Ankle injuries are common, and it can be difficult to tell the difference between a sprain and a break. A sprained ankle occurs when the ligaments are stretched or torn, often from twisting or rolling the foot during sports or walking on uneven ground. A broken ankle, or fracture, happens when one or more bones in the ankle joint break, usually from a fall, direct impact, or severe twisting injury. Symptoms of both include pain, swelling, bruising, and difficulty walking. However, a break may cause more intense pain, visible deformity, or an inability to bear weight at all. The area might feel tender to the touch and appear misshapen or unstable. A podiatrist can perform a physical exam, take X-rays, and determine whether the injury is a sprain or fracture. Treatment may involve rest, bracing, targeted exercises, or, in some cases, surgery. If you have injured your ankle, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment solutions.

Broken ankles need immediate treatment. If you are seeking treatment, contact Robert Hutchison, DPM, FACFAS from Lower Keys Foot & Ankle Surgery. Our doctor can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

• Excessive pain when the area is touched or when any pressure is placed on the ankle
• Swelling around the area
• Bruising of the area
• Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

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

Compartment syndrome of the foot occurs when increased pressure within the muscle compartments of the foot restricts blood flow. The most common cause is high-energy trauma, like fractures from a fall or motor vehicle accident. Symptoms of compartment syndrome include intense pain, swelling, bruising, and sometimes numbness or tingling. The affected muscle compartments are surrounded by dense fibrous tissue, which can prevent proper circulation. If not treated promptly, this may result in muscle death and long-term foot dysfunction, including clawing of the toes. A podiatrist can assess the injury by performing a thorough clinical evaluation, and using pressure monitoring to confirm the diagnosis. If compartment syndrome is identified, this foot doctor may recommend surgery to relieve the pressure and restore circulation. Early intervention is critical to prevent severe complications. If you are experiencing this type of foot pain, it is suggested that you schedule an immediate appointment with a podiatrist for a diagnosis and appropriate treatment options.

Foot and ankle trauma is common among athletes and the elderly. If you have concerns that you may have experienced trauma to the foot and ankle, consult with Robert Hutchison, DPM, FACFAS from Lower Keys Foot & Ankle Surgery. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Foot and ankle trauma cover a range of injuries all over the foot; common injuries include:

• Broken bones
• Muscle strains
• Injuries to the tendons and ligaments
• Stress fractures

Symptoms

Symptoms of foot and ankle injuries vary depending on the injury, but more common ones include:

• Bruising
• Inflammation/ Swelling
• Pain

Diagnosis

To properly diagnose the exact type of injury, podiatrists will conduct a number of different tests. Some of these include sensation and visual tests, X-rays, and MRIs. Medical and family histories will also be taken into account.

Treatment

Once the injury has been diagnosed, the podiatrist can than offer the best treatment options for you. In less severe cases, rest and keeping pressure off the foot may be all that’s necessary. Orthotics, such as a specially made shoes, or immobilization devices, like splints or casts, may be deemed necessary. Finally, if the injury is severe enough, surgery may be necessary.

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

Selecting proper footwear for trail running and mountaineering is essential for comfort, performance, and injury prevention. Shoe cushioning choices include high for maximum shock absorption, moderate for a balance of comfort and ground feel, and minimal for a natural, lightweight experience. Energy return is also important, as it helps reduce fatigue during long treks and challenging terrain. Proper fit, traction, and durability are key characteristics for safely navigating uneven or rocky surfaces. A podiatrist can evaluate your foot type, gait, and activity level to recommend the best running shoe for your needs. If you have sustained a foot or ankle injury while running, it is suggested that you consult a podiatrist who can provide treatment, and guide you on appropriate shoes to wear. 

You should always make sure your running shoes fit properly in order to avoid injury. For more information, contact Robert Hutchison, DPM, FACFAS from Lower Keys Foot & Ankle Surgery. Our doctor can provide the care you need to keep you pain-free and on your feet.

Choosing the Right Running Shoe for Your Foot Type

Improper shoe sizing can cause a myriad of problems for your feet. Shoes that don’t fit you properly can lead to muscular imbalances in your body, which can result in foot, knee, and hip injuries.

