A conversation with Dr. David Boone, MD
I Think I Sprained My Ankle. Do I Need to See a Doctor?
Ankle sprains are among the most common injuries evaluated by foot and ankle specialists. While many improve with rest, ice, compression, and elevation (RICE), there are signs that indicate a more serious injury:
- Inability to bear weight
- Severe swelling
- Significant bruising
These symptoms may suggest a fracture in the ankle or foot, which requires prompt diagnosis and treatment. Although many fractures do not need surgery, early intervention is key to ensuring proper healing.
It’s also important to note that some Achilles tendon ruptures initially feel like ankle sprains. If you experienced a sudden “pop” while running or jumping, seek medical evaluation. Early detection of an Achilles rupture increases the chances of a successful recovery—whether treated surgically or non-surgically.
Why Am I Losing the Arch of My Foot?
A gradually flattening foot can signal posterior tibial tendon dysfunction, a condition where the tendon supporting your arch becomes damaged over time. This often presents with:
- Progressive flattening of the arch
- Pain or swelling on the inside of the ankle
Early diagnosis allows for effective conservative treatment, including physical therapy, bracing, and activity modification. However, if left untreated, surgical correction may become necessary.
Midfoot arthritis is another possible cause of arch loss, typically presenting with pain on the top of the foot rather than the inside of the ankle. Many patients find relief with supportive footwear and injections. Surgery is considered only after conservative options have been exhausted.
Should I Have My Bunion Corrected?
A bunion (hallux valgus) is a deformity where the big toe angles toward the second toe, creating a visible bump on the side of the foot. This condition is largely genetic.
Surgery is typically not recommended unless the bunion is painful. Initial treatment includes:
- Switching to wider, more comfortable footwear
- Avoiding shoes that aggravate the bump
Orthotics and night splints offer minimal benefit. If pain persists, there are several surgical options available. It’s important to consult with a foot and ankle specialist experienced in various surgical techniques to determine the best approach.
Why Is My Big Toe Stiff?
Stiffness in the big toe joint is often a sign of arthritis, which can cause pain and reduced mobility. Early treatment typically involves:
- Shoe modifications
- Anti-inflammatory measures
If conservative treatments are not effective, surgical options such as bone spur removal, joint fusion, or newer motion-preserving techniques may be considered. A specialist can guide you on the most appropriate treatment based on the severity of the condition.
Expert Foot and Ankle Care at Raleigh Orthopaedic
At Raleigh Orthopaedic Clinic, our fellowship-trained foot and ankle specialists are experts in diagnosing and treating a full range of conditions—from sprains and fractures to complex deformities and arthritis. We offer both conservative and surgical treatment options tailored to your individual needs, with a focus on helping you return to the activities you enjoy. With multiple clinic locations and a dedicated care team, we make it easy for you to get the expert care you deserve.
Schedule an Appointment with Raleigh Orthopaedic
If you’re dealing with pain, discomfort, or an injury, don’t wait to get the care you need. Our expert team at Raleigh Orthopaedic is here to help you feel better, move better, and get back to doing what you love. Schedule an appointment online or call us at 919-781-5600 to be seen—often within 48 hours. For immediate care, we offer walk-in orthopedic urgent care services. Click here for hours and locations.
Disclaimer: The information on this site is for general informational purposes only and is not intended as medical advice. It should not be used as a substitute for professional diagnosis, treatment, or medical judgment. Always consult a physician or qualified healthcare provider with any questions you may have about a medical condition or treatment.