March 2024

Common diagnostic tests for foot and ankle pain encompass a variety of methods aimed at identifying the underlying cause of discomfort and informing appropriate treatment strategies. X-rays are often the initial imaging choice, providing detailed views of bones to detect fractures, arthritis, or bone abnormalities. Magnetic Resonance Imaging, or MRI, offers more comprehensive images, particularly useful for soft tissue injuries, such as ligament tears or tendon damage. Ultrasound scans provide real-time imaging and are effective for assessing soft tissue structures like tendons and ligaments. CT scans may be used to visualize complex fractures or detailed bone structures. Additionally, diagnostic procedures like electromyography, EMG, and nerve conduction studies, NCS, help assess nerve function, aiding in the diagnosis of conditions like peripheral neuropathy or nerve compression syndromes. Physical examination techniques, including range of motion tests and palpation, complement these diagnostic tests, providing valuable insights into the source of foot and ankle pain. If you have foot or ankle pain, it is suggested that you make an appointment with a podiatrist who can examine you and conduct tests necessary to properly diagnose and treat you.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Deborah Holte, DPM from Northeast Missouri Foot Clinic. Our doctor 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 office located in Kirksville, MO . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Achilles tendonitis, an inflammation of the Achilles tendon, disrupts the smooth functioning of the tendon connecting the calf muscles to the heel bone. Contributing factors include tight calf muscles and excessive running up and down hills. Sudden increases in exercise intensity or duration of activity and wearing improper footwear, such as stiff-soled shoes or high heels, are other causes of Achilles tendonitis. Athletes engaging in activities that involve repetitive jumping or sudden stops or starts are particularly prone to overuse injuries like Achilles tendonitis. The main symptom is pain along the tendon, especially near the heel. Other signs of Achilles tendonitis can include swelling, warmth, and tenderness over the affected area. Difficulty rising on the toes or pushing off while walking, in addition to morning heel pain accompanied by ankle stiffness are further indicators. Recovery for Achilles tendonitis typically includes anti-inflammatory medication, rehabilitation exercises, and use of walking boots or casts for immobilization. If you are experiencing symptoms of Achilles tendonitis, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and personalized treatment.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Deborah Holte, DPM of Northeast Missouri Foot Clinic. Our doctor 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 office located in Kirksville, MO . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Cuboid syndrome is a prevalent source of lateral midfoot discomfort in athletes. It is thought that it might happen when there's a small problem with the joint in the middle of the foot. Symptoms closely resemble those of ligament sprains. Definitive diagnostic tests for the condition are currently unavailable. However, some studies show good responses to joint manipulation and external support. Despite the absence of evidence-based guidelines, diagnosing cuboid syndrome often relies on recognizing a combination of signs and symptoms. Manipulation of the cuboid is typically considered as an initial treatment option unless contraindicated. If you are an athlete and have persistent pain in your midfoot area, it is suggested that you make an appointment with a podiatrist to have your foot examined and a determination made as to whether cuboid syndrome might be the cause. Then, you can get the right treatment.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Deborah Holte, DPM from Northeast Missouri Foot Clinic. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

• Injury – The most common cause of this ailment is an ankle sprain.
• Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
• Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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

Childhood obesity exerts a significant toll on foot health, with excess weight placing immense pressure on the feet, leading to structural changes like flat feet and pronation. This alters biomechanics and increases the risk of painful conditions such as plantar fasciitis and stress fractures. Childhood obesity can also delay skeletal development, causing abnormalities and leg length discrepancies. Foot pain and discomfort are common among overweight children, hindering physical activity and increasing the likelihood of further weight gain. Encouraging children to engage in low-impact exercises, like swimming or cycling, can alleviate pressure on the feet while promoting overall fitness. Custom-made orthotics can redistribute pressure, enhance shock absorption, and improve alignment, reducing the risk of injuries and alleviating discomfort. If your child is overweight and experiences foot or ankle pain, it is suggested that you schedule an appointment with a podiatrist for treatment options.

Obesity has become very problematic at this point in time and can have extremely negative effects on the feet. If you’re an obese individual and are concerned about your feet, contact Deborah Holte, DPM from Northeast Missouri Foot Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

Obesity and Your Feet

Since your feet are what support your entire weight when standing, any additional weight can result in pain and swelling. Being overweight is one of the main contributors to foot complications.

Problems & Complications

Extra Weight – Even putting on just a few extra pounds could create serious complications for your feet. As your weight increases, your balance and body will shift, creating new stresses on your feet. This uneven weight distribution can cause pain, even while doing the simplest tasks, such as walking.

Diabetes – People who are overweight are at serious risk of developing type-2 diabetes, which has a drastic impact on the health of your feet. As you get older, your diabetes might worsen, which could lead to loss of feeling in your feet, sores, and bruises. You could also become more prone to various infections.

Plantar fasciitis – Pressure and stress that is placed on muscles, joints, and tendons can trigger plantar fasciitis, which is an inflammation of tissue that forms along the bottom of the foot. 

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