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blog Tendonitis

What Is Tendonitis (And How Do You Know You Have It?)

When you’re active, you ache. When you wake up, there’s morning stiffness in your ankle. And when you move your foot too quickly, a sharp pain runs through it. What’s going on?

One likely explanation: your body is signaling that you have tendonitis. This common inflammation can impact your comfort and limit your mobility, so don’t just hope it will vanish on its own. Below, New England Podiatry explains signs, symptoms, and more. Read on so you know what to watch for!

Tendon Talk: What Exactly Is Tendonitis?

Tendons are tough, flexible cords connecting muscles to bones, crucial for movement. Tendonitis occurs when these hard-working tendons become inflamed or irritated, usually due to overuse, repetitive strain, or an acute injury.

 Common areas in the foot and ankle include:

  1. The Achilles tendon (back of heel)
  2. The posterior tibial tendon (inner ankle/arch)
  3. The peroneal tendons (outer ankle)

Spotting the Signs: How Do You Know If It’s Tendonitis?

Tendonitis symptoms can vary, but they often include:

  • A Dull Ache or Pain: This is often the primary symptom, typically localized to the affected tendon. The pain might worsen with activity or after prolonged use.
  • Tenderness to Touch: The specific tendon involved will likely be sore or tender if you press on it.
  • Stiffness: You might notice stiffness in the affected joint or tendon, especially in the morning or after periods of rest.
  • Mild Swelling or Warmth: Some inflammation can cause noticeable swelling or a feeling of warmth around the tendon.

Less commonly, some experience a grating sensation (crepitus) when the tendon moves.

The Danger of Delay: Why Ignoring Tendonitis is Risky

“Walking it off” is rarely a good strategy. Neglecting early signs can lead to:

  1. Chronic Tendonitis (Tendinosis): Unaddressed inflammation can become chronic, leading to tendon degeneration (microscopic tears). This stage, tendinosis, is often more challenging to treat.
  2. Increased Risk of Tears or Rupture: A chronically inflamed, degenerated tendon is weaker and more susceptible to partial or complete tearing, a much more serious injury that could require surgery.
  3. Compensatory Pain: Altering your gait to avoid pain can stress other areas, potentially causing new pain in your other foot, knees, hips, or back.

Accurate Diagnosis is Key

While these symptoms suggest tendonitis, other conditions, such as stress fractures or arthritis, can cause similar pain. An accurate diagnosis from a podiatrist, sometimes involving imaging like an X-ray or ultrasound, is crucial to ensure you receive the most appropriate care!

Dr. Catherine Jacobs, Dr. Zachary Sax, Dr. Joshua Oulette, Dr. Ronald Etskovitz, and Dr. Raymond Murano III of  New England Podiatry Associates  provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions. Contact us today to schedule an appointment! 

Categories
blog Surgery

Foot and Ankle Surgery: When, How, and Why

At New England Podiatry, we know that foot and ankle surgery is often seen as a last resort. However, for many individuals, it’s the key to restoring mobility, relieving pain, and improving overall quality of life.

While conservative treatments such as physical therapy or orthotics are typically the first line of defense, there are instances when surgery becomes the most effective solution. Below, you’ll find a blog explaining when and why that’s the case.

When is Foot and Ankle Surgery Necessary?

The decision to undergo foot or ankle surgery is a significant one, and it should be made in close consultation with a podiatrist. But generally, surgical intervention is often considered if:

  1. Conservative Treatments Fail: If non-surgical methods haven’t provided adequate relief or improvement after a reasonable period, surgery may be an option.
  2. Deformities Persist: Conditions like bunions, hammertoes, or flat feet that cause pain, difficulty walking, or shoe-fitting problems may require surgical correction.
  3. Underlying Medical Conditions Exist: In cases where diabetes, arthritis, or other medical conditions lead to foot or ankle complications, surgery might be necessary to prevent further damage or complications.

Common Foot and Ankle Surgical Procedures

Some common surgical interventions include:

  • Bunionectomy:

Corrects bunions by realigning the big toe, removing excess bone and tissue from the enlarged joint, and repositioning the toe itself.

  • Ankle fusion:

 Stabilizes an unstable ankle joint. This procedure involves removing the cartilage from the ankle joint and then securing the bones together with plates, screws, or pins.

  • Achilles tendon repair:

Repairs a ruptured or damaged Achilles tendon. Surgery involves reattaching the torn tendon to the heel bone using stitches or staples and may require the use of a cast or boot for immobilization.

The Decision to Have Surgery

Several factors are considered, including the severity of your condition, your overall health, and your expectations for the surgery. Ultimately, your podiatrist will work alongside you to determine the best course of action.

At New England Podiatry AssociatesDr. Ronald EtskovitzDr. Raymond Murano IIIDr. Catherine JacobsDr. Joshua Ouellette, and Dr. Zachary Sax are always pleased to assist. We offer convenient locations in Norfolk, Suffolk, and Middlesex Counties. Contact our Chestnut Hill office at 617-232-1752 and our Newton-Wellesley office at 617-630-8280 to schedule an appointment today.