
Persistent Ankle Pain from an Ankle Sprain

An ankle sprain can result in persistent pain and swelling despite rest and physical therapy. The location of the pain can indicate different issues. Frontal pain may suggest damage within the ankle joint or at the front of the ankle. Patients with joint surface injuries or front ankle problems typically experience discomfort during walking, running, or jumping activities, with increased pain on stairs or uneven surfaces. Lateral or side ankle pain may arise from synovitis, which is inflammation of the joint lining, due to a recent sprain, tendon tears, dislocation, or hidden fractures. Synovitis causes front ankle pain, worsening with activities like stair climbing and running, accompanied by swelling and reduced joint motion. Peroneal tendon tears usually manifest as delayed lateral ankle pain and swelling, aggravated by physical activity, especially on uneven terrain. Fractures can mimic sprains but require different treatments. Treatment for ankle sprains may include immobilization, medication, or surgery. If you have sprained your ankle, it is strongly suggested that you make an appointment with a podiatrist for a diagnosis and an individualized treatment plan.
Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Amir Shalev, DPM from Complete Foot & Ankle Care. 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 tendinitis
- Achilles tendon rupture
- Stress fractures
- 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 office located in Las Vegas, NV . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Ankle Pain
Pain experienced in the ankle can be caused by a multitude of conditions. While the most common cause is an ankle sprain, other possible problems can include arthritis, gout, ankle instability, an ankle fracture, nerve compression, or tendinitis. In more serious cases, ankle pain can be a sign of improper alignment of the foot or an infection.
Ankle pain can often be accompanied by symptoms such as redness, swelling, stiffness, and warmth in the affected area. Pain can be described differently depending on the condition: short, stabbing pain and a dull ache are some examples. If such symptoms are persistent and do not improve after time, be sure to schedule an appointment with your local podiatrist.
Depending on the condition causing your ankle pain, different treatments may be prescribed by your podiatrist. For ankle sprains, the first step in treatment involves rest, ice, elevation, and compression. Be sure to avoid placing pressure on the ankle, use an ice pack several times a day, and use a compression bandage and elevation to reduce swelling. Other, more serious conditions may require the assistance of certain drugs and medications such as nonsteroidal anti-inflammatory drugs (NSAIDs), physical therapy, or even cortisone injections.
Depending on the severity of your ankle pain and the condition behind it, recovery from ankle pain may take some time.
Consult with your foot and ankle doctor to best determine the cause of your ankle pain and the appropriate treatment.
Dealing With an Ankle Sprain

Ankle sprains are a common injury, often the result of sudden twists, rolls, or impacts that stretch or tear the ligaments connecting the bones of the ankle joint. These ligaments are vital for stability and movement, making ankle sprains a significant concern. Ankle sprains typically occur during activities that involve sudden changes in direction, uneven surfaces, or accidental missteps. Sports like basketball, soccer, and trail running, as well as everyday occurrences like tripping or stumbling, can lead to these injuries. The most common type of ankle sprain is when the foot rolls inward, causing damage to the ligaments on the outer side of the ankle. Common signs of a sprain include pain, swelling, and bruising around the affected area. Walking or bearing weight on the injured ankle can be painful, and there might be a sensation of instability or weakness. In severe cases, there could be a popping sound at the time of injury, indicating a possible ligament tear. Prompt treatment is required to prevent further complications and ensure recovery. If you suspect an ankle sprain, it is suggested that you make an appointment with a podiatrist as soon as possible to determine the extent of the injury and receive the appropriate care.
Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact Amir Shalev, DPM from Complete Foot & Ankle Care. Our doctor can provide the care you need to keep you pain-free and on your feet.
How Does an Ankle Sprain Occur?
Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.
What Are the Symptoms?
- Pain at the sight of the tear
- Bruising/Swelling
- Ankle area is tender to touch
- In severe cases, may hear/feel something tear
- Skin discoloration
Preventing a Sprain
- Wearing appropriate shoes for the occasion
- Stretching before exercises and sports
- Knowing your limits
Treatment of a Sprain
In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.
It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.
If you have any questions, please feel free to contact our office located in Las Vegas, NV . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Three Grades of Ankle Sprains
An ankle sprain occurs when one or more ankle ligament gets overly stretched. Ligaments are strong bands of tissue that bind and support the bones and other structures that make up the ankle. In more severe ankle sprains, the ligament(s) tear—either partially or completely—and there may be an audible popping noise at the moment of injury.
Ankle sprains are quite common and can occur when the ankle rolls outwardly (eversion) or inwardly (inversion), causing the ligament(s) to stretch beyond normal limits, or even tear. Falls, twists, or blows to the ankle during sports or other activities can cause this injury, as well as wearing improper footwear, running on uneven surfaces, or having weak ankles.
Depending on the injury’s severity, an ankle sprain will be classified as Grade I, Grade II, or Grade III. Grade I sprains involve ligament(s) being overly stretched but not torn, with symptoms of mild pain, swelling, and ankle instability. There may also be some difficulty bearing weight. A Grade II sprain usually involves a partial tear of the ligament which brings more intensity in these symptoms, along with possible bruising. With a Grade III sprain, the ligament is completely torn, the symptoms are severe, and it may not be possible to put weight on the affected foot at all.
To diagnose and grade an ankle sprain, a podiatrist will perform a physical examination, checking for tenderness and range of motion in the ankle. For more severe sprains, X-rays or other imaging studies may be necessary.
It is vitally important to have an ankle sprain treated properly as improper healing often leads to future ankle sprains and possibly even chronic ankle stability. Treatment for an ankle sprain will vary, depending on its severity, and may include the RICE method (Rest/Ice/Compression/Elevation), physical therapy, bracing, medications, and possibly even surgery to repair a torn ligament. Rehabilitation is very important for the sprain to heal properly and to restore functionality.
All About Broken Toes

