Items filtered by date: March 2025
Symptoms and Testing for Foot Drop

Foot drop occurs when patients find it difficult to lift the front portion of their foot, resulting in dragging or slapping of the foot while walking. Known as steppage gait, this walking pattern involves raising the leg higher than usual to prevent the toes from catching on the ground. Foot drop may affect one or both feet, causing sensations of tingling, numbness, or weakness in the ankle, toes, or top of the foot. Several conditions can cause foot drop, including peripheral neuropathy, muscular dystrophy, nerve injury, diabetes, and neurological issues like stroke or multiple sclerosis. A podiatrist can assess symptoms through a physical examination, checking for muscle weakness or loss of function, and by performing nerve conduction studies, ultrasounds, or imaging tests to rule out other causes. Treatment of foot drop often involves nerve stimulation, or wearing braces or orthotics to support proper foot positioning. In some cases, surgery may be needed to repair nerve damage or reposition tendons. If you have trouble lifting your feet when walking, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment.
If you have any concerns about your feet, contact one of out podiatrists from Alta Ridge Foot Specialist. Our doctors can provide the care you need to keep you pain-free and on your feet.
Biomechanics in Podiatry
Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.
A History of Biomechanics
- Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
- In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.
Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.
Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.
If you have any questions please feel free to contact our offices located in Mars Hill, Spruce Pine, and Boone, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Stop Your Toenail Fungus
Facts About Diabetic Neuropathy

Diabetic neuropathy is a common complication of diabetes, causing nerve damage in the feet and legs. Symptoms include numbness, tingling, burning sensations, and sharp or stabbing pain. As nerve function declines, you may lose feeling in your feet, making it harder to detect injuries or pressure points. This lack of sensation can lead to foot ulcers, open sores that often develop on the bottom of the feet. These ulcers can become infected if not treated properly, leading to more serious health issues. A podiatrist plays an essential role in managing diabetic neuropathy and preventing foot ulcers. This type of doctor can assess your feet for signs of nerve damage, provide treatment for ulcers, and recommend appropriate wound care. Additionally, they can help with custom orthotics to reduce pressure on vulnerable areas, and offer advice on proper footwear to prevent further injury. Regular foot exams and monitoring foot health can help catch issues early before they develop into more severe problems. If you have symptoms of this condition, it is suggested that you are under the care of a podiatrist.
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 out podiatrists from Alta Ridge Foot Specialist. 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 Mars Hill, Spruce Pine, and Boone, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Tackling Tendonitis

