An accessory soleus muscle is an uncommon extra muscle found near the lower portion of the calf and ankle. Most people have a soleus muscle that works with the calf muscle to help control movement of the ankle and push the foot downward. An accessory soleus muscle develops when additional muscle tissue is present beside the normal soleus. It may cause no symptoms, but some people experience pain, swelling, or pressure around the inner or outer ankle. 

The exact reason an accessory soleus muscle develops is related to differences in muscle development before birth. Although it is present from an early stage of life, symptoms may not appear until activity levels increase. Athletes and people involved in repetitive weight-bearing activities may notice discomfort because the extra muscle can become enlarged or irritated. A person may experience pain, tingling, or unusual sensations around the ankle and foot. Numbness on the outside of the ankle should be evaluated because several conditions can produce similar symptoms.

A podiatrist can evaluate the ankle, foot, and lower leg to determine whether an accessory soleus muscle is contributing to symptoms. The examination may include checking muscle strength, range of motion, and walking mechanics. Treatment depends on symptom severity and may include activity modification, supportive footwear, or custom orthotics. When conservative care does not provide relief and symptoms are significant, a podiatrist may discuss additional treatment options.

Persistent ankle pain or numbness should not be assumed to be caused by a simple muscle strain. Identifying the underlying problem is important because symptoms from an accessory soleus muscle can overlap with nerve compression and other foot or ankle conditions. A podiatrist can develop an individualized treatment plan designed to reduce irritation and improve comfortable movement. If you have pain, numbness, or unusual symptoms surrounding the ankle or foot, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with Joseph M. LaCava, DPM from Arkansas. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendonitis
• Achilles tendon rupture
• Stress fractures
• Bursitis
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

If you have any questions please feel free to contact our office located in Hot Springs, AR . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Lupus is a chronic autoimmune disease in which the immune system attacks healthy tissues, leading to widespread inflammation and tissue damage. This condition can affect the skin, joints, and kidneys, as well as the feet and ankles. Lupus often contributes to joint pain, instability, and soft-tissue inflammation that interfere with walking and daily movement. The disease may develop gradually, with symptoms that come and go in cycles known as flare-ups. Early recognition of foot-related symptoms from lupus can help reduce long-term complications and improve mobility.

Common symptoms of lupus include fatigue, joint pain, swelling, and sensitivity to sunlight. In the feet, patients may experience stiffness, tenderness, and pain in the arches, heels, or toes. Some individuals develop tendon inflammation, poor circulation, or nerve-related discomfort that affects balance and gait. Risk factors include a family history of autoimmune disease, female gender, and hormonal influences. Environmental triggers, such as infections or prolonged stress, may also be a factor. They can increase the likelihood of flare-ups and worsen musculoskeletal symptoms.

Orthotics can provide meaningful support for individuals with lupus-related foot pain by improving alignment and reducing pressure on sensitive structures. Custom orthotics help stabilize joints, support the arch, and cushion areas affected by inflammation. By promoting proper foot mechanics, orthotics reduce strain on tendons and ligaments, which may help decrease pain during walking and standing. They can also assist in redistributing weight more evenly, which is especially helpful for patients experiencing joint instability or fatigue.

Managing lupus-related foot symptoms requires a thoughtful and supportive approach that includes footwear, activity modification, and mechanical support. Orthotics are a practical tool that can improve comfort and function when used consistently. If you have foot problems from lupus and want to know how orthotics can help, it is suggested that you consult a podiatrist for effective relief and management solutions, which may include custom made orthotics.

Our feet carry us through every part of life, absorbing the impact of thousands of steps each day. When they are not properly supported, the effects can extend far beyond the feet themselves. Custom orthotics provide the foundation the body needs by aligning, cushioning, and stabilizing each foot in its most natural position. They are carefully crafted to match the unique structure of each individual’s feet, allowing them to move efficiently and comfortably while reducing stress on the muscles, joints, and ligaments.

