Blog

A Definitive Guide to Foot & Ankle Physical Therapy in Fort Myers, FL

About the Author: Dr. Scott Gray

Avatar
Dr. Scott Gray is the Owner of Back in Motion Physical Therapy & Performance. Each and Every Week He Helps His Clients & Patients Live Their Life to the Fullest, Get Active, and Get Pain-Free.

You Don’t Have to “Live” with Foot or Ankle Pain & Help Is Within Your Reach


Most foot and ankle problems can be traced back to injuries, extended periods of immobilization, ill-fitting footwear, excessive use, or irregular foot biomechanics. It is important to recognize that pain in this region can be indicative of an underlying issue, such as inflammation or an untreated fracture. The complexity of the anatomical structure of the feet and ankles underscores the significance of identifying the root cause, thereby enabling the provision of tailored treatment for resolution.

If you’ve been thinking that it will eventually go away, you might be doing more harm than good.

Back In Motion boasts extensive experience in addressing a spectrum of foot and ankle-related discomfort, stemming from years of collaboration with diverse clientele, including elite athletes, sedentary individuals, and dedicated fitness enthusiasts. This wealth of experience, combined with our proprietary approach, the GRAY METHOD™, empowers us to not only treat these conditions but also delve deeper into the intricacies to uncover the precise cause and institute the most suitable remedies.

The path to relief from foot and ankle discomfort commences with a thorough understanding of the underlying issues. To embark on this journey towards improved mobility and a pain-free existence, we invite you to contact our office at 239-766-5547 and schedule your consultation. Alternatively, you can initiate the process through our user-friendly online form.

Your quest for a life unhindered by ankle and foot pain begins here. Let's unveil the root cause of your discomfort and get you back in motion!

If you are looking for exceptional foot and ankle pain treatment near you, visit Back In Motion Physical Therapy & Performance!

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]

Treatments for Plantar Fasciitis:

The primary approach to managing plantar fasciitis revolves around conservative treatments, with advanced methods reserved for cases that fail to respond to initial interventions. Invasive options such as surgery, injections, or pain medication are occasionally considered, but these interventions often provide temporary relief due to their focus on addressing the symptoms rather than the root cause.

A Doctor of Physical Therapy offers a range of treatments designed to alleviate plantar fasciitis effectively. These interventions encompass ankle and foot mobilizations, active release techniques, taping, dry needling, the provision of foot orthotics, and specialized strengthening and stretching exercises aimed at restoring optimal foot function and diminishing discomfort.

By comprehensively addressing the various facets of plantar fasciitis, patients can improve their chances of sustained relief and enhanced mobility, ultimately resuming their daily activities with reduced discomfort.

Some Interesting Facts About Knees and Ankles and How They Are Related


As the years advance, the human body undergoes a natural wear-and-tear process, wherein even the cartilage cushioning vital joints is not immune. The consequence of this wear and tear often leads to the uncomfortable scenario where bones begin to rub against each other, culminating in the dreaded occurrence of joint inflammation.

Among the intricate network of joints in the human body, ankles take a remarkable place, often being both complex and essential. They can, however, be surprisingly easy to neglect in terms of regular care and maintenance. The implications of this oversight are far-reaching, given that your ankles significantly influence your overall mobility.

The human body is a symphony of interconnected parts, and the ankles play a crucial role in facilitating an array of movements. Yet, as the aging process unfolds, the ankles tend to lose some of their range of motion and flexibility, unless they are provided with the proper attention they deserve.

It is not uncommon for individuals to experience knee pain, seemingly unrelated to their ankles, when in fact, the two are intricately linked. A lack of mobility in the ankles can give rise to knee pain, further complicating the issue. If the ankle fails to execute its intended range of motion, it can inadvertently cause the knees to move incorrectly, setting the stage for debilitating knee pain that may even extend to the hips.

The pivotal relationship between ankle and knee health is an area of expertise at Back In Motion. Our team is well-versed in the complexities of these joints, their optimal functionality, and the potential factors that can lead to their malfunction. Unlike a primary care practitioner who might prematurely attribute joint pain in individuals over the age of 50, 60, and 70 to various forms of arthritis, we conduct a comprehensive evaluation. This approach allows us to discern whether the issue stems from a minor sprain, an unnoticed fracture, an injury to the talus (heel bone), or a form of Achilles tendonitis or tendinosis, characterized by strain and inflammation. Instead of merely prescribing rest and pills, which can sometimes prolong the healing process, we employ a tailored approach aimed at facilitating recovery by encouraging controlled movement, promoting circulation, and minimizing stiffness.

While not all issues can be immediately resolved through treatment, our examination may occasionally lead to recommendations for further diagnostic studies, such as X-rays or MRIs, to precisely determine the root cause. At times, the problem may originate in another part of the body, contributing to or triggering the observed pain.

Are You Worried About or Frustrated with Ankle and/or Foot Pain?
If you find yourself plagued by concerns or frustrations related to ankle and foot pain, the information presented here outlines the common conditions, their underlying causes, and effective treatment options available through consultation with a Doctor of Physical Therapy. Whether you have sustained an injury that seems to defy healing, struggle with pain during any form of walking, experience discomfort or imbalance while bearing weight on one side, or encounter persistent sensations of burning, tingling, or numbness, you can rest assured that you don't have to accept living with these discomforts as an inevitable fate.

You Don’t Have to “Live” with Foot or Ankle Pain & Help Is Within Your Reach


Most foot and ankle problems can be traced back to injuries, extended periods of immobilization, ill-fitting footwear, excessive use, or irregular foot biomechanics. It is important to recognize that pain in this region can be indicative of an underlying issue, such as inflammation or an untreated fracture. The complexity of the anatomical structure of the feet and ankles underscores the significance of identifying the root cause, thereby enabling the provision of tailored treatment for resolution.

If you’ve been thinking that it will eventually go away, you might be doing more harm than good.

Back In Motion boasts extensive experience in addressing a spectrum of foot and ankle-related discomfort, stemming from years of collaboration with diverse clientele, including elite athletes, sedentary individuals, and dedicated fitness enthusiasts. This wealth of experience, combined with our proprietary approach, the GRAY METHOD™, empowers us to not only treat these conditions but also delve deeper into the intricacies to uncover the precise cause and institute the most suitable remedies.

The path to relief from foot and ankle discomfort commences with a thorough understanding of the underlying issues. To embark on this journey towards improved mobility and a pain-free existence, we invite you to contact our office at 239-766-5547 and schedule your consultation. Alternatively, you can initiate the process through our user-friendly online form.

Your quest for a life unhindered by ankle and foot pain begins here. Let's unveil the root cause of your discomfort and get you back in motion!

If you are looking for exceptional foot and ankle pain treatment near you, visit Back In Motion Physical Therapy & Performance!

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]

Treatments for Plantar Fasciitis:

The primary approach to managing plantar fasciitis revolves around conservative treatments, with advanced methods reserved for cases that fail to respond to initial interventions. Invasive options such as surgery, injections, or pain medication are occasionally considered, but these interventions often provide temporary relief due to their focus on addressing the symptoms rather than the root cause.

A Doctor of Physical Therapy offers a range of treatments designed to alleviate plantar fasciitis effectively. These interventions encompass ankle and foot mobilizations, active release techniques, taping, dry needling, the provision of foot orthotics, and specialized strengthening and stretching exercises aimed at restoring optimal foot function and diminishing discomfort.

By comprehensively addressing the various facets of plantar fasciitis, patients can improve their chances of sustained relief and enhanced mobility, ultimately resuming their daily activities with reduced discomfort.

Some Interesting Facts About Knees and Ankles and How They Are Related


As the years advance, the human body undergoes a natural wear-and-tear process, wherein even the cartilage cushioning vital joints is not immune. The consequence of this wear and tear often leads to the uncomfortable scenario where bones begin to rub against each other, culminating in the dreaded occurrence of joint inflammation.

Among the intricate network of joints in the human body, ankles take a remarkable place, often being both complex and essential. They can, however, be surprisingly easy to neglect in terms of regular care and maintenance. The implications of this oversight are far-reaching, given that your ankles significantly influence your overall mobility.

The human body is a symphony of interconnected parts, and the ankles play a crucial role in facilitating an array of movements. Yet, as the aging process unfolds, the ankles tend to lose some of their range of motion and flexibility, unless they are provided with the proper attention they deserve.

It is not uncommon for individuals to experience knee pain, seemingly unrelated to their ankles, when in fact, the two are intricately linked. A lack of mobility in the ankles can give rise to knee pain, further complicating the issue. If the ankle fails to execute its intended range of motion, it can inadvertently cause the knees to move incorrectly, setting the stage for debilitating knee pain that may even extend to the hips.

The pivotal relationship between ankle and knee health is an area of expertise at Back In Motion. Our team is well-versed in the complexities of these joints, their optimal functionality, and the potential factors that can lead to their malfunction. Unlike a primary care practitioner who might prematurely attribute joint pain in individuals over the age of 50, 60, and 70 to various forms of arthritis, we conduct a comprehensive evaluation. This approach allows us to discern whether the issue stems from a minor sprain, an unnoticed fracture, an injury to the talus (heel bone), or a form of Achilles tendonitis or tendinosis, characterized by strain and inflammation. Instead of merely prescribing rest and pills, which can sometimes prolong the healing process, we employ a tailored approach aimed at facilitating recovery by encouraging controlled movement, promoting circulation, and minimizing stiffness.

While not all issues can be immediately resolved through treatment, our examination may occasionally lead to recommendations for further diagnostic studies, such as X-rays or MRIs, to precisely determine the root cause. At times, the problem may originate in another part of the body, contributing to or triggering the observed pain.

Are You Worried About or Frustrated with Ankle and/or Foot Pain?
If you find yourself plagued by concerns or frustrations related to ankle and foot pain, the information presented here outlines the common conditions, their underlying causes, and effective treatment options available through consultation with a Doctor of Physical Therapy. Whether you have sustained an injury that seems to defy healing, struggle with pain during any form of walking, experience discomfort or imbalance while bearing weight on one side, or encounter persistent sensations of burning, tingling, or numbness, you can rest assured that you don't have to accept living with these discomforts as an inevitable fate.

You Don’t Have to “Live” with Foot or Ankle Pain & Help Is Within Your Reach


Most foot and ankle problems can be traced back to injuries, extended periods of immobilization, ill-fitting footwear, excessive use, or irregular foot biomechanics. It is important to recognize that pain in this region can be indicative of an underlying issue, such as inflammation or an untreated fracture. The complexity of the anatomical structure of the feet and ankles underscores the significance of identifying the root cause, thereby enabling the provision of tailored treatment for resolution.

If you’ve been thinking that it will eventually go away, you might be doing more harm than good.

Back In Motion boasts extensive experience in addressing a spectrum of foot and ankle-related discomfort, stemming from years of collaboration with diverse clientele, including elite athletes, sedentary individuals, and dedicated fitness enthusiasts. This wealth of experience, combined with our proprietary approach, the GRAY METHOD™, empowers us to not only treat these conditions but also delve deeper into the intricacies to uncover the precise cause and institute the most suitable remedies.

The path to relief from foot and ankle discomfort commences with a thorough understanding of the underlying issues. To embark on this journey towards improved mobility and a pain-free existence, we invite you to contact our office at 239-766-5547 and schedule your consultation. Alternatively, you can initiate the process through our user-friendly online form.

Your quest for a life unhindered by ankle and foot pain begins here. Let's unveil the root cause of your discomfort and get you back in motion!

If you are looking for exceptional foot and ankle pain treatment near you, visit Back In Motion Physical Therapy & Performance!

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]

Treatments for Posterior Tibial Tendon Dysfunction:

In the early stages of posterior tibial tendon dysfunction, prompt intervention can lead to symptom resolution without the necessity of surgical measures, potentially halting the condition's progression. A tailored physical therapy regimen is often the treatment of choice for mild to moderate cases, focusing on specific exercises aimed at enhancing tendon and muscle strength while preserving flexibility. Additionally, exercises are frequently recommended following a period of immobilization, ensuring the gradual rehabilitation of the affected tendon.

By addressing posterior tibial tendon dysfunction in its initial stages, patients can increase their likelihood of recovery without invasive procedures and maintain a higher quality of life.


Foot Condition #6: Plantar Fasciitis

What Is the Plantar Fascia?

Plantar fasciitis is a condition characterized by irritation and subsequent inflammation of the plantar fascia, a resilient band of tissue extending from the heel to the toes. This inflammation commonly manifests as persistent heel pain, often exacerbated during the initial steps after prolonged periods of rest. Several factors contribute to the development of plantar fasciitis, with foot arch type playing a pivotal role.

Individuals with either overly flat or high-arched feet are more susceptible to the onset of plantar fasciitis. Additionally, wearing non-supportive footwear on unyielding and flat surfaces elevates the mechanical strain experienced by the plantar fascia, potentially precipitating this condition, particularly for those engaged in occupations requiring prolonged periods of weight-bearing activities.

Furthermore, there is notable evidence supporting the link between obesity and overuse in the genesis of plantar fasciitis. Excess body weight places added pressure on the plantar fascia, intensifying the strain it endures during daily activities.

Plantar view of foot showing plantar fascia. SOURCE: Skin based on 2B4256, fascia from 5B11887. Used in 83735, versions in 2B4256, 7B11421

Signs and Symptoms of Plantar Fasciitis:

Plantar fasciitis presents a distinct set of signs and symptoms, which aid in its identification:

  1. Heel Pain: The most prominent and debilitating symptom is pain localized at the bottom of the heel.

  2. Arch Pain: Discomfort may also extend to the arch of the foot, reflecting the plantar fascia's extensive coverage.

  3. Morning Pain: Pain is often most acute during the initial steps taken in the morning or after prolonged periods of inactivity.

  4. Progressive Pain: Over the course of months, individuals may experience an increase in the intensity of pain.

  5. Heel Swelling: Swelling may develop at the base of the heel, contributing to the overall discomfort.

The pain's character frequently evolves; it may temporarily diminish following a few minutes of walking, as the act of walking gently stretches the inflamed fascia. However, the pain tends to return with prolonged weight-bearing activities, such as standing or walking for extended durations.

Treatments for Plantar Fasciitis:

The primary approach to managing plantar fasciitis revolves around conservative treatments, with advanced methods reserved for cases that fail to respond to initial interventions. Invasive options such as surgery, injections, or pain medication are occasionally considered, but these interventions often provide temporary relief due to their focus on addressing the symptoms rather than the root cause.

A Doctor of Physical Therapy offers a range of treatments designed to alleviate plantar fasciitis effectively. These interventions encompass ankle and foot mobilizations, active release techniques, taping, dry needling, the provision of foot orthotics, and specialized strengthening and stretching exercises aimed at restoring optimal foot function and diminishing discomfort.

By comprehensively addressing the various facets of plantar fasciitis, patients can improve their chances of sustained relief and enhanced mobility, ultimately resuming their daily activities with reduced discomfort.

Some Interesting Facts About Knees and Ankles and How They Are Related


As the years advance, the human body undergoes a natural wear-and-tear process, wherein even the cartilage cushioning vital joints is not immune. The consequence of this wear and tear often leads to the uncomfortable scenario where bones begin to rub against each other, culminating in the dreaded occurrence of joint inflammation.

Among the intricate network of joints in the human body, ankles take a remarkable place, often being both complex and essential. They can, however, be surprisingly easy to neglect in terms of regular care and maintenance. The implications of this oversight are far-reaching, given that your ankles significantly influence your overall mobility.

The human body is a symphony of interconnected parts, and the ankles play a crucial role in facilitating an array of movements. Yet, as the aging process unfolds, the ankles tend to lose some of their range of motion and flexibility, unless they are provided with the proper attention they deserve.

It is not uncommon for individuals to experience knee pain, seemingly unrelated to their ankles, when in fact, the two are intricately linked. A lack of mobility in the ankles can give rise to knee pain, further complicating the issue. If the ankle fails to execute its intended range of motion, it can inadvertently cause the knees to move incorrectly, setting the stage for debilitating knee pain that may even extend to the hips.

The pivotal relationship between ankle and knee health is an area of expertise at Back In Motion. Our team is well-versed in the complexities of these joints, their optimal functionality, and the potential factors that can lead to their malfunction. Unlike a primary care practitioner who might prematurely attribute joint pain in individuals over the age of 50, 60, and 70 to various forms of arthritis, we conduct a comprehensive evaluation. This approach allows us to discern whether the issue stems from a minor sprain, an unnoticed fracture, an injury to the talus (heel bone), or a form of Achilles tendonitis or tendinosis, characterized by strain and inflammation. Instead of merely prescribing rest and pills, which can sometimes prolong the healing process, we employ a tailored approach aimed at facilitating recovery by encouraging controlled movement, promoting circulation, and minimizing stiffness.

While not all issues can be immediately resolved through treatment, our examination may occasionally lead to recommendations for further diagnostic studies, such as X-rays or MRIs, to precisely determine the root cause. At times, the problem may originate in another part of the body, contributing to or triggering the observed pain.

Are You Worried About or Frustrated with Ankle and/or Foot Pain?
If you find yourself plagued by concerns or frustrations related to ankle and foot pain, the information presented here outlines the common conditions, their underlying causes, and effective treatment options available through consultation with a Doctor of Physical Therapy. Whether you have sustained an injury that seems to defy healing, struggle with pain during any form of walking, experience discomfort or imbalance while bearing weight on one side, or encounter persistent sensations of burning, tingling, or numbness, you can rest assured that you don't have to accept living with these discomforts as an inevitable fate.

You Don’t Have to “Live” with Foot or Ankle Pain & Help Is Within Your Reach


Most foot and ankle problems can be traced back to injuries, extended periods of immobilization, ill-fitting footwear, excessive use, or irregular foot biomechanics. It is important to recognize that pain in this region can be indicative of an underlying issue, such as inflammation or an untreated fracture. The complexity of the anatomical structure of the feet and ankles underscores the significance of identifying the root cause, thereby enabling the provision of tailored treatment for resolution.

If you’ve been thinking that it will eventually go away, you might be doing more harm than good.

Back In Motion boasts extensive experience in addressing a spectrum of foot and ankle-related discomfort, stemming from years of collaboration with diverse clientele, including elite athletes, sedentary individuals, and dedicated fitness enthusiasts. This wealth of experience, combined with our proprietary approach, the GRAY METHOD™, empowers us to not only treat these conditions but also delve deeper into the intricacies to uncover the precise cause and institute the most suitable remedies.

The path to relief from foot and ankle discomfort commences with a thorough understanding of the underlying issues. To embark on this journey towards improved mobility and a pain-free existence, we invite you to contact our office at 239-766-5547 and schedule your consultation. Alternatively, you can initiate the process through our user-friendly online form.

Your quest for a life unhindered by ankle and foot pain begins here. Let's unveil the root cause of your discomfort and get you back in motion!

If you are looking for exceptional foot and ankle pain treatment near you, visit Back In Motion Physical Therapy & Performance!

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]

Signs and Symptoms of Peroneal Tendon Dysfunction :

Individuals afflicted by posterior tibial tendon dysfunction typically report discomfort localized on the interior of the foot, primarily in the middle or rear section. The pain tends to mirror the path of the affected tendon, tracing from behind the ankle bone to the inner aspect of the foot.

Profound weakness in the foot is a common symptom. This weakness becomes apparent when individuals struggle to perform a simple “heel raise” or calf raise exercise. Inability to achieve heel inversion or supination during this exercise often serves as a key diagnostic indicator.

An advanced clinical sign, known as the “too many toes” sign, becomes evident when an observer positions themselves behind the patient and assesses their feet. If an abnormal number of toes appear to protrude outward on the side of the foot, this is indicative of a collapsed arch and the rotation of toes towards the foot's lateral aspect. Furthermore, in more advanced stages, visible foot deformities may become apparent.

Treatments for Posterior Tibial Tendon Dysfunction:

In the early stages of posterior tibial tendon dysfunction, prompt intervention can lead to symptom resolution without the necessity of surgical measures, potentially halting the condition's progression. A tailored physical therapy regimen is often the treatment of choice for mild to moderate cases, focusing on specific exercises aimed at enhancing tendon and muscle strength while preserving flexibility. Additionally, exercises are frequently recommended following a period of immobilization, ensuring the gradual rehabilitation of the affected tendon.

By addressing posterior tibial tendon dysfunction in its initial stages, patients can increase their likelihood of recovery without invasive procedures and maintain a higher quality of life.


Foot Condition #6: Plantar Fasciitis

What Is the Plantar Fascia?

Plantar fasciitis is a condition characterized by irritation and subsequent inflammation of the plantar fascia, a resilient band of tissue extending from the heel to the toes. This inflammation commonly manifests as persistent heel pain, often exacerbated during the initial steps after prolonged periods of rest. Several factors contribute to the development of plantar fasciitis, with foot arch type playing a pivotal role.

Individuals with either overly flat or high-arched feet are more susceptible to the onset of plantar fasciitis. Additionally, wearing non-supportive footwear on unyielding and flat surfaces elevates the mechanical strain experienced by the plantar fascia, potentially precipitating this condition, particularly for those engaged in occupations requiring prolonged periods of weight-bearing activities.

Furthermore, there is notable evidence supporting the link between obesity and overuse in the genesis of plantar fasciitis. Excess body weight places added pressure on the plantar fascia, intensifying the strain it endures during daily activities.

Plantar view of foot showing plantar fascia. SOURCE: Skin based on 2B4256, fascia from 5B11887. Used in 83735, versions in 2B4256, 7B11421

Signs and Symptoms of Plantar Fasciitis:

Plantar fasciitis presents a distinct set of signs and symptoms, which aid in its identification:

  1. Heel Pain: The most prominent and debilitating symptom is pain localized at the bottom of the heel.

  2. Arch Pain: Discomfort may also extend to the arch of the foot, reflecting the plantar fascia's extensive coverage.

  3. Morning Pain: Pain is often most acute during the initial steps taken in the morning or after prolonged periods of inactivity.

  4. Progressive Pain: Over the course of months, individuals may experience an increase in the intensity of pain.

  5. Heel Swelling: Swelling may develop at the base of the heel, contributing to the overall discomfort.

The pain's character frequently evolves; it may temporarily diminish following a few minutes of walking, as the act of walking gently stretches the inflamed fascia. However, the pain tends to return with prolonged weight-bearing activities, such as standing or walking for extended durations.

Treatments for Plantar Fasciitis:

The primary approach to managing plantar fasciitis revolves around conservative treatments, with advanced methods reserved for cases that fail to respond to initial interventions. Invasive options such as surgery, injections, or pain medication are occasionally considered, but these interventions often provide temporary relief due to their focus on addressing the symptoms rather than the root cause.

A Doctor of Physical Therapy offers a range of treatments designed to alleviate plantar fasciitis effectively. These interventions encompass ankle and foot mobilizations, active release techniques, taping, dry needling, the provision of foot orthotics, and specialized strengthening and stretching exercises aimed at restoring optimal foot function and diminishing discomfort.

By comprehensively addressing the various facets of plantar fasciitis, patients can improve their chances of sustained relief and enhanced mobility, ultimately resuming their daily activities with reduced discomfort.

Some Interesting Facts About Knees and Ankles and How They Are Related


As the years advance, the human body undergoes a natural wear-and-tear process, wherein even the cartilage cushioning vital joints is not immune. The consequence of this wear and tear often leads to the uncomfortable scenario where bones begin to rub against each other, culminating in the dreaded occurrence of joint inflammation.

Among the intricate network of joints in the human body, ankles take a remarkable place, often being both complex and essential. They can, however, be surprisingly easy to neglect in terms of regular care and maintenance. The implications of this oversight are far-reaching, given that your ankles significantly influence your overall mobility.

The human body is a symphony of interconnected parts, and the ankles play a crucial role in facilitating an array of movements. Yet, as the aging process unfolds, the ankles tend to lose some of their range of motion and flexibility, unless they are provided with the proper attention they deserve.

It is not uncommon for individuals to experience knee pain, seemingly unrelated to their ankles, when in fact, the two are intricately linked. A lack of mobility in the ankles can give rise to knee pain, further complicating the issue. If the ankle fails to execute its intended range of motion, it can inadvertently cause the knees to move incorrectly, setting the stage for debilitating knee pain that may even extend to the hips.

The pivotal relationship between ankle and knee health is an area of expertise at Back In Motion. Our team is well-versed in the complexities of these joints, their optimal functionality, and the potential factors that can lead to their malfunction. Unlike a primary care practitioner who might prematurely attribute joint pain in individuals over the age of 50, 60, and 70 to various forms of arthritis, we conduct a comprehensive evaluation. This approach allows us to discern whether the issue stems from a minor sprain, an unnoticed fracture, an injury to the talus (heel bone), or a form of Achilles tendonitis or tendinosis, characterized by strain and inflammation. Instead of merely prescribing rest and pills, which can sometimes prolong the healing process, we employ a tailored approach aimed at facilitating recovery by encouraging controlled movement, promoting circulation, and minimizing stiffness.

While not all issues can be immediately resolved through treatment, our examination may occasionally lead to recommendations for further diagnostic studies, such as X-rays or MRIs, to precisely determine the root cause. At times, the problem may originate in another part of the body, contributing to or triggering the observed pain.

Are You Worried About or Frustrated with Ankle and/or Foot Pain?
If you find yourself plagued by concerns or frustrations related to ankle and foot pain, the information presented here outlines the common conditions, their underlying causes, and effective treatment options available through consultation with a Doctor of Physical Therapy. Whether you have sustained an injury that seems to defy healing, struggle with pain during any form of walking, experience discomfort or imbalance while bearing weight on one side, or encounter persistent sensations of burning, tingling, or numbness, you can rest assured that you don't have to accept living with these discomforts as an inevitable fate.

You Don’t Have to “Live” with Foot or Ankle Pain & Help Is Within Your Reach


Most foot and ankle problems can be traced back to injuries, extended periods of immobilization, ill-fitting footwear, excessive use, or irregular foot biomechanics. It is important to recognize that pain in this region can be indicative of an underlying issue, such as inflammation or an untreated fracture. The complexity of the anatomical structure of the feet and ankles underscores the significance of identifying the root cause, thereby enabling the provision of tailored treatment for resolution.

If you’ve been thinking that it will eventually go away, you might be doing more harm than good.

Back In Motion boasts extensive experience in addressing a spectrum of foot and ankle-related discomfort, stemming from years of collaboration with diverse clientele, including elite athletes, sedentary individuals, and dedicated fitness enthusiasts. This wealth of experience, combined with our proprietary approach, the GRAY METHOD™, empowers us to not only treat these conditions but also delve deeper into the intricacies to uncover the precise cause and institute the most suitable remedies.

The path to relief from foot and ankle discomfort commences with a thorough understanding of the underlying issues. To embark on this journey towards improved mobility and a pain-free existence, we invite you to contact our office at 239-766-5547 and schedule your consultation. Alternatively, you can initiate the process through our user-friendly online form.

Your quest for a life unhindered by ankle and foot pain begins here. Let's unveil the root cause of your discomfort and get you back in motion!

If you are looking for exceptional foot and ankle pain treatment near you, visit Back In Motion Physical Therapy & Performance!

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]

What Is a Posterior Tibial Tendon?

The posterior tibial tendon, a pivotal supporting structure in the foot, plays a vital role in maintaining proper foot function during the act of walking. However, alterations in this crucial tendon can lead to a condition known as posterior tibial tendon dysfunction, characterized by the flattening of the foot's arch. This condition predominantly affects one foot, but bilateral occurrences are not uncommon, often displaying a progressive nature if left untreated.

The primary etiological factor is the mechanical strain placed on the posterior tibial tendon, particularly prevalent in individuals with flat feet. Symptoms manifest following activities that demand substantial involvement of the tendon, such as running, walking, hiking, or stair climbing.

Signs and Symptoms of Peroneal Tendon Dysfunction :

Individuals afflicted by posterior tibial tendon dysfunction typically report discomfort localized on the interior of the foot, primarily in the middle or rear section. The pain tends to mirror the path of the affected tendon, tracing from behind the ankle bone to the inner aspect of the foot.

Profound weakness in the foot is a common symptom. This weakness becomes apparent when individuals struggle to perform a simple “heel raise” or calf raise exercise. Inability to achieve heel inversion or supination during this exercise often serves as a key diagnostic indicator.

An advanced clinical sign, known as the “too many toes” sign, becomes evident when an observer positions themselves behind the patient and assesses their feet. If an abnormal number of toes appear to protrude outward on the side of the foot, this is indicative of a collapsed arch and the rotation of toes towards the foot's lateral aspect. Furthermore, in more advanced stages, visible foot deformities may become apparent.

Treatments for Posterior Tibial Tendon Dysfunction:

In the early stages of posterior tibial tendon dysfunction, prompt intervention can lead to symptom resolution without the necessity of surgical measures, potentially halting the condition's progression. A tailored physical therapy regimen is often the treatment of choice for mild to moderate cases, focusing on specific exercises aimed at enhancing tendon and muscle strength while preserving flexibility. Additionally, exercises are frequently recommended following a period of immobilization, ensuring the gradual rehabilitation of the affected tendon.

By addressing posterior tibial tendon dysfunction in its initial stages, patients can increase their likelihood of recovery without invasive procedures and maintain a higher quality of life.


Foot Condition #6: Plantar Fasciitis

What Is the Plantar Fascia?

Plantar fasciitis is a condition characterized by irritation and subsequent inflammation of the plantar fascia, a resilient band of tissue extending from the heel to the toes. This inflammation commonly manifests as persistent heel pain, often exacerbated during the initial steps after prolonged periods of rest. Several factors contribute to the development of plantar fasciitis, with foot arch type playing a pivotal role.

Individuals with either overly flat or high-arched feet are more susceptible to the onset of plantar fasciitis. Additionally, wearing non-supportive footwear on unyielding and flat surfaces elevates the mechanical strain experienced by the plantar fascia, potentially precipitating this condition, particularly for those engaged in occupations requiring prolonged periods of weight-bearing activities.

Furthermore, there is notable evidence supporting the link between obesity and overuse in the genesis of plantar fasciitis. Excess body weight places added pressure on the plantar fascia, intensifying the strain it endures during daily activities.

Plantar view of foot showing plantar fascia. SOURCE: Skin based on 2B4256, fascia from 5B11887. Used in 83735, versions in 2B4256, 7B11421

Signs and Symptoms of Plantar Fasciitis:

Plantar fasciitis presents a distinct set of signs and symptoms, which aid in its identification:

  1. Heel Pain: The most prominent and debilitating symptom is pain localized at the bottom of the heel.

  2. Arch Pain: Discomfort may also extend to the arch of the foot, reflecting the plantar fascia's extensive coverage.

  3. Morning Pain: Pain is often most acute during the initial steps taken in the morning or after prolonged periods of inactivity.

  4. Progressive Pain: Over the course of months, individuals may experience an increase in the intensity of pain.

  5. Heel Swelling: Swelling may develop at the base of the heel, contributing to the overall discomfort.

The pain's character frequently evolves; it may temporarily diminish following a few minutes of walking, as the act of walking gently stretches the inflamed fascia. However, the pain tends to return with prolonged weight-bearing activities, such as standing or walking for extended durations.

Treatments for Plantar Fasciitis:

The primary approach to managing plantar fasciitis revolves around conservative treatments, with advanced methods reserved for cases that fail to respond to initial interventions. Invasive options such as surgery, injections, or pain medication are occasionally considered, but these interventions often provide temporary relief due to their focus on addressing the symptoms rather than the root cause.

A Doctor of Physical Therapy offers a range of treatments designed to alleviate plantar fasciitis effectively. These interventions encompass ankle and foot mobilizations, active release techniques, taping, dry needling, the provision of foot orthotics, and specialized strengthening and stretching exercises aimed at restoring optimal foot function and diminishing discomfort.

By comprehensively addressing the various facets of plantar fasciitis, patients can improve their chances of sustained relief and enhanced mobility, ultimately resuming their daily activities with reduced discomfort.

Some Interesting Facts About Knees and Ankles and How They Are Related


As the years advance, the human body undergoes a natural wear-and-tear process, wherein even the cartilage cushioning vital joints is not immune. The consequence of this wear and tear often leads to the uncomfortable scenario where bones begin to rub against each other, culminating in the dreaded occurrence of joint inflammation.

Among the intricate network of joints in the human body, ankles take a remarkable place, often being both complex and essential. They can, however, be surprisingly easy to neglect in terms of regular care and maintenance. The implications of this oversight are far-reaching, given that your ankles significantly influence your overall mobility.

The human body is a symphony of interconnected parts, and the ankles play a crucial role in facilitating an array of movements. Yet, as the aging process unfolds, the ankles tend to lose some of their range of motion and flexibility, unless they are provided with the proper attention they deserve.

It is not uncommon for individuals to experience knee pain, seemingly unrelated to their ankles, when in fact, the two are intricately linked. A lack of mobility in the ankles can give rise to knee pain, further complicating the issue. If the ankle fails to execute its intended range of motion, it can inadvertently cause the knees to move incorrectly, setting the stage for debilitating knee pain that may even extend to the hips.

The pivotal relationship between ankle and knee health is an area of expertise at Back In Motion. Our team is well-versed in the complexities of these joints, their optimal functionality, and the potential factors that can lead to their malfunction. Unlike a primary care practitioner who might prematurely attribute joint pain in individuals over the age of 50, 60, and 70 to various forms of arthritis, we conduct a comprehensive evaluation. This approach allows us to discern whether the issue stems from a minor sprain, an unnoticed fracture, an injury to the talus (heel bone), or a form of Achilles tendonitis or tendinosis, characterized by strain and inflammation. Instead of merely prescribing rest and pills, which can sometimes prolong the healing process, we employ a tailored approach aimed at facilitating recovery by encouraging controlled movement, promoting circulation, and minimizing stiffness.

While not all issues can be immediately resolved through treatment, our examination may occasionally lead to recommendations for further diagnostic studies, such as X-rays or MRIs, to precisely determine the root cause. At times, the problem may originate in another part of the body, contributing to or triggering the observed pain.

Are You Worried About or Frustrated with Ankle and/or Foot Pain?
If you find yourself plagued by concerns or frustrations related to ankle and foot pain, the information presented here outlines the common conditions, their underlying causes, and effective treatment options available through consultation with a Doctor of Physical Therapy. Whether you have sustained an injury that seems to defy healing, struggle with pain during any form of walking, experience discomfort or imbalance while bearing weight on one side, or encounter persistent sensations of burning, tingling, or numbness, you can rest assured that you don't have to accept living with these discomforts as an inevitable fate.

You Don’t Have to “Live” with Foot or Ankle Pain & Help Is Within Your Reach


Most foot and ankle problems can be traced back to injuries, extended periods of immobilization, ill-fitting footwear, excessive use, or irregular foot biomechanics. It is important to recognize that pain in this region can be indicative of an underlying issue, such as inflammation or an untreated fracture. The complexity of the anatomical structure of the feet and ankles underscores the significance of identifying the root cause, thereby enabling the provision of tailored treatment for resolution.

If you’ve been thinking that it will eventually go away, you might be doing more harm than good.

Back In Motion boasts extensive experience in addressing a spectrum of foot and ankle-related discomfort, stemming from years of collaboration with diverse clientele, including elite athletes, sedentary individuals, and dedicated fitness enthusiasts. This wealth of experience, combined with our proprietary approach, the GRAY METHOD™, empowers us to not only treat these conditions but also delve deeper into the intricacies to uncover the precise cause and institute the most suitable remedies.

The path to relief from foot and ankle discomfort commences with a thorough understanding of the underlying issues. To embark on this journey towards improved mobility and a pain-free existence, we invite you to contact our office at 239-766-5547 and schedule your consultation. Alternatively, you can initiate the process through our user-friendly online form.

Your quest for a life unhindered by ankle and foot pain begins here. Let's unveil the root cause of your discomfort and get you back in motion!

If you are looking for exceptional foot and ankle pain treatment near you, visit Back In Motion Physical Therapy & Performance!

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]

Foot Condition #5: Posterior Tibial Tendon Dysfunction

What Is a Posterior Tibial Tendon?

The posterior tibial tendon, a pivotal supporting structure in the foot, plays a vital role in maintaining proper foot function during the act of walking. However, alterations in this crucial tendon can lead to a condition known as posterior tibial tendon dysfunction, characterized by the flattening of the foot's arch. This condition predominantly affects one foot, but bilateral occurrences are not uncommon, often displaying a progressive nature if left untreated.

The primary etiological factor is the mechanical strain placed on the posterior tibial tendon, particularly prevalent in individuals with flat feet. Symptoms manifest following activities that demand substantial involvement of the tendon, such as running, walking, hiking, or stair climbing.

Signs and Symptoms of Peroneal Tendon Dysfunction :

Individuals afflicted by posterior tibial tendon dysfunction typically report discomfort localized on the interior of the foot, primarily in the middle or rear section. The pain tends to mirror the path of the affected tendon, tracing from behind the ankle bone to the inner aspect of the foot.

Profound weakness in the foot is a common symptom. This weakness becomes apparent when individuals struggle to perform a simple “heel raise” or calf raise exercise. Inability to achieve heel inversion or supination during this exercise often serves as a key diagnostic indicator.

An advanced clinical sign, known as the “too many toes” sign, becomes evident when an observer positions themselves behind the patient and assesses their feet. If an abnormal number of toes appear to protrude outward on the side of the foot, this is indicative of a collapsed arch and the rotation of toes towards the foot's lateral aspect. Furthermore, in more advanced stages, visible foot deformities may become apparent.

Treatments for Posterior Tibial Tendon Dysfunction:

In the early stages of posterior tibial tendon dysfunction, prompt intervention can lead to symptom resolution without the necessity of surgical measures, potentially halting the condition's progression. A tailored physical therapy regimen is often the treatment of choice for mild to moderate cases, focusing on specific exercises aimed at enhancing tendon and muscle strength while preserving flexibility. Additionally, exercises are frequently recommended following a period of immobilization, ensuring the gradual rehabilitation of the affected tendon.

By addressing posterior tibial tendon dysfunction in its initial stages, patients can increase their likelihood of recovery without invasive procedures and maintain a higher quality of life.


Foot Condition #6: Plantar Fasciitis

What Is the Plantar Fascia?

Plantar fasciitis is a condition characterized by irritation and subsequent inflammation of the plantar fascia, a resilient band of tissue extending from the heel to the toes. This inflammation commonly manifests as persistent heel pain, often exacerbated during the initial steps after prolonged periods of rest. Several factors contribute to the development of plantar fasciitis, with foot arch type playing a pivotal role.

Individuals with either overly flat or high-arched feet are more susceptible to the onset of plantar fasciitis. Additionally, wearing non-supportive footwear on unyielding and flat surfaces elevates the mechanical strain experienced by the plantar fascia, potentially precipitating this condition, particularly for those engaged in occupations requiring prolonged periods of weight-bearing activities.

Furthermore, there is notable evidence supporting the link between obesity and overuse in the genesis of plantar fasciitis. Excess body weight places added pressure on the plantar fascia, intensifying the strain it endures during daily activities.

Plantar view of foot showing plantar fascia. SOURCE: Skin based on 2B4256, fascia from 5B11887. Used in 83735, versions in 2B4256, 7B11421

Signs and Symptoms of Plantar Fasciitis:

Plantar fasciitis presents a distinct set of signs and symptoms, which aid in its identification:

  1. Heel Pain: The most prominent and debilitating symptom is pain localized at the bottom of the heel.

  2. Arch Pain: Discomfort may also extend to the arch of the foot, reflecting the plantar fascia's extensive coverage.

  3. Morning Pain: Pain is often most acute during the initial steps taken in the morning or after prolonged periods of inactivity.

  4. Progressive Pain: Over the course of months, individuals may experience an increase in the intensity of pain.

  5. Heel Swelling: Swelling may develop at the base of the heel, contributing to the overall discomfort.

The pain's character frequently evolves; it may temporarily diminish following a few minutes of walking, as the act of walking gently stretches the inflamed fascia. However, the pain tends to return with prolonged weight-bearing activities, such as standing or walking for extended durations.

Treatments for Plantar Fasciitis:

The primary approach to managing plantar fasciitis revolves around conservative treatments, with advanced methods reserved for cases that fail to respond to initial interventions. Invasive options such as surgery, injections, or pain medication are occasionally considered, but these interventions often provide temporary relief due to their focus on addressing the symptoms rather than the root cause.

A Doctor of Physical Therapy offers a range of treatments designed to alleviate plantar fasciitis effectively. These interventions encompass ankle and foot mobilizations, active release techniques, taping, dry needling, the provision of foot orthotics, and specialized strengthening and stretching exercises aimed at restoring optimal foot function and diminishing discomfort.

By comprehensively addressing the various facets of plantar fasciitis, patients can improve their chances of sustained relief and enhanced mobility, ultimately resuming their daily activities with reduced discomfort.

Some Interesting Facts About Knees and Ankles and How They Are Related


As the years advance, the human body undergoes a natural wear-and-tear process, wherein even the cartilage cushioning vital joints is not immune. The consequence of this wear and tear often leads to the uncomfortable scenario where bones begin to rub against each other, culminating in the dreaded occurrence of joint inflammation.

Among the intricate network of joints in the human body, ankles take a remarkable place, often being both complex and essential. They can, however, be surprisingly easy to neglect in terms of regular care and maintenance. The implications of this oversight are far-reaching, given that your ankles significantly influence your overall mobility.

The human body is a symphony of interconnected parts, and the ankles play a crucial role in facilitating an array of movements. Yet, as the aging process unfolds, the ankles tend to lose some of their range of motion and flexibility, unless they are provided with the proper attention they deserve.

It is not uncommon for individuals to experience knee pain, seemingly unrelated to their ankles, when in fact, the two are intricately linked. A lack of mobility in the ankles can give rise to knee pain, further complicating the issue. If the ankle fails to execute its intended range of motion, it can inadvertently cause the knees to move incorrectly, setting the stage for debilitating knee pain that may even extend to the hips.

The pivotal relationship between ankle and knee health is an area of expertise at Back In Motion. Our team is well-versed in the complexities of these joints, their optimal functionality, and the potential factors that can lead to their malfunction. Unlike a primary care practitioner who might prematurely attribute joint pain in individuals over the age of 50, 60, and 70 to various forms of arthritis, we conduct a comprehensive evaluation. This approach allows us to discern whether the issue stems from a minor sprain, an unnoticed fracture, an injury to the talus (heel bone), or a form of Achilles tendonitis or tendinosis, characterized by strain and inflammation. Instead of merely prescribing rest and pills, which can sometimes prolong the healing process, we employ a tailored approach aimed at facilitating recovery by encouraging controlled movement, promoting circulation, and minimizing stiffness.

While not all issues can be immediately resolved through treatment, our examination may occasionally lead to recommendations for further diagnostic studies, such as X-rays or MRIs, to precisely determine the root cause. At times, the problem may originate in another part of the body, contributing to or triggering the observed pain.

Are You Worried About or Frustrated with Ankle and/or Foot Pain?
If you find yourself plagued by concerns or frustrations related to ankle and foot pain, the information presented here outlines the common conditions, their underlying causes, and effective treatment options available through consultation with a Doctor of Physical Therapy. Whether you have sustained an injury that seems to defy healing, struggle with pain during any form of walking, experience discomfort or imbalance while bearing weight on one side, or encounter persistent sensations of burning, tingling, or numbness, you can rest assured that you don't have to accept living with these discomforts as an inevitable fate.

You Don’t Have to “Live” with Foot or Ankle Pain & Help Is Within Your Reach


Most foot and ankle problems can be traced back to injuries, extended periods of immobilization, ill-fitting footwear, excessive use, or irregular foot biomechanics. It is important to recognize that pain in this region can be indicative of an underlying issue, such as inflammation or an untreated fracture. The complexity of the anatomical structure of the feet and ankles underscores the significance of identifying the root cause, thereby enabling the provision of tailored treatment for resolution.

If you’ve been thinking that it will eventually go away, you might be doing more harm than good.

Back In Motion boasts extensive experience in addressing a spectrum of foot and ankle-related discomfort, stemming from years of collaboration with diverse clientele, including elite athletes, sedentary individuals, and dedicated fitness enthusiasts. This wealth of experience, combined with our proprietary approach, the GRAY METHOD™, empowers us to not only treat these conditions but also delve deeper into the intricacies to uncover the precise cause and institute the most suitable remedies.

The path to relief from foot and ankle discomfort commences with a thorough understanding of the underlying issues. To embark on this journey towards improved mobility and a pain-free existence, we invite you to contact our office at 239-766-5547 and schedule your consultation. Alternatively, you can initiate the process through our user-friendly online form.

Your quest for a life unhindered by ankle and foot pain begins here. Let's unveil the root cause of your discomfort and get you back in motion!

If you are looking for exceptional foot and ankle pain treatment near you, visit Back In Motion Physical Therapy & Performance!

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]

Foot Condition #5: Posterior Tibial Tendon Dysfunction

What Is a Posterior Tibial Tendon?

The posterior tibial tendon, a pivotal supporting structure in the foot, plays a vital role in maintaining proper foot function during the act of walking. However, alterations in this crucial tendon can lead to a condition known as posterior tibial tendon dysfunction, characterized by the flattening of the foot's arch. This condition predominantly affects one foot, but bilateral occurrences are not uncommon, often displaying a progressive nature if left untreated.

The primary etiological factor is the mechanical strain placed on the posterior tibial tendon, particularly prevalent in individuals with flat feet. Symptoms manifest following activities that demand substantial involvement of the tendon, such as running, walking, hiking, or stair climbing.

Signs and Symptoms of Peroneal Tendon Dysfunction :

Individuals afflicted by posterior tibial tendon dysfunction typically report discomfort localized on the interior of the foot, primarily in the middle or rear section. The pain tends to mirror the path of the affected tendon, tracing from behind the ankle bone to the inner aspect of the foot.

Profound weakness in the foot is a common symptom. This weakness becomes apparent when individuals struggle to perform a simple “heel raise” or calf raise exercise. Inability to achieve heel inversion or supination during this exercise often serves as a key diagnostic indicator.

An advanced clinical sign, known as the “too many toes” sign, becomes evident when an observer positions themselves behind the patient and assesses their feet. If an abnormal number of toes appear to protrude outward on the side of the foot, this is indicative of a collapsed arch and the rotation of toes towards the foot's lateral aspect. Furthermore, in more advanced stages, visible foot deformities may become apparent.

Treatments for Posterior Tibial Tendon Dysfunction:

In the early stages of posterior tibial tendon dysfunction, prompt intervention can lead to symptom resolution without the necessity of surgical measures, potentially halting the condition's progression. A tailored physical therapy regimen is often the treatment of choice for mild to moderate cases, focusing on specific exercises aimed at enhancing tendon and muscle strength while preserving flexibility. Additionally, exercises are frequently recommended following a period of immobilization, ensuring the gradual rehabilitation of the affected tendon.

By addressing posterior tibial tendon dysfunction in its initial stages, patients can increase their likelihood of recovery without invasive procedures and maintain a higher quality of life.


Foot Condition #6: Plantar Fasciitis

What Is the Plantar Fascia?

Plantar fasciitis is a condition characterized by irritation and subsequent inflammation of the plantar fascia, a resilient band of tissue extending from the heel to the toes. This inflammation commonly manifests as persistent heel pain, often exacerbated during the initial steps after prolonged periods of rest. Several factors contribute to the development of plantar fasciitis, with foot arch type playing a pivotal role.

