The Achilles tendon is the strong band of tissue that connects the calf muscles to the heel bone, and helps the foot push off during walking and running. Injuries to this tendon may develop from overuse, sudden strain, tight calf muscles, or long-term degeneration. Many people notice pain, swelling, stiffness, or tenderness near the back of the heel, especially during activity or after rest. In some cases, the tendon may partially tear or weaken, over time. Imaging studies can help a podiatrist identify the exact problem and determine how severe the injury has become. Ultrasound and magnetic resonance imaging, also called MRI scans, allow detailed views of the tendon and surrounding tissue. These tests help guide treatment, which may include bracing, orthotics, targeted exercises, anti-inflammatory care, or surgery, for more advanced injuries. Early diagnosis can improve healing and help prevent rupture. If Achilles tendon pain continues to worsen or limit movement, it is suggested that you visit a podiatrist for an evaluation and appropriate treatment.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of Bruening Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

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

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

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

If you have any questions please feel free to contact our offices located in Covina and Alta Loma, CA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Diabetic foot problems can develop when nerve damage and poor circulation affect the health of the feet. Reduced sensation may make it harder to notice injuries, while limited blood flow can slow healing. Too much pressure on the feet from wearing improper footwear can lead to sores or irritation. Checking shoe and sock fit is important to avoid rubbing or tight areas. Keeping feet clean and drying carefully between the toes can help prevent infection. Risk factors include uncontrolled blood sugar, poor circulation, and lack of routine foot care. A podiatrist can monitor foot health, treat concerns early, and provide guidance for prevention. If diabetic complications are affecting the feet, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this serious condition.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact one of our podiatrists from Bruening Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

If you have any questions, please feel free to contact our offices located in Covina and Alta Loma, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Achilles tendinopathy is a condition involving irritation and degeneration of the Achilles tendon, often causing pain, stiffness, and reduced mobility. Custom foot orthotics can play an important role in relieving symptoms by improving foot alignment and reducing strain on the tendon. These devices help distribute pressure more evenly when walking and running, which decreases excessive stress on the heel and lower leg. Orthotics also provide cushioning and support that can enhance comfort and promote proper biomechanics. This type of support can reduce inflammation and assist in the healing process. A podiatrist can assess your gait and foot structure to design orthotics tailored to your needs, and recommend additional therapies for recovery. If you have persistent heel or tendon pain, it is suggested that you consult a podiatrist who can determine which type of orthotics are right for you.

Custom orthotics play an important role in preventing and treating foot and ankle injuries by providing personalized support that aligns with the unique structure of each foot. These specially designed devices help correct biomechanical imbalances, reduce pressure on sensitive areas, and improve stability during movement. When the feet are properly supported, the risk of developing conditions such as plantar fasciitis, Achilles tendinitis, and ankle sprains can be significantly reduced. Custom orthotics also help relieve discomfort caused by having flat feet, high arches, or uneven leg length, which may contribute to recurring injuries or pain.

Foot and ankle injuries can develop gradually from repetitive strain or occur suddenly during physical activity. Without proper treatment, these injuries can affect mobility and overall quality of life. Orthotics work to redistribute weight evenly across the foot, allowing joints and muscles to function more efficiently. This not only supports recovery from injury but can also prevent future problems by promoting better posture and alignment throughout the lower body.

Unlike over-the-counter inserts, custom orthotics are designed based on a detailed evaluation of each patient’s foot structure, gait, and medical needs. Podiatrists use advanced imaging and diagnostic tools to create orthotics that fit precisely and provide targeted correction. Whether used in everyday footwear or athletic shoes, custom orthotics can improve comfort, enhance performance, and support long-term foot health.

If you are experiencing foot or ankle pain or have sustained an injury that has not improved with rest, it is suggested that you schedule an appointment with a podiatrist. Call our office for more information or to make an appointment.

If you have any questions, please feel free to contact our offices located in Covina and Alta Loma, CA . 

Tarsal tunnel syndrome is a condition caused by compression of the tibial nerve as it passes through the tarsal tunnel near the inside of the ankle. This can lead to pain, tingling, burning sensations, or numbness that may travel into the heel, arch, or toes. Symptoms often worsen with standing, walking, or activity. Causes include injury, swelling, flat feet, or repetitive stress on the ankle. Risk factors include certain foot structures, arthritis, and conditions that cause inflammation. This condition can significantly affect walking comfort and daily mobility. A podiatrist can diagnose the issue, identify the source of nerve pressure, and recommend orthotics or other interventions. If you have persistent foot or ankle nerve pain, it is suggested that you consult a podiatrist who can guide you toward effective relief and treatment solutions.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact one of our podiatrists of Bruening Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please contact our offices located in Covina and Alta Loma, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.