Achilles Tendon Injuries and the Thompson Test

Achilles tendon injuries affect the thick band of tissue that connects the calf muscles to the heel bone. This tendon supports walking, running, and jumping, making it essential for daily movement. Injury can range from mild inflammation to a complete tear. Symptoms include a sharp pain in the back of the ankle, a burning ache after activity, and swelling near the heel. Some individuals may also feel a sudden pop during injury, followed by difficulty bearing weight or pushing off the foot.

Risk factors for Achilles tendon injuries include repetitive strain from sports, such as running or basketball, sudden increases in physical activity, and inadequate warm-up routines. Tight calf muscles and limited ankle flexibility can increase tension on the tendon. Poor posture and unsupportive footwear may also contribute to long-term stress. Age plays a role, as the tendon becomes less flexible over time. High stress during the workday and prolonged standing can further strain the lower leg and increase injury risk.

 

The most common causes involve overuse, sudden forceful movement, or gradual wear and tear that leads to micro-injury. Small tears can develop into tendinitis or progress to a partial or complete rupture. The Thompson test is a widely used clinical method to assess possible rupture. During this test, the patient lies face down with feet hanging off the edge of a table. The podiatrist squeezes the calf muscle to observe foot movement. A normal response is a downward motion of the foot, while little or no movement may indicate a rupture.

 

Understanding early symptoms and testing methods can help prevent serious complications and support faster recovery. Timely care improves healing and restores function. If you have an Achilles tendon injury, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of Montgomery Foot Care Specialists. our doctors 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 office located in Montgomery, AL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about What are Achilles Tendon Injuries

How Pronation and Supination Can Affect Foot Health

Pronation and supination describe the direction the foot rolls while walking or running. Pronation occurs when the foot rolls inward and weight shifts toward the inside of the foot. Supination occurs when the foot rolls outward and weight shifts toward the outside. A small amount of each motion is part of a normal step. Pronation helps the foot absorb shock after the heel reaches the ground. Supination makes the foot firmer as it pushes the body forward. When either motion becomes excessive, pressure can build in certain areas and affect the way a person moves.

These movement patterns can affect more than the feet. Overpronation can place added strain on the arches, heels, and ankles. It can also contribute to discomfort in the knees. Excess supination reduces the foot’s ability to absorb shock and can increase pressure on the outer edge. This can lead to ankle instability, heel pain, or pain in the ball of the foot. Uneven wear on the inner or outer edges of shoe soles can provide a clue. High arches, flat feet, and differences in leg length can influence foot movement. Injuries and repeated stress can also change a person’s gait.

A podiatrist can examine the feet and study how a patient stands and walks. This gait evaluation shows where pressure builds and whether the ankles or knees move out of alignment. The podiatrist can also check joint motion, muscle strength, and shoe-wear patterns. Imaging tests can identify an injury when the examination raises concern. Treatment focuses on improving balance and reducing harmful pressure. A podiatrist can recommend properly fitted shoes with suitable cushioning or stability. Custom orthotics can guide the feet into a better position and distribute weight more evenly. Follow-up visits allow the podiatrist to track changes and adjust treatment. If you have foot or ankle pain while walking or running, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

If you have any concerns about your feet, contact one of our podiatrists from Montgomery Foot Care Specialists. our doctors can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

  • Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
  • In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

If you have any questions please feel free to contact our office located in Montgomery, AL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Biomechanics in Podiatry

When Poor Circulation Affects Foot Health

Poor circulation reduces blood flow to the feet and can affect healing, comfort, and overall foot health. One of the most common causes is peripheral arterial disease, or PAD, which develops when arteries become narrowed by plaque, a buildup of cholesterol and other materials inside the blood vessels. As blood flow decreases, the feet receive less oxygen and fewer nutrients. Early stages do not always cause noticeable symptoms, but problems become more likely as the condition progresses. Signs include cold feet, leg pain while walking, and numbness. Weakness, slow-healing sores, and changes in skin or toenail appearance are other symptoms. Hair loss on the feet or lower legs can also occur. Early evaluation is important because poor circulation can increase the risk of serious foot complications.

