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Category Archives: Ankle/Foot

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Ankle pain and shoelaces—an unexpected connection

We recently had a patient with chronic insertional achilles tendinopathy and anterior distal tibiofibular joint sprain.  We looked at his footwear and all seemed to fit well. After trying many types of taping techniques (ie mulligan and kinesio taping) with no decrease in his pain. Finally we had him bring in his boots again and […]

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Take a Walk in a Walking Shoe

When running, we typically hit the ground flat-footed, whereas when we walk, our foot hits heel first and then rolls onto the toe. Therefore, the walking shoe is different from the running shoe. Walking shoes are often lighter in weight, with more stability in the heel, a flexible sole and more bend in the toe […]

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Can weak calves and glutes contribute to foot and ankle pain?

YES!  For women with pain caused by posterior tibial tendon dysfunction, there does appear to be a link.   A study in the Journal of Orthopaedic & Sports Physical Therapy in September 2011 found that middle-aged women with mild posterior tibial tendon dysfunction have weakness in the hip extensors, hip abductors and calf  muscles which may […]

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Alleviating Heel Pain with Physical Therapy

Heel pain can be a complex problem, but many times it results just from overuse of the foot.   Heel pain can also result from running, especially with poor form, shoes with insufficient support, a sudden injury to the heel, and physical conditions, such as Achilles tendonitis, plantar fasciitis, a pinched nerve at the back of […]

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What else could heel pain be besides plantar fasciitis?

Although conservative treatment can be quite effective for plantar fasciitis sometimes it can be mistaken for other conditions which include: Tarsal tunnel syndrome Lateral plantar nerve entrapment Calcaneal nerve entrapment Lumbar radiculopathy The classic symptoms of plantar fasciitis include: Acute pain with first steps in am Pain after walking or standing for extensive periods Climbing […]

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Does the Right Footwear Prevent Injuries?

Because your feet are subjected to nearly a million pounds of pressure during an hour of strenuous exercise, proper footwear is important to cushion these loads. For this reason, shoe companies and medical professionals have recommended wearing specific types of footwear to prevent injuries. It would be nice if the right shoe could really protect […]

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Medial Sprain: A Pain in the Ankle

Ankle sprains are one of the most common orthopedic injuries. In fact, more than 20,000 ankle sprains occur each day in the United States. Medial ankle sprains occur when the ligament located on the inner, or medial, side of the ankle is severely stretched or torn. Such injuries account for a small portion of sprains, […]

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Avoiding Repeated Ankle Sprains with Wobble Board Training

You may have sprained your ankle several times during the past year and often feel a sensation of weakness, as though you are in danger of spraining it again. When you have had one sprain, other sprains may follow, indicating the presence of a condition called chronic ankle instability. Is there a way to make […]

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Plantar Fasciitis: Healing the Heel

If the back of your foot aches, you are not alone. The most common cause of heel pain is a condition called plantar fasciitis, which causes a pain that begins under the heel and radiates into the arch.Plantar fasciitis involves an irritation of the plantar fascia, a band of connective tissue that runs from the […]

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Insertional Achilles Tendinopathy Eccentric Treatment Protocol

A quick update for patients with this type of tendinopathy using a eccentric treatment plan as described by the researcher Alfredson.  The success rate of this type of  eccentric treatment program is less successful typically for insertional tendinopathies as compared to mid-portion tendinopathies.  If you are not having success or are just starting with the […]

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