Foot stress fractures are small cracks in the bones that often occur from repetitive impact, commonly affecting the metatarsals, heel bone, or navicular in the foot. Stress fractures are frequently linked to activities such as running, jumping, or sudden increases in training intensity. People who start new sports or increase workout duration too quickly may be at higher risk. Stress fractures can also result when the foot muscles become fatigued and are no longer able to absorb impact, transferring excessive force to the bones. Risk factors include poor foot structure, low or high arches, and inadequate footwear that fails to support the foot during movement. Women may face added risk due to hormonal influences on bone density, especially with irregular menstrual cycles. Previous stress fractures, osteoporosis, or changes in training surfaces, such as moving from grass to pavement, may also increase vulnerability. If you are suffering from foot pain after activities, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and appropriate treatment options.

Stress fractures occur when there is a tiny crack within a bone. To learn more, 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.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

• Gender – They are more commonly found in women compared to men.
• Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
• Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
• Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
• Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

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.

Hammertoes often begin when there is an imbalance between the muscles and tendons that control toe movement. Over time, this imbalance causes the toe to bend downward at the middle joint, creating a fixed or flexible deformity. Wearing poorly fitting shoes can make the problem worse, especially styles that squeeze the toes or force them into an unnatural position. High arches, flat feet, and certain nerve or joint conditions can also contribute by changing the way pressure is distributed across the foot. As the toe becomes more rigid, it may rub against shoes, leading to corns, calluses, and pain. Early treatment can help prevent progression and may reduce the need for surgery. If you have a toe that is beginning to curl or cause discomfort, it is suggested that you see a podiatrist for a proper diagnosis and appropriate treatment.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact one of our podiatrists from Granite State Podiatry Associates. Our doctors will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

• Pain in the affected toes
• Development of corns or calluses due to friction
• Inflammation
• Redness
• Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

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

Plantar warts are small, rough growths that appear on the bottom of the foot, usually on weight-bearing areas like the heel or ball of the foot. They are caused by the human papillomavirus, or HPV, which enters the skin through tiny cuts or cracks, often in places like public showers, gyms, or pool areas. Plantar warts may look like a callus, but often have a rough surface with black dots, which are tiny clotted blood vessels, at the center. The warts can be painful, especially while walking or standing, as pressure pushes them deeper into the skin. A podiatrist can diagnose plantar warts and offer effective treatments that go beyond over-the-counter options. These may include cryotherapy, topical acids, immune-boosting treatments, or minor surgical removal. Custom orthotics may also be recommended to reduce pressure on the area during healing. If you have a painful plantar wart, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment.

Plantar warts can be very uncomfortable. If you need your feet checked, contact one of our podiatrists from Granite State Podiatry Associates. Our doctors will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

• Lesions on the bottom of your feet, usually rough and grainy
• Hard or thick callused spots
• Wart seeds, which are small clotted blood vessels that look like little black spots
• Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

• Freezing
• Electric tool removal
• Laser Treatment
• Topical Creams (prescription only)
• Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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.

An ingrown toenail occurs when the edge of a toenail grows into the surrounding skin, leading to pain, swelling, and sometimes infection. This condition most commonly affects the big toe and may result from improper nail trimming, wearing tight footwear, or injury. When conservative treatments like warm soaks or antibiotic ointments fail to relieve symptoms, ingrown toenail surgery may become necessary. The procedure involves removing part or all of the nail to prevent further discomfort and infection. It is a simple outpatient treatment that provides lasting relief for those who experience frequent or severe ingrown toenails. Recovery time is usually brief, with most individuals returning to normal activities within a few days. If you have an ingrown toenail, it is suggested that you promptly visit a podiatrist who can offer treatment options and assess the need for  surgery. 

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact one of our podiatrists of Granite State Podiatry Associates. 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 our offices located in Manchester and Bedford, NH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Although gout is more common in adults, children and teenagers can develop it, especially if they have certain medical conditions or a family history. Gout is a form of arthritis caused by high levels of uric acid in the blood, which can form painful crystals in the joints. It often affects the big toe, and can produce excruciating pain. In younger individuals, it may be linked to kidney problems, obesity, or inherited disorders. Symptoms include joint pain, redness, and swelling, often in the big toe. Avoiding gout in children and teens involves maintaining a healthy weight, staying hydrated, and eating a balanced diet that limits high-purine foods such as red meat and sugary drinks. If your child has pain in the big toe, it is suggested that you promptly contact a podiatrist who can accurately diagnose gout, and offer relief and treatment solutions for this painful condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our podiatrists from Granite State Podiatry Associates. Our doctors will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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.