aspect of managing Sever's Disease is ensuring that your child wears comfortable, supportive shoes with proper arch support. Avoiding flat or poorly cushioned footwear may help to alleviate discomfort. Encourage your child to take breaks and rest, especially during strenuous activities involving running or jumping. Performing gentle calf and Achilles tendon stretches can also promote flexibility and reduce tightness. Support your child with the knowledge that symptoms are likely temporary and resolve when the heel’s growth plate matures. If your child is experiencing heel pain, it is suggested that you make an appointment with a podiatrist who can provide a proper diagnosis and treatment plan.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Kent DiNucci, DPM from Ankle and Foot Clinic . Our doctor 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 office located in Omaha, NE . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

Ankle sprains, though common, are often underestimated in their impact on our daily lives. Understanding these injuries is pivotal for everyone, from athletes to the average person navigating routine activities. Ankle sprains occur when the ligaments supporting the ankle stretch beyond their limits, often due to a sudden twist or turn. The severity varies, with mild sprains causing discomfort and swelling, while more severe cases may lead to instability and difficulty walking. Recognizing the signs, including pain, swelling, and bruising, is essential for prompt intervention. Ignoring ankle sprains or not providing adequate care can lead to long-term complications, such as chronic instability or arthritis. If you have endured an ankle sprain, it is suggested that you visit a podiatrist who can properly diagnose and effectively treat this condition.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact Kent DiNucci, DPM from Ankle and Foot Clinic . Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

• Pain at the sight of the tear
• Bruising/Swelling
• Ankle area is tender to touch
• In severe cases, may hear/feel something tear
• Skin discoloration

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

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

Cracked heels, medically known as heel fissures, are more than just a cosmetic issue, they can be quite serious. These splits in the skin surrounding the heel can become deep and cause pain, especially while standing or walking. For some individuals, the cracks are superficial, but for others, they can lead to bleeding and infections, particularly in those with compromised immune systems. In addition, people who have conditions such as diabetes can impair healing, possibly increasing the risk of foot complications. The skin around the heels is often subjected to pressure and weight-bearing, and if it is not supple due to dryness or thickened due to calluses, it is prone to cracking. Factors contributing to this can include walking barefoot or wearing open-backed shoes, prolonged standing, obesity, and certain skin conditions. In severe cases, dead skin may need to be removed by a podiatrist and medication prescribed. If you have cracked heels that are not healing or are worsening, it is suggested that you make an appointment with this type of medical professional for prompt treatment.

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact Kent DiNucci, DPM from Ankle and Foot Clinic . Our doctor can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin. 

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed. 

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

Tarsal tunnel syndrome, abbreviated TTS, is a relatively rare but painful condition involving the compression of the tibial nerve as it passes through the tarsal tunnel, a narrow passageway on the inside of the ankle. The tarsal tunnel is enclosed by bone and ligaments, and when pressure is exerted on the tibial nerve within this space, it can lead to TTS. The exact causes of tarsal tunnel syndrome can vary, but common factors include injury or trauma to the ankle, such as sprains or fractures, which may lead to swelling and compression of the nerve. Overpronation, where the foot rolls excessively inward, can also place additional stress on the tibial nerve. Other factors contributing to TTS may include systemic conditions like diabetes, which can result in nerve inflammation and entrapment. Recognizing the potential causes of tarsal tunnel syndrome is essential in seeking appropriate medical care and taking preventive measures to alleviate this painful condition. If you have foot pain, it is suggested that you contact a podiatrist who can accurately diagnose and treat tarsal tunnel syndrome.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Kent DiNucci, DPM of Ankle and Foot Clinic . Our doctor 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 our office located in Omaha, NE . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.