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.

Children’s shoes should support natural growth while protecting developing feet. This calls for wearing soft, flexible footwear that allow freedom to move. For infants who are not yet walking, shoes are not needed for proper development. Barefoot movement allows the foot to strengthen and adapt naturally to surfaces. Pre-walkers benefit from minimal interference, as restrictive footwear may limit muscle activation and coordination. This early stage sets the foundation for balance, posture, and healthy walking patterns.

As children begin taking early steps, footwear needs begin to change. Flexible shoes are recommended during this transition stage to allow natural bending and movement. A proper shoe should feel light, with a soft sole that supports without restricting motion. Symptoms of improper footwear may include difficulty walking, irritation, or visible pressure marks on the skin. Shoes that are too rigid can alter natural gait patterns and create unnecessary strain. Choosing the right design helps maintain comfort and supports early mobility.

Independent walkers require shoes that offer a balance of flexibility and structure. At this stage, supportive soles and secure closures help stabilize the foot while allowing freedom of movement. Risk factors for developing foot issues include narrow shoes, stiff materials, and improper sizing. Pressure on the toes can lead to discomfort and affect walking confidence. Parents should regularly check shoe fit as children grow quickly. 

The causes of many pediatric foot concerns can be traced to poor footwear choices during key developmental stages. Shoes that restrict movement or apply uneven pressure can interfere with natural growth. Selecting stage-appropriate footwear encourages proper alignment and reduces the likelihood of discomfort. A thoughtful approach to shoe selection supports healthy development and active movement. If your child has foot pain, from possibly wearing the wrong type of shoes, it is strongly suggested that you consult a podiatrist who can offer effective relief tips, and guide you on the correct shoes to buy for your child. 

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, 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.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

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.

Orthotics are shoe inserts designed to improve foot function, reduce discomfort, and support healthy movement. They help position the feet more effectively when muscles, tendons, ligaments, joints, or bones are not working together as they should. Orthotics can relieve pain caused by conditions like plantar fasciitis, bunions, hammertoes, flat feet, and high arches. They also help reduce foot fatigue during daily activities. Orthotics come in several forms, including over-the-counter inserts and custom-made devices. Choosing the right option depends on the cause of the problem, the structure of the foot, and the level of support needed. A careful evaluation helps determine which type is most appropriate for each patient.

A podiatrist performs a detailed examination that includes foot structure, walking pattern, and activity level before recommending orthotics. This assessment helps identify abnormal movement patterns and pressure points that contribute to pain. Custom orthotics are tailored to a patient’s unique foot structure, while over-the-counter inserts offer a generic solution that may not adequately address individual needs. A podiatrist also recommends shoes that provide proper support because even the best orthotics perform better inside well-fitting footwear. Regular follow-up visits help monitor comfort and determine whether adjustments are needed as symptoms or activity levels change.

Orthotics are not a one-size-fits-all solution, and using the wrong type can limit their benefits. Some patients need custom orthotics because of more complex foot problems or medical conditions like diabetes and severe arthritis. A podiatrist can determine which type best matches each patient's needs and long-term goals. Early evaluation helps improve comfort, support healthy foot mechanics, and reduce unnecessary stress on the feet while walking and standing. If you have symptoms of foot pain or conditions that could benefit from custom orthotics, it is suggested that you schedule an appointment with a podiatrist for diagnosis and treatment.

If you are having discomfort in your feet and would like to try orthotics, contact Jason Bell, DPM from Advantage Foot and Ankle Center . Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

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.