How a Podiatrist Diagnoses Peripheral Artery Disease

Changes in the feet sometimes provide the first clues to peripheral artery disease, or PAD. This condition develops when narrowed arteries restrict blood flow to the legs and feet. A podiatrist begins the evaluation by asking about symptoms and reviewing medical history. Questions focus on leg pain while walking, foot discomfort at rest, and wounds that heal slowly. The podiatrist also reviews risk factors like smoking, diabetes, and high cholesterol. Some patients have few noticeable symptoms, making a careful examination especially valuable. Finding circulation problems early helps guide treatment before reduced blood flow causes potentially serious tissue damage.

During the examination, the podiatrist checks pulses in the feet and ankles. Skin temperature, color changes, and slow-healing sores provide additional clues. However, these findings alone do not confirm PAD. The next step frequently involves an ankle-brachial index, or ABI, which compares blood pressure at the ankle with blood pressure in the arm. Blood pressure cuffs and a handheld ultrasound device measure both pressures. A lower ankle pressure suggests reduced circulation. An ABI of 0.90 or below supports a PAD diagnosis. The podiatrist performs this test or arranges testing at a vascular laboratory, then reviews the results alongside the examination findings.

Additional testing helps when the initial results do not explain the symptoms. Diabetes and kidney disease sometimes cause stiff arteries that make ankle pressure readings misleadingly high. In these cases, a toe-brachial index compares blood pressure in the toe with pressure in the arm. Testing after treadmill walking also helps identify circulation problems that resting measurements miss. A more detailed ultrasound examines blood flow and locates narrowed arteries. If you have symptoms of peripheral artery disease that affects the feet, it is suggested that you schedule an appointment with a podiatrist for effective relief and management solutions.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Monique Mitchell, DPM from Family Foot Centre. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

  • Claudication (leg pain from walking)
  • Numbness in legs
  • Decrease in growth of leg hair and toenails
  • Paleness of the skin
  • Erectile dysfunction
  • Sores and wounds on legs and feet that won’t heal
  • Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

If you have any questions, please feel free to contact our office located in Garden Hills, Nassau, Bahamas . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Peripheral Artery Disease

Finding Relief From Tarsal Tunnel Syndrome

Burning pain near your ankle can make movement uncomfortable. One possible cause is tarsal tunnel syndrome, which develops when a nerve becomes squeezed inside a narrow passage along the inner ankle. This passage is called the tarsal tunnel. The nerve provides feeling to the sole of the foot. When pressure builds around it, you might notice tingling, numbness, or sharp pain. Discomfort can spread from the ankle into the arch or sole. Symptoms can affect one foot or both. They may worsen with activity and ease with rest.

Several factors can increase pressure inside the tarsal tunnel. Flat feet can cause the ankle to roll inward, placing extra strain on nearby tissues. A sudden increase in running or other demanding activity can also trigger symptoms. Swelling around ankle tendons may crowd the nerve. Other causes include excess weight or a cyst. Because these symptoms can resemble other foot problems, an accurate diagnosis matters. A podiatrist can examine your foot, review when the discomfort began, and check how your ankle moves. In some cases, an MRI scan or nerve test can help confirm the cause.

Treatment focuses on relieving nerve pressure and improving comfort. A podiatrist may recommend supportive shoes that help control inward foot movement. Custom shoe inserts can improve foot position and reduce strain around the ankle. A podiatrist also guides targeted stretching and strengthening exercises or recommends a brace for additional support. Early evaluation helps guide care. If you have symptoms of tarsal tunnel syndrome, it is suggested that you schedule an appointment with a podiatrist for diagnosis and treatment.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Monique Mitchell, DPM of Family Foot Centre. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

  • Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
  • Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
  • At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

  • Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
  • The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
  • If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please contact our office located in Garden Hills, Nassau, Bahamas . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Treating Tarsal Tunnel Syndrome

Stop Stubborn Plantar Warts with Swift

Are you frustrated by plantar warts? Plantar warts are commonly found on the soles of the feet or other areas that bear weight. They form due to exposure to the human papillomavirus (HPV). Effectively treat plantar warts with Swift, an FDA-cleared technology that has proven to be highly effective in the removal of plantar warts.