Individuals with either overly flat or high-arched feet are more susceptible to the onset of plantar fasciitis. Additionally, wearing non-supportive footwear on unyielding and flat surfaces elevates the mechanical strain experienced by the plantar fascia, potentially precipitating this condition, particularly for those engaged in occupations requiring prolonged periods of weight-bearing activities.

Furthermore, there is notable evidence supporting the link between obesity and overuse in the genesis of plantar fasciitis. Excess body weight places added pressure on the plantar fascia, intensifying the strain it endures during daily activities.

Plantar view of foot showing plantar fascia. SOURCE: Skin based on 2B4256, fascia from 5B11887. Used in 83735, versions in 2B4256, 7B11421

Signs and Symptoms of Plantar Fasciitis:

Plantar fasciitis presents a distinct set of signs and symptoms, which aid in its identification:

  1. Heel Pain: The most prominent and debilitating symptom is pain localized at the bottom of the heel.

  2. Arch Pain: Discomfort may also extend to the arch of the foot, reflecting the plantar fascia's extensive coverage.

  3. Morning Pain: Pain is often most acute during the initial steps taken in the morning or after prolonged periods of inactivity.

  4. Progressive Pain: Over the course of months, individuals may experience an increase in the intensity of pain.

  5. Heel Swelling: Swelling may develop at the base of the heel, contributing to the overall discomfort.

The pain's character frequently evolves; it may temporarily diminish following a few minutes of walking, as the act of walking gently stretches the inflamed fascia. However, the pain tends to return with prolonged weight-bearing activities, such as standing or walking for extended durations.

Treatments for Plantar Fasciitis:

The primary approach to managing plantar fasciitis revolves around conservative treatments, with advanced methods reserved for cases that fail to respond to initial interventions. Invasive options such as surgery, injections, or pain medication are occasionally considered, but these interventions often provide temporary relief due to their focus on addressing the symptoms rather than the root cause.

A Doctor of Physical Therapy offers a range of treatments designed to alleviate plantar fasciitis effectively. These interventions encompass ankle and foot mobilizations, active release techniques, taping, dry needling, the provision of foot orthotics, and specialized strengthening and stretching exercises aimed at restoring optimal foot function and diminishing discomfort.

By comprehensively addressing the various facets of plantar fasciitis, patients can improve their chances of sustained relief and enhanced mobility, ultimately resuming their daily activities with reduced discomfort.

Some Interesting Facts About Knees and Ankles and How They Are Related


As the years advance, the human body undergoes a natural wear-and-tear process, wherein even the cartilage cushioning vital joints is not immune. The consequence of this wear and tear often leads to the uncomfortable scenario where bones begin to rub against each other, culminating in the dreaded occurrence of joint inflammation.

Among the intricate network of joints in the human body, ankles take a remarkable place, often being both complex and essential. They can, however, be surprisingly easy to neglect in terms of regular care and maintenance. The implications of this oversight are far-reaching, given that your ankles significantly influence your overall mobility.

The human body is a symphony of interconnected parts, and the ankles play a crucial role in facilitating an array of movements. Yet, as the aging process unfolds, the ankles tend to lose some of their range of motion and flexibility, unless they are provided with the proper attention they deserve.

It is not uncommon for individuals to experience knee pain, seemingly unrelated to their ankles, when in fact, the two are intricately linked. A lack of mobility in the ankles can give rise to knee pain, further complicating the issue. If the ankle fails to execute its intended range of motion, it can inadvertently cause the knees to move incorrectly, setting the stage for debilitating knee pain that may even extend to the hips.

The pivotal relationship between ankle and knee health is an area of expertise at Back In Motion. Our team is well-versed in the complexities of these joints, their optimal functionality, and the potential factors that can lead to their malfunction. Unlike a primary care practitioner who might prematurely attribute joint pain in individuals over the age of 50, 60, and 70 to various forms of arthritis, we conduct a comprehensive evaluation. This approach allows us to discern whether the issue stems from a minor sprain, an unnoticed fracture, an injury to the talus (heel bone), or a form of Achilles tendonitis or tendinosis, characterized by strain and inflammation. Instead of merely prescribing rest and pills, which can sometimes prolong the healing process, we employ a tailored approach aimed at facilitating recovery by encouraging controlled movement, promoting circulation, and minimizing stiffness.

While not all issues can be immediately resolved through treatment, our examination may occasionally lead to recommendations for further diagnostic studies, such as X-rays or MRIs, to precisely determine the root cause. At times, the problem may originate in another part of the body, contributing to or triggering the observed pain.

Are You Worried About or Frustrated with Ankle and/or Foot Pain?
If you find yourself plagued by concerns or frustrations related to ankle and foot pain, the information presented here outlines the common conditions, their underlying causes, and effective treatment options available through consultation with a Doctor of Physical Therapy. Whether you have sustained an injury that seems to defy healing, struggle with pain during any form of walking, experience discomfort or imbalance while bearing weight on one side, or encounter persistent sensations of burning, tingling, or numbness, you can rest assured that you don't have to accept living with these discomforts as an inevitable fate.

You Don’t Have to “Live” with Foot or Ankle Pain & Help Is Within Your Reach


Most foot and ankle problems can be traced back to injuries, extended periods of immobilization, ill-fitting footwear, excessive use, or irregular foot biomechanics. It is important to recognize that pain in this region can be indicative of an underlying issue, such as inflammation or an untreated fracture. The complexity of the anatomical structure of the feet and ankles underscores the significance of identifying the root cause, thereby enabling the provision of tailored treatment for resolution.

If you’ve been thinking that it will eventually go away, you might be doing more harm than good.

Back In Motion boasts extensive experience in addressing a spectrum of foot and ankle-related discomfort, stemming from years of collaboration with diverse clientele, including elite athletes, sedentary individuals, and dedicated fitness enthusiasts. This wealth of experience, combined with our proprietary approach, the GRAY METHOD™, empowers us to not only treat these conditions but also delve deeper into the intricacies to uncover the precise cause and institute the most suitable remedies.

The path to relief from foot and ankle discomfort commences with a thorough understanding of the underlying issues. To embark on this journey towards improved mobility and a pain-free existence, we invite you to contact our office at 239-766-5547 and schedule your consultation. Alternatively, you can initiate the process through our user-friendly online form.

Your quest for a life unhindered by ankle and foot pain begins here. Let's unveil the root cause of your discomfort and get you back in motion!

If you are looking for exceptional foot and ankle pain treatment near you, visit Back In Motion Physical Therapy & Performance!

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]

Treatments for the Achilles Tendon:

Successful recovery from Achilles tendon problems necessitates proper treatment. Our advanced treatment methods include:

  1. Specific Strengthening and Stretching Exercises: Tailored exercises to target Achilles tendon issues.

  2. Manual Therapy: Hands-on techniques to alleviate pain and facilitate healing.

  3. Technique Modifications: Correcting gait and activity techniques to reduce stress on the Achilles tendon.

  4. Postural Adjustments: Ensuring proper posture to minimize strain on the tendon.

  5. Patient Education: Comprehensive understanding of the condition and how to manage it.

  6. Shoe Inserts: The use of orthotic inserts to provide proper support to the Achilles tendon.

  7. Dry Needling: The insertion of fine needles into trigger points to alleviate pain and muscle tension.

Ultimately, our one-on-one approach ensures that we design a personalized treatment plan based on your specific underlying causes to facilitate your recovery.

Foot Condition #5: Posterior Tibial Tendon Dysfunction

What Is a Posterior Tibial Tendon?

The posterior tibial tendon, a pivotal supporting structure in the foot, plays a vital role in maintaining proper foot function during the act of walking. However, alterations in this crucial tendon can lead to a condition known as posterior tibial tendon dysfunction, characterized by the flattening of the foot's arch. This condition predominantly affects one foot, but bilateral occurrences are not uncommon, often displaying a progressive nature if left untreated.

The primary etiological factor is the mechanical strain placed on the posterior tibial tendon, particularly prevalent in individuals with flat feet. Symptoms manifest following activities that demand substantial involvement of the tendon, such as running, walking, hiking, or stair climbing.

Signs and Symptoms of Peroneal Tendon Dysfunction :

Individuals afflicted by posterior tibial tendon dysfunction typically report discomfort localized on the interior of the foot, primarily in the middle or rear section. The pain tends to mirror the path of the affected tendon, tracing from behind the ankle bone to the inner aspect of the foot.

Profound weakness in the foot is a common symptom. This weakness becomes apparent when individuals struggle to perform a simple “heel raise” or calf raise exercise. Inability to achieve heel inversion or supination during this exercise often serves as a key diagnostic indicator.

An advanced clinical sign, known as the “too many toes” sign, becomes evident when an observer positions themselves behind the patient and assesses their feet. If an abnormal number of toes appear to protrude outward on the side of the foot, this is indicative of a collapsed arch and the rotation of toes towards the foot's lateral aspect. Furthermore, in more advanced stages, visible foot deformities may become apparent.

Treatments for Posterior Tibial Tendon Dysfunction:

In the early stages of posterior tibial tendon dysfunction, prompt intervention can lead to symptom resolution without the necessity of surgical measures, potentially halting the condition's progression. A tailored physical therapy regimen is often the treatment of choice for mild to moderate cases, focusing on specific exercises aimed at enhancing tendon and muscle strength while preserving flexibility. Additionally, exercises are frequently recommended following a period of immobilization, ensuring the gradual rehabilitation of the affected tendon.

By addressing posterior tibial tendon dysfunction in its initial stages, patients can increase their likelihood of recovery without invasive procedures and maintain a higher quality of life.


Foot Condition #6: Plantar Fasciitis

What Is the Plantar Fascia?

Plantar fasciitis is a condition characterized by irritation and subsequent inflammation of the plantar fascia, a resilient band of tissue extending from the heel to the toes. This inflammation commonly manifests as persistent heel pain, often exacerbated during the initial steps after prolonged periods of rest. Several factors contribute to the development of plantar fasciitis, with foot arch type playing a pivotal role.

Individuals with either overly flat or high-arched feet are more susceptible to the onset of plantar fasciitis. Additionally, wearing non-supportive footwear on unyielding and flat surfaces elevates the mechanical strain experienced by the plantar fascia, potentially precipitating this condition, particularly for those engaged in occupations requiring prolonged periods of weight-bearing activities.

Furthermore, there is notable evidence supporting the link between obesity and overuse in the genesis of plantar fasciitis. Excess body weight places added pressure on the plantar fascia, intensifying the strain it endures during daily activities.

Plantar view of foot showing plantar fascia. SOURCE: Skin based on 2B4256, fascia from 5B11887. Used in 83735, versions in 2B4256, 7B11421

Signs and Symptoms of Plantar Fasciitis:

Plantar fasciitis presents a distinct set of signs and symptoms, which aid in its identification:

  1. Heel Pain: The most prominent and debilitating symptom is pain localized at the bottom of the heel.

  2. Arch Pain: Discomfort may also extend to the arch of the foot, reflecting the plantar fascia's extensive coverage.

  3. Morning Pain: Pain is often most acute during the initial steps taken in the morning or after prolonged periods of inactivity.

  4. Progressive Pain: Over the course of months, individuals may experience an increase in the intensity of pain.

  5. Heel Swelling: Swelling may develop at the base of the heel, contributing to the overall discomfort.

The pain's character frequently evolves; it may temporarily diminish following a few minutes of walking, as the act of walking gently stretches the inflamed fascia. However, the pain tends to return with prolonged weight-bearing activities, such as standing or walking for extended durations.

Treatments for Plantar Fasciitis:

The primary approach to managing plantar fasciitis revolves around conservative treatments, with advanced methods reserved for cases that fail to respond to initial interventions. Invasive options such as surgery, injections, or pain medication are occasionally considered, but these interventions often provide temporary relief due to their focus on addressing the symptoms rather than the root cause.

A Doctor of Physical Therapy offers a range of treatments designed to alleviate plantar fasciitis effectively. These interventions encompass ankle and foot mobilizations, active release techniques, taping, dry needling, the provision of foot orthotics, and specialized strengthening and stretching exercises aimed at restoring optimal foot function and diminishing discomfort.

By comprehensively addressing the various facets of plantar fasciitis, patients can improve their chances of sustained relief and enhanced mobility, ultimately resuming their daily activities with reduced discomfort.

Some Interesting Facts About Knees and Ankles and How They Are Related


As the years advance, the human body undergoes a natural wear-and-tear process, wherein even the cartilage cushioning vital joints is not immune. The consequence of this wear and tear often leads to the uncomfortable scenario where bones begin to rub against each other, culminating in the dreaded occurrence of joint inflammation.

Among the intricate network of joints in the human body, ankles take a remarkable place, often being both complex and essential. They can, however, be surprisingly easy to neglect in terms of regular care and maintenance. The implications of this oversight are far-reaching, given that your ankles significantly influence your overall mobility.

The human body is a symphony of interconnected parts, and the ankles play a crucial role in facilitating an array of movements. Yet, as the aging process unfolds, the ankles tend to lose some of their range of motion and flexibility, unless they are provided with the proper attention they deserve.

It is not uncommon for individuals to experience knee pain, seemingly unrelated to their ankles, when in fact, the two are intricately linked. A lack of mobility in the ankles can give rise to knee pain, further complicating the issue. If the ankle fails to execute its intended range of motion, it can inadvertently cause the knees to move incorrectly, setting the stage for debilitating knee pain that may even extend to the hips.

The pivotal relationship between ankle and knee health is an area of expertise at Back In Motion. Our team is well-versed in the complexities of these joints, their optimal functionality, and the potential factors that can lead to their malfunction. Unlike a primary care practitioner who might prematurely attribute joint pain in individuals over the age of 50, 60, and 70 to various forms of arthritis, we conduct a comprehensive evaluation. This approach allows us to discern whether the issue stems from a minor sprain, an unnoticed fracture, an injury to the talus (heel bone), or a form of Achilles tendonitis or tendinosis, characterized by strain and inflammation. Instead of merely prescribing rest and pills, which can sometimes prolong the healing process, we employ a tailored approach aimed at facilitating recovery by encouraging controlled movement, promoting circulation, and minimizing stiffness.

While not all issues can be immediately resolved through treatment, our examination may occasionally lead to recommendations for further diagnostic studies, such as X-rays or MRIs, to precisely determine the root cause. At times, the problem may originate in another part of the body, contributing to or triggering the observed pain.

Are You Worried About or Frustrated with Ankle and/or Foot Pain?
If you find yourself plagued by concerns or frustrations related to ankle and foot pain, the information presented here outlines the common conditions, their underlying causes, and effective treatment options available through consultation with a Doctor of Physical Therapy. Whether you have sustained an injury that seems to defy healing, struggle with pain during any form of walking, experience discomfort or imbalance while bearing weight on one side, or encounter persistent sensations of burning, tingling, or numbness, you can rest assured that you don't have to accept living with these discomforts as an inevitable fate.

You Don’t Have to “Live” with Foot or Ankle Pain & Help Is Within Your Reach


Most foot and ankle problems can be traced back to injuries, extended periods of immobilization, ill-fitting footwear, excessive use, or irregular foot biomechanics. It is important to recognize that pain in this region can be indicative of an underlying issue, such as inflammation or an untreated fracture. The complexity of the anatomical structure of the feet and ankles underscores the significance of identifying the root cause, thereby enabling the provision of tailored treatment for resolution.

If you’ve been thinking that it will eventually go away, you might be doing more harm than good.

Back In Motion boasts extensive experience in addressing a spectrum of foot and ankle-related discomfort, stemming from years of collaboration with diverse clientele, including elite athletes, sedentary individuals, and dedicated fitness enthusiasts. This wealth of experience, combined with our proprietary approach, the GRAY METHOD™, empowers us to not only treat these conditions but also delve deeper into the intricacies to uncover the precise cause and institute the most suitable remedies.

The path to relief from foot and ankle discomfort commences with a thorough understanding of the underlying issues. To embark on this journey towards improved mobility and a pain-free existence, we invite you to contact our office at 239-766-5547 and schedule your consultation. Alternatively, you can initiate the process through our user-friendly online form.

Your quest for a life unhindered by ankle and foot pain begins here. Let's unveil the root cause of your discomfort and get you back in motion!

If you are looking for exceptional foot and ankle pain treatment near you, visit Back In Motion Physical Therapy & Performance!

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]
  • Pain and stiffness above the heel or behind the ankle, particularly in the morning.
  • Aggravation of pain during on-foot activities.
  • Swelling around the heel area.
  • A visible bump on the heel.
  • Pain when standing on tiptoe.
  • A perception of the heel being “spongy” when pressed.
  • Pain when pushing off while walking.

Treatments for the Achilles Tendon:

Successful recovery from Achilles tendon problems necessitates proper treatment. Our advanced treatment methods include:

  1. Specific Strengthening and Stretching Exercises: Tailored exercises to target Achilles tendon issues.

  2. Manual Therapy: Hands-on techniques to alleviate pain and facilitate healing.

  3. Technique Modifications: Correcting gait and activity techniques to reduce stress on the Achilles tendon.

  4. Postural Adjustments: Ensuring proper posture to minimize strain on the tendon.

  5. Patient Education: Comprehensive understanding of the condition and how to manage it.

  6. Shoe Inserts: The use of orthotic inserts to provide proper support to the Achilles tendon.

  7. Dry Needling: The insertion of fine needles into trigger points to alleviate pain and muscle tension.

Ultimately, our one-on-one approach ensures that we design a personalized treatment plan based on your specific underlying causes to facilitate your recovery.

Foot Condition #5: Posterior Tibial Tendon Dysfunction

What Is a Posterior Tibial Tendon?

The posterior tibial tendon, a pivotal supporting structure in the foot, plays a vital role in maintaining proper foot function during the act of walking. However, alterations in this crucial tendon can lead to a condition known as posterior tibial tendon dysfunction, characterized by the flattening of the foot's arch. This condition predominantly affects one foot, but bilateral occurrences are not uncommon, often displaying a progressive nature if left untreated.

The primary etiological factor is the mechanical strain placed on the posterior tibial tendon, particularly prevalent in individuals with flat feet. Symptoms manifest following activities that demand substantial involvement of the tendon, such as running, walking, hiking, or stair climbing.

Signs and Symptoms of Peroneal Tendon Dysfunction :

Individuals afflicted by posterior tibial tendon dysfunction typically report discomfort localized on the interior of the foot, primarily in the middle or rear section. The pain tends to mirror the path of the affected tendon, tracing from behind the ankle bone to the inner aspect of the foot.

Profound weakness in the foot is a common symptom. This weakness becomes apparent when individuals struggle to perform a simple “heel raise” or calf raise exercise. Inability to achieve heel inversion or supination during this exercise often serves as a key diagnostic indicator.

An advanced clinical sign, known as the “too many toes” sign, becomes evident when an observer positions themselves behind the patient and assesses their feet. If an abnormal number of toes appear to protrude outward on the side of the foot, this is indicative of a collapsed arch and the rotation of toes towards the foot's lateral aspect. Furthermore, in more advanced stages, visible foot deformities may become apparent.

Treatments for Posterior Tibial Tendon Dysfunction:

In the early stages of posterior tibial tendon dysfunction, prompt intervention can lead to symptom resolution without the necessity of surgical measures, potentially halting the condition's progression. A tailored physical therapy regimen is often the treatment of choice for mild to moderate cases, focusing on specific exercises aimed at enhancing tendon and muscle strength while preserving flexibility. Additionally, exercises are frequently recommended following a period of immobilization, ensuring the gradual rehabilitation of the affected tendon.

By addressing posterior tibial tendon dysfunction in its initial stages, patients can increase their likelihood of recovery without invasive procedures and maintain a higher quality of life.


Foot Condition #6: Plantar Fasciitis

What Is the Plantar Fascia?

Plantar fasciitis is a condition characterized by irritation and subsequent inflammation of the plantar fascia, a resilient band of tissue extending from the heel to the toes. This inflammation commonly manifests as persistent heel pain, often exacerbated during the initial steps after prolonged periods of rest. Several factors contribute to the development of plantar fasciitis, with foot arch type playing a pivotal role.

Individuals with either overly flat or high-arched feet are more susceptible to the onset of plantar fasciitis. Additionally, wearing non-supportive footwear on unyielding and flat surfaces elevates the mechanical strain experienced by the plantar fascia, potentially precipitating this condition, particularly for those engaged in occupations requiring prolonged periods of weight-bearing activities.

Furthermore, there is notable evidence supporting the link between obesity and overuse in the genesis of plantar fasciitis. Excess body weight places added pressure on the plantar fascia, intensifying the strain it endures during daily activities.

Plantar view of foot showing plantar fascia. SOURCE: Skin based on 2B4256, fascia from 5B11887. Used in 83735, versions in 2B4256, 7B11421

Signs and Symptoms of Plantar Fasciitis:

Plantar fasciitis presents a distinct set of signs and symptoms, which aid in its identification:

  1. Heel Pain: The most prominent and debilitating symptom is pain localized at the bottom of the heel.

  2. Arch Pain: Discomfort may also extend to the arch of the foot, reflecting the plantar fascia's extensive coverage.

  3. Morning Pain: Pain is often most acute during the initial steps taken in the morning or after prolonged periods of inactivity.

  4. Progressive Pain: Over the course of months, individuals may experience an increase in the intensity of pain.

  5. Heel Swelling: Swelling may develop at the base of the heel, contributing to the overall discomfort.

The pain's character frequently evolves; it may temporarily diminish following a few minutes of walking, as the act of walking gently stretches the inflamed fascia. However, the pain tends to return with prolonged weight-bearing activities, such as standing or walking for extended durations.

Treatments for Plantar Fasciitis:

The primary approach to managing plantar fasciitis revolves around conservative treatments, with advanced methods reserved for cases that fail to respond to initial interventions. Invasive options such as surgery, injections, or pain medication are occasionally considered, but these interventions often provide temporary relief due to their focus on addressing the symptoms rather than the root cause.

A Doctor of Physical Therapy offers a range of treatments designed to alleviate plantar fasciitis effectively. These interventions encompass ankle and foot mobilizations, active release techniques, taping, dry needling, the provision of foot orthotics, and specialized strengthening and stretching exercises aimed at restoring optimal foot function and diminishing discomfort.

By comprehensively addressing the various facets of plantar fasciitis, patients can improve their chances of sustained relief and enhanced mobility, ultimately resuming their daily activities with reduced discomfort.

Some Interesting Facts About Knees and Ankles and How They Are Related


As the years advance, the human body undergoes a natural wear-and-tear process, wherein even the cartilage cushioning vital joints is not immune. The consequence of this wear and tear often leads to the uncomfortable scenario where bones begin to rub against each other, culminating in the dreaded occurrence of joint inflammation.

Among the intricate network of joints in the human body, ankles take a remarkable place, often being both complex and essential. They can, however, be surprisingly easy to neglect in terms of regular care and maintenance. The implications of this oversight are far-reaching, given that your ankles significantly influence your overall mobility.

The human body is a symphony of interconnected parts, and the ankles play a crucial role in facilitating an array of movements. Yet, as the aging process unfolds, the ankles tend to lose some of their range of motion and flexibility, unless they are provided with the proper attention they deserve.

It is not uncommon for individuals to experience knee pain, seemingly unrelated to their ankles, when in fact, the two are intricately linked. A lack of mobility in the ankles can give rise to knee pain, further complicating the issue. If the ankle fails to execute its intended range of motion, it can inadvertently cause the knees to move incorrectly, setting the stage for debilitating knee pain that may even extend to the hips.

The pivotal relationship between ankle and knee health is an area of expertise at Back In Motion. Our team is well-versed in the complexities of these joints, their optimal functionality, and the potential factors that can lead to their malfunction. Unlike a primary care practitioner who might prematurely attribute joint pain in individuals over the age of 50, 60, and 70 to various forms of arthritis, we conduct a comprehensive evaluation. This approach allows us to discern whether the issue stems from a minor sprain, an unnoticed fracture, an injury to the talus (heel bone), or a form of Achilles tendonitis or tendinosis, characterized by strain and inflammation. Instead of merely prescribing rest and pills, which can sometimes prolong the healing process, we employ a tailored approach aimed at facilitating recovery by encouraging controlled movement, promoting circulation, and minimizing stiffness.

While not all issues can be immediately resolved through treatment, our examination may occasionally lead to recommendations for further diagnostic studies, such as X-rays or MRIs, to precisely determine the root cause. At times, the problem may originate in another part of the body, contributing to or triggering the observed pain.

Are You Worried About or Frustrated with Ankle and/or Foot Pain?
If you find yourself plagued by concerns or frustrations related to ankle and foot pain, the information presented here outlines the common conditions, their underlying causes, and effective treatment options available through consultation with a Doctor of Physical Therapy. Whether you have sustained an injury that seems to defy healing, struggle with pain during any form of walking, experience discomfort or imbalance while bearing weight on one side, or encounter persistent sensations of burning, tingling, or numbness, you can rest assured that you don't have to accept living with these discomforts as an inevitable fate.

You Don’t Have to “Live” with Foot or Ankle Pain & Help Is Within Your Reach


Most foot and ankle problems can be traced back to injuries, extended periods of immobilization, ill-fitting footwear, excessive use, or irregular foot biomechanics. It is important to recognize that pain in this region can be indicative of an underlying issue, such as inflammation or an untreated fracture. The complexity of the anatomical structure of the feet and ankles underscores the significance of identifying the root cause, thereby enabling the provision of tailored treatment for resolution.

If you’ve been thinking that it will eventually go away, you might be doing more harm than good.

Back In Motion boasts extensive experience in addressing a spectrum of foot and ankle-related discomfort, stemming from years of collaboration with diverse clientele, including elite athletes, sedentary individuals, and dedicated fitness enthusiasts. This wealth of experience, combined with our proprietary approach, the GRAY METHOD™, empowers us to not only treat these conditions but also delve deeper into the intricacies to uncover the precise cause and institute the most suitable remedies.

The path to relief from foot and ankle discomfort commences with a thorough understanding of the underlying issues. To embark on this journey towards improved mobility and a pain-free existence, we invite you to contact our office at 239-766-5547 and schedule your consultation. Alternatively, you can initiate the process through our user-friendly online form.

Your quest for a life unhindered by ankle and foot pain begins here. Let's unveil the root cause of your discomfort and get you back in motion!

If you are looking for exceptional foot and ankle pain treatment near you, visit Back In Motion Physical Therapy & Performance!

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]

Signs and Symptoms of Achilles Tendon Dysfunction:

The most common symptoms of achilles tendon dysfunction include:

  • Pain and stiffness above the heel or behind the ankle, particularly in the morning.
  • Aggravation of pain during on-foot activities.
  • Swelling around the heel area.
  • A visible bump on the heel.
  • Pain when standing on tiptoe.
  • A perception of the heel being “spongy” when pressed.
  • Pain when pushing off while walking.

Treatments for the Achilles Tendon:

Successful recovery from Achilles tendon problems necessitates proper treatment. Our advanced treatment methods include:

  1. Specific Strengthening and Stretching Exercises: Tailored exercises to target Achilles tendon issues.

  2. Manual Therapy: Hands-on techniques to alleviate pain and facilitate healing.

  3. Technique Modifications: Correcting gait and activity techniques to reduce stress on the Achilles tendon.

  4. Postural Adjustments: Ensuring proper posture to minimize strain on the tendon.

  5. Patient Education: Comprehensive understanding of the condition and how to manage it.

  6. Shoe Inserts: The use of orthotic inserts to provide proper support to the Achilles tendon.

  7. Dry Needling: The insertion of fine needles into trigger points to alleviate pain and muscle tension.

Ultimately, our one-on-one approach ensures that we design a personalized treatment plan based on your specific underlying causes to facilitate your recovery.

Foot Condition #5: Posterior Tibial Tendon Dysfunction

What Is a Posterior Tibial Tendon?

The posterior tibial tendon, a pivotal supporting structure in the foot, plays a vital role in maintaining proper foot function during the act of walking. However, alterations in this crucial tendon can lead to a condition known as posterior tibial tendon dysfunction, characterized by the flattening of the foot's arch. This condition predominantly affects one foot, but bilateral occurrences are not uncommon, often displaying a progressive nature if left untreated.

The primary etiological factor is the mechanical strain placed on the posterior tibial tendon, particularly prevalent in individuals with flat feet. Symptoms manifest following activities that demand substantial involvement of the tendon, such as running, walking, hiking, or stair climbing.

Signs and Symptoms of Peroneal Tendon Dysfunction :

Individuals afflicted by posterior tibial tendon dysfunction typically report discomfort localized on the interior of the foot, primarily in the middle or rear section. The pain tends to mirror the path of the affected tendon, tracing from behind the ankle bone to the inner aspect of the foot.

Profound weakness in the foot is a common symptom. This weakness becomes apparent when individuals struggle to perform a simple “heel raise” or calf raise exercise. Inability to achieve heel inversion or supination during this exercise often serves as a key diagnostic indicator.

An advanced clinical sign, known as the “too many toes” sign, becomes evident when an observer positions themselves behind the patient and assesses their feet. If an abnormal number of toes appear to protrude outward on the side of the foot, this is indicative of a collapsed arch and the rotation of toes towards the foot's lateral aspect. Furthermore, in more advanced stages, visible foot deformities may become apparent.

Treatments for Posterior Tibial Tendon Dysfunction:

In the early stages of posterior tibial tendon dysfunction, prompt intervention can lead to symptom resolution without the necessity of surgical measures, potentially halting the condition's progression. A tailored physical therapy regimen is often the treatment of choice for mild to moderate cases, focusing on specific exercises aimed at enhancing tendon and muscle strength while preserving flexibility. Additionally, exercises are frequently recommended following a period of immobilization, ensuring the gradual rehabilitation of the affected tendon.

By addressing posterior tibial tendon dysfunction in its initial stages, patients can increase their likelihood of recovery without invasive procedures and maintain a higher quality of life.


Foot Condition #6: Plantar Fasciitis

What Is the Plantar Fascia?

Plantar fasciitis is a condition characterized by irritation and subsequent inflammation of the plantar fascia, a resilient band of tissue extending from the heel to the toes. This inflammation commonly manifests as persistent heel pain, often exacerbated during the initial steps after prolonged periods of rest. Several factors contribute to the development of plantar fasciitis, with foot arch type playing a pivotal role.

Individuals with either overly flat or high-arched feet are more susceptible to the onset of plantar fasciitis. Additionally, wearing non-supportive footwear on unyielding and flat surfaces elevates the mechanical strain experienced by the plantar fascia, potentially precipitating this condition, particularly for those engaged in occupations requiring prolonged periods of weight-bearing activities.

Furthermore, there is notable evidence supporting the link between obesity and overuse in the genesis of plantar fasciitis. Excess body weight places added pressure on the plantar fascia, intensifying the strain it endures during daily activities.

Plantar view of foot showing plantar fascia. SOURCE: Skin based on 2B4256, fascia from 5B11887. Used in 83735, versions in 2B4256, 7B11421

Signs and Symptoms of Plantar Fasciitis:

Plantar fasciitis presents a distinct set of signs and symptoms, which aid in its identification:

  1. Heel Pain: The most prominent and debilitating symptom is pain localized at the bottom of the heel.

  2. Arch Pain: Discomfort may also extend to the arch of the foot, reflecting the plantar fascia's extensive coverage.

  3. Morning Pain: Pain is often most acute during the initial steps taken in the morning or after prolonged periods of inactivity.

  4. Progressive Pain: Over the course of months, individuals may experience an increase in the intensity of pain.

  5. Heel Swelling: Swelling may develop at the base of the heel, contributing to the overall discomfort.

The pain's character frequently evolves; it may temporarily diminish following a few minutes of walking, as the act of walking gently stretches the inflamed fascia. However, the pain tends to return with prolonged weight-bearing activities, such as standing or walking for extended durations.

Treatments for Plantar Fasciitis:

The primary approach to managing plantar fasciitis revolves around conservative treatments, with advanced methods reserved for cases that fail to respond to initial interventions. Invasive options such as surgery, injections, or pain medication are occasionally considered, but these interventions often provide temporary relief due to their focus on addressing the symptoms rather than the root cause.

A Doctor of Physical Therapy offers a range of treatments designed to alleviate plantar fasciitis effectively. These interventions encompass ankle and foot mobilizations, active release techniques, taping, dry needling, the provision of foot orthotics, and specialized strengthening and stretching exercises aimed at restoring optimal foot function and diminishing discomfort.

By comprehensively addressing the various facets of plantar fasciitis, patients can improve their chances of sustained relief and enhanced mobility, ultimately resuming their daily activities with reduced discomfort.

Some Interesting Facts About Knees and Ankles and How They Are Related


As the years advance, the human body undergoes a natural wear-and-tear process, wherein even the cartilage cushioning vital joints is not immune. The consequence of this wear and tear often leads to the uncomfortable scenario where bones begin to rub against each other, culminating in the dreaded occurrence of joint inflammation.

Among the intricate network of joints in the human body, ankles take a remarkable place, often being both complex and essential. They can, however, be surprisingly easy to neglect in terms of regular care and maintenance. The implications of this oversight are far-reaching, given that your ankles significantly influence your overall mobility.

The human body is a symphony of interconnected parts, and the ankles play a crucial role in facilitating an array of movements. Yet, as the aging process unfolds, the ankles tend to lose some of their range of motion and flexibility, unless they are provided with the proper attention they deserve.

It is not uncommon for individuals to experience knee pain, seemingly unrelated to their ankles, when in fact, the two are intricately linked. A lack of mobility in the ankles can give rise to knee pain, further complicating the issue. If the ankle fails to execute its intended range of motion, it can inadvertently cause the knees to move incorrectly, setting the stage for debilitating knee pain that may even extend to the hips.

The pivotal relationship between ankle and knee health is an area of expertise at Back In Motion. Our team is well-versed in the complexities of these joints, their optimal functionality, and the potential factors that can lead to their malfunction. Unlike a primary care practitioner who might prematurely attribute joint pain in individuals over the age of 50, 60, and 70 to various forms of arthritis, we conduct a comprehensive evaluation. This approach allows us to discern whether the issue stems from a minor sprain, an unnoticed fracture, an injury to the talus (heel bone), or a form of Achilles tendonitis or tendinosis, characterized by strain and inflammation. Instead of merely prescribing rest and pills, which can sometimes prolong the healing process, we employ a tailored approach aimed at facilitating recovery by encouraging controlled movement, promoting circulation, and minimizing stiffness.

While not all issues can be immediately resolved through treatment, our examination may occasionally lead to recommendations for further diagnostic studies, such as X-rays or MRIs, to precisely determine the root cause. At times, the problem may originate in another part of the body, contributing to or triggering the observed pain.

Are You Worried About or Frustrated with Ankle and/or Foot Pain?
If you find yourself plagued by concerns or frustrations related to ankle and foot pain, the information presented here outlines the common conditions, their underlying causes, and effective treatment options available through consultation with a Doctor of Physical Therapy. Whether you have sustained an injury that seems to defy healing, struggle with pain during any form of walking, experience discomfort or imbalance while bearing weight on one side, or encounter persistent sensations of burning, tingling, or numbness, you can rest assured that you don't have to accept living with these discomforts as an inevitable fate.

You Don’t Have to “Live” with Foot or Ankle Pain & Help Is Within Your Reach


Most foot and ankle problems can be traced back to injuries, extended periods of immobilization, ill-fitting footwear, excessive use, or irregular foot biomechanics. It is important to recognize that pain in this region can be indicative of an underlying issue, such as inflammation or an untreated fracture. The complexity of the anatomical structure of the feet and ankles underscores the significance of identifying the root cause, thereby enabling the provision of tailored treatment for resolution.

If you’ve been thinking that it will eventually go away, you might be doing more harm than good.

Back In Motion boasts extensive experience in addressing a spectrum of foot and ankle-related discomfort, stemming from years of collaboration with diverse clientele, including elite athletes, sedentary individuals, and dedicated fitness enthusiasts. This wealth of experience, combined with our proprietary approach, the GRAY METHOD™, empowers us to not only treat these conditions but also delve deeper into the intricacies to uncover the precise cause and institute the most suitable remedies.

The path to relief from foot and ankle discomfort commences with a thorough understanding of the underlying issues. To embark on this journey towards improved mobility and a pain-free existence, we invite you to contact our office at 239-766-5547 and schedule your consultation. Alternatively, you can initiate the process through our user-friendly online form.

Your quest for a life unhindered by ankle and foot pain begins here. Let's unveil the root cause of your discomfort and get you back in motion!

If you are looking for exceptional foot and ankle pain treatment near you, visit Back In Motion Physical Therapy & Performance!

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]

Foot Condition #4: Achilles Tendonosis & Tendonitis

What Is the Achilles Tendon & How Does It Get Injured?

The Achilles tendon is among the body's most robust tendons, tasked with bearing your entire body weight. Located at the posterior of the calf, it comprises three muscles: the gastrocnemius, soleus, and plantar muscle, collectively known as the triceps surae.

achilles tendon

Both Achilles tendonitis and tendonosis often arise from a sudden increase in repetitive activities involving the Achilles tendon.

These activities place excessive pressure on the tendon, causing micro-damage to the tendon fibers. Over time, the body's inability to repair the damaged tissue results in a structural change in the tendon, leading to persistent pain.

Individuals with excessive internal rotation or pronation, such as those with flat arches, are more susceptible to Achilles tendon issues. Wearing unsupportive footwear on hard, flat surfaces exacerbates the condition, especially for those who spend extended periods on their feet.

Signs and Symptoms of Achilles Tendon Dysfunction:

The most common symptoms of achilles tendon dysfunction include:

  • Pain and stiffness above the heel or behind the ankle, particularly in the morning.
  • Aggravation of pain during on-foot activities.
  • Swelling around the heel area.
  • A visible bump on the heel.
  • Pain when standing on tiptoe.
  • A perception of the heel being “spongy” when pressed.
  • Pain when pushing off while walking.

Treatments for the Achilles Tendon:

Successful recovery from Achilles tendon problems necessitates proper treatment. Our advanced treatment methods include:

  1. Specific Strengthening and Stretching Exercises: Tailored exercises to target Achilles tendon issues.

  2. Manual Therapy: Hands-on techniques to alleviate pain and facilitate healing.

  3. Technique Modifications: Correcting gait and activity techniques to reduce stress on the Achilles tendon.

  4. Postural Adjustments: Ensuring proper posture to minimize strain on the tendon.

  5. Patient Education: Comprehensive understanding of the condition and how to manage it.

  6. Shoe Inserts: The use of orthotic inserts to provide proper support to the Achilles tendon.

  7. Dry Needling: The insertion of fine needles into trigger points to alleviate pain and muscle tension.

Ultimately, our one-on-one approach ensures that we design a personalized treatment plan based on your specific underlying causes to facilitate your recovery.

Foot Condition #5: Posterior Tibial Tendon Dysfunction

What Is a Posterior Tibial Tendon?

The posterior tibial tendon, a pivotal supporting structure in the foot, plays a vital role in maintaining proper foot function during the act of walking. However, alterations in this crucial tendon can lead to a condition known as posterior tibial tendon dysfunction, characterized by the flattening of the foot's arch. This condition predominantly affects one foot, but bilateral occurrences are not uncommon, often displaying a progressive nature if left untreated.

The primary etiological factor is the mechanical strain placed on the posterior tibial tendon, particularly prevalent in individuals with flat feet. Symptoms manifest following activities that demand substantial involvement of the tendon, such as running, walking, hiking, or stair climbing.

Signs and Symptoms of Peroneal Tendon Dysfunction :

Individuals afflicted by posterior tibial tendon dysfunction typically report discomfort localized on the interior of the foot, primarily in the middle or rear section. The pain tends to mirror the path of the affected tendon, tracing from behind the ankle bone to the inner aspect of the foot.

Profound weakness in the foot is a common symptom. This weakness becomes apparent when individuals struggle to perform a simple “heel raise” or calf raise exercise. Inability to achieve heel inversion or supination during this exercise often serves as a key diagnostic indicator.

An advanced clinical sign, known as the “too many toes” sign, becomes evident when an observer positions themselves behind the patient and assesses their feet. If an abnormal number of toes appear to protrude outward on the side of the foot, this is indicative of a collapsed arch and the rotation of toes towards the foot's lateral aspect. Furthermore, in more advanced stages, visible foot deformities may become apparent.

Treatments for Posterior Tibial Tendon Dysfunction:

In the early stages of posterior tibial tendon dysfunction, prompt intervention can lead to symptom resolution without the necessity of surgical measures, potentially halting the condition's progression. A tailored physical therapy regimen is often the treatment of choice for mild to moderate cases, focusing on specific exercises aimed at enhancing tendon and muscle strength while preserving flexibility. Additionally, exercises are frequently recommended following a period of immobilization, ensuring the gradual rehabilitation of the affected tendon.

By addressing posterior tibial tendon dysfunction in its initial stages, patients can increase their likelihood of recovery without invasive procedures and maintain a higher quality of life.


Foot Condition #6: Plantar Fasciitis

What Is the Plantar Fascia?

Plantar fasciitis is a condition characterized by irritation and subsequent inflammation of the plantar fascia, a resilient band of tissue extending from the heel to the toes. This inflammation commonly manifests as persistent heel pain, often exacerbated during the initial steps after prolonged periods of rest. Several factors contribute to the development of plantar fasciitis, with foot arch type playing a pivotal role.

Individuals with either overly flat or high-arched feet are more susceptible to the onset of plantar fasciitis. Additionally, wearing non-supportive footwear on unyielding and flat surfaces elevates the mechanical strain experienced by the plantar fascia, potentially precipitating this condition, particularly for those engaged in occupations requiring prolonged periods of weight-bearing activities.

Furthermore, there is notable evidence supporting the link between obesity and overuse in the genesis of plantar fasciitis. Excess body weight places added pressure on the plantar fascia, intensifying the strain it endures during daily activities.

Plantar view of foot showing plantar fascia. SOURCE: Skin based on 2B4256, fascia from 5B11887. Used in 83735, versions in 2B4256, 7B11421

Signs and Symptoms of Plantar Fasciitis:

Plantar fasciitis presents a distinct set of signs and symptoms, which aid in its identification:

  1. Heel Pain: The most prominent and debilitating symptom is pain localized at the bottom of the heel.

  2. Arch Pain: Discomfort may also extend to the arch of the foot, reflecting the plantar fascia's extensive coverage.

  3. Morning Pain: Pain is often most acute during the initial steps taken in the morning or after prolonged periods of inactivity.

  4. Progressive Pain: Over the course of months, individuals may experience an increase in the intensity of pain.

  5. Heel Swelling: Swelling may develop at the base of the heel, contributing to the overall discomfort.

The pain's character frequently evolves; it may temporarily diminish following a few minutes of walking, as the act of walking gently stretches the inflamed fascia. However, the pain tends to return with prolonged weight-bearing activities, such as standing or walking for extended durations.

Treatments for Plantar Fasciitis:

The primary approach to managing plantar fasciitis revolves around conservative treatments, with advanced methods reserved for cases that fail to respond to initial interventions. Invasive options such as surgery, injections, or pain medication are occasionally considered, but these interventions often provide temporary relief due to their focus on addressing the symptoms rather than the root cause.

A Doctor of Physical Therapy offers a range of treatments designed to alleviate plantar fasciitis effectively. These interventions encompass ankle and foot mobilizations, active release techniques, taping, dry needling, the provision of foot orthotics, and specialized strengthening and stretching exercises aimed at restoring optimal foot function and diminishing discomfort.

By comprehensively addressing the various facets of plantar fasciitis, patients can improve their chances of sustained relief and enhanced mobility, ultimately resuming their daily activities with reduced discomfort.

Some Interesting Facts About Knees and Ankles and How They Are Related


As the years advance, the human body undergoes a natural wear-and-tear process, wherein even the cartilage cushioning vital joints is not immune. The consequence of this wear and tear often leads to the uncomfortable scenario where bones begin to rub against each other, culminating in the dreaded occurrence of joint inflammation.

Among the intricate network of joints in the human body, ankles take a remarkable place, often being both complex and essential. They can, however, be surprisingly easy to neglect in terms of regular care and maintenance. The implications of this oversight are far-reaching, given that your ankles significantly influence your overall mobility.

The human body is a symphony of interconnected parts, and the ankles play a crucial role in facilitating an array of movements. Yet, as the aging process unfolds, the ankles tend to lose some of their range of motion and flexibility, unless they are provided with the proper attention they deserve.

It is not uncommon for individuals to experience knee pain, seemingly unrelated to their ankles, when in fact, the two are intricately linked. A lack of mobility in the ankles can give rise to knee pain, further complicating the issue. If the ankle fails to execute its intended range of motion, it can inadvertently cause the knees to move incorrectly, setting the stage for debilitating knee pain that may even extend to the hips.

The pivotal relationship between ankle and knee health is an area of expertise at Back In Motion. Our team is well-versed in the complexities of these joints, their optimal functionality, and the potential factors that can lead to their malfunction. Unlike a primary care practitioner who might prematurely attribute joint pain in individuals over the age of 50, 60, and 70 to various forms of arthritis, we conduct a comprehensive evaluation. This approach allows us to discern whether the issue stems from a minor sprain, an unnoticed fracture, an injury to the talus (heel bone), or a form of Achilles tendonitis or tendinosis, characterized by strain and inflammation. Instead of merely prescribing rest and pills, which can sometimes prolong the healing process, we employ a tailored approach aimed at facilitating recovery by encouraging controlled movement, promoting circulation, and minimizing stiffness.

While not all issues can be immediately resolved through treatment, our examination may occasionally lead to recommendations for further diagnostic studies, such as X-rays or MRIs, to precisely determine the root cause. At times, the problem may originate in another part of the body, contributing to or triggering the observed pain.

Are You Worried About or Frustrated with Ankle and/or Foot Pain?
If you find yourself plagued by concerns or frustrations related to ankle and foot pain, the information presented here outlines the common conditions, their underlying causes, and effective treatment options available through consultation with a Doctor of Physical Therapy. Whether you have sustained an injury that seems to defy healing, struggle with pain during any form of walking, experience discomfort or imbalance while bearing weight on one side, or encounter persistent sensations of burning, tingling, or numbness, you can rest assured that you don't have to accept living with these discomforts as an inevitable fate.

You Don’t Have to “Live” with Foot or Ankle Pain & Help Is Within Your Reach


Most foot and ankle problems can be traced back to injuries, extended periods of immobilization, ill-fitting footwear, excessive use, or irregular foot biomechanics. It is important to recognize that pain in this region can be indicative of an underlying issue, such as inflammation or an untreated fracture. The complexity of the anatomical structure of the feet and ankles underscores the significance of identifying the root cause, thereby enabling the provision of tailored treatment for resolution.

If you’ve been thinking that it will eventually go away, you might be doing more harm than good.

Back In Motion boasts extensive experience in addressing a spectrum of foot and ankle-related discomfort, stemming from years of collaboration with diverse clientele, including elite athletes, sedentary individuals, and dedicated fitness enthusiasts. This wealth of experience, combined with our proprietary approach, the GRAY METHOD™, empowers us to not only treat these conditions but also delve deeper into the intricacies to uncover the precise cause and institute the most suitable remedies.

