The Achilles tendon is the strong band of tissue that connects the calf muscles to the heel bone. It plays an important role while walking, running, and pushing off the foot. When this tendon becomes irritated, stretched, or torn, it can make everyday movement painful. Achilles tendon injuries can develop from repeated stress on the tendon or from a sudden movement that places too much force on it. The risk also increases when the calf muscles are tight or when wearing shoes that lack proper support. Pain usually develops at the back of the ankle or just above the heel. Swelling, stiffness, and tenderness also are common. Some patients notice pain at the beginning of activity that becomes worse after continued movement. A complete tear can cause a popping sensation followed by severe pain and weakness.

A podiatrist performs a thorough examination to identify the type and severity of the injury. The evaluation includes checking the foot and ankle for swelling, tenderness, and range of motion. The podiatrist also observes how the patient stands and walks to identify changes caused by the injured tendon. Imaging tests, like ultrasound or MRI scans, provide a clear view of the tendon and help confirm a partial or complete tear. Finding the injury early helps prevent additional damage and allows treatment to begin before the condition becomes more serious.

Treatment depends on the condition of the tendon and the patient's activity level. A podiatrist develops a treatment plan that reduces stress on the tendon while helping restore strength and flexibility. Care includes custom orthotics to improve foot support and reduce strain on the tendon. It also includes guided stretching and strengthening exercises.  If you have symptoms of an Achilles tendon injuries, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment solutions.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Anas Khoury, DPM of North Eastern Foot & Ankle Specialists. 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 Passaic, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Cracked heels can range from a cosmetic concern to a source of significant discomfort. Also known as heel fissures, cracked heels develop when the skin surrounding the heel becomes dry, thickened, and less flexible. As pressure is placed on the heel during standing and walking, the skin may split and form visible cracks. In mild cases, cracked heels may cause little discomfort. However, deeper cracks can lead to pain, especially during daily activities. Some individuals may also notice rough skin, flaking, or tenderness around the affected area. Because the feet support the body's weight throughout the day, heel problems can quickly interfere with comfort and mobility.

Several factors can contribute to cracked heels. Dry skin is one of the most common causes, but age, prolonged standing, and certain medical conditions may also increase the risk. Excess pressure on the heels can cause the skin to expand outward, making it more likely to crack. In some cases, the skin becomes so thick and dry that deeper fissures develop. These cracks can become painful and may make walking difficult. If left unaddressed, severe cracks can increase the risk of infection, particularly when the skin barrier is damaged. Early evaluation is important for identifying contributing factors and preventing the condition from worsening.

Podiatric care can help address cracked heels by evaluating the condition of the skin and identifying underlying causes. A podiatrist can assess the severity of the cracks and determine whether additional foot-related issues are contributing to the problem. Professional treatment may help reduce discomfort, improve skin health, and support normal foot function. Because cracked heels can become increasingly painful, seeking care before complications develop is often beneficial. Maintaining healthy feet is important for overall mobility and quality of life. If you have pain from cracked heels, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

If the skin on your feet starts to crack, you may want to see a podiatrist to find treatment. If you have any concerns, contact Anas Khoury, DPM from North Eastern Foot & Ankle Specialists. Our doctor can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

It is important to moisturize your cracked heels in order to prevent pain, bleeding, and infection. The reason cracked heels form is because the skin on the foot is too dry to support the immense pressure placed on them. When the foot expands, the dry skin on the foot begins to split.

Ways to Help Heal Them

• Invest in a good foot cream
• Try Using Petroleum Jelly
• Ease up on Soaps
• Drink Plenty of Water

Ways to Prevent Cracked Heels

• Moisturize After Showering
• Skip a Shower
• Keep Shower Water Lukewarm
• Don’t Scrub Your Feet

If you are unsure how to proceed in treating cracked heels, seek guidance from a podiatrist. Your doctor will help you with any questions or information you may need. 