Recognizing and treating a broken toe is critical in preventing potential mobility and chronic pain issues. Severe pain following stubbing a toe or a heavy object falling on it may indicate a break or sprain. Symptoms of a broken toe can include throbbing pain at the point where the bone has fractured, swelling, bruising, and difficulty walking. There may also be a popping sound when a toe has fractured. A bad break can cause a dislocation of the toe, causing it to look deformed. For milder breaks, the buddy-taping method can stabilize the toe, while serious fractures may require surgery or a walking cast. Recovery may take several weeks to months, with gradual improvement in pain indicating healing. Wearing comfortable footwear and easing back into activities will help with recovery. If you think you have broken your toe, it is suggested that you make an appointment with a podiatrist for a definitive diagnosis and appropriate treatment.
Broken toes may cause a lot of pain and should be treated as soon as possible. If you have any concerns about your feet, contact Amir Shalev, DPM from Complete Foot & Ankle Care. Our doctor will treat your foot and ankle needs.
What Is a Broken Toe?
A broken toe occurs when one or more of the toe bones of the foot are broken after an injury. Injuries such as stubbing your toe or dropping a heavy object on it may cause a toe fracture.
Symptoms of a Broken Toe
- Swelling
- Pain (with/without wearing shoes)
- Stiffness
- Nail Injury
Although the injured toe should be monitored daily, it is especially important to have a podiatrist look at your toe if you have severe symptoms. Some of these symptoms include worsening or new pain that is not relieved with medication, sores, redness, or open wounds near the toe.
If you have any questions, please feel free to contact our office located in Las Vegas, NV . We offer the newest diagnostic and treatment technologies for all your foot care needs.
What to Know About a Broken Toe
The forefoot is composed of five metatarsal bones and fourteen phalanges. Each toe has three phalanges except for the big toe which only has two. Our toes play an essential role to the walking process, which is why a broken toe could seriously disrupt one’s ability to move around. Toe fractures are common and can be very painful. Fortunately, these injuries rarely require surgery and usually heal with rest and a change in activity.
Broken toes typically result from a traumatic event such as falling, stubbing the toe, or dropping something on the toe. Traumatic toe fractures may be categorized as either minor or severe fractures. At times, one may hear a “pop” or “crack” sound when the bone breaks. Common symptoms of a traumatic toe fracture include pain, throbbing, bruising, swelling, and redness.
Another type of toe fractures is a stress fracture. These injuries usually appear in the form of small hairline breaks on the bone. Stress fractures develop after repetitive activity instead of a single injury. Stress fractures occur when the muscles in the bone become too weak to absorb impact. Consequently, the toe bone becomes vulnerable to any pressure and impact it endures. Symptoms for a stress fracture in the toe include swelling without bruising, tenderness to the touch, pain that goes away with rest, and pain after walking or running.
If you suspect that you have a broken toe, you should make an appointment with your podiatrist. He or she will likely diagnose you by performing a physical exam and an X-ray. Treatment for a broken toe may include the R.I.C.E. method, buddy taping, surgery, or antibiotics. The R.I.C.E. method (Rest, Ice, Compression, and Elevation) is a common treatment method for many injuries because it decreases pain. Buddy tapping involves wrapping the injured toe next to an adjacent toe to keep it supported and protected. These two methods have proven to be effective in the healing process for toe fractures. The estimated healing time for a broken toe is approximately four to six weeks. If the injury becomes infected or requires surgery, the estimated healing time may take eight weeks or more.
Ballet Dancers’ Feet Are Durable and Graceful