Tendonitis, the inflammation of a tendon, is a common condition that can affect various parts of the body, but it’s particularly prevalent in the feet and ankles. However, the fact that it’s common doesn’t make it any less painful!
In this post, Alta Ridge Foot Specialists will explain what tendonitis is, how it progresses, and, most importantly, how a podiatrist can help you find relief and get back to doing what you love.
What is Tendonitis (and Why Does it Hurt So Much?)
Tendons are the strong, fibrous cords that connect your muscles to your bones. They’re built to withstand a lot of force, but overuse, repetitive strain, or sudden injuries can cause them to become inflamed. This inflammation is what we call tendonitis.
Common Foot and Ankle Tendonitis Locations:
- Achilles Tendonitis: Pain at the back of the heel.
- Posterior Tibial Tendonitis: Pain along the inside of the ankle and arch.
- Peroneal Tendonitis: Pain on the outside of the ankle.
- Flexor Tendonitis: Pain on the bottom of the foot, often near the big toe.
- Extensor Tendonitis: Pain on the top of the foot.
From Inflammation to Degeneration
Ignoring tendonitis can lead to more serious problems:
- Acute Tendonitis (Inflammation):
- Symptoms: Pain, swelling, tenderness, and stiffness, often worse after activity.
- Treatment:
- R.I.C.E.: Rest, Ice, Compression, Elevation.
- Over-the-Counter Pain Relievers: Ibuprofen or naproxen.
- Stretching and Gentle Exercises: As pain subsides.
- EPAT Shock Therapy: An excellent noninvasive method that features high success rates and minimal downtime.
- Chronic Tendinosis (Degeneration):
- Symptoms: Persistent pain, even at rest. Thickening or a lump on the tendon. Reduced range of motion.
- Why it Happens: If acute tendonitis isn’t properly addressed, the inflammation can lead to microscopic tears and degeneration of the tendon tissue.
- Treatment:
- Physical Therapy: A crucial component focusing on eccentric strengthening exercises.
- Custom Orthotics: To support the foot and reduce stress on the tendon.
- Tendon Tears (Partial or Complete Rupture):
- Symptoms: Sudden, sharp pain, often with a “popping” sensation. Significant weakness and inability to bear weight or perform certain movements.
- Why it Happens: A weakened, degenerated tendon is more vulnerable to tearing, either from a sudden injury or continued overuse.
- Treatment:
- Partial Tears: May be treated with immobilization (boot or cast) and physical therapy.
- Complete Ruptures: Often require surgery to repair the torn tendon, followed by extensive rehabilitation.
Why Early Intervention is Key
The earlier you address tendonitis, the better the outcome. Early treatment can:
- Prevent the progression of chronic tendinosis or a tear.
- Reduce pain and inflammation more quickly.
- Minimize the need for more invasive treatments.
- Get you back to your activities faster.
Tendonitis is a common and often painful condition, but it’s highly treatable, especially with early intervention. Don’t ignore tendon pain – listen to your body and seek professional help from a podiatrist. We can accurately diagnose the problem, develop a personalized treatment plan, and help you get back on your feet pain-free.
At Alta Ridge Foot Specialists, Dr. W. Aaron Broyles, Dr. Robert L. Van Brederode, Dr. Thomas Verla, Dr. Samantha Price, and the rest of our staff at our Mars Hill, Spruce Pine, and Boone, NC, offices are here to help with any of your foot concerns. Contact us at one of our three locations today to make an appointment.
Finally Free From Fungal Nails: The Power of Laser Treatments

Fungal nail infections, or onychomycosis, are both persistent and embarrassing, damaging confidence while harming your health. At Alta Ridge Foot Specialists, many of our patients come to us frustrated with this problem; having dealt with recurrence after the fact, they’re often seeking a better solution. Fortunately, laser treatment offers a powerful alternative, and that’s what the blog below is all about.
The Limitations of Traditional Treatments
While readily available, topical creams and lacquers often struggle to penetrate the nail plate and reach the underlying infection. They also require diligent daily application for many months, and consistency can be a major challenge.
Oral antifungal medications can be effective (with success rates ranging from 50-70%), but they carry the risk of side effects, including potential liver damage, and so may not be suitable for everyone.
Toenail removal can work, but it can be painful, and it doesn’t guarantee the fungus won’t return.
Laser Treatment: A Targeted and Effective Approach
In light of the issues above, laser therapy is becoming the treatment of choice for many. Aside from the fact that it kills fungus in 80-90% of cases, it boasts plenty of additional perks, including:
- Direct Targeting of the Fungus: The laser energy penetrates the nail plate and targets the fungus directly without harming surrounding tissues. This process attempts to kill the fungus and prevent further growth, allowing for the regrowth of a new, healthy nail.
- Minimal Side Effects: Patients may feel a mild, “prickly” sensation, but it’s generally well-tolerated. The procedure is basically painless and does not require anesthesia, so you can return to your normal activities immediately.
- Speed and Convenience: Our laser treatments typically take place during two sessions, which are spaced 6-8 weeks apart.
- Improved Nail Appearance: While it takes 6-12 months for a new, healthy nail to fully grow out, laser treatment often results in a noticeable improvement in the nail’s appearance, even during the treatment phase.
Are you tired of battling stubborn fungal nail infections and their unpleasant consequences? Laser therapy may be the answer! Get in touch and step toward relief that lasts today.
At Alta Ridge Foot Specialists, Dr. W. Aaron Broyles, Dr. Robert L. Van Brederode, Dr. Thomas Verla, Dr. Samantha Price, and the rest of our staff at our Mars Hill, Spruce Pine, and Boone, NC, offices are here to help with any of your foot concerns. Contact us at one of our three locations today to make an appointment.
Act Early, Ache Less: Podiatry for Kids and How It Helps

