
What Causes Morton’s Neuroma?

The foot condition that is known as Morton’s neuroma is painful. It is caused by wearing shoes that do not have enough room in the toe area and it affects the nerve between the third and fourth toes. High heels can fall into this category, and women can develop this condition if high heels are worn often and for long periods of time. Patients may feel this affected nerve can be malignant, however, it is considered to be a benign growth. The pain is often felt in the ball of the foot, and it may be difficult to walk. Temporary relief may be found when wider shoes with lower heels are worn. There may be swelling that accompanies this ailment, and it can be helpful to elevate the feet. In severe cases, some patients may choose surgery that can remove the nerve, and normal activities may be resumed. If you have foot pain from for Morton’s neuroma, it is strongly suggested that you contact a podiatrist who can effectively diagnose and offer the correct treatment methods.
Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Pasquale Cancelliere, DPM of Candria Foot and Ankle Specialists. Our doctor will attend to all of your foot care needs and answer any of your related questions.
Morton’s Neuroma
Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.
What Increases the Chances of Having Morton’s Neuroma?
- Ill-fitting high heels or shoes that add pressure to the toe or foot
- Jogging, running or any sport that involves constant impact to the foot
- Flat feet, bunions, and any other foot deformities
Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.
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.
How MLS Laser Therapy Sheds Light on Pain and Inflammation
MLS (Multiwave Locked System) Laser Therapy is a non-invasive method of treatment that uses two continuous therapeutic wavelengths of light that penetrate deep into the tissue to stimulate the regeneration of cells, decrease pain and inflammation, and improve circulation to the injured area. While there may be a slight warming sensation at the site of treatment, the combination of these two synchronized wavelengths minimizes the risk of thermal damage. Treatments generally take 10-15 minutes, and the typical course of treatment entails roughly 6 to 12 treatments. Many patients experience long-term positive results from MLS Therapy, as it addresses the cause of pain rather than simply masking symptoms. Podiatrists may use MLS therapy to treat plantar fasciitis, Achilles tendon issues, bursitis, neuromas, arthritis, fractures, injuries, and more. If you have any of these conditions, talk to your podiatrist to see if you are a good candidate for MLS Laser Therapy.
MLS Laser Therapy is a successful alternative for treating any pain you may be experiencing related to certain podiatric conditions. If you are interested in MLS Laser Therapy, 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.
MLS Laser Therapy
Multiwave Locked System (MLS) Laser Therapy is a patented, FDA-cleared technology that helps relieve pain and inflammation from a number of podiatric conditions, including:
- Heel Pain
- Plantar Fasciitis
- Sports Injuries
- Wounds
- Achilles Tendonitis
- Arthritis
- Neuropathy
- Neuromas
MLS Laser Therapy is an ideal alternative to surgery and prescription medication, as it has no negative side effects and encourages accelerated healing. Among its many clinical benefits, MLS Laser Therapy also:
- Reduces swelling due to bruising or inflammation
- Blocks pain
- Reduces formation of scar tissue
- Improves nerve function
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.
MLS Laser Therapy
MLS Laser Therapy is an FDA-approved technology designed to treat various painful conditions. It is often sought out as a successful alternative to surgical treatment and prescription medication that may otherwise bring about negative side effects. During MLS Laser Therapy, light energy enters the damaged cells to stimulate intercellular activity, reducing pain in the affected area and accelerating the recovery process.
MLS Laser Therapy is used in podiatry to treat various conditions. These include heel pain, plantar fasciitis, sports injuries, wounds, Achilles tendonitis, arthritis, neuromas, neurological pain, musculoskeletal disorders, and sore muscles. Aside from the specific conditions MLS Laser Therapy treats, patients can also gain from the treatment’s general benefits. These benefits include a rapid relief of pain, the reduction of swelling caused by inflammation or bruising, faster healing, improved blood circulation, the reduction of scar tissue, and improved nerve function.
