FAQ

What is the proper way to care for my feet if I have diabetes?

Diabetes touches every area of your body, including your lower limbs. Elevated sugar levels damage your blood vessels, which in turn hurts the organs, nerves, and other tissues throughout your body. Your feet are one of the first places to feel the effect, and remain at high risk for sustaining serious complications as result.

A diabetic foot involves some degree of nerve damage and an increased risk of infection, so you need to take extra precautions to protect and clean your feet. Inspect your feet every day, and seek care as soon as possible if you do get a foot injury. A yearly check-up with your podiatrist here at Martin Foot and Ankle helps ensure you stay on track with your basic foot health, as well as look for any issues that you may not have noticed.

Most people can prevent a serious foot problem by following some simple steps:

• Be more active. Exercise regularly to help improve blood flow to your lower limbs.
• Keep the blood flowing to your feet. Put your feet up when sitting. Wiggle your toes and move your ankles several times a day. Don't cross your legs for long periods of time.
• Protect your feet from extreme hot and cold. Wear shoes at the beach or on hot pavement. Don't put your feet in hot water without testing it first. Never use hot water bottles, heating pads, or electric blankets. It’s easy to burn your feet without realizing it.
• Wear shoes with sufficient padding and support.
• Don’t walk around barefoot. Use shoes or slippers to act as protection between you and objects that could cut or irritate your feet and lower limbs.
•  Don’t smoke or consume too much alcohol. That can have a negative effect on your circulation that your body can’t afford.

Make sure you gently wash and dry your feet every day:

• Use warm - not hot - water to wash.
• Use a mild soap and pat the feet dry, rather than rubbing.
• Take the opportunity to check for problems you may not feel, like cuts, bruises, sores, lumps, bumps, distortions or discolorations in the skin or nails, or any other unusual changes.
• Use a mirror, or ask someone to help, to check the bottom of your feet, too.

When you care for your feet, you should always remember to:

• Clip your toenails straight across, so the edges are left intact.
•   Use a lotion or ointment to keep your skin moist. Don’t apply lotion between toes.

If you do notice any changes, or you experience any discomfort in your lower limbs, contact Martin Foot and Ankle immediately. That way any problems that do arise can be addressed before they have a chance to get out of hand.

If you have diabetes, you need to be intentional and work with a health team - like you’ll find here at Martin Foot and Ankle - to monitor and manage your health and your foot-related symptoms. Visit our contact page or call us at (717) 757-3537 for more information or to schedule an appointment at our York, Hanover, Lititz and Lancaster podiatry offices.

Why won’t wounds on my feet heal?

There are several reasons an open wound or sore on your foot isn’t healing.

By far the most common underlying problem preventing a foot wound from healing is poor circulation. When blood flow to your feet is reduced, your tissues don’t get as much oxygen. Cell metabolism slows down, which reduces your body’s ability to close the wound and fight off infection.

Foot wounds are commonly associated with diabetes, since slow circulation is a very common diabetic complication. However, other risk factors include smoking, high blood pressure, high cholesterol, obesity, age, and even certain medications.

If a wound won’t heal, it’s important to get professional treatment immediately. Otherwise, you risk contracting an infection that could spread and ultimately require an amputation. To schedule your appointment with Martin Foot & Ankle, please call (717) 757-3537 today.

How important is my yearly diabetic foot exam?

Trust us: you don’t want to skip your yearly diabetic foot exam!

The biggest threats to long term foot health among those with diabetes are nerve damage (peripheral neuropathy) and circulatory problems (peripheral arterial disease). Although the “immediate” cause of a diabetic ulcer might be a specific cut or injury, neuropathy and circulatory problems are what make small injuries so potentially devastating in the first place.

Diabetic Foot Exam
Neuropathy and peripheral vascular disease are tricky for a couple of reasons. First, they develop and progress slowly over time, and second, they are very difficult (if not impossible) to reverse. Treatment is focused mostly on managing symptoms and keeping them from getting worse. By the time you notice them, you can stop the ship, but it may be too late to fully change course.

Yearly diabetic exams allow us to test for neuropathy and circulatory problems to stop them in their tracks as early as possible, before they have a chance to severely impact your life. We can also help you correct contributing foot problems and manage risks by helping you with shoes, corns and calluses, foot pain, and other issues.

If it’s time—or past time—for your yearly diabetic foot exam, don’t wait any longer! Pick up the phone and connect with Martin Foot & Ankle today at (717) 757-3537.

How is my physical therapy progress measured?

