If you’ve ever visited Dr. Lam, you’ve probably heard him emphasize one thing over and over: the shoes you wear matter more than you think.
Foot health isn’t just about occasional aches or calluses — it’s about preventing long-term problems that can affect your knees, hips, and back. Dr. Lam sees countless patients who experience pain simply because their shoes don’t support their feet properly.
The Common Mistakes People Make
Wearing shoes that don’t fit – too tight, too loose, or too narrow can cause blisters, bunions, and nerve pain.
Skipping arch support – even mild support can reduce strain on your feet and improve posture.
Ignoring activity-specific footwear – running shoes aren’t the same as work shoes, casual sneakers, or formal shoes.
Wearing worn-out shoes – shoes lose their cushioning and stability over time, even if they look fine on the outside.
Wearing narrow shoes – while stylish, shoes with narrow toe boxes can compress your toes, worsen bunions, and lead to long-term foot deformities. Save them for occasional use rather than daily wear.
Dr. Lam’s Simple Guidelines
Measure your feet regularly to ensure proper fit.
Choose shoes with good arch support and cushioning tailored to your activity.
Replace shoes when worn out, usually every 300–500 miles for athletic shoes.
Listen to your feet — discomfort is your body’s way of saying something is off.
Limit narrow or high-fashion shoes — prioritize comfort and foot health over style in your everyday footwear.
Proper footwear isn’t just comfort — it’s an investment in your long-term mobility. Following Dr. Lam’s advice can prevent chronic pain and keep your feet healthy for years to come.
Foot pain? Schedule your visit at https://www.naplespodiatrist.com/
Your feet work hard every day—carrying your body, absorbing impact, and keeping you balanced. Yet many people ignore foot pain until it becomes impossible to walk comfortably. From heel pain to bunions, your feet often send early warning signs that something isn’t right. Understanding these signals can help you prevent long-term problems and stay active and pain-free.
Heel Pain: More Than Just a Sore Spot
Heel pain is one of the most common foot complaints, especially pain that’s worst in the morning or after long periods of rest. This discomfort is often linked to plantar fasciitis, an inflammation of the tissue that supports the arch of your foot.
Your feet may be telling you:
You’re wearing unsupportive shoes
Your arches need better support
Tight calf muscles are placing stress on your heel
Repetitive strain is causing inflammation
Ignoring heel pain can lead to chronic discomfort and changes in how you walk, which may cause knee, hip, or back pain over time.
Arch Pain and Fatigue: A Sign of Structural Issues
Do your feet ache after standing or walking, even if you haven’t done much activity? Arch pain or constant foot fatigue may indicate flat feet, high arches, or improper foot mechanics.
These symptoms often suggest:
Poor alignment while walking
Uneven pressure distribution
Overuse of certain muscles and joints
Without proper support or treatment, these issues can progress into more serious conditions, including tendon injuries or joint pain.
Ball of the Foot Pain: When Pressure Builds Up
Pain or burning under the ball of the foot is commonly caused by metatarsalgia or nerve irritation. This type of pain can feel like you’re walking on a pebble and is often worsened by tight or high-heeled shoes.
Your feet may be signaling:
Excess pressure on the forefoot
Poor shock absorption
Nerve compression
Early treatment can help relieve pressure and prevent worsening pain or numbness.
Bunions: A Slow but Clear Warning
Bunions don’t form overnight. They develop gradually as the big toe joint shifts out of alignment, leading to a visible bump and increasing pain over time.
Bunions often tell us:
Foot structure is placing stress on the joint
Shoes are too narrow or tight
There is a hereditary component affecting alignment
While bunions may start as a cosmetic concern, they can eventually cause significant pain, stiffness, and difficulty wearing shoes if left untreated.
Hammertoes and Toe Pain: Loss of Balance and Function
Curled or painful toes, including hammertoes, can result from muscle imbalance, improper footwear, or long-standing foot issues. These conditions can cause corns, calluses, and discomfort during daily activities.
Your feet may be warning you that:
Muscle balance is off
Shoes are not allowing proper toe movement
Structural changes are progressing
Addressing these issues early can help prevent permanent deformities.
