

An Achilles tendon tear is a painful injury that often occurs during activities that involve sudden starts, stops, or pivots, especially in sports or while running. The Achilles tendon, which connects the calf muscles to the heel bone, is essential for walking, running, and rising onto the toes. A torn Achilles tendon may happen suddenly, often with a popping sound, followed by sharp pain at the back of the ankle. Patients may find it difficult to push off the foot or stand on their toes. In many cases, the foot may exhibit abnormal movement, including excessive pronation or supination, which can place strain on the tendon. A podiatrist can examine your ankle and foot alignment, assess range of motion, and determine the extent of the tear using diagnostic tests. If the tendon is completely torn, surgery may be required to restore function. A podiatrist can also help guide you through non-surgical recovery methods, including immobilization, and provide support for proper foot biomechanics. If you have injured your Achilles tendon, it is suggested that you make an immediate appointment with a podiatrist for an exam, diagnosis, and treatment.
Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Massimo Pietrantoni, DPM of Rochester Podiatry, LLP. 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
Rupture Symptoms
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:
If you have any questions please feel free to contact one of our offices located in Brighton, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
The Achilles tendon is the largest tendon in the body; it is a tough band of fibrous tissue that stretches from the bones of the heel to the calf muscles. This tendon is what allows us to stand on our toes while running, walking, or jumping, it is common for this tendon to become injured. In severe cases, the Achilles tendon may become partially torn or completely ruptured. However, this tendon is susceptible to injury because of its limited blood supply and the high level of tension it endures.
The people who are more likely to suffer from Achilles tendon injuries are athletes who partake in activities that require them to speed up, slow down, or pivot. Consequently, athletes who engage in running, gymnastics, dance, football, baseball, basketball, or tennis are more likely to suffer from Achilles tendon injuries. Additionally, there are other factors that may make you more prone to this injury. People who wear high heels, have flat feet, tight leg muscles or tendons, or take medicines called glucocorticoids are more likely to have Achilles tendon injuries.
A common symptom of an Achilles tendon injury is pain above the heel that is felt when you stand on your toes. However, if the tendon is ruptured, the pain will be severe, and the area may become swollen and stiff. Other symptoms may be reduced strength in the lower ankle or leg area, and reduced range of motion in the ankle. When the Achilles tendon tears, there is usually a popping sound that occurs along with it. People who have acute tears or ruptures may find walking and standing to be difficult.
If you suspect you have injured your Achilles tendon, you should see your podiatrist to have a physical examination. Your podiatrist will likely conduct a series of tests to diagnose your injury including a “calf-squeeze” test. Calf squeeze tests are performed by first squeezing the calf muscle on the healthy leg. This will pull on the tendon and consequently cause the foot to move. Afterward, the same test will be performed on the injured leg. If the tendon is torn, the foot won’t move because the calf muscle won’t be connected to the foot.

Falling can cause significant injury to the feet, leading to sprains, fractures, and long-term discomfort. The impact of a fall may result in ligament damage, bone fractures, or joint misalignment, affecting mobility and overall foot function. Several risk factors increase the likelihood of falling, including poor balance, muscle weakness, and certain medical conditions that affect coordination. Hazards within the home, such as loose rugs, poor lighting, and cluttered pathways, further contribute to the risk. Prevention methods include keeping walkways clear, wearing proper footwear with supportive soles, and improving strength and balance through regular exercise. Installing handrails and ensuring adequate lighting can also reduce the chances of falling. If you have hurt your feet from falling, it is suggested that you consult a podiatrist who can treat various foot conditions, and guide you toward effective fall prevention methods.
Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Massimo Pietrantoni, DPM from Rochester Podiatry, LLP. Our doctor will assess your condition and provide you with quality advice and care.
Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.
How to Prevent Falls
Some effective methods that older persons can do to prevent falls include:
Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.
If you have any questions, please feel free to contact one of our offices located in Brighton, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Elderly Americans are very susceptible to falls as they get older. Everyone experiences decreases in flexibility, balance, strength, and the senses as they age. This correlates to some eye-opening statistics. 1 in 4 Americans aged 65 and older fall each year. An elderly American is being treated for a fall in an emergency room every 11 seconds. In light of these striking statistics, one can see the importance of taking steps to prevent falls.
Finding an exercise program for the elderly is an excellent way to reduce the likelihood of falls. Look for an exercise program that improves strength and balance. Elderly people who live a more sedentary lifestyle, with little physical activity, are at an increased risk of falling. Wearing well-fitted footwear that provides good foot support and cushion will help prevent falls from poorly fitted shoes. Talking to a podiatrist about your susceptibility to falls and about inspecting your prescriptions will help to avoid any medication that could make falls more likely. Due to a decline in the senses among the elderly, having your eyes and hearing checked is recommended.
Around half of all falls occur in the household. Removing tripping hazards in the home and making it more accommodating to older persons can significantly reduce falls. Some notable household changes include increasing lighting around the house, installing grab bars in the shower and bathroom, and making sure the floor is clear of clutter. Other smart options include installing a shower chair, using rubber-bottomed rugs, and placing railings on both sides of stairwells.
Finally, discuss with a doctor and your family about your fear of falling. This will help to increase awareness among the population on the need for fall prevention. A lack of awareness on the matter, and a downplaying of importance are what increase the risks of falling. Following these tips can help to reduce the risk for yourself and your loved ones.