During your first visit to Martin Foot & Ankle, you’ll spend about 60-75 minutes one-on-one with a physical therapist. In that time, your therapist will ask you to perform various tasks and exercises to complete a thorough evaluation of your lower extremity function. This establishes baseline measurements in areas such as strength, range of motion, balance, and more.Measuring Progress From Physical Therapy

After that, we spend time discussing these result with you in detail—along with why you’re getting those results and what you need to do to improve them. At this time you and your therapist will set a list of goals, and your therapist will put together a program to help you get there.

In subsequent sessions, your progress will be measured against the baseline evaluation from your first appointment, as well as your progress toward achieving your personal goals.

If you have an injury or other limitation preventing you from reaching your activity goals, talk to the licensed professionals at Martin Foot & Ankle. Give us a call today at 717-757-3537, or fill out our contact form online.

What should I wear to my physical therapy visit?

When you come to physical therapy for your lower limbs, you know you’re going to be moving, stretching, and exercising. Your physical therapist also needs to be able see how your muscles, tendons, and joints are moving and interacting so that he or she can evaluate your level of function.

There’s no specific dress code, but stick to these guidelines when deciding what to wear for physical therapy:

Wear comfortable, loose-fitting clothing that allows you to move freely. You don’t want tight or heavy materials restricting your range of motion.
Stick with shorts, or at least loose exercise pants that can comfortably expose your lower leg (all the way up to the knee).
Choose exercise-appropriate sneakers that comfortably support and cushion your feet. Flimsy flats are a no-go.
For more information on what to expect from physical therapy, or to schedule an appointment, please call Martin Foot & Ankle at (717) 757-3537 or complete our online contact form.

How long should my child rest before returning to activities?

In the case of children's sports injuries to the foot and ankle, it is always wise to follow the advice of your podiatrist in determining when it is best to begin returning to activities. In some cases, trying to resume activity to soon can result in re-injury and chronic pain or weakness. It might also be essential to resume activity slowly or after physical therapy to condition the bones and muscles back to their prior strength.

In more minor cases, however, a child should maintain rest of an injured foot or ankle until he or she is able to demonstrate that they can resume activities without pain, and no sooner. The child should be able to walk and run without any sense of pain or showing any form of a limp.

The doctors at Martin Foot and Ankle are happy to advise you on your child’s recovery. Call (717) 757-3537 to schedule an appointment at our offices in Hanover, Lancaster, Lititz, or York.

Why does my ankle give out when I walk?

Ankle instability often arises after someone sustains an injury to the ankle. Although an injury may feel healed, there may still be some permanent damage to the ligaments and/or nerves surrounding the joint. This may happen if the injury does not fully heal or if the area has not been properly rehabilitated. In other cases, it may happen regardless of best treatment and practices. When an ankle is more likely to give out, the chances of further injury increase, which can lead to further instability and pain down the line. If an ankle has not suffered from any injuries in the past, other neuromuscular conditions might be responsible.

If you are suffering from ankle instability, there are ways to help support and strengthen the joint. Contact the experts at Martin Foot & Ankle by calling (717) 757-3537. Our four offices in Hanover, Lancaster, Lititz, and York are ready to help.

Why does it feel like I have a pebble in my shoe?

The feeling of a pebble or a bunched up sock can be a symptom of a Morton’s neuroma. This condition is defined by the swelling and thickening of tissue surrounding one of the nerves leading to a toe. The most common site for a neuroma in the foot is between the third and fourth toes. The swelling is typically located where the nerve passes beneath the ligament connecting all the toe bones in the forefoot. Any kind of irritation, trauma, or excess stress in that location can lead to the neuroma developing.

In addition to the annoying feeling of walking on something, a neuroma may cause a burning or sharp pain within the ball of the foot. The toes might also become affected with burning or stinging pain, or even numbness. There usually isn’t any sort of visible sign (lumps, bumps, etc.), however.

If pain in the ball of your foot is making movement a bother, the doctors at Martin Foot and Ankle are the experts in treatments for neuroma and other sources of foot discomfort. Call (717) 757-3537 to schedule an appointment in one of our offices in Hanover, Lancaster, Lititz, or York.

Should I apply heat or ice to a child’s foot injury?

Heat or ice for an injury is a question that has prevailed through the ages, but both have their benefits for your child in certain situations.

Cold constricts blood flow by narrowing blood vessels. This makes it an effective tool for helping to reduce inflammation from your child’s foot injury within the first day or so of it occurring. Allowing inflammation to run unabated will increase pain and swelling, which makes it more miserable for your child. A good way to tell if an injury can benefit from ice is whether it feels overly warm to touch. Heat is a sign that inflammation is ongoing.

Heat therapy on the other hand, increases blood flow. It tends to be most effective after inflammation begins to decrease and nutrients can be brought in to help the healing process.