Tips for Finding the Right Running Shoe

• Make sure you have a thumb’s width of wiggle room between the end of your longest toe and the front of the shoe.
• There should be little to no slipping at the heel
• Don’t assume your size in one shoe brand will be your size in another
• Do not lace up your shoes too tightly
• Walk around in the store with your new shoes before you buy them

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

A diabetic foot ulcer is an open wound or sore that typically forms on the bottom of the foot in individuals with diabetes. Poor circulation and reduced sensation increase the risk of skin breakdown, making even minor injuries potentially serious. Proper care includes keeping the ulcer clean, covered, and protected from pressure. Managing blood sugar levels and inspecting the feet daily are also important. A podiatrist provides expert wound care, offloading solutions, and guidance to prevent infection and promote healing. If you have diabetes and notice a sore on your foot, do not delay. It is suggested that you are under the care of a podiatrist who can effectively treat diabetic foot ulcers, and help you to manage this serious condition.

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 Robert Hutchison, DPM, FACFAS from Lower Keys Foot & Ankle Surgery. 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 Key West, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Corns and calluses are thickened areas of skin that develop as a natural response to repeated pressure or friction. Although they help protect the skin, they can become painful, especially when located on weight-bearing areas of the feet. Corns typically form on the tops or sides of toes and are often small and round. Calluses are usually larger and develop on the soles of the feet, especially under the heels or balls of the feet. Wearing tight shoes, walking barefoot, or having foot deformities like bunions can contribute to the formation of corns and calluses. While these skin changes are not harmful on their own, the discomfort they cause may affect walking and daily comfort. Treatment often includes reducing pressure through padding, wearing properly fitted footwear, and sometimes using custom orthotics. If corns or calluses are causing pain, it is suggested you visit a podiatrist for proper care.

Corns can make walking very painful and should be treated immediately. If you have questions regarding your feet and ankles, contact Robert Hutchison, DPM, FACFAS of Lower Keys Foot & Ankle Surgery. Our doctor will treat your foot and ankle needs.

Corns: What Are They? And How Do You Get Rid of Them?
Corns are thickened areas on the skin that can become painful. They are caused by excessive pressure and friction on the skin. Corns press into the deeper layers of the skin and are usually round in shape.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as:

• Wearing properly fitting shoes that have been measured by a professional
• Wearing shoes that are not sharply pointed or have high heels
• Wearing only shoes that offer support

Treating Corns

Although most corns slowly disappear when the friction or pressure stops, this isn’t always the case. Consult with your podiatrist to determine the best treatment option for your case of corns.

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

An ingrown toenail occurs when the edge of the nail grows into the surrounding skin, causing irritation and discomfort. In children, this can be caused by improper nail trimming, wearing tight shoes, injuries, or inherited nail shapes. Symptoms include redness, swelling, pain along the nail edge, and sometimes drainage if an infection develops. Children may avoid walking or show signs of discomfort during activity. A podiatrist can gently lift or remove the ingrown portion, treat any infection, and provide guidance to prevent recurrence. Early care is important to avoid worsening symptoms. If your child is showing signs of an ingrown toenail, it is suggested that you schedule an appointment with a podiatrist to ensure safe, effective treatment and lasting relief.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Robert Hutchison, DPM, FACFAS of Lower Keys Foot & Ankle Surgery. Our doctor can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

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

Sever's disease, also known as calcaneal apophysitis, is a common cause of heel pain in growing children. It occurs when the growth plate in the heel becomes inflamed due to repetitive stress or pressure. This condition often affects active children between 8 and 14 years old who are involved in sports that include running or jumping. Risk factors include rapid growth, flat feet, poor footwear, and intense physical activity. Symptoms may include heel pain, limping, stiffness, and tenderness in the back of the foot. A podiatrist can diagnose Sever's disease through a physical exam and recommend treatments, such as rest, stretching, proper footwear, and custom inserts. If your active child has heel pain, it is suggested that you visit a podiatrist for an accurate diagnosis and treatment plan.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Robert Hutchison, DPM, FACFAS from Lower Keys Foot & Ankle Surgery. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

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

A metatarsal stress fracture is a small crack in one of the long bones of the foot, caused by repetitive pressure or overuse. Common in athletes, dancers, and individuals who increase activity levels quickly, this injury often develops gradually. Symptoms include localized pain that worsens with weight-bearing, swelling, and tenderness over the affected bone. Risk factors include poor footwear, sudden changes in activity or intensity, weak bones, and biomechanical issues. A podiatrist can diagnose the fracture using imaging and physical exams and will guide recovery through rest, protective footwear, or activity modification. If you have foot pain that increases with movement, it is suggested that you promptly visit a podiatrist who can accurately diagnose the problem and provide treatment..

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact Robert Hutchison, DPM, FACFAS from Lower Keys Foot & Ankle Surgery. Our doctor can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

• Gender – They are more commonly found in women compared to men.
• Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
• Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
• Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
• Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

If you have any questions please contact our office located in Key West, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.