Charcot foot is a serious condition that affects people with peripheral neuropathy, most commonly those with diabetes. It weakens the bones in the foot, causing them to fracture and dislocate without significant pain. As the condition progresses, the arch collapses, leading to a rocker-bottom type of deformity. Early signs include swelling, redness, and warmth in the foot, often mistaken for infection. If left untreated, Charcot foot can lead to severe deformity, ulceration, and an increased risk of limb loss. Early diagnosis and treatment are critical. Offloading the foot with a total contact cast or custom orthotic device helps protect and stabilize the bones during healing. In advanced cases, surgery may be necessary. If you have diabetes and notice changes in your feet, it is suggested that you see a podiatrist for a proper diagnosis and treatment.
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 Massimo Pietrantoni, DPM from Rochester Podiatry, LLP. 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 Brighton, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Diabetics must be wary of all wounds, regardless of depth or size. Diabetes, a chronic disease in which the body cannot properly use glucose the way it normally would, causes various complications that make wounds difficult to heal. Nerve damage or neuropathy will cause diabetics to have trouble feeling the pain of a blister or cut until the condition has significantly worsened or become infected. A diabetic’s weakened immune system can make even the most minor of wounds easily susceptible to infection. Diabetics are also more prone to developing narrow, clogged arteries, and are therefore more likely to develop wounds.
Wounds should be taken care of immediately after discovery, as even the smallest of wounds can become infected if enough bacteria build up within the wound. To remove dirt, wounds should be first rinsed under running water only. Soap, hydrogen peroxide, or iodine can irritate the injury and should be avoided. To prevent infection, apply antibiotic ointment to the wound and cover it with a bandage. The bandage should be changed daily. The skin around the wound may be cleaned with soap.
To prevent further exacerbation, see a doctor—especially if you have diabetes. Minor skin conditions can become larger problems if not properly inspected. As the wound heals, make sure to avoid applying pressure to the affected area.

Onychomycosis is a fungal infection that affects the toenails, causing discoloration, thickening, and brittleness. It develops when fungi invade the nail bed, thriving in warm and moist environments. Risk factors for fungal toenails include excessive sweating, prolonged exposure to damp conditions, and wearing tight or non-breathable footwear. Individuals with weakened immune systems, diabetes, or poor circulation are more susceptible to infection. Symptoms often begin with white or yellow spots on the nail, progressing to thickened, crumbly, or distorted nail surfaces. In some cases, the affected nails may become painful or emit an unpleasant odor. If you have the above symptoms, it is suggested that you promptly consult a podiatrist who can effectively treat toenail fungus, which may include prescribed medication.
If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Massimo Pietrantoni, DPM of Rochester Podiatry, LLP. Our doctor can provide the care you need to keep you pain-free and on your feet.
Symptoms
Treatment
If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.
Prevention
In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.
In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.
If you have any questions please contact one of our offices located in Brighton, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Toenail fungus is a frustrating problem that affects many people. It can be persistent and hard to get rid of. As many different types of fungi are present throughout the environment, it is very easy to contract toenail fungus.
The feet are especially susceptible to toenail fungus because shoes and socks create the ideal dark and moist environment that fungal infections thrive in. While fungal infections of the nail plate are quite common, if left untreated they can spread beyond the toenail and into the skin and other parts of the body.
Signs of toenail fungus include a thickened nail that has become yellow or brown in color, a foul smell, and debris beneath the nail. The toe may become painful due to the pressure of a thicker nail or the buildup of debris.
Treatment for toenail fungus is most effective during the early stages of an infection. If there is an accumulation of debris beneath the nail plate, an ingrown nail or a more serious infection can occur. While each treatment varies between patients, your podiatrist may prescribe you oral medications, topical liquids and creams, or laser therapy. To determine the best treatment process for you, be sure to visit your podiatrist at the first signs of toenail fungus.

Regular foot stretches help improve flexibility and strength, benefiting overall movement and stability. Stretching the toes, arches, and ankles enhances mobility by increasing the range of motion in the foot and preventing stiffness. Strengthening exercises support the muscles and tendons, reducing the risk of injuries such as sprains and strains. These stretches also contribute to enhanced performance in activities that require balance and coordination, including dance, sports, and daily movement. Proper foot flexibility supports better posture by aligning the lower body and reducing strain on the knees and hips. Gentle stretches, such as toe extensions, arch lifts, and ankle rotations, promote circulation and relieve tension. If you have foot pain, it is suggested that you consult a podiatrist who can treat various foot conditions, and guide you further on effective foot stretches for relief.
Why Stretching Is Important for Your Feet
Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with Massimo Pietrantoni, DPM from Rochester Podiatry, LLP. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Stretching the Feet
Stretching the muscles in the foot is an important part in any physical activity. Feet that are tight can lead to less flexibility and make you more prone to injury. One of the most common forms of foot pain, plantar fasciitis, can be stretched out to help ease the pain. Stretching can not only ease pain from plantar fasciitis but also prevent it as well. However, it is important to see a podiatrist first to determine if stretching is right for you. Podiatrists can also recommend other ways to stretch your feet. Once you know whether stretching is right for you, here are some excellent stretches you can do.
It is best to go easy when first stretching your foot and work your way up. If your foot starts hurting, stop exercising to ice and rest the foot. It is advised that you then see a podiatrist for help.
If you have any questions please contact one of our offices located in Brighton, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.