December 2022

Ankle foot orthotics are shoe inserts that offer support to control the placement and movement of the ankle, correct deformities, and compensate for weakness. These inserts are used to stabilize the foot and ankle and provide toe clearance during the swing phase of gate.

Athletes often suffer foot problems because their feet are not being supported within the shoe. Ankle and foot orthotics are custom made inserts that alleviate stress on the foot. However custom orthotics should be prescribed by a podiatrist who specializes in customized footwear and orthotics design. These inserts are used by athletes for different reasons. Runners use orthotics to absorb shock at heel contact and to set up the forefoot for push-off. Basketball players wear them to control their forefeet while jumping and running.

The two main types of orthotics are over-the-counter orthotics and custom-made orthotics. To be eligible for custom orthotics, an examination of the foot and ankle will need to be completed. Afterward, both the foot and ankle will need to be casted and fitted for the proper orthotic. When the fitting process is complete, adjustments can be made to make sure everything fits perfectly.

Over the counter orthotics tend to be more popular than custom fit ones. Athletes who have less severe aches and pains in the foot, ankle or lower back area can use the over-the-counter version of orthotics. Unfortunately, over-the-counter orthotics tend to not work in treating severe injuries or ailments. Whenever you suspect you may need an ankle foot orthotic, you should consult with your podiatrist to determine which type of orthotic is right for you.

There are several systemic diseases, or diseases that affect the whole body, that either display symptoms in the feet or affect the health of the feet. Common systemic diseases that affect the overall health of the feet, and the patient’s ability to walk comfortably, include gout, diabetes mellitus, neurological disorders, and arthritis, among others.

In gout, which is caused by an excessive buildup of uric acid in the body, the most common symptoms of pain, inflammation, and redness occur at the metatarsal/phalangeal joint at the base of the big toe. Any excess levels of uric acid crystallize and are deposited in tendons, joints, and surrounding bone and muscle tissue. Gout is commonly treated with NSAIDs to relieve pain and inflammation and other drugs to lower uric acid levels in the body. Gout most commonly affects those who are overweight, have low protein diets and lead a more sedentary lifestyle.

Diabetes mellitus is an increase in the level of blood sugar in which the body cannot counteract with naturally occurring insulin in the body. The three types of diabetes, Type I, Type II and Gestational Diabetes, are all signs the body is either not producing enough insulin or is not efficiently using the insulin that is produced. Gestational diabetes only affects women who are pregnant and have never, prior to pregnancy, exhibited symptoms of the disease.

There are two main issues that affect the feet that are commonly caused by diabetes. They include diabetic neuropathy and peripheral vascular disease. Diabetic neuropathy can lead to damaged nerves and affect the feet through numbness and loss of sensation. Peripheral vascular disease restricts the flow of blood to the foot and can, in extreme cases, lead to the necessity of amputating the foot. Peripheral issues that are caused by diabetes and can affect the foot include athlete’s foot, nail infections, corns, blisters, bunions, severe dry skin, plantar warts and ingrown toenails. These can all be attributed to the decrease of blood flow to the foot.

Neurological disorders and rheumatoid arthritis can also have severe impact on the health of the feet. Neurological disorders can affect the nerves in the main structure of the foot and cause loss of sensation and possible decreased muscle response. Rheumatoid arthritis can affect the bones and joint structures of the foot, making it impossible to walk normally without serious pain.

All systemic diseases that affect the foot can effectively be treated to minimize joint and muscle damage if they are diagnosed early and treated with medication and lifestyle therapy. Diabetes patients must monitor their blood sugar levels and work with their physician to keep their levels as close to normal as possible. Rheumatoid arthritis patients should work with their physician to ensure the proper medications are being taken to reduce the amount of damage to the joints of the body.

When it comes to taking care of our health, we often think about diet, exercise, and regular doctor visits. However, one key area that’s frequently overlooked is foot health. Our feet carry us through life—literally—and their condition has a significant impact on our overall well-being. Ignoring foot health can lead to discomfort, pain, and even affect mobility and quality of life.

In this blog, we’ll discuss why foot health is so essential and share some tips on how you can keep your feet in top shape.

The Importance of Foot Health

Your feet are the foundation of your body, supporting your weight and helping you move around. Any issues with your feet, whether it’s pain, discomfort, or deformities, can have a ripple effect on your overall health. Here’s how:

1. Foot Pain Affects Mobility

Foot pain caused by conditions such as plantar fasciitis, bunions, or heel spurs can make walking or standing difficult. This pain can limit your ability to exercise, perform daily tasks, and enjoy life to the fullest. Reduced mobility can lead to weight gain, loss of muscle tone, and even joint problems due to changes in the way you walk.

2. Foot Issues Can Indicate Underlying Health Problems

Sometimes, foot problems are a sign of more serious health conditions. For example, diabetes can cause neuropathy (nerve damage) in the feet, leading to reduced sensation and poor healing of wounds. Circulatory issues may also present as cold or discolored feet. Taking good care of your feet can help you detect and manage these larger health concerns.

3. Posture and Balance

Your feet are crucial for maintaining balance and proper posture. Misaligned feet, whether due to flat arches or other structural issues, can cause your body to compensate, leading to pain in the knees, hips, and lower back. Poor foot health can disrupt your body’s overall alignment, which impacts everything from how you walk to how you sit.

Tips for Maintaining Healthy Feet

Now that we understand the importance of foot health, let’s look at a few easy ways to keep your feet in good condition:

1. Wear Proper Footwear

Shoes that fit well and provide the right support can prevent many foot problems. Choose shoes that match the activity—whether it’s running, walking, or standing for long periods. Avoid wearing shoes that are too tight or high heels that can lead to foot deformities like bunions or hammertoes.

