Foot and ankle injuries can happen during sports, exercise, a fall, or everyday activity, or develop gradually from overuse. Dr. Soltani evaluates and treats sports injuries, foot and ankle fractures, and tendon and soft-tissue conditions in patients age 16 and older, with an emphasis on conservative care.
Sports and exercise can place repeated stress on the foot and ankle. Injuries may happen suddenly, such as a twisted ankle, or build up over time from training, a change in activity, or footwear.
Evaluation helps identify the injured structure and guide a safe, gradual return to activity.
Fractures of the foot or ankle may happen after a fall, twist, or direct blow, or develop gradually as stress fractures from repetitive activity. Pain, swelling, bruising, or difficulty bearing weight after an injury should be evaluated promptly.
In-office X-rays may be used when appropriate. Treatment depends on the location and type of fracture. Referral may be recommended when needed.
The posterior tibial tendon is a major support of the arch. It can become inflamed, weakened, or torn and is particularly important to evaluate in middle-aged and older adults. Posterior tibial tendon dysfunction may contribute to progressive flattening of the arch or adult-acquired flatfoot deformity.
Symptoms may include pain or swelling along the inside of the ankle or foot, difficulty walking or standing, weakness, progressive flattening of the arch, or a change in foot shape. Early evaluation can be important.
Achilles tendon problems may cause pain, stiffness, swelling, or tenderness behind the heel or along the tendon.
Illustration of tendon pain in the foot and ankle
Tendon tears may be partial or complete. Sudden pain, weakness, swelling, difficulty walking, or loss of function should be evaluated promptly.
Treatment depends on the injury, the structure involved, severity, duration, and examination findings. Many sports injuries and tendon and soft-tissue conditions can be managed conservatively. Imaging or referral may be recommended when needed.
In addition to traditional conservative care, advanced non-surgical treatment options may be available for selected patients. Treatment recommendations are individualized based on the condition, examination, medical history, and treatment goals.
Pain along the inside of the ankle, weakness, or progressive flattening of the arch can be associated with posterior tibial tendon dysfunction and should be evaluated.

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