A high arch places extra pressure on the heel and ball of the foot. This shape is sometimes called pes cavus, which simply means a foot with a raised arch. High arches can affect one or both feet. Some are inherited, while others are linked to bone or nerve conditions. The uneven weight distribution can lead to aching, burning, or sharp pain. Patients can also develop calluses where pressure is greatest. Pain can become noticeable when standing, running, or walking for periods.

A high arch can also make the foot less flexible and less able to absorb shock. The ankle may feel unstable, which can raise the risk of repeated sprains. Some patients develop curled toes, while others notice that their shoes fit poorly. A podiatrist begins the evaluation by examining the arch, checking joint movement, and studying the patient’s walking pattern. The podiatrist also looks for muscle weakness and changes in sensation. X-rays and other imaging can show the foot’s structure and joint alignment. When signs point to a nerve-related cause, additional testing can help identify the source.

Treatment from a podiatrist focuses on reducing pressure, supporting the arch, and improving stability. Custom orthotics can spread weight more evenly across the foot and provide cushioning beneath painful areas. A podiatrist can also recommend shoes with enough depth, firm heel support, and shock-absorbing soles. Padding or shoe modifications can protect tender spots and improve fit. Regular podiatric evaluations help track changes in the arch, skin, and walking pattern. The right approach depends on the cause of the high arch and the degree of discomfort. Early evaluation can help prevent recurring ankle problems, painful calluses, and increasing difficulty with mobility. If you have high arch foot pain, it is suggested that you schedule an appointment with a podiatrist effective relief and management solutions.

If you have any concerns about your feet, contact John F. Torregrosa, DPM from Florida Ankle & Foot Institute. Our doctors can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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

Morton’s neuroma develops when tissue surrounding a nerve between the toes becomes thicker because of repeated pressure or irritation. The problem usually affects the space between the third and fourth toes. As the tissue thickens, it squeezes the nerve and creates pain. Many people describe the feeling as though they are standing on a small pebble or have a fold in their sock. Burning pain, tingling, and numbness are also common. Symptoms usually become worse while walking or wearing tight, narrow shoes. Removing the shoes can bring temporary relief, but discomfort frequently returns when pressure on the nerve continues. Some people notice pain even while resting after a busy day.

Several factors increase the risk of Morton’s neuroma. Shoes that squeeze the toes place extra pressure on the nerve. High-heeled shoes can also increase stress on the front of the foot. Certain foot shapes, like flat feet or high arches, can change the way pressure is spread across the foot. A podiatrist diagnoses the condition by discussing symptoms and carefully examining the foot. Gentle pressure between the toes can help locate the irritated nerve. An ultrasound or MRI scan can help confirm the diagnosis and guide treatment decisions when a clearer view of the affected area is needed.

A podiatrist creates a treatment plan that reduces pressure on the affected nerve and improves comfort. Treatment includes shoes with a wide toe area, custom orthotics, and steroid injections. These options can reduce irritation and make walking more comfortable. When symptoms continue despite treatment, surgery to remove the affected nerve can provide lasting relief. Early diagnosis helps prevent symptoms from becoming more disruptive and allows treatment to begin before pain limits daily activities. Prompt care also helps patients stay active with greater comfort and confidence. If you have symptoms of Morton’s neuroma, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact John F. Torregrosa, DPM of Florida Ankle & Foot Institute. Our doctors will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

• Ill-fitting high heels or shoes that add pressure to the toe or foot
• Jogging, running or any sport that involves constant impact to the foot
• Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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

Ankle braces are supportive devices designed to stabilize the ankle joint and limit excessive movement that can lead to injury. They are commonly used for both prevention and recovery, especially in individuals who are active or have a history of ankle instability. Ankle braces come in several forms, including lace up support designs that provide adjustable compression and a secure fit. These braces help maintain proper alignment of the joint while allowing controlled movement, making them an effective tool for protecting the ankle during daily activities and physical exercise.

Symptoms that may indicate the need for an ankle brace include swelling, weakness, and a feeling of instability in the ankle. Individuals recovering from sprains or dealing with chronic conditions such as Achilles tendon injuries often benefit from added support. An ankle brace can help reduce strain on the Achilles tendon by limiting excessive motion and providing gentle compression. This support helps decrease inflammation and promotes a more stable walking pattern, which is essential for healing and long term joint health.

Risk factors that increase the need for ankle support include previous ankle injuries, high impact sports, and wearing poor footwear. Weak ligaments and reduced balance can also contribute to instability. Lace-up ankle braces are particularly helpful because they allow for a customized fit that adjusts to swelling and activity level. These braces provide consistent support throughout movement, helping reduce the risk of re-injury while improving confidence during physical activity.

Using an ankle brace as part of a comprehensive care plan can improve recovery and prevent further injury. It is important to pair bracing with strengthening exercises and proper footwear to support overall foot and ankle health. Early use of supportive devices can make a significant difference in healing outcomes. If you have foot pain and need to wear an ankle brace, it is suggested that you consult a podiatrist to explore appropriate treatment solutions, which may include using orthotics. 

If you are having discomfort in your feet and would like to try orthotics, contact John F. Torregrosa, DPM from Florida Ankle & Foot Institute. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

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

A broken ankle is a fracture involving one or more of the bones that form the ankle joint. A fracture is the medical term for a broken bone. These injuries can happen after a fall, a sports accident, or a sudden twist that places too much force on the ankle. Car accidents and other high-impact injuries also can cause broken ankles. Symptoms include severe pain, swelling, bruising, and difficulty while walking or standing. Some patients hear a snapping sound when the injury occurs. Others notice that the ankle looks out of place or cannot support body weight. Prompt evaluation is important because an untreated fracture can affect the alignment and stability of the ankle joint.

A podiatrist performs a detailed examination to determine the location and severity of the fracture. The evaluation includes checking the ankle for swelling, tenderness, and changes in alignment. The podiatrist also asks how the injury occurred and whether the patient can bear weight on the affected foot. Imaging tests, like X-rays or CT scans, provide detailed pictures of the bones and help identify fractures that are difficult to detect during an examination. A CT scan combines multiple X-ray images to create detailed cross-sectional views of the ankle. An accurate diagnosis allows the podiatrist to choose the most appropriate treatment and monitor healing throughout recovery. Early care also helps reduce the risk of long-term joint problems.

Treatment depends on the type of fracture and whether the bones remain in proper alignment. A podiatrist develops a treatment plan that protects the ankle while promoting healthy healing. Care includes a cast, a walking boot, or another device that keeps the bones stable. Regular follow-up visits help monitor healing and determine when normal activities can safely resume. Patients with severe fractures or bones that have shifted out of position can benefit from surgery to restore proper alignment. If you have symptoms of a broken ankle, it is suggested that you schedule an appointment with a podiatrist for diagnosis and treatment.

Broken ankles need immediate treatment. If you are seeking treatment, contact John F. Torregrosa, DPM from Florida Ankle & Foot Institute. Our doctors 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 offices located in Tavernier, Marathon, and Key West, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.