MLS Laser Therapy is a non-surgical treatment with no side effects. The treatment process is painless and typically takes a short amount of time to complete. Several treatments may be required depending on the specific condition.
Requirements to Become a Podiatrist

Becoming a podiatrist, who is a specialized medical professional focusing on foot and ankle health, involves a well-defined educational journey. An interested student will typically need to complete a bachelor's degree in a related field, such as biology or premed. After this foundation, a Doctor of Podiatric Medicine, or DPM, degree is obtained, which is a comprehensive four-year program. During the DPM program, the subjects studied can include anatomy, physiology, and podiatric medicine, accompanied by clinical training. This phase will provide hands-on experience and exposure to various foot and ankle conditions. Following graduation, the competent student will likely complete a residency program, which can last from two to four years, focusing on specialized areas, such as surgery or sports medicine. The final step is to obtain licensure by passing state-specific exams. Becoming a podiatrist requires dedication, a strong educational foundation, and a commitment to promoting foot health. If you have questions about the field of podiatry, it is suggested that you confer with a podiatrist who can provide you with pertinent information.
If you are experiencing pain in the feet or ankles, don’t join the stubborn majority refusing treatment. Feel free to contact Pasquale Cancelliere, DPM from Candria Foot and Ankle Specialists. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is a Podiatrist?
Someone would seek the care of a podiatrist if they have suffered a foot injury or have common foot ailments such as heal spurs, bunions, arch problems, deformities, ingrown toenails, corns, foot and ankle problems, etc.
Podiatric Treatment
A podiatrist will treat the problematic areas of the feet, ankle or lower leg by prescribing the following:
- Physical therapy
- Drugs
- Orthotic inserts or soles
- Surgery on lower extremity fractures
A common podiatric procedure a podiatrist will use is a scanner or force plate which will allow the podiatrist to know the designs of orthotics. Patients are then told to follow a series of tasks to complete the treatment. The computer will scan the foot a see which areas show weight distribution and pressure points. The podiatrist will read the analysis and then determine which treatment plans are available.
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 and ankle needs.
What is a Podiatrist?
The branch of medicine that is focused on the treatment, diagnosis, and study of disorders of the lower leg, ankle and foot is referred to as podiatry. Because people often spend a great deal of their time on their feet, many problems in this area can occur. A person seeks help from the field of podiatry when they need treatment for heel spurs, bunions, arch problems, deformities, ingrown toenails, corns, foot and ankle problems, infections, and problems with the foot that are related to diabetes and additional diseases.
To treat problems of the foot, ankle or lower leg, a podiatrist may prescribe physical therapy, drugs, perform surgery, or set fractures. Individuals may also be recommended to wear corrective shoe inserts, custom-made shoes, plaster casts and strappings in order to correct deformities.
When trying to gather information on a patient problem, a scanner or force plate may be used in order to design orthotics. During this procedure, patients are told to walk across a plate that is connected to a computer; the computer then takes a scan of the foot and indicates weight distribution and pressure points. The computer readouts will give the podiatrist information to help them determine the correct treatment plans.
Diagnosis is also provided through laboratory tests and x-rays. Through the foot, the first signs of serious problems such as heart disease, diabetes and arthritis can show up. For example, individuals that have diabetes may frequently have problems such as infections and foot ulcers because they experience poor circulation in the foot area. A podiatrist can then have consultations with patients when symptoms arise. Referrals will then be made to specialists that handle the greater health problems.
Some podiatrists have their own independent, private practices or clinics where they have a small staff and administrative personnel. Many podiatrists work within group practices. They usually spend time performing surgery in ambulatory surgical centers or hospitals, or visit patients in nursing homes. Podiatrists typically spend between 30 to 60 hours of week working. Some podiatrists specialize in public health, orthopedics, surgery, or primary care. Other fields include specialties in geriatrics, dermatology, pediatrics, diabetic foot care and sports medicine.
