Blog

Foot Mechanics and the Bones That Keep You Moving

Tuesday, 13 October 2026

Foot biomechanics describes how the feet, joints, and bones work together during standing and movement. Each foot contains 26 bones that create a flexible, yet supportive structure. These bones help absorb impact, maintain balance, and move the body forward. Healthy biomechanics allow the foot to adapt to different surfaces while supporting normal walking and running. Problems with alignment or movement can contribute to foot pain, ankle pain, and uneven pressure.

The foot bones are divided into three groups. The tarsals are seven bones located around the heel and midfoot. They help form the ankle area and provide stability while absorbing force. The five metatarsals connect the midfoot to the toes and help distribute weight during each step. The 14 phalanges form the toes and assist with balance and push-off. Together, these bones create a coordinated foundation that supports the body during activity.

Foot biomechanics can change when the bones, joints, or surrounding tissues do not move normally. Risk factors include previous injuries, structural differences, and repetitive activity. Symptoms may include arch pain, heel pain, or discomfort while walking. A podiatrist evaluates symptoms, examines foot alignment, and observes how the feet move. Treatment may include wearing supportive footwear, custom orthotics, or other targeted care. Imaging tests may be recommended when a bone or joint injury is suspected.

Understanding foot biomechanics can make it easier to recognize why proper support matters. The tarsals provide stability, the metatarsals help distribute pressure, and the phalanges contribute to balance and push-off. These bones do not work separately. Their coordinated movement helps create an efficient stride and reduces stress. If foot or ankle pain affects your movement, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

If you have any concerns about your feet, contact Dr. Gerald Perelman from Ohio. Our doctor 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 office located in Wilmington, OH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Sesamoiditis and Ball-of-Foot Pain

Tuesday, 06 October 2026

Sesamoiditis causes pain around two small bones located beneath the joint of the big toe. These bones are called sesamoids, and they help the big toe move while bearing pressure from the body. Unlike most bones, they are connected to tendons rather than directly to other bones. Repeated stress can irritate the sesamoid bones and the surrounding tendons. Pain usually develops in the ball of the foot beneath the big toe. Activities that place repeated pressure on the forefoot can make the discomfort more noticeable and interfere with normal movement.

Sesamoiditis can affect people whose activities place extra force on the front of the foot. Running and dancing can increase stress around the sesamoids. Sports that involve repeated jumping can also contribute to irritation. Symptoms usually develop gradually instead of appearing after one sudden injury. Patients can notice pain when bending or straightening the big toe. Swelling or bruising can also occur around the affected area. Because fractures and other forefoot problems can cause similar symptoms, a careful evaluation is important for identifying the source of pain.

A podiatrist can examine the painful area and evaluate how the big toe moves. The examination can also assess foot structure and how pressure is distributed across the forefoot. Imaging tests can help determine whether a fracture or another bone problem is causing symptoms. Treatment for sesamoiditis focuses on reducing pressure around the painful area and improving foot function. A podiatrist can recommend appropriate shoe changes, padding, or custom orthotics based on examination findings. Treatment can also address movement patterns that increase stress beneath the big toe. If you have symptoms of sesamoiditis, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Dr. Gerald Perelman of Ohio. Our doctor will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

Sudden increase in activity
Increase in physically strenuous movement without a proper warm up or build up
Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

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

Heel Pain Can Be Treated!

Sunday, 04 October 2026

Do you suffer from heel pain when you get up in the morning? If so, you should seek professional help and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.

When an Ingrown Toenail Becomes Painful

Tuesday, 29 September 2026

An ingrown toenail develops when the edge of a toenail curves downward and grows into the surrounding skin. Anyone can develop this painful foot problem, although teenagers and older adults experience it more often. Trauma to the toe, such as stubbing it or repeated impact from running, may also contribute to an ingrown nail. In some cases, ingrown toenails can run in families. As the nail presses into the skin, irritation can increase and make normal activities uncomfortable.

Pain, swelling, and redness around the toenail are common signs of an ingrown toenail. Symptoms may become more noticeable as the nail continues pressing into the skin. In more serious cases, the area can become infected and may bleed or drain pus. The discomfort can eventually interfere with walking or participation in sports. Because worsening redness and drainage may indicate infection, significant symptoms should receive professional attention. An ingrown toenail that becomes increasingly painful may require more advanced medical treatment rather than being left untreated.

A podiatrist can examine an ingrown toenail, determine its severity, and check the surrounding skin for signs of infection. When symptoms are severe, a procedure may be needed to remove the portion of nail growing into the skin. In some cases, the entire nail may need to be removed. Treatment may also involve addressing part of the nail bed, which is the tissue beneath the nail, to reduce the chance that the ingrown toenail will return. A podiatrist can determine which approach is appropriate, based on the condition of the nail and surrounding tissue and its effects on daily foot function. Professional evaluation is especially important when pain becomes severe or infection is suspected. If an ingrown toenail is causing increasing pain, redness, or swelling, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Dr. Gerald Perelman of Ohio. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

Bacterial infections
Improper nail cutting such as cutting it too short or not straight across
Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
Ill-fitting shoes that bunch the toes too close together
Genetic predisposition

Prevention

Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

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

Symptoms and Causes of Ankle Sprains

Tuesday, 22 September 2026

An ankle sprain occurs when the strong bands of tissue that support the ankle are stretched or torn. These bands, called ligaments, help keep the joint stable. A sprain can occur when the foot rolls inward, the ankle twists suddenly, or a person lands awkwardly. Sports often lead to ankle sprains, but they also happen from tripping on a step or walking on uneven ground. Symptoms include pain, swelling, and bruising. Putting weight on the injured foot becomes a problem. The amount of pain does not always show how serious the injury is, so a proper examination is important.

Ankle sprains are grouped by how much ligament damage has occurred. A mild sprain involves stretching with little damage, while a moderate sprain involves a partial tear. A severe sprain can involve a complete tear and significant ankle instability. A podiatrist can examine the ankle, check its movement, and determine where tenderness is located. The examination can also help distinguish a sprain from a broken bone or another injury. X-rays can be ordered when a fracture is suspected. Other imaging tests can provide a closer look at ligaments and nearby tissues when the extent of the injury is unclear.

Treatment depends on the location and severity of the sprain. A podiatrist can protect and stabilize the ankle with taping, a brace, or a walking boot. More serious injuries require a cast or another form of support. Surgery is rarely required, but it can be considered for severe ligament damage or ongoing instability. A podiatrist can also guide a safe return to work, exercise, and sports. Returning too soon can raise the risk of another sprain and lead to chronic ankle weakness. Follow-up visits allow the podiatrist to check healing and adjust treatment as the ankle improves. If you have symptoms of an ankle sprain, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact Dr. Gerald Perelman from Ohio. Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

Pain at the sight of the tear
Bruising/Swelling
Ankle area is tender to touch
In severe cases, may hear/feel something tear
Skin discoloration

Preventing a Sprain

Wearing appropriate shoes for the occasion
Stretching before exercises and sports
Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

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

Blog

Blog Archives