The windlass test is a simple clinical method used to examine how the plantar fascia behaves when the big toe is raised and the arch is placed under tension. During this movement, a podiatrist gently lifts the big toe while keeping the foot steady, allowing them to see whether the plantar fascia tightens normally or triggers discomfort. This test is most often associated with plantar fasciitis because people with this condition frequently feel heel or arch pain when the toe is elevated. It can also provide helpful information about flat feet, arch fatigue, or other mechanical issues that affect daily movement. The windlass test is usually performed when someone reports morning foot pain, stiffness, or tenderness along the bottom of the foot. If these symptoms persist or interfere with routine activity, it is suggested that you see a podiatrist for effective relief and treatment solutions.

If you have any concerns about your feet, contact Steven Black, DPM from California . 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 Lancaster, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A partial tear of the long peroneal tendon is a challenging injury, especially for athletes who rely on speed, balance, and rapid direction changes. This type of damage often develops after a significant ankle sprain, when the tendon is overstretched or strained during an abrupt twist. Evaluation begins with a careful physical exam to identify tenderness, swelling, and weakness along the outer side of the ankle. Imaging plays an important role as well. X-rays help rule out fractures, while MRI offers a detailed view of the soft tissues, confirming the extent of the tendon injury. Treatment focuses on reducing inflammation, protecting the tendon, and restoring stability. Bracing, activity modification, and targeted rehabilitation strengthen the surrounding muscles and support healing. In some cases, advanced therapies may be recommended for optimal recovery. It is suggested that you see a podiatrist promptly if you suspect a tendon injury.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with Steven Black, DPM from California . Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendonitis
• Achilles tendon rupture
• Stress fractures
• Bursitis
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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

As we move through life, the joints in the foot and ankle can gradually lose their smooth cushioning, leading to discomfort that feels deep, slow to warm up, and more noticeable with activity. Many people describe a steady ache after walking, stiffness when getting out of bed, or mild swelling that makes shoes feel tight. Some notice a catching or crunching sensation, while others feel fatigue in the surrounding muscles as they work harder to support the joint. A podiatrist can sort through these symptoms with a hands on exam and imaging to identify which joints are involved and how much change has occurred. Treatment may include wearing supportive footwear, custom inserts, bracing, exercises that improve joint function, or in-office therapies that calm irritation. If your foot and ankle symptoms continue to affect daily movement, it is suggested that you see a podiatrist for effective relief and management tips.

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Steven Black, DPM from California . Our doctor can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a term that is commonly used to describe joint pain.  The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it.  Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.

Symptoms

• Swelling
• Pain
• Stiffness
• Decreased Range of Motion

Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.

Risk Factors

• Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
• Obesity – Excess weight can contribute to osteoarthritis development
• Infection – Microbial agents can infect the joints and trigger arthritis
• Joint Injuries – Damage to joints may lead to osteoarthritis
• Age – Risk increases with age
• Gender –Most types are more common in women
• Genetics – Arthritis can be hereditary

If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method is best for you.

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

Flat feet occur when the arches of the feet collapse or do not develop fully, causing the entire sole to touch the ground. This condition can be present from childhood or develop later due to aging, injury, obesity, or weakened tendons. Risk factors include prolonged standing, high impact activities, and certain medical conditions that affect joint strength. Flat feet may lead to pain, swelling, and changes in walking that can affect the ankles, knees, and hips. A podiatrist can assess foot structure, provide custom orthotics, recommend supportive shoes, and guide exercises that strengthen the arch. If your flat feet are painful, it is suggested that you consult a podiatrist who can offer you effective relief and management tips.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Steven Black, DPM from California . Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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