If you are experiencing pain on the bottom of your heel, there is a good chance that you may have a condition known as plantar fasciitis. Plantar fasciitis is an irritation and inflammation of the plantar fascia, which is a connective tissue that links the heel with the toes. Because the plantar fascia is located on the sole of the feet, it helps absorb the body’s weight, and can become overly stressed during walking, running, and jumping movements. Plantar fasciitis is the most common cause of heel pain and can make it difficult to walk. Common risk factors for plantar fasciitis include making certain repetitive movements (as in running) obesity, sudden weight gain (as in pregnancy), or by having flat feet or high arches or a tightened Achilles tendon. If you believe you have plantar fasciitis, make an appointment with a podiatrist to be properly diagnosed and to receive prompt and proper treatment.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our podiatrists from Podiatry Health Center. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

• Excessive running
• Non-supportive shoes
• Overpronation
• Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

            Conservative measures - anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices

            Shockwave therapy - sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis

            Surgery - usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

If you have any questions feel free to contact our office located in Dothan, AL. We offer the latest in diagnostic and treatment technology to meet your podiatric needs.

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Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is the thick band of tissue that connects the heel bone to the toes. When this band of connective tissue becomes inflamed, plantar fasciitis occurs. Fortunately, this condition is treatable.

There are several factors that may put you at a greater risk for developing plantar fasciitis. One of the biggest factors is age; plantar fasciitis is common in those between the ages of 40 to 60. People who have jobs that require them to be on their feet are also likely to develop plantar fasciitis. This includes factory workers, teachers, and others who spend a large portion of their day walking around on hard surfaces. Another risk factor is obesity because excess weight can result in extra stress being placed on the plantar fascia.

People with plantar fasciitis often experience a stabbing pain in the heel area. This pain is usually at its worst in the morning, but can also be triggered by periods of standing or sitting. Plantar fasciitis may make it hard to run and walk. It may also make the foot feel stiff and sensitive, which consequently makes walking barefoot difficult.

Treatment for plantar fasciitis depends on the severity of the specific case of the condition. Ice massage applications may be used to reduce pain and inflammation. Physical therapy is often used to treat plantar fasciitis, and this may include stretching exercises. Another treatment option is anti-inflammatory medication, such as ibuprofen.

If you suspect that you have plantar fasciitis, meet with your podiatrist immediately. If left untreated, symptoms may lead to tearing and overstretching of the plantar fascia. The solution is early detection and treatment. Be sure to speak with your podiatrist if you are experiencing heel pain.

Always measure your feet if you have any questions about your proper shoe size. You can measure your own feet with a tape measure or ruler, paper, a writing implement, and a chair to sit on while measuring your feet. First, tape the paper to the floor so it will not move. Second, sit on the chair and put one foot on the paper. Make sure to wear socks or foot coverings that you plan to wear with shoes before placing them on the paper. Third, outline the outside of your foot with your pen or pencil. Do this for both feet to check subtle differences that might be present between your feet. Fourth, measure from the tip of the heel to the longest toe of your foot and make a note of the numbers. Finally, do some simple math – subtract 3/16 from the measurement you wrote down to account for the difference between your foot and the shoe. The result is your shoe size! If you have trouble measuring your feet properly or find that you are still not able to find comfortably fitting shoes, see a podiatrist for help in measurements, and shoe suggestions, or to help you detect any other problems that might be going on with your feet.

Getting the right shoe size is an important part of proper foot health. Seek the assistance of one of our podiatrists from Podiatry Health Center. Our doctorswill provide the care you need to keep you pain-free and on your feet.

Getting the Right Shoe Size

There are many people who wear shoes that are the incorrect size, negatively affecting their feet and posture. Selecting the right shoes is not a difficult process, so long as you keep several things in mind when it comes to choosing the right pair.

• When visiting the shoe store, use the tools available to measure your foot.
• Be sure there is ‘wiggle room’. There should be about an inch between your toes and the tip of your shoes.
• Do not always assume you are the same size, as manufacturers run differently.
• Purchase shoes later in the day, as your feet swell as the day progresses.
• If a shoe is not comfortable, it is not suitable. Most shoes can’t be ‘broken in’, and comfort should be the ultimate goal when it comes to choosing the right pair of shoes

As our feet hold our body weight and keep us moving, it is important to treat them right. Picking the right pair of shoes can provide your feet comfort and mobility without pain.