The path to relief from foot and ankle discomfort commences with a thorough understanding of the underlying issues. To embark on this journey towards improved mobility and a pain-free existence, we invite you to contact our office at 239-766-5547 and schedule your consultation. Alternatively, you can initiate the process through our user-friendly online form.

Your quest for a life unhindered by ankle and foot pain begins here. Let's unveil the root cause of your discomfort and get you back in motion!

If you are looking for exceptional foot and ankle pain treatment near you, visit Back In Motion Physical Therapy & Performance!

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]

Treatments for Peroneal Tendon Dysfunction:

Upon receiving a proper diagnosis, it is imperative to commence the correct treatment addressing the root cause. The approach may begin with more conservative methods, gradually incorporating specific exercises to enhance muscle strength, range of motion, and balance as symptoms improve.

As these conditions often present subtle distinctions and manifest differently in each individual, it is our priority to tailor a combination of therapies to facilitate recovery and an improved quality of life.

Common treatment options for peroneal tendon dysfunction include:

  1. Foot Orthotics: Customized shoe inserts that provide support and correction for foot biomechanics.

  2. Taping: Employing specialized taping techniques to alleviate stress on the peroneal tendons and promote healing.

  3. Exercise: Prescribed exercises target the affected area, enhancing muscle strength and flexibility.

  4. Patient Education: Understanding the condition and how to manage it is a crucial aspect of the treatment.

  5. Dry Needling: A technique involving the insertion of thin needles into trigger points to relieve pain and muscle tension.

  6. Active Release Technique (ART): A hands-on approach to treat soft tissue injuries by removing adhesions and scar tissue.

Foot Condition #4: Achilles Tendonosis & Tendonitis

What Is the Achilles Tendon & How Does It Get Injured?

The Achilles tendon is among the body's most robust tendons, tasked with bearing your entire body weight. Located at the posterior of the calf, it comprises three muscles: the gastrocnemius, soleus, and plantar muscle, collectively known as the triceps surae.

achilles tendon

Both Achilles tendonitis and tendonosis often arise from a sudden increase in repetitive activities involving the Achilles tendon.

These activities place excessive pressure on the tendon, causing micro-damage to the tendon fibers. Over time, the body's inability to repair the damaged tissue results in a structural change in the tendon, leading to persistent pain.

Individuals with excessive internal rotation or pronation, such as those with flat arches, are more susceptible to Achilles tendon issues. Wearing unsupportive footwear on hard, flat surfaces exacerbates the condition, especially for those who spend extended periods on their feet.

Signs and Symptoms of Achilles Tendon Dysfunction:

The most common symptoms of achilles tendon dysfunction include:

  • Pain and stiffness above the heel or behind the ankle, particularly in the morning.
  • Aggravation of pain during on-foot activities.
  • Swelling around the heel area.
  • A visible bump on the heel.
  • Pain when standing on tiptoe.
  • A perception of the heel being “spongy” when pressed.
  • Pain when pushing off while walking.

Treatments for the Achilles Tendon:

Successful recovery from Achilles tendon problems necessitates proper treatment. Our advanced treatment methods include:

  1. Specific Strengthening and Stretching Exercises: Tailored exercises to target Achilles tendon issues.

  2. Manual Therapy: Hands-on techniques to alleviate pain and facilitate healing.

  3. Technique Modifications: Correcting gait and activity techniques to reduce stress on the Achilles tendon.

  4. Postural Adjustments: Ensuring proper posture to minimize strain on the tendon.

  5. Patient Education: Comprehensive understanding of the condition and how to manage it.

  6. Shoe Inserts: The use of orthotic inserts to provide proper support to the Achilles tendon.

  7. Dry Needling: The insertion of fine needles into trigger points to alleviate pain and muscle tension.

Ultimately, our one-on-one approach ensures that we design a personalized treatment plan based on your specific underlying causes to facilitate your recovery.

Foot Condition #5: Posterior Tibial Tendon Dysfunction

What Is a Posterior Tibial Tendon?

The posterior tibial tendon, a pivotal supporting structure in the foot, plays a vital role in maintaining proper foot function during the act of walking. However, alterations in this crucial tendon can lead to a condition known as posterior tibial tendon dysfunction, characterized by the flattening of the foot's arch. This condition predominantly affects one foot, but bilateral occurrences are not uncommon, often displaying a progressive nature if left untreated.

The primary etiological factor is the mechanical strain placed on the posterior tibial tendon, particularly prevalent in individuals with flat feet. Symptoms manifest following activities that demand substantial involvement of the tendon, such as running, walking, hiking, or stair climbing.

Signs and Symptoms of Peroneal Tendon Dysfunction :

Individuals afflicted by posterior tibial tendon dysfunction typically report discomfort localized on the interior of the foot, primarily in the middle or rear section. The pain tends to mirror the path of the affected tendon, tracing from behind the ankle bone to the inner aspect of the foot.

Profound weakness in the foot is a common symptom. This weakness becomes apparent when individuals struggle to perform a simple “heel raise” or calf raise exercise. Inability to achieve heel inversion or supination during this exercise often serves as a key diagnostic indicator.

An advanced clinical sign, known as the “too many toes” sign, becomes evident when an observer positions themselves behind the patient and assesses their feet. If an abnormal number of toes appear to protrude outward on the side of the foot, this is indicative of a collapsed arch and the rotation of toes towards the foot's lateral aspect. Furthermore, in more advanced stages, visible foot deformities may become apparent.

Treatments for Posterior Tibial Tendon Dysfunction:

In the early stages of posterior tibial tendon dysfunction, prompt intervention can lead to symptom resolution without the necessity of surgical measures, potentially halting the condition's progression. A tailored physical therapy regimen is often the treatment of choice for mild to moderate cases, focusing on specific exercises aimed at enhancing tendon and muscle strength while preserving flexibility. Additionally, exercises are frequently recommended following a period of immobilization, ensuring the gradual rehabilitation of the affected tendon.

By addressing posterior tibial tendon dysfunction in its initial stages, patients can increase their likelihood of recovery without invasive procedures and maintain a higher quality of life.


Foot Condition #6: Plantar Fasciitis

What Is the Plantar Fascia?

Plantar fasciitis is a condition characterized by irritation and subsequent inflammation of the plantar fascia, a resilient band of tissue extending from the heel to the toes. This inflammation commonly manifests as persistent heel pain, often exacerbated during the initial steps after prolonged periods of rest. Several factors contribute to the development of plantar fasciitis, with foot arch type playing a pivotal role.

Individuals with either overly flat or high-arched feet are more susceptible to the onset of plantar fasciitis. Additionally, wearing non-supportive footwear on unyielding and flat surfaces elevates the mechanical strain experienced by the plantar fascia, potentially precipitating this condition, particularly for those engaged in occupations requiring prolonged periods of weight-bearing activities.

Furthermore, there is notable evidence supporting the link between obesity and overuse in the genesis of plantar fasciitis. Excess body weight places added pressure on the plantar fascia, intensifying the strain it endures during daily activities.

Plantar view of foot showing plantar fascia. SOURCE: Skin based on 2B4256, fascia from 5B11887. Used in 83735, versions in 2B4256, 7B11421

Signs and Symptoms of Plantar Fasciitis:

Plantar fasciitis presents a distinct set of signs and symptoms, which aid in its identification:

  1. Heel Pain: The most prominent and debilitating symptom is pain localized at the bottom of the heel.

  2. Arch Pain: Discomfort may also extend to the arch of the foot, reflecting the plantar fascia's extensive coverage.

  3. Morning Pain: Pain is often most acute during the initial steps taken in the morning or after prolonged periods of inactivity.

  4. Progressive Pain: Over the course of months, individuals may experience an increase in the intensity of pain.

  5. Heel Swelling: Swelling may develop at the base of the heel, contributing to the overall discomfort.

The pain's character frequently evolves; it may temporarily diminish following a few minutes of walking, as the act of walking gently stretches the inflamed fascia. However, the pain tends to return with prolonged weight-bearing activities, such as standing or walking for extended durations.

Treatments for Plantar Fasciitis:

The primary approach to managing plantar fasciitis revolves around conservative treatments, with advanced methods reserved for cases that fail to respond to initial interventions. Invasive options such as surgery, injections, or pain medication are occasionally considered, but these interventions often provide temporary relief due to their focus on addressing the symptoms rather than the root cause.

A Doctor of Physical Therapy offers a range of treatments designed to alleviate plantar fasciitis effectively. These interventions encompass ankle and foot mobilizations, active release techniques, taping, dry needling, the provision of foot orthotics, and specialized strengthening and stretching exercises aimed at restoring optimal foot function and diminishing discomfort.

By comprehensively addressing the various facets of plantar fasciitis, patients can improve their chances of sustained relief and enhanced mobility, ultimately resuming their daily activities with reduced discomfort.

Some Interesting Facts About Knees and Ankles and How They Are Related


As the years advance, the human body undergoes a natural wear-and-tear process, wherein even the cartilage cushioning vital joints is not immune. The consequence of this wear and tear often leads to the uncomfortable scenario where bones begin to rub against each other, culminating in the dreaded occurrence of joint inflammation.

Among the intricate network of joints in the human body, ankles take a remarkable place, often being both complex and essential. They can, however, be surprisingly easy to neglect in terms of regular care and maintenance. The implications of this oversight are far-reaching, given that your ankles significantly influence your overall mobility.

The human body is a symphony of interconnected parts, and the ankles play a crucial role in facilitating an array of movements. Yet, as the aging process unfolds, the ankles tend to lose some of their range of motion and flexibility, unless they are provided with the proper attention they deserve.

It is not uncommon for individuals to experience knee pain, seemingly unrelated to their ankles, when in fact, the two are intricately linked. A lack of mobility in the ankles can give rise to knee pain, further complicating the issue. If the ankle fails to execute its intended range of motion, it can inadvertently cause the knees to move incorrectly, setting the stage for debilitating knee pain that may even extend to the hips.

The pivotal relationship between ankle and knee health is an area of expertise at Back In Motion. Our team is well-versed in the complexities of these joints, their optimal functionality, and the potential factors that can lead to their malfunction. Unlike a primary care practitioner who might prematurely attribute joint pain in individuals over the age of 50, 60, and 70 to various forms of arthritis, we conduct a comprehensive evaluation. This approach allows us to discern whether the issue stems from a minor sprain, an unnoticed fracture, an injury to the talus (heel bone), or a form of Achilles tendonitis or tendinosis, characterized by strain and inflammation. Instead of merely prescribing rest and pills, which can sometimes prolong the healing process, we employ a tailored approach aimed at facilitating recovery by encouraging controlled movement, promoting circulation, and minimizing stiffness.

While not all issues can be immediately resolved through treatment, our examination may occasionally lead to recommendations for further diagnostic studies, such as X-rays or MRIs, to precisely determine the root cause. At times, the problem may originate in another part of the body, contributing to or triggering the observed pain.

Are You Worried About or Frustrated with Ankle and/or Foot Pain?
If you find yourself plagued by concerns or frustrations related to ankle and foot pain, the information presented here outlines the common conditions, their underlying causes, and effective treatment options available through consultation with a Doctor of Physical Therapy. Whether you have sustained an injury that seems to defy healing, struggle with pain during any form of walking, experience discomfort or imbalance while bearing weight on one side, or encounter persistent sensations of burning, tingling, or numbness, you can rest assured that you don't have to accept living with these discomforts as an inevitable fate.

You Don’t Have to “Live” with Foot or Ankle Pain & Help Is Within Your Reach


Most foot and ankle problems can be traced back to injuries, extended periods of immobilization, ill-fitting footwear, excessive use, or irregular foot biomechanics. It is important to recognize that pain in this region can be indicative of an underlying issue, such as inflammation or an untreated fracture. The complexity of the anatomical structure of the feet and ankles underscores the significance of identifying the root cause, thereby enabling the provision of tailored treatment for resolution.

If you’ve been thinking that it will eventually go away, you might be doing more harm than good.

Back In Motion boasts extensive experience in addressing a spectrum of foot and ankle-related discomfort, stemming from years of collaboration with diverse clientele, including elite athletes, sedentary individuals, and dedicated fitness enthusiasts. This wealth of experience, combined with our proprietary approach, the GRAY METHOD™, empowers us to not only treat these conditions but also delve deeper into the intricacies to uncover the precise cause and institute the most suitable remedies.

The path to relief from foot and ankle discomfort commences with a thorough understanding of the underlying issues. To embark on this journey towards improved mobility and a pain-free existence, we invite you to contact our office at 239-766-5547 and schedule your consultation. Alternatively, you can initiate the process through our user-friendly online form.

Your quest for a life unhindered by ankle and foot pain begins here. Let's unveil the root cause of your discomfort and get you back in motion!

If you are looking for exceptional foot and ankle pain treatment near you, visit Back In Motion Physical Therapy & Performance!

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]

Treatments for Peroneal Tendon Dysfunction:

Upon receiving a proper diagnosis, it is imperative to commence the correct treatment addressing the root cause. The approach may begin with more conservative methods, gradually incorporating specific exercises to enhance muscle strength, range of motion, and balance as symptoms improve.

As these conditions often present subtle distinctions and manifest differently in each individual, it is our priority to tailor a combination of therapies to facilitate recovery and an improved quality of life.

Common treatment options for peroneal tendon dysfunction include:

  1. Foot Orthotics: Customized shoe inserts that provide support and correction for foot biomechanics.

  2. Taping: Employing specialized taping techniques to alleviate stress on the peroneal tendons and promote healing.

  3. Exercise: Prescribed exercises target the affected area, enhancing muscle strength and flexibility.

  4. Patient Education: Understanding the condition and how to manage it is a crucial aspect of the treatment.

  5. Dry Needling: A technique involving the insertion of thin needles into trigger points to relieve pain and muscle tension.

  6. Active Release Technique (ART): A hands-on approach to treat soft tissue injuries by removing adhesions and scar tissue.

Foot Condition #4: Achilles Tendonosis & Tendonitis

What Is the Achilles Tendon & How Does It Get Injured?

The Achilles tendon is among the body's most robust tendons, tasked with bearing your entire body weight. Located at the posterior of the calf, it comprises three muscles: the gastrocnemius, soleus, and plantar muscle, collectively known as the triceps surae.

achilles tendon

Both Achilles tendonitis and tendonosis often arise from a sudden increase in repetitive activities involving the Achilles tendon.

These activities place excessive pressure on the tendon, causing micro-damage to the tendon fibers. Over time, the body's inability to repair the damaged tissue results in a structural change in the tendon, leading to persistent pain.

Individuals with excessive internal rotation or pronation, such as those with flat arches, are more susceptible to Achilles tendon issues. Wearing unsupportive footwear on hard, flat surfaces exacerbates the condition, especially for those who spend extended periods on their feet.

Signs and Symptoms of Achilles Tendon Dysfunction:

The most common symptoms of achilles tendon dysfunction include:

  • Pain and stiffness above the heel or behind the ankle, particularly in the morning.
  • Aggravation of pain during on-foot activities.
  • Swelling around the heel area.
  • A visible bump on the heel.
  • Pain when standing on tiptoe.
  • A perception of the heel being “spongy” when pressed.
  • Pain when pushing off while walking.

Treatments for the Achilles Tendon:

Successful recovery from Achilles tendon problems necessitates proper treatment. Our advanced treatment methods include:

  1. Specific Strengthening and Stretching Exercises: Tailored exercises to target Achilles tendon issues.

  2. Manual Therapy: Hands-on techniques to alleviate pain and facilitate healing.

  3. Technique Modifications: Correcting gait and activity techniques to reduce stress on the Achilles tendon.

  4. Postural Adjustments: Ensuring proper posture to minimize strain on the tendon.

  5. Patient Education: Comprehensive understanding of the condition and how to manage it.

  6. Shoe Inserts: The use of orthotic inserts to provide proper support to the Achilles tendon.

  7. Dry Needling: The insertion of fine needles into trigger points to alleviate pain and muscle tension.

Ultimately, our one-on-one approach ensures that we design a personalized treatment plan based on your specific underlying causes to facilitate your recovery.

Foot Condition #5: Posterior Tibial Tendon Dysfunction

What Is a Posterior Tibial Tendon?

The posterior tibial tendon, a pivotal supporting structure in the foot, plays a vital role in maintaining proper foot function during the act of walking. However, alterations in this crucial tendon can lead to a condition known as posterior tibial tendon dysfunction, characterized by the flattening of the foot's arch. This condition predominantly affects one foot, but bilateral occurrences are not uncommon, often displaying a progressive nature if left untreated.

The primary etiological factor is the mechanical strain placed on the posterior tibial tendon, particularly prevalent in individuals with flat feet. Symptoms manifest following activities that demand substantial involvement of the tendon, such as running, walking, hiking, or stair climbing.

Signs and Symptoms of Peroneal Tendon Dysfunction :

Individuals afflicted by posterior tibial tendon dysfunction typically report discomfort localized on the interior of the foot, primarily in the middle or rear section. The pain tends to mirror the path of the affected tendon, tracing from behind the ankle bone to the inner aspect of the foot.

Profound weakness in the foot is a common symptom. This weakness becomes apparent when individuals struggle to perform a simple “heel raise” or calf raise exercise. Inability to achieve heel inversion or supination during this exercise often serves as a key diagnostic indicator.

An advanced clinical sign, known as the “too many toes” sign, becomes evident when an observer positions themselves behind the patient and assesses their feet. If an abnormal number of toes appear to protrude outward on the side of the foot, this is indicative of a collapsed arch and the rotation of toes towards the foot's lateral aspect. Furthermore, in more advanced stages, visible foot deformities may become apparent.

Treatments for Posterior Tibial Tendon Dysfunction:

In the early stages of posterior tibial tendon dysfunction, prompt intervention can lead to symptom resolution without the necessity of surgical measures, potentially halting the condition's progression. A tailored physical therapy regimen is often the treatment of choice for mild to moderate cases, focusing on specific exercises aimed at enhancing tendon and muscle strength while preserving flexibility. Additionally, exercises are frequently recommended following a period of immobilization, ensuring the gradual rehabilitation of the affected tendon.

By addressing posterior tibial tendon dysfunction in its initial stages, patients can increase their likelihood of recovery without invasive procedures and maintain a higher quality of life.


Foot Condition #6: Plantar Fasciitis

What Is the Plantar Fascia?

Plantar fasciitis is a condition characterized by irritation and subsequent inflammation of the plantar fascia, a resilient band of tissue extending from the heel to the toes. This inflammation commonly manifests as persistent heel pain, often exacerbated during the initial steps after prolonged periods of rest. Several factors contribute to the development of plantar fasciitis, with foot arch type playing a pivotal role.

Individuals with either overly flat or high-arched feet are more susceptible to the onset of plantar fasciitis. Additionally, wearing non-supportive footwear on unyielding and flat surfaces elevates the mechanical strain experienced by the plantar fascia, potentially precipitating this condition, particularly for those engaged in occupations requiring prolonged periods of weight-bearing activities.

Furthermore, there is notable evidence supporting the link between obesity and overuse in the genesis of plantar fasciitis. Excess body weight places added pressure on the plantar fascia, intensifying the strain it endures during daily activities.

Plantar view of foot showing plantar fascia. SOURCE: Skin based on 2B4256, fascia from 5B11887. Used in 83735, versions in 2B4256, 7B11421

Signs and Symptoms of Plantar Fasciitis:

Plantar fasciitis presents a distinct set of signs and symptoms, which aid in its identification:

  1. Heel Pain: The most prominent and debilitating symptom is pain localized at the bottom of the heel.

  2. Arch Pain: Discomfort may also extend to the arch of the foot, reflecting the plantar fascia's extensive coverage.

  3. Morning Pain: Pain is often most acute during the initial steps taken in the morning or after prolonged periods of inactivity.

  4. Progressive Pain: Over the course of months, individuals may experience an increase in the intensity of pain.

  5. Heel Swelling: Swelling may develop at the base of the heel, contributing to the overall discomfort.

The pain's character frequently evolves; it may temporarily diminish following a few minutes of walking, as the act of walking gently stretches the inflamed fascia. However, the pain tends to return with prolonged weight-bearing activities, such as standing or walking for extended durations.

Treatments for Plantar Fasciitis:

The primary approach to managing plantar fasciitis revolves around conservative treatments, with advanced methods reserved for cases that fail to respond to initial interventions. Invasive options such as surgery, injections, or pain medication are occasionally considered, but these interventions often provide temporary relief due to their focus on addressing the symptoms rather than the root cause.

A Doctor of Physical Therapy offers a range of treatments designed to alleviate plantar fasciitis effectively. These interventions encompass ankle and foot mobilizations, active release techniques, taping, dry needling, the provision of foot orthotics, and specialized strengthening and stretching exercises aimed at restoring optimal foot function and diminishing discomfort.

By comprehensively addressing the various facets of plantar fasciitis, patients can improve their chances of sustained relief and enhanced mobility, ultimately resuming their daily activities with reduced discomfort.

Some Interesting Facts About Knees and Ankles and How They Are Related


As the years advance, the human body undergoes a natural wear-and-tear process, wherein even the cartilage cushioning vital joints is not immune. The consequence of this wear and tear often leads to the uncomfortable scenario where bones begin to rub against each other, culminating in the dreaded occurrence of joint inflammation.

Among the intricate network of joints in the human body, ankles take a remarkable place, often being both complex and essential. They can, however, be surprisingly easy to neglect in terms of regular care and maintenance. The implications of this oversight are far-reaching, given that your ankles significantly influence your overall mobility.

The human body is a symphony of interconnected parts, and the ankles play a crucial role in facilitating an array of movements. Yet, as the aging process unfolds, the ankles tend to lose some of their range of motion and flexibility, unless they are provided with the proper attention they deserve.

It is not uncommon for individuals to experience knee pain, seemingly unrelated to their ankles, when in fact, the two are intricately linked. A lack of mobility in the ankles can give rise to knee pain, further complicating the issue. If the ankle fails to execute its intended range of motion, it can inadvertently cause the knees to move incorrectly, setting the stage for debilitating knee pain that may even extend to the hips.

The pivotal relationship between ankle and knee health is an area of expertise at Back In Motion. Our team is well-versed in the complexities of these joints, their optimal functionality, and the potential factors that can lead to their malfunction. Unlike a primary care practitioner who might prematurely attribute joint pain in individuals over the age of 50, 60, and 70 to various forms of arthritis, we conduct a comprehensive evaluation. This approach allows us to discern whether the issue stems from a minor sprain, an unnoticed fracture, an injury to the talus (heel bone), or a form of Achilles tendonitis or tendinosis, characterized by strain and inflammation. Instead of merely prescribing rest and pills, which can sometimes prolong the healing process, we employ a tailored approach aimed at facilitating recovery by encouraging controlled movement, promoting circulation, and minimizing stiffness.

While not all issues can be immediately resolved through treatment, our examination may occasionally lead to recommendations for further diagnostic studies, such as X-rays or MRIs, to precisely determine the root cause. At times, the problem may originate in another part of the body, contributing to or triggering the observed pain.

Are You Worried About or Frustrated with Ankle and/or Foot Pain?
If you find yourself plagued by concerns or frustrations related to ankle and foot pain, the information presented here outlines the common conditions, their underlying causes, and effective treatment options available through consultation with a Doctor of Physical Therapy. Whether you have sustained an injury that seems to defy healing, struggle with pain during any form of walking, experience discomfort or imbalance while bearing weight on one side, or encounter persistent sensations of burning, tingling, or numbness, you can rest assured that you don't have to accept living with these discomforts as an inevitable fate.

You Don’t Have to “Live” with Foot or Ankle Pain & Help Is Within Your Reach


Most foot and ankle problems can be traced back to injuries, extended periods of immobilization, ill-fitting footwear, excessive use, or irregular foot biomechanics. It is important to recognize that pain in this region can be indicative of an underlying issue, such as inflammation or an untreated fracture. The complexity of the anatomical structure of the feet and ankles underscores the significance of identifying the root cause, thereby enabling the provision of tailored treatment for resolution.

If you’ve been thinking that it will eventually go away, you might be doing more harm than good.

Back In Motion boasts extensive experience in addressing a spectrum of foot and ankle-related discomfort, stemming from years of collaboration with diverse clientele, including elite athletes, sedentary individuals, and dedicated fitness enthusiasts. This wealth of experience, combined with our proprietary approach, the GRAY METHOD™, empowers us to not only treat these conditions but also delve deeper into the intricacies to uncover the precise cause and institute the most suitable remedies.

The path to relief from foot and ankle discomfort commences with a thorough understanding of the underlying issues. To embark on this journey towards improved mobility and a pain-free existence, we invite you to contact our office at 239-766-5547 and schedule your consultation. Alternatively, you can initiate the process through our user-friendly online form.

Your quest for a life unhindered by ankle and foot pain begins here. Let's unveil the root cause of your discomfort and get you back in motion!

If you are looking for exceptional foot and ankle pain treatment near you, visit Back In Motion Physical Therapy & Performance!

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]

Signs and Symptoms of Peroneal Tendon Irritation :

Symptoms may vary depending on whether inflammation (tendonitis) or damage (tendonosis) is prevalent. Indications include swelling, warmth to the touch, pain during certain foot and ankle movements (eversion, plantar flexion, inversion, dorsiflexion), and pain when stretching the peroneal muscles.

The diagnosis and ensuing treatment approach must be tailored to the specific

Treatments for Peroneal Tendon Dysfunction:

Upon receiving a proper diagnosis, it is imperative to commence the correct treatment addressing the root cause. The approach may begin with more conservative methods, gradually incorporating specific exercises to enhance muscle strength, range of motion, and balance as symptoms improve.

As these conditions often present subtle distinctions and manifest differently in each individual, it is our priority to tailor a combination of therapies to facilitate recovery and an improved quality of life.

Common treatment options for peroneal tendon dysfunction include:

  1. Foot Orthotics: Customized shoe inserts that provide support and correction for foot biomechanics.

  2. Taping: Employing specialized taping techniques to alleviate stress on the peroneal tendons and promote healing.

  3. Exercise: Prescribed exercises target the affected area, enhancing muscle strength and flexibility.

  4. Patient Education: Understanding the condition and how to manage it is a crucial aspect of the treatment.

  5. Dry Needling: A technique involving the insertion of thin needles into trigger points to relieve pain and muscle tension.

  6. Active Release Technique (ART): A hands-on approach to treat soft tissue injuries by removing adhesions and scar tissue.

Foot Condition #4: Achilles Tendonosis & Tendonitis

What Is the Achilles Tendon & How Does It Get Injured?

The Achilles tendon is among the body's most robust tendons, tasked with bearing your entire body weight. Located at the posterior of the calf, it comprises three muscles: the gastrocnemius, soleus, and plantar muscle, collectively known as the triceps surae.

achilles tendon

Both Achilles tendonitis and tendonosis often arise from a sudden increase in repetitive activities involving the Achilles tendon.

These activities place excessive pressure on the tendon, causing micro-damage to the tendon fibers. Over time, the body's inability to repair the damaged tissue results in a structural change in the tendon, leading to persistent pain.

Individuals with excessive internal rotation or pronation, such as those with flat arches, are more susceptible to Achilles tendon issues. Wearing unsupportive footwear on hard, flat surfaces exacerbates the condition, especially for those who spend extended periods on their feet.

Signs and Symptoms of Achilles Tendon Dysfunction:

The most common symptoms of achilles tendon dysfunction include:

  • Pain and stiffness above the heel or behind the ankle, particularly in the morning.
  • Aggravation of pain during on-foot activities.
  • Swelling around the heel area.
  • A visible bump on the heel.
  • Pain when standing on tiptoe.
  • A perception of the heel being “spongy” when pressed.
  • Pain when pushing off while walking.

Treatments for the Achilles Tendon:

Successful recovery from Achilles tendon problems necessitates proper treatment. Our advanced treatment methods include:

  1. Specific Strengthening and Stretching Exercises: Tailored exercises to target Achilles tendon issues.

  2. Manual Therapy: Hands-on techniques to alleviate pain and facilitate healing.

  3. Technique Modifications: Correcting gait and activity techniques to reduce stress on the Achilles tendon.

  4. Postural Adjustments: Ensuring proper posture to minimize strain on the tendon.

  5. Patient Education: Comprehensive understanding of the condition and how to manage it.

  6. Shoe Inserts: The use of orthotic inserts to provide proper support to the Achilles tendon.

  7. Dry Needling: The insertion of fine needles into trigger points to alleviate pain and muscle tension.

Ultimately, our one-on-one approach ensures that we design a personalized treatment plan based on your specific underlying causes to facilitate your recovery.

Foot Condition #5: Posterior Tibial Tendon Dysfunction

What Is a Posterior Tibial Tendon?

The posterior tibial tendon, a pivotal supporting structure in the foot, plays a vital role in maintaining proper foot function during the act of walking. However, alterations in this crucial tendon can lead to a condition known as posterior tibial tendon dysfunction, characterized by the flattening of the foot's arch. This condition predominantly affects one foot, but bilateral occurrences are not uncommon, often displaying a progressive nature if left untreated.

The primary etiological factor is the mechanical strain placed on the posterior tibial tendon, particularly prevalent in individuals with flat feet. Symptoms manifest following activities that demand substantial involvement of the tendon, such as running, walking, hiking, or stair climbing.

Signs and Symptoms of Peroneal Tendon Dysfunction :

Individuals afflicted by posterior tibial tendon dysfunction typically report discomfort localized on the interior of the foot, primarily in the middle or rear section. The pain tends to mirror the path of the affected tendon, tracing from behind the ankle bone to the inner aspect of the foot.

Profound weakness in the foot is a common symptom. This weakness becomes apparent when individuals struggle to perform a simple “heel raise” or calf raise exercise. Inability to achieve heel inversion or supination during this exercise often serves as a key diagnostic indicator.

An advanced clinical sign, known as the “too many toes” sign, becomes evident when an observer positions themselves behind the patient and assesses their feet. If an abnormal number of toes appear to protrude outward on the side of the foot, this is indicative of a collapsed arch and the rotation of toes towards the foot's lateral aspect. Furthermore, in more advanced stages, visible foot deformities may become apparent.

Treatments for Posterior Tibial Tendon Dysfunction:

In the early stages of posterior tibial tendon dysfunction, prompt intervention can lead to symptom resolution without the necessity of surgical measures, potentially halting the condition's progression. A tailored physical therapy regimen is often the treatment of choice for mild to moderate cases, focusing on specific exercises aimed at enhancing tendon and muscle strength while preserving flexibility. Additionally, exercises are frequently recommended following a period of immobilization, ensuring the gradual rehabilitation of the affected tendon.

By addressing posterior tibial tendon dysfunction in its initial stages, patients can increase their likelihood of recovery without invasive procedures and maintain a higher quality of life.


Foot Condition #6: Plantar Fasciitis

What Is the Plantar Fascia?

Plantar fasciitis is a condition characterized by irritation and subsequent inflammation of the plantar fascia, a resilient band of tissue extending from the heel to the toes. This inflammation commonly manifests as persistent heel pain, often exacerbated during the initial steps after prolonged periods of rest. Several factors contribute to the development of plantar fasciitis, with foot arch type playing a pivotal role.

Individuals with either overly flat or high-arched feet are more susceptible to the onset of plantar fasciitis. Additionally, wearing non-supportive footwear on unyielding and flat surfaces elevates the mechanical strain experienced by the plantar fascia, potentially precipitating this condition, particularly for those engaged in occupations requiring prolonged periods of weight-bearing activities.

Furthermore, there is notable evidence supporting the link between obesity and overuse in the genesis of plantar fasciitis. Excess body weight places added pressure on the plantar fascia, intensifying the strain it endures during daily activities.

Plantar view of foot showing plantar fascia. SOURCE: Skin based on 2B4256, fascia from 5B11887. Used in 83735, versions in 2B4256, 7B11421

Signs and Symptoms of Plantar Fasciitis:

Plantar fasciitis presents a distinct set of signs and symptoms, which aid in its identification:

  1. Heel Pain: The most prominent and debilitating symptom is pain localized at the bottom of the heel.

  2. Arch Pain: Discomfort may also extend to the arch of the foot, reflecting the plantar fascia's extensive coverage.

  3. Morning Pain: Pain is often most acute during the initial steps taken in the morning or after prolonged periods of inactivity.

  4. Progressive Pain: Over the course of months, individuals may experience an increase in the intensity of pain.

  5. Heel Swelling: Swelling may develop at the base of the heel, contributing to the overall discomfort.

The pain's character frequently evolves; it may temporarily diminish following a few minutes of walking, as the act of walking gently stretches the inflamed fascia. However, the pain tends to return with prolonged weight-bearing activities, such as standing or walking for extended durations.

Treatments for Plantar Fasciitis:

The primary approach to managing plantar fasciitis revolves around conservative treatments, with advanced methods reserved for cases that fail to respond to initial interventions. Invasive options such as surgery, injections, or pain medication are occasionally considered, but these interventions often provide temporary relief due to their focus on addressing the symptoms rather than the root cause.

A Doctor of Physical Therapy offers a range of treatments designed to alleviate plantar fasciitis effectively. These interventions encompass ankle and foot mobilizations, active release techniques, taping, dry needling, the provision of foot orthotics, and specialized strengthening and stretching exercises aimed at restoring optimal foot function and diminishing discomfort.

By comprehensively addressing the various facets of plantar fasciitis, patients can improve their chances of sustained relief and enhanced mobility, ultimately resuming their daily activities with reduced discomfort.

Some Interesting Facts About Knees and Ankles and How They Are Related


As the years advance, the human body undergoes a natural wear-and-tear process, wherein even the cartilage cushioning vital joints is not immune. The consequence of this wear and tear often leads to the uncomfortable scenario where bones begin to rub against each other, culminating in the dreaded occurrence of joint inflammation.

Among the intricate network of joints in the human body, ankles take a remarkable place, often being both complex and essential. They can, however, be surprisingly easy to neglect in terms of regular care and maintenance. The implications of this oversight are far-reaching, given that your ankles significantly influence your overall mobility.

The human body is a symphony of interconnected parts, and the ankles play a crucial role in facilitating an array of movements. Yet, as the aging process unfolds, the ankles tend to lose some of their range of motion and flexibility, unless they are provided with the proper attention they deserve.

It is not uncommon for individuals to experience knee pain, seemingly unrelated to their ankles, when in fact, the two are intricately linked. A lack of mobility in the ankles can give rise to knee pain, further complicating the issue. If the ankle fails to execute its intended range of motion, it can inadvertently cause the knees to move incorrectly, setting the stage for debilitating knee pain that may even extend to the hips.

The pivotal relationship between ankle and knee health is an area of expertise at Back In Motion. Our team is well-versed in the complexities of these joints, their optimal functionality, and the potential factors that can lead to their malfunction. Unlike a primary care practitioner who might prematurely attribute joint pain in individuals over the age of 50, 60, and 70 to various forms of arthritis, we conduct a comprehensive evaluation. This approach allows us to discern whether the issue stems from a minor sprain, an unnoticed fracture, an injury to the talus (heel bone), or a form of Achilles tendonitis or tendinosis, characterized by strain and inflammation. Instead of merely prescribing rest and pills, which can sometimes prolong the healing process, we employ a tailored approach aimed at facilitating recovery by encouraging controlled movement, promoting circulation, and minimizing stiffness.

While not all issues can be immediately resolved through treatment, our examination may occasionally lead to recommendations for further diagnostic studies, such as X-rays or MRIs, to precisely determine the root cause. At times, the problem may originate in another part of the body, contributing to or triggering the observed pain.

Are You Worried About or Frustrated with Ankle and/or Foot Pain?
If you find yourself plagued by concerns or frustrations related to ankle and foot pain, the information presented here outlines the common conditions, their underlying causes, and effective treatment options available through consultation with a Doctor of Physical Therapy. Whether you have sustained an injury that seems to defy healing, struggle with pain during any form of walking, experience discomfort or imbalance while bearing weight on one side, or encounter persistent sensations of burning, tingling, or numbness, you can rest assured that you don't have to accept living with these discomforts as an inevitable fate.

You Don’t Have to “Live” with Foot or Ankle Pain & Help Is Within Your Reach


Most foot and ankle problems can be traced back to injuries, extended periods of immobilization, ill-fitting footwear, excessive use, or irregular foot biomechanics. It is important to recognize that pain in this region can be indicative of an underlying issue, such as inflammation or an untreated fracture. The complexity of the anatomical structure of the feet and ankles underscores the significance of identifying the root cause, thereby enabling the provision of tailored treatment for resolution.

If you’ve been thinking that it will eventually go away, you might be doing more harm than good.

Back In Motion boasts extensive experience in addressing a spectrum of foot and ankle-related discomfort, stemming from years of collaboration with diverse clientele, including elite athletes, sedentary individuals, and dedicated fitness enthusiasts. This wealth of experience, combined with our proprietary approach, the GRAY METHOD™, empowers us to not only treat these conditions but also delve deeper into the intricacies to uncover the precise cause and institute the most suitable remedies.

The path to relief from foot and ankle discomfort commences with a thorough understanding of the underlying issues. To embark on this journey towards improved mobility and a pain-free existence, we invite you to contact our office at 239-766-5547 and schedule your consultation. Alternatively, you can initiate the process through our user-friendly online form.

Your quest for a life unhindered by ankle and foot pain begins here. Let's unveil the root cause of your discomfort and get you back in motion!

If you are looking for exceptional foot and ankle pain treatment near you, visit Back In Motion Physical Therapy & Performance!

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]
  • Grade 1: (Mild) Microscopic tearing of the ligament. You may have a little bit of swelling, pain, and tenderness.
  • Grade 2: (Moderate) Partial tearing of the ligament. You may have moderate swelling, pain, tenderness, and looseness in the ankle joint.
  • Grade 3: (Severe) Full tear of the ligament. You may have severe swelling, pain, tenderness, and instability in the ankle joint.


Treatments for Ankle Sprains:

Conventional recommendations for ankle sprains often involve rest and painkillers, which, albeit providing symptomatic relief, do not address the root cause of the issue. Symptom-masking approaches are not sustainable and tend to lead to recurring pain and frustration. Effective treatments for ankle sprains encompass manual therapy, KT taping, functional exercises, and strength-building programs, such as blood flow restriction training.

Please note that manual therapy, specific exercises, and technique modifications offer more durable solutions by addressing the fundamental problems responsible for the ankle sprain.

Foot Condition #3: Peroneal Tendon Dysfunction

What Is the Peroneal Tendon?

Peroneal tendon dysfunction pertains to issues within a group of three tendons originating in the lateral shin and extending to the foot.

These tendons, namely the peroneus longus, peroneus brevis, and peroneus tertius, can be afflicted by inflammation (tendonitis), degradation (tendonosis), tearing, or subluxation, whereby one or both tendons shift out of place behind the lateral ankle.

These three muscles are called the peroneus longus, peroneus brevis, and peroneus tertius.

peroneal tendon

Peroneal tendon dysfunction can result from abrupt overuse, repetitive ankle movements as encountered in certain sports, or a sudden increase in activity levels. Individuals with high arches are at an elevated risk due to the constant stretching of these tendons, while the choice of unsupportive footwear, such as flip-flops or worn-out sneakers, can further exacerbate the issue. Exercising or walking on uneven surfaces and neglecting proper warm-up routines can contribute to the development of peroneal tendon dysfunction.

Signs and Symptoms of Peroneal Tendon Irritation :

Symptoms may vary depending on whether inflammation (tendonitis) or damage (tendonosis) is prevalent. Indications include swelling, warmth to the touch, pain during certain foot and ankle movements (eversion, plantar flexion, inversion, dorsiflexion), and pain when stretching the peroneal muscles.

The diagnosis and ensuing treatment approach must be tailored to the specific

Treatments for Peroneal Tendon Dysfunction:

Upon receiving a proper diagnosis, it is imperative to commence the correct treatment addressing the root cause. The approach may begin with more conservative methods, gradually incorporating specific exercises to enhance muscle strength, range of motion, and balance as symptoms improve.

As these conditions often present subtle distinctions and manifest differently in each individual, it is our priority to tailor a combination of therapies to facilitate recovery and an improved quality of life.

Common treatment options for peroneal tendon dysfunction include:

  1. Foot Orthotics: Customized shoe inserts that provide support and correction for foot biomechanics.

  2. Taping: Employing specialized taping techniques to alleviate stress on the peroneal tendons and promote healing.

  3. Exercise: Prescribed exercises target the affected area, enhancing muscle strength and flexibility.

  4. Patient Education: Understanding the condition and how to manage it is a crucial aspect of the treatment.

  5. Dry Needling: A technique involving the insertion of thin needles into trigger points to relieve pain and muscle tension.

  6. Active Release Technique (ART): A hands-on approach to treat soft tissue injuries by removing adhesions and scar tissue.

Foot Condition #4: Achilles Tendonosis & Tendonitis

What Is the Achilles Tendon & How Does It Get Injured?

The Achilles tendon is among the body's most robust tendons, tasked with bearing your entire body weight. Located at the posterior of the calf, it comprises three muscles: the gastrocnemius, soleus, and plantar muscle, collectively known as the triceps surae.

achilles tendon

Both Achilles tendonitis and tendonosis often arise from a sudden increase in repetitive activities involving the Achilles tendon.

These activities place excessive pressure on the tendon, causing micro-damage to the tendon fibers. Over time, the body's inability to repair the damaged tissue results in a structural change in the tendon, leading to persistent pain.

Individuals with excessive internal rotation or pronation, such as those with flat arches, are more susceptible to Achilles tendon issues. Wearing unsupportive footwear on hard, flat surfaces exacerbates the condition, especially for those who spend extended periods on their feet.

Signs and Symptoms of Achilles Tendon Dysfunction:

The most common symptoms of achilles tendon dysfunction include:

  • Pain and stiffness above the heel or behind the ankle, particularly in the morning.
  • Aggravation of pain during on-foot activities.
  • Swelling around the heel area.
  • A visible bump on the heel.
  • Pain when standing on tiptoe.
  • A perception of the heel being “spongy” when pressed.
  • Pain when pushing off while walking.

Treatments for the Achilles Tendon:

Successful recovery from Achilles tendon problems necessitates proper treatment. Our advanced treatment methods include:

  1. Specific Strengthening and Stretching Exercises: Tailored exercises to target Achilles tendon issues.

  2. Manual Therapy: Hands-on techniques to alleviate pain and facilitate healing.

  3. Technique Modifications: Correcting gait and activity techniques to reduce stress on the Achilles tendon.

  4. Postural Adjustments: Ensuring proper posture to minimize strain on the tendon.

  5. Patient Education: Comprehensive understanding of the condition and how to manage it.

  6. Shoe Inserts: The use of orthotic inserts to provide proper support to the Achilles tendon.

  7. Dry Needling: The insertion of fine needles into trigger points to alleviate pain and muscle tension.

Ultimately, our one-on-one approach ensures that we design a personalized treatment plan based on your specific underlying causes to facilitate your recovery.

Foot Condition #5: Posterior Tibial Tendon Dysfunction

What Is a Posterior Tibial Tendon?

The posterior tibial tendon, a pivotal supporting structure in the foot, plays a vital role in maintaining proper foot function during the act of walking. However, alterations in this crucial tendon can lead to a condition known as posterior tibial tendon dysfunction, characterized by the flattening of the foot's arch. This condition predominantly affects one foot, but bilateral occurrences are not uncommon, often displaying a progressive nature if left untreated.

The primary etiological factor is the mechanical strain placed on the posterior tibial tendon, particularly prevalent in individuals with flat feet. Symptoms manifest following activities that demand substantial involvement of the tendon, such as running, walking, hiking, or stair climbing.

Signs and Symptoms of Peroneal Tendon Dysfunction :

Individuals afflicted by posterior tibial tendon dysfunction typically report discomfort localized on the interior of the foot, primarily in the middle or rear section. The pain tends to mirror the path of the affected tendon, tracing from behind the ankle bone to the inner aspect of the foot.

Profound weakness in the foot is a common symptom. This weakness becomes apparent when individuals struggle to perform a simple “heel raise” or calf raise exercise. Inability to achieve heel inversion or supination during this exercise often serves as a key diagnostic indicator.

An advanced clinical sign, known as the “too many toes” sign, becomes evident when an observer positions themselves behind the patient and assesses their feet. If an abnormal number of toes appear to protrude outward on the side of the foot, this is indicative of a collapsed arch and the rotation of toes towards the foot's lateral aspect. Furthermore, in more advanced stages, visible foot deformities may become apparent.

Treatments for Posterior Tibial Tendon Dysfunction:

In the early stages of posterior tibial tendon dysfunction, prompt intervention can lead to symptom resolution without the necessity of surgical measures, potentially halting the condition's progression. A tailored physical therapy regimen is often the treatment of choice for mild to moderate cases, focusing on specific exercises aimed at enhancing tendon and muscle strength while preserving flexibility. Additionally, exercises are frequently recommended following a period of immobilization, ensuring the gradual rehabilitation of the affected tendon.

By addressing posterior tibial tendon dysfunction in its initial stages, patients can increase their likelihood of recovery without invasive procedures and maintain a higher quality of life.


Foot Condition #6: Plantar Fasciitis

What Is the Plantar Fascia?

Plantar fasciitis is a condition characterized by irritation and subsequent inflammation of the plantar fascia, a resilient band of tissue extending from the heel to the toes. This inflammation commonly manifests as persistent heel pain, often exacerbated during the initial steps after prolonged periods of rest. Several factors contribute to the development of plantar fasciitis, with foot arch type playing a pivotal role.

Individuals with either overly flat or high-arched feet are more susceptible to the onset of plantar fasciitis. Additionally, wearing non-supportive footwear on unyielding and flat surfaces elevates the mechanical strain experienced by the plantar fascia, potentially precipitating this condition, particularly for those engaged in occupations requiring prolonged periods of weight-bearing activities.

Furthermore, there is notable evidence supporting the link between obesity and overuse in the genesis of plantar fasciitis. Excess body weight places added pressure on the plantar fascia, intensifying the strain it endures during daily activities.

Plantar view of foot showing plantar fascia. SOURCE: Skin based on 2B4256, fascia from 5B11887. Used in 83735, versions in 2B4256, 7B11421

Signs and Symptoms of Plantar Fasciitis:

Plantar fasciitis presents a distinct set of signs and symptoms, which aid in its identification:

  1. Heel Pain: The most prominent and debilitating symptom is pain localized at the bottom of the heel.

  2. Arch Pain: Discomfort may also extend to the arch of the foot, reflecting the plantar fascia's extensive coverage.

  3. Morning Pain: Pain is often most acute during the initial steps taken in the morning or after prolonged periods of inactivity.

  4. Progressive Pain: Over the course of months, individuals may experience an increase in the intensity of pain.

  5. Heel Swelling: Swelling may develop at the base of the heel, contributing to the overall discomfort.

The pain's character frequently evolves; it may temporarily diminish following a few minutes of walking, as the act of walking gently stretches the inflamed fascia. However, the pain tends to return with prolonged weight-bearing activities, such as standing or walking for extended durations.

Treatments for Plantar Fasciitis:

The primary approach to managing plantar fasciitis revolves around conservative treatments, with advanced methods reserved for cases that fail to respond to initial interventions. Invasive options such as surgery, injections, or pain medication are occasionally considered, but these interventions often provide temporary relief due to their focus on addressing the symptoms rather than the root cause.

