Achilles tendinopathy develops when the Achilles tendon, which connects the calf muscles to the heel bone, becomes irritated from repeated stress or changes in activity. This tendon plays an important role in walking, running, and pushing off the ground. Although it is the strongest tendon in the body, excessive strain may affect its ability to recover properly. Achilles tendinopathy often develops after increased physical activity, especially activities involving repetitive movements. Tight calf muscles and improper footwear may also place additional pressure on the tendon. Over time, this may lead to persistent heel pain and difficulty moving comfortably.

Symptoms of Achilles tendinopathy often include pain, stiffness, and tenderness along the back of the heel or lower leg. Some individuals may also notice thickening around the affected tendon. Discomfort may be more noticeable in the morning or after extended periods of activity. As the problem progresses, pain may develop during walking or running, particularly on hills or uneven surfaces. Ankle stiffness and muscle weakness may also contribute to ongoing discomfort. In more severe cases, the pain may interfere with normal movement or cause a noticeable limp. Recognizing these symptoms early supports timely treatment and helps reduce the risk of continued tendon irritation.

A podiatrist evaluates Achilles tendon pain and identifies factors contributing to the discomfort. During an examination, the podiatrist assesses ankle movement, calf muscle tightness, and foot positioning to better understand the source of the problem. Treatment may involve professionally guided strengthening exercises, adjustments to physical activity, and recommendations for supportive footwear. These approaches focus on reducing excessive strain while gradually improving the tendon's ability to handle movement. Recovery may take several months, depending on the severity of the symptoms and the individual's response to treatment. If you are experiencing persistent Achilles tendon pain or stiffness, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact one of our doctors of New England Foot & Ankle . Our doctors 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 offices located in Wakefield, MA, Nashua and Derry, NH . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

A hammertoe develops when one of the smaller toes stays bent at its middle joint instead of lying flat. This bend resembles an upside-down V. The second toe is affected most frequently, although the third or fourth toe can also develop the deformity. One cause of a hammertoe is a muscle or tendon imbalance that can pull the toe out of its normal position. Other factors include arthritis, an unusually long toe, and poor alignment of the foot joints. At first, the toe may remain flexible and straighten when moved. It can later become stiff and fixed in place.

Symptoms can include pain, swelling, and redness around the bent joint. The raised area may rub against a shoe, leading to a corn or open sore. Pressure beneath the forefoot can also cause pain in the ball of the foot. Some patients have trouble finding comfortable shoes or feel pain while walking. A podiatrist can diagnose hammertoe by examining the foot and checking whether the toe is flexible or rigid. The examination also helps identify joint problems, areas of pressure, and changes in walking. X-rays can show the position of the bones and the condition of the affected joints.

Treatment depends on the bend, the patient's symptoms, and whether the toe can still move. A podiatrist can recommend shoes with a wide, deep toe box to reduce rubbing and pressure. Fitted padding can protect irritated skin, while custom orthotics can improve weight distribution and ease pain. The podiatrist can also monitor corns or sores and provide care to protect the skin. When a rigid hammertoe causes lasting pain or limits activity, surgery can straighten the toe and improve its alignment. Early evaluation can help prevent stiffness and recurring skin irritation. If you have developed a hammertoe, it is suggested that you schedule an appointment with a podiatrist for effective relief and management solutions.

Hammertoes can be a painful condition to live with. For more information, contact one of our doctors of New England Foot & Ankle . Our doctors will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

• Painful and/or difficult toe movement
• Swelling
• Joint stiffness
• Calluses/Corns
• Physical deformity

Risk Factors

• Age – The risk of hammertoe increases with age
• Sex – Women are more likely to have hammertoe compared to men
• Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
• Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.

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

A foot stress fracture is a small crack in a bone caused by repeated stress. It is often called a hairline fracture because the crack can be narrow. Stress fractures often affect the long bones of the feet, called metatarsals. Symptoms include pain, swelling, and bruising. Pain often becomes worse during walking or exercise, and may improve with rest. As the injury progresses, discomfort can occur during activities.

Several factors can increase the risk of developing a foot stress fracture. Running, jumping, and repetitive activities place repeated force on bones. Suddenly increasing exercise intensity can give bones too little time to adapt. Wearing poorly supportive footwear may add stress to the feet. Low bone density, nutritional deficiencies, and previous stress fractures can further increase risk. Changes in foot structure may also create uneven pressure while walking.

