Foot and Ankle

Foot and Ankle

• PolyNeuropathy

  Polyneuropathy refers to damage to multiple peripheral nerves, which can result in muscle weakness, numbness, and pain. This condition may be caused by diabetes, infections, or exposure to toxins.

  How EMG/NCV/MSKUS Helps
  EMG and NCV tests assess the severity and distribution of nerve damage, aiding in the diagnosis of polyneuropathy. These tests guide treatment decisions by identifying the nerves most affected.

• Tarsal Tunnel Syndrome

  Tarsal tunnel syndrome results from compression of the tibial nerve as it passes through the tarsal tunnel in the ankle. This leads to symptoms like pain, numbness, and tingling in the foot and ankle.

  How EMG/NCV/MSKUS Helps
  EMG and NCV tests identify the extent of tibial nerve compression, confirming a diagnosis of tarsal tunnel syndrome. MSKUS may also be used to visualize soft tissue structures around the nerve, assisting in treatment planning.

• Radiating Pain in the Arms or Legs

  Radiating pain from the arms or legs often indicates an underlying nerve issue, such as compression, irritation, or inflammation. This type of pain can be caused by conditions like sciatica or herniated discs, where pressure is placed on spinal nerves.

  How EMG/NCV/MSKUS Helps
  EMG and NCV tests trace the affected nerves, determining the root cause of radiating pain. MSKUS can also provide a detailed look at the muscles, tendons, and ligaments surrounding the affected area, helping diagnose any structural problems.

• Peripheral Neuropathy

  Peripheral neuropathy affects the nerves outside the brain and spinal cord, leading to weakness, numbness, and pain, often in the hands and feet. This condition can be caused by diabetes, infections, injuries, or other underlying diseases.

  How EMG/NCV/MSKUS Helps
  EMG and NCV testing play a critical role in diagnosing peripheral neuropathy by assessing the extent of nerve damage and identifying which nerves are affected. This helps guide treatment options and symptom management.

• Numbness or Tingling in the Hands and Feet

  Numbness or tingling sensations are often signs of nerve compression, injury, or conditions like neuropathy. These symptoms can interfere with daily activities, and if left untreated, may result in more severe nerve damage.

  How EMG/NCV/MSKUS Helps
  EMG and NCV tests help pinpoint the location of nerve compression or damage causing numbness or tingling. MSKUS can assist in identifying structural issues, such as muscle or tendon problems, that might be contributing to nerve dysfunction.

• Diabetic Neuropathy

  Diabetic neuropathy is a common complication of diabetes, where high blood sugar levels damage nerves throughout the body, most often in the hands and feet. This can lead to symptoms such as pain, tingling, numbness, and muscle weakness.

  How EMG/NCV/MSKUS Helps
  EMG and NCV tests can measure the degree of nerve damage in patients with diabetic neuropathy, identifying which nerves are affected. This information allows healthcare providers to tailor treatments and manage symptoms more effectively.

• Achilles Tendonitis

  What is Achilles Tendonitis?
  Achilles tendonitis is an inflammation of the Achilles tendon that attaches your calf muscle to the back of your heel. Achilles tendonitis is typically caused by tightness in the hamstrings and calf muscles. In addition, limitations in ankle and foot range of motion can alter your walking pattern, putting excessive strain on the Achilles tendon, causing tendonitis.

  Typically, the back of the ankle and heel is very painful to touch, especially after prolonged walking. Rest tends to help Achilles tendonitis while walking aggravates it.

  How physical therapy helps
  Physical therapy is one of the best treatment options for Achilles tendonitis. Our physical therapists will evaluate your leg, ankle and foot mobility, range of motion, strength, balance and walking patterns. This will help us discover the root cause of your pain and resolve that for long term results.

  We focus on treatments to resolve your pain quickly, improve your joint mobility and strengthen muscles as needed. The result is the ability to walk and run without pain in the back of your heel returning to the activities you love to do.

• Plantar Fasciitis

  What is Plantar Fasciitis?
  Plantar fasciitis refers to inflammation of the plantar fascia, which is a thick band of tissue on the underside of the foot, connecting from the heel to the ball of the foot. Plantar fasciitis typically occurs from tightening of the tissues under the foot and even further up in the legs. In addition, changes in the shape of the foot, such as fallen arches or changes in shoe wear can affect plantar fasciitis. Furthermore, with changes in walking posture for a variety of reasons, the strain on the plantar fascia can increase significantly.

  Plantar fasciitis is commonly felt as burning or sharp pain when standing on the affected leg. This typically occurs first thing in the morning or with initial standing after sitting for a prolonged period. Inflammation builds up during the day in the fascia, and may begin to hurt after prolonged walking. As you sit or sleep the inflammation thickens and the plantar fascia stiffens. When you go to step on the foot, the inflamed and stiff tissue stretches causing pain. Pain may be felt mostly in the heel, but can extend along the bottom of the foot.