A Doctor of Physical Therapy offers a range of treatments designed to alleviate plantar fasciitis effectively. These interventions encompass ankle and foot mobilizations, active release techniques, taping, dry needling, the provision of foot orthotics, and specialized strengthening and stretching exercises aimed at restoring optimal foot function and diminishing discomfort.

By comprehensively addressing the various facets of plantar fasciitis, patients can improve their chances of sustained relief and enhanced mobility, ultimately resuming their daily activities with reduced discomfort.

Some Interesting Facts About Knees and Ankles and How They Are Related


As the years advance, the human body undergoes a natural wear-and-tear process, wherein even the cartilage cushioning vital joints is not immune. The consequence of this wear and tear often leads to the uncomfortable scenario where bones begin to rub against each other, culminating in the dreaded occurrence of joint inflammation.

Among the intricate network of joints in the human body, ankles take a remarkable place, often being both complex and essential. They can, however, be surprisingly easy to neglect in terms of regular care and maintenance. The implications of this oversight are far-reaching, given that your ankles significantly influence your overall mobility.

The human body is a symphony of interconnected parts, and the ankles play a crucial role in facilitating an array of movements. Yet, as the aging process unfolds, the ankles tend to lose some of their range of motion and flexibility, unless they are provided with the proper attention they deserve.

It is not uncommon for individuals to experience knee pain, seemingly unrelated to their ankles, when in fact, the two are intricately linked. A lack of mobility in the ankles can give rise to knee pain, further complicating the issue. If the ankle fails to execute its intended range of motion, it can inadvertently cause the knees to move incorrectly, setting the stage for debilitating knee pain that may even extend to the hips.

The pivotal relationship between ankle and knee health is an area of expertise at Back In Motion. Our team is well-versed in the complexities of these joints, their optimal functionality, and the potential factors that can lead to their malfunction. Unlike a primary care practitioner who might prematurely attribute joint pain in individuals over the age of 50, 60, and 70 to various forms of arthritis, we conduct a comprehensive evaluation. This approach allows us to discern whether the issue stems from a minor sprain, an unnoticed fracture, an injury to the talus (heel bone), or a form of Achilles tendonitis or tendinosis, characterized by strain and inflammation. Instead of merely prescribing rest and pills, which can sometimes prolong the healing process, we employ a tailored approach aimed at facilitating recovery by encouraging controlled movement, promoting circulation, and minimizing stiffness.

While not all issues can be immediately resolved through treatment, our examination may occasionally lead to recommendations for further diagnostic studies, such as X-rays or MRIs, to precisely determine the root cause. At times, the problem may originate in another part of the body, contributing to or triggering the observed pain.

Are You Worried About or Frustrated with Ankle and/or Foot Pain?
If you find yourself plagued by concerns or frustrations related to ankle and foot pain, the information presented here outlines the common conditions, their underlying causes, and effective treatment options available through consultation with a Doctor of Physical Therapy. Whether you have sustained an injury that seems to defy healing, struggle with pain during any form of walking, experience discomfort or imbalance while bearing weight on one side, or encounter persistent sensations of burning, tingling, or numbness, you can rest assured that you don't have to accept living with these discomforts as an inevitable fate.

You Don’t Have to “Live” with Foot or Ankle Pain & Help Is Within Your Reach


Most foot and ankle problems can be traced back to injuries, extended periods of immobilization, ill-fitting footwear, excessive use, or irregular foot biomechanics. It is important to recognize that pain in this region can be indicative of an underlying issue, such as inflammation or an untreated fracture. The complexity of the anatomical structure of the feet and ankles underscores the significance of identifying the root cause, thereby enabling the provision of tailored treatment for resolution.

If you’ve been thinking that it will eventually go away, you might be doing more harm than good.

Back In Motion boasts extensive experience in addressing a spectrum of foot and ankle-related discomfort, stemming from years of collaboration with diverse clientele, including elite athletes, sedentary individuals, and dedicated fitness enthusiasts. This wealth of experience, combined with our proprietary approach, the GRAY METHOD™, empowers us to not only treat these conditions but also delve deeper into the intricacies to uncover the precise cause and institute the most suitable remedies.

The path to relief from foot and ankle discomfort commences with a thorough understanding of the underlying issues. To embark on this journey towards improved mobility and a pain-free existence, we invite you to contact our office at 239-766-5547 and schedule your consultation. Alternatively, you can initiate the process through our user-friendly online form.

Your quest for a life unhindered by ankle and foot pain begins here. Let's unveil the root cause of your discomfort and get you back in motion!

If you are looking for exceptional foot and ankle pain treatment near you, visit Back In Motion Physical Therapy & Performance!

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]

There are three grades of an ankle sprain:

  • Grade 1: (Mild) Microscopic tearing of the ligament. You may have a little bit of swelling, pain, and tenderness.
  • Grade 2: (Moderate) Partial tearing of the ligament. You may have moderate swelling, pain, tenderness, and looseness in the ankle joint.
  • Grade 3: (Severe) Full tear of the ligament. You may have severe swelling, pain, tenderness, and instability in the ankle joint.


Treatments for Ankle Sprains:

Conventional recommendations for ankle sprains often involve rest and painkillers, which, albeit providing symptomatic relief, do not address the root cause of the issue. Symptom-masking approaches are not sustainable and tend to lead to recurring pain and frustration. Effective treatments for ankle sprains encompass manual therapy, KT taping, functional exercises, and strength-building programs, such as blood flow restriction training.

Please note that manual therapy, specific exercises, and technique modifications offer more durable solutions by addressing the fundamental problems responsible for the ankle sprain.

Foot Condition #3: Peroneal Tendon Dysfunction

What Is the Peroneal Tendon?

Peroneal tendon dysfunction pertains to issues within a group of three tendons originating in the lateral shin and extending to the foot.

These tendons, namely the peroneus longus, peroneus brevis, and peroneus tertius, can be afflicted by inflammation (tendonitis), degradation (tendonosis), tearing, or subluxation, whereby one or both tendons shift out of place behind the lateral ankle.

These three muscles are called the peroneus longus, peroneus brevis, and peroneus tertius.

peroneal tendon

Peroneal tendon dysfunction can result from abrupt overuse, repetitive ankle movements as encountered in certain sports, or a sudden increase in activity levels. Individuals with high arches are at an elevated risk due to the constant stretching of these tendons, while the choice of unsupportive footwear, such as flip-flops or worn-out sneakers, can further exacerbate the issue. Exercising or walking on uneven surfaces and neglecting proper warm-up routines can contribute to the development of peroneal tendon dysfunction.

Signs and Symptoms of Peroneal Tendon Irritation :

Symptoms may vary depending on whether inflammation (tendonitis) or damage (tendonosis) is prevalent. Indications include swelling, warmth to the touch, pain during certain foot and ankle movements (eversion, plantar flexion, inversion, dorsiflexion), and pain when stretching the peroneal muscles.

The diagnosis and ensuing treatment approach must be tailored to the specific

Treatments for Peroneal Tendon Dysfunction:

Upon receiving a proper diagnosis, it is imperative to commence the correct treatment addressing the root cause. The approach may begin with more conservative methods, gradually incorporating specific exercises to enhance muscle strength, range of motion, and balance as symptoms improve.

As these conditions often present subtle distinctions and manifest differently in each individual, it is our priority to tailor a combination of therapies to facilitate recovery and an improved quality of life.

Common treatment options for peroneal tendon dysfunction include:

  1. Foot Orthotics: Customized shoe inserts that provide support and correction for foot biomechanics.

  2. Taping: Employing specialized taping techniques to alleviate stress on the peroneal tendons and promote healing.

  3. Exercise: Prescribed exercises target the affected area, enhancing muscle strength and flexibility.

  4. Patient Education: Understanding the condition and how to manage it is a crucial aspect of the treatment.

  5. Dry Needling: A technique involving the insertion of thin needles into trigger points to relieve pain and muscle tension.

  6. Active Release Technique (ART): A hands-on approach to treat soft tissue injuries by removing adhesions and scar tissue.

Foot Condition #4: Achilles Tendonosis & Tendonitis

What Is the Achilles Tendon & How Does It Get Injured?

The Achilles tendon is among the body's most robust tendons, tasked with bearing your entire body weight. Located at the posterior of the calf, it comprises three muscles: the gastrocnemius, soleus, and plantar muscle, collectively known as the triceps surae.

achilles tendon

Both Achilles tendonitis and tendonosis often arise from a sudden increase in repetitive activities involving the Achilles tendon.

These activities place excessive pressure on the tendon, causing micro-damage to the tendon fibers. Over time, the body's inability to repair the damaged tissue results in a structural change in the tendon, leading to persistent pain.

Individuals with excessive internal rotation or pronation, such as those with flat arches, are more susceptible to Achilles tendon issues. Wearing unsupportive footwear on hard, flat surfaces exacerbates the condition, especially for those who spend extended periods on their feet.

Signs and Symptoms of Achilles Tendon Dysfunction:

The most common symptoms of achilles tendon dysfunction include:

  • Pain and stiffness above the heel or behind the ankle, particularly in the morning.
  • Aggravation of pain during on-foot activities.
  • Swelling around the heel area.
  • A visible bump on the heel.
  • Pain when standing on tiptoe.
  • A perception of the heel being “spongy” when pressed.
  • Pain when pushing off while walking.

Treatments for the Achilles Tendon:

Successful recovery from Achilles tendon problems necessitates proper treatment. Our advanced treatment methods include:

  1. Specific Strengthening and Stretching Exercises: Tailored exercises to target Achilles tendon issues.

  2. Manual Therapy: Hands-on techniques to alleviate pain and facilitate healing.

  3. Technique Modifications: Correcting gait and activity techniques to reduce stress on the Achilles tendon.

  4. Postural Adjustments: Ensuring proper posture to minimize strain on the tendon.

  5. Patient Education: Comprehensive understanding of the condition and how to manage it.

  6. Shoe Inserts: The use of orthotic inserts to provide proper support to the Achilles tendon.

  7. Dry Needling: The insertion of fine needles into trigger points to alleviate pain and muscle tension.

Ultimately, our one-on-one approach ensures that we design a personalized treatment plan based on your specific underlying causes to facilitate your recovery.

Foot Condition #5: Posterior Tibial Tendon Dysfunction

What Is a Posterior Tibial Tendon?

The posterior tibial tendon, a pivotal supporting structure in the foot, plays a vital role in maintaining proper foot function during the act of walking. However, alterations in this crucial tendon can lead to a condition known as posterior tibial tendon dysfunction, characterized by the flattening of the foot's arch. This condition predominantly affects one foot, but bilateral occurrences are not uncommon, often displaying a progressive nature if left untreated.

The primary etiological factor is the mechanical strain placed on the posterior tibial tendon, particularly prevalent in individuals with flat feet. Symptoms manifest following activities that demand substantial involvement of the tendon, such as running, walking, hiking, or stair climbing.

Signs and Symptoms of Peroneal Tendon Dysfunction :

Individuals afflicted by posterior tibial tendon dysfunction typically report discomfort localized on the interior of the foot, primarily in the middle or rear section. The pain tends to mirror the path of the affected tendon, tracing from behind the ankle bone to the inner aspect of the foot.

Profound weakness in the foot is a common symptom. This weakness becomes apparent when individuals struggle to perform a simple “heel raise” or calf raise exercise. Inability to achieve heel inversion or supination during this exercise often serves as a key diagnostic indicator.

An advanced clinical sign, known as the “too many toes” sign, becomes evident when an observer positions themselves behind the patient and assesses their feet. If an abnormal number of toes appear to protrude outward on the side of the foot, this is indicative of a collapsed arch and the rotation of toes towards the foot's lateral aspect. Furthermore, in more advanced stages, visible foot deformities may become apparent.

Treatments for Posterior Tibial Tendon Dysfunction:

In the early stages of posterior tibial tendon dysfunction, prompt intervention can lead to symptom resolution without the necessity of surgical measures, potentially halting the condition's progression. A tailored physical therapy regimen is often the treatment of choice for mild to moderate cases, focusing on specific exercises aimed at enhancing tendon and muscle strength while preserving flexibility. Additionally, exercises are frequently recommended following a period of immobilization, ensuring the gradual rehabilitation of the affected tendon.

By addressing posterior tibial tendon dysfunction in its initial stages, patients can increase their likelihood of recovery without invasive procedures and maintain a higher quality of life.


Foot Condition #6: Plantar Fasciitis

What Is the Plantar Fascia?

Plantar fasciitis is a condition characterized by irritation and subsequent inflammation of the plantar fascia, a resilient band of tissue extending from the heel to the toes. This inflammation commonly manifests as persistent heel pain, often exacerbated during the initial steps after prolonged periods of rest. Several factors contribute to the development of plantar fasciitis, with foot arch type playing a pivotal role.

Individuals with either overly flat or high-arched feet are more susceptible to the onset of plantar fasciitis. Additionally, wearing non-supportive footwear on unyielding and flat surfaces elevates the mechanical strain experienced by the plantar fascia, potentially precipitating this condition, particularly for those engaged in occupations requiring prolonged periods of weight-bearing activities.

Furthermore, there is notable evidence supporting the link between obesity and overuse in the genesis of plantar fasciitis. Excess body weight places added pressure on the plantar fascia, intensifying the strain it endures during daily activities.

Plantar view of foot showing plantar fascia. SOURCE: Skin based on 2B4256, fascia from 5B11887. Used in 83735, versions in 2B4256, 7B11421

Signs and Symptoms of Plantar Fasciitis:

Plantar fasciitis presents a distinct set of signs and symptoms, which aid in its identification:

  1. Heel Pain: The most prominent and debilitating symptom is pain localized at the bottom of the heel.

  2. Arch Pain: Discomfort may also extend to the arch of the foot, reflecting the plantar fascia's extensive coverage.

  3. Morning Pain: Pain is often most acute during the initial steps taken in the morning or after prolonged periods of inactivity.

  4. Progressive Pain: Over the course of months, individuals may experience an increase in the intensity of pain.

  5. Heel Swelling: Swelling may develop at the base of the heel, contributing to the overall discomfort.

The pain's character frequently evolves; it may temporarily diminish following a few minutes of walking, as the act of walking gently stretches the inflamed fascia. However, the pain tends to return with prolonged weight-bearing activities, such as standing or walking for extended durations.

Treatments for Plantar Fasciitis:

The primary approach to managing plantar fasciitis revolves around conservative treatments, with advanced methods reserved for cases that fail to respond to initial interventions. Invasive options such as surgery, injections, or pain medication are occasionally considered, but these interventions often provide temporary relief due to their focus on addressing the symptoms rather than the root cause.

A Doctor of Physical Therapy offers a range of treatments designed to alleviate plantar fasciitis effectively. These interventions encompass ankle and foot mobilizations, active release techniques, taping, dry needling, the provision of foot orthotics, and specialized strengthening and stretching exercises aimed at restoring optimal foot function and diminishing discomfort.

By comprehensively addressing the various facets of plantar fasciitis, patients can improve their chances of sustained relief and enhanced mobility, ultimately resuming their daily activities with reduced discomfort.

Some Interesting Facts About Knees and Ankles and How They Are Related


As the years advance, the human body undergoes a natural wear-and-tear process, wherein even the cartilage cushioning vital joints is not immune. The consequence of this wear and tear often leads to the uncomfortable scenario where bones begin to rub against each other, culminating in the dreaded occurrence of joint inflammation.

Among the intricate network of joints in the human body, ankles take a remarkable place, often being both complex and essential. They can, however, be surprisingly easy to neglect in terms of regular care and maintenance. The implications of this oversight are far-reaching, given that your ankles significantly influence your overall mobility.

The human body is a symphony of interconnected parts, and the ankles play a crucial role in facilitating an array of movements. Yet, as the aging process unfolds, the ankles tend to lose some of their range of motion and flexibility, unless they are provided with the proper attention they deserve.

It is not uncommon for individuals to experience knee pain, seemingly unrelated to their ankles, when in fact, the two are intricately linked. A lack of mobility in the ankles can give rise to knee pain, further complicating the issue. If the ankle fails to execute its intended range of motion, it can inadvertently cause the knees to move incorrectly, setting the stage for debilitating knee pain that may even extend to the hips.

The pivotal relationship between ankle and knee health is an area of expertise at Back In Motion. Our team is well-versed in the complexities of these joints, their optimal functionality, and the potential factors that can lead to their malfunction. Unlike a primary care practitioner who might prematurely attribute joint pain in individuals over the age of 50, 60, and 70 to various forms of arthritis, we conduct a comprehensive evaluation. This approach allows us to discern whether the issue stems from a minor sprain, an unnoticed fracture, an injury to the talus (heel bone), or a form of Achilles tendonitis or tendinosis, characterized by strain and inflammation. Instead of merely prescribing rest and pills, which can sometimes prolong the healing process, we employ a tailored approach aimed at facilitating recovery by encouraging controlled movement, promoting circulation, and minimizing stiffness.

While not all issues can be immediately resolved through treatment, our examination may occasionally lead to recommendations for further diagnostic studies, such as X-rays or MRIs, to precisely determine the root cause. At times, the problem may originate in another part of the body, contributing to or triggering the observed pain.

Are You Worried About or Frustrated with Ankle and/or Foot Pain?
If you find yourself plagued by concerns or frustrations related to ankle and foot pain, the information presented here outlines the common conditions, their underlying causes, and effective treatment options available through consultation with a Doctor of Physical Therapy. Whether you have sustained an injury that seems to defy healing, struggle with pain during any form of walking, experience discomfort or imbalance while bearing weight on one side, or encounter persistent sensations of burning, tingling, or numbness, you can rest assured that you don't have to accept living with these discomforts as an inevitable fate.

You Don’t Have to “Live” with Foot or Ankle Pain & Help Is Within Your Reach


Most foot and ankle problems can be traced back to injuries, extended periods of immobilization, ill-fitting footwear, excessive use, or irregular foot biomechanics. It is important to recognize that pain in this region can be indicative of an underlying issue, such as inflammation or an untreated fracture. The complexity of the anatomical structure of the feet and ankles underscores the significance of identifying the root cause, thereby enabling the provision of tailored treatment for resolution.

If you’ve been thinking that it will eventually go away, you might be doing more harm than good.

Back In Motion boasts extensive experience in addressing a spectrum of foot and ankle-related discomfort, stemming from years of collaboration with diverse clientele, including elite athletes, sedentary individuals, and dedicated fitness enthusiasts. This wealth of experience, combined with our proprietary approach, the GRAY METHOD™, empowers us to not only treat these conditions but also delve deeper into the intricacies to uncover the precise cause and institute the most suitable remedies.

The path to relief from foot and ankle discomfort commences with a thorough understanding of the underlying issues. To embark on this journey towards improved mobility and a pain-free existence, we invite you to contact our office at 239-766-5547 and schedule your consultation. Alternatively, you can initiate the process through our user-friendly online form.

Your quest for a life unhindered by ankle and foot pain begins here. Let's unveil the root cause of your discomfort and get you back in motion!

If you are looking for exceptional foot and ankle pain treatment near you, visit Back In Motion Physical Therapy & Performance!

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]

Signs and Symptoms of an Ankle Sprain :

The most evident indication of an ankle sprain includes an awkward foot movement accompanied by ankle rolling and immediate pain. Other symptoms encompass an inability to bear weight on the injured ankle, resulting in pain and stability loss, restricted ankle mobility, tenderness, swelling, and bruising. The severity of symptoms can range from mild to severe, with recovery time varying from one week to several weeks or more, contingent on the implementation of appropriate treatment.

There are three grades of an ankle sprain:

  • Grade 1: (Mild) Microscopic tearing of the ligament. You may have a little bit of swelling, pain, and tenderness.
  • Grade 2: (Moderate) Partial tearing of the ligament. You may have moderate swelling, pain, tenderness, and looseness in the ankle joint.
  • Grade 3: (Severe) Full tear of the ligament. You may have severe swelling, pain, tenderness, and instability in the ankle joint.


Treatments for Ankle Sprains:

Conventional recommendations for ankle sprains often involve rest and painkillers, which, albeit providing symptomatic relief, do not address the root cause of the issue. Symptom-masking approaches are not sustainable and tend to lead to recurring pain and frustration. Effective treatments for ankle sprains encompass manual therapy, KT taping, functional exercises, and strength-building programs, such as blood flow restriction training.

Please note that manual therapy, specific exercises, and technique modifications offer more durable solutions by addressing the fundamental problems responsible for the ankle sprain.

Foot Condition #3: Peroneal Tendon Dysfunction

What Is the Peroneal Tendon?

Peroneal tendon dysfunction pertains to issues within a group of three tendons originating in the lateral shin and extending to the foot.

These tendons, namely the peroneus longus, peroneus brevis, and peroneus tertius, can be afflicted by inflammation (tendonitis), degradation (tendonosis), tearing, or subluxation, whereby one or both tendons shift out of place behind the lateral ankle.

These three muscles are called the peroneus longus, peroneus brevis, and peroneus tertius.

peroneal tendon

Peroneal tendon dysfunction can result from abrupt overuse, repetitive ankle movements as encountered in certain sports, or a sudden increase in activity levels. Individuals with high arches are at an elevated risk due to the constant stretching of these tendons, while the choice of unsupportive footwear, such as flip-flops or worn-out sneakers, can further exacerbate the issue. Exercising or walking on uneven surfaces and neglecting proper warm-up routines can contribute to the development of peroneal tendon dysfunction.

Signs and Symptoms of Peroneal Tendon Irritation :

Symptoms may vary depending on whether inflammation (tendonitis) or damage (tendonosis) is prevalent. Indications include swelling, warmth to the touch, pain during certain foot and ankle movements (eversion, plantar flexion, inversion, dorsiflexion), and pain when stretching the peroneal muscles.

The diagnosis and ensuing treatment approach must be tailored to the specific

Treatments for Peroneal Tendon Dysfunction:

Upon receiving a proper diagnosis, it is imperative to commence the correct treatment addressing the root cause. The approach may begin with more conservative methods, gradually incorporating specific exercises to enhance muscle strength, range of motion, and balance as symptoms improve.

As these conditions often present subtle distinctions and manifest differently in each individual, it is our priority to tailor a combination of therapies to facilitate recovery and an improved quality of life.

Common treatment options for peroneal tendon dysfunction include:

  1. Foot Orthotics: Customized shoe inserts that provide support and correction for foot biomechanics.

  2. Taping: Employing specialized taping techniques to alleviate stress on the peroneal tendons and promote healing.

  3. Exercise: Prescribed exercises target the affected area, enhancing muscle strength and flexibility.

  4. Patient Education: Understanding the condition and how to manage it is a crucial aspect of the treatment.

  5. Dry Needling: A technique involving the insertion of thin needles into trigger points to relieve pain and muscle tension.

  6. Active Release Technique (ART): A hands-on approach to treat soft tissue injuries by removing adhesions and scar tissue.

Foot Condition #4: Achilles Tendonosis & Tendonitis

What Is the Achilles Tendon & How Does It Get Injured?

The Achilles tendon is among the body's most robust tendons, tasked with bearing your entire body weight. Located at the posterior of the calf, it comprises three muscles: the gastrocnemius, soleus, and plantar muscle, collectively known as the triceps surae.

achilles tendon

Both Achilles tendonitis and tendonosis often arise from a sudden increase in repetitive activities involving the Achilles tendon.

These activities place excessive pressure on the tendon, causing micro-damage to the tendon fibers. Over time, the body's inability to repair the damaged tissue results in a structural change in the tendon, leading to persistent pain.

Individuals with excessive internal rotation or pronation, such as those with flat arches, are more susceptible to Achilles tendon issues. Wearing unsupportive footwear on hard, flat surfaces exacerbates the condition, especially for those who spend extended periods on their feet.

Signs and Symptoms of Achilles Tendon Dysfunction:

The most common symptoms of achilles tendon dysfunction include:

  • Pain and stiffness above the heel or behind the ankle, particularly in the morning.
  • Aggravation of pain during on-foot activities.
  • Swelling around the heel area.
  • A visible bump on the heel.
  • Pain when standing on tiptoe.
  • A perception of the heel being “spongy” when pressed.
  • Pain when pushing off while walking.

Treatments for the Achilles Tendon:

Successful recovery from Achilles tendon problems necessitates proper treatment. Our advanced treatment methods include:

  1. Specific Strengthening and Stretching Exercises: Tailored exercises to target Achilles tendon issues.

  2. Manual Therapy: Hands-on techniques to alleviate pain and facilitate healing.

  3. Technique Modifications: Correcting gait and activity techniques to reduce stress on the Achilles tendon.

  4. Postural Adjustments: Ensuring proper posture to minimize strain on the tendon.

  5. Patient Education: Comprehensive understanding of the condition and how to manage it.

  6. Shoe Inserts: The use of orthotic inserts to provide proper support to the Achilles tendon.

  7. Dry Needling: The insertion of fine needles into trigger points to alleviate pain and muscle tension.

Ultimately, our one-on-one approach ensures that we design a personalized treatment plan based on your specific underlying causes to facilitate your recovery.

Foot Condition #5: Posterior Tibial Tendon Dysfunction

What Is a Posterior Tibial Tendon?

The posterior tibial tendon, a pivotal supporting structure in the foot, plays a vital role in maintaining proper foot function during the act of walking. However, alterations in this crucial tendon can lead to a condition known as posterior tibial tendon dysfunction, characterized by the flattening of the foot's arch. This condition predominantly affects one foot, but bilateral occurrences are not uncommon, often displaying a progressive nature if left untreated.

The primary etiological factor is the mechanical strain placed on the posterior tibial tendon, particularly prevalent in individuals with flat feet. Symptoms manifest following activities that demand substantial involvement of the tendon, such as running, walking, hiking, or stair climbing.

Signs and Symptoms of Peroneal Tendon Dysfunction :

Individuals afflicted by posterior tibial tendon dysfunction typically report discomfort localized on the interior of the foot, primarily in the middle or rear section. The pain tends to mirror the path of the affected tendon, tracing from behind the ankle bone to the inner aspect of the foot.

Profound weakness in the foot is a common symptom. This weakness becomes apparent when individuals struggle to perform a simple “heel raise” or calf raise exercise. Inability to achieve heel inversion or supination during this exercise often serves as a key diagnostic indicator.

An advanced clinical sign, known as the “too many toes” sign, becomes evident when an observer positions themselves behind the patient and assesses their feet. If an abnormal number of toes appear to protrude outward on the side of the foot, this is indicative of a collapsed arch and the rotation of toes towards the foot's lateral aspect. Furthermore, in more advanced stages, visible foot deformities may become apparent.

Treatments for Posterior Tibial Tendon Dysfunction:

In the early stages of posterior tibial tendon dysfunction, prompt intervention can lead to symptom resolution without the necessity of surgical measures, potentially halting the condition's progression. A tailored physical therapy regimen is often the treatment of choice for mild to moderate cases, focusing on specific exercises aimed at enhancing tendon and muscle strength while preserving flexibility. Additionally, exercises are frequently recommended following a period of immobilization, ensuring the gradual rehabilitation of the affected tendon.

By addressing posterior tibial tendon dysfunction in its initial stages, patients can increase their likelihood of recovery without invasive procedures and maintain a higher quality of life.


Foot Condition #6: Plantar Fasciitis

What Is the Plantar Fascia?

Plantar fasciitis is a condition characterized by irritation and subsequent inflammation of the plantar fascia, a resilient band of tissue extending from the heel to the toes. This inflammation commonly manifests as persistent heel pain, often exacerbated during the initial steps after prolonged periods of rest. Several factors contribute to the development of plantar fasciitis, with foot arch type playing a pivotal role.

Individuals with either overly flat or high-arched feet are more susceptible to the onset of plantar fasciitis. Additionally, wearing non-supportive footwear on unyielding and flat surfaces elevates the mechanical strain experienced by the plantar fascia, potentially precipitating this condition, particularly for those engaged in occupations requiring prolonged periods of weight-bearing activities.

Furthermore, there is notable evidence supporting the link between obesity and overuse in the genesis of plantar fasciitis. Excess body weight places added pressure on the plantar fascia, intensifying the strain it endures during daily activities.

Plantar view of foot showing plantar fascia. SOURCE: Skin based on 2B4256, fascia from 5B11887. Used in 83735, versions in 2B4256, 7B11421

Signs and Symptoms of Plantar Fasciitis:

Plantar fasciitis presents a distinct set of signs and symptoms, which aid in its identification:

  1. Heel Pain: The most prominent and debilitating symptom is pain localized at the bottom of the heel.

  2. Arch Pain: Discomfort may also extend to the arch of the foot, reflecting the plantar fascia's extensive coverage.

  3. Morning Pain: Pain is often most acute during the initial steps taken in the morning or after prolonged periods of inactivity.

  4. Progressive Pain: Over the course of months, individuals may experience an increase in the intensity of pain.

  5. Heel Swelling: Swelling may develop at the base of the heel, contributing to the overall discomfort.

The pain's character frequently evolves; it may temporarily diminish following a few minutes of walking, as the act of walking gently stretches the inflamed fascia. However, the pain tends to return with prolonged weight-bearing activities, such as standing or walking for extended durations.

Treatments for Plantar Fasciitis:

The primary approach to managing plantar fasciitis revolves around conservative treatments, with advanced methods reserved for cases that fail to respond to initial interventions. Invasive options such as surgery, injections, or pain medication are occasionally considered, but these interventions often provide temporary relief due to their focus on addressing the symptoms rather than the root cause.

A Doctor of Physical Therapy offers a range of treatments designed to alleviate plantar fasciitis effectively. These interventions encompass ankle and foot mobilizations, active release techniques, taping, dry needling, the provision of foot orthotics, and specialized strengthening and stretching exercises aimed at restoring optimal foot function and diminishing discomfort.

By comprehensively addressing the various facets of plantar fasciitis, patients can improve their chances of sustained relief and enhanced mobility, ultimately resuming their daily activities with reduced discomfort.

Some Interesting Facts About Knees and Ankles and How They Are Related


As the years advance, the human body undergoes a natural wear-and-tear process, wherein even the cartilage cushioning vital joints is not immune. The consequence of this wear and tear often leads to the uncomfortable scenario where bones begin to rub against each other, culminating in the dreaded occurrence of joint inflammation.

Among the intricate network of joints in the human body, ankles take a remarkable place, often being both complex and essential. They can, however, be surprisingly easy to neglect in terms of regular care and maintenance. The implications of this oversight are far-reaching, given that your ankles significantly influence your overall mobility.

The human body is a symphony of interconnected parts, and the ankles play a crucial role in facilitating an array of movements. Yet, as the aging process unfolds, the ankles tend to lose some of their range of motion and flexibility, unless they are provided with the proper attention they deserve.

It is not uncommon for individuals to experience knee pain, seemingly unrelated to their ankles, when in fact, the two are intricately linked. A lack of mobility in the ankles can give rise to knee pain, further complicating the issue. If the ankle fails to execute its intended range of motion, it can inadvertently cause the knees to move incorrectly, setting the stage for debilitating knee pain that may even extend to the hips.

The pivotal relationship between ankle and knee health is an area of expertise at Back In Motion. Our team is well-versed in the complexities of these joints, their optimal functionality, and the potential factors that can lead to their malfunction. Unlike a primary care practitioner who might prematurely attribute joint pain in individuals over the age of 50, 60, and 70 to various forms of arthritis, we conduct a comprehensive evaluation. This approach allows us to discern whether the issue stems from a minor sprain, an unnoticed fracture, an injury to the talus (heel bone), or a form of Achilles tendonitis or tendinosis, characterized by strain and inflammation. Instead of merely prescribing rest and pills, which can sometimes prolong the healing process, we employ a tailored approach aimed at facilitating recovery by encouraging controlled movement, promoting circulation, and minimizing stiffness.

While not all issues can be immediately resolved through treatment, our examination may occasionally lead to recommendations for further diagnostic studies, such as X-rays or MRIs, to precisely determine the root cause. At times, the problem may originate in another part of the body, contributing to or triggering the observed pain.

Are You Worried About or Frustrated with Ankle and/or Foot Pain?
If you find yourself plagued by concerns or frustrations related to ankle and foot pain, the information presented here outlines the common conditions, their underlying causes, and effective treatment options available through consultation with a Doctor of Physical Therapy. Whether you have sustained an injury that seems to defy healing, struggle with pain during any form of walking, experience discomfort or imbalance while bearing weight on one side, or encounter persistent sensations of burning, tingling, or numbness, you can rest assured that you don't have to accept living with these discomforts as an inevitable fate.

You Don’t Have to “Live” with Foot or Ankle Pain & Help Is Within Your Reach


Most foot and ankle problems can be traced back to injuries, extended periods of immobilization, ill-fitting footwear, excessive use, or irregular foot biomechanics. It is important to recognize that pain in this region can be indicative of an underlying issue, such as inflammation or an untreated fracture. The complexity of the anatomical structure of the feet and ankles underscores the significance of identifying the root cause, thereby enabling the provision of tailored treatment for resolution.

If you’ve been thinking that it will eventually go away, you might be doing more harm than good.

Back In Motion boasts extensive experience in addressing a spectrum of foot and ankle-related discomfort, stemming from years of collaboration with diverse clientele, including elite athletes, sedentary individuals, and dedicated fitness enthusiasts. This wealth of experience, combined with our proprietary approach, the GRAY METHOD™, empowers us to not only treat these conditions but also delve deeper into the intricacies to uncover the precise cause and institute the most suitable remedies.

The path to relief from foot and ankle discomfort commences with a thorough understanding of the underlying issues. To embark on this journey towards improved mobility and a pain-free existence, we invite you to contact our office at 239-766-5547 and schedule your consultation. Alternatively, you can initiate the process through our user-friendly online form.

Your quest for a life unhindered by ankle and foot pain begins here. Let's unveil the root cause of your discomfort and get you back in motion!

If you are looking for exceptional foot and ankle pain treatment near you, visit Back In Motion Physical Therapy & Performance!

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]

Signs and Symptoms of an Ankle Sprain :

The most evident indication of an ankle sprain includes an awkward foot movement accompanied by ankle rolling and immediate pain. Other symptoms encompass an inability to bear weight on the injured ankle, resulting in pain and stability loss, restricted ankle mobility, tenderness, swelling, and bruising. The severity of symptoms can range from mild to severe, with recovery time varying from one week to several weeks or more, contingent on the implementation of appropriate treatment.

There are three grades of an ankle sprain:

  • Grade 1: (Mild) Microscopic tearing of the ligament. You may have a little bit of swelling, pain, and tenderness.
  • Grade 2: (Moderate) Partial tearing of the ligament. You may have moderate swelling, pain, tenderness, and looseness in the ankle joint.
  • Grade 3: (Severe) Full tear of the ligament. You may have severe swelling, pain, tenderness, and instability in the ankle joint.


Treatments for Ankle Sprains:

Conventional recommendations for ankle sprains often involve rest and painkillers, which, albeit providing symptomatic relief, do not address the root cause of the issue. Symptom-masking approaches are not sustainable and tend to lead to recurring pain and frustration. Effective treatments for ankle sprains encompass manual therapy, KT taping, functional exercises, and strength-building programs, such as blood flow restriction training.

Please note that manual therapy, specific exercises, and technique modifications offer more durable solutions by addressing the fundamental problems responsible for the ankle sprain.

Foot Condition #3: Peroneal Tendon Dysfunction

What Is the Peroneal Tendon?

Peroneal tendon dysfunction pertains to issues within a group of three tendons originating in the lateral shin and extending to the foot.

These tendons, namely the peroneus longus, peroneus brevis, and peroneus tertius, can be afflicted by inflammation (tendonitis), degradation (tendonosis), tearing, or subluxation, whereby one or both tendons shift out of place behind the lateral ankle.

These three muscles are called the peroneus longus, peroneus brevis, and peroneus tertius.

peroneal tendon

Peroneal tendon dysfunction can result from abrupt overuse, repetitive ankle movements as encountered in certain sports, or a sudden increase in activity levels. Individuals with high arches are at an elevated risk due to the constant stretching of these tendons, while the choice of unsupportive footwear, such as flip-flops or worn-out sneakers, can further exacerbate the issue. Exercising or walking on uneven surfaces and neglecting proper warm-up routines can contribute to the development of peroneal tendon dysfunction.

Signs and Symptoms of Peroneal Tendon Irritation :

Symptoms may vary depending on whether inflammation (tendonitis) or damage (tendonosis) is prevalent. Indications include swelling, warmth to the touch, pain during certain foot and ankle movements (eversion, plantar flexion, inversion, dorsiflexion), and pain when stretching the peroneal muscles.

The diagnosis and ensuing treatment approach must be tailored to the specific

Treatments for Peroneal Tendon Dysfunction:

Upon receiving a proper diagnosis, it is imperative to commence the correct treatment addressing the root cause. The approach may begin with more conservative methods, gradually incorporating specific exercises to enhance muscle strength, range of motion, and balance as symptoms improve.

As these conditions often present subtle distinctions and manifest differently in each individual, it is our priority to tailor a combination of therapies to facilitate recovery and an improved quality of life.

Common treatment options for peroneal tendon dysfunction include:

  1. Foot Orthotics: Customized shoe inserts that provide support and correction for foot biomechanics.

  2. Taping: Employing specialized taping techniques to alleviate stress on the peroneal tendons and promote healing.

  3. Exercise: Prescribed exercises target the affected area, enhancing muscle strength and flexibility.

  4. Patient Education: Understanding the condition and how to manage it is a crucial aspect of the treatment.

  5. Dry Needling: A technique involving the insertion of thin needles into trigger points to relieve pain and muscle tension.

  6. Active Release Technique (ART): A hands-on approach to treat soft tissue injuries by removing adhesions and scar tissue.

Foot Condition #4: Achilles Tendonosis & Tendonitis

What Is the Achilles Tendon & How Does It Get Injured?

The Achilles tendon is among the body's most robust tendons, tasked with bearing your entire body weight. Located at the posterior of the calf, it comprises three muscles: the gastrocnemius, soleus, and plantar muscle, collectively known as the triceps surae.

achilles tendon

Both Achilles tendonitis and tendonosis often arise from a sudden increase in repetitive activities involving the Achilles tendon.

These activities place excessive pressure on the tendon, causing micro-damage to the tendon fibers. Over time, the body's inability to repair the damaged tissue results in a structural change in the tendon, leading to persistent pain.

Individuals with excessive internal rotation or pronation, such as those with flat arches, are more susceptible to Achilles tendon issues. Wearing unsupportive footwear on hard, flat surfaces exacerbates the condition, especially for those who spend extended periods on their feet.

Signs and Symptoms of Achilles Tendon Dysfunction:

The most common symptoms of achilles tendon dysfunction include:

  • Pain and stiffness above the heel or behind the ankle, particularly in the morning.
  • Aggravation of pain during on-foot activities.
  • Swelling around the heel area.
  • A visible bump on the heel.
  • Pain when standing on tiptoe.
  • A perception of the heel being “spongy” when pressed.
  • Pain when pushing off while walking.

Treatments for the Achilles Tendon:

Successful recovery from Achilles tendon problems necessitates proper treatment. Our advanced treatment methods include:

  1. Specific Strengthening and Stretching Exercises: Tailored exercises to target Achilles tendon issues.

  2. Manual Therapy: Hands-on techniques to alleviate pain and facilitate healing.

  3. Technique Modifications: Correcting gait and activity techniques to reduce stress on the Achilles tendon.

  4. Postural Adjustments: Ensuring proper posture to minimize strain on the tendon.

  5. Patient Education: Comprehensive understanding of the condition and how to manage it.

  6. Shoe Inserts: The use of orthotic inserts to provide proper support to the Achilles tendon.

  7. Dry Needling: The insertion of fine needles into trigger points to alleviate pain and muscle tension.

Ultimately, our one-on-one approach ensures that we design a personalized treatment plan based on your specific underlying causes to facilitate your recovery.

Foot Condition #5: Posterior Tibial Tendon Dysfunction

What Is a Posterior Tibial Tendon?

The posterior tibial tendon, a pivotal supporting structure in the foot, plays a vital role in maintaining proper foot function during the act of walking. However, alterations in this crucial tendon can lead to a condition known as posterior tibial tendon dysfunction, characterized by the flattening of the foot's arch. This condition predominantly affects one foot, but bilateral occurrences are not uncommon, often displaying a progressive nature if left untreated.

The primary etiological factor is the mechanical strain placed on the posterior tibial tendon, particularly prevalent in individuals with flat feet. Symptoms manifest following activities that demand substantial involvement of the tendon, such as running, walking, hiking, or stair climbing.

Signs and Symptoms of Peroneal Tendon Dysfunction :

Individuals afflicted by posterior tibial tendon dysfunction typically report discomfort localized on the interior of the foot, primarily in the middle or rear section. The pain tends to mirror the path of the affected tendon, tracing from behind the ankle bone to the inner aspect of the foot.

Profound weakness in the foot is a common symptom. This weakness becomes apparent when individuals struggle to perform a simple “heel raise” or calf raise exercise. Inability to achieve heel inversion or supination during this exercise often serves as a key diagnostic indicator.

An advanced clinical sign, known as the “too many toes” sign, becomes evident when an observer positions themselves behind the patient and assesses their feet. If an abnormal number of toes appear to protrude outward on the side of the foot, this is indicative of a collapsed arch and the rotation of toes towards the foot's lateral aspect. Furthermore, in more advanced stages, visible foot deformities may become apparent.

Treatments for Posterior Tibial Tendon Dysfunction:

In the early stages of posterior tibial tendon dysfunction, prompt intervention can lead to symptom resolution without the necessity of surgical measures, potentially halting the condition's progression. A tailored physical therapy regimen is often the treatment of choice for mild to moderate cases, focusing on specific exercises aimed at enhancing tendon and muscle strength while preserving flexibility. Additionally, exercises are frequently recommended following a period of immobilization, ensuring the gradual rehabilitation of the affected tendon.

By addressing posterior tibial tendon dysfunction in its initial stages, patients can increase their likelihood of recovery without invasive procedures and maintain a higher quality of life.


Foot Condition #6: Plantar Fasciitis

What Is the Plantar Fascia?

Plantar fasciitis is a condition characterized by irritation and subsequent inflammation of the plantar fascia, a resilient band of tissue extending from the heel to the toes. This inflammation commonly manifests as persistent heel pain, often exacerbated during the initial steps after prolonged periods of rest. Several factors contribute to the development of plantar fasciitis, with foot arch type playing a pivotal role.

Individuals with either overly flat or high-arched feet are more susceptible to the onset of plantar fasciitis. Additionally, wearing non-supportive footwear on unyielding and flat surfaces elevates the mechanical strain experienced by the plantar fascia, potentially precipitating this condition, particularly for those engaged in occupations requiring prolonged periods of weight-bearing activities.

Furthermore, there is notable evidence supporting the link between obesity and overuse in the genesis of plantar fasciitis. Excess body weight places added pressure on the plantar fascia, intensifying the strain it endures during daily activities.

Plantar view of foot showing plantar fascia. SOURCE: Skin based on 2B4256, fascia from 5B11887. Used in 83735, versions in 2B4256, 7B11421

Signs and Symptoms of Plantar Fasciitis:

Plantar fasciitis presents a distinct set of signs and symptoms, which aid in its identification:

  1. Heel Pain: The most prominent and debilitating symptom is pain localized at the bottom of the heel.

  2. Arch Pain: Discomfort may also extend to the arch of the foot, reflecting the plantar fascia's extensive coverage.

  3. Morning Pain: Pain is often most acute during the initial steps taken in the morning or after prolonged periods of inactivity.

  4. Progressive Pain: Over the course of months, individuals may experience an increase in the intensity of pain.

  5. Heel Swelling: Swelling may develop at the base of the heel, contributing to the overall discomfort.

The pain's character frequently evolves; it may temporarily diminish following a few minutes of walking, as the act of walking gently stretches the inflamed fascia. However, the pain tends to return with prolonged weight-bearing activities, such as standing or walking for extended durations.

Treatments for Plantar Fasciitis:

The primary approach to managing plantar fasciitis revolves around conservative treatments, with advanced methods reserved for cases that fail to respond to initial interventions. Invasive options such as surgery, injections, or pain medication are occasionally considered, but these interventions often provide temporary relief due to their focus on addressing the symptoms rather than the root cause.

A Doctor of Physical Therapy offers a range of treatments designed to alleviate plantar fasciitis effectively. These interventions encompass ankle and foot mobilizations, active release techniques, taping, dry needling, the provision of foot orthotics, and specialized strengthening and stretching exercises aimed at restoring optimal foot function and diminishing discomfort.

By comprehensively addressing the various facets of plantar fasciitis, patients can improve their chances of sustained relief and enhanced mobility, ultimately resuming their daily activities with reduced discomfort.

Some Interesting Facts About Knees and Ankles and How They Are Related


As the years advance, the human body undergoes a natural wear-and-tear process, wherein even the cartilage cushioning vital joints is not immune. The consequence of this wear and tear often leads to the uncomfortable scenario where bones begin to rub against each other, culminating in the dreaded occurrence of joint inflammation.

Among the intricate network of joints in the human body, ankles take a remarkable place, often being both complex and essential. They can, however, be surprisingly easy to neglect in terms of regular care and maintenance. The implications of this oversight are far-reaching, given that your ankles significantly influence your overall mobility.

The human body is a symphony of interconnected parts, and the ankles play a crucial role in facilitating an array of movements. Yet, as the aging process unfolds, the ankles tend to lose some of their range of motion and flexibility, unless they are provided with the proper attention they deserve.

It is not uncommon for individuals to experience knee pain, seemingly unrelated to their ankles, when in fact, the two are intricately linked. A lack of mobility in the ankles can give rise to knee pain, further complicating the issue. If the ankle fails to execute its intended range of motion, it can inadvertently cause the knees to move incorrectly, setting the stage for debilitating knee pain that may even extend to the hips.

The pivotal relationship between ankle and knee health is an area of expertise at Back In Motion. Our team is well-versed in the complexities of these joints, their optimal functionality, and the potential factors that can lead to their malfunction. Unlike a primary care practitioner who might prematurely attribute joint pain in individuals over the age of 50, 60, and 70 to various forms of arthritis, we conduct a comprehensive evaluation. This approach allows us to discern whether the issue stems from a minor sprain, an unnoticed fracture, an injury to the talus (heel bone), or a form of Achilles tendonitis or tendinosis, characterized by strain and inflammation. Instead of merely prescribing rest and pills, which can sometimes prolong the healing process, we employ a tailored approach aimed at facilitating recovery by encouraging controlled movement, promoting circulation, and minimizing stiffness.

While not all issues can be immediately resolved through treatment, our examination may occasionally lead to recommendations for further diagnostic studies, such as X-rays or MRIs, to precisely determine the root cause. At times, the problem may originate in another part of the body, contributing to or triggering the observed pain.

Are You Worried About or Frustrated with Ankle and/or Foot Pain?
If you find yourself plagued by concerns or frustrations related to ankle and foot pain, the information presented here outlines the common conditions, their underlying causes, and effective treatment options available through consultation with a Doctor of Physical Therapy. Whether you have sustained an injury that seems to defy healing, struggle with pain during any form of walking, experience discomfort or imbalance while bearing weight on one side, or encounter persistent sensations of burning, tingling, or numbness, you can rest assured that you don't have to accept living with these discomforts as an inevitable fate.