Sometimes, however—and especially with children—you’ll want to go with what feels better for them. If ice continues to keep them happy after a few days, let them continue with it. Just make sure not to expose their skin to either extreme of temperature for too long. For advice on home treatment and pain relief, the doctors at Martin Foot and Ankle can help. Contact our offices in Hanover, Lancaster, Lititz, and York, PA by calling (717) 757-3537.

How long does Achilles tendinitis take to heal?

Recovery times for Achilles tendinitis vary depending upon the severity of the injury. It is possible for this recovery time to take up to several months. If a cast is needed to immobilize the injury, the cast may be needed for up to 10 weeks, and that doesn’t include further recovery once the cast is off.

What needing full recovery time does not mean, however, is having to forgo activity entirely during this period. Certain low-impact activities can still give your body a workout without aggravating your Achilles tendon, such as swimming or cycling. What is crucial is that a return to full activity is not started until we have recommended doing so, since pushing the tendon too hard after injury can cause even worse or chronic problems down the line.

At Martin Foot and Ankle, our foot doctors know all about sports injuries and proper rehabilitation. Contact our offices in York, Hanover, Lancaster and Lititz, PA to set up an appointment with a podiatrist by calling (717) 757-3537.

Why does the ball of my foot hurt?

Ball of foot pain is sometimes referred to as “metatarsalgia” because it exists near the metatarsal bones of the foot. There are multiple reasons why one might have metatarsalgia, many of which deal with the ways weight and force are being applied to the foot. An abnormality in the shape of the foot, such as hammertoes, flat feet, or an overly long metatarsal bone, can place excess stress on the region. A breakdown of the fatty tissues that cushions the ball of the foot might also be contributing to the problem.

If pain comes with the feeling of walking on something such as a pebble, it is more likely that a neuroma is to blame. This is a thickening of nerve tissue between the toes, often due to tight shoes or, once again, abnormalities in foot shape.

Pain in the ball of the foot is not something to ignore. The doctors at Martin Foot and Ankle can get to the source and provide expert treatment to avoid potentially worse problems down the line. Contact our offices in Hanover, Lancaster, Lititz, and York by calling (717) 757-3537.

How can I avoid blisters on my feet?

To avoid blisters on your feet, you need to eliminate problem friction areas that may occur. The top priority is almost always to ensure that your shoes fit properly and are made for the activities you’re engaged in. They should also hold up to the conditions you might face, especially moisture. Feet that have to spend the day in wet shoes are more likely to develop blisters.

When it comes to socks, ones with moisture-wicking properties are ideal for blister prevention. Some people find wearing two pairs of socks can help avoid problems during activities such as long-distance running, but you might need to try different things off and on to find the most comfortable setup for you. You might also try special friction-reducing patches or simple paper tape to provide a barrier in high-friction areas. If you still receive blisters and want to ward off infection, then it’s worth a call to the doctors at Martin Foot and Ankle. Reach our offices in York, Hanover, Lancaster and Lititz, PA by calling (717) 757-3537.

What causes Achilles tendinitis?

The Achilles tendon can become inflamed when the tissues are irritated and overworked. Causes of Achilles tendinitis include:

• Aging – the tissues in our bodies begin to deteriorate and weaken with age, making them more prone to injury
• Repetitive strain – activities that put them under a lot of strain, like running long distances, doing an intense workout with lots of jumps, or walking long hours at work
• Unaccustomed activity –not used to doing much, and then playing a wild game of flag football or other intense activity on the weekend
• Worn-out shoes –footwear no longer supports your feet properly, stressing your Achilles.
• Arch type – particularly, a flat arch that leads to overpronation increases your risk, as do tight calf muscles.
• Bone spur – an abnormal growth of bone at the back of the heel that irritates the Achilles

If you have any of these risk factors and notice pain behind your ankle, come in to Martin Foot and Ankle sooner rather than later to have us check it out. Call (717) 757-3537 to set up an appointment with one of our foot doctors at our York, Hanover, Lancaster and Lititz, PA office today.

Can kids get bunions?

Although occurring much less frequently than in adults, bunions in children can be more common than you might think. While high heels and other tight shoes often get a share of blame for causing the deformity, it is often abnormal foot characteristics inherited down the family line that are the main underlying culprits. Ill-fitting shoes just tend to increase the risk of pain and swelling in the affected joints. Girls ages 10-17 are most likely to suffer from these painful bumps than any other young demographic, but boys are not immune from it, either. Having flat feet also increases the likelihood of the deformity developing.