Achilles Tendon Injuries and Warning Signs

The Achilles tendon is a strong band of tissue that connects the calf muscles to the heel bone. It helps your foot push off when you walk, run, or climb stairs. An Achilles tendon injury can range from irritation and small tears to a complete rupture. One common warning sign of a serious injury is hearing or feeling a sudden pop near the back of the ankle. Pain may follow immediately, making it difficult to continue normal activity.

Other symptoms can include swelling around the tendon, tenderness, and weakness in the affected leg. Some people have trouble walking or cannot push off the ground normally. A partial tear may cause ongoing soreness that becomes worse with activity. Achilles tendon injuries often happen when the tendon is suddenly overloaded. Running, jumping, or changing direction quickly can place significant stress on the tendon. A direct injury can also cause damage.

 

Several factors can increase the risk of an Achilles tendon injury. Age-related changes can make the tendon less flexible and more vulnerable to tearing. Sudden increases in exercise intensity can also contribute. Tight calf muscles and previous tendon problems may raise risk. Wearing unsupportive footwear or participating in high-impact sports can add stress. Certain medications may also affect tendon strength. Recognizing these risks can help people take foot and ankle symptoms seriously.

 

A podiatrist will examine the ankle and check strength, movement, and tenderness. Imaging tests may be recommended when a tear is suspected. Treatment depends on the severity and location of the injury. A podiatrist may recommend rest, immobilization, or other measures that protect the tendon while it heals. More severe ruptures may require surgical evaluation. Recovery should be guided carefully to avoid reinjury. If you have an Achilles tendon injury, it is suggested that you consult a podiatrist for effective relief and treatment solutions.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Monique Mitchell, DPM of Family Foot Centre. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

  • Inflammation
  • Dull to severe pain
  • Increased blood flow to the tendon
  • Thickening of the tendon

Rupture Symptoms

  • Extreme pain and swelling in the foot
  • Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

  • Thorough stretching of the tendon before and after exercise
  • Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact our office located in Garden Hills, Nassau, Bahamas . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about What are Achilles Tendon Injuries

Foot Pain at Work and How to Protect Your Feet

Foot pain while working can develop when your feet spend hours standing, lifting, or moving across hard surfaces. Discomfort may affect the heels, arches, or ankles. Symptoms can include aching, burning, or pain that worsens during a shift. Repeated pressure may also cause blisters, calluses, and other foot problems. Paying attention to early symptoms can help prevent a concern from becoming a longer-lasting problem.

Several factors can increase the risk of foot pain. Wearing poorly fitted shoes is a common cause, especially when footwear is too tight, too loose, or lacks support. Hard floors, long shifts, and heavy loads can also increase strain. Safety footwear is important, but it should still fit comfortably. Steel-toe boots can protect against falling objects, while slip-resistant soles can help reduce the risk of falls on wet surfaces.

Good foot protection starts with footwear designed for your workplace. Safety shoes or boots should provide room for your toes and heel support. Choose sturdy materials that can handle use without creating pressure points. Moisture-wicking socks can help keep feet dry, while replacing worn footwear can restore cushioning and support. If pain continues, a podiatrist can examine your feet, review your work demands, and identify the cause. Treatment may include rest, wearing supportive footwear, or other care.

You do not have to ignore foot pain because it happens during work. A podiatrist may check your walking pattern and examine your skin, joints, and nerves. Imaging tests may be recommended when an injury or structural problem needs evaluation. Following the treatment plan and making footwear changes can support healing and reduce discomfort. If foot pain from wearing the wrong shoes at work is disrupting your day, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Monique Mitchell, DPM from Family Foot Centre. Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

If you have any questions please contact our office located in Garden Hills, Nassau, Bahamas . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Working on Your Feet

Connect With Us

Advanced Podiatric Procedures & Services in the Bahamas, New Providence: Nassau (Garden Hills, Golden Gates Estates, Palmdale, Downtown Nassau, Little Hermitage, Elizabeth Estates, Greater Chippingham, Jubilee Subdivision, Palm Cay, Carmichael Village, Adelaide, Adelaide Village, Highbury Park, Kensington Garden) areas