You Don’t Have to “Live” with Foot or Ankle Pain & Help Is Within Your Reach


Most foot and ankle problems can be traced back to injuries, extended periods of immobilization, ill-fitting footwear, excessive use, or irregular foot biomechanics. It is important to recognize that pain in this region can be indicative of an underlying issue, such as inflammation or an untreated fracture. The complexity of the anatomical structure of the feet and ankles underscores the significance of identifying the root cause, thereby enabling the provision of tailored treatment for resolution.

If you’ve been thinking that it will eventually go away, you might be doing more harm than good.

Back In Motion boasts extensive experience in addressing a spectrum of foot and ankle-related discomfort, stemming from years of collaboration with diverse clientele, including elite athletes, sedentary individuals, and dedicated fitness enthusiasts. This wealth of experience, combined with our proprietary approach, the GRAY METHOD™, empowers us to not only treat these conditions but also delve deeper into the intricacies to uncover the precise cause and institute the most suitable remedies.

The path to relief from foot and ankle discomfort commences with a thorough understanding of the underlying issues. To embark on this journey towards improved mobility and a pain-free existence, we invite you to contact our office at 239-766-5547 and schedule your consultation. Alternatively, you can initiate the process through our user-friendly online form.

Your quest for a life unhindered by ankle and foot pain begins here. Let's unveil the root cause of your discomfort and get you back in motion!

If you are looking for exceptional foot and ankle pain treatment near you, visit Back In Motion Physical Therapy & Performance!

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]

What Causes an Ankle Sprain?

The chief underlying cause of ankle sprains is often attributed to weakened muscles surrounding the ankle, which should serve as the primary support for this joint. When these muscles lack the requisite strength, the ankle is susceptible to excessive ranges of motion that may compromise the surrounding ligaments. Additional factors contributing to ankle sprains comprise limited ankle flexibility (ankle dorsiflexion), unsuitable arch height, inadequate ankle-strengthening and mobility exercises, non-supportive footwear, physical activities on uneven terrain, insufficient warm-up routines, and suboptimal posture during sitting, standing, lifting, and exercise.

Signs and Symptoms of an Ankle Sprain :

The most evident indication of an ankle sprain includes an awkward foot movement accompanied by ankle rolling and immediate pain. Other symptoms encompass an inability to bear weight on the injured ankle, resulting in pain and stability loss, restricted ankle mobility, tenderness, swelling, and bruising. The severity of symptoms can range from mild to severe, with recovery time varying from one week to several weeks or more, contingent on the implementation of appropriate treatment.

There are three grades of an ankle sprain:

  • Grade 1: (Mild) Microscopic tearing of the ligament. You may have a little bit of swelling, pain, and tenderness.
  • Grade 2: (Moderate) Partial tearing of the ligament. You may have moderate swelling, pain, tenderness, and looseness in the ankle joint.
  • Grade 3: (Severe) Full tear of the ligament. You may have severe swelling, pain, tenderness, and instability in the ankle joint.


Treatments for Ankle Sprains:

Conventional recommendations for ankle sprains often involve rest and painkillers, which, albeit providing symptomatic relief, do not address the root cause of the issue. Symptom-masking approaches are not sustainable and tend to lead to recurring pain and frustration. Effective treatments for ankle sprains encompass manual therapy, KT taping, functional exercises, and strength-building programs, such as blood flow restriction training.

Please note that manual therapy, specific exercises, and technique modifications offer more durable solutions by addressing the fundamental problems responsible for the ankle sprain.

Foot Condition #3: Peroneal Tendon Dysfunction

What Is the Peroneal Tendon?

Peroneal tendon dysfunction pertains to issues within a group of three tendons originating in the lateral shin and extending to the foot.

These tendons, namely the peroneus longus, peroneus brevis, and peroneus tertius, can be afflicted by inflammation (tendonitis), degradation (tendonosis), tearing, or subluxation, whereby one or both tendons shift out of place behind the lateral ankle.

These three muscles are called the peroneus longus, peroneus brevis, and peroneus tertius.

peroneal tendon

Peroneal tendon dysfunction can result from abrupt overuse, repetitive ankle movements as encountered in certain sports, or a sudden increase in activity levels. Individuals with high arches are at an elevated risk due to the constant stretching of these tendons, while the choice of unsupportive footwear, such as flip-flops or worn-out sneakers, can further exacerbate the issue. Exercising or walking on uneven surfaces and neglecting proper warm-up routines can contribute to the development of peroneal tendon dysfunction.

Signs and Symptoms of Peroneal Tendon Irritation :

Symptoms may vary depending on whether inflammation (tendonitis) or damage (tendonosis) is prevalent. Indications include swelling, warmth to the touch, pain during certain foot and ankle movements (eversion, plantar flexion, inversion, dorsiflexion), and pain when stretching the peroneal muscles.

The diagnosis and ensuing treatment approach must be tailored to the specific

Treatments for Peroneal Tendon Dysfunction:

Upon receiving a proper diagnosis, it is imperative to commence the correct treatment addressing the root cause. The approach may begin with more conservative methods, gradually incorporating specific exercises to enhance muscle strength, range of motion, and balance as symptoms improve.

As these conditions often present subtle distinctions and manifest differently in each individual, it is our priority to tailor a combination of therapies to facilitate recovery and an improved quality of life.

Common treatment options for peroneal tendon dysfunction include:

  1. Foot Orthotics: Customized shoe inserts that provide support and correction for foot biomechanics.

  2. Taping: Employing specialized taping techniques to alleviate stress on the peroneal tendons and promote healing.

  3. Exercise: Prescribed exercises target the affected area, enhancing muscle strength and flexibility.

  4. Patient Education: Understanding the condition and how to manage it is a crucial aspect of the treatment.

  5. Dry Needling: A technique involving the insertion of thin needles into trigger points to relieve pain and muscle tension.

  6. Active Release Technique (ART): A hands-on approach to treat soft tissue injuries by removing adhesions and scar tissue.

Foot Condition #4: Achilles Tendonosis & Tendonitis

What Is the Achilles Tendon & How Does It Get Injured?

The Achilles tendon is among the body's most robust tendons, tasked with bearing your entire body weight. Located at the posterior of the calf, it comprises three muscles: the gastrocnemius, soleus, and plantar muscle, collectively known as the triceps surae.

achilles tendon

Both Achilles tendonitis and tendonosis often arise from a sudden increase in repetitive activities involving the Achilles tendon.

These activities place excessive pressure on the tendon, causing micro-damage to the tendon fibers. Over time, the body's inability to repair the damaged tissue results in a structural change in the tendon, leading to persistent pain.

Individuals with excessive internal rotation or pronation, such as those with flat arches, are more susceptible to Achilles tendon issues. Wearing unsupportive footwear on hard, flat surfaces exacerbates the condition, especially for those who spend extended periods on their feet.

Signs and Symptoms of Achilles Tendon Dysfunction:

The most common symptoms of achilles tendon dysfunction include:

  • Pain and stiffness above the heel or behind the ankle, particularly in the morning.
  • Aggravation of pain during on-foot activities.
  • Swelling around the heel area.
  • A visible bump on the heel.
  • Pain when standing on tiptoe.
  • A perception of the heel being “spongy” when pressed.
  • Pain when pushing off while walking.

Treatments for the Achilles Tendon:

Successful recovery from Achilles tendon problems necessitates proper treatment. Our advanced treatment methods include:

  1. Specific Strengthening and Stretching Exercises: Tailored exercises to target Achilles tendon issues.

  2. Manual Therapy: Hands-on techniques to alleviate pain and facilitate healing.

  3. Technique Modifications: Correcting gait and activity techniques to reduce stress on the Achilles tendon.

  4. Postural Adjustments: Ensuring proper posture to minimize strain on the tendon.

  5. Patient Education: Comprehensive understanding of the condition and how to manage it.

  6. Shoe Inserts: The use of orthotic inserts to provide proper support to the Achilles tendon.

  7. Dry Needling: The insertion of fine needles into trigger points to alleviate pain and muscle tension.

Ultimately, our one-on-one approach ensures that we design a personalized treatment plan based on your specific underlying causes to facilitate your recovery.

Foot Condition #5: Posterior Tibial Tendon Dysfunction

What Is a Posterior Tibial Tendon?

The posterior tibial tendon, a pivotal supporting structure in the foot, plays a vital role in maintaining proper foot function during the act of walking. However, alterations in this crucial tendon can lead to a condition known as posterior tibial tendon dysfunction, characterized by the flattening of the foot's arch. This condition predominantly affects one foot, but bilateral occurrences are not uncommon, often displaying a progressive nature if left untreated.

The primary etiological factor is the mechanical strain placed on the posterior tibial tendon, particularly prevalent in individuals with flat feet. Symptoms manifest following activities that demand substantial involvement of the tendon, such as running, walking, hiking, or stair climbing.

Signs and Symptoms of Peroneal Tendon Dysfunction :

Individuals afflicted by posterior tibial tendon dysfunction typically report discomfort localized on the interior of the foot, primarily in the middle or rear section. The pain tends to mirror the path of the affected tendon, tracing from behind the ankle bone to the inner aspect of the foot.

Profound weakness in the foot is a common symptom. This weakness becomes apparent when individuals struggle to perform a simple “heel raise” or calf raise exercise. Inability to achieve heel inversion or supination during this exercise often serves as a key diagnostic indicator.

An advanced clinical sign, known as the “too many toes” sign, becomes evident when an observer positions themselves behind the patient and assesses their feet. If an abnormal number of toes appear to protrude outward on the side of the foot, this is indicative of a collapsed arch and the rotation of toes towards the foot's lateral aspect. Furthermore, in more advanced stages, visible foot deformities may become apparent.

Treatments for Posterior Tibial Tendon Dysfunction:

In the early stages of posterior tibial tendon dysfunction, prompt intervention can lead to symptom resolution without the necessity of surgical measures, potentially halting the condition's progression. A tailored physical therapy regimen is often the treatment of choice for mild to moderate cases, focusing on specific exercises aimed at enhancing tendon and muscle strength while preserving flexibility. Additionally, exercises are frequently recommended following a period of immobilization, ensuring the gradual rehabilitation of the affected tendon.

By addressing posterior tibial tendon dysfunction in its initial stages, patients can increase their likelihood of recovery without invasive procedures and maintain a higher quality of life.


Foot Condition #6: Plantar Fasciitis

What Is the Plantar Fascia?

Plantar fasciitis is a condition characterized by irritation and subsequent inflammation of the plantar fascia, a resilient band of tissue extending from the heel to the toes. This inflammation commonly manifests as persistent heel pain, often exacerbated during the initial steps after prolonged periods of rest. Several factors contribute to the development of plantar fasciitis, with foot arch type playing a pivotal role.

Individuals with either overly flat or high-arched feet are more susceptible to the onset of plantar fasciitis. Additionally, wearing non-supportive footwear on unyielding and flat surfaces elevates the mechanical strain experienced by the plantar fascia, potentially precipitating this condition, particularly for those engaged in occupations requiring prolonged periods of weight-bearing activities.

Furthermore, there is notable evidence supporting the link between obesity and overuse in the genesis of plantar fasciitis. Excess body weight places added pressure on the plantar fascia, intensifying the strain it endures during daily activities.

Plantar view of foot showing plantar fascia. SOURCE: Skin based on 2B4256, fascia from 5B11887. Used in 83735, versions in 2B4256, 7B11421

Signs and Symptoms of Plantar Fasciitis:

Plantar fasciitis presents a distinct set of signs and symptoms, which aid in its identification:

  1. Heel Pain: The most prominent and debilitating symptom is pain localized at the bottom of the heel.

  2. Arch Pain: Discomfort may also extend to the arch of the foot, reflecting the plantar fascia's extensive coverage.

  3. Morning Pain: Pain is often most acute during the initial steps taken in the morning or after prolonged periods of inactivity.

  4. Progressive Pain: Over the course of months, individuals may experience an increase in the intensity of pain.

  5. Heel Swelling: Swelling may develop at the base of the heel, contributing to the overall discomfort.

The pain's character frequently evolves; it may temporarily diminish following a few minutes of walking, as the act of walking gently stretches the inflamed fascia. However, the pain tends to return with prolonged weight-bearing activities, such as standing or walking for extended durations.

Treatments for Plantar Fasciitis:

The primary approach to managing plantar fasciitis revolves around conservative treatments, with advanced methods reserved for cases that fail to respond to initial interventions. Invasive options such as surgery, injections, or pain medication are occasionally considered, but these interventions often provide temporary relief due to their focus on addressing the symptoms rather than the root cause.

A Doctor of Physical Therapy offers a range of treatments designed to alleviate plantar fasciitis effectively. These interventions encompass ankle and foot mobilizations, active release techniques, taping, dry needling, the provision of foot orthotics, and specialized strengthening and stretching exercises aimed at restoring optimal foot function and diminishing discomfort.

By comprehensively addressing the various facets of plantar fasciitis, patients can improve their chances of sustained relief and enhanced mobility, ultimately resuming their daily activities with reduced discomfort.

Some Interesting Facts About Knees and Ankles and How They Are Related


As the years advance, the human body undergoes a natural wear-and-tear process, wherein even the cartilage cushioning vital joints is not immune. The consequence of this wear and tear often leads to the uncomfortable scenario where bones begin to rub against each other, culminating in the dreaded occurrence of joint inflammation.

Among the intricate network of joints in the human body, ankles take a remarkable place, often being both complex and essential. They can, however, be surprisingly easy to neglect in terms of regular care and maintenance. The implications of this oversight are far-reaching, given that your ankles significantly influence your overall mobility.

The human body is a symphony of interconnected parts, and the ankles play a crucial role in facilitating an array of movements. Yet, as the aging process unfolds, the ankles tend to lose some of their range of motion and flexibility, unless they are provided with the proper attention they deserve.

It is not uncommon for individuals to experience knee pain, seemingly unrelated to their ankles, when in fact, the two are intricately linked. A lack of mobility in the ankles can give rise to knee pain, further complicating the issue. If the ankle fails to execute its intended range of motion, it can inadvertently cause the knees to move incorrectly, setting the stage for debilitating knee pain that may even extend to the hips.

The pivotal relationship between ankle and knee health is an area of expertise at Back In Motion. Our team is well-versed in the complexities of these joints, their optimal functionality, and the potential factors that can lead to their malfunction. Unlike a primary care practitioner who might prematurely attribute joint pain in individuals over the age of 50, 60, and 70 to various forms of arthritis, we conduct a comprehensive evaluation. This approach allows us to discern whether the issue stems from a minor sprain, an unnoticed fracture, an injury to the talus (heel bone), or a form of Achilles tendonitis or tendinosis, characterized by strain and inflammation. Instead of merely prescribing rest and pills, which can sometimes prolong the healing process, we employ a tailored approach aimed at facilitating recovery by encouraging controlled movement, promoting circulation, and minimizing stiffness.

While not all issues can be immediately resolved through treatment, our examination may occasionally lead to recommendations for further diagnostic studies, such as X-rays or MRIs, to precisely determine the root cause. At times, the problem may originate in another part of the body, contributing to or triggering the observed pain.

Are You Worried About or Frustrated with Ankle and/or Foot Pain?
If you find yourself plagued by concerns or frustrations related to ankle and foot pain, the information presented here outlines the common conditions, their underlying causes, and effective treatment options available through consultation with a Doctor of Physical Therapy. Whether you have sustained an injury that seems to defy healing, struggle with pain during any form of walking, experience discomfort or imbalance while bearing weight on one side, or encounter persistent sensations of burning, tingling, or numbness, you can rest assured that you don't have to accept living with these discomforts as an inevitable fate.

You Don’t Have to “Live” with Foot or Ankle Pain & Help Is Within Your Reach


Most foot and ankle problems can be traced back to injuries, extended periods of immobilization, ill-fitting footwear, excessive use, or irregular foot biomechanics. It is important to recognize that pain in this region can be indicative of an underlying issue, such as inflammation or an untreated fracture. The complexity of the anatomical structure of the feet and ankles underscores the significance of identifying the root cause, thereby enabling the provision of tailored treatment for resolution.

If you’ve been thinking that it will eventually go away, you might be doing more harm than good.

Back In Motion boasts extensive experience in addressing a spectrum of foot and ankle-related discomfort, stemming from years of collaboration with diverse clientele, including elite athletes, sedentary individuals, and dedicated fitness enthusiasts. This wealth of experience, combined with our proprietary approach, the GRAY METHOD™, empowers us to not only treat these conditions but also delve deeper into the intricacies to uncover the precise cause and institute the most suitable remedies.

The path to relief from foot and ankle discomfort commences with a thorough understanding of the underlying issues. To embark on this journey towards improved mobility and a pain-free existence, we invite you to contact our office at 239-766-5547 and schedule your consultation. Alternatively, you can initiate the process through our user-friendly online form.

Your quest for a life unhindered by ankle and foot pain begins here. Let's unveil the root cause of your discomfort and get you back in motion!

If you are looking for exceptional foot and ankle pain treatment near you, visit Back In Motion Physical Therapy & Performance!

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]

Minor injuries cause stretching or microscopic tears in the stabilizing ligaments. A major injury can compromise the high ankle (syndesmotic) structure, involving the ligaments that bind the distal tibia and fibula at the distal tibiofibular joint. These injuries may lead to complete tendon disruption and fractures of the ankle and foot.

What Causes an Ankle Sprain?

The chief underlying cause of ankle sprains is often attributed to weakened muscles surrounding the ankle, which should serve as the primary support for this joint. When these muscles lack the requisite strength, the ankle is susceptible to excessive ranges of motion that may compromise the surrounding ligaments. Additional factors contributing to ankle sprains comprise limited ankle flexibility (ankle dorsiflexion), unsuitable arch height, inadequate ankle-strengthening and mobility exercises, non-supportive footwear, physical activities on uneven terrain, insufficient warm-up routines, and suboptimal posture during sitting, standing, lifting, and exercise.

Signs and Symptoms of an Ankle Sprain :

The most evident indication of an ankle sprain includes an awkward foot movement accompanied by ankle rolling and immediate pain. Other symptoms encompass an inability to bear weight on the injured ankle, resulting in pain and stability loss, restricted ankle mobility, tenderness, swelling, and bruising. The severity of symptoms can range from mild to severe, with recovery time varying from one week to several weeks or more, contingent on the implementation of appropriate treatment.

There are three grades of an ankle sprain:

  • Grade 1: (Mild) Microscopic tearing of the ligament. You may have a little bit of swelling, pain, and tenderness.
  • Grade 2: (Moderate) Partial tearing of the ligament. You may have moderate swelling, pain, tenderness, and looseness in the ankle joint.
  • Grade 3: (Severe) Full tear of the ligament. You may have severe swelling, pain, tenderness, and instability in the ankle joint.


Treatments for Ankle Sprains:

Conventional recommendations for ankle sprains often involve rest and painkillers, which, albeit providing symptomatic relief, do not address the root cause of the issue. Symptom-masking approaches are not sustainable and tend to lead to recurring pain and frustration. Effective treatments for ankle sprains encompass manual therapy, KT taping, functional exercises, and strength-building programs, such as blood flow restriction training.

Please note that manual therapy, specific exercises, and technique modifications offer more durable solutions by addressing the fundamental problems responsible for the ankle sprain.

Foot Condition #3: Peroneal Tendon Dysfunction

What Is the Peroneal Tendon?

Peroneal tendon dysfunction pertains to issues within a group of three tendons originating in the lateral shin and extending to the foot.

These tendons, namely the peroneus longus, peroneus brevis, and peroneus tertius, can be afflicted by inflammation (tendonitis), degradation (tendonosis), tearing, or subluxation, whereby one or both tendons shift out of place behind the lateral ankle.

These three muscles are called the peroneus longus, peroneus brevis, and peroneus tertius.

peroneal tendon

Peroneal tendon dysfunction can result from abrupt overuse, repetitive ankle movements as encountered in certain sports, or a sudden increase in activity levels. Individuals with high arches are at an elevated risk due to the constant stretching of these tendons, while the choice of unsupportive footwear, such as flip-flops or worn-out sneakers, can further exacerbate the issue. Exercising or walking on uneven surfaces and neglecting proper warm-up routines can contribute to the development of peroneal tendon dysfunction.

Signs and Symptoms of Peroneal Tendon Irritation :

Symptoms may vary depending on whether inflammation (tendonitis) or damage (tendonosis) is prevalent. Indications include swelling, warmth to the touch, pain during certain foot and ankle movements (eversion, plantar flexion, inversion, dorsiflexion), and pain when stretching the peroneal muscles.

The diagnosis and ensuing treatment approach must be tailored to the specific

Treatments for Peroneal Tendon Dysfunction:

Upon receiving a proper diagnosis, it is imperative to commence the correct treatment addressing the root cause. The approach may begin with more conservative methods, gradually incorporating specific exercises to enhance muscle strength, range of motion, and balance as symptoms improve.

As these conditions often present subtle distinctions and manifest differently in each individual, it is our priority to tailor a combination of therapies to facilitate recovery and an improved quality of life.

Common treatment options for peroneal tendon dysfunction include:

  1. Foot Orthotics: Customized shoe inserts that provide support and correction for foot biomechanics.

  2. Taping: Employing specialized taping techniques to alleviate stress on the peroneal tendons and promote healing.

  3. Exercise: Prescribed exercises target the affected area, enhancing muscle strength and flexibility.

  4. Patient Education: Understanding the condition and how to manage it is a crucial aspect of the treatment.

  5. Dry Needling: A technique involving the insertion of thin needles into trigger points to relieve pain and muscle tension.

  6. Active Release Technique (ART): A hands-on approach to treat soft tissue injuries by removing adhesions and scar tissue.

Foot Condition #4: Achilles Tendonosis & Tendonitis

What Is the Achilles Tendon & How Does It Get Injured?

The Achilles tendon is among the body's most robust tendons, tasked with bearing your entire body weight. Located at the posterior of the calf, it comprises three muscles: the gastrocnemius, soleus, and plantar muscle, collectively known as the triceps surae.

achilles tendon

Both Achilles tendonitis and tendonosis often arise from a sudden increase in repetitive activities involving the Achilles tendon.

These activities place excessive pressure on the tendon, causing micro-damage to the tendon fibers. Over time, the body's inability to repair the damaged tissue results in a structural change in the tendon, leading to persistent pain.

Individuals with excessive internal rotation or pronation, such as those with flat arches, are more susceptible to Achilles tendon issues. Wearing unsupportive footwear on hard, flat surfaces exacerbates the condition, especially for those who spend extended periods on their feet.

Signs and Symptoms of Achilles Tendon Dysfunction:

The most common symptoms of achilles tendon dysfunction include:

  • Pain and stiffness above the heel or behind the ankle, particularly in the morning.
  • Aggravation of pain during on-foot activities.
  • Swelling around the heel area.
  • A visible bump on the heel.
  • Pain when standing on tiptoe.
  • A perception of the heel being “spongy” when pressed.
  • Pain when pushing off while walking.

Treatments for the Achilles Tendon:

Successful recovery from Achilles tendon problems necessitates proper treatment. Our advanced treatment methods include:

  1. Specific Strengthening and Stretching Exercises: Tailored exercises to target Achilles tendon issues.

  2. Manual Therapy: Hands-on techniques to alleviate pain and facilitate healing.

  3. Technique Modifications: Correcting gait and activity techniques to reduce stress on the Achilles tendon.

  4. Postural Adjustments: Ensuring proper posture to minimize strain on the tendon.

  5. Patient Education: Comprehensive understanding of the condition and how to manage it.

  6. Shoe Inserts: The use of orthotic inserts to provide proper support to the Achilles tendon.

  7. Dry Needling: The insertion of fine needles into trigger points to alleviate pain and muscle tension.

Ultimately, our one-on-one approach ensures that we design a personalized treatment plan based on your specific underlying causes to facilitate your recovery.

Foot Condition #5: Posterior Tibial Tendon Dysfunction

What Is a Posterior Tibial Tendon?

The posterior tibial tendon, a pivotal supporting structure in the foot, plays a vital role in maintaining proper foot function during the act of walking. However, alterations in this crucial tendon can lead to a condition known as posterior tibial tendon dysfunction, characterized by the flattening of the foot's arch. This condition predominantly affects one foot, but bilateral occurrences are not uncommon, often displaying a progressive nature if left untreated.

The primary etiological factor is the mechanical strain placed on the posterior tibial tendon, particularly prevalent in individuals with flat feet. Symptoms manifest following activities that demand substantial involvement of the tendon, such as running, walking, hiking, or stair climbing.

Signs and Symptoms of Peroneal Tendon Dysfunction :

Individuals afflicted by posterior tibial tendon dysfunction typically report discomfort localized on the interior of the foot, primarily in the middle or rear section. The pain tends to mirror the path of the affected tendon, tracing from behind the ankle bone to the inner aspect of the foot.

Profound weakness in the foot is a common symptom. This weakness becomes apparent when individuals struggle to perform a simple “heel raise” or calf raise exercise. Inability to achieve heel inversion or supination during this exercise often serves as a key diagnostic indicator.

An advanced clinical sign, known as the “too many toes” sign, becomes evident when an observer positions themselves behind the patient and assesses their feet. If an abnormal number of toes appear to protrude outward on the side of the foot, this is indicative of a collapsed arch and the rotation of toes towards the foot's lateral aspect. Furthermore, in more advanced stages, visible foot deformities may become apparent.

Treatments for Posterior Tibial Tendon Dysfunction:

In the early stages of posterior tibial tendon dysfunction, prompt intervention can lead to symptom resolution without the necessity of surgical measures, potentially halting the condition's progression. A tailored physical therapy regimen is often the treatment of choice for mild to moderate cases, focusing on specific exercises aimed at enhancing tendon and muscle strength while preserving flexibility. Additionally, exercises are frequently recommended following a period of immobilization, ensuring the gradual rehabilitation of the affected tendon.

By addressing posterior tibial tendon dysfunction in its initial stages, patients can increase their likelihood of recovery without invasive procedures and maintain a higher quality of life.


Foot Condition #6: Plantar Fasciitis

What Is the Plantar Fascia?

Plantar fasciitis is a condition characterized by irritation and subsequent inflammation of the plantar fascia, a resilient band of tissue extending from the heel to the toes. This inflammation commonly manifests as persistent heel pain, often exacerbated during the initial steps after prolonged periods of rest. Several factors contribute to the development of plantar fasciitis, with foot arch type playing a pivotal role.

Individuals with either overly flat or high-arched feet are more susceptible to the onset of plantar fasciitis. Additionally, wearing non-supportive footwear on unyielding and flat surfaces elevates the mechanical strain experienced by the plantar fascia, potentially precipitating this condition, particularly for those engaged in occupations requiring prolonged periods of weight-bearing activities.

Furthermore, there is notable evidence supporting the link between obesity and overuse in the genesis of plantar fasciitis. Excess body weight places added pressure on the plantar fascia, intensifying the strain it endures during daily activities.

Plantar view of foot showing plantar fascia. SOURCE: Skin based on 2B4256, fascia from 5B11887. Used in 83735, versions in 2B4256, 7B11421

Signs and Symptoms of Plantar Fasciitis:

Plantar fasciitis presents a distinct set of signs and symptoms, which aid in its identification:

  1. Heel Pain: The most prominent and debilitating symptom is pain localized at the bottom of the heel.

  2. Arch Pain: Discomfort may also extend to the arch of the foot, reflecting the plantar fascia's extensive coverage.

  3. Morning Pain: Pain is often most acute during the initial steps taken in the morning or after prolonged periods of inactivity.

  4. Progressive Pain: Over the course of months, individuals may experience an increase in the intensity of pain.

  5. Heel Swelling: Swelling may develop at the base of the heel, contributing to the overall discomfort.

The pain's character frequently evolves; it may temporarily diminish following a few minutes of walking, as the act of walking gently stretches the inflamed fascia. However, the pain tends to return with prolonged weight-bearing activities, such as standing or walking for extended durations.

Treatments for Plantar Fasciitis:

The primary approach to managing plantar fasciitis revolves around conservative treatments, with advanced methods reserved for cases that fail to respond to initial interventions. Invasive options such as surgery, injections, or pain medication are occasionally considered, but these interventions often provide temporary relief due to their focus on addressing the symptoms rather than the root cause.

A Doctor of Physical Therapy offers a range of treatments designed to alleviate plantar fasciitis effectively. These interventions encompass ankle and foot mobilizations, active release techniques, taping, dry needling, the provision of foot orthotics, and specialized strengthening and stretching exercises aimed at restoring optimal foot function and diminishing discomfort.

By comprehensively addressing the various facets of plantar fasciitis, patients can improve their chances of sustained relief and enhanced mobility, ultimately resuming their daily activities with reduced discomfort.

Some Interesting Facts About Knees and Ankles and How They Are Related


As the years advance, the human body undergoes a natural wear-and-tear process, wherein even the cartilage cushioning vital joints is not immune. The consequence of this wear and tear often leads to the uncomfortable scenario where bones begin to rub against each other, culminating in the dreaded occurrence of joint inflammation.

Among the intricate network of joints in the human body, ankles take a remarkable place, often being both complex and essential. They can, however, be surprisingly easy to neglect in terms of regular care and maintenance. The implications of this oversight are far-reaching, given that your ankles significantly influence your overall mobility.

The human body is a symphony of interconnected parts, and the ankles play a crucial role in facilitating an array of movements. Yet, as the aging process unfolds, the ankles tend to lose some of their range of motion and flexibility, unless they are provided with the proper attention they deserve.

It is not uncommon for individuals to experience knee pain, seemingly unrelated to their ankles, when in fact, the two are intricately linked. A lack of mobility in the ankles can give rise to knee pain, further complicating the issue. If the ankle fails to execute its intended range of motion, it can inadvertently cause the knees to move incorrectly, setting the stage for debilitating knee pain that may even extend to the hips.

The pivotal relationship between ankle and knee health is an area of expertise at Back In Motion. Our team is well-versed in the complexities of these joints, their optimal functionality, and the potential factors that can lead to their malfunction. Unlike a primary care practitioner who might prematurely attribute joint pain in individuals over the age of 50, 60, and 70 to various forms of arthritis, we conduct a comprehensive evaluation. This approach allows us to discern whether the issue stems from a minor sprain, an unnoticed fracture, an injury to the talus (heel bone), or a form of Achilles tendonitis or tendinosis, characterized by strain and inflammation. Instead of merely prescribing rest and pills, which can sometimes prolong the healing process, we employ a tailored approach aimed at facilitating recovery by encouraging controlled movement, promoting circulation, and minimizing stiffness.

While not all issues can be immediately resolved through treatment, our examination may occasionally lead to recommendations for further diagnostic studies, such as X-rays or MRIs, to precisely determine the root cause. At times, the problem may originate in another part of the body, contributing to or triggering the observed pain.

Are You Worried About or Frustrated with Ankle and/or Foot Pain?
If you find yourself plagued by concerns or frustrations related to ankle and foot pain, the information presented here outlines the common conditions, their underlying causes, and effective treatment options available through consultation with a Doctor of Physical Therapy. Whether you have sustained an injury that seems to defy healing, struggle with pain during any form of walking, experience discomfort or imbalance while bearing weight on one side, or encounter persistent sensations of burning, tingling, or numbness, you can rest assured that you don't have to accept living with these discomforts as an inevitable fate.

You Don’t Have to “Live” with Foot or Ankle Pain & Help Is Within Your Reach


Most foot and ankle problems can be traced back to injuries, extended periods of immobilization, ill-fitting footwear, excessive use, or irregular foot biomechanics. It is important to recognize that pain in this region can be indicative of an underlying issue, such as inflammation or an untreated fracture. The complexity of the anatomical structure of the feet and ankles underscores the significance of identifying the root cause, thereby enabling the provision of tailored treatment for resolution.

If you’ve been thinking that it will eventually go away, you might be doing more harm than good.

Back In Motion boasts extensive experience in addressing a spectrum of foot and ankle-related discomfort, stemming from years of collaboration with diverse clientele, including elite athletes, sedentary individuals, and dedicated fitness enthusiasts. This wealth of experience, combined with our proprietary approach, the GRAY METHOD™, empowers us to not only treat these conditions but also delve deeper into the intricacies to uncover the precise cause and institute the most suitable remedies.

The path to relief from foot and ankle discomfort commences with a thorough understanding of the underlying issues. To embark on this journey towards improved mobility and a pain-free existence, we invite you to contact our office at 239-766-5547 and schedule your consultation. Alternatively, you can initiate the process through our user-friendly online form.

Your quest for a life unhindered by ankle and foot pain begins here. Let's unveil the root cause of your discomfort and get you back in motion!

If you are looking for exceptional foot and ankle pain treatment near you, visit Back In Motion Physical Therapy & Performance!

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]

Types of Ankle Sprains:

Two distinct types of ankle sprains are commonly encountered: eversion and inversion. Eversion ankle sprains occur when the ankle rolls outward, tearing the deltoid ligaments. In contrast, inversion ankle sprains transpire when the foot turns upwards and the ankle rolls inward. Inversion sprains are more frequent and primarily involve injury to the anterior talofibular ligament (ATFL), a key component of the lateral collateral ligament in the ankle. While inversion sprains predominantly affect the ATFL, eversion can result in a strain or avulsion fracture of the medial malleolus.

Minor injuries cause stretching or microscopic tears in the stabilizing ligaments. A major injury can compromise the high ankle (syndesmotic) structure, involving the ligaments that bind the distal tibia and fibula at the distal tibiofibular joint. These injuries may lead to complete tendon disruption and fractures of the ankle and foot.

What Causes an Ankle Sprain?

The chief underlying cause of ankle sprains is often attributed to weakened muscles surrounding the ankle, which should serve as the primary support for this joint. When these muscles lack the requisite strength, the ankle is susceptible to excessive ranges of motion that may compromise the surrounding ligaments. Additional factors contributing to ankle sprains comprise limited ankle flexibility (ankle dorsiflexion), unsuitable arch height, inadequate ankle-strengthening and mobility exercises, non-supportive footwear, physical activities on uneven terrain, insufficient warm-up routines, and suboptimal posture during sitting, standing, lifting, and exercise.

Signs and Symptoms of an Ankle Sprain :

The most evident indication of an ankle sprain includes an awkward foot movement accompanied by ankle rolling and immediate pain. Other symptoms encompass an inability to bear weight on the injured ankle, resulting in pain and stability loss, restricted ankle mobility, tenderness, swelling, and bruising. The severity of symptoms can range from mild to severe, with recovery time varying from one week to several weeks or more, contingent on the implementation of appropriate treatment.

There are three grades of an ankle sprain:

  • Grade 1: (Mild) Microscopic tearing of the ligament. You may have a little bit of swelling, pain, and tenderness.
  • Grade 2: (Moderate) Partial tearing of the ligament. You may have moderate swelling, pain, tenderness, and looseness in the ankle joint.
  • Grade 3: (Severe) Full tear of the ligament. You may have severe swelling, pain, tenderness, and instability in the ankle joint.


Treatments for Ankle Sprains:

Conventional recommendations for ankle sprains often involve rest and painkillers, which, albeit providing symptomatic relief, do not address the root cause of the issue. Symptom-masking approaches are not sustainable and tend to lead to recurring pain and frustration. Effective treatments for ankle sprains encompass manual therapy, KT taping, functional exercises, and strength-building programs, such as blood flow restriction training.

Please note that manual therapy, specific exercises, and technique modifications offer more durable solutions by addressing the fundamental problems responsible for the ankle sprain.

Foot Condition #3: Peroneal Tendon Dysfunction

What Is the Peroneal Tendon?

Peroneal tendon dysfunction pertains to issues within a group of three tendons originating in the lateral shin and extending to the foot.

These tendons, namely the peroneus longus, peroneus brevis, and peroneus tertius, can be afflicted by inflammation (tendonitis), degradation (tendonosis), tearing, or subluxation, whereby one or both tendons shift out of place behind the lateral ankle.

These three muscles are called the peroneus longus, peroneus brevis, and peroneus tertius.

peroneal tendon

Peroneal tendon dysfunction can result from abrupt overuse, repetitive ankle movements as encountered in certain sports, or a sudden increase in activity levels. Individuals with high arches are at an elevated risk due to the constant stretching of these tendons, while the choice of unsupportive footwear, such as flip-flops or worn-out sneakers, can further exacerbate the issue. Exercising or walking on uneven surfaces and neglecting proper warm-up routines can contribute to the development of peroneal tendon dysfunction.

Signs and Symptoms of Peroneal Tendon Irritation :

Symptoms may vary depending on whether inflammation (tendonitis) or damage (tendonosis) is prevalent. Indications include swelling, warmth to the touch, pain during certain foot and ankle movements (eversion, plantar flexion, inversion, dorsiflexion), and pain when stretching the peroneal muscles.

The diagnosis and ensuing treatment approach must be tailored to the specific

Treatments for Peroneal Tendon Dysfunction:

Upon receiving a proper diagnosis, it is imperative to commence the correct treatment addressing the root cause. The approach may begin with more conservative methods, gradually incorporating specific exercises to enhance muscle strength, range of motion, and balance as symptoms improve.

As these conditions often present subtle distinctions and manifest differently in each individual, it is our priority to tailor a combination of therapies to facilitate recovery and an improved quality of life.

Common treatment options for peroneal tendon dysfunction include:

  1. Foot Orthotics: Customized shoe inserts that provide support and correction for foot biomechanics.

  2. Taping: Employing specialized taping techniques to alleviate stress on the peroneal tendons and promote healing.

  3. Exercise: Prescribed exercises target the affected area, enhancing muscle strength and flexibility.

  4. Patient Education: Understanding the condition and how to manage it is a crucial aspect of the treatment.

  5. Dry Needling: A technique involving the insertion of thin needles into trigger points to relieve pain and muscle tension.

  6. Active Release Technique (ART): A hands-on approach to treat soft tissue injuries by removing adhesions and scar tissue.

Foot Condition #4: Achilles Tendonosis & Tendonitis

What Is the Achilles Tendon & How Does It Get Injured?

The Achilles tendon is among the body's most robust tendons, tasked with bearing your entire body weight. Located at the posterior of the calf, it comprises three muscles: the gastrocnemius, soleus, and plantar muscle, collectively known as the triceps surae.

achilles tendon

Both Achilles tendonitis and tendonosis often arise from a sudden increase in repetitive activities involving the Achilles tendon.

These activities place excessive pressure on the tendon, causing micro-damage to the tendon fibers. Over time, the body's inability to repair the damaged tissue results in a structural change in the tendon, leading to persistent pain.

Individuals with excessive internal rotation or pronation, such as those with flat arches, are more susceptible to Achilles tendon issues. Wearing unsupportive footwear on hard, flat surfaces exacerbates the condition, especially for those who spend extended periods on their feet.

Signs and Symptoms of Achilles Tendon Dysfunction:

The most common symptoms of achilles tendon dysfunction include:

  • Pain and stiffness above the heel or behind the ankle, particularly in the morning.
  • Aggravation of pain during on-foot activities.
  • Swelling around the heel area.
  • A visible bump on the heel.
  • Pain when standing on tiptoe.
  • A perception of the heel being “spongy” when pressed.
  • Pain when pushing off while walking.

Treatments for the Achilles Tendon:

Successful recovery from Achilles tendon problems necessitates proper treatment. Our advanced treatment methods include:

  1. Specific Strengthening and Stretching Exercises: Tailored exercises to target Achilles tendon issues.

  2. Manual Therapy: Hands-on techniques to alleviate pain and facilitate healing.

  3. Technique Modifications: Correcting gait and activity techniques to reduce stress on the Achilles tendon.

  4. Postural Adjustments: Ensuring proper posture to minimize strain on the tendon.

  5. Patient Education: Comprehensive understanding of the condition and how to manage it.

  6. Shoe Inserts: The use of orthotic inserts to provide proper support to the Achilles tendon.

  7. Dry Needling: The insertion of fine needles into trigger points to alleviate pain and muscle tension.

Ultimately, our one-on-one approach ensures that we design a personalized treatment plan based on your specific underlying causes to facilitate your recovery.

Foot Condition #5: Posterior Tibial Tendon Dysfunction

What Is a Posterior Tibial Tendon?

The posterior tibial tendon, a pivotal supporting structure in the foot, plays a vital role in maintaining proper foot function during the act of walking. However, alterations in this crucial tendon can lead to a condition known as posterior tibial tendon dysfunction, characterized by the flattening of the foot's arch. This condition predominantly affects one foot, but bilateral occurrences are not uncommon, often displaying a progressive nature if left untreated.

The primary etiological factor is the mechanical strain placed on the posterior tibial tendon, particularly prevalent in individuals with flat feet. Symptoms manifest following activities that demand substantial involvement of the tendon, such as running, walking, hiking, or stair climbing.

Signs and Symptoms of Peroneal Tendon Dysfunction :

Individuals afflicted by posterior tibial tendon dysfunction typically report discomfort localized on the interior of the foot, primarily in the middle or rear section. The pain tends to mirror the path of the affected tendon, tracing from behind the ankle bone to the inner aspect of the foot.

Profound weakness in the foot is a common symptom. This weakness becomes apparent when individuals struggle to perform a simple “heel raise” or calf raise exercise. Inability to achieve heel inversion or supination during this exercise often serves as a key diagnostic indicator.

An advanced clinical sign, known as the “too many toes” sign, becomes evident when an observer positions themselves behind the patient and assesses their feet. If an abnormal number of toes appear to protrude outward on the side of the foot, this is indicative of a collapsed arch and the rotation of toes towards the foot's lateral aspect. Furthermore, in more advanced stages, visible foot deformities may become apparent.

Treatments for Posterior Tibial Tendon Dysfunction:

In the early stages of posterior tibial tendon dysfunction, prompt intervention can lead to symptom resolution without the necessity of surgical measures, potentially halting the condition's progression. A tailored physical therapy regimen is often the treatment of choice for mild to moderate cases, focusing on specific exercises aimed at enhancing tendon and muscle strength while preserving flexibility. Additionally, exercises are frequently recommended following a period of immobilization, ensuring the gradual rehabilitation of the affected tendon.

By addressing posterior tibial tendon dysfunction in its initial stages, patients can increase their likelihood of recovery without invasive procedures and maintain a higher quality of life.


Foot Condition #6: Plantar Fasciitis

What Is the Plantar Fascia?

Plantar fasciitis is a condition characterized by irritation and subsequent inflammation of the plantar fascia, a resilient band of tissue extending from the heel to the toes. This inflammation commonly manifests as persistent heel pain, often exacerbated during the initial steps after prolonged periods of rest. Several factors contribute to the development of plantar fasciitis, with foot arch type playing a pivotal role.

Individuals with either overly flat or high-arched feet are more susceptible to the onset of plantar fasciitis. Additionally, wearing non-supportive footwear on unyielding and flat surfaces elevates the mechanical strain experienced by the plantar fascia, potentially precipitating this condition, particularly for those engaged in occupations requiring prolonged periods of weight-bearing activities.

Furthermore, there is notable evidence supporting the link between obesity and overuse in the genesis of plantar fasciitis. Excess body weight places added pressure on the plantar fascia, intensifying the strain it endures during daily activities.

Plantar view of foot showing plantar fascia. SOURCE: Skin based on 2B4256, fascia from 5B11887. Used in 83735, versions in 2B4256, 7B11421

Signs and Symptoms of Plantar Fasciitis:

Plantar fasciitis presents a distinct set of signs and symptoms, which aid in its identification:

  1. Heel Pain: The most prominent and debilitating symptom is pain localized at the bottom of the heel.

  2. Arch Pain: Discomfort may also extend to the arch of the foot, reflecting the plantar fascia's extensive coverage.

  3. Morning Pain: Pain is often most acute during the initial steps taken in the morning or after prolonged periods of inactivity.

  4. Progressive Pain: Over the course of months, individuals may experience an increase in the intensity of pain.

  5. Heel Swelling: Swelling may develop at the base of the heel, contributing to the overall discomfort.

The pain's character frequently evolves; it may temporarily diminish following a few minutes of walking, as the act of walking gently stretches the inflamed fascia. However, the pain tends to return with prolonged weight-bearing activities, such as standing or walking for extended durations.

Treatments for Plantar Fasciitis:

The primary approach to managing plantar fasciitis revolves around conservative treatments, with advanced methods reserved for cases that fail to respond to initial interventions. Invasive options such as surgery, injections, or pain medication are occasionally considered, but these interventions often provide temporary relief due to their focus on addressing the symptoms rather than the root cause.

A Doctor of Physical Therapy offers a range of treatments designed to alleviate plantar fasciitis effectively. These interventions encompass ankle and foot mobilizations, active release techniques, taping, dry needling, the provision of foot orthotics, and specialized strengthening and stretching exercises aimed at restoring optimal foot function and diminishing discomfort.

By comprehensively addressing the various facets of plantar fasciitis, patients can improve their chances of sustained relief and enhanced mobility, ultimately resuming their daily activities with reduced discomfort.

Some Interesting Facts About Knees and Ankles and How They Are Related


As the years advance, the human body undergoes a natural wear-and-tear process, wherein even the cartilage cushioning vital joints is not immune. The consequence of this wear and tear often leads to the uncomfortable scenario where bones begin to rub against each other, culminating in the dreaded occurrence of joint inflammation.

Among the intricate network of joints in the human body, ankles take a remarkable place, often being both complex and essential. They can, however, be surprisingly easy to neglect in terms of regular care and maintenance. The implications of this oversight are far-reaching, given that your ankles significantly influence your overall mobility.

The human body is a symphony of interconnected parts, and the ankles play a crucial role in facilitating an array of movements. Yet, as the aging process unfolds, the ankles tend to lose some of their range of motion and flexibility, unless they are provided with the proper attention they deserve.

It is not uncommon for individuals to experience knee pain, seemingly unrelated to their ankles, when in fact, the two are intricately linked. A lack of mobility in the ankles can give rise to knee pain, further complicating the issue. If the ankle fails to execute its intended range of motion, it can inadvertently cause the knees to move incorrectly, setting the stage for debilitating knee pain that may even extend to the hips.

The pivotal relationship between ankle and knee health is an area of expertise at Back In Motion. Our team is well-versed in the complexities of these joints, their optimal functionality, and the potential factors that can lead to their malfunction. Unlike a primary care practitioner who might prematurely attribute joint pain in individuals over the age of 50, 60, and 70 to various forms of arthritis, we conduct a comprehensive evaluation. This approach allows us to discern whether the issue stems from a minor sprain, an unnoticed fracture, an injury to the talus (heel bone), or a form of Achilles tendonitis or tendinosis, characterized by strain and inflammation. Instead of merely prescribing rest and pills, which can sometimes prolong the healing process, we employ a tailored approach aimed at facilitating recovery by encouraging controlled movement, promoting circulation, and minimizing stiffness.

While not all issues can be immediately resolved through treatment, our examination may occasionally lead to recommendations for further diagnostic studies, such as X-rays or MRIs, to precisely determine the root cause. At times, the problem may originate in another part of the body, contributing to or triggering the observed pain.

Are You Worried About or Frustrated with Ankle and/or Foot Pain?
If you find yourself plagued by concerns or frustrations related to ankle and foot pain, the information presented here outlines the common conditions, their underlying causes, and effective treatment options available through consultation with a Doctor of Physical Therapy. Whether you have sustained an injury that seems to defy healing, struggle with pain during any form of walking, experience discomfort or imbalance while bearing weight on one side, or encounter persistent sensations of burning, tingling, or numbness, you can rest assured that you don't have to accept living with these discomforts as an inevitable fate.

