Complete Lower Extremity Healthcare

140 Traders Way
Pooler, GA   31322

(912) 330 - 8885



Posts for tag: Achilles Tendonitis

By The Foot & Ankle Center, PC
April 04, 2018
Category: Injury Prevention

It’s a new season and that means new sports for children and adults as well as changes in fitness routines. Here at The Foot & Ankle Center, PC we want to see that our patients get off on the right foot. Below are a few simple steps will help you prevent sports injuries and hit your stride early in the season:

  1. Assess your fitness level. Be honest: have you or your children spent the winter months in a more sedentary fashion? If yes, then it’s important to prep for the upcoming sports season by getting muscles warmed up. Before practices begin or you start a new running program, spend some time walking, stretching and just generally being more active. Injuries such as Achilles tendonitis and even stress fractures in the foot are often the result of a sudden increase in activity and strain on the feet and ankles.
  2. Examine your shoes. For children, it’s inevitable that the pair of shoes they used for softball or tennis last year is not going to fit this year. For adults, you should inspect the tread of your shoes and look for any tears or rough spots. Shoes that are overly flexible (able to bend completely in half or twist all the way around) will not support your foot and need to be replaced.
  3. Deal with chronic foot problems. If you have bunions, flat feet, plantar fasciitis, chronic ankle instability, or another ongoing foot issue, have your foot examined by our podiatrist, Dr. Leonard M. Talarico, before starting a new exercise activity or sport. The foot doctor will check to see if a chronic foot condition has progressed and also be able to make recommendations about shoes or custom orthotics that may increase comfort and performance.
  4. Choose the right program. Make sure that the program you or your child is embarking on follows sound exercise principles and safe training protocols. There should be warm-ups and stretching before and after activity. Workouts can be challenging but not push a person to the point where they are in pain or at risk of injury. Inspect field, court or other surfaces where the activity will take place and speak up about repairs necessary to prevent trips, falls and ankle sprains.

If, as you start a new sport or fitness plan, you experience recurring pain or other symptoms, contact our Pooler, GA office for an appointment by calling: (912) 330–8885.

Do you find your initial enthusiasm for getting in shape in 2018 is starting to flag? At The Foot & Ankle Center, PC, we find that many patients start off strong with a new exercise routine right after New Year’s but by the end of the month are calling us with foot and ankle complaints. Below are some do’s and don’ts to help you stay on track with your fitness goals:

Do: get any old injuries or chronic foot problems checked before immersing yourself in a new fitness routine. Our podiatrist, Dr. Leonard M. Talarico, will evaluate the current condition of your feet and ankles and make recommendations about the best ways for you to get in shape without harming your feet. Some conditions such as flat feet or plantar fasciitis may require an orthotic insert to make exercise comfortable.

Don’t: try to do too much too soon. Patients who start exercising after being inactive for a significant period of time need to begin slowly and gradually build up the intensity and duration of their workouts. Many foot disorders such as Achilles tendonitis and shin splints are directly related to sudden increases in activity.

Do: inspect your footwear. If you plan to use sports shoes that you already own, be sure that they are appropriate for the activity you plan to do (running shoes are designed differently from tennis sneakers, for example) and that they are in good shape. Shoes that are stretched or have loose stitching or other signs of wear can cause an injury. Many good intentions to get in shape have been derailed by a painful blister caused by a shoe that doesn’t fit properly.

Do: warm up before and after you work out. Properly preparing your muscles for exercise and then cooling down and stretching will safeguard your feet and ankles from injuries.

Don’t: forget the water bottle. Staying hydrated will help reduce the risk of swelling (edema) in your lower legs and ankles and increase your comfort level during and after exercise.

Don’t: ignore pain. If, despite taking all of the above steps, your new exercise plan is causing you pain in your toes, ankles or feet, contact our Pooler, GA office for an appointment by calling: (912)330-8885. We’ll help you determine the source of the pain and get you moving forward with your exercise goals.

By The Foot & Ankle Center, PC
September 21, 2017
Category: Foot Pain

At The Foot & Ankle Center, PC, we know patients do not want to undergo surgery unless it’s absolutely necessary. That’s why we always strive to resolve foot problems using the least invasive means possible. One way that we do that is through an advanced technology called EPAT. Below are some common questions about EPAT to help you better understand this treatment and its uses:

What exactly is EPAT?

EPAT stands for extracorporeal pulse activation technology. This advanced technology uses pressure waves to accelerate the healing process by stimulating the metabolism and enhancing blood circulation.

What is EPAT used for?

EPAT is used to help heal a broad range of musculoskeletal conditions as well as a treatment for chronic muscle and tendon pain. Some disorders commonly treated with EPAT included: Achilles tendonitis and bursitis, plantar fasciitis, heel spurs, posterior tibial tendonosis, tibialis anterior syndrome and many other conditions.

Does EPAT have significant benefits over other treatments?