  How physical therapy helps
  Physical therapy is very beneficial in treating plantar fasciitis. At first we evaluate your movement, posture, walking pattern, ankle and foot mobility. Our gentle hands-on therapy is great for soothing the irritated tissue in the foot and also improving range of motion in the foot and ankle joints.

  Modalities, such as ultrasound and ice may be used to reduce swelling and pain quickly. Our goal is to reduce your pain quickly and strengthen your feet for long-term results. Call us today to discover how we can help resolve your plantar fasciitis pain and get you quickly back on your feet!

• Instability

  About Ankle instability
  Ankle instability typically occurs after the ligaments in the ankle have stretched out, losing the normal stability of the bones in the ankle and foot. This can be a result of an injury or occur over a long period of time from poor foot positioning, bad shoe wear or genetic predisposition.

  When there is ankle instability the probability of further ankle sprains increases significantly. While the ligaments themselves may not be able to shorten back to normal, the muscles supporting the ankle can be strengthened to take up the slack. This compensation allows for better stability in the ankle and foot with walking, running and sports. Bracing may also be needed depending on the severity of the instability.

  How physical therapy helps
  Our physical therapists work with different physicians, including podiatrists to rehabilitate ankle and foot injuries. By assessing your ankle and foot joint movements we can determine what areas need to be strengthened bringing support and stability to your ankle.

  With years of training in analyzing and treating joint mechanics, walking and movement, we put together a custom treatment plan that will improve your ankle stability. Call us today to discover how we can help increase your ankle stability!

• Post-surgery Rehab

  Foot and Ankle Post-surgery Rehab
  There are many different surgeries for the foot and ankle from fracture repairs to tissue repair from trauma. In addition, common surgeries such as bunionectomies, hammer toe, and even ankle fusions will require physical therapy.
  After surgery, due to limited post-operative movement and inflammation from the surgery, your range of motion and strength will be diminished. The loss of strength and range of motion in the foot or ankle can cause many problems in daily life including difficulty standing for short periods of time and an inability to easily use a set of stairs. When you are unable to stand for periods of time or walk on your own it can result in lost work hours and financial loss. But with a skilled physical therapist working with you, you can get great results and return to previous activities without pain or loss of function.

  How physical therapy helps
  Physical therapy is an important part of the rehabilitative process after ankle or foot surgery. Depending on your surgery and surgical protocols, we will progress you through a structured physical therapy rehabilitation program. Our goal is to restore pain-free range of motion in the ankle or foot while maintaining surgical rehab protocols. Our highly skilled physical therapists will also work to improve your walking coordination, balance, and strength to ensure that you are able to return to normal pain-free walking and have the ability to easily traverse a set of stairs.

• Sprain / Strain

  Ankle Sprain / Strain
  Ankle sprains are very common injuries and typically occur from improper footwear on uneven terrain. Most often, sprains occur from sports or trips over objects that were unseen. Sprains refer to injuries of the ligaments (connect bone to bone) and strains refer to injuries of the muscles or tendons (connect muscle to bone). Sprains and strains occur from quick over-stretching of the tissues causing micro-tearing and subsequent injury. Swelling begins as part of the inflammation process, causing pain and difficulty with movement.
  The first step in treating sprains or strains in the ankle is to rest, ice and elevate it. Common sprains in the ankle occur on the outside of the ankle where 3 main ligaments attach. There are different levels of sprain or strain from mild to severe. With severe limitations in movement you should see your physical therapist right away. In some cases, the tearing can be complete and even be in need of surgical repair.

  How physical therapy helps
  In most cases, physical therapy can effectively help you recover from a sprain or strain. We first evaluate the injured area to determine the extent of the injury and ensure that the ligaments or tendons are still intact. We then formulate a treatment plan that will quickly relieve your swelling, pain and begin restoring range of motion.
  The goal of physical therapy is to restore your normal range of motion and eventually restore normal strength. If you participate in sports or are very active, we will work closely with you to make sure that you fully recover and can participate in those activities you love to do. Call us today to discover how we can effectively treat your ankle sprain or strain.

• Fractures

  Ankle and Foot Fractures
  There are many bones that can be fractured in the ankle and foot. Typical fractures that occur are to the fibula bone (avulsion fracture), metatarsal bone fractures and calcaneal fractures. Fractures are typically immobilized with casting or bracing. In severe cases surgery may be required to align and stabilize the bone with pins or plates.

  After being immobile for a period of time whether from casting or surgery, the ankle and foot joints will become quite stiff. This loss of motion in the joint also causes discomfort and results in lost muscle strength in the ankle and foot.

  How physical therapy helps
  Physical therapy is very important in the rehabilitative process to help you regain normal range of motion, reduce swelling, resolve pain and regain function of your ankle and foot.
  Physical therapy is gentle and will help you quickly resolve your pain while working with your doctor to follow protocol and restore your function. Improvement in range of motion, strength, stability, walking and running will occur. With physical therapy, you can make a complete recovery quickly and safely. Call us today to learn more how we can help you fully recover after a fracture.