Flat feet, or pes planus, is a condition where the arch of the foot collapses, causing the entire sole to touch the ground. There are two types of flat feet. Flexible flat feet is where the arch appears when the foot is off the ground but flattens when bearing weight. Rigid flat feet is where the arch remains flattened regardless of weight-bearing. Symptoms can include pain, swelling, and fatigue in the feet, ankles, or lower legs. Causes range from genetics and aging to injury, obesity, or conditions like arthritis or diabetes. Flat feet can lead to overpronation, increasing the risk of injuries like plantar fasciitis or shin splints. Diagnosis involves physical examination and sometimes imaging tests like X-rays or CT scans. Treatment options include custom orthotic devices, supportive footwear, stretching exercises, and in severe cases, surgery. With proper management, most individuals with flat feet can lead active lives without significant limitations. If you have flat feet that are causing discomfort, it is suggested that you schedule an appointment with a podiatrist for relief options.

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 care needs.

Morton's neuroma is a painful condition characterized by a thickening of the tissue surrounding the nerves leading to the toes, often resulting in a sensation akin to stepping on a pebble. It primarily affects the ball of the foot, typically between the third and fourth toes, and is more common in women and those who wear tight or high-heeled shoes. Prevention strategies include wearing properly fitting footwear with adequate support and cushioning. Diagnosis involves a physical examination, possibly supplemented by imaging tests, such as MRI scans or ultrasounds. Treatment options range from conservative measures such as custom-made orthotics and steroid injections to surgical removal of the affected tissue. If you have this type of foot discomfort, it is suggested that you schedule an appointment with a podiatrist for an accurate diagnosis and treatment plan.

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.

Sciatica is a condition characterized by pain that radiates along the sciatic nerve, which runs from the lower back down through the buttocks and into each leg. When the sciatic nerve becomes compressed or irritated, it can lead to various symptoms, including sharp, shooting pain, tingling, numbness, or weakness in the lower back, buttocks, legs, and feet. In some cases, sciatica can also cause toe pain, often described as a burning sensation or electric shock-like discomfort. This toe pain may result from nerve compression affecting the branches of the sciatic nerve that innervate the feet and toes. A podiatrist can play a vital role in managing sciatica-related foot pain by conducting a comprehensive evaluation to identify contributing factors, providing treatments to alleviate symptoms such as orthotic devices, and coordinating care with other healthcare providers as needed for optimal pain management and functional improvement.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot 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.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This 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

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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.

Plantar warts are caused by the human papillomavirus, or HPV, infecting the skin on the bottom of the feet. These highly contagious warts can be both uncomfortable and persistent. Treatment options vary and may include remedies like salicylic acid, which gradually peels away the wart. A podiatrist, or foot doctor, may suggest more advanced solutions for warts that are more resistant to treatment. Some possible treatments include cryotherapy, which uses liquid nitrogen to freeze and kill the wart tissue, or laser treatment, which destroys the wart with focused light energy. In some cases, minor surgical removal may be necessary, especially for deeper or more stubborn warts. Podiatrists can also provide guidance on preventing the spread of the virus and managing discomfort during the treatment process. If you are struggling with plantar warts, it is suggested that you make an appointment with a podiatrist to discuss treatment options.

Plantar warts can be very uncomfortable. If you need your feet checked, contact Pasquale Cancelliere, DPM from Candria Foot and Ankle Specialists. Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

• Lesions on the bottom of your feet, usually rough and grainy
• Hard or thick callused spots
• Wart seeds, which are small clotted blood vessels that look like little black spots
• Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

• Freezing
• Electric tool removal
• Laser Treatment
• Topical Creams (prescription only)
• Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate 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.

Elderly foot care is imperative due to the profound impact feet have on overall well-being. As the foundation of mobility, feet endure a lifetime of stress and strain, making them vulnerable to age-related changes and conditions. With advancing age, the body undergoes physiological changes, such as decreased skin elasticity and reduced water content in cells, which can contribute to common foot problems like dryness, calluses, and fungal infections. Additionally, structural changes, such as loss of fat padding and decreased circulation, can increase the risk of foot pain, ulcers, and injuries. Regular foot examinations by a podiatrist are essential for seniors to detect and address issues early, preventing complications and maintaining mobility and quality of life. If you are a senior, it is suggested that you schedule routine visits with a podiatrist for guidance and treatment specialized for aging feet.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, 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.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

• Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
• Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
• Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
• Gouging toenails affecting nearby toe
• Shoes that don’t fit properly
• Pressure sores
• Loss of circulation in legs & feet
• Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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.