If you have any questions feel free to contact our office located in Dothan, AL. We offer the latest in diagnostic and treatment technology to meet your podiatric needs.

Read more about Getting the Right Shoe Size

If you want to ensure the long-term health of your feet, you should choose the right pair of shoes to wear on an everyday basis. Poorly fitting shoes will not only be uncomfortable, but they may also cause foot pain and unwanted foot conditions. When looking for a new pair of shoes, there are certain factors you should look for.

One of the most crucial tips you can follow is to always try shoes on in the afternoon. It is normal for feet to swell throughout the day, which means your shoe size may be different in the morning compared to what it is at night. To be safe, you should go with the slightly bigger size to ensure that your feet have enough room within your shoes.

Another rule is to never buy shoes that are too tight (Many people buy shoes that are too tight for their feet and expect the shoes to stretch out). If you are looking for a pair of running sneakers, you can go to a specialty running shoe store to have your feet properly sized. When you purchase shoes in-store, walk around in them to make sure the shoes you are going to buy fit you properly. Take some time to make sure the shoes are comfortable for your feet

The upper section of your shoe should be made from a softer, more flexible material. The material that makes up the shoe should not be slippery. Arch support should be a key factor in the decision-making process for shoes. Arch support is crucial because it will prevent the arches in your feet from collapsing. If your arches collapse, the plantar fascia may begin to stretch out which could lead to plantar fasciitis.

Many problematic foot conditions may be prevented by wearing properly fitting shoes. Some of these unwanted conditions are bunions, corns, calluses, pain, stress fractures, and plantar fasciitis. If you are suffering from any of these ailments you may want to speak with your podiatrist.

The tibial nerve in the ankle enables movement and feeling in areas of the foot. When this nerve gets compressed, it forms what is known as tarsal tunnel syndrome.  This can happen as a result of a sprained ankle, or medical conditions that can include flat feet, high arches, or diabetes. Tarsal tunnel syndrome often causes severe pain and discomfort and is noticeable in the bottom of the foot and toes. Some of the tests that are performed to reach a diagnosis can include a nerve biopsy, and electromyography, which is a recording of electrical activity in the muscles. Treatment options can include resting and elevating the affected foot, and surgery may be recommended that can permanently reduce the pressure. Tarsal tunnel syndrome is diagnosed and treated by a podiatrist, and it is advised to consult with this type of doctor if you think you may have this condition.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact one of our podiatrists from Podiatry Health Center. Our doctors can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions feel free to contact our office located in Dothan, AL. We offer the latest in diagnostic and treatment technology to meet your podiatric needs.

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Tarsal tunnel syndrome is a condition in which there is a compression of the posterior tibial nerve. The posterior tibial nerve runs along the inside of the ankle into the foot. Tarsal tunnel syndrome is named for the tarsal tunnel, which is a thin space along the inside of the ankle beside the ankle bones. This space contains various nerves, arteries, and tendons, and includes the posterior tibial nerve. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome the tibial nerve is compressed, causing tingling or burning, numbness, and pain.

Common causes of tarsal tunnel syndrome involve pressure or an injury. Injuries that produce inflammation and swelling in or around the tunnel may place pressure on the posterior tibial nerve. Direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or trauma to the tibial nerve, can result in tarsal tunnel syndrome. Diseases that damage nerves, such as diabetes or arthritis, may cause tarsal tunnel syndrome. Those with flat feet are at risk for developing the condition, as the extra pressure and strain placed on the foot may compress the posterior tibial nerve.

Feeling different sensations in the foot at different times is a common symptom of tarsal tunnel syndrome. An afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg. Symptoms are primarily felt on bottom of the foot and/or the inside of the ankle. Symptoms can appear suddenly and may occur due to overuse of the foot.

To diagnose tarsal tunnel syndrome, your podiatrist may examine the foot and tap the posterior tibial nerve to see if symptoms surface. He or she may also order an MRI to determine if a mass is present.

Treating tarsal tunnel syndrome will depend on the decision of your podiatrist. Multiple options are available, however, and can include rest, ice, immobilization, oral medications such as anti-inflammatory drugs (NSAIDS), physical therapy, injection therapy, orthotics, supportive shoes, braces, and surgery.

