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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! 

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blog Treatment Options

Treatments: Kick Fungus and Pain to the Curb

Fungal toenails and chronic foot pain can be remarkably stubborn and resistant to treatment. However, you don’t have to deal with their frustrating persistence alone. New England Podiatry is always seeking new methods for resolving the many different podiatric conditions that we treat, and today, we’re pleased to share information about two innovative tools to help you reclaim happy, healthy soles.

We’ll explore two cutting-edge treatments: PinPointe Laser therapy for fungal nails and EPAT (Extracorporeal Pulse Activation Technology) shockwave therapy for pain relief.

PinPointe Laser: Shining a Light on Fungus

  • Onychomycosis, the technical term for fungal toenails, can make you want to hide your feet under mountains of socks. Traditional topical treatments can be messy, time-consuming, and often ineffective.
  • Yet that’s certainly not the case with the PinPointe Laser. This powerful tool emits a precise wavelength that penetrates the nail plate, targeting the fungal culprits at their source.
  • The best part? It’s virtually painless, and most patients require just one treatment! Studies show impressive results, with some suggesting that 80% of cases experience clear nail growth.

EPAT Shockwaves: Rebooting Your Pain Relief System

  • Foot pain can range from a dull ache to a searing pain. Plantar fasciitis, heel spurs, and chronic tendonitis are common causes, often leaving traditional treatments feeling insufficient.
  • This is where EPAT shockwaves come in. These acoustic pulses stimulate blood flow, promote healing, and reduce inflammation, effectively rebooting your pain relief system.
  • EPAT is non-invasive, requires minimal downtime, and provides long-lasting results.
  • This FDA-approved procedure has very high success rates that are equal to or greater than those of traditional methods, including surgery.

Wondering if EPAT or PinPointe might be the solution your feet have been waiting for? There’s much more to say about each of these powerful podiatric tools, but we think that seeing them in action is the best way to understand just how effective they can be. 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.