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.

The structure of the foot comprises a fascinating network of bones and joints that enable us to walk, run, and stand. The foot has three major sections: the forefoot, midfoot, and hindfoot. The forefoot contains metatarsal bones forming the ball of the foot, while the midfoot houses various tarsal bones. The tarsal bones are responsible for maintaining arches and facilitating flexibility. The hindfoot houses the heel bone, or calcaneus, and is crucial for absorbing shock during movement. Other joints in the foot, like the ankle joint and the subtalar joint, allow for complex motions that include dorsiflexion and plantarflexion. Understanding this skeletal framework is essential for appreciating the importance of proper foot care and maintaining overall mobility and comfort. If you would like more information about the biomechanics of the feet, it is suggested that you consult with a podiatrist who can provide you with the knowledge you are seeking.

If you have any concerns about your feet, 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.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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.

Much of the body's weight is supported by the metatarsals, the long bones of the foot. When these bones become inflamed or irritated, it results in a condition known as metatarsalgia, or more commonly, pain in the ball of the foot. This causes varying degrees of discomfort that can disrupt daily activities. Metatarsalgia is often seen in active individuals, as a result of overuse and high-impact activities like running and jumping. Constrictive footwear and high heels that create pressure around the metatarsals can also contribute to ball of foot pain. Being overweight increases the risk of developing metatarsalgia. Symptoms include pain between the toes and the arch, which can intensify during movement and ease when resting. Numbness around the toes, especially the big toe and second toe, is common. Stretching and strengthening foot muscles, as well as the Achilles tendon, are essential for recovery from metatarsalgia. Proper footwear with arch support can aid in cushioning the foot's arch and providing relief. Surgical options might be considered if other pain management remedies prove inadequate. If you are experiencing pain in the ball of the foot on a continual basis, it is suggested that you make an appointment with a podiatrist for a full examination and discussion of treatment options.

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.

Cuboid syndrome is a painful foot condition that can significantly disrupt mobility and daily activities. It occurs when the cuboid bone becomes displaced. The exact cause of cuboid syndrome is often attributed to sudden or excessive forces applied to the foot during activities such as running, jumping, or rolling the ankle. Athletes and individuals who engage in high-impact sports or activities are at a higher risk for this condition due to the repetitive stress placed on the foot. Additionally, people who have flat feet or those who wear poorly fitting shoes may also be prone to developing cuboid syndrome. Recognizing and addressing these risk factors is crucial in preventing the occurrence of cuboid syndrome and maintaining optimal foot health. Seeking professional care promptly is essential for an accurate diagnosis and appropriate treatment to ensure a swift recovery. If you have pain in the outer part of your foot, it is strongly suggested that you speak with a podiatrist who can diagnose and treat cuboid syndrome.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, 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.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

• Injury – The most common cause of this ailment is an ankle sprain.
• Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
• Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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 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.

People who enjoy jogging know the importance of stretching their feet before and after embarking on a run. This can help the overall health of the feet as the aging process occurs, in addition to increased physical activity. Having strong feet may prevent unwanted foot conditions like bunions, arthritis, and general foot pain. Certain foot stretches can help maintain balance, stability, and flexibility. These can consist of toe and calf stretches and exercises that help the plantar fascia. Perform the ankle alphabet by sitting on a chair while lifting one foot off the ground. As the ankle is moved in different directions, letters can be drawn in the air. This is effective in improving mobility in the foot and can be repeated on each foot several times. Balance can be enhanced while standing on one leg with the knee slightly bent. After this pose is held for 30 seconds, it can be done on the other foot and repeated several times. If you would like to learn about how to stretch your feet, it is suggested that you confer with a podiatrist.

Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet 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.

Stretching the Feet

Being the backbone of the body, the feet carry your entire weight and can easily become overexerted, causing cramps and pain. As with any body part, stretching your feet can serve many benefits. From increasing flexibility to even providing some pain relief, be sure to give your feet a stretch from time to time. This is especially important for athletes or anyone performing aerobic exercises, but anyone experiencing foot pain or is on their feet constantly should also engage in this practice.

