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The Windlass Test and Its Role in Diagnosing Foot Pain

Tuesday, 20 January 2026

The windlass test is a simple clinical method used to examine how the plantar fascia behaves when the big toe is raised and the arch is placed under tension. During this movement, a podiatrist gently lifts the big toe while keeping the foot steady, allowing them to see whether the plantar fascia tightens normally or triggers discomfort. This test is most often associated with plantar fasciitis because people with this condition frequently feel heel or arch pain when the toe is elevated. It can also provide helpful information about flat feet, arch fatigue, or other mechanical issues that affect daily movement. The windlass test is usually performed when someone reports morning foot pain, stiffness, or tenderness along the bottom of the foot. If these symptoms persist or interfere with routine activity, it is suggested that you see a podiatrist for effective relief and treatment solutions.

If you have any concerns about your feet, contact Dr. Steven Shlonsky from Louisville, Kentucky. Dr. Shlonsky can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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 and ankle needs.

Guide to Podiatric Care for Cuboid Syndrome

Tuesday, 13 January 2026

Cuboid syndrome occurs when the cuboid bone becomes irritated or slightly shifted out of position, creating sharp pain along the outside of the foot. A podiatrist begins the evaluation by reviewing recent injuries, activity changes, or ankle sprains, since these often contribute to the condition. The physical exam focuses on locating tenderness, assessing joint mobility, and checking for pain during specific foot movements that stress the cuboid. Imaging may be ordered to rule out fractures, but diagnosis is mainly clinical. Treatment centers on restoring proper alignment and easing inflammation. A targeted manipulation of the cuboid can offer quick relief, and taping or padding helps keep the joint stable as it heals. Custom orthotics may also be used for long-term support. Stretching and strengthening exercises complete recovery. If the outside of your foot hurts, it is suggested that you see a podiatrist for accurate diagnosis and individualized care.

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 Dr. Steven Shlonsky from Louisville, Kentucky. Dr. Shlonsky 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 Louisville, KY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

What Is Diabetic Foot?

Tuesday, 06 January 2026

Diabetic foot refers to a group of foot problems that can develop in people with diabetes due to changes in circulation and nerve function. Causes include poor blood flow, nerve damage, and prolonged high blood sugar levels that affect healing and skin health. Symptoms may involve numbness, tingling, burning pain, or dry or cracked skin, in addition to color changes, slow healing wounds, or ulcers. Risk factors include long-term diabetes, poor glucose control, smoking, improper footwear, and a history of foot wounds or infections. Without proper care, diabetic foot problems can lead to serious complications. A podiatrist can help by providing regular foot exams, managing calluses and nail care, treating wounds, and recommending protective footwear or custom orthotics. If you have diabetes and have noticed changes in your feet, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this serious condition.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Dr. Steven Shlonsky from Louisville, Kentucky. Dr. Shlonsky can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

Routinely inspect your feet for bruises or sores.
Wear socks that fit your feet comfortably.
Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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.

Wounds That Don't Heal Need to Be Checked

Sunday, 04 January 2026

Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

Athlete’s Foot and Relief From a Podiatrist

Tuesday, 30 December 2025

Athlete’s foot is a common fungal infection that affects the skin on the feet, usually starting between the toes. It thrives in warm and moist environments and can cause itching, redness, burning, and peeling. If not treated, the infection can spread to other parts of the body, including the toenails, hands, and groin. Risk factors include wearing damp socks, using shared showers, having sweaty feet, and walking barefoot in public places. A podiatrist can help by diagnosing the infection, providing effective treatments, and offering guidance to prevent it from returning. Professional care can also address complications such as cracked skin or nail involvement. If you notice signs of athlete’s foot, it is suggested that you consult a podiatrist who can offer effective treatment solutions, which may include prescribed medication.

Athlete’s foot is an inconvenient condition that can be easily reduced with the proper treatment. If you have any concerns about your feet and ankles, contact Dr. Steven Shlonsky from Louisville, Kentucky. Dr. Shlonsky will treat your foot and ankle needs.

Athlete’s Foot: The Sole Story

Athlete's foot, also known as tinea pedis, can be an extremely contagious foot infection. It is commonly contracted in public changing areas and bathrooms, dormitory style living quarters, around locker rooms and public swimming pools, or anywhere your feet often come into contact with other people.

Solutions to Combat Athlete’s Foot

Hydrate your feet by using lotion
Exfoliate
Buff off nails
Use of anti-fungal products
Examine your feet and visit your doctor if any suspicious blisters or cuts develop

Athlete’s foot can cause many irritating symptoms such as dry and flaking skin, itching, and redness. Some more severe symptoms can include bleeding and cracked skin, intense itching and burning, and even pain when walking. In the worst cases, Athlete’s foot can cause blistering as well. Speak to your podiatrist for a better understanding of the different causes of Athlete’s foot, as well as help in determining which treatment options are best for you.

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 and ankle needs.

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