The assumption that any discomfort in the big toe signifies a bunion can lead to unnecessary surgeries. Beyond bunions, several foot conditions can mimic their symptoms. Big toe joint arthritis, characterized by bone spurs due to cartilage degeneration, is one example. While this ailment often causes pain and inflammation in the big toe, it typically affects the top of the joint. A ganglion cyst is a fluid-filled sac that can attach to the big toe joint, posing a diagnostic challenge. Gout, marked by intense pain and swelling from uric acid crystal deposits, can masquerade as a bunion due to similar symptoms. Bursitis, a painful inflammation of the bursa between the skin and bone, may also be mistaken as a bunion. For an accurate diagnosis of your big toe pain, it is suggested that you schedule an appointment with a podiatrist. Depending on the outcome of an exam, pain management or other medical interventions may be suggested. 

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.

During pregnancy, the extra fluid in the body and the pressure from the growing uterus can cause swelling, or edema, in the ankles and feet. However, there are several strategies to help reduce swelling in the feet. First and foremost, ensure you stay well-hydrated by drinking plenty of water throughout the day to help flush out excess fluids. Elevating your feet whenever possible, especially while resting or sleeping, can aid in reducing swelling by allowing gravity to assist in fluid drainage. Consider wearing compression stockings, which provide gentle pressure to improve circulation and reduce swelling. Engaging in low-impact exercises, such as walking or swimming, can also help improve circulation and alleviate swelling. Avoiding prolonged periods of sitting or standing is important, as it can contribute to fluid retention in the lower extremities. Invest in comfortable, supportive shoes with adequate arch support to further alleviate discomfort. While having swollen feet during pregnancy is common, if problems arise, it is suggested that you make an appointment with a podiatrist for an evaluation and additional treatment options.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Pasquale Cancelliere, DPM from Candria Foot and Ankle Specialists. Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

• Wearing orthotics can provide extra support for the feet and help distribute weight evenly
• Minimize the amount of time spent walking barefoot
• Wear shoes with good arch support
• Wear shoes that allow for good circulation to the feet
• Elevate feet if you experience swelling
• Massage your feet
• Get regular, light exercise, such as walking, to promote blood circulation to the feet

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.

Staying informed about diabetic foot ulcer treatments is necessary for effective patient care. Common interventions include surgical debridement to remove necrotic tissue, antibiotic therapy to combat infection, and vascular assessment to optimize blood flow. Offloading pressure from affected areas is essential for healing. In severe cases, amputation may be necessary to prevent further complications. Additionally, various therapies exist for non-healing wounds, such as advanced dressing. Podiatrists play a vital role in diabetic foot ulcer management, possessing specialized education and skills in this field. By staying abreast of evolving treatments and leveraging multidisciplinary approaches, they can enhance outcomes and improve the quality of life for individuals with diabetic foot ulcers. If you suffer from diabetic foot ulcers, it is strongly suggested that you make routine appointments with a podiatrist for the best care possible.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, 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.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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.

Toe arthritis comes in various forms, each with its triggers and symptoms. Osteoarthritis, which is often spurred by wear and tear or injury, gradually erodes the cartilage between toe bones. Rheumatoid arthritis unleashes inflammation throughout the body, causing redness, warmth, and swelling in the toes, along with systemic symptoms like fatigue. Gout, driven by uric acid crystal formation, particularly targets the big toe and can be influenced by genetics, diet, alcohol intake, and obesity. Psoriatic arthritis, an autoimmune condition, often causes skin lesions that precede joint symptoms. For suspected toe arthritis, a podiatrist can offer a comprehensive assessment, including medical history, physical examination, X-rays, and possibly joint fluid analysis, to pinpoint the type and extent of the condition. For help with your toe pain, it is suggested that you make an appointment with a podiatrist. 

Arthritis can be a difficult condition to live with. If you are seeking treatment, 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.

Arthritic Foot Care  

Arthritis is a joint disorder that involves the inflammation of different joints in your body, such as those in your feet. Arthritis is often caused by a degenerative joint disease and causes mild to severe pain in all affected areas. In addition to this, swelling and stiffness in the affected joints can also be a common symptom of arthritis.

In many cases, wearing ill-fitting shoes can worsen the effects and pain of arthritis. Wearing shoes that have a lower heel and extra room can help your feet feel more comfortable. In cases of rheumatoid arthritis, the arch in your foot may become problematic. Buying shoes with proper arch support that contour to your feet can help immensely.

Alleviating Arthritic Pain

• Exercises that stretch the foot can prevent further pain and injury and increase mobility
• Most of the pain can be alleviated with anti-inflammatory drugs, heat, and topical medications
• Massages can help temporarily alleviate pain.

It is best to see your doctor for the treatment that is right for your needs and symptoms. Conditions vary, and a podiatrist can help you determine the right method of care for your feet.

If you have any questions please feel free to contact our offices located in Londonderry, NH and Salem, NH . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.