You Don’t Have to “Live” with Foot or Ankle Pain & Help Is Within Your Reach


Most foot and ankle problems can be traced back to injuries, extended periods of immobilization, ill-fitting footwear, excessive use, or irregular foot biomechanics. It is important to recognize that pain in this region can be indicative of an underlying issue, such as inflammation or an untreated fracture. The complexity of the anatomical structure of the feet and ankles underscores the significance of identifying the root cause, thereby enabling the provision of tailored treatment for resolution.

If you’ve been thinking that it will eventually go away, you might be doing more harm than good.

Back In Motion boasts extensive experience in addressing a spectrum of foot and ankle-related discomfort, stemming from years of collaboration with diverse clientele, including elite athletes, sedentary individuals, and dedicated fitness enthusiasts. This wealth of experience, combined with our proprietary approach, the GRAY METHOD™, empowers us to not only treat these conditions but also delve deeper into the intricacies to uncover the precise cause and institute the most suitable remedies.

The path to relief from foot and ankle discomfort commences with a thorough understanding of the underlying issues. To embark on this journey towards improved mobility and a pain-free existence, we invite you to contact our office at 239-766-5547 and schedule your consultation. Alternatively, you can initiate the process through our user-friendly online form.

Your quest for a life unhindered by ankle and foot pain begins here. Let's unveil the root cause of your discomfort and get you back in motion!

If you are looking for exceptional foot and ankle pain treatment near you, visit Back In Motion Physical Therapy & Performance!

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]

What Is an Ankle Sprain?

An ankle sprain takes place when the ligament connecting the leg and foot bones undergoes excessive stretching and tearing. In most cases, an ankle sprain is not merely an outcome of an unfortunate step but rather the manifestation of an underlying issue.

Types of Ankle Sprains:

Two distinct types of ankle sprains are commonly encountered: eversion and inversion. Eversion ankle sprains occur when the ankle rolls outward, tearing the deltoid ligaments. In contrast, inversion ankle sprains transpire when the foot turns upwards and the ankle rolls inward. Inversion sprains are more frequent and primarily involve injury to the anterior talofibular ligament (ATFL), a key component of the lateral collateral ligament in the ankle. While inversion sprains predominantly affect the ATFL, eversion can result in a strain or avulsion fracture of the medial malleolus.

Minor injuries cause stretching or microscopic tears in the stabilizing ligaments. A major injury can compromise the high ankle (syndesmotic) structure, involving the ligaments that bind the distal tibia and fibula at the distal tibiofibular joint. These injuries may lead to complete tendon disruption and fractures of the ankle and foot.

What Causes an Ankle Sprain?

The chief underlying cause of ankle sprains is often attributed to weakened muscles surrounding the ankle, which should serve as the primary support for this joint. When these muscles lack the requisite strength, the ankle is susceptible to excessive ranges of motion that may compromise the surrounding ligaments. Additional factors contributing to ankle sprains comprise limited ankle flexibility (ankle dorsiflexion), unsuitable arch height, inadequate ankle-strengthening and mobility exercises, non-supportive footwear, physical activities on uneven terrain, insufficient warm-up routines, and suboptimal posture during sitting, standing, lifting, and exercise.

Signs and Symptoms of an Ankle Sprain :

The most evident indication of an ankle sprain includes an awkward foot movement accompanied by ankle rolling and immediate pain. Other symptoms encompass an inability to bear weight on the injured ankle, resulting in pain and stability loss, restricted ankle mobility, tenderness, swelling, and bruising. The severity of symptoms can range from mild to severe, with recovery time varying from one week to several weeks or more, contingent on the implementation of appropriate treatment.

There are three grades of an ankle sprain:

  • Grade 1: (Mild) Microscopic tearing of the ligament. You may have a little bit of swelling, pain, and tenderness.
  • Grade 2: (Moderate) Partial tearing of the ligament. You may have moderate swelling, pain, tenderness, and looseness in the ankle joint.
  • Grade 3: (Severe) Full tear of the ligament. You may have severe swelling, pain, tenderness, and instability in the ankle joint.


Treatments for Ankle Sprains:

Conventional recommendations for ankle sprains often involve rest and painkillers, which, albeit providing symptomatic relief, do not address the root cause of the issue. Symptom-masking approaches are not sustainable and tend to lead to recurring pain and frustration. Effective treatments for ankle sprains encompass manual therapy, KT taping, functional exercises, and strength-building programs, such as blood flow restriction training.

Please note that manual therapy, specific exercises, and technique modifications offer more durable solutions by addressing the fundamental problems responsible for the ankle sprain.

Foot Condition #3: Peroneal Tendon Dysfunction

What Is the Peroneal Tendon?

Peroneal tendon dysfunction pertains to issues within a group of three tendons originating in the lateral shin and extending to the foot.

These tendons, namely the peroneus longus, peroneus brevis, and peroneus tertius, can be afflicted by inflammation (tendonitis), degradation (tendonosis), tearing, or subluxation, whereby one or both tendons shift out of place behind the lateral ankle.

These three muscles are called the peroneus longus, peroneus brevis, and peroneus tertius.

peroneal tendon

Peroneal tendon dysfunction can result from abrupt overuse, repetitive ankle movements as encountered in certain sports, or a sudden increase in activity levels. Individuals with high arches are at an elevated risk due to the constant stretching of these tendons, while the choice of unsupportive footwear, such as flip-flops or worn-out sneakers, can further exacerbate the issue. Exercising or walking on uneven surfaces and neglecting proper warm-up routines can contribute to the development of peroneal tendon dysfunction.

Signs and Symptoms of Peroneal Tendon Irritation :

Symptoms may vary depending on whether inflammation (tendonitis) or damage (tendonosis) is prevalent. Indications include swelling, warmth to the touch, pain during certain foot and ankle movements (eversion, plantar flexion, inversion, dorsiflexion), and pain when stretching the peroneal muscles.

The diagnosis and ensuing treatment approach must be tailored to the specific

Treatments for Peroneal Tendon Dysfunction:

Upon receiving a proper diagnosis, it is imperative to commence the correct treatment addressing the root cause. The approach may begin with more conservative methods, gradually incorporating specific exercises to enhance muscle strength, range of motion, and balance as symptoms improve.

As these conditions often present subtle distinctions and manifest differently in each individual, it is our priority to tailor a combination of therapies to facilitate recovery and an improved quality of life.

Common treatment options for peroneal tendon dysfunction include:

  1. Foot Orthotics: Customized shoe inserts that provide support and correction for foot biomechanics.

  2. Taping: Employing specialized taping techniques to alleviate stress on the peroneal tendons and promote healing.

  3. Exercise: Prescribed exercises target the affected area, enhancing muscle strength and flexibility.

  4. Patient Education: Understanding the condition and how to manage it is a crucial aspect of the treatment.

  5. Dry Needling: A technique involving the insertion of thin needles into trigger points to relieve pain and muscle tension.

  6. Active Release Technique (ART): A hands-on approach to treat soft tissue injuries by removing adhesions and scar tissue.

Foot Condition #4: Achilles Tendonosis & Tendonitis

What Is the Achilles Tendon & How Does It Get Injured?

The Achilles tendon is among the body's most robust tendons, tasked with bearing your entire body weight. Located at the posterior of the calf, it comprises three muscles: the gastrocnemius, soleus, and plantar muscle, collectively known as the triceps surae.

achilles tendon

Both Achilles tendonitis and tendonosis often arise from a sudden increase in repetitive activities involving the Achilles tendon.

These activities place excessive pressure on the tendon, causing micro-damage to the tendon fibers. Over time, the body's inability to repair the damaged tissue results in a structural change in the tendon, leading to persistent pain.

Individuals with excessive internal rotation or pronation, such as those with flat arches, are more susceptible to Achilles tendon issues. Wearing unsupportive footwear on hard, flat surfaces exacerbates the condition, especially for those who spend extended periods on their feet.

Signs and Symptoms of Achilles Tendon Dysfunction:

The most common symptoms of achilles tendon dysfunction include:

  • Pain and stiffness above the heel or behind the ankle, particularly in the morning.
  • Aggravation of pain during on-foot activities.
  • Swelling around the heel area.
  • A visible bump on the heel.
  • Pain when standing on tiptoe.
  • A perception of the heel being “spongy” when pressed.
  • Pain when pushing off while walking.

Treatments for the Achilles Tendon:

Successful recovery from Achilles tendon problems necessitates proper treatment. Our advanced treatment methods include:

  1. Specific Strengthening and Stretching Exercises: Tailored exercises to target Achilles tendon issues.

  2. Manual Therapy: Hands-on techniques to alleviate pain and facilitate healing.

  3. Technique Modifications: Correcting gait and activity techniques to reduce stress on the Achilles tendon.

  4. Postural Adjustments: Ensuring proper posture to minimize strain on the tendon.

  5. Patient Education: Comprehensive understanding of the condition and how to manage it.

  6. Shoe Inserts: The use of orthotic inserts to provide proper support to the Achilles tendon.

  7. Dry Needling: The insertion of fine needles into trigger points to alleviate pain and muscle tension.

Ultimately, our one-on-one approach ensures that we design a personalized treatment plan based on your specific underlying causes to facilitate your recovery.

Foot Condition #5: Posterior Tibial Tendon Dysfunction

What Is a Posterior Tibial Tendon?

The posterior tibial tendon, a pivotal supporting structure in the foot, plays a vital role in maintaining proper foot function during the act of walking. However, alterations in this crucial tendon can lead to a condition known as posterior tibial tendon dysfunction, characterized by the flattening of the foot's arch. This condition predominantly affects one foot, but bilateral occurrences are not uncommon, often displaying a progressive nature if left untreated.

The primary etiological factor is the mechanical strain placed on the posterior tibial tendon, particularly prevalent in individuals with flat feet. Symptoms manifest following activities that demand substantial involvement of the tendon, such as running, walking, hiking, or stair climbing.

Signs and Symptoms of Peroneal Tendon Dysfunction :

Individuals afflicted by posterior tibial tendon dysfunction typically report discomfort localized on the interior of the foot, primarily in the middle or rear section. The pain tends to mirror the path of the affected tendon, tracing from behind the ankle bone to the inner aspect of the foot.

Profound weakness in the foot is a common symptom. This weakness becomes apparent when individuals struggle to perform a simple “heel raise” or calf raise exercise. Inability to achieve heel inversion or supination during this exercise often serves as a key diagnostic indicator.

An advanced clinical sign, known as the “too many toes” sign, becomes evident when an observer positions themselves behind the patient and assesses their feet. If an abnormal number of toes appear to protrude outward on the side of the foot, this is indicative of a collapsed arch and the rotation of toes towards the foot's lateral aspect. Furthermore, in more advanced stages, visible foot deformities may become apparent.

Treatments for Posterior Tibial Tendon Dysfunction:

In the early stages of posterior tibial tendon dysfunction, prompt intervention can lead to symptom resolution without the necessity of surgical measures, potentially halting the condition's progression. A tailored physical therapy regimen is often the treatment of choice for mild to moderate cases, focusing on specific exercises aimed at enhancing tendon and muscle strength while preserving flexibility. Additionally, exercises are frequently recommended following a period of immobilization, ensuring the gradual rehabilitation of the affected tendon.

By addressing posterior tibial tendon dysfunction in its initial stages, patients can increase their likelihood of recovery without invasive procedures and maintain a higher quality of life.


Foot Condition #6: Plantar Fasciitis

What Is the Plantar Fascia?

Plantar fasciitis is a condition characterized by irritation and subsequent inflammation of the plantar fascia, a resilient band of tissue extending from the heel to the toes. This inflammation commonly manifests as persistent heel pain, often exacerbated during the initial steps after prolonged periods of rest. Several factors contribute to the development of plantar fasciitis, with foot arch type playing a pivotal role.

Individuals with either overly flat or high-arched feet are more susceptible to the onset of plantar fasciitis. Additionally, wearing non-supportive footwear on unyielding and flat surfaces elevates the mechanical strain experienced by the plantar fascia, potentially precipitating this condition, particularly for those engaged in occupations requiring prolonged periods of weight-bearing activities.

Furthermore, there is notable evidence supporting the link between obesity and overuse in the genesis of plantar fasciitis. Excess body weight places added pressure on the plantar fascia, intensifying the strain it endures during daily activities.

Plantar view of foot showing plantar fascia. SOURCE: Skin based on 2B4256, fascia from 5B11887. Used in 83735, versions in 2B4256, 7B11421

Signs and Symptoms of Plantar Fasciitis:

Plantar fasciitis presents a distinct set of signs and symptoms, which aid in its identification:

  1. Heel Pain: The most prominent and debilitating symptom is pain localized at the bottom of the heel.

  2. Arch Pain: Discomfort may also extend to the arch of the foot, reflecting the plantar fascia's extensive coverage.

  3. Morning Pain: Pain is often most acute during the initial steps taken in the morning or after prolonged periods of inactivity.

  4. Progressive Pain: Over the course of months, individuals may experience an increase in the intensity of pain.

  5. Heel Swelling: Swelling may develop at the base of the heel, contributing to the overall discomfort.

The pain's character frequently evolves; it may temporarily diminish following a few minutes of walking, as the act of walking gently stretches the inflamed fascia. However, the pain tends to return with prolonged weight-bearing activities, such as standing or walking for extended durations.

Treatments for Plantar Fasciitis:

The primary approach to managing plantar fasciitis revolves around conservative treatments, with advanced methods reserved for cases that fail to respond to initial interventions. Invasive options such as surgery, injections, or pain medication are occasionally considered, but these interventions often provide temporary relief due to their focus on addressing the symptoms rather than the root cause.

A Doctor of Physical Therapy offers a range of treatments designed to alleviate plantar fasciitis effectively. These interventions encompass ankle and foot mobilizations, active release techniques, taping, dry needling, the provision of foot orthotics, and specialized strengthening and stretching exercises aimed at restoring optimal foot function and diminishing discomfort.

By comprehensively addressing the various facets of plantar fasciitis, patients can improve their chances of sustained relief and enhanced mobility, ultimately resuming their daily activities with reduced discomfort.

Some Interesting Facts About Knees and Ankles and How They Are Related


As the years advance, the human body undergoes a natural wear-and-tear process, wherein even the cartilage cushioning vital joints is not immune. The consequence of this wear and tear often leads to the uncomfortable scenario where bones begin to rub against each other, culminating in the dreaded occurrence of joint inflammation.

Among the intricate network of joints in the human body, ankles take a remarkable place, often being both complex and essential. They can, however, be surprisingly easy to neglect in terms of regular care and maintenance. The implications of this oversight are far-reaching, given that your ankles significantly influence your overall mobility.

The human body is a symphony of interconnected parts, and the ankles play a crucial role in facilitating an array of movements. Yet, as the aging process unfolds, the ankles tend to lose some of their range of motion and flexibility, unless they are provided with the proper attention they deserve.

It is not uncommon for individuals to experience knee pain, seemingly unrelated to their ankles, when in fact, the two are intricately linked. A lack of mobility in the ankles can give rise to knee pain, further complicating the issue. If the ankle fails to execute its intended range of motion, it can inadvertently cause the knees to move incorrectly, setting the stage for debilitating knee pain that may even extend to the hips.

The pivotal relationship between ankle and knee health is an area of expertise at Back In Motion. Our team is well-versed in the complexities of these joints, their optimal functionality, and the potential factors that can lead to their malfunction. Unlike a primary care practitioner who might prematurely attribute joint pain in individuals over the age of 50, 60, and 70 to various forms of arthritis, we conduct a comprehensive evaluation. This approach allows us to discern whether the issue stems from a minor sprain, an unnoticed fracture, an injury to the talus (heel bone), or a form of Achilles tendonitis or tendinosis, characterized by strain and inflammation. Instead of merely prescribing rest and pills, which can sometimes prolong the healing process, we employ a tailored approach aimed at facilitating recovery by encouraging controlled movement, promoting circulation, and minimizing stiffness.

While not all issues can be immediately resolved through treatment, our examination may occasionally lead to recommendations for further diagnostic studies, such as X-rays or MRIs, to precisely determine the root cause. At times, the problem may originate in another part of the body, contributing to or triggering the observed pain.

Are You Worried About or Frustrated with Ankle and/or Foot Pain?
If you find yourself plagued by concerns or frustrations related to ankle and foot pain, the information presented here outlines the common conditions, their underlying causes, and effective treatment options available through consultation with a Doctor of Physical Therapy. Whether you have sustained an injury that seems to defy healing, struggle with pain during any form of walking, experience discomfort or imbalance while bearing weight on one side, or encounter persistent sensations of burning, tingling, or numbness, you can rest assured that you don't have to accept living with these discomforts as an inevitable fate.

You Don’t Have to “Live” with Foot or Ankle Pain & Help Is Within Your Reach


Most foot and ankle problems can be traced back to injuries, extended periods of immobilization, ill-fitting footwear, excessive use, or irregular foot biomechanics. It is important to recognize that pain in this region can be indicative of an underlying issue, such as inflammation or an untreated fracture. The complexity of the anatomical structure of the feet and ankles underscores the significance of identifying the root cause, thereby enabling the provision of tailored treatment for resolution.

If you’ve been thinking that it will eventually go away, you might be doing more harm than good.

Back In Motion boasts extensive experience in addressing a spectrum of foot and ankle-related discomfort, stemming from years of collaboration with diverse clientele, including elite athletes, sedentary individuals, and dedicated fitness enthusiasts. This wealth of experience, combined with our proprietary approach, the GRAY METHOD™, empowers us to not only treat these conditions but also delve deeper into the intricacies to uncover the precise cause and institute the most suitable remedies.

The path to relief from foot and ankle discomfort commences with a thorough understanding of the underlying issues. To embark on this journey towards improved mobility and a pain-free existence, we invite you to contact our office at 239-766-5547 and schedule your consultation. Alternatively, you can initiate the process through our user-friendly online form.

Your quest for a life unhindered by ankle and foot pain begins here. Let's unveil the root cause of your discomfort and get you back in motion!

If you are looking for exceptional foot and ankle pain treatment near you, visit Back In Motion Physical Therapy & Performance!

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]


Foot Condition #2: Ankle Sprains

What Is an Ankle Sprain?

An ankle sprain takes place when the ligament connecting the leg and foot bones undergoes excessive stretching and tearing. In most cases, an ankle sprain is not merely an outcome of an unfortunate step but rather the manifestation of an underlying issue.

Types of Ankle Sprains:

Two distinct types of ankle sprains are commonly encountered: eversion and inversion. Eversion ankle sprains occur when the ankle rolls outward, tearing the deltoid ligaments. In contrast, inversion ankle sprains transpire when the foot turns upwards and the ankle rolls inward. Inversion sprains are more frequent and primarily involve injury to the anterior talofibular ligament (ATFL), a key component of the lateral collateral ligament in the ankle. While inversion sprains predominantly affect the ATFL, eversion can result in a strain or avulsion fracture of the medial malleolus.

Minor injuries cause stretching or microscopic tears in the stabilizing ligaments. A major injury can compromise the high ankle (syndesmotic) structure, involving the ligaments that bind the distal tibia and fibula at the distal tibiofibular joint. These injuries may lead to complete tendon disruption and fractures of the ankle and foot.

What Causes an Ankle Sprain?

The chief underlying cause of ankle sprains is often attributed to weakened muscles surrounding the ankle, which should serve as the primary support for this joint. When these muscles lack the requisite strength, the ankle is susceptible to excessive ranges of motion that may compromise the surrounding ligaments. Additional factors contributing to ankle sprains comprise limited ankle flexibility (ankle dorsiflexion), unsuitable arch height, inadequate ankle-strengthening and mobility exercises, non-supportive footwear, physical activities on uneven terrain, insufficient warm-up routines, and suboptimal posture during sitting, standing, lifting, and exercise.

Signs and Symptoms of an Ankle Sprain :

The most evident indication of an ankle sprain includes an awkward foot movement accompanied by ankle rolling and immediate pain. Other symptoms encompass an inability to bear weight on the injured ankle, resulting in pain and stability loss, restricted ankle mobility, tenderness, swelling, and bruising. The severity of symptoms can range from mild to severe, with recovery time varying from one week to several weeks or more, contingent on the implementation of appropriate treatment.

There are three grades of an ankle sprain:

  • Grade 1: (Mild) Microscopic tearing of the ligament. You may have a little bit of swelling, pain, and tenderness.
  • Grade 2: (Moderate) Partial tearing of the ligament. You may have moderate swelling, pain, tenderness, and looseness in the ankle joint.
  • Grade 3: (Severe) Full tear of the ligament. You may have severe swelling, pain, tenderness, and instability in the ankle joint.


Treatments for Ankle Sprains:

Conventional recommendations for ankle sprains often involve rest and painkillers, which, albeit providing symptomatic relief, do not address the root cause of the issue. Symptom-masking approaches are not sustainable and tend to lead to recurring pain and frustration. Effective treatments for ankle sprains encompass manual therapy, KT taping, functional exercises, and strength-building programs, such as blood flow restriction training.

Please note that manual therapy, specific exercises, and technique modifications offer more durable solutions by addressing the fundamental problems responsible for the ankle sprain.

Foot Condition #3: Peroneal Tendon Dysfunction

What Is the Peroneal Tendon?

Peroneal tendon dysfunction pertains to issues within a group of three tendons originating in the lateral shin and extending to the foot.

These tendons, namely the peroneus longus, peroneus brevis, and peroneus tertius, can be afflicted by inflammation (tendonitis), degradation (tendonosis), tearing, or subluxation, whereby one or both tendons shift out of place behind the lateral ankle.

These three muscles are called the peroneus longus, peroneus brevis, and peroneus tertius.

peroneal tendon

Peroneal tendon dysfunction can result from abrupt overuse, repetitive ankle movements as encountered in certain sports, or a sudden increase in activity levels. Individuals with high arches are at an elevated risk due to the constant stretching of these tendons, while the choice of unsupportive footwear, such as flip-flops or worn-out sneakers, can further exacerbate the issue. Exercising or walking on uneven surfaces and neglecting proper warm-up routines can contribute to the development of peroneal tendon dysfunction.

Signs and Symptoms of Peroneal Tendon Irritation :

Symptoms may vary depending on whether inflammation (tendonitis) or damage (tendonosis) is prevalent. Indications include swelling, warmth to the touch, pain during certain foot and ankle movements (eversion, plantar flexion, inversion, dorsiflexion), and pain when stretching the peroneal muscles.

The diagnosis and ensuing treatment approach must be tailored to the specific

Treatments for Peroneal Tendon Dysfunction:

Upon receiving a proper diagnosis, it is imperative to commence the correct treatment addressing the root cause. The approach may begin with more conservative methods, gradually incorporating specific exercises to enhance muscle strength, range of motion, and balance as symptoms improve.

As these conditions often present subtle distinctions and manifest differently in each individual, it is our priority to tailor a combination of therapies to facilitate recovery and an improved quality of life.

Common treatment options for peroneal tendon dysfunction include:

  1. Foot Orthotics: Customized shoe inserts that provide support and correction for foot biomechanics.

  2. Taping: Employing specialized taping techniques to alleviate stress on the peroneal tendons and promote healing.

  3. Exercise: Prescribed exercises target the affected area, enhancing muscle strength and flexibility.

  4. Patient Education: Understanding the condition and how to manage it is a crucial aspect of the treatment.

  5. Dry Needling: A technique involving the insertion of thin needles into trigger points to relieve pain and muscle tension.

  6. Active Release Technique (ART): A hands-on approach to treat soft tissue injuries by removing adhesions and scar tissue.

Foot Condition #4: Achilles Tendonosis & Tendonitis

What Is the Achilles Tendon & How Does It Get Injured?

The Achilles tendon is among the body's most robust tendons, tasked with bearing your entire body weight. Located at the posterior of the calf, it comprises three muscles: the gastrocnemius, soleus, and plantar muscle, collectively known as the triceps surae.

achilles tendon

Both Achilles tendonitis and tendonosis often arise from a sudden increase in repetitive activities involving the Achilles tendon.

These activities place excessive pressure on the tendon, causing micro-damage to the tendon fibers. Over time, the body's inability to repair the damaged tissue results in a structural change in the tendon, leading to persistent pain.

Individuals with excessive internal rotation or pronation, such as those with flat arches, are more susceptible to Achilles tendon issues. Wearing unsupportive footwear on hard, flat surfaces exacerbates the condition, especially for those who spend extended periods on their feet.

Signs and Symptoms of Achilles Tendon Dysfunction:

The most common symptoms of achilles tendon dysfunction include:

  • Pain and stiffness above the heel or behind the ankle, particularly in the morning.
  • Aggravation of pain during on-foot activities.
  • Swelling around the heel area.
  • A visible bump on the heel.
  • Pain when standing on tiptoe.
  • A perception of the heel being “spongy” when pressed.
  • Pain when pushing off while walking.

Treatments for the Achilles Tendon:

Successful recovery from Achilles tendon problems necessitates proper treatment. Our advanced treatment methods include:

  1. Specific Strengthening and Stretching Exercises: Tailored exercises to target Achilles tendon issues.

  2. Manual Therapy: Hands-on techniques to alleviate pain and facilitate healing.

  3. Technique Modifications: Correcting gait and activity techniques to reduce stress on the Achilles tendon.

  4. Postural Adjustments: Ensuring proper posture to minimize strain on the tendon.

  5. Patient Education: Comprehensive understanding of the condition and how to manage it.

  6. Shoe Inserts: The use of orthotic inserts to provide proper support to the Achilles tendon.

  7. Dry Needling: The insertion of fine needles into trigger points to alleviate pain and muscle tension.

Ultimately, our one-on-one approach ensures that we design a personalized treatment plan based on your specific underlying causes to facilitate your recovery.

Foot Condition #5: Posterior Tibial Tendon Dysfunction

What Is a Posterior Tibial Tendon?

The posterior tibial tendon, a pivotal supporting structure in the foot, plays a vital role in maintaining proper foot function during the act of walking. However, alterations in this crucial tendon can lead to a condition known as posterior tibial tendon dysfunction, characterized by the flattening of the foot's arch. This condition predominantly affects one foot, but bilateral occurrences are not uncommon, often displaying a progressive nature if left untreated.

The primary etiological factor is the mechanical strain placed on the posterior tibial tendon, particularly prevalent in individuals with flat feet. Symptoms manifest following activities that demand substantial involvement of the tendon, such as running, walking, hiking, or stair climbing.

Signs and Symptoms of Peroneal Tendon Dysfunction :

Individuals afflicted by posterior tibial tendon dysfunction typically report discomfort localized on the interior of the foot, primarily in the middle or rear section. The pain tends to mirror the path of the affected tendon, tracing from behind the ankle bone to the inner aspect of the foot.

Profound weakness in the foot is a common symptom. This weakness becomes apparent when individuals struggle to perform a simple “heel raise” or calf raise exercise. Inability to achieve heel inversion or supination during this exercise often serves as a key diagnostic indicator.

An advanced clinical sign, known as the “too many toes” sign, becomes evident when an observer positions themselves behind the patient and assesses their feet. If an abnormal number of toes appear to protrude outward on the side of the foot, this is indicative of a collapsed arch and the rotation of toes towards the foot's lateral aspect. Furthermore, in more advanced stages, visible foot deformities may become apparent.

Treatments for Posterior Tibial Tendon Dysfunction:

In the early stages of posterior tibial tendon dysfunction, prompt intervention can lead to symptom resolution without the necessity of surgical measures, potentially halting the condition's progression. A tailored physical therapy regimen is often the treatment of choice for mild to moderate cases, focusing on specific exercises aimed at enhancing tendon and muscle strength while preserving flexibility. Additionally, exercises are frequently recommended following a period of immobilization, ensuring the gradual rehabilitation of the affected tendon.

By addressing posterior tibial tendon dysfunction in its initial stages, patients can increase their likelihood of recovery without invasive procedures and maintain a higher quality of life.


Foot Condition #6: Plantar Fasciitis

What Is the Plantar Fascia?

Plantar fasciitis is a condition characterized by irritation and subsequent inflammation of the plantar fascia, a resilient band of tissue extending from the heel to the toes. This inflammation commonly manifests as persistent heel pain, often exacerbated during the initial steps after prolonged periods of rest. Several factors contribute to the development of plantar fasciitis, with foot arch type playing a pivotal role.

Individuals with either overly flat or high-arched feet are more susceptible to the onset of plantar fasciitis. Additionally, wearing non-supportive footwear on unyielding and flat surfaces elevates the mechanical strain experienced by the plantar fascia, potentially precipitating this condition, particularly for those engaged in occupations requiring prolonged periods of weight-bearing activities.

Furthermore, there is notable evidence supporting the link between obesity and overuse in the genesis of plantar fasciitis. Excess body weight places added pressure on the plantar fascia, intensifying the strain it endures during daily activities.

Plantar view of foot showing plantar fascia. SOURCE: Skin based on 2B4256, fascia from 5B11887. Used in 83735, versions in 2B4256, 7B11421

Signs and Symptoms of Plantar Fasciitis:

Plantar fasciitis presents a distinct set of signs and symptoms, which aid in its identification:

  1. Heel Pain: The most prominent and debilitating symptom is pain localized at the bottom of the heel.

  2. Arch Pain: Discomfort may also extend to the arch of the foot, reflecting the plantar fascia's extensive coverage.

  3. Morning Pain: Pain is often most acute during the initial steps taken in the morning or after prolonged periods of inactivity.

  4. Progressive Pain: Over the course of months, individuals may experience an increase in the intensity of pain.

  5. Heel Swelling: Swelling may develop at the base of the heel, contributing to the overall discomfort.

The pain's character frequently evolves; it may temporarily diminish following a few minutes of walking, as the act of walking gently stretches the inflamed fascia. However, the pain tends to return with prolonged weight-bearing activities, such as standing or walking for extended durations.

Treatments for Plantar Fasciitis:

The primary approach to managing plantar fasciitis revolves around conservative treatments, with advanced methods reserved for cases that fail to respond to initial interventions. Invasive options such as surgery, injections, or pain medication are occasionally considered, but these interventions often provide temporary relief due to their focus on addressing the symptoms rather than the root cause.

A Doctor of Physical Therapy offers a range of treatments designed to alleviate plantar fasciitis effectively. These interventions encompass ankle and foot mobilizations, active release techniques, taping, dry needling, the provision of foot orthotics, and specialized strengthening and stretching exercises aimed at restoring optimal foot function and diminishing discomfort.

By comprehensively addressing the various facets of plantar fasciitis, patients can improve their chances of sustained relief and enhanced mobility, ultimately resuming their daily activities with reduced discomfort.

Some Interesting Facts About Knees and Ankles and How They Are Related


As the years advance, the human body undergoes a natural wear-and-tear process, wherein even the cartilage cushioning vital joints is not immune. The consequence of this wear and tear often leads to the uncomfortable scenario where bones begin to rub against each other, culminating in the dreaded occurrence of joint inflammation.

Among the intricate network of joints in the human body, ankles take a remarkable place, often being both complex and essential. They can, however, be surprisingly easy to neglect in terms of regular care and maintenance. The implications of this oversight are far-reaching, given that your ankles significantly influence your overall mobility.

The human body is a symphony of interconnected parts, and the ankles play a crucial role in facilitating an array of movements. Yet, as the aging process unfolds, the ankles tend to lose some of their range of motion and flexibility, unless they are provided with the proper attention they deserve.

It is not uncommon for individuals to experience knee pain, seemingly unrelated to their ankles, when in fact, the two are intricately linked. A lack of mobility in the ankles can give rise to knee pain, further complicating the issue. If the ankle fails to execute its intended range of motion, it can inadvertently cause the knees to move incorrectly, setting the stage for debilitating knee pain that may even extend to the hips.

The pivotal relationship between ankle and knee health is an area of expertise at Back In Motion. Our team is well-versed in the complexities of these joints, their optimal functionality, and the potential factors that can lead to their malfunction. Unlike a primary care practitioner who might prematurely attribute joint pain in individuals over the age of 50, 60, and 70 to various forms of arthritis, we conduct a comprehensive evaluation. This approach allows us to discern whether the issue stems from a minor sprain, an unnoticed fracture, an injury to the talus (heel bone), or a form of Achilles tendonitis or tendinosis, characterized by strain and inflammation. Instead of merely prescribing rest and pills, which can sometimes prolong the healing process, we employ a tailored approach aimed at facilitating recovery by encouraging controlled movement, promoting circulation, and minimizing stiffness.

While not all issues can be immediately resolved through treatment, our examination may occasionally lead to recommendations for further diagnostic studies, such as X-rays or MRIs, to precisely determine the root cause. At times, the problem may originate in another part of the body, contributing to or triggering the observed pain.

Are You Worried About or Frustrated with Ankle and/or Foot Pain?
If you find yourself plagued by concerns or frustrations related to ankle and foot pain, the information presented here outlines the common conditions, their underlying causes, and effective treatment options available through consultation with a Doctor of Physical Therapy. Whether you have sustained an injury that seems to defy healing, struggle with pain during any form of walking, experience discomfort or imbalance while bearing weight on one side, or encounter persistent sensations of burning, tingling, or numbness, you can rest assured that you don't have to accept living with these discomforts as an inevitable fate.

You Don’t Have to “Live” with Foot or Ankle Pain & Help Is Within Your Reach


Most foot and ankle problems can be traced back to injuries, extended periods of immobilization, ill-fitting footwear, excessive use, or irregular foot biomechanics. It is important to recognize that pain in this region can be indicative of an underlying issue, such as inflammation or an untreated fracture. The complexity of the anatomical structure of the feet and ankles underscores the significance of identifying the root cause, thereby enabling the provision of tailored treatment for resolution.

If you’ve been thinking that it will eventually go away, you might be doing more harm than good.

Back In Motion boasts extensive experience in addressing a spectrum of foot and ankle-related discomfort, stemming from years of collaboration with diverse clientele, including elite athletes, sedentary individuals, and dedicated fitness enthusiasts. This wealth of experience, combined with our proprietary approach, the GRAY METHOD™, empowers us to not only treat these conditions but also delve deeper into the intricacies to uncover the precise cause and institute the most suitable remedies.

The path to relief from foot and ankle discomfort commences with a thorough understanding of the underlying issues. To embark on this journey towards improved mobility and a pain-free existence, we invite you to contact our office at 239-766-5547 and schedule your consultation. Alternatively, you can initiate the process through our user-friendly online form.

Your quest for a life unhindered by ankle and foot pain begins here. Let's unveil the root cause of your discomfort and get you back in motion!

If you are looking for exceptional foot and ankle pain treatment near you, visit Back In Motion Physical Therapy & Performance!

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]

Treatments for Bunions:

Though one cannot alter the foot's mechanical structure once ossification of the bone has occurred, various treatments, exercises, and movement instructions can alleviate or diminish pain and even correct bunions without resorting to surgery if the joint remains malleable. These interventions encompass self-help methods like icing, padding, and advice on suitable footwear. In addition, specific stretches, mechanical manipulation, and exercises can play an integral role in mitigating or eliminating discomfort while restoring the bunion's normal alignment. Following a precise diagnosis by experienced physical therapists, a customized blend of therapies will guide you back to improved health, all while steering clear of unnecessary medications or surgical procedures.


Foot Condition #2: Ankle Sprains

What Is an Ankle Sprain?

An ankle sprain takes place when the ligament connecting the leg and foot bones undergoes excessive stretching and tearing. In most cases, an ankle sprain is not merely an outcome of an unfortunate step but rather the manifestation of an underlying issue.

Types of Ankle Sprains:

Two distinct types of ankle sprains are commonly encountered: eversion and inversion. Eversion ankle sprains occur when the ankle rolls outward, tearing the deltoid ligaments. In contrast, inversion ankle sprains transpire when the foot turns upwards and the ankle rolls inward. Inversion sprains are more frequent and primarily involve injury to the anterior talofibular ligament (ATFL), a key component of the lateral collateral ligament in the ankle. While inversion sprains predominantly affect the ATFL, eversion can result in a strain or avulsion fracture of the medial malleolus.

Minor injuries cause stretching or microscopic tears in the stabilizing ligaments. A major injury can compromise the high ankle (syndesmotic) structure, involving the ligaments that bind the distal tibia and fibula at the distal tibiofibular joint. These injuries may lead to complete tendon disruption and fractures of the ankle and foot.

What Causes an Ankle Sprain?

The chief underlying cause of ankle sprains is often attributed to weakened muscles surrounding the ankle, which should serve as the primary support for this joint. When these muscles lack the requisite strength, the ankle is susceptible to excessive ranges of motion that may compromise the surrounding ligaments. Additional factors contributing to ankle sprains comprise limited ankle flexibility (ankle dorsiflexion), unsuitable arch height, inadequate ankle-strengthening and mobility exercises, non-supportive footwear, physical activities on uneven terrain, insufficient warm-up routines, and suboptimal posture during sitting, standing, lifting, and exercise.

Signs and Symptoms of an Ankle Sprain :

The most evident indication of an ankle sprain includes an awkward foot movement accompanied by ankle rolling and immediate pain. Other symptoms encompass an inability to bear weight on the injured ankle, resulting in pain and stability loss, restricted ankle mobility, tenderness, swelling, and bruising. The severity of symptoms can range from mild to severe, with recovery time varying from one week to several weeks or more, contingent on the implementation of appropriate treatment.

There are three grades of an ankle sprain:

  • Grade 1: (Mild) Microscopic tearing of the ligament. You may have a little bit of swelling, pain, and tenderness.
  • Grade 2: (Moderate) Partial tearing of the ligament. You may have moderate swelling, pain, tenderness, and looseness in the ankle joint.
  • Grade 3: (Severe) Full tear of the ligament. You may have severe swelling, pain, tenderness, and instability in the ankle joint.


Treatments for Ankle Sprains:

Conventional recommendations for ankle sprains often involve rest and painkillers, which, albeit providing symptomatic relief, do not address the root cause of the issue. Symptom-masking approaches are not sustainable and tend to lead to recurring pain and frustration. Effective treatments for ankle sprains encompass manual therapy, KT taping, functional exercises, and strength-building programs, such as blood flow restriction training.

Please note that manual therapy, specific exercises, and technique modifications offer more durable solutions by addressing the fundamental problems responsible for the ankle sprain.

Foot Condition #3: Peroneal Tendon Dysfunction

What Is the Peroneal Tendon?

Peroneal tendon dysfunction pertains to issues within a group of three tendons originating in the lateral shin and extending to the foot.

These tendons, namely the peroneus longus, peroneus brevis, and peroneus tertius, can be afflicted by inflammation (tendonitis), degradation (tendonosis), tearing, or subluxation, whereby one or both tendons shift out of place behind the lateral ankle.

These three muscles are called the peroneus longus, peroneus brevis, and peroneus tertius.

peroneal tendon

Peroneal tendon dysfunction can result from abrupt overuse, repetitive ankle movements as encountered in certain sports, or a sudden increase in activity levels. Individuals with high arches are at an elevated risk due to the constant stretching of these tendons, while the choice of unsupportive footwear, such as flip-flops or worn-out sneakers, can further exacerbate the issue. Exercising or walking on uneven surfaces and neglecting proper warm-up routines can contribute to the development of peroneal tendon dysfunction.

Signs and Symptoms of Peroneal Tendon Irritation :

Symptoms may vary depending on whether inflammation (tendonitis) or damage (tendonosis) is prevalent. Indications include swelling, warmth to the touch, pain during certain foot and ankle movements (eversion, plantar flexion, inversion, dorsiflexion), and pain when stretching the peroneal muscles.

The diagnosis and ensuing treatment approach must be tailored to the specific

Treatments for Peroneal Tendon Dysfunction:

Upon receiving a proper diagnosis, it is imperative to commence the correct treatment addressing the root cause. The approach may begin with more conservative methods, gradually incorporating specific exercises to enhance muscle strength, range of motion, and balance as symptoms improve.

As these conditions often present subtle distinctions and manifest differently in each individual, it is our priority to tailor a combination of therapies to facilitate recovery and an improved quality of life.

Common treatment options for peroneal tendon dysfunction include:

  1. Foot Orthotics: Customized shoe inserts that provide support and correction for foot biomechanics.

  2. Taping: Employing specialized taping techniques to alleviate stress on the peroneal tendons and promote healing.

  3. Exercise: Prescribed exercises target the affected area, enhancing muscle strength and flexibility.

  4. Patient Education: Understanding the condition and how to manage it is a crucial aspect of the treatment.

  5. Dry Needling: A technique involving the insertion of thin needles into trigger points to relieve pain and muscle tension.

  6. Active Release Technique (ART): A hands-on approach to treat soft tissue injuries by removing adhesions and scar tissue.

Foot Condition #4: Achilles Tendonosis & Tendonitis

What Is the Achilles Tendon & How Does It Get Injured?

The Achilles tendon is among the body's most robust tendons, tasked with bearing your entire body weight. Located at the posterior of the calf, it comprises three muscles: the gastrocnemius, soleus, and plantar muscle, collectively known as the triceps surae.

achilles tendon

Both Achilles tendonitis and tendonosis often arise from a sudden increase in repetitive activities involving the Achilles tendon.

These activities place excessive pressure on the tendon, causing micro-damage to the tendon fibers. Over time, the body's inability to repair the damaged tissue results in a structural change in the tendon, leading to persistent pain.

Individuals with excessive internal rotation or pronation, such as those with flat arches, are more susceptible to Achilles tendon issues. Wearing unsupportive footwear on hard, flat surfaces exacerbates the condition, especially for those who spend extended periods on their feet.

Signs and Symptoms of Achilles Tendon Dysfunction:

The most common symptoms of achilles tendon dysfunction include:

  • Pain and stiffness above the heel or behind the ankle, particularly in the morning.
  • Aggravation of pain during on-foot activities.
  • Swelling around the heel area.
  • A visible bump on the heel.
  • Pain when standing on tiptoe.
  • A perception of the heel being “spongy” when pressed.
  • Pain when pushing off while walking.

Treatments for the Achilles Tendon:

Successful recovery from Achilles tendon problems necessitates proper treatment. Our advanced treatment methods include:

  1. Specific Strengthening and Stretching Exercises: Tailored exercises to target Achilles tendon issues.

  2. Manual Therapy: Hands-on techniques to alleviate pain and facilitate healing.

  3. Technique Modifications: Correcting gait and activity techniques to reduce stress on the Achilles tendon.

  4. Postural Adjustments: Ensuring proper posture to minimize strain on the tendon.

  5. Patient Education: Comprehensive understanding of the condition and how to manage it.

  6. Shoe Inserts: The use of orthotic inserts to provide proper support to the Achilles tendon.

  7. Dry Needling: The insertion of fine needles into trigger points to alleviate pain and muscle tension.

Ultimately, our one-on-one approach ensures that we design a personalized treatment plan based on your specific underlying causes to facilitate your recovery.

Foot Condition #5: Posterior Tibial Tendon Dysfunction

What Is a Posterior Tibial Tendon?

The posterior tibial tendon, a pivotal supporting structure in the foot, plays a vital role in maintaining proper foot function during the act of walking. However, alterations in this crucial tendon can lead to a condition known as posterior tibial tendon dysfunction, characterized by the flattening of the foot's arch. This condition predominantly affects one foot, but bilateral occurrences are not uncommon, often displaying a progressive nature if left untreated.

The primary etiological factor is the mechanical strain placed on the posterior tibial tendon, particularly prevalent in individuals with flat feet. Symptoms manifest following activities that demand substantial involvement of the tendon, such as running, walking, hiking, or stair climbing.

Signs and Symptoms of Peroneal Tendon Dysfunction :

Individuals afflicted by posterior tibial tendon dysfunction typically report discomfort localized on the interior of the foot, primarily in the middle or rear section. The pain tends to mirror the path of the affected tendon, tracing from behind the ankle bone to the inner aspect of the foot.

Profound weakness in the foot is a common symptom. This weakness becomes apparent when individuals struggle to perform a simple “heel raise” or calf raise exercise. Inability to achieve heel inversion or supination during this exercise often serves as a key diagnostic indicator.

An advanced clinical sign, known as the “too many toes” sign, becomes evident when an observer positions themselves behind the patient and assesses their feet. If an abnormal number of toes appear to protrude outward on the side of the foot, this is indicative of a collapsed arch and the rotation of toes towards the foot's lateral aspect. Furthermore, in more advanced stages, visible foot deformities may become apparent.

Treatments for Posterior Tibial Tendon Dysfunction:

In the early stages of posterior tibial tendon dysfunction, prompt intervention can lead to symptom resolution without the necessity of surgical measures, potentially halting the condition's progression. A tailored physical therapy regimen is often the treatment of choice for mild to moderate cases, focusing on specific exercises aimed at enhancing tendon and muscle strength while preserving flexibility. Additionally, exercises are frequently recommended following a period of immobilization, ensuring the gradual rehabilitation of the affected tendon.

By addressing posterior tibial tendon dysfunction in its initial stages, patients can increase their likelihood of recovery without invasive procedures and maintain a higher quality of life.


Foot Condition #6: Plantar Fasciitis

What Is the Plantar Fascia?

Plantar fasciitis is a condition characterized by irritation and subsequent inflammation of the plantar fascia, a resilient band of tissue extending from the heel to the toes. This inflammation commonly manifests as persistent heel pain, often exacerbated during the initial steps after prolonged periods of rest. Several factors contribute to the development of plantar fasciitis, with foot arch type playing a pivotal role.

Individuals with either overly flat or high-arched feet are more susceptible to the onset of plantar fasciitis. Additionally, wearing non-supportive footwear on unyielding and flat surfaces elevates the mechanical strain experienced by the plantar fascia, potentially precipitating this condition, particularly for those engaged in occupations requiring prolonged periods of weight-bearing activities.

Furthermore, there is notable evidence supporting the link between obesity and overuse in the genesis of plantar fasciitis. Excess body weight places added pressure on the plantar fascia, intensifying the strain it endures during daily activities.

Plantar view of foot showing plantar fascia. SOURCE: Skin based on 2B4256, fascia from 5B11887. Used in 83735, versions in 2B4256, 7B11421

Signs and Symptoms of Plantar Fasciitis:

Plantar fasciitis presents a distinct set of signs and symptoms, which aid in its identification:

  1. Heel Pain: The most prominent and debilitating symptom is pain localized at the bottom of the heel.

  2. Arch Pain: Discomfort may also extend to the arch of the foot, reflecting the plantar fascia's extensive coverage.

  3. Morning Pain: Pain is often most acute during the initial steps taken in the morning or after prolonged periods of inactivity.

  4. Progressive Pain: Over the course of months, individuals may experience an increase in the intensity of pain.

  5. Heel Swelling: Swelling may develop at the base of the heel, contributing to the overall discomfort.

The pain's character frequently evolves; it may temporarily diminish following a few minutes of walking, as the act of walking gently stretches the inflamed fascia. However, the pain tends to return with prolonged weight-bearing activities, such as standing or walking for extended durations.

Treatments for Plantar Fasciitis:

The primary approach to managing plantar fasciitis revolves around conservative treatments, with advanced methods reserved for cases that fail to respond to initial interventions. Invasive options such as surgery, injections, or pain medication are occasionally considered, but these interventions often provide temporary relief due to their focus on addressing the symptoms rather than the root cause.