2. Practice Good Hygiene

Regularly washing your feet, trimming your toenails, and moisturizing dry areas can go a long way in maintaining healthy feet. Make sure to dry your feet thoroughly, especially between the toes, to prevent fungal infections like athlete’s foot.

3. Inspect Your Feet Regularly

Take the time to check your feet for any signs of problems, such as blisters, cuts, or changes in skin color. If you notice anything unusual, like persistent pain or swelling, it’s important to see a foot specialist before the issue worsens.

4. Stretch and Exercise Your Feet

Like any other part of the body, your feet need exercise to stay strong and flexible. Simple exercises, such as toe curls or stretching the Achilles tendon, can help prevent foot problems and improve your balance and flexibility.

5. Maintain a Healthy Weight

Excess body weight puts extra stress on your feet, which can lead to issues like plantar fasciitis or arthritis. By maintaining a healthy weight, you can reduce the pressure on your feet and lower your risk of developing foot pain or injuries.

When to Seek Professional Help

If you’re experiencing ongoing foot pain, discomfort, or notice any abnormalities, it’s important to consult a podiatrist. At Cascade Foot & Ankle, our team of foot health specialists offers comprehensive care for all types of foot and ankle conditions. Whether you’re dealing with heel pain, ingrown toenails, or a sports-related injury, we’re here to help you get back on your feet.

Don’t wait until a small issue becomes a big problem—contact us today to schedule an appointment and ensure your feet stay healthy and strong.

Ankle sprains occur when ligaments that support the ankle stretch beyond their limits and tear. These types of injuries are very common and can occur in people of all ages. Sprains may range from mild to severe, depending on how much damage is done to the ligaments. If a sprain goes untreated, a more severe sprain may occur which can further damage the ankle. Repeated ankle sprains can lead to chronic ankle pain.

There are some risk factors that can increase your risk of suffering a sprained ankle. Those who participate in sports, walk on uneven surfaces, have a prior ankle injury, are in poor physical condition, or wear improper shoes are more likely to get a sprained ankle.

There are a few symptoms to look out for if you suspect you are suffering from a sprained ankle. Some common symptoms are swelling, bruising, tenderness, and instability of the ankle. In cases where the tearing of the ligaments is severe, there may be a “popping” sound when the strain occurs.

The RICE method is proven to be effective in treating ankle sprains. RICE stands for Rest, Ice, Compression, and Elevation. Rest is important for treatment, especially within the first 24 to 48 hours. You should also ice your sprained ankle for the first 48 hours for 20 minutes at a time. A small piece of cloth should be placed between the ice and the affected area. For the compression step, you should wear a brace that is snug, but not too tight that it cuts off circulation. When choosing a brace, be sure to choose one that is suitable for the type of ankle sprain you have. Lastly, you should elevate your foot above the heart as often as possible.

After you treat a sprain, you should go through rehabilitation to prevent the injury from occurring again. There are three phases to the rehab process. The first phase involves resting, protecting, and reducing the swelling of the injury. The second phase consists of restoring the ankle’s flexibility, range of motion, and strength. The third phase consists of slowly returning to activity and maintenance exercises.

If you suspect you have an ankle sprain, you shouldn’t hesitate to consult with your podiatrist. Your podiatrist will be able to give you a proper diagnosis and a suitable treatment option for your condition.

Foot and ankle injuries are common among people who participate in sports. Several factors contribute to this. They include failing to stretch or warm up properly, not wearing the proper type of shoe and not taping or providing other types of support for the ankle or foot. The most common foot and ankle injuries suffered by people involved in sports are plantar fasciitis, ankle sprains and Achilles tendon damage or ruptures. If not treated properly, they can lead to permanent disability.

Treating these injuries is relatively simple if they are identified and addressed early. Many athletes dismiss the initial aches and pains associated with injury as just soreness or tired muscles. Their first response is usually to try to work through it. This can lead to serious problems. Many minor injuries are made far more serious when athletes continue to put strain and pressure on them. That attitude can change a mild strain into a serious strain and a minor tear into a rupture. Athletes should have unusual aches and pains evaluated by a skilled medical professional.

Plantar fasciitis is a painful injury. It is inflammation of the plantar fascia, the thick band of tissue running from the heel to the base of the toes. If left untreated, it can lead to a degenerative disease called plantar fasciosis. There are several effective treatments for this ailment. Doctors often prescribe rest, massages, stretching, night splints, physical therapy, anti-inflammatory medication, corticosteroids or surgery, usually in that order. The most effective treatment for plantar fasciitis is orthotics, which offers foot support. Surgery is occasionally used as a last resort, but it comes with the risk of nerve damage and infection and often does not stop the pain.

The Achilles tendon is the largest tendon in the body. It connects the calf muscles to the heel bone. Running, jumping and walking all impact this tendon. Two common injuries to the Achilles tendon are tendonitis and a rupture of the tendon. Tendonitis is inflammation in the tendon often caused by an increase in the amount of stress placed on it. Non-surgical treatments include rest, ice or anti-inflammatory medication.  A rupture (tear) of the Achilles tendon can be treated by placing the lower leg in a cast for several weeks or with surgery. Many physicians feel surgery is the better option because it lowers the risk of re-ruptures. Both methods require 4 to 6 months of rehabilitation.

Ankle sprains are the most common sports related foot and ankle injury. A sprain occurs when the ligament holding the ankle bones and joint stretches beyond its normal range. It can be treated non-surgically with a combination of rest, ice wrapped around the joint for 30 minutes immediately after injury, compression by a bandage and elevating the ankle above the heart for 48 hours. This combination is referred to as RICE. Severe ankle sprains in which the ligaments are torn may require reconstructive surgery followed by rehabilitation.