Podiatrists specialize in foot and ankle care for all ages, including children. And kids certainly need the help: after all, there are a few different issues that impact them more than others, some of which can become quite burdensome when left unattended.
On the other hand, early intervention and proper care help kids avoid pain, discomfort, and potential complications as they grow. That’s exactly what Alta Ridge Foot Specialists is going to discuss in the blog below!
Common Foot Problems in Kids
While this is by no means an exhaustive list, the three common foot problems noted here can all become more serious if left untreated.
1. Ingrown Toenails:
Ingrown toenails occur when the edge of the toenail grows into the surrounding skin, causing pain, redness, and swelling. If left untreated, ingrown toenails can lead to infection and may require more intensive care.
2. Ankle Sprains:
Ankle sprains are common among active children, occurring when the ligaments that support the ankle joint are overstretched or torn. If not properly treated, ankle sprains can lead to chronic instability, pain, and an increased risk of future sprains.
3. Ankle Sprains:
Ankle sprains are common among active children, occurring when the ligaments that support the ankle joint are overstretched or torn. If not properly treated, ankle sprains can lead to chronic instability, pain, and an increased risk of future sprains.
How a Podiatrist Can Help
- Diagnosis: Accurately diagnosing the condition and identifying any underlying causes.
- Treatment: Providing appropriate treatment, which may include conservative measures like stretching, orthotics, or bracing or more advanced interventions like surgery if necessary.
- Prevention: Educating parents and children about proper foot care, footwear choices, and injury prevention strategies.
At Alta Ridge Foot Specialists, Dr. W. Aaron Broyles, Dr. Robert L. Van Brederode, Dr. Thomas Verla, and the rest of our staff at our Mars Hill, Spruce Pine, and Boone, NC, offices are here to help with any of your foot concerns. Contact us at one of our three locations today to make an appointment.
A Step-by-Step Guide to Plantar Fasciitis

Do you experience sharp heel pain that’s worse in the morning or after a period of rest? Does the pain intensify after exercise or prolonged standing? If you answered the above with a yes, you likely have plantar fasciitis.
The good news? In this step-by-step guide, the team at Alta Ridge Foot Specialists is going to walk you through this painful condition from diagnosis to resolution. Let’s get to it!
Step 1: Recognize the Signs
Plantar fasciitis is caused by inflammation of the plantar fascia, the thick band of tissue that runs along the bottom of your foot from your heel to your toes.
- Overuse, high-impact activities, improper footwear, or biomechanical issues like flat feet or high arches are common sources.
- Barefoot running can also contribute to this condition if not approached carefully.
Ultimately, about 10% of adults experience plantar fasciitis at some point in their lives, but the condition is even more common with active adults and those who run regularly.
Step 2: Conservative Treatments
Conservative care can be quite effective. Start with:
- Rest, ice, compression, and elevation. The RICE protocol is always a good start!
- Perform regular stretches to improve flexibility in your calf muscles and plantar fascia. Try towel stretches, calf raises, or rolling a tennis ball under your foot.
- Ditch those worn-out shoes for footwear with good arch support and cushioning.
Step 3: Advanced Interventions
If conservative measures don’t provide sufficient relief, your podiatrist may recommend:
- Custom-made orthotics provide personalized support and cushioning, correcting biomechanical issues and reducing strain on the plantar fascia.
- EPAT shockwave therapy is quite effective, providing a non-invasive option with rapid results and minimal side effects.
Plantar fasciitis might be common, but effective resolution is often rarer. If you’re aching and in need of assistance, our team would be delighted to help!
At Alta Ridge Foot Specialists, Dr. W. Aaron Broyles, Dr. Robert L. Van Brederode, Dr. Thomas Verla, and the rest of our staff at our Mars Hill, Spruce Pine, and Boone, NC, offices are ready to help ease your foot pain. Call us at one of our three locations today to schedule an appointment!
Small Stumbles, Big Pains: 3 Podiatric Problems You Can’t Afford to Ignore

