149 Thierman Ln
Louisville, KY 40207
(502) 897-6343 We make house calls
Like Us
Follow Us
Review Us

Blog

Podiatric Care for Ankle Pain and Injuries

Ankle pain can interfere with walking, exercise, and everyday activities that require movement. The ankle connects the leg to the foot and allows the foot to move up, down, and from side-to-side. Pain can develop suddenly after an injury or result from a condition. An ankle sprain is one possible cause. Arthritis and tendon irritation can also cause discomfort. Other causes include fractures, nerve compression, and poor alignment of the foot or leg. The cause can affect how long symptoms last and how severe they become.

Ankle pain can occur alone or appear with swelling, stiffness, and redness. Warmth surrounding the joint can also develop. These signs can help identify what is affecting the ankle. Sports that involve jumping or quick changes in direction can increase the chance of an ankle injury. Basketball and volleyball are examples. Wearing  shoes that lack proper support can also place added stress on the feet and ankles. Ankle instability can develop after a previous injury and make the joint feel weak or unreliable when standing or walking.

A podiatrist can examine the ankle, review how the injury occurred, and assess the way the foot moves. This evaluation can help identify whether pain comes from a sprain, arthritis, or another problem. Treatment can include a brace, splint, or orthotic insert depending on the cause and severity. Orthotic inserts are devices placed inside shoes to improve support and alignment. More serious ankle problems can require surgery. A podiatrist can also guide a patient toward safe movement as the ankle recovers. Proper diagnosis is important because different causes of ankle pain determine the approach to care. If you have ankle pain, 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 Dr. Steven Shlonsky from Louisville, Kentucky. Dr. Shlonsky 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 office located in Louisville, KY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Ankle Pain

Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

When to See a Podiatrist for Achilles Tendon Pain

Achilles tendinopathy is a common cause of pain near the back of the ankle and heel. The Achilles tendon is a strong band of tissue connecting the calf muscles to the heel bone. It plays an important role in walking, running, and pushing the foot off the ground. Achilles tendinopathy develops when the tendon becomes irritated or changes from repeated stress. Pain may occur where the tendon attaches to the heel or farther up the tendon. Common symptoms include aching, stiffness, and tenderness. The tendon may also become swollen or thickened as the condition progresses.

 

Achilles tendon pain often develops gradually rather than after a single injury. Repeated strain from running, jumping, or other demanding activities can place added stress on the tendon. Limited ankle movement and certain foot mechanics may also contribute. Pain may become more noticeable during activity or when pressure is placed on the affected area. As symptoms worsen, walking and other movements may become uncomfortable. Achilles tendinopathy differs from an Achilles tendon rupture, which involves a partial or complete tear. Sudden severe pain, weakness, or difficulty walking should receive prompt professional evaluation to determine whether a serious tendon injury has occurred.

 

A podiatrist can evaluate Achilles tendon pain and determine which factors may be contributing to the condition. An examination may include checking the tendon for tenderness or swelling and assessing foot and ankle movement. Imaging may be recommended when more information is needed. Treatment depends on the location and severity of the Achilles tendon problem. A podiatrist can develop an individualized treatment plan focused on reducing tendon stress, improving foot and ankle function, and supporting recovery. Professional care can also help address movement problems that may contribute to continued discomfort. If persistent Achilles pain, stiffness, or swelling is affecting your ability to walk comfortably, 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 Dr. Steven Shlonsky of Louisville, Kentucky. Dr. Shlonsky 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 Louisville, KY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about What are Achilles Tendon Injuries

Gout Pain in the Big Toe

Gout is a form of inflammatory arthritis that develops when uric acid builds up in the bloodstream and forms sharp crystals in the joints. It most commonly affects the big toe, although other joints can also be involved. This condition often begins suddenly and can cause intense discomfort that disrupts daily life. Gout is known for its rapid onset and severe symptoms, which may occur without warning and require prompt attention to prevent long-term joint damage.

The symptoms of gout are often dramatic and easy to recognize. Many individuals experience sudden, severe attacks of pain that frequently begin at night. The affected joint, most often the big toe, may become swollen, tender, and warm to the touch. Even light pressure from bedding or footwear can feel unbearable. These episodes, sometimes referred to as flare-ups, can last for several days and may return if the underlying cause is not addressed. Stiffness and limited joint movement may also develop over time.

 

Gout occurs when excess uric acid accumulates in the body, leading to crystal formation in the joints. This buildup may result from dietary habits, reduced kidney function, or certain medical conditions. Risk factors include obesity, high blood pressure, and diabetes. A diet high in purine rich foods such as red meat and seafood is another factor. Alcohol consumption and dehydration can increase the likelihood of gout attacks. Genetics may play a role, as well, making some individuals more prone to developing this condition.

 

Managing gout involves reducing uric acid levels and preventing flare-ups through lifestyle changes and medical care. Maintaining a balanced diet, staying well hydrated, and avoiding trigger foods can help reduce symptoms. A podiatrist can evaluate joint pain, confirm a diagnosis, and recommend treatment options to protect joint health and improve mobility. If you have symptoms of gout, it is strongly suggested that you are under the care of a podiatrist who can help you manage this painful condition.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Dr. Steven Shlonsky from Louisville, Kentucky. Dr. Shlonsky will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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

Read more about Gout

Recognizing Clubfoot Symptoms and the Importance of Early Diagnosis

Clubfoot is a congenital foot condition that causes one or both feet to develop in an unusual position before birth. The foot typically points downward and turns inward, creating a noticeable difference in alignment. This condition affects the muscles, tendons, and bones of the foot and ankle. Although clubfoot may look concerning, early diagnosis and proper treatment can help many children achieve improved foot function and normal mobility.

Common symptoms of clubfoot include an inward-turning foot, a tight Achilles tendon, a smaller affected foot, and limited flexibility. The foot may appear stiff and difficult to move into a normal position. Without treatment, the child may develop an abnormal walking pattern as they grow. While clubfoot is not usually painful in babies, untreated cases can lead to long-term challenges with balance, footwear, and physical activity.

 

The causes of clubfoot are linked to abnormal development of the foot during pregnancy. Researchers believe genetic factors and changes in muscle or connective tissue development may contribute to the condition. Risk factors include having a family history of clubfoot and certain neuromuscular conditions. Clubfoot is one of the most common congenital foot conditions, but the exact reason it develops is not always clear.

 

Diagnosis begins with a detailed physical examination after birth. A podiatrist will assess the position and flexibility of the foot to determine the severity of the condition. Additional evaluations may be performed if needed to understand the structure of the foot. Early attention provides the best opportunity for improving alignment and preventing future complications. If your child has signs of clubfoot, it is suggested that you include a podiatrist on your health-are team to ensure healthy foot development. 

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Dr. Steven Shlonsky of Louisville, Kentucky. Dr. Shlonsky can provide the care you need to keep you pain-free and on your feet.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

  • Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
  • Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
  • Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
  • Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
  • Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
  • Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

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

Read more about Congenital Foot Problems