Ballet dancers' feet are an extraordinary sight, both stunning and inspiring. Behind the scenes, these dancers endure challenges that shape their amazing performances. The long hours of practice and the tight ballet shoes they wear can be tough on their feet. Ballet dancers walk on their tiptoes, and this constant friction can lead to blisters and calluses. Yet, they persist, driven by their passion for dance. Ballet dancers often maintain proper foot care by soaking their feet in warm baths and using special pads and bandages. These brave dancers understand that their feet are their foundation. They work hard to keep them strong and healthy, visiting podiatrists when needed. Their dedication and talent shine through each graceful move they make, leaving the world in awe of their commitment to the art of ballet. If you are interested in pursuing this type of dance, it is suggested that you include a podiatrist as one of your healthcare professionals.
If you have any concerns about your feet, contact Amir Shalev, DPM from Complete Foot & Ankle Care. 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 office located in Las Vegas, NV . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Biomechanics in Podiatry
Podiatry is a branch of medicine that deals with the study, diagnosis, and treatment of foot and ankle conditions. There are various subdivisions in podiatry; biomechanics is one of them. Biomechanics is the way in which the bones, muscles, and joints of the feet and lower limb interact with each other.
Our feet play crucial roles in the way we move, and it is rare to have feet that are completely symmetrical. Common biomechanical issues include high or low arches or uneven leg heights. Excessive pronation often leads to fallen arches, or flat feet, and is a common cause of running injuries. People whose feet are over-pronated tend to have flexible and unstable feet. Pain is usually experienced during walking and running.
At times, people may be able to adapt to these abnormalities without any difficulties, but in other cases, these issues can cause a great deal of pain. This pain occurs because the joints, muscles, ligaments, and tendons are put under an excess amount of stress during movement. Common symptoms of biomechanical problems stemming from the feet include hip pain, knee pain, leg cramps, ankle pain, lower back pain, weak ankles, tripping, heel pain, Achilles pain, and shin splints.
Many biomechanical issues can be treated with orthotics. Orthotics are shoe insoles that are used to help control the way the foot operates. They can provide relief from foot pain, heel pain, and knee pain. Depending on your specific case, you may need to purchase over-the-counter orthotics or custom orthotics to fit your feet. Your podiatrist will be able to prescribe the perfect orthotic for your feet to help you walk around with ease.
Gait is defined as the way we move our bodies from one point to another. This is usually done by either walking or running. Gait analysis is a method used to assess the way we walk or run to highlight biomechanical abnormalities. Gait analyses are a great way to take a detailed look at how you walk and how your foot moves while you walk. An examination of the feet will help your podiatrist understand why you are suffering pain in other parts of your body.
Causes and Treatment of Bunions

A bunion is an unsightly and often painful deformity of the big toe, termed hallux valgus. This deformity starts in the bottom joint of the big toe, causing the bone to jut out sideways and push the top part of the toe toward the second toe. This can result not only in foot alignment issues but also problems with gait and weight bearing. A bunion is often very painful as the misshapen big toe rubs against the inside of the shoe and places more pressure on the ball of the foot. The major cause of bunions is believed to be genetic, but ill-fitting footwear and high-heeled shoes are other possible causes. In some cases, a bunion may be caused by rheumatoid arthritis. The first and simplest way of dealing with a bunion is changing footwear to accommodate the width of the foot and provide more cushioning. Bunion pads and toe spacers also may relieve some of the pain and pressure. In the worst cases, some form of surgery is an option to correct the deformity. The type of operation will be based on the severity of the bunion, along with other factors. For more information on treating a bunion, it is suggested that you make an appointment with a podiatrist.
If you are suffering from bunion pain, contact Amir Shalev, DPM of Complete Foot & Ankle Care. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is a Bunion?
Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.
Causes
- Genetics – some people inherit feet that are more prone to bunion development
- Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development
Symptoms
- Redness and inflammation
- Pain and tenderness
- Callus or corns on the bump
- Restricted motion in the big toe
In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.
If you have any questions, please feel free to contact our office located in Las Vegas, NV . We offer the newest diagnostic and treatment technologies for all your foot care needs.