Why Ignoring Foot Pain Is a Mistake
Many people assume foot pain is a normal part of aging or an active lifestyle—but it’s not. Pain is your body’s way of asking for help. When foot problems go untreated, they can affect posture, mobility, and overall quality of life.
Listen to Your Feet—They Know Best
Your feet are incredibly good at communicating when something is wrong. Whether it’s heel pain, arch discomfort, or bunions, these symptoms shouldn’t be ignored. Early evaluation by a podiatrist can often prevent minor issues from becoming major problems.
If your feet are trying to tell you something, it may be time to listen.
Chronic ankle pain and arthritis can severely impact daily life, making even simple movements painful and limiting mobility. For patients who have tried conservative treatments without relief, arthroscopic ankle fusion offers a minimally invasive, highly effective solution. Dr. Kevin Lam, a leader in foot and ankle surgery, specializes in this advanced technique to help patients regain mobility and live pain-free.
What is Arthroscopic Ankle Fusion?
Ankle fusion is a surgical procedure that permanently joins the bones of the ankle joint to eliminate pain caused by arthritis or severe injury.
Patients experiencing any of the following conditions may benefit from this procedure:
- Severe ankle arthritis (post-traumatic, osteoarthritis, or rheumatoid arthritis)
- Chronic ankle instability or deformity
- Failed previous ankle surgery
- Persistent pain despite conservative treatments such as physical therapy, medications, or injections
Dr. Kevin Lam is renowned for his expertise in minimally invasive foot and ankle surgery, helping thousands of patients find relief from chronic pain. His approach prioritizes precision, patient comfort, and optimal outcomes, ensuring a smooth recovery and a return to an active lifestyle.
If you are struggling with chronic ankle pain, it’s time to explore your options. Contact Dr. Kevin Lam and the Family Foot & Leg Center today to learn how arthroscopic ankle fusion can help you get back on your feet.
Popping Peroneal Syndrome (PPS) is a condition that affects the peroneal tendons, located on the outer side of the ankle. Patients experiencing PPS often report a distinct "popping" sensation or sound when moving their ankle, which may also be accompanied by discomfort or instability. While the condition is relatively uncommon, it can affect individuals of various ages, from children to adults, and is important to address to prevent long-term complications.
What Is Popping Peroneal Syndrome?
The peroneal tendons play a critical role in ankle stability and foot movement. These tendons run behind the fibula, a bone on the outer side of the lower leg, and attach to specific points on the foot. Their primary function is to help with foot eversion (turning the sole outward) and plantarflexion (pointing the toes downward).
In PPS, one or both peroneal tendons dislocate from their normal position behind the fibula. This dislocation causes the tendons to "pop" forward over the bone, resulting in the characteristic symptoms of the syndrome.
Symptoms of Popping Peroneal Syndrome
Common symptoms include:
- A popping sensation or sound on the outer side of the ankle, particularly during movement.
- Tenderness or discomfort in the affected area.
- Ankle instability or a feeling that the ankle may give out.
- Swelling or inflammation around the tendons.
What Causes Popping Peroneal Syndrome?
Several factors can contribute to the development of PPS, including:
1. Shallow Fibular Groove:
The peroneal tendons are naturally housed in a groove behind the fibula. If this groove is too shallow, the tendons are more likely to dislocate. This anatomical variation may be present from birth.
2. Weak or Torn Retinaculum:
The peroneal retinaculum is a band of tissue that holds the tendons in place. If this structure is weak or damaged—due to injury or congenital conditions—it can fail to restrain the tendons, leading to dislocation.
3. Tendon Tears or Damage:
Although less common, a tear in the peroneal tendons can cause them to shift out of place, resulting in the popping sensation.
Diagnosing Popping Peroneal Syndrome
A thorough physical examination is key to diagnosing PPS. A physician may perform specific stress tests to reproduce the popping sensation and pinpoint the dislocation. Imaging studies, such as MRI or ultrasound, can provide detailed insights into the tendons' condition and help identify any tears or anatomical abnormalities, such as a shallow groove.
