Items filtered by date: February 2025
Function and Injuries of the Ankle Joint

The ankle joint is a hinge joint connecting the lower leg to the foot, allowing movement for walking, running, and stability. It is supported by ligaments, tendons, and muscles that help maintain balance and absorb impact. Ankle sprains are the most common injury, occurring when ligaments stretch or tear. There are three types of ankle sprains which are lateral, medial, and high ankle sprains. Lateral sprains happen when the foot rolls outward, stretching the outer ligaments. Medial sprains are less frequent and occur when the foot rolls inward, straining the inner ligaments. High ankle sprains involve injury to ligaments above the ankle, often from twisting motions. Relief includes rest, compression, elevation, bracing, and targeted exercises. Severe cases may require immobilization or surgery. If you have sprained your ankle, it is suggested that you consult a podiatrist who can diagnose the severity and recommend appropriate care for proper healing and prevention.
Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact Michael Bess, DPM from Florida. Our podiatrist 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 West Palm Beach, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Get Professional Care for a Broken Foot or Ankle
Causes and Risk Factors for Ingrown Toenails

An ingrown toenail occurs when the edge of a toenail grows into the surrounding skin, causing pain, redness, and swelling. This condition most commonly affects the big toe but can occur on any toe. The primary cause of an ingrown toenail is improper nail trimming, especially cutting the nails too short or rounding the edges. Wearing tight shoes that squeeze the toes together can also contribute, increasing pressure on the toenails. Several risk factors can make a person more prone to developing an ingrown toenail, including poor foot hygiene, a family history of the condition, and injuries to the toe. Symptoms of an ingrown toenail typically include pain, tenderness, swelling, and sometimes an infection surrounding the nail. In severe cases, pus may form, and the area may become red and inflamed. If you have symptoms of an ingrown toenail, it is suggested that you promptly consult a podiatrist who can offer you appropriate treatment solutions.
Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Michael Bess, DPM of Florida. Our podiatrist can provide the care you need to keep you pain-free and on your feet.
Ingrown Toenails
Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.
Causes
- Improper toenail trimming
- Genetics
- Improper shoe fitting
- Injury from pedicures or nail picking
- Abnormal gait
- Poor hygiene
You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.
Symptoms
Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.
Treatment
Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.
If you have any questions, please feel free to contact our office located in West Palm Beach, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
How Running Injuries May Be Prevented

Preventing running injuries requires focusing on the health of your feet, toes, and ankles. New runners or those without prior sports experience should start with walking or partial weight-bearing activities to prepare their bodies for running. Gradually increasing training intensity can reduce stress on the feet, particularly for those recovering from past injuries. Experts recommend running no more than 40 miles per week and suggest balancing training frequency with adequate rest to prevent overuse injuries. Opting for soft running surfaces can decrease the negative impact on the feet and ankles. Stretching may improve flexibility, but consistency is important if included. Transitioning to a forefoot strike or minimalist shoes should be done gradually, paired with strengthening exercises for the foot muscles to avoid added strain. Regularly check the wear pattern of your shoes and consider replacing them if they are older than six months. Alternating between multiple pairs of shoes can also be beneficial. If you have sustained a running injury, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment options.
All runners should take extra precaution when trying to avoid injury. If you have any concerns about your feet, contact Michael Bess, DPM of Florida. Our podiatrist will treat your foot and ankle needs.
How to Prevent Running Injuries
There are a lot of mistakes a runner can make prior to a workout that can induce injury. A lot of athletes tend to overstretch before running, instead of saving those workouts for a post-run routine. Deep lunges and hand-to-toe hamstring pulls should be performed after a workout instead of during a warmup. Another common mistake is jumping into an intense routine before your body is physically prepared for it. You should try to ease your way into long-distance running instead of forcing yourself to rush into it.
More Tips for Preventing Injury
- Incorporate Strength Training into Workouts - This will help improve the body’s overall athleticism
- Improve and Maintain Your Flexibility – Stretching everyday will help improve overall performance
- “Warm Up” Before Running and “Cool Down” Afterward – A warm up of 5-10 minutes helps get rid of lactic acid in the muscles and prevents delayed muscle soreness
- Cross-Training is Crucial
- Wear Proper Running Shoes
- Have a Formal Gait Analysis – Poor biomechanics can easily cause injury
If you have any questions, please feel free to contact our office located in West Palm Beach, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Dangers of Chronic Tophaceous Gout

Chronic tophaceous gout is a severe stage of gout that impacts the feet, toes, and ankles, causing significant discomfort and potential joint damage. Chronic tophaceous gout occurs when uric acid levels remain consistently high, leading to the formation of tophi, which are hard, chalky deposits of urate crystals that form under the skin around joints and tissues. These tophi often appear as painful lumps that can contribute to swelling, redness, warmth, and tenderness in the affected areas, commonly the big toe or ankle. Left untreated, chronic tophaceous gout can lead to cartilage damage, bone erosion, and a decreased range of motion in the feet and ankles. Kidney issues, diabetes, or consuming a diet high in purine-rich foods can increase the likelihood of developing tophaceous gout. A podiatrist can identify tophi, offer guidance on lifestyle adjustments, and recommend treatment to control uric acid levels and minimize joint damage. If you are suffering from gout in your feet, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment options.
Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Michael Bess, DPM from Florida. Our podiatrist 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 office located in West Palm Beach, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.