Pronation is the natural side-to-side movement of the foot during walking or running. It is essential for shock absorption and navigating uneven surfaces. However, problems arise when this movement is excessive. Overpronation, where the foot rolls too far inward, can cause prolonged ground contact and increased stress on the leg's alignment. This may lead to injuries like plantar fasciitis, shin splints, and knee pain. Conversely, underpronation, or insufficient inward roll, causes the foot to remain rigid, failing to absorb shock effectively. This places undue stress on the outer edge of the foot, increasing the likelihood of stress fractures. Identifying pronation issues can often be done through a professional gait analysis conducted by a podiatrist. In some cases, a podiatrist might recommend custom orthotics to provide additional support and correct alignment issues. Selecting appropriate footwear and strengthening foot and ankle muscles can help manage pronation-related problems. If you experience foot pain linked to pronation, it is suggested that you make an appointment with a podiatrist for an exam and treatment.

If you have any concerns about your feet, contact one of our podiatrists from Granite State Podiatry Associates. 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 Manchester and Bedford, NH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Tarsal tunnel syndrome is a condition characterized by the compression of the tibial nerve as it travels through the tarsal tunnel, a narrow space on the inside of the ankle. This tunnel houses several vital structures, including the tibialis posterior tendon, the flexor digitorum longus tendon, and the posterior tibial artery and vein. When the tibial nerve is compressed, it can lead to pain, tingling, and numbness in the foot. The tibialis posterior tendon helps support the arch of the foot, while the flexor digitorum longus tendon aids in flexing the toes. The posterior tibial artery and vein are essential for blood circulation to the foot. If you have pain in this part of your foot, it is suggested that you consult 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 Granite State Podiatry Associates. 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 our offices located in Manchester and Bedford, NH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Apophysitis and osteochondrosis are common causes of pain in growing bones, often affecting children and teenagers. Apophysitis happens when growth plates, the areas where bones grow, become irritated from overuse or stress, sometimes affecting the feet. Osteochondrosis occurs when the bone underneath a joint's cartilage does not get enough blood, leading to pain and inflammation. These conditions usually occur during growth spurts, when bones, muscles, and tendons are rapidly changing. Activities like running, jumping, or participating in sporting activities can put extra stress on these growing areas. Symptoms can include pain, swelling, and tenderness near the affected bone or joint. The pain might worsen with activity and improve with rest. Treatment involves resting the affected area. Stretching and strengthening exercises, guided by a podiatrist, can also help. If your child is suffering from any kind of foot pain, it is suggested that you schedule an appointment with a podiatrist for an evaluation and appropriate treatment.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with one of our podiatrists from Granite State Podiatry Associates. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This 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

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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

Ankle pain while cycling is often due to poor form, overtraining, or using a bike that is the wrong size. Improper cycling form, such as incorrect foot positioning on the pedals, can strain the ankle joints and muscles. Starting with intense or prolonged rides too quickly without allowing your body to adapt can also lead to overuse injuries, including ankle pain. Additionally, riding a bike that does not fit your body properly can force your ankles into awkward positions, causing discomfort and potential injury. To prevent ankle pain, focus on maintaining correct form by keeping your feet properly aligned on the pedals. Gradually increase the intensity and duration of your rides to build strength and endurance. Additionally, ensuring your bike is properly fitted to your body can also help maintain proper alignment and reduce the risk of ankle pain. If your ankle begins to hurt during or after a bike ride, it is suggested that you consult a podiatrist who can properly treat it, and guide you on additional ankle injury prevention techniques.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact one of our podiatrists of Granite State Podiatry Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

• Plantar Fasciitis
• Plantar Fasciosis
• Achilles Tendinitis
• Achilles Tendon Rupture
• Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

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

Diabetic foot ulcers and peripheral neuropathy are common complications of diabetes, often resulting in significant pain and discomfort. Neuropathy, caused by prolonged high blood sugar levels, damages the nerves, leading to numbness, tingling, and pain in the feet. Ulcers develop due to reduced blood flow and the inability to sense injuries, allowing minor wounds to progress into serious infections. Assessment involves a thorough examination of the feet, checking for signs of neuropathy, poor circulation, and existing ulcers. Podiatrists use tools like monofilaments to test sensation and Doppler devices to assess blood flow. Management focuses on controlling blood sugar levels, proper wound care, and preventing further complications. Pain from neuropathy is treated with medications, while ulcers require cleaning, debridement, and specialized dressings. Custom orthotics and appropriate footwear can alleviate pressure on affected areas. If you suffer from diabetic-related foot problems, it is suggested that you are under the care of a podiatrist for optimal care. 

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 Granite State Podiatry Associates. 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 Manchester and Bedford, NH . We offer the newest diagnostic and treatment technologies for all your foot care needs.