A podiatrist will examine the foot and ask when the pain started and what activities make it worse. The examination may include checking for tenderness, swelling, and pain over a specific bone. X-rays may be used, although early stress fractures do not always appear on initial images. Additional imaging tests may be recommended when needed. Treatment focuses on protecting the bone and limiting activities that increase pain. A walking boot or other type of support may be recommended while healing occurs. The podiatrist will monitor progress and guide return to normal activity.

Ignoring a foot stress fracture can allow the crack to become larger and harder to heal. Continuing high-impact activity may prolong recovery. Rest and following your podiatrist's recommendations can help protect the injured bone. Seek care if foot pain persists, especially when swelling, tenderness, or bruising develops without a clear injury. If you have developed a foot stress fracture, it is suggested that you promptly consult a podiatrist who can accurately diagnose and effectively treat this condition.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact one of our doctors from New England Foot & Ankle . Our doctors can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

• Runners                                
• People affected with Osteoporosis
• Tennis or basketball players
• Gymnasts
• High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

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

Chronic ankle instability causes the ankle to repeatedly feel weak, wobbly, or ready to give way. The problem usually affects the outer side of the ankle and can occur while walking, exercising, or simply standing. It frequently begins after one or more ankle sprains. A sprain stretches or tears the ligaments, which are strong bands of tissue that support the joint. When an injury does not heal fully, the ankle can remain loose and poorly controlled. Symptoms include ongoing discomfort, swelling, and tenderness. The ankle may keep turning on uneven ground or while playing sports.

Each new sprain can further weaken or stretch the injured ligaments. This creates a cycle of repeated injury and increasing instability. Damage can also affect balance and the ankle muscles that help control movement. This can limit exercise, work duties, and other daily activities. Without proper care, chronic instability can contribute to cartilage damage and ankle arthritis. A podiatrist will ask about earlier injuries and when the ankle gives way. The examination includes checking swelling, tender areas, and joint movement. The podiatrist may also assess strength and balance. X-rays can reveal bone injuries or arthritis, while other imaging tests can show ligament or cartilage damage.

Treatment depends on the degree of instability, test results, and the patient’s activity level. A podiatrist can provide an ankle brace to support the joint and help prevent another sprain. A guided exercise plan can improve strength, balance, and control. Custom orthotics may improve foot alignment and help the ankle move more steadily. Early evaluation can protect the joint from repeated injuries and support a safer return to activity. If you frequently experience the feeling that your ankle is giving way, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with one of our doctors from New England Foot & Ankle . Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendonitis
• Achilles tendon rupture
• Stress fractures
• Bursitis
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

If you have any questions please feel free to contact our offices located in Wakefield, MA, Nashua and Derry, NH . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

A bunion is a structural deformity of the foot that affects the joint at the base of the big toe. It develops gradually as the big toe shifts inward toward the second toe, causing the joint to protrude outward. This misalignment places ongoing stress on the surrounding bones, ligaments, and soft tissues, leading to discomfort and visible changes in the shape of the foot. Over time, bunions may worsen, particularly if the underlying causes are not properly addressed.

Common symptoms of bunions include persistent pain at the base of the big toe, along with swelling and inflammation in the affected joint. Many individuals also experience a burning or aching sensation, especially after long periods of standing, walking, or wearing restrictive footwear. The skin over the bunion may become red and irritated due to friction against shoes, which can increase discomfort. As the condition progresses, stiffness may develop in the big toe, limiting its range of motion and making everyday activities more challenging.

The primary cause of bunions is prolonged pressure on the big toe joint that gradually forces it out of alignment. Wearing tight, narrow, or poorly fitting shoes is a major contributing factor, as such footwear compresses the toes and increases friction. High-heeled shoes can further worsen the condition by shifting body weight forward onto the forefoot, adding extra strain. In addition, genetic factors and abnormal foot mechanics, such as flat feet or joint instability, can increase the likelihood of developing bunions.

Risk factors include wearing improper footwear, inherited foot structure, and certain biomechanical issues. Early recognition and intervention can help slow progression and reduce symptoms. Wearing supportive, well-fitted shoes and using custom orthotics may relieve pressure on the joint. If a bunion becomes painful or interferes with daily activities, consulting a podiatrist is recommended for appropriate treatment and long-term management strategies.

If you are suffering from bunions, contact one of our doctors of New England Foot & Ankle . Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Podiatrists often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your provider.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• Surgery

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