Proper foot support is essential for maintaining balance and preventing fatigue. Without it, the body compensates by shifting weight unevenly, which can lead to discomfort in the ankles, knees, hips, or lower back. Custom orthotics help restore this balance by redistributing pressure and promoting a more natural walking pattern. They not only ease existing pain but also protect against future strain or injury by supporting the arches and controlling excessive motion.

Unlike store-bought insoles, custom orthotics are created through detailed assessment and advanced technology to provide precise correction and comfort. They fit seamlessly into most shoes, making them ideal for daily wear, work, or sports.

If your feet feel tired, sore, or unsupported, it is recommended that you contact our office for more information, or to make an appointment.

If you have any questions please contact our office located in Hot Springs, AR . 

The Achilles tendon connects the calf muscles to the heel bone and plays an important role in walking, running, and jumping. It handles strong forces when the foot pushes downward or the body lands after a jump. Achilles tendon injuries can range from irritation and small tears to a complete rupture. Repeated activity can weaken the tendon, while a sudden force can cause it to tear. Basketball, track, and volleyball can place high stress on this area because they involve frequent jumping and landing. However, an Achilles injury can occur in many sports and daily activities.

A rupture can happen when the knee is straight and the foot is suddenly pulled upward while the tendon is under heavy force. Patients can hear or feel a pop at the time of injury. They can also develop immediate weakness when pushing off the foot, making walking difficult. Previous Achilles tendon irritation can increase the risk of a rupture. Weak calf muscles and poor conditioning can also raise the risk. Some patients experience Achilles pain or other symptoms in the weeks before a complete tear occurs, making early evaluation important.

A podiatrist can examine the Achilles tendon and determine the location and severity of an injury. The evaluation can include checking foot movement, calf strength, and the tendon for a gap that can indicate a rupture. A podiatrist can then develop a treatment plan based on the injury and the patient's activity level. Treatment for serious tears can involve immobilization or surgery. Prompt care is important because an untreated rupture can become stiff and scarred, making repair more difficult. If you have an Achilles tendon injury, it is suggested that you schedule an appointment with a podiatrist for effective relief and treatment solutions. 

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Joseph M. LaCava, DPM of Arkansas. 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

• Inflammation
• Dull to severe pain
• Increased blood flow to the tendon
• Thickening of the tendon

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

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:

• Thorough stretching of the tendon before and after exercise
• Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact our office located in Hot Springs, AR . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Young feet are springy, strong, and able to absorb shock. Their flexible joints, firm bones, and tendons help the body handle pressure. Aging changes these structures. Tendons lose some stretch, arches can flatten, and joints can become stiff. The padding under the heel and ball of the foot becomes thinner. As a result, standing or walking can feel less comfortable. Skin may become drier and easier to crack, while small injuries can take longer to heal. These changes can make feet less able to handle impact, pressure, and very hot or cold temperatures.

Age also affects muscle strength, circulation, and nail growth. Weaker foot and calf muscles can reduce balance and cause swelling around the feet or ankles. Bones can become thinner, which raises the risk of a fracture. Reduced blood flow can slow healing and make the feet feel cold. Toenails grow more slowly, become thicker, or turn brittle. Older adults are at increased risk of developing bunions, heel pain, and painful calluses. Arthritis, which is joint damage that causes pain and stiffness, can affect the ankle, big toe, or foot joints. These problems can change how a patient stands and walks, increasing strain in other areas.

A podiatrist can assess circulation, skin health, and the way the feet move. The podiatrist can care for thick toenails and calluses, provide padding or custom shoe inserts, and recommend footwear that provides proper support. Treatment can also reduce pressure on sore areas and address changes in foot shape. Regular visits are especially useful for patients with diabetes, poor circulation, or a history of foot wounds. Prompt care is important for swelling, numbness, or color changes. Sores that do not heal also need prompt care. If you have foot problems related to aging, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Joseph M. LaCava, DPM from Arkansas. Our doctor can provide the care you need to keep you pain-free and on your feet.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

• Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
• Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
• Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
• Gouging toenails affecting nearby toe
• Shoes that don’t fit properly
• Pressure sores
• Loss of circulation in legs & feet
• Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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