Long bike rides can be enjoyable, but repeated pedaling places extra stress on the feet and ankles. Foot and ankle injuries may develop from pressure, repetitive motion, or shoes that do not provide enough support. Problems include hot foot, Achilles tendonitis, and outside edge foot pain. These problems can make riding uncomfortable and affect normal walking.

Hot foot is a burning or tingling feeling beneath the ball of the foot. It often develops when cycling shoes place pressure on nerves or when the feet swell during long rides. Achilles tendonitis causes pain and tenderness along the tendon behind the ankle. Repeated pedaling can irritate this band of tissue. Outside edge foot pain may involve the fifth metatarsal or nearby soft tissues. Symptoms can include tenderness, burning, or pain that increases during riding.

Several factors can increase the risk of these cycling injuries. Riding longer distances than usual can overload the feet and ankles. Wearing tight shoes may increase pressure as the feet swell. Poor arch support or an improper pedal position can also affect foot mechanics. Riders who suddenly increase mileage may be more likely to develop overuse injuries. Existing foot problems can make symptoms more noticeable during multi-day cycling trips.

A podiatrist can examine the foot and ankle to identify the source of pain. The evaluation may include checking walking patterns, joint movement, and tendon strength. Imaging tests may be recommended when a fracture or significant tendon injury is suspected. Treatment may include activity changes, wearing supportive footwear, or other measures based on the diagnosis. A podiatrist can suggest ways to reduce pressure during future rides. If you have foot pain while cycling, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Harold Koehler, DPM from University Foot & Ankle and Holly Foot & Ankle Specialist. Our practitioner will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

• Achilles Tendonitis
• Achilles Tendon Rupture
• Ankle Sprains
• Broken Foot
• Plantar Fasciitis
• Stress Fractures
• Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

If you have any questions please contact our offices located in Auburn Hills and Holly, MI . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Flexible flat feet are common in children. They occur when the arches flatten while standing, but return when the child sits or rises onto the toes. Some children have no symptoms, while others may develop foot pain, tired legs, or discomfort after activity. Flexible flat feet can affect comfort and movement, especially when children participate in sports or walk for long periods. A podiatric evaluation can determine whether treatment is needed.

Several factors can increase the risk of developing flexible flat feet. Family history, ligament flexibility, and certain foot structures may contribute. Rapid growth can also change how a child stands and walks. Children with flexible flat feet may experience heel or arch discomfort, ankle fatigue, or changes in walking patterns. Although flat feet do not always cause problems, consistent pain or difficulty with activities warrants podiatric attention.

Orthotics can provide support for children whose flexible flat feet cause discomfort or affect movement. A podiatrist may first examine foot structure, walking patterns, and tenderness. The podiatrist may then recommend supportive shoes or custom orthotics. Properly fitted orthotics can help support the arch, improve alignment, and increase comfort during everyday activities. Follow-up visits allow the podiatrist to check fit, comfort, and treatment response.

Supporting healthy feet can help children stay active. Orthotics are not necessary for every child with flexible flat feet, so treatment should be based on symptoms and examination findings. A podiatrist may also recommend activity adjustments, footwear changes, and routine monitoring, when needed. Parents should seek evaluation if a child has persistent pain, fatigue, or difficulty keeping up with peers. If your child has pain from having flat feet and you want to consider insoles, it is suggested that you consult a podiatrist who can determine what type of orthotic is the most beneficial.

If you are having discomfort in your feet and would like to try orthotics, contact Harold Koehler, DPM from University Foot & Ankle and Holly Foot & Ankle Specialist. Our practitioner can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

If you have any questions, please feel free to contact our offices located in Auburn Hills and Holly, MI . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Repeated pressure on the feet and ankles can create tiny cracks in a bone called stress fractures. They differ from breaks caused by one sudden injury. Stress fractures develop when a bone cannot recover from repeated force. Runners, dancers, and athletes who suddenly increase training face a greater risk. People who spend long hours standing or walking can also be affected. Bones weakened by low bone density are more vulnerable. Stress fractures frequently occur in weight-bearing bones of the foot and lower leg. Pain usually begins in one spot and worsens with activity. Swelling and tenderness can develop near the injured bone.

Ignoring these symptoms can allow a small crack to worsen. Patients may begin to limp or have pain during daily activities. A podiatrist will ask about exercise, work demands, and changes in activity. The examination includes checking the area for swelling, tenderness, and changes in movement. X-rays may not show a stress fracture because the crack can be too small. An MRI scan or other imaging test can provide a clearer view. The podiatrist also looks for factors that place extra stress on the bone. These include foot structure, an uneven walking pattern, or shoes that lack proper support.

Treatment protects the bone so it can heal. A podiatrist may recommend a walking boot, a stiff-soled shoe, or crutches to reduce pressure. The choice depends on the fracture's location and severity. The podiatrist can explain which activities to limit and when a return is safe. Custom orthotics may improve pressure distribution and lower the risk of injury. Surgery may be needed when a fracture is unstable, has shifted, or is not healing. Follow-up visits help track healing and guide treatment changes. Returning to exercise too soon can reopen the crack or cause a complete break. If you have symptoms of a foot or ankle stress fracture, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact Harold Koehler, DPM from University Foot & Ankle and Holly Foot & Ankle Specialist. Our practitioner can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

• Gender – They are more commonly found in women compared to men.
• Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
• Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
• Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
• Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

If you have any questions please contact our offices located in Auburn Hills and Holly, MI . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Toe walking means a child walks on their tiptoes without letting their heels touch the ground. It can happen some, most, or all of the time. Toe walking can be part of normal development, and many children stop doing it between ages two and seven. However, continued toe walking deserves attention, especially when it affects balance, comfort, or the way a child moves. When there is no clear medical cause, it is called idiopathic toe walking. In a small number of children, toe walking can be linked to conditions that affect the brain, nerves, or muscles. These include cerebral palsy, muscular dystrophy, and autism spectrum disorder. A podiatrist can assess your child’s feet, legs, and walking pattern. They can also check muscle strength and flexibility to determine whether further evaluation is needed.

Frequent toe walking can be associated with tight calf muscles, which connect with the heel. Tight calves can make it harder for a child to place the heels flat on the ground when standing or walking. A podiatrist can help identify whether tight muscles, foot structure, or another concern is contributing to toe walking. This evaluation also helps determine whether the child’s walking pattern is changing or causing problems with everyday activities. Treatment options may include regular monitoring and supportive footwear.

Parents should seek professional advice when toe walking is apparent mainly on one side or if it begins suddenly after a child previously walked with their heels down. An exam also may be needed if the heels are prevented from touching the ground while standing. Attention is important when a child has stiff legs, unusual movements, or pain. A podiatrist can monitor changes in walking and recommend treatment when necessary. If your child exhibits toe walking on a regular basis, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Harold Koehler, DPM of University Foot & Ankle and Holly Foot & Ankle Specialist. Our practitioner can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

If you have any questions, please feel free to contact our offices located in Auburn Hills and Holly, MI . We offer the newest diagnostic and treatment technologies for all your foot care needs.