Some podiatrist specialists complete extra training in the area of foot and ankle reconstruction that results from the effects of physical trauma or diabetes. There are also surgeons that perform surgery of a cosmetic nature to correct bunions and hammertoes.
Causes of Ankle Instability

Ankle instability can be a persistent and troublesome issue for many people, affecting their daily activities and overall quality of life. It often arises due to a variety of factors that compromise the stability of the ankle joint. One common cause of ankle instability is a history of ankle sprains. When an ankle is sprained, the ligaments that support it may stretch or tear, weakening its ability to hold the joint in place. Muscle weakness is another contributing factor, as insufficient strength in the muscles surrounding the ankle can increase the joint’s instability. Additionally, certain medical conditions, such as ligament laxity and joint hypermobility, can predispose individuals to ankle instability. Improper footwear choices, especially high heels or shoes lacking adequate support, can also strain the ankle joint over time. Finally, biomechanical issues like overpronation or supination can create an imbalance, which further increases the risk of ankle instability. If you're experiencing ankle instability, it is suggested that you make an appointment with a podiatrist for a personalized assessment and guidance on managing your condition.
Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, 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.
Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.
Causes
The most common causes of ankle pain include:
- Types of arthritis (rheumatoid, osteoarthritis, and gout)
- Ankle sprains
- Broken ankles
- Achilles tendonitis
- Achilles tendon rupture
- Stress fractures
- Bursitis
- Tarsal tunnel syndrome
- Plantar fasciitis
Symptoms
Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.
Diagnosis
Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.
Treatment
Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.
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.
Everything You Need to Know About Gout
Gout, typically found in diabetic patients, is an unusually painful form of arthritis caused by elevated levels of uric acid in the bloodstream. The condition typically strikes the big joint on the big toe. It has also been known to strike the knees, elbows, fingers, ankles and wrists—generally anywhere that has a functioning, moving joint.
The high level of uric acid in a person’s bloodstream creates the condition known as hyperuricema—the main cause of gout. Genetic predisposition occurs in nine out of ten sufferers. The children of parents who suffer gout will have a two in ten chance of developing the condition as well.
This form of arthritis, being particularly painful, is the leftover uric acid crystallizing in the blood stream. The crystallized uric acid then travels to the space between joints where they rub, causing friction when the patient moves. Symptoms include: pain, redness, swelling, and inflammation. Additional side effects may include fatigue and fever, although reports of these effects are very rare. Some patients have reported that pain may intensify when the temperature drops, such as when you sleep.
Most cases of gout are easily diagnosed by a podiatrist’s assessment of the various symptoms. Defined tests can also be performed. A blood test to detect elevated levels of uric acid is often used as well as an x-ray to diagnose visible and chronic gout.
Treatment for gout simply means eliminating symptoms. Non-steroid anti-inflammatory drugs or NSAIDs (Colchicine and other corticosteroid drugs, etc.) will quell the redness, the swelling, and the inflammation. However, managing your diet, lifestyle changes, and using preventative drugs are all helpful toward fully combating the most severe cases.
Those that lead an inactive lifestyle are at a higher risk for gout. Any amount of exercise decreases the probability of repeat encounters with the condition. Reducing your consumption of red meat, sea food, and fructose-sweetened drinks also reduces the likelihood of chronic gout as well.
Ingesting Vitamin C, coffee, and particular dairy products can help with maintaining a healthy lifestyle. There are new drugs out on the market that inhibit the body’s production of uric acid-producing enzymes. However, reducing or eliminating your overall levels of uric acid is the best remedy to ensuring you lead a gout-free life.
