Blog

Bones Involved in Ankle Fractures

A broken ankle occurs when one or more bones surrounding the ankle joint crack. A twist, fall, or direct blow can cause this injury. The break can affect the fibula and tibia, which are the two lower-leg bones, either one or both. The bony bump on the ankle’s outside, called the lateral malleolus, or the bump on the inside, called the medial malleolus, also may be injured. The back edge of the tibia, called the posterior malleolus, may be fractured. 

Pain, swelling, and trouble putting weight on the injured foot can indicate a broken ankle. Bruising or a change in the ankle’s shape can occur. Because some small breaks feel like a severe sprain, symptoms alone cannot confirm the injury. A podiatrist examines the ankle, checks tender areas, and evaluates its stability. X-rays show whether a bone is broken and if so, whether the pieces remain lined up. These findings help the podiatrist decide if the fracture is stable or unstable. Prompt diagnosis matters because an unstable joint or poorly aligned bone can lead to lasting stiffness, weakness, or arthritis.

A podiatrist creates a treatment plan based on the fracture’s location, alignment, and stability. A stable break can be protected in a walking boot or cast while the bone heals. The podiatrist monitors healing with follow-up visits and imaging. An unstable fracture can require surgery to place the bone pieces into their correct position. Plates, screws, or pins may be used to hold them steady. After treatment, the podiatrist develops a plan for a safe return to standing, walking, and regular activities. Follow-up care helps identify poor alignment or delayed healing before further problems occur. Following weight-bearing limits and appointment schedules protects the healing ankle and lowers the chance of another injury. If you have broken your ankle, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Broken ankles need immediate treatment. If you are seeking treatment, contact Dr. Kenneth Donovan from Advanced Care Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

  • Excessive pain when the area is touched or when any pressure is placed on the ankle
  • Swelling around the area
  • Bruising of the area
  • Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

If you have any questions, please feel free to contact one of our offices located in Warren, Livingston, and Toms River, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Broken Ankle Causes, Differences, Symptoms and Treatments

Podiatric Care Can Relieve Plantar Fasciitis Pain

Plantar fasciitis develops when the thick band of tissue along the bottom of the foot becomes irritated. This tissue, called the plantar fascia, connects the heel bone to the toes and helps support the arch. The condition usually causes a sharp or aching pain near the heel. Pain is frequently strongest with the first steps after getting out of bed or standing after a long rest. It can ease after several minutes of movement, then return after extended standing or activity. The discomfort can change the way a person walks, which can place extra strain on the foot and ankle.

Repeated stress on the plantar fascia is a major cause of this condition. Running, prolonged standing, and a sudden increase in activity can strain the tissue. Additional risk factors include tight calf muscles, flat feet, and high arches. Wearing shoes that lack proper support can also place greater pressure on the heel and arch. Because heel pain has several possible causes, an accurate diagnosis is important. Ignoring persistent symptoms can make normal movement harder and interfere with work, exercise, or performing daily tasks.

A podiatrist can examine the foot, review when the pain occurs, and assess the patient's walking pattern. X-rays or other imaging tests can help rule out a fracture, a bone spur, or another cause of heel pain. Treatment options include custom orthotics to improve support, a night splint to gently stretch the plantar fascia, or a removable walking boot to reduce pressure. A podiatrist may also recommend targeted stretching exercises and changes to shoes or activities. For stubborn pain, advanced treatments can promote healing in the damaged tissue. Surgery is considered only when symptoms remain severe after other treatments have failed. If you have heel pain, it is suggested that you schedule an appointment with a podiatrist who can accurately diagnose and treat plantar fasciitis. 

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Dr. Kenneth Donovan of Advanced Care Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Plantar Fibroma

A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.

What Causes a Plantar Fibroma?

While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.

What Are the Symptoms of a Plantar Fibroma?

There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.

Treatment and Prevention

A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:

  • Steroid injections
  • Orthotics
  • Physical therapy to help apply anti-inflammatory creams on the bump 

Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.

If you have any questions, please feel free to contact one of our offices located in Warren, Livingston, and Toms River, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Plantar Fibroma

Heel Pain Can Be Treated!

Do you suffer from heel pain when you get up in the morning? If so, you should seek professional help and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.

