The Achilles tendon, the strongest tendon in the body, connects the calf muscles to the heel bone and is important for walking, running, and jumping. Achilles tendon injuries, such as ruptures, often result from sudden increases in activity or trauma. Conservative treatment for Achilles tendon injuries includes rest, compression, and elevation, in addition to immobilization with a cast or brace to allow natural healing. This approach is typically recommended for less severe injuries or for patients who may not be suitable candidates for surgery. Minimally invasive Achilles tendon repair surgery involves making small incisions to stitch the torn ends of the tendon together. This method reduces the risk of infection, minimizes scarring, and often leads to faster recovery times compared to traditional open surgery. Choosing between conservative treatment and surgery depends on the injury's severity, the patient’s activity level, and overall health. If you have injured your Achilles tendon, it is strongly suggested that you schedule an appointment with a podiatrist to help you determine the best course of treatment. 

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Michael Tomey, DPM of Cary Foot & Ankle Specialists. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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

Peripheral neuropathy is damage to the nerves that are located outside of the brain and spinal cord, preventing communication with the extremities. Diabetes often causes peripheral neuropathy. However, it can also occur due to genetics, infections, injuries, hormonal imbalances, or other medical conditions. Peripheral neuropathy may cause numbness, weakness, muscle twitching, or cramps in the feet. It may also cause changes in nails, skin, and hair, and often results in a pins-and-needles sensation in the legs and feet. Peripheral neuropathy may affect the balance and prevent your ability to recognize temperature changes or pain. You may also experience disturbances in your emotions and sleep patterns. If you have any of these symptoms, it is suggested you contact a podiatrist. They can help diagnose peripheral neuropathy and manage its symptoms with oral medications, orthotic devices, regular checkups, and advice on proper foot care.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Michael Tomey, DPM  from Cary Foot & Ankle Specialists. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

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

Peripheral artery disease, or PAD, affects blood circulation, often manifesting through symptoms related to the feet. Common signs include cramping, pain, or numbness in the feet during physical activity, which subsides with rest. Coldness or discoloration of the feet or toes, particularly in comparison to the unaffected leg, may also occur due to reduced blood flow. Slow-healing wounds or sores on the feet are another indicator, as PAD limits the delivery of oxygen and nutrients essential for tissue repair. PAD, caused by narrowed arteries due to plaque buildup, increases the risk of complications, such as infections and tissue death in severe cases. Regular foot exams from a podiatrist are essential for managing PAD. If you have symptoms of PAD, it is suggested that you are under the care of this type of doctor who can help you to manage this condition.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Michael Tomey, DPM  from Cary Foot & Ankle Specialists. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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

Ankle sprains are a frequent injury in volleyball, often resulting from various risk factors and causes. The sport’s fast-paced nature involves quick lateral movements, jumps, and landings, which can easily lead to rolled or twisted ankles. Uneven landings after jumps are a primary cause, especially when players descend on another’s foot. Inadequate warm-ups and poor ankle strength increase the risk, as muscles and ligaments are less prepared for sudden movements. Playing on an uneven or slippery surface can also contribute to instability and potential sprains. Additionally, wearing inappropriate footwear that lacks proper support or traction further heightens the risk. If you have endured a sprained ankle while playing volleyball, it is suggested that you contact a podiatrist who can effectively treat this condition.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Michael Tomey, DPM of Cary Foot & Ankle Specialists. Our doctor can provide the care you need to keep you pain-free and on your feet.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

• Plantar Fasciitis
• Plantar Fasciosis
• Achilles Tendinitis
• Achilles Tendon Rupture
• Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

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