Why Early Diagnosis Matters
Prompt diagnosis and treatment of PPS are essential to prevent long-term complications, such as chronic pain, recurrent ankle instability, or tendon damage. If you or your child experiences persistent ankle popping, consult a foot and ankle specialist for a comprehensive evaluation.
Popping Peroneal Syndrome is a manageable condition with proper care. Whether through non-surgical approaches or advanced surgical techniques, patients can regain ankle stability and return to their normal activities. Dr. Kevin Lam and the team at Family Foot & Leg Center are dedicated to providing tailored treatment options for conditions like PPS, ensuring optimal outcomes for every patient.
For expert care, schedule an appointment today.
Call (239) 430-3668 (FOOT) to schedule an appointment.
Ankle injuries are among the most common issues people face, particularly athletes, active individuals, and those who’ve suffered previous sprains. But how do you know if your ankle has healed properly, or if there’s lingering instability that could lead to further injury? One of the most effective ways to assess ankle stability is through the Talar Tilt Test, a diagnostic tool that checks the integrity of the lateral ankle ligaments.
What Is the Talar Tilt Test?
The Talar Tilt Test is used to evaluate whether the ligaments on the outer side of the ankle are functioning properly. Specifically, it assesses the lateral ligaments, which are responsible for stabilizing the ankle during movement. This test is often performed by a podiatrist under anesthesia to ensure accurate results, as muscle tension can affect the diagnosis.
How Does the Test Work?
During the test, the doctor manipulates the foot to see how much the talus (the bone inside the ankle) tilts in relation to the tibia. A healthy ankle should have minimal movement, with the talus staying in place and the clear spaces around the ankle remaining symmetrical.
In the case of an unstable ankle, the talus tilts more than it should, indicating that the lateral ligaments are not holding the joint securely. This abnormal tilt reveals a condition known as ligament laxity, which can result in repeated ankle sprains and long-term instability if left untreated.
Why Is Symmetry Important?
An essential part of diagnosing ankle stability is examining the **clear space** around the talus. For a stable ankle, the clear space should be symmetrical on all sides—the lateral (outside), medial (inside), and on top. If these spaces are uneven or if the talus tilts excessively to one side, it’s a strong indication that the ankle ligaments are damaged.
What Does a Positive Talar Tilt Mean?
A positive Talar Tilt Test means the ankle tilts more than the normal range, confirming ligament damage or laxity. This type of instability can lead to chronic pain, limited mobility, and an increased risk of further injury, especially if you participate in activities that involve quick changes in direction or uneven surfaces.
Treatment Options for Ankle Instability
If you have a positive talar tilt test, it’s important to address the issue before it worsens. Treatment options include:
- Physical Therapy: Strengthening exercises to support the ankle and improve balance.
- Bracing or Taping: External support to stabilize the ankle during activity.
- Surgical Repair: In more severe cases, surgery may be necessary to repair torn ligaments and restore stability.
An unstable ankle is more than just a minor inconvenience—it can significantly impact your mobility and quality of life. If you’ve experienced recurring ankle sprains or suspect instability, the Talar Tilt Test is a vital diagnostic tool that can reveal underlying ligament damage. Early diagnosis and proper treatment are key to regaining stability and preventing future injuries.
If you're dealing with ankle instability, don’t hesitate to seek professional evaluation. Understanding your condition and getting the right treatment can help you stay active and avoid long-term complications.
Feel free to schedule a consultation with Dr. Kevin Lam at Family Foot & Leg Center for a thorough evaluation and personalized treatment plan to restore your ankle's stability.
Ankle fusion is often considered a last-resort procedure for patients suffering from severe arthritis, trauma, or joint deformity. Traditionally, many people assume that ankle fusion leads to a loss of mobility, leaving patients with a stiff or "peg leg." However, advancements in surgical techniques have revolutionized how ankle fusions are performed, offering better outcomes and quicker recoveries. In this blog, we'll explore the benefits of arthroscopic ankle fusion, a minimally invasive approach used at Family Foot & Leg Center by Dr. Kevin Lam.
What is Ankle Fusion?
