Recurrent ankle sprains occur when the ankle repeatedly experiences ligament injuries, often leading to chronic instability. This issue develops when the supporting ligaments fail to heal completely after an initial sprain. As a result, the ankle becomes less stable and more prone to injury during everyday activities. Chronic ankle instability can affect mobility, balance, and overall confidence in movement. Recognizing the definition and underlying causes of this condition is key to managing it effectively.

Common symptoms include persistent discomfort, swelling, and a sensation of weakness in the ankle. Many individuals report that the ankle feels unstable or prone to rolling, especially on uneven surfaces. These symptoms may appear even during light activity and can interfere with daily routines. Causes of recurrent ankle sprains often involve inadequate rehabilitation, which leaves the ligaments and surrounding muscles unprepared for stress. Without proper healing, the ankle remains vulnerable to repeated strain and injury.

Several risk factors contribute to the development of recurrent ankle sprains. A previous injury is one of the most significant factors, as it can weaken the structural support of the joint. Poor muscle strength, limited range of motion, and lack of balance training can also increase susceptibility. High risk activities such as sports that involve jumping or quick direction changes place additional strain on the ankle. Footwear that does not provide proper support can further increase the likelihood of repeated injuries. These combined factors explain why some individuals experience ongoing ankle issues.

Managing recurrent ankle sprains involves strengthening the joint, improving balance, and allowing adequate recovery time after injury. Preventive strategies such as wearing supportive shoes and performing targeted exercises can help reduce recurrence. Early evaluation is important to identify underlying instability and guide treatment. Taking proactive steps can restore function and prevent long-term complications. If you have recurrent ankle sprains, it is suggested that you consult a podiatrist for effective relief, treatment, and management solutions.

Ankle sprains are common but need immediate attention. If you need your feet checked, contact Elliot T. Udell, DPM from New York. Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

• Mild to moderate bruising
• Limited mobility
• Swelling
• Discoloration of the skin (depending on severity)

Preventing a Sprain

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

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

If you have any questions please feel free to contact our office located in Hicksville, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Pronation and supination describe the direction the foot rolls while walking or running. Pronation occurs when the foot rolls inward and weight shifts toward the inside of the foot. Supination occurs when the foot rolls outward and weight shifts toward the outside. A small amount of each motion is part of a normal step. Pronation helps the foot absorb shock after the heel reaches the ground. Supination makes the foot firmer as it pushes the body forward. When either motion becomes excessive, pressure can build in certain areas and affect the way a person moves.

These movement patterns can affect more than the feet. Overpronation can place added strain on the arches, heels, and ankles. It can also contribute to discomfort in the knees. Excess supination reduces the foot’s ability to absorb shock and can increase pressure on the outer edge. This can lead to ankle instability, heel pain, or pain in the ball of the foot. Uneven wear on the inner or outer edges of shoe soles can provide a clue. High arches, flat feet, and differences in leg length can influence foot movement. Injuries and repeated stress can also change a person’s gait.

A podiatrist can examine the feet and study how a patient stands and walks. This gait evaluation shows where pressure builds and whether the ankles or knees move out of alignment. The podiatrist can also check joint motion, muscle strength, and shoe-wear patterns. Imaging tests can identify an injury when the examination raises concern. Treatment focuses on improving balance and reducing harmful pressure. A podiatrist can recommend properly fitted shoes with suitable cushioning or stability. Custom orthotics can guide the feet into a better position and distribute weight more evenly. Follow-up visits allow the podiatrist to track changes and adjust treatment. If you have foot or ankle pain while walking or running, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

If you have any concerns about your feet, contact Elliot T. Udell, DPM from New York. Our doctor 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 Hicksville, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Children's feet change as they grow, and some changes can lead to temporary but painful conditions. One of the most common causes of heel pain in active children is Sever's disease, also called calcaneal apophysitis. Despite its name, it is not an illness or infection. Instead, it develops when the growth area at the back of the heel becomes irritated during periods of rapid growth. This condition is most often seen in children and teenagers who participate in sports that involve running or jumping. Common symptoms include heel pain, tenderness, and discomfort during physical activity. Some children may also limp or avoid putting full weight on the affected foot. Because heel pain can have several causes, a professional evaluation is important to determine the correct diagnosis.

Sever's disease often develops when the heel bone grows faster than the surrounding muscles and tendons can adapt. The tight tissues pull on the growth plate, leading to irritation and inflammation. Children who are physically active or participate in high-impact sports may have a greater risk of developing this condition. Although the problem usually improves once the growth plate matures, ongoing pain can interfere with sports, school activities, and normal walking. A comprehensive podiatry examination helps identify the source of heel pain while ruling out fractures or other foot conditions. Early diagnosis also allows appropriate treatment to begin before symptoms become more limiting.

A podiatrist specializes in diagnosing and treating children's foot conditions, including Sever's disease. Professional care focuses on reducing heel pain, improving foot function, and helping children return to normal activities as safely as possible. Treatment is based on each child's symptoms, activity level, and stage of growth. Regular follow-up visits also allow healing to be monitored while ensuring the condition continues to improve. If your child has persistent heel pain or difficulty participating in everyday activities, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Elliot T. Udell, DPM from New York. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

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

An Achilles tendon injury affects the strong band of tissue that connects the calf muscles to the heel bone. This tendon plays a critical role in walking, running, and pushing off the foot during movement. Injuries can range from mild inflammation to partial or complete tears. Because the Achilles tendon endures high levels of stress, it is vulnerable to damage, especially during sudden or intense activity. Understanding this condition is important for early recognition and proper care.

Symptoms of an Achilles tendon injury often appear suddenly and may be severe. Many individuals report hearing or feeling a pop or snap at the back of the ankle at the time of injury. This sensation is sometimes described as feeling like being kicked in the heel. Swelling and bruising may develop quickly, along with pain that makes walking difficult. A common sign is the inability to push off the foot or stand on tiptoe. These symptoms can significantly affect mobility and require prompt attention.

The causes of Achilles tendon injuries are often linked to sudden increases in physical activity or forceful movements. Activities that involve jumping, sprinting, or quick direction changes can place excessive strain on the tendon. Lack of proper warm up, tight calf muscles, and inadequate conditioning may increase the risk of injury. Overuse and repetitive stress can weaken the tendon over time, making it more susceptible to tears during activity.

Risk factors include active adults who participate in sports without consistent training, as well as individuals known as weekend warriors who engage in intense activity after periods of inactivity. A history of previous tendon injuries, aging, and poor footwear can also contribute to risk. Early evaluation and proper care are essential for recovery and preventing further damage. If you have an Achilles tendon injury, it is suggested that you consult a podiatrist for effective relief and treatment solutions. 

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Elliot T. Udell, DPM of New York. 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 Hicksville, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.