Pain deep in the back of the ankle may come from a small extra bone called the os trigonum. This bone develops when a small section of the talus, the main ankle bone, remains separate as a child grows. Most people with this extra bone never experience symptoms. However, an ankle injury or repeated downward pointing of the toes may pinch the bone and nearby tissue. The resulting irritation is called os trigonum syndrome. Ballet dancers, soccer players, and runners face increased risk because their activities repeatedly place the ankle in positions that squeeze this area.

Symptoms include pain behind the ankle, swelling, and tenderness. Pointing the toes or pushing off the foot usually makes the discomfort worse. Some patients also notice stiffness that limits ankle movement. Pain may develop gradually with repeated activity or appear after an ankle sprain. Because these symptoms resemble Achilles tendon problems and other ankle injuries, an accurate diagnosis is important. A podiatrist reviews the patient's activities and injury history before examining the painful area. The examination includes checking ankle movement and locating tenderness. X-rays reveal the extra bone, while an MRI provides more detail about inflammation and nearby tissue. Finding an os trigonum on an X-ray alone does not prove it causes the pain.

Treatment focuses on relieving pressure and settling inflammation. A podiatrist may prescribe a walking boot to restrict painful ankle movement and protect the irritated area. Treatment also includes assessing whether a brace would provide appropriate support. Follow-up visits help the podiatrist track healing and guide a gradual return to activity. When symptoms persist, surgery to remove the extra bone offers another option. The podiatrist explains the procedure and expected recovery based on the patient's condition and activity goals. If you have symptoms of os trigonum syndrome, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Some foot conditions may require additional professional care. If you have any concerns, contact Dr. Joshua David Scoll of Pennsylvania. Our doctor can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

• Freiberg’s disease
• Kohler’s disease
• Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

If you have any questions, please feel free to contact one of our offices located in Philadelphia, Bensalem . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Cuboid syndrome is a source of pain along the outer middle portion of the foot. It is thought to involve a small disruption in the normal position or movement of the cuboid, a bone located on the outside of the midfoot. This change can irritate nearby ligaments, the joint capsule, and a tendon that passes beneath the cuboid. Cuboid syndrome may develop after an ankle sprain or from repeated stress on the foot. It has been reported in both athletic and non-athletic populations, although athletes may be affected more often. Because the symptoms can resemble other foot injuries, cuboid syndrome is sometimes overlooked or misdiagnosed.

Pain is usually felt directly over the cuboid and may spread toward the arch or along the outside of the foot. Some people experience pain while bearing weight, while others may notice discomfort even when the foot is resting. Swelling, redness, and tenderness may also occur. Pain can cause weakness during the push-off portion of walking, making normal movement uncomfortable. Diagnosing cuboid syndrome can be challenging because there is no single test that confirms it. X-rays, CT scans, and MRI scans generally do not show the small joint changes associated with this condition. However, imaging may be useful for ruling out fractures or other foot problems.

A podiatrist can evaluate lateral foot pain by reviewing how the symptoms began and carefully examining the painful area. The evaluation may include checking foot and ankle movement and determining whether certain motions reproduce the symptoms. Treatment may involve professional manipulation of the cuboid to restore normal joint function. Therapeutic exercise, padding, or supportive taping may also be incorporated into a treatment plan. Because several other injuries can cause similar outer-foot pain, an accurate diagnosis is important before treatment begins. If persistent pain or tenderness develops along the outside of your midfoot, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

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 Dr. Joshua David Scoll from Pennsylvania. 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 one of our offices located in Philadelphia, Bensalem . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Foot wounds are breaks in the skin that can range from cuts and blisters to deeper ulcers. They may develop from friction, injuries, or stress. Symptoms can include redness, swelling, or drainage. Warmth, tenderness, or changes in skin color are also common. Some people may have little pain even when a wound is serious. Risk factors include diabetes, neuropathy, or obesity. Early foot wound care can reduce complications and support healing.

Preventing foot wounds starts with daily inspection. Check both feet for cuts, blisters, and temperature changes. A warmer or cooler area can signal inflammation or reduced circulation, and should not be ignored. Keep skin clean and moisturized, while avoiding lotion between the toes. Wear properly-fitted shoes and clean socks that reduce friction. If you cannot see the bottoms of your feet, use a mirror or ask for help.

A podiatrist can evaluate a current wound and determine its depth, cause, and infection risk. Treatment may include cleaning the wound, removing unhealthy tissue, and applying an appropriate dressing around the wound. Your podiatrist may recommend specialized footwear or off-loading devices to protect the wound. Toenails should be trimmed carefully, especially when vision, flexibility, or sensation is limited. Follow-up visits help monitor progress and adjust treatment.

Do not ignore a wound that is enlarging, becoming red, or failing to heal. Prompt podiatric care is especially important when risk factors increase the chance of complications. A podiatrist can create a treatment plan and provide guidance for preventing future wounds and protect your long-term overall foot health. Inspect your feet daily and protect areas that show pressure or irritation. If you have a foot wound, it is 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 Dr. Joshua David Scoll from Pennsylvania. 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 one of our offices located in Philadelphia, Bensalem . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A broken foot, also called a foot fracture, occurs when one or more bones in the foot crack or break. It can happen after a fall, direct impact, or repeated stress. Symptoms include pain, swelling, and difficulty moving the foot. Some people hear a snap or grinding noise when the injury happens. Walking may become difficult or impossible, especially when pressure is placed on the injured area.

Several factors can increase the risk of a broken foot. Sports activities, falls, and weakened bones can make fractures more likely. Wearing improper footwear may also increase injury risk during certain activities. Stress fractures can develop gradually from repeated impact, particularly after sudden changes in exercise. A podiatrist can evaluate the injury, review how it happened, and foot movement. X-rays or other imaging tests may be recommended to confirm the diagnosis.

Treatment depends on the location and severity of the fracture. A podiatrist may recommend immobilization with a cast or walking boot to protect the injured bones. Some fractures may require crutches or limited weight-bearing while healing. More serious breaks may need surgical treatment to realign and stabilize the bones. Follow-up appointments help monitor healing and ensure that the foot remains properly aligned. Avoid returning to strenuous activity until the foot has recovered.

Many broken feet heal in about four to six weeks, although recovery can take longer depending on the severity of the fracture and overall health. Following weight-bearing instructions is important for proper healing. Keep the foot protected and report increasing pain, swelling, or color changes promptly. Gradually returning to normal activity can help prevent reinjury and help restore safe, comfortable movement. If you have broken your foot, it is suggested that you consult a podiatrist for effective relief and treatment solutions.

A broken foot requires immediate medical attention and treatment. If you need your feet checked, contact Dr. Joshua David Scoll from Pennsylvania. Our doctor can provide the care you need to keep you pain-free and on your feet.

Broken Foot Causes, Symptoms, and Treatment

A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury. 

Common Symptoms of Broken Feet:

• Bruising
• Pain
• Redness
• Swelling
• Blue in color
• Numbness
• Cold
• Misshapen
• Cuts
• Deformities

Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.

Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.

If you have any questions, please feel free to contact one of our offices located in Philadelphia, Bensalem . We offer the newest diagnostic and treatment technologies for all your foot care needs.