Yes. EPAT is completely noninvasive. This means no incision, no risk of infection and no scarring or scar tissue. Damaged tissue gradually regenerates and heals without medications. There is no “down time” or time off from work required for EPAT treatments. Patients are able to return to normal activities within 24-48 hours after treatment. Perhaps best of all, the success rate of EPAT treatments is over 80%.

Is EPAT Safe?

EPAT is FDA approved. It is completely safe and has undergone extensive tests and clinical studies. Developed in Europe, is it is now being used worldwide.

How long does EPAT treatment take?

Most conditions require 3 to 4 treatments. Each session takes about 15 minutes and treatments are generally done at weekly intervals.

Is there anyone who cannot use EPAT?

Patients who have Deep Vein Thrombosis (DVT), malignancies or have had a cortisone injection within the past 6 weeks should not have EPAT treatments.

What results can I expect from EPAT?

Some patients report immediate pain relief following a treatment, but it is more typical for pain reduction to begin about 4 weeks after treatment. Over 80% of patients report pain relief and for most the procedure also restores full mobility.

If you suffer from chronic foot or ankle pain, the first step is to have your feet examined by our podiatrist, Dr. Leonard M. Talarico. Once the foot doctor has diagnosed the source of your pain, he will determine if you are a candidate for EPAT treatments. To learn more, contact our Pooler, GA office for an appointment by calling: (912) 330–8885.


By The Foot & Ankle Center, PC
November 10, 2016
Category: Foot Pain

Your Achilles tendon is the largest and strongest tendon in your body and can handle 1,000 pounds or more of force. Ironically, it’s also the most frequently injured tendon and a problem that we at The Foot & Ankle Center, PC treat often. Achilles tendonitis is an inflammation of the tendon and a condition that afflicts both experienced athletes and weekend warriors.  Basically, the inflammation is caused by some form of overuse. Examples include:

  • Suddenly increasing speed or distance in your running or walking
  • Stair climbing or hill running
  • Re-starting an exercise or sport activity too quickly after a period of inactivity
  • Not warming up and stretching adequately (particularly your calf muscles) before exercise
  • An intense and sudden hard contraction of the calf muscle as would occur in a sprint

Symptoms and Relief

The signs of Achilles tendonitis may come on gradually. You may experience a little pain after running or exercising along the tendon that gets worse over time. Your lower leg may feel tired and there may also be swelling in the tendon area. Our board certified podiatrist, Dr. Leonard M. Talarico, will want to examine your leg and will ask questions about your recent activities as well as your medical history. Once a diagnosis of Achilles tendonitis is confirmed, there are several treatment options:

  • Nonsteroidal anti-inflammatory medication
  • Bandage to limit motion of the tendon
  • Stretching and other exercises to strengthen the muscles that support the tendon
  • Massage
  • Ultrasound
  • Orthotic inserts for your shoes

In addition, the foot doctor may recommend that you take a break from exercises that put strain on the tendon and switch to some that are less stressful to this area, such as swimming. In very severe cases that do not respond to other treatments surgery may be necessary.

If you are experiencing pain or weakness in your Achilles tendon, contact our Pooler office for an appointment today at: (912) 330 – 8885.

By The Foot & Ankle Center, PC
October 27, 2016
Category: Foot Care

At The Foot & Ankle Center, PC, we pride ourselves on bringing the latest, cutting edge treatments to our patients. One of the most beneficial treatments to be developed in recent years is Extracorporeal Pulse Activation Technology or EPAT. Non invasive and able to be delivered in office, EPAT uses pressure waves, which stimulate metabolism and improve circulation to help speed up the healing process. It is used to treat chronic muscle and tendon pain and other musculoskeletal conditions including:

What to Expect

If our board certified foot and ankle surgeon, Dr. Leonard M. Talarico recommends EPAT treatment for your foot disorder you will most likely undergo  a once a week treatment that lasts about 15 minutes for 3-4 weeks. Pain relief is usually experienced within 4 weeks of initial treatment and for some patients the effect is immediate. 80% of patients report they are pain free or have experienced a significant reduction in pain after being treated with EPAT. Since it is completely non-invasive, there is no risk of infection and you can resume normal activities within 24-48 hours of treatment.

Safety and Side Effects

EPAT is FDA approved and has virtually no risk. Some patients experience minor discomfort after treatment that lasts a few days following a treatment. EPAT is not recommended for patients with Deep Vein Thrombosis, malignancies or for those who have received a cortisone injection within the last 6 weeks.

If you are experiencing chronic muscle or tendon pain, make an appointment at our Pooler office by calling: (912) 330 – 8885. Every patient is unique and Dr. Talarico will be able to evaluate your specific condition and determine whether EPAT or some other treatment plan is best for you.


Questions or Comments?
We encourage you to contact us whenever you have an interest or concern about our services.


Call Today 912-330-8885

140 Traders Way
Pooler, GA 31322

Podiatrist / Foot Surgeon - Pooler / Savannah • Leonard M. Talarico, DPM • 140 Traders Way • Pooler GA  31322 • 912-330-8885