Ingrown Toenail Symptoms You Should Know

An ingrown toenail develops when the edge or corner of a toenail presses into the surrounding skin. The big toe is affected most frequently, although other toes can develop the problem. Pain, redness, and swelling can occur as the nail irritates or breaks the skin. More advanced cases can produce drainage or extra tissue surrounding  the nail. Infection can also develop. The severity of these symptoms helps determine which type of treatment is appropriate.

Several factors are linked to ingrown toenails. Cutting a nail too deeply at the corners can allow its edge to grow into nearby skin.  Wearing tight or narrow shoes can squeeze the toes and place pressure on the nail. Repeated trauma from running, kicking, or stubbing a toe can also contribute. Fungal nail infections can increase risk because they can make a toenail thicker. Nail shape and family history can play a role as well.  Additionally, diabetic patients require careful evaluation because foot problems can become more serious.

A podiatrist can examine the toe and determine the severity of an ingrown toenail. Mild cases can sometimes be treated by separating the nail edge from the irritated skin. More severe or recurring cases can require removal of part of the nail. A podiatrist can use a procedure that prevents the troublesome section from growing back, which can reduce the chance of another ingrown toenail. Treatment can also address infection or a fungal nail problem when present. A podiatrist can provide guidance about properly-fitting shoes and safe nail trimming to help reduce repeated irritation. Prompt evaluation is especially important when pain increases, drainage develops, or the surrounding redness spreads. If you have developed an ingrown toenail, it is suggested that you schedule an appointment with a podiatrist for effective relief and treatment solutions.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Dr. Kenneth Donovan of Advanced Care Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

  • Improper toenail trimming
  • Genetics
  • Improper shoe fitting
  • Injury from pedicures or nail picking
  • Abnormal gait
  • Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

If you have any questions, please feel free to contact one of our offices located in Warren, Livingston, and Toms River, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Ingrown Toenail Care

Choosing Running Shoes for Your Foot Type and Gait

Choosing the right running shoe is essential for comfort, performance, and injury prevention. Running places repeated impact force on the feet, ankles, and lower limbs, making proper support a key factor in foot health. An important consideration is how much your foot pronates, or rolls inward, during each step. Neutral pronation allows for balanced movement, while excessive inward rolling or limited motion can lead to uneven pressure. Understanding your gait and foot structure helps guide the selection of shoes that match your needs.

Symptoms of wearing the wrong running shoes often develop gradually. Common signs include foot pain, arch discomfort, and ankle instability. Excessive pronation can lead to strain along the inner foot and ankle, while insufficient pronation may increase pressure on the outer edge. These imbalances affect how impact force is absorbed, which can contribute to overuse injuries such as plantar fasciitis or stress fractures. Paying attention to these symptoms can prevent long term damage.

Several risk factors increase the likelihood of injury when wearing improper footwear. Foot structure, including flat feet or high arches, plays a major role in how the foot handles movement and pressure. Wearing shoes that do not match your pronation type can worsen alignment issues. The main cause of discomfort is poor shock absorption and lack of support, which forces the body to compensate during movement. This can lead to a chain reaction of strain throughout the lower body.

Choosing the right running shoe involves evaluating fit, cushioning, and support. Shoes should match your foot shape and provide stability based on your level of pronation. Replacing worn shoes regularly and rotating pairs can also help reduce impact stress. If you have foot pain from wearing the wrong running shoes, it is suggested that you consult a podiatrist for effective relief tips, and additional guidance on choosing shoes for your running style. 

For more information about walking shoes versus running shoes, consult with Dr. Kenneth Donovan from Advanced Care Foot and Ankle. Our doctor can measure your feet to determine what your needs are and help you find an appropriate pair of footwear.

Foot Health: The Differences between Walking & Running Shoes

There are great ways to stay in shape: running and walking are two great exercises to a healthy lifestyle. It is important to know that running shoes and walking shoes are not interchangeable. There is a key difference on how the feet hit the ground when someone is running or walking. This is why one should be aware that a shoe is designed differently for each activity.

You may be asking yourself what the real differences are between walking and running shoes and the answers may shock you.

Differences

Walking doesn’t involve as much stress or impact on the feet as running does. However, this doesn’t mean that you should be any less prepared. When you’re walking, you land on your heels and have your foot roll forward. This rolling motion requires additional support to the feet.

Flexibility – Walking shoes are designed to have soft, flexible soles. This allows the walker to push off easily with each step.

If you have any questions, please feel free to contact one of our offices located in Warren, Livingston, and Toms River, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Choosing the Right Running Shoe

Connect With Us