If your child is dealing with a painful, shifting joint, it’s always best to have it addressed sooner rather than later. The doctors at Martin Foot and Ankle can provide a thorough exam and discuss with you the best options for managing the condition—whether conservative or surgical. Our offices in York, Hanover, Lancaster and Lititz, PA are open for you. Call us at (717) 757-3537 to schedule an appointment.

Is it OK to pop a blister?

Since a blister is a natural means of protection for the underlying skin as it heals, it is best not to pop one if it isn’t causing any problems. If, however, the blister is large, painful, or on a spot of the foot where it’s likely to get irritated or tear on its own, it may be better to carefully lance the blister yourself. For example, a blister on the side of the foot should not be bothered if it’s not rubbing against your footwear. One on the bottom of the foot, however, will likely become irritated through walking and should more likely be dealt with.

To safely pop a blister, first wash your hands and the area thoroughly. Then use a sterilized needle or razor blade to make a small hole and gently squeeze the fluid out. Do not remove the protective skin, but apply an antibiotic ointment or cream. NEVER try to drain a blister if you have diabetes, a weakened immune system, or suspect infection. Let the doctors at Martin Foot and Ankle handle these cases instead. Call us at (717) 757-3537 to speak with our offices in York, Hanover, Lancaster and Lititz, PA.

Can anything besides football cause turf toe?

Although the commonly used term for a big toe sprain is “turf toe,” that does not mean the injury is only limited to football or even turf-based activities. The most frequent cause of this injury is having the foot planted and fixed on the ground while the big toe is forced into a hyperextended (or in other words, very bent) position.

The composition of artificial turf and the type of athletic shoes commonly worn on it make the risk of a sprain on that surface relatively higher, but this injury can also be experienced in runners, dancers, and participants in many other activities and sports that involve quick planting and moving of the feet.

Whether you have hurt your toe on turf or some other way, the doctors at Martin Foot and Ankle will help you find relief and the safest route to a quick recovery. We can also help you rehabilitate an injured foot or ankle back to proper playing strength. Our offices in York, Hanover, Lancaster and Lititz, PA are open for you. Call us at (717) 757-3537 to schedule an appointment.

How fast can I recover from bunion surgery?

Recovery times for bunion surgery can vary depending on which of the many different types of procedures is performed. In general, any sutures resulting from a surgery tend to be removed about 2 weeks following the surgery. Further care is often needed for 6-12 weeks afterward, usually taking the form of changing dressings or using a brace to hold and protect the foot. If there are pins in the foot, they usually come out in 3-4 weeks, but might remain for up to half a year.

Some surgical procedures demand that no weight be placed on the foot for up to 8 weeks. Partial weight is then placed on the foot for a period, using a special shoe or boot to keep the foot from moving too much.

For further advice on bunion surgery and other options for bunion management, call the doctors at Martin Foot and Ankle. Reach our offices in York, Hanover, Lancaster and Lititz, PA by calling (717) 757-3537.

Can I run with shin splints?

Although there might possibly be some cases where a restricted running regimen is all right, we highly recommend for you to stop running when suffering from shin splints. The muscles, tendons and bone tissue that has been stressed and injured through overwork needs time to recover, and continuing the activities that likely led to this stress has a real danger of making things progressively worse.

Running should only be resumed upon the advice of an expert. In the meantime, there are other exercises that can keep one busy and fit while taking stress off healing areas. Swimming, biking and other low-impact exercises are recommended. If you need help knowing when to get back on track and how to best keep your performance up in the meantime, give the experts at Martin Foot and Ankle a call. Reach our offices in York, Hanover, Lancaster and Lititz, PA by calling (717) 757-3537.

Is it possible to sprain your toe?

It is possible to sprain just about every movable joint in the body, and that includes those in the toes. A toe sprain can occur after jamming the toe against an object, landing awkwardly after a jump or fall, or the toe being bent back by force.

Sprains are commonly seen around the big toe joint and can go by the term “turf toe.” This is because it can frequently be seen in athletes who play football, soccer, and other sports that take place on artificial turf. Many times, the foot is planted against the turf, where it can remain flat before pushing off or falling forward. In either case, the force can be enough to injure the ligaments around the joint. Although “turf toe” has become the common name, it is not uncommon for a big toe sprain to occur in other activities such as running, dancing, and climbing as well.

A sprain of the toe can often be treated effectively at home, but it’s still important to have your injury checked out by an expert to ensure there isn’t excessive damage. Contact the doctors at Martin Foot and Ankle Institute in York, Hanover, Lancaster and Lititz, PA by calling (717) 757-3537.

How are bunions treated?

