September 2023

Achilles tendon injuries are becoming more prevalent, affecting young individuals with acute ruptures and older adults with chronic conditions. Acute ruptures are often related to high-energy sports in younger individuals and low-energy events in older patients. A missed diagnosis is not uncommon. Risk factors for Achilles tendon ruptures may include fluoroquinolone antibiotic use, rheumatoid arthritis, gout, and other medical conditions. Diagnosis involves a thorough physical examination, and sometimes an ultrasound, to confirm findings. Non-surgical management is increasingly favored for acute ruptures, with evidence showing good outcomes. This involves early immobilization and rehabilitation. Chronic conditions such as Achilles tendinopathy can benefit from early intervention and exercise. For more severe cases, surgery may be necessary. If you have injured your Achilles tendon, it is suggested that you make an appointment with a podiatrist who can provide you with a proper diagnosis and a tailored treatment plan.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Dr. Charles Marchese of Manalapan Foot & Ankle. 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 offices located in Manalapan, NJ, and Staten Island, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Sever's disease, also known as calcaneal apophysitis, is a prevalent heel condition that mainly affects children and adolescents during their growth spurts. Contrary to its name, it's not an actual disease, but rather an overuse injury characterized by inflammation of the growth plate in the heel bone, or calcaneus. Sever's disease generally strikes during the pre-teen and teenage years when the heel bone is still developing. The rapid growth of bones and muscles can lead to tension and stress on the heel's growth plate, resulting in pain and discomfort. This pain is typically experienced in the back of the heel, especially during activities such as running, jumping, or walking. Sever's disease is more common in active youngsters, particularly those involved in sports with repetitive impact on the heel. While it can be painful and frustrating, it is generally a self-limiting condition that tends to resolve once the growth plate fully matures. If your child has heel pain, it is suggested that you contact a podiatrist who can accurately diagnose and treat Sever’s disease. 

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Dr. Charles Marchese from Manalapan Foot & Ankle. 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 offices located in Manalapan, NJ, and Staten Island, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

The bones in your toes are called phalanges, consisting of two or three segments, depending on the toe. These toe bones connect to the metatarsals in your foot through joints with cartilage that allows for smooth movement. Further, the body produces a fluid known as synovium to lubricate these joints and facilitate ease of motion. While toes lack muscles, the tendons and ligaments connect them to muscles in your foot and legs, allowing for movement. Over time, factors like extended standing, running, or ill-fitting shoes can cause toe misalignment. Toe exercises are effective in realigning them, alleviating discomfort, and enhancing overall foot health. Cramped toes can be quite uncomfortable and painful. Stretching exercises help in relaxing your toes, and relieving tension and discomfort. Toe stretches enhance their flexibility, making them more adaptable and less prone to stiffness. Toe exercises also stimulate increased blood flow, which can effectively alleviate pain and reduce swelling. Flexible toes are less susceptible to injuries, making toe exercises essential to injury prevention. If you have toe pain that inhibits your daily activities, it is suggested that you make an appointment with a podiatrist. 

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries and build strength. If you have any concerns about your feet, contact Dr. Charles Marchese from Manalapan Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Exercise for Your Feet

Exercise for your feet can help you gain strength, mobility and flexibility in your feet. They say that strengthening your feet can be just as rewarding as strengthening another part of the body. Your feet are very important, and we often forget about them in our daily tasks. But it is because of our feet that are we able to get going and do what we need to. For those of us fortunate enough to not have any foot problems, it is an important gesture to take care of them to ensure good health in the long run.

Some foot health exercises can include ankle pumps, tip-toeing, toe rises, lifting off the floor doing reps and sets, and flexing the toes. It is best to speak with Our doctor to determine an appropriate regimen for your needs. Everyone’s needs and bodies are different, and the activities required to maintain strength in the feet vary from individual to individual. 

Once you get into a routine of doing regular exercise, you may notice a difference in your feet and how strong they may become.

If you have any questions please feel free to contact our offices located in Manalapan, NJ, and Staten Island, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Flat feet, resulting from a collapsed arch, can lead to pain and discomfort, affecting both children and adults. When non-surgical approaches fall short, surgical intervention offers a viable solution. Surgery for flat feet aims to reconstruct the foot's architecture to restore a supportive arch and alleviate complications like change of gait, knee pain, plantar fasciitis, and Achilles tendonitis. An evaluation before surgery involves a thorough history, examination, and imaging. Surgical intervention may involve tendon reconstruction, bone augmentation, joint fusion, or bone resection. Post-surgery recovery may take up to four months and requires keeping the weight off the affected foot as well as taking prescribed pain relief medication. A protective cast or boot may be needed. Surgical treatment for flat feet, while not necessary in many cases, offers an opportunity to regain mobility, alleviate pain, and enhance overall quality of life.  To find out if surgery for flat feet is right for you, it is suggested that you make an appointment with a podiatrist for a full examination. 

Flatfoot is a condition many people suffer from. If you have flat feet, contact Dr. Charles Marchese from Manalapan Foot & Ankle. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

If you have any questions please feel free to contact our offices located in Manalapan, NJ, and Staten Island, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.