A Doctor of Physical Therapy offers a range of treatments designed to alleviate plantar fasciitis effectively. These interventions encompass ankle and foot mobilizations, active release techniques, taping, dry needling, the provision of foot orthotics, and specialized strengthening and stretching exercises aimed at restoring optimal foot function and diminishing discomfort.

By comprehensively addressing the various facets of plantar fasciitis, patients can improve their chances of sustained relief and enhanced mobility, ultimately resuming their daily activities with reduced discomfort.

Some Interesting Facts About Knees and Ankles and How They Are Related


As the years advance, the human body undergoes a natural wear-and-tear process, wherein even the cartilage cushioning vital joints is not immune. The consequence of this wear and tear often leads to the uncomfortable scenario where bones begin to rub against each other, culminating in the dreaded occurrence of joint inflammation.

Among the intricate network of joints in the human body, ankles take a remarkable place, often being both complex and essential. They can, however, be surprisingly easy to neglect in terms of regular care and maintenance. The implications of this oversight are far-reaching, given that your ankles significantly influence your overall mobility.

The human body is a symphony of interconnected parts, and the ankles play a crucial role in facilitating an array of movements. Yet, as the aging process unfolds, the ankles tend to lose some of their range of motion and flexibility, unless they are provided with the proper attention they deserve.

It is not uncommon for individuals to experience knee pain, seemingly unrelated to their ankles, when in fact, the two are intricately linked. A lack of mobility in the ankles can give rise to knee pain, further complicating the issue. If the ankle fails to execute its intended range of motion, it can inadvertently cause the knees to move incorrectly, setting the stage for debilitating knee pain that may even extend to the hips.

The pivotal relationship between ankle and knee health is an area of expertise at Back In Motion. Our team is well-versed in the complexities of these joints, their optimal functionality, and the potential factors that can lead to their malfunction. Unlike a primary care practitioner who might prematurely attribute joint pain in individuals over the age of 50, 60, and 70 to various forms of arthritis, we conduct a comprehensive evaluation. This approach allows us to discern whether the issue stems from a minor sprain, an unnoticed fracture, an injury to the talus (heel bone), or a form of Achilles tendonitis or tendinosis, characterized by strain and inflammation. Instead of merely prescribing rest and pills, which can sometimes prolong the healing process, we employ a tailored approach aimed at facilitating recovery by encouraging controlled movement, promoting circulation, and minimizing stiffness.

While not all issues can be immediately resolved through treatment, our examination may occasionally lead to recommendations for further diagnostic studies, such as X-rays or MRIs, to precisely determine the root cause. At times, the problem may originate in another part of the body, contributing to or triggering the observed pain.

Are You Worried About or Frustrated with Ankle and/or Foot Pain?
If you find yourself plagued by concerns or frustrations related to ankle and foot pain, the information presented here outlines the common conditions, their underlying causes, and effective treatment options available through consultation with a Doctor of Physical Therapy. Whether you have sustained an injury that seems to defy healing, struggle with pain during any form of walking, experience discomfort or imbalance while bearing weight on one side, or encounter persistent sensations of burning, tingling, or numbness, you can rest assured that you don't have to accept living with these discomforts as an inevitable fate.

You Don’t Have to “Live” with Foot or Ankle Pain & Help Is Within Your Reach


Most foot and ankle problems can be traced back to injuries, extended periods of immobilization, ill-fitting footwear, excessive use, or irregular foot biomechanics. It is important to recognize that pain in this region can be indicative of an underlying issue, such as inflammation or an untreated fracture. The complexity of the anatomical structure of the feet and ankles underscores the significance of identifying the root cause, thereby enabling the provision of tailored treatment for resolution.

If you’ve been thinking that it will eventually go away, you might be doing more harm than good.

Back In Motion boasts extensive experience in addressing a spectrum of foot and ankle-related discomfort, stemming from years of collaboration with diverse clientele, including elite athletes, sedentary individuals, and dedicated fitness enthusiasts. This wealth of experience, combined with our proprietary approach, the GRAY METHOD™, empowers us to not only treat these conditions but also delve deeper into the intricacies to uncover the precise cause and institute the most suitable remedies.

The path to relief from foot and ankle discomfort commences with a thorough understanding of the underlying issues. To embark on this journey towards improved mobility and a pain-free existence, we invite you to contact our office at 239-766-5547 and schedule your consultation. Alternatively, you can initiate the process through our user-friendly online form.

Your quest for a life unhindered by ankle and foot pain begins here. Let's unveil the root cause of your discomfort and get you back in motion!

If you are looking for exceptional foot and ankle pain treatment near you, visit Back In Motion Physical Therapy & Performance!

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]

Signs and Symptoms of Bunions:

  • Pain or soreness
  • A burning sensation
  • Possible numbness
  • Inflammation and redness

It's worth mentioning that certain types of footwear, especially those with tight toe compartments or high heels, can contribute to or intensify the problem. Consequently, women are more frequently affected by this condition due to their footwear choices. Nevertheless, anyone who spends prolonged periods on their feet can experience the exacerbation of these symptoms.


Treatments for Bunions:

Though one cannot alter the foot's mechanical structure once ossification of the bone has occurred, various treatments, exercises, and movement instructions can alleviate or diminish pain and even correct bunions without resorting to surgery if the joint remains malleable. These interventions encompass self-help methods like icing, padding, and advice on suitable footwear. In addition, specific stretches, mechanical manipulation, and exercises can play an integral role in mitigating or eliminating discomfort while restoring the bunion's normal alignment. Following a precise diagnosis by experienced physical therapists, a customized blend of therapies will guide you back to improved health, all while steering clear of unnecessary medications or surgical procedures.


Foot Condition #2: Ankle Sprains

What Is an Ankle Sprain?

An ankle sprain takes place when the ligament connecting the leg and foot bones undergoes excessive stretching and tearing. In most cases, an ankle sprain is not merely an outcome of an unfortunate step but rather the manifestation of an underlying issue.

Types of Ankle Sprains:

Two distinct types of ankle sprains are commonly encountered: eversion and inversion. Eversion ankle sprains occur when the ankle rolls outward, tearing the deltoid ligaments. In contrast, inversion ankle sprains transpire when the foot turns upwards and the ankle rolls inward. Inversion sprains are more frequent and primarily involve injury to the anterior talofibular ligament (ATFL), a key component of the lateral collateral ligament in the ankle. While inversion sprains predominantly affect the ATFL, eversion can result in a strain or avulsion fracture of the medial malleolus.

Minor injuries cause stretching or microscopic tears in the stabilizing ligaments. A major injury can compromise the high ankle (syndesmotic) structure, involving the ligaments that bind the distal tibia and fibula at the distal tibiofibular joint. These injuries may lead to complete tendon disruption and fractures of the ankle and foot.

What Causes an Ankle Sprain?

The chief underlying cause of ankle sprains is often attributed to weakened muscles surrounding the ankle, which should serve as the primary support for this joint. When these muscles lack the requisite strength, the ankle is susceptible to excessive ranges of motion that may compromise the surrounding ligaments. Additional factors contributing to ankle sprains comprise limited ankle flexibility (ankle dorsiflexion), unsuitable arch height, inadequate ankle-strengthening and mobility exercises, non-supportive footwear, physical activities on uneven terrain, insufficient warm-up routines, and suboptimal posture during sitting, standing, lifting, and exercise.

Signs and Symptoms of an Ankle Sprain :

The most evident indication of an ankle sprain includes an awkward foot movement accompanied by ankle rolling and immediate pain. Other symptoms encompass an inability to bear weight on the injured ankle, resulting in pain and stability loss, restricted ankle mobility, tenderness, swelling, and bruising. The severity of symptoms can range from mild to severe, with recovery time varying from one week to several weeks or more, contingent on the implementation of appropriate treatment.

There are three grades of an ankle sprain:

  • Grade 1: (Mild) Microscopic tearing of the ligament. You may have a little bit of swelling, pain, and tenderness.
  • Grade 2: (Moderate) Partial tearing of the ligament. You may have moderate swelling, pain, tenderness, and looseness in the ankle joint.
  • Grade 3: (Severe) Full tear of the ligament. You may have severe swelling, pain, tenderness, and instability in the ankle joint.


Treatments for Ankle Sprains:

Conventional recommendations for ankle sprains often involve rest and painkillers, which, albeit providing symptomatic relief, do not address the root cause of the issue. Symptom-masking approaches are not sustainable and tend to lead to recurring pain and frustration. Effective treatments for ankle sprains encompass manual therapy, KT taping, functional exercises, and strength-building programs, such as blood flow restriction training.

Please note that manual therapy, specific exercises, and technique modifications offer more durable solutions by addressing the fundamental problems responsible for the ankle sprain.

Foot Condition #3: Peroneal Tendon Dysfunction

What Is the Peroneal Tendon?

Peroneal tendon dysfunction pertains to issues within a group of three tendons originating in the lateral shin and extending to the foot.

These tendons, namely the peroneus longus, peroneus brevis, and peroneus tertius, can be afflicted by inflammation (tendonitis), degradation (tendonosis), tearing, or subluxation, whereby one or both tendons shift out of place behind the lateral ankle.

These three muscles are called the peroneus longus, peroneus brevis, and peroneus tertius.

peroneal tendon

Peroneal tendon dysfunction can result from abrupt overuse, repetitive ankle movements as encountered in certain sports, or a sudden increase in activity levels. Individuals with high arches are at an elevated risk due to the constant stretching of these tendons, while the choice of unsupportive footwear, such as flip-flops or worn-out sneakers, can further exacerbate the issue. Exercising or walking on uneven surfaces and neglecting proper warm-up routines can contribute to the development of peroneal tendon dysfunction.

Signs and Symptoms of Peroneal Tendon Irritation :

Symptoms may vary depending on whether inflammation (tendonitis) or damage (tendonosis) is prevalent. Indications include swelling, warmth to the touch, pain during certain foot and ankle movements (eversion, plantar flexion, inversion, dorsiflexion), and pain when stretching the peroneal muscles.

The diagnosis and ensuing treatment approach must be tailored to the specific

Treatments for Peroneal Tendon Dysfunction:

Upon receiving a proper diagnosis, it is imperative to commence the correct treatment addressing the root cause. The approach may begin with more conservative methods, gradually incorporating specific exercises to enhance muscle strength, range of motion, and balance as symptoms improve.

As these conditions often present subtle distinctions and manifest differently in each individual, it is our priority to tailor a combination of therapies to facilitate recovery and an improved quality of life.

Common treatment options for peroneal tendon dysfunction include:

  1. Foot Orthotics: Customized shoe inserts that provide support and correction for foot biomechanics.

  2. Taping: Employing specialized taping techniques to alleviate stress on the peroneal tendons and promote healing.

  3. Exercise: Prescribed exercises target the affected area, enhancing muscle strength and flexibility.

  4. Patient Education: Understanding the condition and how to manage it is a crucial aspect of the treatment.

  5. Dry Needling: A technique involving the insertion of thin needles into trigger points to relieve pain and muscle tension.

  6. Active Release Technique (ART): A hands-on approach to treat soft tissue injuries by removing adhesions and scar tissue.

Foot Condition #4: Achilles Tendonosis & Tendonitis

What Is the Achilles Tendon & How Does It Get Injured?

The Achilles tendon is among the body's most robust tendons, tasked with bearing your entire body weight. Located at the posterior of the calf, it comprises three muscles: the gastrocnemius, soleus, and plantar muscle, collectively known as the triceps surae.

achilles tendon

Both Achilles tendonitis and tendonosis often arise from a sudden increase in repetitive activities involving the Achilles tendon.

These activities place excessive pressure on the tendon, causing micro-damage to the tendon fibers. Over time, the body's inability to repair the damaged tissue results in a structural change in the tendon, leading to persistent pain.

Individuals with excessive internal rotation or pronation, such as those with flat arches, are more susceptible to Achilles tendon issues. Wearing unsupportive footwear on hard, flat surfaces exacerbates the condition, especially for those who spend extended periods on their feet.

Signs and Symptoms of Achilles Tendon Dysfunction:

The most common symptoms of achilles tendon dysfunction include:

  • Pain and stiffness above the heel or behind the ankle, particularly in the morning.
  • Aggravation of pain during on-foot activities.
  • Swelling around the heel area.
  • A visible bump on the heel.
  • Pain when standing on tiptoe.
  • A perception of the heel being “spongy” when pressed.
  • Pain when pushing off while walking.

Treatments for the Achilles Tendon:

Successful recovery from Achilles tendon problems necessitates proper treatment. Our advanced treatment methods include:

  1. Specific Strengthening and Stretching Exercises: Tailored exercises to target Achilles tendon issues.

  2. Manual Therapy: Hands-on techniques to alleviate pain and facilitate healing.

  3. Technique Modifications: Correcting gait and activity techniques to reduce stress on the Achilles tendon.

  4. Postural Adjustments: Ensuring proper posture to minimize strain on the tendon.

  5. Patient Education: Comprehensive understanding of the condition and how to manage it.

  6. Shoe Inserts: The use of orthotic inserts to provide proper support to the Achilles tendon.

  7. Dry Needling: The insertion of fine needles into trigger points to alleviate pain and muscle tension.

Ultimately, our one-on-one approach ensures that we design a personalized treatment plan based on your specific underlying causes to facilitate your recovery.

Foot Condition #5: Posterior Tibial Tendon Dysfunction

What Is a Posterior Tibial Tendon?

The posterior tibial tendon, a pivotal supporting structure in the foot, plays a vital role in maintaining proper foot function during the act of walking. However, alterations in this crucial tendon can lead to a condition known as posterior tibial tendon dysfunction, characterized by the flattening of the foot's arch. This condition predominantly affects one foot, but bilateral occurrences are not uncommon, often displaying a progressive nature if left untreated.

The primary etiological factor is the mechanical strain placed on the posterior tibial tendon, particularly prevalent in individuals with flat feet. Symptoms manifest following activities that demand substantial involvement of the tendon, such as running, walking, hiking, or stair climbing.

Signs and Symptoms of Peroneal Tendon Dysfunction :

Individuals afflicted by posterior tibial tendon dysfunction typically report discomfort localized on the interior of the foot, primarily in the middle or rear section. The pain tends to mirror the path of the affected tendon, tracing from behind the ankle bone to the inner aspect of the foot.

Profound weakness in the foot is a common symptom. This weakness becomes apparent when individuals struggle to perform a simple “heel raise” or calf raise exercise. Inability to achieve heel inversion or supination during this exercise often serves as a key diagnostic indicator.

An advanced clinical sign, known as the “too many toes” sign, becomes evident when an observer positions themselves behind the patient and assesses their feet. If an abnormal number of toes appear to protrude outward on the side of the foot, this is indicative of a collapsed arch and the rotation of toes towards the foot's lateral aspect. Furthermore, in more advanced stages, visible foot deformities may become apparent.

Treatments for Posterior Tibial Tendon Dysfunction:

In the early stages of posterior tibial tendon dysfunction, prompt intervention can lead to symptom resolution without the necessity of surgical measures, potentially halting the condition's progression. A tailored physical therapy regimen is often the treatment of choice for mild to moderate cases, focusing on specific exercises aimed at enhancing tendon and muscle strength while preserving flexibility. Additionally, exercises are frequently recommended following a period of immobilization, ensuring the gradual rehabilitation of the affected tendon.

By addressing posterior tibial tendon dysfunction in its initial stages, patients can increase their likelihood of recovery without invasive procedures and maintain a higher quality of life.


Foot Condition #6: Plantar Fasciitis

What Is the Plantar Fascia?

Plantar fasciitis is a condition characterized by irritation and subsequent inflammation of the plantar fascia, a resilient band of tissue extending from the heel to the toes. This inflammation commonly manifests as persistent heel pain, often exacerbated during the initial steps after prolonged periods of rest. Several factors contribute to the development of plantar fasciitis, with foot arch type playing a pivotal role.

Individuals with either overly flat or high-arched feet are more susceptible to the onset of plantar fasciitis. Additionally, wearing non-supportive footwear on unyielding and flat surfaces elevates the mechanical strain experienced by the plantar fascia, potentially precipitating this condition, particularly for those engaged in occupations requiring prolonged periods of weight-bearing activities.

Furthermore, there is notable evidence supporting the link between obesity and overuse in the genesis of plantar fasciitis. Excess body weight places added pressure on the plantar fascia, intensifying the strain it endures during daily activities.

Plantar view of foot showing plantar fascia. SOURCE: Skin based on 2B4256, fascia from 5B11887. Used in 83735, versions in 2B4256, 7B11421

Signs and Symptoms of Plantar Fasciitis:

Plantar fasciitis presents a distinct set of signs and symptoms, which aid in its identification:

  1. Heel Pain: The most prominent and debilitating symptom is pain localized at the bottom of the heel.

  2. Arch Pain: Discomfort may also extend to the arch of the foot, reflecting the plantar fascia's extensive coverage.

  3. Morning Pain: Pain is often most acute during the initial steps taken in the morning or after prolonged periods of inactivity.

  4. Progressive Pain: Over the course of months, individuals may experience an increase in the intensity of pain.

  5. Heel Swelling: Swelling may develop at the base of the heel, contributing to the overall discomfort.

The pain's character frequently evolves; it may temporarily diminish following a few minutes of walking, as the act of walking gently stretches the inflamed fascia. However, the pain tends to return with prolonged weight-bearing activities, such as standing or walking for extended durations.

Treatments for Plantar Fasciitis:

The primary approach to managing plantar fasciitis revolves around conservative treatments, with advanced methods reserved for cases that fail to respond to initial interventions. Invasive options such as surgery, injections, or pain medication are occasionally considered, but these interventions often provide temporary relief due to their focus on addressing the symptoms rather than the root cause.

A Doctor of Physical Therapy offers a range of treatments designed to alleviate plantar fasciitis effectively. These interventions encompass ankle and foot mobilizations, active release techniques, taping, dry needling, the provision of foot orthotics, and specialized strengthening and stretching exercises aimed at restoring optimal foot function and diminishing discomfort.

By comprehensively addressing the various facets of plantar fasciitis, patients can improve their chances of sustained relief and enhanced mobility, ultimately resuming their daily activities with reduced discomfort.

Some Interesting Facts About Knees and Ankles and How They Are Related


As the years advance, the human body undergoes a natural wear-and-tear process, wherein even the cartilage cushioning vital joints is not immune. The consequence of this wear and tear often leads to the uncomfortable scenario where bones begin to rub against each other, culminating in the dreaded occurrence of joint inflammation.

Among the intricate network of joints in the human body, ankles take a remarkable place, often being both complex and essential. They can, however, be surprisingly easy to neglect in terms of regular care and maintenance. The implications of this oversight are far-reaching, given that your ankles significantly influence your overall mobility.

The human body is a symphony of interconnected parts, and the ankles play a crucial role in facilitating an array of movements. Yet, as the aging process unfolds, the ankles tend to lose some of their range of motion and flexibility, unless they are provided with the proper attention they deserve.

It is not uncommon for individuals to experience knee pain, seemingly unrelated to their ankles, when in fact, the two are intricately linked. A lack of mobility in the ankles can give rise to knee pain, further complicating the issue. If the ankle fails to execute its intended range of motion, it can inadvertently cause the knees to move incorrectly, setting the stage for debilitating knee pain that may even extend to the hips.

The pivotal relationship between ankle and knee health is an area of expertise at Back In Motion. Our team is well-versed in the complexities of these joints, their optimal functionality, and the potential factors that can lead to their malfunction. Unlike a primary care practitioner who might prematurely attribute joint pain in individuals over the age of 50, 60, and 70 to various forms of arthritis, we conduct a comprehensive evaluation. This approach allows us to discern whether the issue stems from a minor sprain, an unnoticed fracture, an injury to the talus (heel bone), or a form of Achilles tendonitis or tendinosis, characterized by strain and inflammation. Instead of merely prescribing rest and pills, which can sometimes prolong the healing process, we employ a tailored approach aimed at facilitating recovery by encouraging controlled movement, promoting circulation, and minimizing stiffness.

While not all issues can be immediately resolved through treatment, our examination may occasionally lead to recommendations for further diagnostic studies, such as X-rays or MRIs, to precisely determine the root cause. At times, the problem may originate in another part of the body, contributing to or triggering the observed pain.

Are You Worried About or Frustrated with Ankle and/or Foot Pain?
If you find yourself plagued by concerns or frustrations related to ankle and foot pain, the information presented here outlines the common conditions, their underlying causes, and effective treatment options available through consultation with a Doctor of Physical Therapy. Whether you have sustained an injury that seems to defy healing, struggle with pain during any form of walking, experience discomfort or imbalance while bearing weight on one side, or encounter persistent sensations of burning, tingling, or numbness, you can rest assured that you don't have to accept living with these discomforts as an inevitable fate.

You Don’t Have to “Live” with Foot or Ankle Pain & Help Is Within Your Reach


Most foot and ankle problems can be traced back to injuries, extended periods of immobilization, ill-fitting footwear, excessive use, or irregular foot biomechanics. It is important to recognize that pain in this region can be indicative of an underlying issue, such as inflammation or an untreated fracture. The complexity of the anatomical structure of the feet and ankles underscores the significance of identifying the root cause, thereby enabling the provision of tailored treatment for resolution.

If you’ve been thinking that it will eventually go away, you might be doing more harm than good.

Back In Motion boasts extensive experience in addressing a spectrum of foot and ankle-related discomfort, stemming from years of collaboration with diverse clientele, including elite athletes, sedentary individuals, and dedicated fitness enthusiasts. This wealth of experience, combined with our proprietary approach, the GRAY METHOD™, empowers us to not only treat these conditions but also delve deeper into the intricacies to uncover the precise cause and institute the most suitable remedies.

The path to relief from foot and ankle discomfort commences with a thorough understanding of the underlying issues. To embark on this journey towards improved mobility and a pain-free existence, we invite you to contact our office at 239-766-5547 and schedule your consultation. Alternatively, you can initiate the process through our user-friendly online form.

Your quest for a life unhindered by ankle and foot pain begins here. Let's unveil the root cause of your discomfort and get you back in motion!

If you are looking for exceptional foot and ankle pain treatment near you, visit Back In Motion Physical Therapy & Performance!

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]

While some individuals may lead their lives unaffected by bunions, over time, pain can manifest, hindering the ease of walking. It's important to note that while tight shoes don't cause bunions, they can exacerbate an existing misalignment, leading to earlier discomfort.


Signs and Symptoms of Bunions:

  • Pain or soreness
  • A burning sensation
  • Possible numbness
  • Inflammation and redness

It's worth mentioning that certain types of footwear, especially those with tight toe compartments or high heels, can contribute to or intensify the problem. Consequently, women are more frequently affected by this condition due to their footwear choices. Nevertheless, anyone who spends prolonged periods on their feet can experience the exacerbation of these symptoms.


Treatments for Bunions:

Though one cannot alter the foot's mechanical structure once ossification of the bone has occurred, various treatments, exercises, and movement instructions can alleviate or diminish pain and even correct bunions without resorting to surgery if the joint remains malleable. These interventions encompass self-help methods like icing, padding, and advice on suitable footwear. In addition, specific stretches, mechanical manipulation, and exercises can play an integral role in mitigating or eliminating discomfort while restoring the bunion's normal alignment. Following a precise diagnosis by experienced physical therapists, a customized blend of therapies will guide you back to improved health, all while steering clear of unnecessary medications or surgical procedures.


Foot Condition #2: Ankle Sprains

What Is an Ankle Sprain?

An ankle sprain takes place when the ligament connecting the leg and foot bones undergoes excessive stretching and tearing. In most cases, an ankle sprain is not merely an outcome of an unfortunate step but rather the manifestation of an underlying issue.

Types of Ankle Sprains:

Two distinct types of ankle sprains are commonly encountered: eversion and inversion. Eversion ankle sprains occur when the ankle rolls outward, tearing the deltoid ligaments. In contrast, inversion ankle sprains transpire when the foot turns upwards and the ankle rolls inward. Inversion sprains are more frequent and primarily involve injury to the anterior talofibular ligament (ATFL), a key component of the lateral collateral ligament in the ankle. While inversion sprains predominantly affect the ATFL, eversion can result in a strain or avulsion fracture of the medial malleolus.

Minor injuries cause stretching or microscopic tears in the stabilizing ligaments. A major injury can compromise the high ankle (syndesmotic) structure, involving the ligaments that bind the distal tibia and fibula at the distal tibiofibular joint. These injuries may lead to complete tendon disruption and fractures of the ankle and foot.

What Causes an Ankle Sprain?

The chief underlying cause of ankle sprains is often attributed to weakened muscles surrounding the ankle, which should serve as the primary support for this joint. When these muscles lack the requisite strength, the ankle is susceptible to excessive ranges of motion that may compromise the surrounding ligaments. Additional factors contributing to ankle sprains comprise limited ankle flexibility (ankle dorsiflexion), unsuitable arch height, inadequate ankle-strengthening and mobility exercises, non-supportive footwear, physical activities on uneven terrain, insufficient warm-up routines, and suboptimal posture during sitting, standing, lifting, and exercise.

Signs and Symptoms of an Ankle Sprain :

The most evident indication of an ankle sprain includes an awkward foot movement accompanied by ankle rolling and immediate pain. Other symptoms encompass an inability to bear weight on the injured ankle, resulting in pain and stability loss, restricted ankle mobility, tenderness, swelling, and bruising. The severity of symptoms can range from mild to severe, with recovery time varying from one week to several weeks or more, contingent on the implementation of appropriate treatment.

There are three grades of an ankle sprain:

  • Grade 1: (Mild) Microscopic tearing of the ligament. You may have a little bit of swelling, pain, and tenderness.
  • Grade 2: (Moderate) Partial tearing of the ligament. You may have moderate swelling, pain, tenderness, and looseness in the ankle joint.
  • Grade 3: (Severe) Full tear of the ligament. You may have severe swelling, pain, tenderness, and instability in the ankle joint.


Treatments for Ankle Sprains:

Conventional recommendations for ankle sprains often involve rest and painkillers, which, albeit providing symptomatic relief, do not address the root cause of the issue. Symptom-masking approaches are not sustainable and tend to lead to recurring pain and frustration. Effective treatments for ankle sprains encompass manual therapy, KT taping, functional exercises, and strength-building programs, such as blood flow restriction training.

Please note that manual therapy, specific exercises, and technique modifications offer more durable solutions by addressing the fundamental problems responsible for the ankle sprain.

Foot Condition #3: Peroneal Tendon Dysfunction

What Is the Peroneal Tendon?

Peroneal tendon dysfunction pertains to issues within a group of three tendons originating in the lateral shin and extending to the foot.

These tendons, namely the peroneus longus, peroneus brevis, and peroneus tertius, can be afflicted by inflammation (tendonitis), degradation (tendonosis), tearing, or subluxation, whereby one or both tendons shift out of place behind the lateral ankle.

These three muscles are called the peroneus longus, peroneus brevis, and peroneus tertius.

peroneal tendon

Peroneal tendon dysfunction can result from abrupt overuse, repetitive ankle movements as encountered in certain sports, or a sudden increase in activity levels. Individuals with high arches are at an elevated risk due to the constant stretching of these tendons, while the choice of unsupportive footwear, such as flip-flops or worn-out sneakers, can further exacerbate the issue. Exercising or walking on uneven surfaces and neglecting proper warm-up routines can contribute to the development of peroneal tendon dysfunction.

Signs and Symptoms of Peroneal Tendon Irritation :

Symptoms may vary depending on whether inflammation (tendonitis) or damage (tendonosis) is prevalent. Indications include swelling, warmth to the touch, pain during certain foot and ankle movements (eversion, plantar flexion, inversion, dorsiflexion), and pain when stretching the peroneal muscles.

The diagnosis and ensuing treatment approach must be tailored to the specific

Treatments for Peroneal Tendon Dysfunction:

Upon receiving a proper diagnosis, it is imperative to commence the correct treatment addressing the root cause. The approach may begin with more conservative methods, gradually incorporating specific exercises to enhance muscle strength, range of motion, and balance as symptoms improve.

As these conditions often present subtle distinctions and manifest differently in each individual, it is our priority to tailor a combination of therapies to facilitate recovery and an improved quality of life.

Common treatment options for peroneal tendon dysfunction include:

  1. Foot Orthotics: Customized shoe inserts that provide support and correction for foot biomechanics.

  2. Taping: Employing specialized taping techniques to alleviate stress on the peroneal tendons and promote healing.

  3. Exercise: Prescribed exercises target the affected area, enhancing muscle strength and flexibility.

  4. Patient Education: Understanding the condition and how to manage it is a crucial aspect of the treatment.

  5. Dry Needling: A technique involving the insertion of thin needles into trigger points to relieve pain and muscle tension.

  6. Active Release Technique (ART): A hands-on approach to treat soft tissue injuries by removing adhesions and scar tissue.

Foot Condition #4: Achilles Tendonosis & Tendonitis

What Is the Achilles Tendon & How Does It Get Injured?

The Achilles tendon is among the body's most robust tendons, tasked with bearing your entire body weight. Located at the posterior of the calf, it comprises three muscles: the gastrocnemius, soleus, and plantar muscle, collectively known as the triceps surae.

achilles tendon

Both Achilles tendonitis and tendonosis often arise from a sudden increase in repetitive activities involving the Achilles tendon.

These activities place excessive pressure on the tendon, causing micro-damage to the tendon fibers. Over time, the body's inability to repair the damaged tissue results in a structural change in the tendon, leading to persistent pain.

Individuals with excessive internal rotation or pronation, such as those with flat arches, are more susceptible to Achilles tendon issues. Wearing unsupportive footwear on hard, flat surfaces exacerbates the condition, especially for those who spend extended periods on their feet.

Signs and Symptoms of Achilles Tendon Dysfunction:

The most common symptoms of achilles tendon dysfunction include:

  • Pain and stiffness above the heel or behind the ankle, particularly in the morning.
  • Aggravation of pain during on-foot activities.
  • Swelling around the heel area.
  • A visible bump on the heel.
  • Pain when standing on tiptoe.
  • A perception of the heel being “spongy” when pressed.
  • Pain when pushing off while walking.

Treatments for the Achilles Tendon:

Successful recovery from Achilles tendon problems necessitates proper treatment. Our advanced treatment methods include:

  1. Specific Strengthening and Stretching Exercises: Tailored exercises to target Achilles tendon issues.

  2. Manual Therapy: Hands-on techniques to alleviate pain and facilitate healing.

  3. Technique Modifications: Correcting gait and activity techniques to reduce stress on the Achilles tendon.

  4. Postural Adjustments: Ensuring proper posture to minimize strain on the tendon.

  5. Patient Education: Comprehensive understanding of the condition and how to manage it.

  6. Shoe Inserts: The use of orthotic inserts to provide proper support to the Achilles tendon.

  7. Dry Needling: The insertion of fine needles into trigger points to alleviate pain and muscle tension.

Ultimately, our one-on-one approach ensures that we design a personalized treatment plan based on your specific underlying causes to facilitate your recovery.

Foot Condition #5: Posterior Tibial Tendon Dysfunction

What Is a Posterior Tibial Tendon?

The posterior tibial tendon, a pivotal supporting structure in the foot, plays a vital role in maintaining proper foot function during the act of walking. However, alterations in this crucial tendon can lead to a condition known as posterior tibial tendon dysfunction, characterized by the flattening of the foot's arch. This condition predominantly affects one foot, but bilateral occurrences are not uncommon, often displaying a progressive nature if left untreated.

The primary etiological factor is the mechanical strain placed on the posterior tibial tendon, particularly prevalent in individuals with flat feet. Symptoms manifest following activities that demand substantial involvement of the tendon, such as running, walking, hiking, or stair climbing.

Signs and Symptoms of Peroneal Tendon Dysfunction :

Individuals afflicted by posterior tibial tendon dysfunction typically report discomfort localized on the interior of the foot, primarily in the middle or rear section. The pain tends to mirror the path of the affected tendon, tracing from behind the ankle bone to the inner aspect of the foot.

Profound weakness in the foot is a common symptom. This weakness becomes apparent when individuals struggle to perform a simple “heel raise” or calf raise exercise. Inability to achieve heel inversion or supination during this exercise often serves as a key diagnostic indicator.

An advanced clinical sign, known as the “too many toes” sign, becomes evident when an observer positions themselves behind the patient and assesses their feet. If an abnormal number of toes appear to protrude outward on the side of the foot, this is indicative of a collapsed arch and the rotation of toes towards the foot's lateral aspect. Furthermore, in more advanced stages, visible foot deformities may become apparent.

Treatments for Posterior Tibial Tendon Dysfunction:

In the early stages of posterior tibial tendon dysfunction, prompt intervention can lead to symptom resolution without the necessity of surgical measures, potentially halting the condition's progression. A tailored physical therapy regimen is often the treatment of choice for mild to moderate cases, focusing on specific exercises aimed at enhancing tendon and muscle strength while preserving flexibility. Additionally, exercises are frequently recommended following a period of immobilization, ensuring the gradual rehabilitation of the affected tendon.

By addressing posterior tibial tendon dysfunction in its initial stages, patients can increase their likelihood of recovery without invasive procedures and maintain a higher quality of life.


Foot Condition #6: Plantar Fasciitis

What Is the Plantar Fascia?

Plantar fasciitis is a condition characterized by irritation and subsequent inflammation of the plantar fascia, a resilient band of tissue extending from the heel to the toes. This inflammation commonly manifests as persistent heel pain, often exacerbated during the initial steps after prolonged periods of rest. Several factors contribute to the development of plantar fasciitis, with foot arch type playing a pivotal role.

Individuals with either overly flat or high-arched feet are more susceptible to the onset of plantar fasciitis. Additionally, wearing non-supportive footwear on unyielding and flat surfaces elevates the mechanical strain experienced by the plantar fascia, potentially precipitating this condition, particularly for those engaged in occupations requiring prolonged periods of weight-bearing activities.

Furthermore, there is notable evidence supporting the link between obesity and overuse in the genesis of plantar fasciitis. Excess body weight places added pressure on the plantar fascia, intensifying the strain it endures during daily activities.

Plantar view of foot showing plantar fascia. SOURCE: Skin based on 2B4256, fascia from 5B11887. Used in 83735, versions in 2B4256, 7B11421

Signs and Symptoms of Plantar Fasciitis:

Plantar fasciitis presents a distinct set of signs and symptoms, which aid in its identification:

  1. Heel Pain: The most prominent and debilitating symptom is pain localized at the bottom of the heel.

  2. Arch Pain: Discomfort may also extend to the arch of the foot, reflecting the plantar fascia's extensive coverage.

  3. Morning Pain: Pain is often most acute during the initial steps taken in the morning or after prolonged periods of inactivity.

  4. Progressive Pain: Over the course of months, individuals may experience an increase in the intensity of pain.

  5. Heel Swelling: Swelling may develop at the base of the heel, contributing to the overall discomfort.

The pain's character frequently evolves; it may temporarily diminish following a few minutes of walking, as the act of walking gently stretches the inflamed fascia. However, the pain tends to return with prolonged weight-bearing activities, such as standing or walking for extended durations.

Treatments for Plantar Fasciitis:

The primary approach to managing plantar fasciitis revolves around conservative treatments, with advanced methods reserved for cases that fail to respond to initial interventions. Invasive options such as surgery, injections, or pain medication are occasionally considered, but these interventions often provide temporary relief due to their focus on addressing the symptoms rather than the root cause.

A Doctor of Physical Therapy offers a range of treatments designed to alleviate plantar fasciitis effectively. These interventions encompass ankle and foot mobilizations, active release techniques, taping, dry needling, the provision of foot orthotics, and specialized strengthening and stretching exercises aimed at restoring optimal foot function and diminishing discomfort.

By comprehensively addressing the various facets of plantar fasciitis, patients can improve their chances of sustained relief and enhanced mobility, ultimately resuming their daily activities with reduced discomfort.

Some Interesting Facts About Knees and Ankles and How They Are Related


As the years advance, the human body undergoes a natural wear-and-tear process, wherein even the cartilage cushioning vital joints is not immune. The consequence of this wear and tear often leads to the uncomfortable scenario where bones begin to rub against each other, culminating in the dreaded occurrence of joint inflammation.

Among the intricate network of joints in the human body, ankles take a remarkable place, often being both complex and essential. They can, however, be surprisingly easy to neglect in terms of regular care and maintenance. The implications of this oversight are far-reaching, given that your ankles significantly influence your overall mobility.

The human body is a symphony of interconnected parts, and the ankles play a crucial role in facilitating an array of movements. Yet, as the aging process unfolds, the ankles tend to lose some of their range of motion and flexibility, unless they are provided with the proper attention they deserve.

It is not uncommon for individuals to experience knee pain, seemingly unrelated to their ankles, when in fact, the two are intricately linked. A lack of mobility in the ankles can give rise to knee pain, further complicating the issue. If the ankle fails to execute its intended range of motion, it can inadvertently cause the knees to move incorrectly, setting the stage for debilitating knee pain that may even extend to the hips.

The pivotal relationship between ankle and knee health is an area of expertise at Back In Motion. Our team is well-versed in the complexities of these joints, their optimal functionality, and the potential factors that can lead to their malfunction. Unlike a primary care practitioner who might prematurely attribute joint pain in individuals over the age of 50, 60, and 70 to various forms of arthritis, we conduct a comprehensive evaluation. This approach allows us to discern whether the issue stems from a minor sprain, an unnoticed fracture, an injury to the talus (heel bone), or a form of Achilles tendonitis or tendinosis, characterized by strain and inflammation. Instead of merely prescribing rest and pills, which can sometimes prolong the healing process, we employ a tailored approach aimed at facilitating recovery by encouraging controlled movement, promoting circulation, and minimizing stiffness.

While not all issues can be immediately resolved through treatment, our examination may occasionally lead to recommendations for further diagnostic studies, such as X-rays or MRIs, to precisely determine the root cause. At times, the problem may originate in another part of the body, contributing to or triggering the observed pain.

Are You Worried About or Frustrated with Ankle and/or Foot Pain?
If you find yourself plagued by concerns or frustrations related to ankle and foot pain, the information presented here outlines the common conditions, their underlying causes, and effective treatment options available through consultation with a Doctor of Physical Therapy. Whether you have sustained an injury that seems to defy healing, struggle with pain during any form of walking, experience discomfort or imbalance while bearing weight on one side, or encounter persistent sensations of burning, tingling, or numbness, you can rest assured that you don't have to accept living with these discomforts as an inevitable fate.

You Don’t Have to “Live” with Foot or Ankle Pain & Help Is Within Your Reach


Most foot and ankle problems can be traced back to injuries, extended periods of immobilization, ill-fitting footwear, excessive use, or irregular foot biomechanics. It is important to recognize that pain in this region can be indicative of an underlying issue, such as inflammation or an untreated fracture. The complexity of the anatomical structure of the feet and ankles underscores the significance of identifying the root cause, thereby enabling the provision of tailored treatment for resolution.

If you’ve been thinking that it will eventually go away, you might be doing more harm than good.

Back In Motion boasts extensive experience in addressing a spectrum of foot and ankle-related discomfort, stemming from years of collaboration with diverse clientele, including elite athletes, sedentary individuals, and dedicated fitness enthusiasts. This wealth of experience, combined with our proprietary approach, the GRAY METHOD™, empowers us to not only treat these conditions but also delve deeper into the intricacies to uncover the precise cause and institute the most suitable remedies.

The path to relief from foot and ankle discomfort commences with a thorough understanding of the underlying issues. To embark on this journey towards improved mobility and a pain-free existence, we invite you to contact our office at 239-766-5547 and schedule your consultation. Alternatively, you can initiate the process through our user-friendly online form.

Your quest for a life unhindered by ankle and foot pain begins here. Let's unveil the root cause of your discomfort and get you back in motion!

If you are looking for exceptional foot and ankle pain treatment near you, visit Back In Motion Physical Therapy & Performance!

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]

While some individuals may lead their lives unaffected by bunions, over time, pain can manifest, hindering the ease of walking. It's important to note that while tight shoes don't cause bunions, they can exacerbate an existing misalignment, leading to earlier discomfort.


Signs and Symptoms of Bunions:

  • Pain or soreness
  • A burning sensation
  • Possible numbness
  • Inflammation and redness

It's worth mentioning that certain types of footwear, especially those with tight toe compartments or high heels, can contribute to or intensify the problem. Consequently, women are more frequently affected by this condition due to their footwear choices. Nevertheless, anyone who spends prolonged periods on their feet can experience the exacerbation of these symptoms.


Treatments for Bunions:

Though one cannot alter the foot's mechanical structure once ossification of the bone has occurred, various treatments, exercises, and movement instructions can alleviate or diminish pain and even correct bunions without resorting to surgery if the joint remains malleable. These interventions encompass self-help methods like icing, padding, and advice on suitable footwear. In addition, specific stretches, mechanical manipulation, and exercises can play an integral role in mitigating or eliminating discomfort while restoring the bunion's normal alignment. Following a precise diagnosis by experienced physical therapists, a customized blend of therapies will guide you back to improved health, all while steering clear of unnecessary medications or surgical procedures.


Foot Condition #2: Ankle Sprains

What Is an Ankle Sprain?

An ankle sprain takes place when the ligament connecting the leg and foot bones undergoes excessive stretching and tearing. In most cases, an ankle sprain is not merely an outcome of an unfortunate step but rather the manifestation of an underlying issue.

Types of Ankle Sprains:

Two distinct types of ankle sprains are commonly encountered: eversion and inversion. Eversion ankle sprains occur when the ankle rolls outward, tearing the deltoid ligaments. In contrast, inversion ankle sprains transpire when the foot turns upwards and the ankle rolls inward. Inversion sprains are more frequent and primarily involve injury to the anterior talofibular ligament (ATFL), a key component of the lateral collateral ligament in the ankle. While inversion sprains predominantly affect the ATFL, eversion can result in a strain or avulsion fracture of the medial malleolus.

Minor injuries cause stretching or microscopic tears in the stabilizing ligaments. A major injury can compromise the high ankle (syndesmotic) structure, involving the ligaments that bind the distal tibia and fibula at the distal tibiofibular joint. These injuries may lead to complete tendon disruption and fractures of the ankle and foot.

What Causes an Ankle Sprain?

The chief underlying cause of ankle sprains is often attributed to weakened muscles surrounding the ankle, which should serve as the primary support for this joint. When these muscles lack the requisite strength, the ankle is susceptible to excessive ranges of motion that may compromise the surrounding ligaments. Additional factors contributing to ankle sprains comprise limited ankle flexibility (ankle dorsiflexion), unsuitable arch height, inadequate ankle-strengthening and mobility exercises, non-supportive footwear, physical activities on uneven terrain, insufficient warm-up routines, and suboptimal posture during sitting, standing, lifting, and exercise.

Signs and Symptoms of an Ankle Sprain :

The most evident indication of an ankle sprain includes an awkward foot movement accompanied by ankle rolling and immediate pain. Other symptoms encompass an inability to bear weight on the injured ankle, resulting in pain and stability loss, restricted ankle mobility, tenderness, swelling, and bruising. The severity of symptoms can range from mild to severe, with recovery time varying from one week to several weeks or more, contingent on the implementation of appropriate treatment.

There are three grades of an ankle sprain:

  • Grade 1: (Mild) Microscopic tearing of the ligament. You may have a little bit of swelling, pain, and tenderness.
  • Grade 2: (Moderate) Partial tearing of the ligament. You may have moderate swelling, pain, tenderness, and looseness in the ankle joint.
  • Grade 3: (Severe) Full tear of the ligament. You may have severe swelling, pain, tenderness, and instability in the ankle joint.


Treatments for Ankle Sprains:

Conventional recommendations for ankle sprains often involve rest and painkillers, which, albeit providing symptomatic relief, do not address the root cause of the issue. Symptom-masking approaches are not sustainable and tend to lead to recurring pain and frustration. Effective treatments for ankle sprains encompass manual therapy, KT taping, functional exercises, and strength-building programs, such as blood flow restriction training.

Please note that manual therapy, specific exercises, and technique modifications offer more durable solutions by addressing the fundamental problems responsible for the ankle sprain.

Foot Condition #3: Peroneal Tendon Dysfunction

What Is the Peroneal Tendon?

Peroneal tendon dysfunction pertains to issues within a group of three tendons originating in the lateral shin and extending to the foot.

These tendons, namely the peroneus longus, peroneus brevis, and peroneus tertius, can be afflicted by inflammation (tendonitis), degradation (tendonosis), tearing, or subluxation, whereby one or both tendons shift out of place behind the lateral ankle.

These three muscles are called the peroneus longus, peroneus brevis, and peroneus tertius.

peroneal tendon

Peroneal tendon dysfunction can result from abrupt overuse, repetitive ankle movements as encountered in certain sports, or a sudden increase in activity levels. Individuals with high arches are at an elevated risk due to the constant stretching of these tendons, while the choice of unsupportive footwear, such as flip-flops or worn-out sneakers, can further exacerbate the issue. Exercising or walking on uneven surfaces and neglecting proper warm-up routines can contribute to the development of peroneal tendon dysfunction.

Signs and Symptoms of Peroneal Tendon Irritation :

Symptoms may vary depending on whether inflammation (tendonitis) or damage (tendonosis) is prevalent. Indications include swelling, warmth to the touch, pain during certain foot and ankle movements (eversion, plantar flexion, inversion, dorsiflexion), and pain when stretching the peroneal muscles.

The diagnosis and ensuing treatment approach must be tailored to the specific

Treatments for Peroneal Tendon Dysfunction:

Upon receiving a proper diagnosis, it is imperative to commence the correct treatment addressing the root cause. The approach may begin with more conservative methods, gradually incorporating specific exercises to enhance muscle strength, range of motion, and balance as symptoms improve.

As these conditions often present subtle distinctions and manifest differently in each individual, it is our priority to tailor a combination of therapies to facilitate recovery and an improved quality of life.

Common treatment options for peroneal tendon dysfunction include:

  1. Foot Orthotics: Customized shoe inserts that provide support and correction for foot biomechanics.

  2. Taping: Employing specialized taping techniques to alleviate stress on the peroneal tendons and promote healing.

  3. Exercise: Prescribed exercises target the affected area, enhancing muscle strength and flexibility.

  4. Patient Education: Understanding the condition and how to manage it is a crucial aspect of the treatment.

  5. Dry Needling: A technique involving the insertion of thin needles into trigger points to relieve pain and muscle tension.

  6. Active Release Technique (ART): A hands-on approach to treat soft tissue injuries by removing adhesions and scar tissue.

Foot Condition #4: Achilles Tendonosis & Tendonitis

What Is the Achilles Tendon & How Does It Get Injured?

The Achilles tendon is among the body's most robust tendons, tasked with bearing your entire body weight. Located at the posterior of the calf, it comprises three muscles: the gastrocnemius, soleus, and plantar muscle, collectively known as the triceps surae.

achilles tendon

Both Achilles tendonitis and tendonosis often arise from a sudden increase in repetitive activities involving the Achilles tendon.

These activities place excessive pressure on the tendon, causing micro-damage to the tendon fibers. Over time, the body's inability to repair the damaged tissue results in a structural change in the tendon, leading to persistent pain.

