Ankle and Foot Pain

Ankle pain is a common symptom that can be caused by several different factors, ranging from ill-fitting shoes to bone fractures or ligamentous tears.

Most common conditions causing foot and ankle pain is plantar fascitis and achilles tendonitis. It is characterized by pain on the sole of the foot, heel or behind the heel. It is caused by prolonged walking and/or standing, improper or worn out shoe wear, and anatomical structure of feet such as flat feet predisposing it to such injuries.

Other common ankle and foot conditions are caused by direct or indirect trauma to the region. They may include achilles tendon rupture or ankle sprain. The pain may vary from mild to severe, localized bruising and swelling may occur, and you may experience difficulty walking or putting weight on the involved foot. The first thing you should do is RICE: rest, ice, compress, elevate, and see a medical doctor to rule out severe injury.

Additional examples of ankle and foot pathologies are the following: heel spurs, arthritis of the ankle and toes, bunions and collapsed arches. The pain is characterized by dull and aching pain in the ankle or toes and worsens with walking, standing and or running.

Whether you experience a slow and gradual onset of pain or whether it happens suddenly during an activity, you should seek help. At Comprehensive Medical care we will examine your foot carefully and if necessary, we may refer you out for any necessary diagnostics such as x-rays or MRI’s. Physical therapy treats ankle and foot conditions with heat, ice, ultrasound, cold light laser therapy and electrical stimulation to control pain and inflammation.  Manual techniques such as soft tissue mobilization, massage and joint mobilizations are used to increase range of motion, decrease pain and fasten healing. We may also implement a specialized exercise program to strengthen the muscles of the ankle and foot and prevent pain from reoccurring.

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Knee Pain

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Joint Disorders

All joints in the body are made up of bones and soft tissues that connect them, such as tendons ligaments and cartilage. There are several types of joint dysfunctions, each with different causes. Most often, muscle imbalances and inactivity lead to changes in the bones and/or soft tissues. In other cases, too much movement can create joint laxity and lead to instability. Common sites for joint dysfunctions are the facets of the spine that move when a person bends forward or backwards. If the bone surfaces do not line up or if there is a restriction in movement caused by soft tissues, a person may feel pain, stiffness and experience inflammation that can affect their daily life. The sacroiliac (SI) joints are formed between the triangular-shaped bone at the base of the spine and the back side of the pelvis. Unlike the facets, these joints are not designed to allow for much movement. If the sacrum becomes tilted or rotated towards one side, it will not line up correctly with the pelvis and can cause significant discomfort in a person’s low back or hips. Or, if one side of the pelvis is higher or lower than the other, it can lead to misalignment of the sacrum that can also cause pain and impact the way a person moves and performs daily activities. Other common sites for joint dysfunctions are the temporomandibular joints of the mouth (also known as TMJ), the glenohumeral joint/shoulder joint, and the patellofemoral joint of the knee. Physical Therapy and chiropractic care can help alleviate pain and other symptoms caused by joint dysfunctions. A combination of movement, stretching, strengthening, and/or joint mobilization can help correct the imbalances in the joints and greatly improve the symptoms of joint dysfunction and help people return to performing their daily activities with significantly less pain.