Symptoms and Treatment of Flat Feet

Flat feet, or pes planus, is a common condition where the arches of the feet collapse, causing the entire sole to touch the ground. This condition may be present from birth or develop over time. Genetics may play a significant role because the development of arches is determined by genetics. Insufficient development of foot muscles or weakening due to factors like aging or inactivity also can contribute to flat feet. Certain medical conditions like arthritis, diabetes, and obesity can increase the risk of developing flat feet. Some people experience no discomfort from flat feet, while others may suffer from pain in the arches or heels, swelling, or difficulty standing on tiptoes. Treatment options for flat feet depend on the severity and symptoms. Custom orthotic inserts can provide arch support and alleviate discomfort. Stretching exercises may help strengthen the foot muscles. In some cases, anti-inflammatory medication may be recommended. Early intervention can prevent further complications and improve your overall foot health. If you're experiencing flat feet-related issues, it's suggested that you consult a podiatrist for a thorough evaluation and a personalized treatment plan.
Flatfoot is a condition many people suffer from. If you have flat feet, contact Pasquale Cancelliere, DPM from Candria Foot and Ankle Specialists. 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 offices located in Londonderry, NH and Salem, NH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Pregnancy and Foot Health
Many pregnant women complain about foot pain while they are expecting. Foot pain can primarily be caused by weight gain and hormonal changes taking place in the body. By understanding how pregnancy impacts the health of a woman's feet, a pregnant woman can take action to keep her feet as healthy and comfortable as possible.
Because a woman's weight changes during pregnancy, more pressure is brought to bear on both the legs and the feet. This weight shift can cause two major foot problems: over-pronation, also known as flat feet, as well as edema, which is swelling of the feet. Over-pronation occurs when the arch of the foot flattens, causing the foot to roll inwards when the individual is walking, and can aggravate the plantar fascia tissues located along the bottom of the feet. If these tissues become inflamed, a pregnant woman can experience pain in the heel of the foot as well as severe foot pain while walking or standing. Swelling of the feet, or edema, often occurs in the later stages of pregnancy. It is caused by slow circulation and water retention, and may turn the feet a light purple color.
To keep feet in good health and prevent over-pronation, pregnant women should avoid walking barefoot and be sure they are wearing shoes that offer good arch support. A device known as an orthotic can be added to regular footwear in order to provide additional support for the feet during pregnancy. Any expectant mother whose feet hurt should first check to see if the shoes she is wearing are old, worn out and not offering the proper support necessary for distributing the weight of her body during pregnancy.
To treat edema of the feet, a good start is to wear quality footwear which offers support and good circulation. Keep feet elevated whenever possible by using a foot stool while seated. Stay well hydrated by drinking plenty of water to prevent water retention in the feet. Any swelling that occurs in only one foot should be examined as soon as possible by a doctor.
Good foot health during pregnancy can help expectant mothers avoid foot pain that leads to other health problems. Massaging the feet and doing regular gentle exercise like walking aids foot health by contributing to good circulation. Supportive shoes are also a good investment that will support foot health during pregnancy.
Causes and Symptoms of Gout

Gout is a type of arthritis characterized by sudden, severe joint pain and inflammation, typically affecting the big toe, although it can occur in other joints as well. Understanding the causes and symptoms of gout is essential for early diagnosis and effective management. Gout is primarily caused by high levels of uric acid in the blood, a condition known as hyperuricemia. Uric acid crystals can accumulate in the joints, leading to painful gout attacks. Several factors can contribute to elevated uric acid levels, including genetics, and a diet rich in purines which are found in red meat, seafood, and alcohol. Additionally, taking certain medications and obesity may lead to developing gout. The symptoms of gout often appear suddenly and include intense joint pain, swelling, redness, and warmth surrounding the affected joint. Gout attacks can be excruciating, and the pain may persist for days or weeks if left untreated. Managing gout involves lifestyle modifications, dietary changes, and medications to lower uric acid levels. Prompt medical attention and understanding the causes and symptoms are crucial for preventing and mitigating the effects of gout. If you are afflicted with gout, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this condition.
Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Pasquale Cancelliere, DPM from Candria Foot and Ankle Specialists. Our doctor will treat your foot and ankle needs.
What Is Gout?
Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.
People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.
Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.
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 and ankle needs.