Although the possibility of surgery is often on the forefront of most people’s minds, a majority of bunions can be treated without the need to go under the knife. Conservative treatment does not involve eliminating the bony protrusion, but instead relieving its pain and the pressure that can be forced upon it. Effective methods may involve the use of special shoes or custom orthotics to redistribute weight, the prescription of medications to relieve pain, or the application of padding, taping, or splints to protect the bunion against pressure or irritation.

If these measures do not help, then surgery becomes a consideration. Bunion surgery comes in many different forms, involving tendon repair, removal of damaged joint surfaces, or full joint realignment. The specific type of surgery recommended for you will depend on your specific case and functional needs.

The doctors at Martin Foot and Ankle can provide their expert advice on how to approach your joint treatment. Dial (717) 757-3537 to schedule an appointment with one of our offices in York, Hanover, Lancaster and Lititz, PA. 

Are there exercises to improve my balance?

Strength and endurance both play important roles in maintaining one’s balance, so there are most definitely exercises that can focus on building a stable foundation and preventing falls.

We invite anyone who wishes to improve their balance to take advantage of the Wellness Program we have at Martin Foot and Ankle. We provide effective programs personally tailored by our physical therapists to address your fitness level and needs. Once your program has been established, you can pursue it at your own pace. Our York location is semi-supervised and you never need an appointment to attend. Just show up whenever we’re open! We also use simple equipment to make the program easy to pick up from the comfort of your own home, if you wish.

Our Wellness Program is $45 per month with no fees, contracts, or limits to monthly visits. For more information, please give us a call at (717) 757-3537.

What foods cause gout attacks?

Foods that are high in purines, which are a type of protein, can contribute to gout flare-ups. Part of gout prevention is limiting or entirely avoiding these high-risk foods. Meat tends to be very high in purines. Red and organ meats are some of the worst for gout. Certain types of seafood, like anchovies, herring, sardines, mussels, scallops, trout, haddock, mackerel, and tuna, have high purine levels and should be avoided as well. Even some poultry, especially goose, should be keep to an absolute minimum. Beer and other types of alcohol may trigger a gout attack, so they are best avoided. A few types of vegetables have a degree of risk as well—cauliflower, lentils, green peas, mushrooms, and spinach in particular. However, in moderate quantities, these vegetables are usually fine.

Instead, eat more complex carbohydrates like fruits, vegetables, and whole grains. Vitamin C and cherries appear to have positive effects that reduce your risk of gout, so consider adding them to your regular diet. Let Jeffrey A. Dunkerley, DPM at Martin Foot and Ankle help you manage your gout and avoid a flare-up. Call (717) 757-3537 to make an appointment at our Pennsylvania offices in York, Hanover, Lancaster and Lititz, PA.

What causes bunions?

The base cause of a bunion is an imbalance in weight and pressure upon the joints and tendons of the foot. The joint of the big toe becomes unstable due to these forces, and eventually shifts the bone to form the hard bump that sticks out from the side.

The imbalance responsible for bunions can be inherited through one’s family history, or come as the result of a deformity present from birth or an injury that affects the strength of the tendons. It is not fully clear whether wearing high heels or narrow shoes can cause a bunion, but they definitely help contribute toward making an existing bunion worse.

Whether you have had a bunion for ages or feel like one may be developing, it’s never too late or too soon to seek expert care. The doctors at Martin Foot and Ankle can help relieve the pain of an old bunion or keep a more recent one from growing worse. Call (717) 757-3537 to schedule an appointment at one of our offices in York, Hanover, Lancaster and Lititz, PA. 

What is a diabetic foot ulcer?

A diabetic foot ulcer is an open sore on your foot that can develop in people with diabetic neuropathy. Usually the wound starts as something small, like a cut or a blister. Over time, it breaks down into a festering sore that can easily become infected. Ulcers typically develop on the sole of the foot or under a toe. However, they can still appear on the sides of the feet, the tops of the toes, and around the heel.

It doesn’t take long for a foot ulcer to form. Diabetes is a systemic disease that weakens your immune system, making you far more susceptible to small injuries that can rapidly deteriorate into something worse. Neuropathy is a problem with nerves that have lost their sensitivity—often as a side effect of diabetes—making it more likely that you won’t feel small injuries when they happen. This unfortunate combination allows ulcers to form.

This foot condition needs prompt care by foot specialists like our team at Martin Foot and Ankle in York, Hanover, Lancaster and Lititz, PA. Complications from wounds can actually lead to a limb amputation. Let our experts keep that from happening. Call (717) 757-3537 to make an appointment.

Can physical therapy relieve arthritis pain?