Great ways to stretch your feet:

• Crossing one leg over the others and carefully pull your toes back. Do 10-20 repetitions and repeat the process for each foot
• Face a wall with your arms out and hands flat against the wall. Step back with one foot and keep it flat on the floor while moving the other leg forward. Lean towards the wall until you feel a stretch. Hold for 30 seconds and perform 10 repetitions for each foot
• Be sure not to overextend or push your limbs too hard or you could risk pulling or straining your muscle

Individuals who tend to their feet by regular stretching every day should be able to minimize foot pain and prevent new problems from arising.

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.

People who are diabetic are generally concerned about developing a diabetic foot ulcer. Proper wound care treatment is crucial for this type of infection, and serious consequences may ensue if prompt medical attention is not received. Research has shown that approximately 25 percent of diabetic patients will develop a foot ulcer, and implementing prevention techniques may help to avoid this. An essential step for this type of wound care treatment can be to remove the necrotic or dead wound tissue. This is referred to as debridement, and there are various ways to treat this. It is important to reduce any pressure on the wound, and often an off-loading boot is worn. The wound is typically drained, and the healthy underlying tissue is examined. Effective prevention methods can include keeping glucose levels within a normal range, drinking plenty of water daily, and eating healthy foods. If you have a diabetic foot ulcer, it is strongly suggested that you are under the care of a podiatrist who can provide the proper treatment.

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.

It is crucial to purchase the right type of running shoes for the specific type of running that is desired. This is true of all types of runners, ranging from beginners to people who have run marathons. The most important factor to look for is a shoe that fits the foot perfectly. Each type of running shoe is designed with various features based on the activity level. Running shoes that have added motion control may benefit people who overpronate, which is when the foot rolls inward as it strikes the ground. These types of shoes tend to be stiff and can provide the necessary support as running is practiced. People who enjoy running marathons may benefit from wearing shoes that have extra cushioning, as the heel consistently hits the ground. There are many different types of running shoes, and it is suggested that you confer with a podiatrist who can guide you on the best pair to purchase for your needs.

If you are a runner, wearing the right running shoe is essential. For more information, 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.

Choosing the Right Running Shoe for Your Foot Type

To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.

• Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
• Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
• Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.

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.

Studies show that falling is the No. 1 cause of injury-related deaths in people ages 65 and older. Experts believe that it may be possible to help prevent falling by addressing three concerns. They are weak stabilizer muscles, poor core strength, and balance problems. Strengthening stabilizer muscles in the hips and core muscles in the abdomen improves the ability to stand up and move. Balance, reflexes and coordination diminish over time, which makes it easier to trip and reduces the ability to catch yourself if you do. Staying active is a good way to prevent falling, as a sedentary lifestyle further weakens the muscles. Performing a series of exercises to rebuild the strength in weakened muscles can help. In addition, exercises to improve balance can help with stability. Falls also may be caused by other physical ailments, such as arthritis, peripheral neuropathy, and vision problems. Any of these conditions can further increase the risk of falling. For guidance and information on suitable methods to help prevent falls, it is suggested that you consult a podiatrist.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Pasquale Cancelliere, DPM from Candria Foot and Ankle Specialists. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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.

A hammertoe occurs when one of the three middle toes bends upward at the middle joint. Corns and calluses that can develop on the hammertoe can make wearing shoes and walking uncomfortable. If lifestyle changes, such as wearing wider shoes, using shoe inserts, or doing stretching and strengthening toe exercises do not help, surgery can be considered to correct a hammertoe. Hammertoe surgery is not a good option for those who have poor circulation in their feet, have a foot infection, or have other health problems making surgery a risk. If considered a good candidate for this surgery, it is typically a procedure that can be done as an outpatient under general anesthesia or using numbing medications. If the hammertoe is still somewhat flexible, a tendon transfer involving redirecting tendons from the bottom of the toe to the top where it is bent can be done to straighten the toe. If the hammertoe is fixed or rigid, a joint resection or fusion can be done. Joint resection is when tendons and ligaments are cut to help straighten the toe and the end of the bone is cut off so the toe can be fully extended. In fusion surgery, the ligaments and tendons are also cut but the two bones forming the affected joint are also cut for straightening the toe. If you have a painful hammertoe, it is suggested that you make an appointment with a podiatrist to see if more conservative treatment is possible or whether surgery is an option for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Pasquale Cancelliere, DPM of Candria Foot and Ankle Specialists. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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.