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

Children with Down syndrome often experience low muscle tone and ligament laxity, which can affect how the feet and ankles develop and function. These structural differences can lead to flat feet, poor alignment, and delayed motor milestones. Orthotics are custom or prefabricated shoe inserts designed to support the foot, improve alignment, and enhance stability. In infants and new walkers, early foot positioning plays a critical role in developing proper walking patterns, making timely evaluation essential.

Common symptoms related to altered gait include a wide base of walking, inward rolling of the ankles, and reduced balance. Pre-school children may show fatigue when walking or reluctance to participate in physical activities. Risk factors include low muscle tone, joint instability, and delayed neuromuscular development. These factors can make walking more difficult and less efficient, which may impact confidence and independence as the child grows.

Orthotics can help by providing medial arch support, improving heel alignment, and stabilizing the ankle during movement. For new walkers, soft supportive orthotics can encourage proper foot placement while allowing natural development. In preschool children, more structured devices can improve gait efficiency and reduce strain on muscles and joints. Early use of orthotics may also help prevent long-term complications, such as abnormal posture or joint discomfort.

Parents often notice improvements in balance, coordination, and endurance once orthotic support is introduced. A podiatrist can assess gait patterns, foot structure, and developmental stage to recommend the most appropriate device. If your child has difficulty walking, it is suggested that you consult a podiatrist who can discuss the benefits of custom made orthotics with you.

Custom orthotics are often an effective solution for people experiencing heel pain, offering both comfort and correction for the underlying causes of discomfort. Heel pain commonly develops when the natural support of the foot becomes strained or imbalanced, leading to inflammation and irritation in the heel area. Conditions such as plantar fasciitis, heel spurs, or flat feet can all contribute to chronic heel pain that worsens with walking or standing. Custom orthotics are designed to fit the exact shape of your foot, providing the support and alignment necessary to reduce stress on the heel and surrounding tissues.

By redistributing pressure and improving overall foot mechanics, custom orthotics allow the heel to function more efficiently during movement. They cushion each step, absorb shock, and correct abnormal gait patterns that may be contributing to pain. Over time, this consistent support can ease inflammation, protect against re-injury, and enhance comfort during both daily and athletic activities.

Unlike prefabricated insoles, custom orthotics are created from a detailed evaluation that may include digital scans or molds of your feet. This ensures a precise and individualized fit that addresses your specific condition. They can be used in various types of footwear, from athletic shoes to dress styles, making them a versatile option for ongoing relief.

If heel pain is limiting your comfort or activity level, it is suggested that you call our office for more information or to schedule an appointment.

If you have any questions please contact our office located in Passaic, NJ . 

Foot puncture wounds are injuries caused by sharp objects piercing the skin, often resulting from accidental trauma. These injuries are commonly seen when individuals step on nails, broken glass, or other pointed materials. Although the external wound may appear minor, the internal damage can be more significant. Bacteria can enter deep into the tissue, creating an environment where infection can develop quickly. Recognizing how these injuries occur helps individuals take steps to protect their foot health.

The symptoms of a puncture wound can vary depending on the depth and severity of the injury. Initial signs often include bleeding, localized pain, and sensitivity when pressure is applied. As the body responds, swelling and redness may appear around the affected area. If infection develops, additional symptoms like warmth, drainage, and increased pain may occur. These signs indicate that the body is reacting to bacteria introduced during the injury. Prompt attention to these symptoms is important for preventing further complications.

Several risk factors can increase the likelihood of sustaining a puncture wound or developing complications. Walking barefoot in unfamiliar or unsafe environments is one of the most common causes. Footwear that lacks proper protection can also allow sharp objects to penetrate the sole. Occupational hazards, outdoor activities, and cluttered living spaces may further increase risk. Preventative strategies include wearing durable shoes, keeping living and work areas free of sharp debris, and remaining cautious in high risk environments.

In summary, foot puncture wounds are preventable injuries that require careful attention due to the risk of infection. Protecting the feet with appropriate footwear and avoiding barefoot exposure are simple yet effective measures. If you have incurred a foot puncture wound or notice signs of infection, it is strongly suggested that you promptly consult a podiatrist for effective relief and treatment solutions.

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 Anas Khoury, DPM from North Eastern Foot & 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 office located in Passaic, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.