Freiberg infraction is a condition that affects the long bones in the front of the foot, most often the second metatarsal. It happens when the bone under the toe joint loses its normal blood supply, leading to tiny fractures and collapse of the bone surface. This can cause pain in the ball of the foot, swelling, and stiffness in the toe. Walking or wearing tight shoes may make the discomfort worse, and over time, the joint may become stiff or uneven. The condition is more common in teenagers and young adults, especially those who are active in sports, although adults can develop it, as well. Treatment may involve rest, wearing cushioned shoes, orthotics, or targeted exercises  to relieve pressure and improve movement. Severe cases may require surgery. If you have persistent pain in the ball of your foot, it is suggested that you see a podiatrist for evaluation and appropriate treatment.

Some foot conditions may require additional professional care. If you have any concerns, contact Pasquale Cancelliere, DPM of Candria Foot and Ankle Specialists. Our doctor can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

• Freiberg’s disease
• Kohler’s disease
• Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

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

Pickleball is a popular sport, but when it is played too often, it may lead to the development of plantar fasciitis. This painful foot condition affects the plantar fascia, which is a band of tissue that connects the heel to the toes. When the plantar fascia is inflamed, irritated, or partially torn, the pain is typically felt in the heel.  The discomfort may be worse in the morning upon arising. For that reason, it may be helpful to wear night splints to help keep the plantar fascia in a lengthened position. It is also beneficial to refrain from playing pickleball until the foot has completely healed. However, if pain from plantar fasciitis persists or worsens, it is suggested that you visit a podiatrist who can suggest targeted exercises and other forms of relief to get you back in the game.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Pasquale Cancelliere, DPM from Candria Foot and Ankle Specialists. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

• Achilles Tendonitis
• Achilles Tendon Rupture
• Ankle Sprains
• Broken Foot
• Plantar Fasciitis
• Stress Fractures
• Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

If you have any questions please contact our offices located in Londonderry, NH and Salem, NH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

The big toe is also known as the great toe, and is considered to be one of the most important joints in the body. It has various functions, including walking heel to toe, and balancing while running, jumping, or dancing. There is a joint on the bottom of the big toe that is known as the tarsometatarsal (TMT) joint, and the proximal Interphalangeal joint is found across from it. These joints can become damaged from participating in high-impact sporting activities, and will often become painful and swollen. Another form of discomfort occurring in the big toe is known as gout. This develops as a result of excess uric acid in the blood that can form crystals in the joints of the big toe, often causing debilitating pain. Extensor tendonitis is a foot condition that may happen from having tight calf muscles, and the pain is felt when the big toe is extended. Many people have osteoarthritis of the joints in the big toe, and a bunion may gradually develop, if not promptly treated. If you have pain in your big toe, it is strongly urged that you speak with a podiatrist who can properly diagnose and treat toe pain.

Toe pain can disrupt your daily activities. If you have any concerns, contact Pasquale Cancelliere, DPM of Candria Foot and Ankle Specialists. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please contact our offices located in Londonderry, NH and Salem, NH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Ingrown toenails are a frequent problem and studies show they tend to affect men more often than women. The nail grows into the skin at the edge, leading to pain, swelling, and sometimes infection. While trimming the nail properly, soaking the foot, and wearing wide shoes can bring relief, these conservative steps do not always stop the condition from coming back. For many people, surgical correction offers a more reliable long-term outcome by removing part of the nail or reshaping the nail bed. In addition to wearing tight footwear and improper toenail cutting, ingrown nails may also develop from underlying medical conditions, poor foot hygiene, or even certain medications that alter nail growth. If you struggle with recurring ingrown toenails or notice signs of infection, it is suggested that you schedule an appointment with a podiatrist to explore the most effective treatment.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Pasquale Cancelliere, DPM of Candria Foot and Ankle Specialists. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

• Improper toenail trimming
• Genetics
• Improper shoe fitting
• Injury from pedicures or nail picking
• Abnormal gait
• Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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