The Ankle-Brachial Index, or ABI, is a simple, non-invasive test that measures blood flow in the legs compared to the arms. In podiatry, it helps detect peripheral artery disease, or PAD, a condition where narrowed arteries reduce circulation to the feet and ankles. Poor circulation can lead to slow-healing wounds, infections, and an increased risk of ulcers or even limb loss. The test involves taking blood pressure readings at the arm and ankle using a Doppler device. A lower than normal ABI score suggests reduced blood flow, which could mean blocked or narrowed arteries. People with diabetes, a history of smoking, or chronic foot wounds often undergo this test to assess their vascular health. Early detection of circulation issues allows for better management, including lifestyle changes or medical treatment. If you have persistent foot pain, wounds that do not heal well, or cold feet, it is suggested that you see a podiatrist who may recommend an ABI test.

Vascular testing plays an important part in diagnosing disease like peripheral artery disease. If you have symptoms of peripheral artery disease, or diabetes, consult with One of our Practitioner from Frankel foot & Ankle. Our practitioner will assess your condition and provide you with quality foot and ankle treatment.

What Is Vascular Testing?

Vascular testing checks for how well blood circulation is in the veins and arteries. This is most often done to determine and treat a patient for peripheral artery disease (PAD), stroke, and aneurysms. Podiatrists utilize vascular testing when a patient has symptoms of PAD or if they believe they might. If a patient has diabetes, a podiatrist may determine a vascular test to be prudent to check for poor blood circulation.

How Is it Conducted?

Most forms of vascular testing are non-invasive. Podiatrists will first conduct a visual inspection for any wounds, discoloration, and any abnormal signs prior to a vascular test.

 The most common tests include:

• Ankle-Brachial Index (ABI) examination
• Doppler examination
• Pedal pulses

These tests are safe, painless, and easy to do. Once finished, the podiatrist can then provide a diagnosis and the best course for treatment.

If you have any questions please contact our offices located in Milford, PA Middletown, NY Warwick, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Achilles tendinopathy is a condition that affects the Achilles tendon, the large tendon at the back of the ankle that connects the calf muscles to the heel bone. It is often caused by repetitive strain, overuse, or sudden increases in activity, leading to pain, swelling, and stiffness. Athletes, particularly runners and those involved in high-impact sports, are at higher risk of developing this condition. To prevent Achilles tendinopathy, focus should be on exercises that strengthen the calf muscles, improve flexibility, and increase overall ankle stability. Eccentric strengthening exercises, which involve lengthening the tendon while under tension, are particularly effective in building tendon resilience. Additionally, gradual increases in activity levels, proper warm-ups, and wearing appropriate footwear can help reduce the strain on the Achilles tendon. Regular stretching, foam rolling, and cross-training can also prevent imbalances and reduce the risk of tendinopathy. If you have an Achilles tendon injury, it is suggested that you contact a podiatrist who can offer you treatment and relief solutions that are right for you.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact One of our Practitioner of Frankel foot & Ankle. Our practitioner can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

• Inflammation
• Dull to severe pain
• Increased blood flow to the tendon
• Thickening of the tendon

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

• Thorough stretching of the tendon before and after exercise
• Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact our offices located in Milford, PA Middletown, NY Warwick, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Gout is a form of arthritis that develops when excess uric acid in the body leads to crystal deposits in the joints. Gout often affects the big toe, ankle, or other foot joints, which can cause intense pain, redness, and swelling. Acute attacks occur suddenly, often at night, while chronic gout may result in large, painful tophi forming around the joints. Treatment for gout focuses on reducing pain, preventing future attacks, and protecting joint health. A podiatrist can evaluate your foot and ankle symptoms, recommend medications to manage inflammation and uric acid levels, and suggest footwear modifications to reduce joint stress. In severe cases, surgery may be required to remove large tophi or repair joint damage. Dietary and lifestyle changes, such as reducing alcohol intake and avoiding high-purine foods, can also help lower uric acid levels and decrease the frequency of attacks. Staying hydrated and maintaining a healthy weight may further support joint health. If you have toe or ankle pain that may be related to gout, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment solutions.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact One of our Practitioner from Frankel foot & Ankle. Our practitioner will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

If you have any questions, please feel free to contact our offices located in Milford, PA Middletown, NY Warwick, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ankle pain can arise from various conditions like sprains, arthritis, or tendonitis. A sprained ankle occurs when the ligaments are stretched or torn, causing swelling, bruising, and sharp pain, particularly when walking or standing. Arthritis can cause joint pain, stiffness, and swelling, often worse in the morning or after prolonged activity. Tendonitis happens when the tendons surrounding the ankle become inflamed, leading to pain, especially during movement or exercise. Depending on the cause, ankle pain can feel sharp, dull, or achy, and may limit your ability to walk or be active. Treatment options include rest, targeted exercises, anti-inflammatory medications, or custom orthotics. In more severe cases, a podiatrist may suggest injections or surgery to repair damaged tissues. This type of doctor can provide a precise diagnosis and create a treatment plan tailored to your needs, helping you regain mobility and reduce pain. If you are struggling with ankle pain, it is suggested that you schedule an appointment with a podiatrst for appropriate treatment solutios.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with One of our Practitioner from Frankel foot & Ankle. Our practitioner will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendonitis
• Achilles tendon rupture
• Stress fractures
• Bursitis
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

If you have any questions please feel free to contact our offices located in Milford, PA Middletown, NY Warwick, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.