Physical therapy can be a huge benefit for people struggling with arthritis pain. Arthritis makes moving and using your joints painful and difficult, which can limit your mobility and stiffen your limbs. Physical therapy can help you regain some flexibility and range of motion, as well as preserve your strength so your joints last longer. All of this can help alleviate and slow arthritis pain. In the long run, this can prevent deformities and permanent loss of motion in your joints.

The sooner you start physical therapy, the more likely it will benefit you. Early on it can be helpful for reducing inflammation symptoms and swelling. Don’t wait until the pain is already a serious problem to seek help. Let the Martin Foot and Ankle team help you get the right therapy for your unique discomfort. Make an appointment at our York, Hanover, Lancaster and Lititz, PA, offices today to deal with your foot pain. Call (717) 757-3537 or use our website to reach us.

What are common causes of children’s heel pain?

Children’s heel pain can have several different causes. Typically the culprit is some kind of overuse injury. Sever’s disease, or inflammation in the heel bone’s growth plate, is the most common source of pediatric heel pain. It creates an aching discomfort that feels worse when your child is active. A stress fracture is the result of repetitive pounding and strain on the bone. The hard tissue cracks under the pressure and grows progressively more uncomfortable. Active children may be prone to Achilles tendon issues, too, including Achilles tendinitis and bursitis between the tendon and the heel bone.

Since these are overuse issues, you can help your child recover with a little time and care. The sooner you have your son or daughter’s heel pain diagnosed, the sooner it can be treated and begin feeling better. Let the Martin Foot and Ankle team help. Call (717) 757-3537 to make an appointment at our York, Hanover, Lancaster and Lititz, PA locations.

How do I keep my skin and toenails healthy?

There are lots of proactive things you can do to grow healthy toenails and maintain healthy feet. Wash your feet with soap and water every day, then check them for unusual changes. This is especially important if you have a condition like diabetes. Even if you do not, being familiar with your feet and catching changes early can help you address and eliminate problems before they become serious.

Skin can take a beating, so it needs pampering to stay healthy. Use a pumice stone periodically to grind down callus build-up. Moisturize your skin every day, paying particular attention to dry spots like the heels. Consider pretreating your feet with anti-fungal powders or sprays to avoid infections, too.

Your toenails need almost as much care to stay healthy. Trim them straight across every few weeks so they are even with the ends of your toes. Keep them moisturized and avoid cutting your cuticles. If you’re concerned about your feet or toenails, or you’ve noticed abnormal changes in them, let Martin Foot and Ankle help. Call (717) 757-3537 to make an appointment at either our York, Hanover, Lancaster and Lititz, PA, offices.

How do I treat Achilles tendonitis?

Ouch! My aching heel! When your Achilles is killing you, fight back. But kill it with kindness, so to speak. Achilles tendonitis is an overuse injury commonly seen in athletes and middle-aged individuals who run or play sports such as tennis, basketball, and soccer. The pain is localized around the Achilles tendon, spanning from the mid and lower calf to the top of the heel. If you're familiar with this ache, you'll know that it creates pain and stiffness, especially in the hours just after waking.

To treat Achilles tendonitis, use RICE. Rest, ice, compression, and elevation. Rest the leg, apply ice for about 15 minutes after exercise, reduce movement of the tendon by wrapping it with an ace bandage, and raise the foot above the level of your heart to reduce swelling. Remain patient. This condition responds well to self-care, but if pain persists, contact the specialists at Martin Foot and Ankle today. A weak Achilles tendon is at risk for rupturing or tearing. Call (717) 757-3537 or use our website contact form to reach our York, Hanover, Lancaster and Lititz, PA offices. We'll have you back on your feet in no time.

Why does my heel hurt in the morning?

Intense morning heel pain is usually caused by plantar fasciitis. This overuse injury involves a swelling, thickening, and stiffening of the plantar fascia band attached in your sole. When you stand or walk around, your body weight and downward pressure force the tissue to stretch out. Staying off your feet for too long, though, allows the plantar fascia to swell and stiffen again. This typically happens while you sleep at night.

Then when you get up first thing in the morning, the pressure on the tissue suddenly and forcibly stretches it, possibly causing painful micro-tears in the connector. This causes the sharp and intense morning heel pain. Taking care of plantar fasciitis early after it develops can help go a long way in eliminating the discomfort. Dr. Keith Tyson or one of our other podiatrists at Martin Foot and Ankle in York, Hanover, Lancaster and Lititz, PA can help you manage your condition. Call (717) 757-3537 or use the website to make an appointment with us.

Why does my heel hurt?

There are many different causes of heel pain. Plantar fasciitis—an inflammation of the tendon running along the sole of your foot—is a common culprit. You could have also developed Achilles tendinitis, which is an irritated Achilles tendon. In children, the problem is often Sever’s disease, or inflammation in the growth plate. Sometimes it could be a stress fracture in the heel bone. Bursitis and “pump bumps” are other possibilities.

