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December 2023
Tuesday, 26 December 2023 00:00

Causes of Ankle Pain Without Injury

Ankle pain, even in the absence of apparent injury, can be a perplexing and discomforting experience. Arthritis, a common culprit, may inflame the ankle joints, causing persistent pain and stiffness. Inflammatory conditions, such as rheumatoid arthritis, can exacerbate discomfort. Likewise, Achilles tendinitis, marked by inflammation of the Achilles tendon, often induces ankle pain, particularly during movement. Structural issues such as flat feet or high arches may contribute to ankle pain by altering the distribution of weight and impacting joint alignment. Nerve compression, as seen in conditions like tarsal tunnel syndrome, can also manifest as ankle discomfort without external trauma. Additionally, overuse or repetitive strain from activities like prolonged standing or walking may strain the ankle ligaments and muscles, resulting in pain. Understanding the diverse sources of ankle pain beyond visible injuries is important for an accurate diagnosis and targeted intervention. If you have unexplained ankle pain, it is suggested that you contact a podiatrist who can determine what the reason is, and offer correct treatment methods. 

Foot and ankle trauma is common among athletes and the elderly. If you have concerns that you may have experienced trauma to the foot and ankle, consult with Dr. Steven Shlonsky from Louisville, Kentucky. Dr. Shlonsky will assess your condition and provide you with quality foot and ankle treatment.

Foot and ankle trauma cover a range of injuries all over the foot; common injuries include:

  • Broken bones
  • Muscle strains
  • Injuries to the tendons and ligaments
  • Stress fractures


Symptoms of foot and ankle injuries vary depending on the injury, but more common ones include:

  • Bruising
  • Inflammation/ Swelling
  • Pain


To properly diagnose the exact type of injury, podiatrists will conduct a number of different tests. Some of these include sensation and visual tests, X-rays, and MRIs. Medical and family histories will also be taken into account.


Once the injury has been diagnosed, the podiatrist can than offer the best treatment options for you. In less severe cases, rest and keeping pressure off the foot may be all that’s necessary. Orthotics, such as a specially made shoes, or immobilization devices, like splints or casts, may be deemed necessary. Finally, if the injury is severe enough, surgery may be necessary.

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 Foot and Ankle Fractures
Published in Blog
Tuesday, 19 December 2023 00:00

Surgical Options for Hammertoe

Hammertoe, a toe deformity resembling a hammer, can be a source of discomfort and mobility issues. While non-surgical treatments are often the first line of defense, surgical options become necessary when the condition is unresponsive to conservative measures, or if it reaches an advanced stage. The hallmark symptom of hammertoe is the upward bend in the middle toe joint, which, if left untreated, can lead to pain, blisters, calluses, or corns. When the discomfort becomes severe, surgical intervention may be recommended by your podiatrist. One common surgical approach is tendon lengthening, where the surgeon extends the tendon in the affected toe to enhance flexibility. This procedure aims to restore a more natural position to the toe and alleviate associated pain. Tendon transfer is another surgical option. In this procedure, part of a tendon from the bottom of the toe is moved to the top, enhancing flexibility and promoting a healthier range of motion in the toe. For cases where stability is compromised, joint fusion may be recommended. During this surgery, metal pins or screws are inserted into the toes, creating internal immobilization. Recovery periods may vary, and following postoperative instructions care is essential for the best results. To determine the most suitable surgical option based on the specifics of your hammertoe, it is suggested that you discuss the matter with a podiatrist.


Hammertoes can be a painful condition to live with. For more information, contact Dr. Steven Shlonsky from Louisville, Kentucky. Dr. Shlonsky will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.


  • Pain in the affected toes
  • Development of corns or calluses due to friction
  • Inflammation
  • Redness
  • Contracture of the toes


Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe


Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

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

Read more about Hammertoe
Published in Blog
Tuesday, 12 December 2023 00:00

Definition and Grades of Ankle Sprains

An ankle sprain is a common injury, characterized by the stretching or tearing of ligaments connecting the bones in the ankle joint. The severity of ankle sprains is often classified into three grades, each delineating the extent of ligament damage. In Grade I sprains, ligaments stretch but experience minimal tearing, causing mild pain and swelling. Grade II sprains involve partial ligament tears, resulting in moderate pain, swelling, and difficulty bearing weight on the affected ankle. The most severe, Grade III sprains, signify complete ligament tears, leading to significant pain, swelling, and instability, often rendering the affected ankle incapable of bearing weight. Recognizing the distinct grades is essential for accurate diagnosis and appropriate treatment. Understanding the gradation of ankle sprains empowers individuals to address these injuries effectively and facilitate a smoother recovery process. If you have sprained your ankle, it is suggested that you visit a podiatrist who can offer the treatment that is right for you.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact Dr. Steven Shlonsky from Louisville, Kentucky. Dr. Shlonsky can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

  • Pain at the sight of the tear
  • Bruising/Swelling
  • Ankle area is tender to touch
  • In severe cases, may hear/feel something tear
  • Skin discoloration

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

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 Ankle Sprains
Published in Blog
Sunday, 10 December 2023 00:00

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!

Published in Blog
Tuesday, 05 December 2023 00:00

Aging and Biomechanics of the Feet

Foot pain is a common issue among the elderly, and it can make it harder for them to move around and enjoy life. Scientists have been studying the connection between how our feet work as a link of foot problems in older people. They found that as we get older, our feet tend to get stiffer, have less movement, and become weaker. Our feet also tend to tilt inward which can make walking less efficient and cause foot pain. All these changes can make it difficult to perform everyday activities that involve standing or walking. Additionally, It can increase the chance of falling. If you have foot pain and are older or taking care of someone who is elderly, it is suggested that you make an appointment with a podiatrist for an examination which can determine the cause of existing foot conditions, and correct treatment to make movement more comfortable.

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.

Read more about The Importance of Biomechanics in Podiatry
Published in Blog