Ankle fusion is a surgical procedure where the bones in the ankle joint are fused to relieve pain and improve stability. It's often recommended for patients who experience debilitating pain from conditions like arthritis, fractures, or degenerative joint disease. While traditional open ankle fusion involves large incisions and longer recovery periods, arthroscopic ankle fusion offers a minimally invasive alternative.
The Arthroscopic Advantage
At Family Foot & Leg Center, Dr. Kevin Lam uses arthroscopic techniques for ankle fusion, which means the procedure is performed with small incisions and a camera-guided tool. Here are some of the key benefits:
- Minimal Incisions: Unlike traditional surgery that requires large cuts, arthroscopic ankle fusion uses tiny incisions, reducing scarring and the risk of infection.
- Faster Recovery: With less tissue damage, patients experience quicker recovery times and can return to normal activities sooner.
- High Fusion Rates: Arthroscopic surgery boasts high fusion success rates, providing patients with long-lasting pain relief and stability.
- Lower Risk of Complications: Smaller incisions and minimal tissue disruption translate to fewer complications post-surgery.
Real Results: Pain-Free Walking and Mobility
In one of our recent cases, a patient with severe ankle arthritis underwent arthroscopic ankle fusion performed by Dr. Lam. Pre-surgery, the patient suffered from intense pain and difficulty walking. Post-surgery, they were able to move and walk pain-free, with excellent mobility.
Dr. Lam demonstrates the results:
"This is an X-ray of a patient with an ankle fusion. This is what it looks like clinically. Let's move it around, sir. Walking around without pain. Am I correct?"
The patient responds, confirming the absence of pain after the surgery.
Dr. Lam continues, "That ankle fusion looks good. Nice and solid. It's done arthroscopically, so you don’t have these major incisions on the side—the incisions are really small. It was done arthroscopically, so it's a high fusion rate with low complications."
He also highlights the remarkable improvement in the patient’s mobility:
"How much pain did you have before surgery versus now?"
"A lot of pain before; no pain now," the patient replies.
Dr. Lam follows up:
"Awesome. How many miles or steps are you walking a day?"
"A couple of miles a day," the patient proudly shares.
This case demonstrates the success of the arthroscopic ankle fusion procedure, providing the patient with not just a pain-free life, but also the ability to walk several miles a day without discomfort.
A High Fusion Success Rate, Low Risk
Dr. Kevin Lam’s arthroscopic approach minimizes the need for large incisions and lengthy recovery times, while ensuring a high rate of successful fusions. This method significantly reduces the likelihood of complications, such as infection or nerve damage, which are more common in traditional open procedures.
Is Arthroscopic Ankle Fusion Right for You?
If you’re struggling with chronic ankle pain, you don’t have to live with discomfort or limited mobility. Arthroscopic ankle fusion might be the solution you need. With minimal scarring, a quicker recovery, and excellent mobility post-surgery, this approach has changed the game for patients in need of ankle fusion.
At Family Foot & Leg Center, Dr. Kevin Lam and his team are dedicated to providing cutting-edge treatments that improve quality of life. If you're experiencing persistent ankle pain, schedule a consultation today to explore your options.
Contact Family Foot & Leg Center
Don’t let ankle pain hold you back any longer! To learn more about arthroscopic ankle fusion and other innovative treatments we offer, contact Dr. Kevin Lam at Family Foot & Leg Center. We're here to help you regain your mobility and live pain-free.
Foot pain can significantly impact daily life, making even simple tasks challenging. When conservative treatments like medication, physical therapy, and orthotics fail to alleviate severe ankle pain, ankle fusion surgery may be considered. This procedure involves fusing the bones of the ankle joint to eliminate motion and provide stability. By doing so, it can effectively reduce pain and improve function for patients with arthritis, deformities, or severe injuries. While the recovery process involves several weeks of immobilization and physical therapy, many patients find that the long-term relief and enhanced quality of life are well worth the effort.
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About 7 months out, we had a mini arthrotomy surgery arthrodesis for ankle arthritis. Okay.
So the mini arthrotomy is on either side right here, making a low cut so we don't make a big incision
and just clean it all out, took some bone graft from here to stick it in there, the screws you saw is a tripod screw
So one, two, and three tripod screw.
So everything is good now.