A podiatrist carefully evaluates foot health, circulation, and walking patterns to identify problems that could place the feet at greater risk. The examination also checks for wounds, pressure points, and changes in nail or skin health that may not heal normally because of reduced blood flow. Treatment includes custom orthotics, footwear recommendations, and regular foot evaluations to help reduce unnecessary pressure on vulnerable areas. A podiatrist also monitors changes that could increase the risk of infection or tissue damage. Early care helps protect the feet and supports healthier movement while walking.

Ignoring poor circulation can allow small foot problems to become much more serious because reduced blood flow slows healing. Even minor cuts, blisters, or ingrown toenails can develop into difficult wounds when circulation is limited. People with diabetes face an even greater risk because nerve damage can reduce feeling in the feet. Regular podiatry care helps identify changes early, protect skin health, and reduce the chance of complications that threaten mobility. If you have symptoms of poor circulation, it is suggested that you schedule an appointment with a podiatrist for diagnosis and treatment.

While poor circulation itself isn’t a condition; it is a symptom of another underlying health condition you may have. If you have any concerns with poor circulation in your feet contact one of our podiatrists of Montgomery Foot Care Specialists. our doctors will treat your foot and ankle needs.

Poor Circulation in the Feet

Peripheral artery disease (PAD) can potentially lead to poor circulation in the lower extremities. PAD is a condition that causes the blood vessels and arteries to narrow. In a linked condition called atherosclerosis, the arteries stiffen up due to a buildup of plaque in the arteries and blood vessels. These two conditions can cause a decrease in the amount of blood that flows to your extremities, therefore resulting in pain.

Symptoms

Some of the most common symptoms of poor circulation are:

  • Numbness
  • Tingling
  • Throbbing or stinging pain in limbs
  • Pain
  • Muscle Cramps

Treatment for poor circulation often depends on the underlying condition that causes it. Methods for treatment may include insulin for diabetes, special exercise programs, surgery for varicose veins, or compression socks for swollen legs.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

If you have any questions, please feel free to contact our office located in Montgomery, AL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Causes Symptoms and Treatment for Poor Circulation in the Feet

Facts About 5th Metatarsal Fractures

A Jones fracture is a break in the fifth metatarsal bone, which sits along the outside of the foot near the base of the little toe. This injury usually happens after a sudden twist, awkward landing, or forceful change in direction. People who participate in sporting activities that involve running and jumping, as well as dancers, face a higher risk, although anyone can experience this injury after a fall or misstep. It is different from a fracture at the very base of the bone, which has a distinctive healing pattern. Because blood flow to this area is limited, healing can take longer than many other foot fractures. Prompt evaluation helps identify the injury and reduce the risk of healing problems.

Symptoms include pain along the outside of the foot, swelling, bruising, and difficulty putting weight on the injured foot. Some patients hear or feel a snap when the injury happens. A podiatrist examines the foot, asks how the injury occurred, and orders X-rays to confirm the diagnosis. Advanced imaging is sometimes recommended when the fracture is difficult to see or another injury is suspected. Early diagnosis is important because a Jones fracture can fail to heal properly without appropriate treatment.

Treatment depends on the location of the break, the position of the bone, and a patient's activity level. Care includes a cast or walking boot and careful monitoring with follow-up examinations and imaging. Some fractures require surgery to improve bone alignment and increase the chance of successful healing. Regular follow-up visits allow the podiatrist to check healing progress and decide when normal activities can safely resume. Careful evaluation also helps distinguish a Jones fracture from other fractures affecting the fifth metatarsal because treatment recommendations are different for each injury. If you have symptoms of a Jones fracture, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

A broken foot requires immediate medical attention and treatment. If you need your feet checked, contact one of our podiatrists from Montgomery Foot Care Specialists. our doctors can provide the care you need to keep you pain-free and on your feet.

Broken Foot Causes, Symptoms, and Treatment

A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury. 

Common Symptoms of Broken Feet:

  • Bruising
  • Pain
  • Redness
  • Swelling
  • Blue in color
  • Numbness
  • Cold
  • Misshapen
  • Cuts
  • Deformities

Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.

Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.

If you have any questions, please feel free to contact our office located in Montgomery, AL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Causes, Symptoms, and Treatment for a Broken Foot

Are You Suffering From Nerve Damage?

Neuropathy is a condition that can lead to numbness or loss of sensation in the feet, but it can also cause pain. This condition is more likely to develop for those who are diabetic, obese, or with high blood pressure.

Connect With Us

scroll to top