Have you ever experienced a minor foot or ankle injury that didn’t seem to heal completely? It’s easy to brush off such stumbles as minor inconveniences, but neglecting them can lead to significant pain and long-term complications.
In this blog post, the team at Alta Ridge Foot Specialists will discuss three common podiatric problems that can worsen if left untreated: ankle sprains, tendonitis, and stress fractures. Keep reading to learn how you can prevent minor aches from turning into major pains!
Ankle Sprains: From Temporary Discomfort to Chronic Instability
Ankle sprains, often caused by twisting or rolling the ankle, are one of the most common foot injuries: an estimated 2 million ankle sprains a year occur in the US.
- Ankle sprains are also less minor than they seem: up to 70% of individuals who suffer from an acute ankle sprain may develop a residual physical disability.
- While sprains can heal on their own, neglecting to properly rehabilitate the injured joint can seriously increase the risk of chronic ankle instability.
- Chronic ankle instability occurs when the ankle joint becomes weak and unstable, making it more susceptible to recurrent sprains and other injuries.
Achilles Tendonitis: A Prelude to Tears and Ruptures
Tendons are tough bands of tissue that connect muscles to bones. When tendons become overworked or injured, they can become inflamed and painful.
- Achilles tendonitis, or inflammation of the tendon connecting your calf muscles to your heel bone, is quite widespread.
- Some studies suggest that tendon issues play a role in 30% of all healthcare visits for musculoskeletal concerns, and Achilles tendonitis is prominent among these.
- If left untreated, it can progress to a tendon tear or rupture, a debilitating injury that often requires surgery to correct.
Stress Fractures: A Hidden Danger
Stress fractures are tiny cracks in bones that occur due to repetitive stress or overuse.
- These injuries are often difficult to diagnose, as they may not cause immediate pain or swelling. Some folks even fail to notice them.
- However, neglecting stress fractures can increase the risk of a complete fracture, which can be a serious injury.
A podiatrist can diagnose the underlying issue and recommend appropriate treatment before things get worse, so don’t hesitate to consult with us!
At Alta Ridge Foot Specialists, Dr. W. Aaron Broyles, Dr. Robert L. Van Brederode, Dr. Thomas Verla, and the rest of our staff at our Mars Hill, Spruce Pine, and Boone, NC, offices are ready to help ease your foot pain. Call us at one of our three locations today to schedule an appointment.
5 Common Myths About Senior Foot and Ankle Health

As we age, our bodies undergo various changes, and our feet and ankles are no exception. Many seniors experience foot and ankle problems, but misconceptions and misinformation can hinder proper care and treatment. This is why today, we at Alta Ridge Foot Specialists will debunk five common myths about senior foot and ankle health.
Myth 1: Foot Problems Are a Normal Part of Aging
Fact: While some foot problems are more common in older adults, they are not inevitable. By taking proactive steps to care for your feet and ankles, you can reduce the risk of developing serious issues.
Myth 2: I Don’t Need to See a Podiatrist If I Don’t Have Pain
Fact: Regular foot exams are vital for seniors, even if you don’t experience any symptoms. For example, diabetes can lead to a lack of sensation, which brings us to our next myth.
Myth 3: I Don’t Need to See a Podiatrist If I Have Diabetes
Fact: If you have diabetes, regular foot exams are required. Podiatrists can identify and address potential problems before they become more serious, such as infections or open wounds.
Myth 4: Over-the-Counter Medications Can Treat All Foot Problems
Fact: While over-the-counter medications may provide temporary relief for mild discomfort, they may not address the underlying cause of your foot or ankle problem. Consulting a podiatrist is essential for proper diagnosis and treatment.
Myth 5: I Can’t Do Anything About My Foot Problems Because I’m Too Old
Fact: It’s never too late to take steps to improve your foot and ankle health. With ample care and treatment, many seniors can experience significant improvement in their foot and ankle function.
Common Senior Foot and Ankle Conditions:
- Falls: Falls are a major concern for seniors and can lead to fractures and other serious injuries.
- Arthritis: Osteoarthritis, a degenerative joint disease, is common among seniors and typically affects the feet and ankles.
- Osteoporosis: Weakening of the bones can also increase the risk of foot and ankle fractures.
At Alta Ridge Foot Specialists, Dr. W. Aaron Broyles, Dr. Robert L. Van Brederode, Dr. Thomas Verla, and the rest of our staff at our Mars Hill, Spruce Pine, and Boone, NC, offices are ready to help ease your foot pain. Call us at one of our three locations today to schedule an appointment.