Before surgery, how much pain did you have, sir?
"A ten, a lot of times"
A ten, okay.
"It got to where I couldn't walk at all"
Got it, got it.
"I just stay home" [laughs]
But now, how much pain do you have now?
"None"
So now your wife has to keep up with you now, right?
"Yeah"
The opposite. Okay, good stuff.
It looks really good. It actually looks awesome. I don't have to see you for 6 months now, but everything healed up great.
Are you happy with it?
"Yes"
Ten to zero.
"Oh yeah. Pain is gone, that's all I was after"
Well, congratulations
The ankle fusion -- move the ankle around.
Now you won't even know you had an ankle fusion.
Because people are always confused,
they think it's going to be stiff legs
Not true.
The ankle fusion is there, solid but your joint movement is from the other joints
around the ankle and I think you're going to do well
So I think we're doing good. Awesome.
So the ankle fusion is this joint right up here, right?
He's getting motion out of the subtalar joint as well as talonavicular and the calcaneocuboid joint
All these other joints around there are moving very well
but you're seeing a lot of motion through here
because we locked up the ankle.
Well, before he was having ankle arthritis, right?
So he was having a lot of pain right here
Locked that up with a fusion with screws.
A lot of people don't understand that --
-- or they think that the ankle fusion
is going to really limit you
Actually it increases your life.
I mean, this person had 10 out of 10 pain
Now the patient is going on one mile walks
walking the dog, walking with the wife.
So it makes a huge difference
Yes we do total ankle implants but they're
I will say for a limited amount of patients
but the ankle fusion is still the gold standard guys.
Pickleball has gained immense popularity in recent years as a fun and accessible sport for people of all ages. However, like any physical activity, pickleball carries the risk of injury. While some injuries may be minor and self-treatable, others may require professional medical intervention. In this blog post, we will explore some common pickleball injuries that may necessitate a visit to a podiatrist.
1. Ankle Sprains:
Ankle sprains are among the most prevalent injuries in pickleball. The quick lateral movements and changes in direction can put significant stress on the ankle joint, leading to sprains. Podiatrists are well-equipped to diagnose and treat ankle sprains, providing options such as immobilization, physical therapy, and specialized footwear recommendations.
2. Plantar Fasciitis:
Plantar fasciitis is a condition characterized by inflammation and pain in the plantar fascia—a thick band of tissue that runs along the bottom of the foot. The repetitive jumping and pivoting motions in pickleball can strain the plantar fascia, causing micro-tears and inflammation. Podiatrists can offer various treatment modalities, including orthotics, stretching exercises, night splints, and recommendations for appropriate footwear.
3. Achilles Tendinitis:
Achilles tendinitis is the inflammation of the Achilles tendon, which connects the calf muscles to the heel bone. The explosive movements and sudden stops involved in pickleball can put excessive strain on this tendon, leading to pain and swelling. Podiatrists can provide treatment options such as physical therapy, stretching exercises, orthotic devices, and recommendations for modifying gameplay techniques to alleviate symptoms and promote healing.
4. Stress Fractures:
Pickleball involves repetitive jumping and rapid changes in direction, which can contribute to the development of stress fractures in the feet. Stress fractures are small cracks in the bone caused by overuse and excessive repetitive impact. A podiatrist can diagnose stress fractures through imaging techniques and may recommend rest, immobilization, and gradual return to activity protocols to allow for proper healing.
5. Blisters and Calluses:
Pickleball players often experience blisters and calluses due to the repetitive rubbing and friction caused by quick lateral movements and abrupt stops. While blisters and calluses can be managed at home, a podiatrist can provide professional care, including blister drainage, callus removal, and recommendations for preventive measures and footwear modifications to reduce recurrence.
While pickleball is generally a low-impact sport, injuries can still occur. It is essential to listen to your body and seek medical attention if you experience persistent pain, swelling, or any other concerning symptoms. Podiatrists specialize in foot and ankle injuries, and they can provide a tailored treatment plan to help you recover and get back to enjoying the game. Remember to prioritize proper warm-up, wear appropriate footwear, and practice good technique to reduce the risk of injuries while playing pickleball.
