Peripheral artery disease, or PAD, occurs when arteries become narrowed or blocked, reducing blood flow to the legs and feet. A common cause is atherosclerosis, which develops when plaque builds up inside the arteries and impedes blood flow. Adequate circulation supplies the feet with oxygen and nutrients needed for healthy tissue and normal healing. When circulation is reduced, minor cuts, blisters, or sores may take longer to heal and can become more difficult to manage. PAD may progress slowly, and some people have few noticeable symptoms at first. Recognizing possible warning signs can encourage timely evaluation and care.

Common symptoms of PAD include aching, cramping, or pain in the legs or feet while walking that improves with rest. Other signs may include numbness, weakness, and skin discoloration. More advanced PAD can cause persistent foot pain, including discomfort that becomes worse at night. Reduced circulation may also interfere with wound healing. Persistent sores, cuts, or blisters can increase the risk of infection and should receive prompt attention.

Smoking is a major risk factor for PAD because tobacco can damage blood vessels and interfere with circulation. Diabetes, high blood pressure, and a family history of vascular disease can also increase risk. PAD may significantly affect foot health by contributing to cold feet, skin changes, and a greater risk of infection. People with diabetes may face additional concerns when circulation problems occur with reduced sensation.

A podiatrist can examine the feet for signs of poor circulation and recommend additional testing when necessary. Evaluation may include checking skin temperature, color, and existing wounds. Treatment focuses on addressing risk factors, managing underlying conditions, and protecting the feet from injury. If you have symptoms of PAD, it is suggested that you consult a podiatrist for an accurate evaluation and appropriate treatment recommendations.

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 Jason Bell, DPM from Advantage Foot and Ankle Center . 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 Newark, DE . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Flat feet are a condition in which the arches along the inside of the feet appear low or collapsed while standing. Many children with flat feet do not require aggressive treatment, especially when the condition is painless and does not interfere with normal activity. Conservative management focuses on improving comfort, reducing strain, and supporting healthy foot function as a child grows. Some children benefit from wearing supportive shoes that provide better stability during walking, running, and sports. Others may respond well to stretching exercises that improve flexibility in the feet and legs, particularly when tight muscles contribute to discomfort. Custom orthotics, which are inserts designed to support foot alignment, may also help relieve fatigue or pain in certain cases. Activity modification and monitoring over time can be important when symptoms appear during growth periods. A podiatrist can evaluate how the child walks, determine whether the flat feet are contributing to symptoms, and recommend treatment based on the child’s specific needs. If your child has persistent foot pain, fatigue, or difficulty with activity, it is suggested that you visit a podiatrist for evaluation and appropriate treatment.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Jason Bell, DPM from Advantage Foot and Ankle Center . Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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

The Achilles tendon connects the calf muscles to the heel bone and plays an important role in walking, running, and jumping. It handles strong forces when the foot pushes downward or the body lands after a jump. Achilles tendon injuries can range from irritation and small tears to a complete rupture. Repeated activity can weaken the tendon, while a sudden force can cause it to tear. Basketball, track, and volleyball can place high stress on this area because they involve frequent jumping and landing. However, an Achilles injury can occur in many sports and daily activities.

A rupture can happen when the knee is straight and the foot is suddenly pulled upward while the tendon is under heavy force. Patients can hear or feel a pop at the time of injury. They can also develop immediate weakness when pushing off the foot, making walking difficult. Previous Achilles tendon irritation can increase the risk of a rupture. Weak calf muscles and poor conditioning can also raise the risk. Some patients experience Achilles pain or other symptoms in the weeks before a complete tear occurs, making early evaluation important.

A podiatrist can examine the Achilles tendon and determine the location and severity of an injury. The evaluation can include checking foot movement, calf strength, and the tendon for a gap that can indicate a rupture. A podiatrist can then develop a treatment plan based on the injury and the patient's activity level. Treatment for serious tears can involve immobilization or surgery. Prompt care is important because an untreated rupture can become stiff and scarred, making repair more difficult. If you have an Achilles tendon injury, it is suggested that you schedule an appointment with a podiatrist for effective relief and treatment solutions. 

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Jason Bell, DPM of Advantage Foot and Ankle Center . Our doctor 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 Newark, DE . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

A broken toe can happen after a heavy object lands on the foot, the toe strikes a hard surface, or the foot twists during sports. Repeated pressure can also cause a stress fracture. Pain usually starts near the injured bone and can worsen while standing or walking. Other signs include swelling, bruising, and tenderness. The toe can look bent when the broken ends have shifted. A cut, bleeding around the nail, or bone showing through the skin needs prompt medical attention. The big toe plays an important role in balance and push-off, so an injury there can strongly affect movement.

It can be hard to tell a toe fracture from a sprain based on appearance alone. A podiatrist will ask how the injury happened and examine the toe for pain, position, and skin damage. This foot doctor can also check blood flow and numbness. X-rays can show where the bone broke and whether the pieces remain lined up. More detailed imaging is sometimes useful when the break is hard to see or extends into a joint. An accurate diagnosis matters because a poorly aligned bone can lead to stiffness, pain, or trouble fitting into shoes.

Treatment depends on the toe involved, the break's location, and how far the bone has moved. A podiatrist can stabilize a simple fracture by securing the injured toe to the toe beside it. The doctor can also provide a stiff-soled shoe or walking boot to limit painful motion and offer protection. When bone fragments are out of line, the podiatrist can return them to the proper position. Serious open, crushed, or joint-related fractures may require surgery. Seek prompt care after treatment when pain is severe, the toe appears crooked, or numbness develops. If you have broken your toe, it is suggested that you schedule an appointment with a podiatrist for effective treatment tips.

A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact Jason Bell, DPM from Advantage Foot and Ankle Center . Our doctor will treat your foot and ankle needs.

What to Know About a Broken Toe

Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).

Symptoms of a Broken Toe

• Throbbing pain
• Swelling
• Bruising on the skin and toenail
• The inability to move the toe
• Toe appears crooked or disfigured
• Tingling or numbness in the toe

Generally, it is best to stay off of the injured toe with the affected foot elevated.

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.

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