To know what is causing your discomfort, have your foot evaluated by an expert, like the podiatrists at Martin Foot and Ankle. They will perform tests and use diagnostic images to determine what structure in your heel is causing your pain. Once they have diagnosed your discomfort, they can help you remedy it. The good news is that the majority of heel pain cases are resolved using conservative measures. 

For more information or to schedule and appointment at one of our five offices in York, Hanover, Lancaster or Lititz, PA; please call us at 717-757-3537.

Can physical therapy treat foot and ankle pain?

Physical therapy is a type of rehabilitative medicine. It aims to restore your physical structures to their full strength and range of motion by stretching and exercising the different soft tissues. It uses in-depth knowledge of the human body and how your muscle groups and joints interact with each other to treat your pain. It can help prevent future problems as well; if your body is working correctly and all your structures maintain proper alignment, you’re less likely to develop a condition.

Physical therapy can be very beneficial for your feet and ankles. Since your lower limbs carry so much weight, they are prone to overuse problems and painful biomechanical issues. Exercises can boost your stability and both relieve pain and prevent it from recurring. If you’re wondering whether such therapy could benefit your feet, contact Martin Foot and Ankle in York, Hanover, Lancaster and Lititz, PA for more information or an evaluation. Fill out the online contact form or call (717) 757-3537 to reach us.

Can diabetes hurt my feet?

Elevated or fluctuating glucose levels tend to dry out your skin and make it prone to cracks. This can leave you open to bacterial infections. Your feet are particularly vulnerable to this. Painful calluses can form on your feet as well. Since diabetes weakens your immune system, small problems like blisters can easily degenerate into ulcers. Another diabetic complication—neuropathy—often means you’re not able to feel damage to the skin on your feet, allowing injuries to develop and go untreated more easily.

You need to invest in diabetic skin care to help avoid serious complications in your lower limbs. Make sure you contact the foot doctors here at Martin Foot and Ankle right away if you notice any changes in your skin when you perform daily foot inspections. Catching a potential problem early is key for successful treatments. Call (717) 757-3537 or use our contact page to reach our York, Hanover, Lancaster and Lititz, PA offices.

How do I know if I have Charcot foot?

Symptoms of Charcot foot may not be obvious, because those who suffer from it have severe neuropathy. They may not be able to feel the changes happening in their feet. There are signs to watch for, however. You may notice redness and swelling, particularly around the arch. Your foot may feel warm to the touch. Depending on how severe the condition is, the foot may appear dislocated or deformed. You might develop foot ulcers underneath the arch or other places around the lower limbs, too. However, you may or may not notice soreness or other pain.

Since this is a risk for anyone with neuropathy—and particularly with nerve damage from diabetes—you have to inspect your feet regularly for the changes that may signal Charcot foot. Let the Martin Foot and Ankle team help you with your diabetic foot care. You can reach our York, Hanover, Lancaster and Lititz, PA offices by calling (717) 757-3537 or using our contact page.

What factors increase my risk of developing bunions?

Bunions are caused by an instability in the structure of your foot, which allows pressure to displace the big toe. There are outside factors that can increase your odds of developing or worsening your bunions. These bunion risk factors include poorly-fitted shoes, high heels, and preexisting conditions. Footwear that squeezes the toes, or forces weight forward onto the front of the foot, can encourage the big toe to displace inward. Insufficient arch support or a preexisting condition like arthritis can also stress the ball of the foot.

If you’re concerned that you may be developing a bunion, doing nothing won’t prevent the problem and the pain that goes with it. Have your foot evaluated by the experts at Martin Foot and Ankle to see what can be done to avoid the condition and the discomfort it causes. Visit our online contact page or call the office at (717) 757-3537 to request more information or an appointment at our York, Hanover, Lancaster and Lititz, PA locations.

How can diabetes hurt my feet?

Fluctuating sugar levels causes a variety of diabetic foot problems. Nerve damage impairs your ability to detect injuries and determine changes in temperature. You could easily step on a stone or tack, or burn your feet, and not notice the problem. Nerve damage itself is also painful, causing tingling or a pins-and-needles sensation throughout your lower limbs. Decreased circulation and an impaired immune system add complications. The body isn’t able to repair damage as quickly, allowing small injuries to degenerate into more serious ones like ulcers. Other uncomfortable problems like dry skin and calluses are common as well.