Fatigue fractures, which are known as stress fractures, occur when there is stress that is exerted on the bone. The foot is a common place for this to happen, and it can occur from increasing mileage and speed too quickly while running. The area may be tender to touch, and there can be severe pain and discomfort. A stress fracture can be confirmed when a proper diagnosis is performed. This can include having an X-ray or MRI taken, and then proper treatment can begin. It is beneficial to temporarily stop practicing the activity that led to the stress fracture. Patients have found mild relief when the affected foot is elevated. Many patients can perform non-impact exercises that can include swimming and cycling. This can help to maintain exercise goals while the injured foot is healing. Gradually, the normal routine of exercise and activities can be resumed, when the stress fracture has healed. If you feel you may have endured a stress fracture in your foot, it is strongly advised that you consult a podiatrist who can properly treat this condition.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact one of our podiatrists from Podiatry Health Center. Our doctors can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

• Runners                                  
• People affected with Osteoporosis
• Tennis or basketball players
• Gymnasts
• High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

If you have any questions feel free to contact our office located in Dothan, AL. We offer the latest in diagnostic and treatment technology to meet your podiatric needs.

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Our bones are important aspects of our body and they are constantly changing. The heavier the workload for a bone, the more likely it is that calcium will be placed in it. When a bone isn’t used often, there won’t be much calcium within it. When stress from repetitive loads prevent the bone from being able to repair itself, cracks will start to form. Stress fractures are defined as cracks in a bone that result from repetitive force, such as overuse.

The most common cause of stress fractures is a sudden increase in intensity and duration of physical activity. For example, if you begin to run long distances without working your way into doing so, you will be more likely to develop a stress fracture.

Common symptoms of stress fractures are pain and swelling near the weight bearing area on the injured bone. When initial x-rays are performed, it is possible that the fracture will not show up. However, once the stress on the area continues, the damage will increase, and the fracture will be severe enough to show up on an x-ray. Certain parts of the foot are more likely to develop stress fractures than others. Areas that typically have these fractures are: the metatarsals, the navicular bone, the calcaneus, tibia, and fibula.

Since women are at an increased risk of developing osteoporosis, they are twice as likely as men to sustain a stress fracture. Additionally, old age causes a decrease in bone mineral density which is why elderly people are also likely to develop these fractures.

It is important for you to be professionally diagnosed by a podiatrist if you suspect you have a stress fracture, because there are other injuries that can easily be mistaken for a fracture.  Sprains, strains, shin splints, plantar fasciitis, and Morton’s neuroma can all easily be mistaken for stress fractures in the foot. Your podiatrist will likely ask you a series of questions to determine what type of pain you are experiencing. These questions will help your doctor identify whether you have a stress fracture.

The best method of treatment for a stress fracture is rest. Additionally, a walking boot, cast, or crutches, will help rest the area that is injured. The typical healing time for stress fractures is 4-12 weeks, however this depends on which bone is involved.

Neuropathy is a condition that can lead to numbness or loss of sensation in the feet, but it can also cause pain. This condition is more likely to develop for those who are diabetic, obese, or with high blood pressure.

 As women gain weight during pregnancy, it is common for their legs and feet to begin swelling and aching. This is mainly a side-effect of the normal buildup of fluids in the body as the baby grows. Further, the center of gravity changes as the months go by, affecting the legs and feet and the way she walks and stands. Proper footwear is essential to help reduce discomfort or the chance of accidents or serious illness. Suggestions for changes in footwear during pregnancy include buying shoes at least a half size larger than normal, choosing shoes with high arch and ankle support, and wearing slip-ons rather than shoes that tie. Further, high heels should be avoided as much as possible, to reduce the chance of falling or twisting an ankle. Low and wider heels help distribute body weight better, and shoes with a wider toe box are a good idea for improved stability and comfort. If you have questions about foot health during pregnancy, it is wise to consult a podiatrist who can guide you in making the proper footwear decisions.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with one of our podiatrists from Podiatry Health Center. Our doctorswill attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

• Wearing orthotics can provide extra support for the feet and help distribute weight evenly
• Minimize the amount of time spent walking barefoot
• Wear shoes with good arch support
• Wear shoes that allow for good circulation to the feet
• Elevate feet if you experience swelling
• Massage your feet
• Get regular, light exercise, such as walking, to promote blood circulation to the feet

If you have any questions feel free to contact our office located in Dothan, AL. We offer the latest in diagnostic and treatment technology to meet your podiatric needs.

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