Individuals with excessive internal rotation or pronation, such as those with flat arches, are more susceptible to Achilles tendon issues. Wearing unsupportive footwear on hard, flat surfaces exacerbates the condition, especially for those who spend extended periods on their feet.

Signs and Symptoms of Achilles Tendon Dysfunction:

The most common symptoms of achilles tendon dysfunction include:

  • Pain and stiffness above the heel or behind the ankle, particularly in the morning.
  • Aggravation of pain during on-foot activities.
  • Swelling around the heel area.
  • A visible bump on the heel.
  • Pain when standing on tiptoe.
  • A perception of the heel being “spongy” when pressed.
  • Pain when pushing off while walking.

Treatments for the Achilles Tendon:

Successful recovery from Achilles tendon problems necessitates proper treatment. Our advanced treatment methods include:

  1. Specific Strengthening and Stretching Exercises: Tailored exercises to target Achilles tendon issues.

  2. Manual Therapy: Hands-on techniques to alleviate pain and facilitate healing.

  3. Technique Modifications: Correcting gait and activity techniques to reduce stress on the Achilles tendon.

  4. Postural Adjustments: Ensuring proper posture to minimize strain on the tendon.

  5. Patient Education: Comprehensive understanding of the condition and how to manage it.

  6. Shoe Inserts: The use of orthotic inserts to provide proper support to the Achilles tendon.

  7. Dry Needling: The insertion of fine needles into trigger points to alleviate pain and muscle tension.

Ultimately, our one-on-one approach ensures that we design a personalized treatment plan based on your specific underlying causes to facilitate your recovery.

Foot Condition #5: Posterior Tibial Tendon Dysfunction

What Is a Posterior Tibial Tendon?

The posterior tibial tendon, a pivotal supporting structure in the foot, plays a vital role in maintaining proper foot function during the act of walking. However, alterations in this crucial tendon can lead to a condition known as posterior tibial tendon dysfunction, characterized by the flattening of the foot's arch. This condition predominantly affects one foot, but bilateral occurrences are not uncommon, often displaying a progressive nature if left untreated.

The primary etiological factor is the mechanical strain placed on the posterior tibial tendon, particularly prevalent in individuals with flat feet. Symptoms manifest following activities that demand substantial involvement of the tendon, such as running, walking, hiking, or stair climbing.

Signs and Symptoms of Peroneal Tendon Dysfunction :

Individuals afflicted by posterior tibial tendon dysfunction typically report discomfort localized on the interior of the foot, primarily in the middle or rear section. The pain tends to mirror the path of the affected tendon, tracing from behind the ankle bone to the inner aspect of the foot.

Profound weakness in the foot is a common symptom. This weakness becomes apparent when individuals struggle to perform a simple “heel raise” or calf raise exercise. Inability to achieve heel inversion or supination during this exercise often serves as a key diagnostic indicator.

An advanced clinical sign, known as the “too many toes” sign, becomes evident when an observer positions themselves behind the patient and assesses their feet. If an abnormal number of toes appear to protrude outward on the side of the foot, this is indicative of a collapsed arch and the rotation of toes towards the foot's lateral aspect. Furthermore, in more advanced stages, visible foot deformities may become apparent.

Treatments for Posterior Tibial Tendon Dysfunction:

In the early stages of posterior tibial tendon dysfunction, prompt intervention can lead to symptom resolution without the necessity of surgical measures, potentially halting the condition's progression. A tailored physical therapy regimen is often the treatment of choice for mild to moderate cases, focusing on specific exercises aimed at enhancing tendon and muscle strength while preserving flexibility. Additionally, exercises are frequently recommended following a period of immobilization, ensuring the gradual rehabilitation of the affected tendon.

By addressing posterior tibial tendon dysfunction in its initial stages, patients can increase their likelihood of recovery without invasive procedures and maintain a higher quality of life.


Foot Condition #6: Plantar Fasciitis

What Is the Plantar Fascia?

Plantar fasciitis is a condition characterized by irritation and subsequent inflammation of the plantar fascia, a resilient band of tissue extending from the heel to the toes. This inflammation commonly manifests as persistent heel pain, often exacerbated during the initial steps after prolonged periods of rest. Several factors contribute to the development of plantar fasciitis, with foot arch type playing a pivotal role.

Individuals with either overly flat or high-arched feet are more susceptible to the onset of plantar fasciitis. Additionally, wearing non-supportive footwear on unyielding and flat surfaces elevates the mechanical strain experienced by the plantar fascia, potentially precipitating this condition, particularly for those engaged in occupations requiring prolonged periods of weight-bearing activities.

Furthermore, there is notable evidence supporting the link between obesity and overuse in the genesis of plantar fasciitis. Excess body weight places added pressure on the plantar fascia, intensifying the strain it endures during daily activities.

Plantar view of foot showing plantar fascia. SOURCE: Skin based on 2B4256, fascia from 5B11887. Used in 83735, versions in 2B4256, 7B11421

Signs and Symptoms of Plantar Fasciitis:

Plantar fasciitis presents a distinct set of signs and symptoms, which aid in its identification:

  1. Heel Pain: The most prominent and debilitating symptom is pain localized at the bottom of the heel.

  2. Arch Pain: Discomfort may also extend to the arch of the foot, reflecting the plantar fascia's extensive coverage.

  3. Morning Pain: Pain is often most acute during the initial steps taken in the morning or after prolonged periods of inactivity.

  4. Progressive Pain: Over the course of months, individuals may experience an increase in the intensity of pain.

  5. Heel Swelling: Swelling may develop at the base of the heel, contributing to the overall discomfort.

The pain's character frequently evolves; it may temporarily diminish following a few minutes of walking, as the act of walking gently stretches the inflamed fascia. However, the pain tends to return with prolonged weight-bearing activities, such as standing or walking for extended durations.

Treatments for Plantar Fasciitis:

The primary approach to managing plantar fasciitis revolves around conservative treatments, with advanced methods reserved for cases that fail to respond to initial interventions. Invasive options such as surgery, injections, or pain medication are occasionally considered, but these interventions often provide temporary relief due to their focus on addressing the symptoms rather than the root cause.

A Doctor of Physical Therapy offers a range of treatments designed to alleviate plantar fasciitis effectively. These interventions encompass ankle and foot mobilizations, active release techniques, taping, dry needling, the provision of foot orthotics, and specialized strengthening and stretching exercises aimed at restoring optimal foot function and diminishing discomfort.

By comprehensively addressing the various facets of plantar fasciitis, patients can improve their chances of sustained relief and enhanced mobility, ultimately resuming their daily activities with reduced discomfort.

Some Interesting Facts About Knees and Ankles and How They Are Related


As the years advance, the human body undergoes a natural wear-and-tear process, wherein even the cartilage cushioning vital joints is not immune. The consequence of this wear and tear often leads to the uncomfortable scenario where bones begin to rub against each other, culminating in the dreaded occurrence of joint inflammation.

Among the intricate network of joints in the human body, ankles take a remarkable place, often being both complex and essential. They can, however, be surprisingly easy to neglect in terms of regular care and maintenance. The implications of this oversight are far-reaching, given that your ankles significantly influence your overall mobility.

The human body is a symphony of interconnected parts, and the ankles play a crucial role in facilitating an array of movements. Yet, as the aging process unfolds, the ankles tend to lose some of their range of motion and flexibility, unless they are provided with the proper attention they deserve.

It is not uncommon for individuals to experience knee pain, seemingly unrelated to their ankles, when in fact, the two are intricately linked. A lack of mobility in the ankles can give rise to knee pain, further complicating the issue. If the ankle fails to execute its intended range of motion, it can inadvertently cause the knees to move incorrectly, setting the stage for debilitating knee pain that may even extend to the hips.

The pivotal relationship between ankle and knee health is an area of expertise at Back In Motion. Our team is well-versed in the complexities of these joints, their optimal functionality, and the potential factors that can lead to their malfunction. Unlike a primary care practitioner who might prematurely attribute joint pain in individuals over the age of 50, 60, and 70 to various forms of arthritis, we conduct a comprehensive evaluation. This approach allows us to discern whether the issue stems from a minor sprain, an unnoticed fracture, an injury to the talus (heel bone), or a form of Achilles tendonitis or tendinosis, characterized by strain and inflammation. Instead of merely prescribing rest and pills, which can sometimes prolong the healing process, we employ a tailored approach aimed at facilitating recovery by encouraging controlled movement, promoting circulation, and minimizing stiffness.

While not all issues can be immediately resolved through treatment, our examination may occasionally lead to recommendations for further diagnostic studies, such as X-rays or MRIs, to precisely determine the root cause. At times, the problem may originate in another part of the body, contributing to or triggering the observed pain.

Are You Worried About or Frustrated with Ankle and/or Foot Pain?
If you find yourself plagued by concerns or frustrations related to ankle and foot pain, the information presented here outlines the common conditions, their underlying causes, and effective treatment options available through consultation with a Doctor of Physical Therapy. Whether you have sustained an injury that seems to defy healing, struggle with pain during any form of walking, experience discomfort or imbalance while bearing weight on one side, or encounter persistent sensations of burning, tingling, or numbness, you can rest assured that you don't have to accept living with these discomforts as an inevitable fate.

You Don’t Have to “Live” with Foot or Ankle Pain & Help Is Within Your Reach


Most foot and ankle problems can be traced back to injuries, extended periods of immobilization, ill-fitting footwear, excessive use, or irregular foot biomechanics. It is important to recognize that pain in this region can be indicative of an underlying issue, such as inflammation or an untreated fracture. The complexity of the anatomical structure of the feet and ankles underscores the significance of identifying the root cause, thereby enabling the provision of tailored treatment for resolution.

If you’ve been thinking that it will eventually go away, you might be doing more harm than good.

Back In Motion boasts extensive experience in addressing a spectrum of foot and ankle-related discomfort, stemming from years of collaboration with diverse clientele, including elite athletes, sedentary individuals, and dedicated fitness enthusiasts. This wealth of experience, combined with our proprietary approach, the GRAY METHOD™, empowers us to not only treat these conditions but also delve deeper into the intricacies to uncover the precise cause and institute the most suitable remedies.

The path to relief from foot and ankle discomfort commences with a thorough understanding of the underlying issues. To embark on this journey towards improved mobility and a pain-free existence, we invite you to contact our office at 239-766-5547 and schedule your consultation. Alternatively, you can initiate the process through our user-friendly online form.

Your quest for a life unhindered by ankle and foot pain begins here. Let's unveil the root cause of your discomfort and get you back in motion!

If you are looking for exceptional foot and ankle pain treatment near you, visit Back In Motion Physical Therapy & Performance!

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]

Foot Condition #1: Bunions

What Are Bunions?

A bunion, medically known as hallux valgus, is commonly misconceived as a mere bump on the side of the foot near the big toe. In reality, it constitutes a deformity in the structural framework of the bones within the front part of the foot, often inherited genetically. The root cause of bunions lies not in the bunion itself but rather in the foot's mechanical structure. Here, the big toe deviates inwards towards the second toe, leading to a misalignment of the bones and the characteristic bump.

While some individuals may lead their lives unaffected by bunions, over time, pain can manifest, hindering the ease of walking. It's important to note that while tight shoes don't cause bunions, they can exacerbate an existing misalignment, leading to earlier discomfort.


Signs and Symptoms of Bunions:

  • Pain or soreness
  • A burning sensation
  • Possible numbness
  • Inflammation and redness

It's worth mentioning that certain types of footwear, especially those with tight toe compartments or high heels, can contribute to or intensify the problem. Consequently, women are more frequently affected by this condition due to their footwear choices. Nevertheless, anyone who spends prolonged periods on their feet can experience the exacerbation of these symptoms.


Treatments for Bunions:

Though one cannot alter the foot's mechanical structure once ossification of the bone has occurred, various treatments, exercises, and movement instructions can alleviate or diminish pain and even correct bunions without resorting to surgery if the joint remains malleable. These interventions encompass self-help methods like icing, padding, and advice on suitable footwear. In addition, specific stretches, mechanical manipulation, and exercises can play an integral role in mitigating or eliminating discomfort while restoring the bunion's normal alignment. Following a precise diagnosis by experienced physical therapists, a customized blend of therapies will guide you back to improved health, all while steering clear of unnecessary medications or surgical procedures.


Foot Condition #2: Ankle Sprains

What Is an Ankle Sprain?

An ankle sprain takes place when the ligament connecting the leg and foot bones undergoes excessive stretching and tearing. In most cases, an ankle sprain is not merely an outcome of an unfortunate step but rather the manifestation of an underlying issue.

Types of Ankle Sprains:

Two distinct types of ankle sprains are commonly encountered: eversion and inversion. Eversion ankle sprains occur when the ankle rolls outward, tearing the deltoid ligaments. In contrast, inversion ankle sprains transpire when the foot turns upwards and the ankle rolls inward. Inversion sprains are more frequent and primarily involve injury to the anterior talofibular ligament (ATFL), a key component of the lateral collateral ligament in the ankle. While inversion sprains predominantly affect the ATFL, eversion can result in a strain or avulsion fracture of the medial malleolus.

Minor injuries cause stretching or microscopic tears in the stabilizing ligaments. A major injury can compromise the high ankle (syndesmotic) structure, involving the ligaments that bind the distal tibia and fibula at the distal tibiofibular joint. These injuries may lead to complete tendon disruption and fractures of the ankle and foot.

What Causes an Ankle Sprain?

The chief underlying cause of ankle sprains is often attributed to weakened muscles surrounding the ankle, which should serve as the primary support for this joint. When these muscles lack the requisite strength, the ankle is susceptible to excessive ranges of motion that may compromise the surrounding ligaments. Additional factors contributing to ankle sprains comprise limited ankle flexibility (ankle dorsiflexion), unsuitable arch height, inadequate ankle-strengthening and mobility exercises, non-supportive footwear, physical activities on uneven terrain, insufficient warm-up routines, and suboptimal posture during sitting, standing, lifting, and exercise.

Signs and Symptoms of an Ankle Sprain :

The most evident indication of an ankle sprain includes an awkward foot movement accompanied by ankle rolling and immediate pain. Other symptoms encompass an inability to bear weight on the injured ankle, resulting in pain and stability loss, restricted ankle mobility, tenderness, swelling, and bruising. The severity of symptoms can range from mild to severe, with recovery time varying from one week to several weeks or more, contingent on the implementation of appropriate treatment.

There are three grades of an ankle sprain:

  • Grade 1: (Mild) Microscopic tearing of the ligament. You may have a little bit of swelling, pain, and tenderness.
  • Grade 2: (Moderate) Partial tearing of the ligament. You may have moderate swelling, pain, tenderness, and looseness in the ankle joint.
  • Grade 3: (Severe) Full tear of the ligament. You may have severe swelling, pain, tenderness, and instability in the ankle joint.


Treatments for Ankle Sprains:

Conventional recommendations for ankle sprains often involve rest and painkillers, which, albeit providing symptomatic relief, do not address the root cause of the issue. Symptom-masking approaches are not sustainable and tend to lead to recurring pain and frustration. Effective treatments for ankle sprains encompass manual therapy, KT taping, functional exercises, and strength-building programs, such as blood flow restriction training.

Please note that manual therapy, specific exercises, and technique modifications offer more durable solutions by addressing the fundamental problems responsible for the ankle sprain.

Foot Condition #3: Peroneal Tendon Dysfunction

What Is the Peroneal Tendon?

Peroneal tendon dysfunction pertains to issues within a group of three tendons originating in the lateral shin and extending to the foot.

These tendons, namely the peroneus longus, peroneus brevis, and peroneus tertius, can be afflicted by inflammation (tendonitis), degradation (tendonosis), tearing, or subluxation, whereby one or both tendons shift out of place behind the lateral ankle.

These three muscles are called the peroneus longus, peroneus brevis, and peroneus tertius.

peroneal tendon

Peroneal tendon dysfunction can result from abrupt overuse, repetitive ankle movements as encountered in certain sports, or a sudden increase in activity levels. Individuals with high arches are at an elevated risk due to the constant stretching of these tendons, while the choice of unsupportive footwear, such as flip-flops or worn-out sneakers, can further exacerbate the issue. Exercising or walking on uneven surfaces and neglecting proper warm-up routines can contribute to the development of peroneal tendon dysfunction.

Signs and Symptoms of Peroneal Tendon Irritation :

Symptoms may vary depending on whether inflammation (tendonitis) or damage (tendonosis) is prevalent. Indications include swelling, warmth to the touch, pain during certain foot and ankle movements (eversion, plantar flexion, inversion, dorsiflexion), and pain when stretching the peroneal muscles.

The diagnosis and ensuing treatment approach must be tailored to the specific

Treatments for Peroneal Tendon Dysfunction:

Upon receiving a proper diagnosis, it is imperative to commence the correct treatment addressing the root cause. The approach may begin with more conservative methods, gradually incorporating specific exercises to enhance muscle strength, range of motion, and balance as symptoms improve.

As these conditions often present subtle distinctions and manifest differently in each individual, it is our priority to tailor a combination of therapies to facilitate recovery and an improved quality of life.

Common treatment options for peroneal tendon dysfunction include:

  1. Foot Orthotics: Customized shoe inserts that provide support and correction for foot biomechanics.

  2. Taping: Employing specialized taping techniques to alleviate stress on the peroneal tendons and promote healing.

  3. Exercise: Prescribed exercises target the affected area, enhancing muscle strength and flexibility.

  4. Patient Education: Understanding the condition and how to manage it is a crucial aspect of the treatment.

  5. Dry Needling: A technique involving the insertion of thin needles into trigger points to relieve pain and muscle tension.

  6. Active Release Technique (ART): A hands-on approach to treat soft tissue injuries by removing adhesions and scar tissue.

Foot Condition #4: Achilles Tendonosis & Tendonitis

What Is the Achilles Tendon & How Does It Get Injured?

The Achilles tendon is among the body's most robust tendons, tasked with bearing your entire body weight. Located at the posterior of the calf, it comprises three muscles: the gastrocnemius, soleus, and plantar muscle, collectively known as the triceps surae.

achilles tendon

Both Achilles tendonitis and tendonosis often arise from a sudden increase in repetitive activities involving the Achilles tendon.

These activities place excessive pressure on the tendon, causing micro-damage to the tendon fibers. Over time, the body's inability to repair the damaged tissue results in a structural change in the tendon, leading to persistent pain.

Individuals with excessive internal rotation or pronation, such as those with flat arches, are more susceptible to Achilles tendon issues. Wearing unsupportive footwear on hard, flat surfaces exacerbates the condition, especially for those who spend extended periods on their feet.

Signs and Symptoms of Achilles Tendon Dysfunction:

The most common symptoms of achilles tendon dysfunction include:

  • Pain and stiffness above the heel or behind the ankle, particularly in the morning.
  • Aggravation of pain during on-foot activities.
  • Swelling around the heel area.
  • A visible bump on the heel.
  • Pain when standing on tiptoe.
  • A perception of the heel being “spongy” when pressed.
  • Pain when pushing off while walking.

Treatments for the Achilles Tendon:

Successful recovery from Achilles tendon problems necessitates proper treatment. Our advanced treatment methods include:

  1. Specific Strengthening and Stretching Exercises: Tailored exercises to target Achilles tendon issues.

  2. Manual Therapy: Hands-on techniques to alleviate pain and facilitate healing.

  3. Technique Modifications: Correcting gait and activity techniques to reduce stress on the Achilles tendon.

  4. Postural Adjustments: Ensuring proper posture to minimize strain on the tendon.

  5. Patient Education: Comprehensive understanding of the condition and how to manage it.

  6. Shoe Inserts: The use of orthotic inserts to provide proper support to the Achilles tendon.

  7. Dry Needling: The insertion of fine needles into trigger points to alleviate pain and muscle tension.

Ultimately, our one-on-one approach ensures that we design a personalized treatment plan based on your specific underlying causes to facilitate your recovery.

Foot Condition #5: Posterior Tibial Tendon Dysfunction

What Is a Posterior Tibial Tendon?

The posterior tibial tendon, a pivotal supporting structure in the foot, plays a vital role in maintaining proper foot function during the act of walking. However, alterations in this crucial tendon can lead to a condition known as posterior tibial tendon dysfunction, characterized by the flattening of the foot's arch. This condition predominantly affects one foot, but bilateral occurrences are not uncommon, often displaying a progressive nature if left untreated.

The primary etiological factor is the mechanical strain placed on the posterior tibial tendon, particularly prevalent in individuals with flat feet. Symptoms manifest following activities that demand substantial involvement of the tendon, such as running, walking, hiking, or stair climbing.

Signs and Symptoms of Peroneal Tendon Dysfunction :

Individuals afflicted by posterior tibial tendon dysfunction typically report discomfort localized on the interior of the foot, primarily in the middle or rear section. The pain tends to mirror the path of the affected tendon, tracing from behind the ankle bone to the inner aspect of the foot.

Profound weakness in the foot is a common symptom. This weakness becomes apparent when individuals struggle to perform a simple “heel raise” or calf raise exercise. Inability to achieve heel inversion or supination during this exercise often serves as a key diagnostic indicator.

An advanced clinical sign, known as the “too many toes” sign, becomes evident when an observer positions themselves behind the patient and assesses their feet. If an abnormal number of toes appear to protrude outward on the side of the foot, this is indicative of a collapsed arch and the rotation of toes towards the foot's lateral aspect. Furthermore, in more advanced stages, visible foot deformities may become apparent.

Treatments for Posterior Tibial Tendon Dysfunction:

In the early stages of posterior tibial tendon dysfunction, prompt intervention can lead to symptom resolution without the necessity of surgical measures, potentially halting the condition's progression. A tailored physical therapy regimen is often the treatment of choice for mild to moderate cases, focusing on specific exercises aimed at enhancing tendon and muscle strength while preserving flexibility. Additionally, exercises are frequently recommended following a period of immobilization, ensuring the gradual rehabilitation of the affected tendon.

By addressing posterior tibial tendon dysfunction in its initial stages, patients can increase their likelihood of recovery without invasive procedures and maintain a higher quality of life.


Foot Condition #6: Plantar Fasciitis

What Is the Plantar Fascia?

Plantar fasciitis is a condition characterized by irritation and subsequent inflammation of the plantar fascia, a resilient band of tissue extending from the heel to the toes. This inflammation commonly manifests as persistent heel pain, often exacerbated during the initial steps after prolonged periods of rest. Several factors contribute to the development of plantar fasciitis, with foot arch type playing a pivotal role.

Individuals with either overly flat or high-arched feet are more susceptible to the onset of plantar fasciitis. Additionally, wearing non-supportive footwear on unyielding and flat surfaces elevates the mechanical strain experienced by the plantar fascia, potentially precipitating this condition, particularly for those engaged in occupations requiring prolonged periods of weight-bearing activities.

Furthermore, there is notable evidence supporting the link between obesity and overuse in the genesis of plantar fasciitis. Excess body weight places added pressure on the plantar fascia, intensifying the strain it endures during daily activities.

Plantar view of foot showing plantar fascia. SOURCE: Skin based on 2B4256, fascia from 5B11887. Used in 83735, versions in 2B4256, 7B11421

Signs and Symptoms of Plantar Fasciitis:

Plantar fasciitis presents a distinct set of signs and symptoms, which aid in its identification:

  1. Heel Pain: The most prominent and debilitating symptom is pain localized at the bottom of the heel.

  2. Arch Pain: Discomfort may also extend to the arch of the foot, reflecting the plantar fascia's extensive coverage.

  3. Morning Pain: Pain is often most acute during the initial steps taken in the morning or after prolonged periods of inactivity.

  4. Progressive Pain: Over the course of months, individuals may experience an increase in the intensity of pain.

  5. Heel Swelling: Swelling may develop at the base of the heel, contributing to the overall discomfort.

The pain's character frequently evolves; it may temporarily diminish following a few minutes of walking, as the act of walking gently stretches the inflamed fascia. However, the pain tends to return with prolonged weight-bearing activities, such as standing or walking for extended durations.

Treatments for Plantar Fasciitis:

The primary approach to managing plantar fasciitis revolves around conservative treatments, with advanced methods reserved for cases that fail to respond to initial interventions. Invasive options such as surgery, injections, or pain medication are occasionally considered, but these interventions often provide temporary relief due to their focus on addressing the symptoms rather than the root cause.

A Doctor of Physical Therapy offers a range of treatments designed to alleviate plantar fasciitis effectively. These interventions encompass ankle and foot mobilizations, active release techniques, taping, dry needling, the provision of foot orthotics, and specialized strengthening and stretching exercises aimed at restoring optimal foot function and diminishing discomfort.

By comprehensively addressing the various facets of plantar fasciitis, patients can improve their chances of sustained relief and enhanced mobility, ultimately resuming their daily activities with reduced discomfort.

Some Interesting Facts About Knees and Ankles and How They Are Related


As the years advance, the human body undergoes a natural wear-and-tear process, wherein even the cartilage cushioning vital joints is not immune. The consequence of this wear and tear often leads to the uncomfortable scenario where bones begin to rub against each other, culminating in the dreaded occurrence of joint inflammation.

Among the intricate network of joints in the human body, ankles take a remarkable place, often being both complex and essential. They can, however, be surprisingly easy to neglect in terms of regular care and maintenance. The implications of this oversight are far-reaching, given that your ankles significantly influence your overall mobility.

The human body is a symphony of interconnected parts, and the ankles play a crucial role in facilitating an array of movements. Yet, as the aging process unfolds, the ankles tend to lose some of their range of motion and flexibility, unless they are provided with the proper attention they deserve.

It is not uncommon for individuals to experience knee pain, seemingly unrelated to their ankles, when in fact, the two are intricately linked. A lack of mobility in the ankles can give rise to knee pain, further complicating the issue. If the ankle fails to execute its intended range of motion, it can inadvertently cause the knees to move incorrectly, setting the stage for debilitating knee pain that may even extend to the hips.

The pivotal relationship between ankle and knee health is an area of expertise at Back In Motion. Our team is well-versed in the complexities of these joints, their optimal functionality, and the potential factors that can lead to their malfunction. Unlike a primary care practitioner who might prematurely attribute joint pain in individuals over the age of 50, 60, and 70 to various forms of arthritis, we conduct a comprehensive evaluation. This approach allows us to discern whether the issue stems from a minor sprain, an unnoticed fracture, an injury to the talus (heel bone), or a form of Achilles tendonitis or tendinosis, characterized by strain and inflammation. Instead of merely prescribing rest and pills, which can sometimes prolong the healing process, we employ a tailored approach aimed at facilitating recovery by encouraging controlled movement, promoting circulation, and minimizing stiffness.

While not all issues can be immediately resolved through treatment, our examination may occasionally lead to recommendations for further diagnostic studies, such as X-rays or MRIs, to precisely determine the root cause. At times, the problem may originate in another part of the body, contributing to or triggering the observed pain.

Are You Worried About or Frustrated with Ankle and/or Foot Pain?
If you find yourself plagued by concerns or frustrations related to ankle and foot pain, the information presented here outlines the common conditions, their underlying causes, and effective treatment options available through consultation with a Doctor of Physical Therapy. Whether you have sustained an injury that seems to defy healing, struggle with pain during any form of walking, experience discomfort or imbalance while bearing weight on one side, or encounter persistent sensations of burning, tingling, or numbness, you can rest assured that you don't have to accept living with these discomforts as an inevitable fate.

You Don’t Have to “Live” with Foot or Ankle Pain & Help Is Within Your Reach


Most foot and ankle problems can be traced back to injuries, extended periods of immobilization, ill-fitting footwear, excessive use, or irregular foot biomechanics. It is important to recognize that pain in this region can be indicative of an underlying issue, such as inflammation or an untreated fracture. The complexity of the anatomical structure of the feet and ankles underscores the significance of identifying the root cause, thereby enabling the provision of tailored treatment for resolution.

If you’ve been thinking that it will eventually go away, you might be doing more harm than good.

Back In Motion boasts extensive experience in addressing a spectrum of foot and ankle-related discomfort, stemming from years of collaboration with diverse clientele, including elite athletes, sedentary individuals, and dedicated fitness enthusiasts. This wealth of experience, combined with our proprietary approach, the GRAY METHOD™, empowers us to not only treat these conditions but also delve deeper into the intricacies to uncover the precise cause and institute the most suitable remedies.

The path to relief from foot and ankle discomfort commences with a thorough understanding of the underlying issues. To embark on this journey towards improved mobility and a pain-free existence, we invite you to contact our office at 239-766-5547 and schedule your consultation. Alternatively, you can initiate the process through our user-friendly online form.

Your quest for a life unhindered by ankle and foot pain begins here. Let's unveil the root cause of your discomfort and get you back in motion!

If you are looking for exceptional foot and ankle pain treatment near you, visit Back In Motion Physical Therapy & Performance!

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]

Foot and ankle pain is a prevalent concern for many individuals, often driving them to seek professional assistance at our clinic. The encouraging news is that most of these conditions and the associated discomfort can be effectively managed without the need for surgery, excessive rest, or reliance on potentially harmful drugs. In this comprehensive guide, we will shed light on how a Doctor of Physical Therapy can address six of the most prevalent foot conditions.

Foot Condition #1: Bunions

What Are Bunions?

A bunion, medically known as hallux valgus, is commonly misconceived as a mere bump on the side of the foot near the big toe. In reality, it constitutes a deformity in the structural framework of the bones within the front part of the foot, often inherited genetically. The root cause of bunions lies not in the bunion itself but rather in the foot's mechanical structure. Here, the big toe deviates inwards towards the second toe, leading to a misalignment of the bones and the characteristic bump.

While some individuals may lead their lives unaffected by bunions, over time, pain can manifest, hindering the ease of walking. It's important to note that while tight shoes don't cause bunions, they can exacerbate an existing misalignment, leading to earlier discomfort.


Signs and Symptoms of Bunions:

  • Pain or soreness
  • A burning sensation
  • Possible numbness
  • Inflammation and redness

It's worth mentioning that certain types of footwear, especially those with tight toe compartments or high heels, can contribute to or intensify the problem. Consequently, women are more frequently affected by this condition due to their footwear choices. Nevertheless, anyone who spends prolonged periods on their feet can experience the exacerbation of these symptoms.


Treatments for Bunions:

Though one cannot alter the foot's mechanical structure once ossification of the bone has occurred, various treatments, exercises, and movement instructions can alleviate or diminish pain and even correct bunions without resorting to surgery if the joint remains malleable. These interventions encompass self-help methods like icing, padding, and advice on suitable footwear. In addition, specific stretches, mechanical manipulation, and exercises can play an integral role in mitigating or eliminating discomfort while restoring the bunion's normal alignment. Following a precise diagnosis by experienced physical therapists, a customized blend of therapies will guide you back to improved health, all while steering clear of unnecessary medications or surgical procedures.


Foot Condition #2: Ankle Sprains

What Is an Ankle Sprain?

An ankle sprain takes place when the ligament connecting the leg and foot bones undergoes excessive stretching and tearing. In most cases, an ankle sprain is not merely an outcome of an unfortunate step but rather the manifestation of an underlying issue.

Types of Ankle Sprains:

Two distinct types of ankle sprains are commonly encountered: eversion and inversion. Eversion ankle sprains occur when the ankle rolls outward, tearing the deltoid ligaments. In contrast, inversion ankle sprains transpire when the foot turns upwards and the ankle rolls inward. Inversion sprains are more frequent and primarily involve injury to the anterior talofibular ligament (ATFL), a key component of the lateral collateral ligament in the ankle. While inversion sprains predominantly affect the ATFL, eversion can result in a strain or avulsion fracture of the medial malleolus.

Minor injuries cause stretching or microscopic tears in the stabilizing ligaments. A major injury can compromise the high ankle (syndesmotic) structure, involving the ligaments that bind the distal tibia and fibula at the distal tibiofibular joint. These injuries may lead to complete tendon disruption and fractures of the ankle and foot.

What Causes an Ankle Sprain?

The chief underlying cause of ankle sprains is often attributed to weakened muscles surrounding the ankle, which should serve as the primary support for this joint. When these muscles lack the requisite strength, the ankle is susceptible to excessive ranges of motion that may compromise the surrounding ligaments. Additional factors contributing to ankle sprains comprise limited ankle flexibility (ankle dorsiflexion), unsuitable arch height, inadequate ankle-strengthening and mobility exercises, non-supportive footwear, physical activities on uneven terrain, insufficient warm-up routines, and suboptimal posture during sitting, standing, lifting, and exercise.

Signs and Symptoms of an Ankle Sprain :

The most evident indication of an ankle sprain includes an awkward foot movement accompanied by ankle rolling and immediate pain. Other symptoms encompass an inability to bear weight on the injured ankle, resulting in pain and stability loss, restricted ankle mobility, tenderness, swelling, and bruising. The severity of symptoms can range from mild to severe, with recovery time varying from one week to several weeks or more, contingent on the implementation of appropriate treatment.

There are three grades of an ankle sprain:

  • Grade 1: (Mild) Microscopic tearing of the ligament. You may have a little bit of swelling, pain, and tenderness.
  • Grade 2: (Moderate) Partial tearing of the ligament. You may have moderate swelling, pain, tenderness, and looseness in the ankle joint.
  • Grade 3: (Severe) Full tear of the ligament. You may have severe swelling, pain, tenderness, and instability in the ankle joint.


Treatments for Ankle Sprains:

Conventional recommendations for ankle sprains often involve rest and painkillers, which, albeit providing symptomatic relief, do not address the root cause of the issue. Symptom-masking approaches are not sustainable and tend to lead to recurring pain and frustration. Effective treatments for ankle sprains encompass manual therapy, KT taping, functional exercises, and strength-building programs, such as blood flow restriction training.

Please note that manual therapy, specific exercises, and technique modifications offer more durable solutions by addressing the fundamental problems responsible for the ankle sprain.

Foot Condition #3: Peroneal Tendon Dysfunction

What Is the Peroneal Tendon?

Peroneal tendon dysfunction pertains to issues within a group of three tendons originating in the lateral shin and extending to the foot.

These tendons, namely the peroneus longus, peroneus brevis, and peroneus tertius, can be afflicted by inflammation (tendonitis), degradation (tendonosis), tearing, or subluxation, whereby one or both tendons shift out of place behind the lateral ankle.

These three muscles are called the peroneus longus, peroneus brevis, and peroneus tertius.

peroneal tendon

Peroneal tendon dysfunction can result from abrupt overuse, repetitive ankle movements as encountered in certain sports, or a sudden increase in activity levels. Individuals with high arches are at an elevated risk due to the constant stretching of these tendons, while the choice of unsupportive footwear, such as flip-flops or worn-out sneakers, can further exacerbate the issue. Exercising or walking on uneven surfaces and neglecting proper warm-up routines can contribute to the development of peroneal tendon dysfunction.

Signs and Symptoms of Peroneal Tendon Irritation :

Symptoms may vary depending on whether inflammation (tendonitis) or damage (tendonosis) is prevalent. Indications include swelling, warmth to the touch, pain during certain foot and ankle movements (eversion, plantar flexion, inversion, dorsiflexion), and pain when stretching the peroneal muscles.

The diagnosis and ensuing treatment approach must be tailored to the specific

Treatments for Peroneal Tendon Dysfunction:

Upon receiving a proper diagnosis, it is imperative to commence the correct treatment addressing the root cause. The approach may begin with more conservative methods, gradually incorporating specific exercises to enhance muscle strength, range of motion, and balance as symptoms improve.

As these conditions often present subtle distinctions and manifest differently in each individual, it is our priority to tailor a combination of therapies to facilitate recovery and an improved quality of life.

Common treatment options for peroneal tendon dysfunction include:

  1. Foot Orthotics: Customized shoe inserts that provide support and correction for foot biomechanics.

  2. Taping: Employing specialized taping techniques to alleviate stress on the peroneal tendons and promote healing.

  3. Exercise: Prescribed exercises target the affected area, enhancing muscle strength and flexibility.

  4. Patient Education: Understanding the condition and how to manage it is a crucial aspect of the treatment.

  5. Dry Needling: A technique involving the insertion of thin needles into trigger points to relieve pain and muscle tension.

  6. Active Release Technique (ART): A hands-on approach to treat soft tissue injuries by removing adhesions and scar tissue.

Foot Condition #4: Achilles Tendonosis & Tendonitis

What Is the Achilles Tendon & How Does It Get Injured?

The Achilles tendon is among the body's most robust tendons, tasked with bearing your entire body weight. Located at the posterior of the calf, it comprises three muscles: the gastrocnemius, soleus, and plantar muscle, collectively known as the triceps surae.

achilles tendon

Both Achilles tendonitis and tendonosis often arise from a sudden increase in repetitive activities involving the Achilles tendon.

These activities place excessive pressure on the tendon, causing micro-damage to the tendon fibers. Over time, the body's inability to repair the damaged tissue results in a structural change in the tendon, leading to persistent pain.

Individuals with excessive internal rotation or pronation, such as those with flat arches, are more susceptible to Achilles tendon issues. Wearing unsupportive footwear on hard, flat surfaces exacerbates the condition, especially for those who spend extended periods on their feet.

Signs and Symptoms of Achilles Tendon Dysfunction:

The most common symptoms of achilles tendon dysfunction include:

  • Pain and stiffness above the heel or behind the ankle, particularly in the morning.
  • Aggravation of pain during on-foot activities.
  • Swelling around the heel area.
  • A visible bump on the heel.
  • Pain when standing on tiptoe.
  • A perception of the heel being “spongy” when pressed.
  • Pain when pushing off while walking.

Treatments for the Achilles Tendon:

Successful recovery from Achilles tendon problems necessitates proper treatment. Our advanced treatment methods include:

  1. Specific Strengthening and Stretching Exercises: Tailored exercises to target Achilles tendon issues.

  2. Manual Therapy: Hands-on techniques to alleviate pain and facilitate healing.

  3. Technique Modifications: Correcting gait and activity techniques to reduce stress on the Achilles tendon.

  4. Postural Adjustments: Ensuring proper posture to minimize strain on the tendon.

  5. Patient Education: Comprehensive understanding of the condition and how to manage it.

  6. Shoe Inserts: The use of orthotic inserts to provide proper support to the Achilles tendon.

  7. Dry Needling: The insertion of fine needles into trigger points to alleviate pain and muscle tension.

Ultimately, our one-on-one approach ensures that we design a personalized treatment plan based on your specific underlying causes to facilitate your recovery.

Foot Condition #5: Posterior Tibial Tendon Dysfunction

What Is a Posterior Tibial Tendon?

The posterior tibial tendon, a pivotal supporting structure in the foot, plays a vital role in maintaining proper foot function during the act of walking. However, alterations in this crucial tendon can lead to a condition known as posterior tibial tendon dysfunction, characterized by the flattening of the foot's arch. This condition predominantly affects one foot, but bilateral occurrences are not uncommon, often displaying a progressive nature if left untreated.

The primary etiological factor is the mechanical strain placed on the posterior tibial tendon, particularly prevalent in individuals with flat feet. Symptoms manifest following activities that demand substantial involvement of the tendon, such as running, walking, hiking, or stair climbing.

Signs and Symptoms of Peroneal Tendon Dysfunction :

Individuals afflicted by posterior tibial tendon dysfunction typically report discomfort localized on the interior of the foot, primarily in the middle or rear section. The pain tends to mirror the path of the affected tendon, tracing from behind the ankle bone to the inner aspect of the foot.

Profound weakness in the foot is a common symptom. This weakness becomes apparent when individuals struggle to perform a simple “heel raise” or calf raise exercise. Inability to achieve heel inversion or supination during this exercise often serves as a key diagnostic indicator.

An advanced clinical sign, known as the “too many toes” sign, becomes evident when an observer positions themselves behind the patient and assesses their feet. If an abnormal number of toes appear to protrude outward on the side of the foot, this is indicative of a collapsed arch and the rotation of toes towards the foot's lateral aspect. Furthermore, in more advanced stages, visible foot deformities may become apparent.

Treatments for Posterior Tibial Tendon Dysfunction:

In the early stages of posterior tibial tendon dysfunction, prompt intervention can lead to symptom resolution without the necessity of surgical measures, potentially halting the condition's progression. A tailored physical therapy regimen is often the treatment of choice for mild to moderate cases, focusing on specific exercises aimed at enhancing tendon and muscle strength while preserving flexibility. Additionally, exercises are frequently recommended following a period of immobilization, ensuring the gradual rehabilitation of the affected tendon.

By addressing posterior tibial tendon dysfunction in its initial stages, patients can increase their likelihood of recovery without invasive procedures and maintain a higher quality of life.


Foot Condition #6: Plantar Fasciitis

What Is the Plantar Fascia?

Plantar fasciitis is a condition characterized by irritation and subsequent inflammation of the plantar fascia, a resilient band of tissue extending from the heel to the toes. This inflammation commonly manifests as persistent heel pain, often exacerbated during the initial steps after prolonged periods of rest. Several factors contribute to the development of plantar fasciitis, with foot arch type playing a pivotal role.

Individuals with either overly flat or high-arched feet are more susceptible to the onset of plantar fasciitis. Additionally, wearing non-supportive footwear on unyielding and flat surfaces elevates the mechanical strain experienced by the plantar fascia, potentially precipitating this condition, particularly for those engaged in occupations requiring prolonged periods of weight-bearing activities.

Furthermore, there is notable evidence supporting the link between obesity and overuse in the genesis of plantar fasciitis. Excess body weight places added pressure on the plantar fascia, intensifying the strain it endures during daily activities.

Plantar view of foot showing plantar fascia. SOURCE: Skin based on 2B4256, fascia from 5B11887. Used in 83735, versions in 2B4256, 7B11421

Signs and Symptoms of Plantar Fasciitis:

Plantar fasciitis presents a distinct set of signs and symptoms, which aid in its identification:

  1. Heel Pain: The most prominent and debilitating symptom is pain localized at the bottom of the heel.

  2. Arch Pain: Discomfort may also extend to the arch of the foot, reflecting the plantar fascia's extensive coverage.

  3. Morning Pain: Pain is often most acute during the initial steps taken in the morning or after prolonged periods of inactivity.

  4. Progressive Pain: Over the course of months, individuals may experience an increase in the intensity of pain.

  5. Heel Swelling: Swelling may develop at the base of the heel, contributing to the overall discomfort.

The pain's character frequently evolves; it may temporarily diminish following a few minutes of walking, as the act of walking gently stretches the inflamed fascia. However, the pain tends to return with prolonged weight-bearing activities, such as standing or walking for extended durations.

Treatments for Plantar Fasciitis:

The primary approach to managing plantar fasciitis revolves around conservative treatments, with advanced methods reserved for cases that fail to respond to initial interventions. Invasive options such as surgery, injections, or pain medication are occasionally considered, but these interventions often provide temporary relief due to their focus on addressing the symptoms rather than the root cause.

A Doctor of Physical Therapy offers a range of treatments designed to alleviate plantar fasciitis effectively. These interventions encompass ankle and foot mobilizations, active release techniques, taping, dry needling, the provision of foot orthotics, and specialized strengthening and stretching exercises aimed at restoring optimal foot function and diminishing discomfort.

By comprehensively addressing the various facets of plantar fasciitis, patients can improve their chances of sustained relief and enhanced mobility, ultimately resuming their daily activities with reduced discomfort.

Some Interesting Facts About Knees and Ankles and How They Are Related


As the years advance, the human body undergoes a natural wear-and-tear process, wherein even the cartilage cushioning vital joints is not immune. The consequence of this wear and tear often leads to the uncomfortable scenario where bones begin to rub against each other, culminating in the dreaded occurrence of joint inflammation.

Among the intricate network of joints in the human body, ankles take a remarkable place, often being both complex and essential. They can, however, be surprisingly easy to neglect in terms of regular care and maintenance. The implications of this oversight are far-reaching, given that your ankles significantly influence your overall mobility.

The human body is a symphony of interconnected parts, and the ankles play a crucial role in facilitating an array of movements. Yet, as the aging process unfolds, the ankles tend to lose some of their range of motion and flexibility, unless they are provided with the proper attention they deserve.

It is not uncommon for individuals to experience knee pain, seemingly unrelated to their ankles, when in fact, the two are intricately linked. A lack of mobility in the ankles can give rise to knee pain, further complicating the issue. If the ankle fails to execute its intended range of motion, it can inadvertently cause the knees to move incorrectly, setting the stage for debilitating knee pain that may even extend to the hips.

The pivotal relationship between ankle and knee health is an area of expertise at Back In Motion. Our team is well-versed in the complexities of these joints, their optimal functionality, and the potential factors that can lead to their malfunction. Unlike a primary care practitioner who might prematurely attribute joint pain in individuals over the age of 50, 60, and 70 to various forms of arthritis, we conduct a comprehensive evaluation. This approach allows us to discern whether the issue stems from a minor sprain, an unnoticed fracture, an injury to the talus (heel bone), or a form of Achilles tendonitis or tendinosis, characterized by strain and inflammation. Instead of merely prescribing rest and pills, which can sometimes prolong the healing process, we employ a tailored approach aimed at facilitating recovery by encouraging controlled movement, promoting circulation, and minimizing stiffness.

While not all issues can be immediately resolved through treatment, our examination may occasionally lead to recommendations for further diagnostic studies, such as X-rays or MRIs, to precisely determine the root cause. At times, the problem may originate in another part of the body, contributing to or triggering the observed pain.

Are You Worried About or Frustrated with Ankle and/or Foot Pain?
If you find yourself plagued by concerns or frustrations related to ankle and foot pain, the information presented here outlines the common conditions, their underlying causes, and effective treatment options available through consultation with a Doctor of Physical Therapy. Whether you have sustained an injury that seems to defy healing, struggle with pain during any form of walking, experience discomfort or imbalance while bearing weight on one side, or encounter persistent sensations of burning, tingling, or numbness, you can rest assured that you don't have to accept living with these discomforts as an inevitable fate.

You Don’t Have to “Live” with Foot or Ankle Pain & Help Is Within Your Reach


Most foot and ankle problems can be traced back to injuries, extended periods of immobilization, ill-fitting footwear, excessive use, or irregular foot biomechanics. It is important to recognize that pain in this region can be indicative of an underlying issue, such as inflammation or an untreated fracture. The complexity of the anatomical structure of the feet and ankles underscores the significance of identifying the root cause, thereby enabling the provision of tailored treatment for resolution.

If you’ve been thinking that it will eventually go away, you might be doing more harm than good.

Back In Motion boasts extensive experience in addressing a spectrum of foot and ankle-related discomfort, stemming from years of collaboration with diverse clientele, including elite athletes, sedentary individuals, and dedicated fitness enthusiasts. This wealth of experience, combined with our proprietary approach, the GRAY METHOD™, empowers us to not only treat these conditions but also delve deeper into the intricacies to uncover the precise cause and institute the most suitable remedies.

The path to relief from foot and ankle discomfort commences with a thorough understanding of the underlying issues. To embark on this journey towards improved mobility and a pain-free existence, we invite you to contact our office at 239-766-5547 and schedule your consultation. Alternatively, you can initiate the process through our user-friendly online form.

Your quest for a life unhindered by ankle and foot pain begins here. Let's unveil the root cause of your discomfort and get you back in motion!

If you are looking for exceptional foot and ankle pain treatment near you, visit Back In Motion Physical Therapy & Performance!

“Physical Therapy, Fitness, & Performance Tips From Dr. Scott & the Back in Motion Team”