You’ll need to have your feet evaluated regularly to check for changes. Don’t wait until a problem strikes. Contact Martin Foot and Ankle for an appointment to take care of your feet and ankles. Call (717) 757-3537 to reach one of our offices in York, Hanover, Lancaster and Lititz, PA, or fill out an online contact form.

How does an ankle fracture differ from a break?

Determining the difference between a fracture vs. a break in your ankle is actually quite simple: there isn’t one. “Fracture” is the medical term that describes a bone that is no longer intact—some part of it is broken. The break may cut all the way through the bone, or it may be more like a crack in the tissue. It may be displaced, meaning the ends of the bone have been moved out of position, or non-displaced, in which they remain aligned. A non-displaced fracture is easy to treat. The ankle needs to be immobilized and rested for several weeks. A displaced broken ankle, however, will have to be re-aligned in order to heal correctly. Severe fractures may actually require surgery.

If you’re concerned about an ankle injury, whether you call the problem a “break” or a “fracture,” you need to take care of the damage promptly to heal well. Let our team at Martin Foot and Ankle know about it and see how we can help. Call (717) 757-3537 or send us an online request to make an appointment at our York, Hanover, Lancaster and Lititz PA offices.

When is ankle surgery recommended?

Ankle surgery is recommended for serious injuries or chronic conditions that don’t respond to conservative, noninvasive treatment methods. For most conditions, this means all other remedies have been tried but have not been successful enough to eliminate your pain or restore your joint to full strength. This is often the case for chronic ankle arthritis or instability. On the other hand, some serious injuries need prompt surgical intervention because the tissues won’t heal otherwise. Dislocated fractures and ruptured ligaments are a couple of these. These separated tissues often end up being pinned or screwed in place so they will heal correctly.

Our team at Martin Foot and Ankle can help you decide if surgery will benefit your ankles or not. Often the type of surgery matters, too, so we’ll determine what procedure would help your joints the most. If you’re concerned you may need surgery, let us know and see how our experts can help. Just call (717) 757-3537 or use the website request form to make an appointment with us at our York, Hanover, Lancaster and Lititz, PA offices.

How do I know if my ankle is sprained?

If your foot lands incorrectly when you’re walking or playing a sport and you feel a sharp, sudden pain, you may have a sprained ankle. If you can, stop what you’re doing and inspect the joint for signs of a sprain. First, check for swelling. The area around the joint usually begins to swell up shortly after the injury occurs. Your skin may feel warm to the touch or even look red from the rush of blood to the area. Look for bruises as well. You may still be able to put weight on the ankle and walk around, though it will probably be uncomfortable to do so. If the pain is too severe to stand, don’t try—seek immediate medical assistance.

A sprained ankle involves the straining or tearing of the ligaments that support the joint and can result in chronic ankle weakness if not treated properly. If you are concerned that you have a sprain, don’t wait and allow the problem a chance to get worse. Contact the experts at Martin Foot and Ankle for an appointment or more information with offices in York, Hanover, Lancaster and Lititz, PA. Call (717) 757-3537 or visit our online contact page to do so.

When should I see a doctor about my ankle sprain?

How soon you should see a doctor depends on your ankle sprain symptoms. If you hear a popping sound at the time of the injury, notice severe swelling or bruising, or find you can’t put weight on your affected foot, you should seek treatment right away. You may have a severe sprain. Assessing the damage and promptly managing the condition are necessary for a complete recovery.

If your injury is less severe but continues to be painful, bruised, and swollen after one to two weeks of home remedies, you should have your joint examined. The sooner you see a professional, the quicker you’ll receive the targeted treatment you need. This can help you avoid long-term complications that weaken your whole joint, too.

All ankle sprains need proper first aid. Don’t take a “small” injury for granted and risk additional issues later. If you’re concerned about a possible sprain, let us know at Martin Foot and Ankle in York, Hanover, Lancaster and Lititz, PA. We can help restore your joint. Call (717) 757-3537 or submit a request online to reach any of our offices.

Can I prevent ankle sprains?

You may or may not be able to prevent ankle sprains, but you’re more likely to avoid the painful problem if you have strong, stable joints. Strong ankles are less likely to stretch beyond their normal range of motion.

Make sure you condition your ankles to handle the impacts and demands of your activities. Don’t forget to stretch your calf and foot muscles so they don’t become too tight. You’ll also need to properly warm up before you do any kind of exercise. Invest in good shoes that fit your foot shape and support needs to minimize strain on your joints. If you can, avoid doing your activities on uneven surfaces where you might misstep.

If you’re concerned about your joints, request more information or an appointment with Martin Foot and Ankle in York, Hanover, Lancaster and Lititz, PA. Call (717) 757-3537 or fill out the online form to reach any of our offices.