The foot is a complex weight-bearing structure made of bones, joints, tendons and ligaments that work together to support standing, walking and running. Key bones include the talus, which connects the foot to the ankle, the calcaneus which forms the heel, and the navicular, cuboid, and the cuneiforms that create the arch and midfoot stability. These bones form joints that allow smooth coordinated motion while tendons attach muscles to bone to generate movement. Ligaments provide stability by holding the bones in proper alignment. Together they absorb shock, adapt to uneven surfaces and propel the body forward. A podiatrist can evaluate biomechanical function, treat pain, and prevent injury. If you have foot or ankle pain, it is suggested that you consult a podiatrist who can offer effective treatment solutions, and expert tips on how to maintain strong, healthy feet.

If you have any concerns about your feet, contact Katie Besselman, DPM from Advanced Podiatry. Our doctor 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 office located in Saint Peters, MO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Cuboid sling surgery is a procedure used to address ongoing pain and instability along the outside of the foot, often involving the cuboid bone. This small bone plays a key role in foot balance and weight transfer during walking. When the cuboid shifts or becomes unstable due to injury, ligament damage, or chronic strain, patients may experience sharp lateral foot pain that does not improve with conservative care. A cuboid sling procedure is designed to stabilize the bone by supporting it with surrounding soft tissue, helping restore proper alignment and reduce abnormal motion. The goal is to improve function, decrease pain, and allow the foot to move more efficiently. Recovery typically includes a period of protection followed by gradual return to activity. If outer foot pain persists despite treatment, it is suggested that you see a podiatrist to determine whether surgical correction is appropriate.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Katie Besselman, DPM from Advanced Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

• Injury – The most common cause of this ailment is an ankle sprain.
• Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
• Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

If you have any questions, please feel free to contact our office located in Saint Peters, MO . We offer the newest diagnostic and treatment technologies for all your foot care needs.

An infected foot blister develops when a fluid filled lesion on the skin becomes contaminated with bacteria, often after friction, pressure, or improper care. Blisters commonly form from wearing tight footwear, prolonged walking, or moisture that irritates the skin. When infection occurs, symptoms may include increased pain, redness, warmth, swelling, foul smell, and the presence of pus. The surrounding skin may feel tender and appear inflamed, making walking uncomfortable. Relief options include keeping the area clean, protected, and properly dressed to reduce further irritation. A podiatrist can evaluate the severity of the infection, provide appropriate treatment to prevent complications. If you have a foot blister that has become infected, it is suggested that you consult a podiatrist who can offer effective treatment and prevention solutions.

Blisters may appear as a single bubble or in a cluster. They can cause a lot of pain and may be filled with pus, blood, or watery serum. If your feet are hurting, contact Katie Besselman, DPM of Advanced Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters are often the result of friction. This happens due to the constant rubbing from shoes, which can lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

Symptoms

(Blister symptoms may vary depending on what is causing them)

• Bubble of skin filled with fluid
• Redness
• Moderate to severe pain
• Itching

Prevention & Treatment

In order to prevent blisters, you should be sure to wear comfortable shoes with socks that cushion your feet and absorb sweat. Breaking a blister open may increase your chances of developing an infection. However, if your blister breaks, you should wash the area with soap and water immediately and then apply a bandage to the affected area. If your blisters cause severe pain it is important that you call your podiatrist right away.

If you have any questions, please feel free to contact our office located in Saint Peters, MO . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Breaking a toe can occur when it strikes a hard object or when something heavy lands on the foot. Symptoms include pain, swelling, bruising, and difficulty bearing weight, and the toe may look angled. A podiatrist determines whether the injury is a fracture or a sprain through examination and imaging, such as X-rays. Treatment of a broken toe focuses on stabilizing the bone so it heals in proper alignment. This may involve medical splinting to a neighboring toe, protective footwear, or a walking cast to limit motion and reduce joint stress. More severe fractures with displaced fragments or joint involvement may require surgical repair using small pins or screws. Proper care helps prevent long-term complications like stiffness, arthritis, or chronic walking pain. A podiatrist also monitors healing and guides the return to activity. If you have pain from a broken toe, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment.

Broken toes may cause a lot of pain and should be treated as soon as possible. If you have any concerns about your feet, contact Katie Besselman, DPM from Advanced Podiatry. Our doctor will treat your foot and ankle needs.

What Is a Broken Toe?

A broken toe occurs when one or more of the toe bones of the foot are broken after an injury. Injuries such as stubbing your toe or dropping a heavy object on it may cause a toe fracture.

Symptoms of a Broken Toe

• Swelling
• Pain (with/without wearing shoes)
• Stiffness
• Nail Injury

Although the injured toe should be monitored daily, it is especially important to have a podiatrist look at your toe if you have severe symptoms. Some of these symptoms include worsening or new pain that is not relieved with medication, sores, redness, or open wounds near the toe.

If you have any questions please feel free to contact our office located in Saint Peters, MO . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.