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Why Do I Have Plantar Fasciitis?
Plantar fasciitis, the inflammation of the ligament that runs along the bottom of the foot and connects the toes to the heel bone, is a common cause of heel pain. When the plantar fascia is injured through repetitive strain, excessive exercise, prolonged standing, wearing uncomfortable shoes, or obesity, it may lead to stabbing heel pain that is typically at its worst when taking the first few steps after a long rest. Other possible causes of plantar fasciitis include structural abnormalities in the foot, such as having flat feet, high arches, overpronation, or leg length differences. Foot changes associated with aging or pregnancy may also be to blame in some cases. If you are suffering from heel pain, don’t hesitate to schedule an appointment with a podiatrist near you.
Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. Our doctor 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 please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Heel Pain Can Be Treated!
Do you suffer from heel pain when you get up in the morning? If so, you should seek professional help and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.
Cuboid Bone Displacement
The cuboid bone is cube-shaped and located near the middle of the foot. When this bone is displaced, the resulting condition is known as cuboid syndrome. Cuboid syndrome causes pain and swelling along the side of the affected foot. The pain typically worsens during physical activity and while bearing weight. Cuboid syndrome is often seen following an ankle sprain. If the cuboid bone is displaced, your podiatrist may be able to physically manipulate it back into place with a technique called the “cuboid whip.” Your podiatrist will also be able to perform tests that can rule out other potential causes for your pain, such as a fracture or plantar fasciitis. If you are suffering from foot pain, please seek the care of a podiatrist near you.
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 Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. 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 Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.
The Importance of Foot Care For Diabetics
Neuropathy, a form of nerve damage, is known for causing a loss of feeling in the feet, and roughly half of all diabetic patients have some type of neuropathy. Because of this lack of feeling, many small problems with the feet may not be noticed and thus lead to the development of serious issues. To help avoid missing the small issues that can occur with the feet, there are some daily things that diabetic patients can do. Daily checks for cuts and wounds, regularly washing the feet, wearing shoes that fit right, and avoiding going barefoot are a few of the things that can be done to help care for the feet once they have lost some feeling. Along with regular checkups, diabetic patients should consult with a podiatrist if they notice a loss of sensation in the feet, a change in shape or color to the feet, or loss of hair on the feet.
Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.
Diabetic Foot Care
Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.
The Importance of Caring for Your Feet
- Routinely inspect your feet for bruises or sores.
- Wear socks that fit your feet comfortably.
- Wear comfortable shoes that provide adequate support.
Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.
It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.
If you have any questions please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Arthroscopy: A Technological Marvel
In arthroscopic surgery, a small incision in the skin is made to allow a narrow instrument (arthroscope)—with a light and video camera attached—to be inserted into the ankle. The video from the camera transmits a signal to a large screen which the surgeon views to see and diagnose damage inside the ankle. The surgeon can look at this video to guide them during arthroscopic surgery, using tiny surgical instruments inserted through other small incisions. Arthroscopic ankle surgery can be used to restore damage to cartilage, remove bone spurs, scar tissue and debris, and treat certain conditions in the small area at the back of the ankle. Arthroscopic surgery offers shorter hospital stays and recovery time, and it has a lower risk of infection due to small incisions being made—as opposed to larger incisions associated with open surgeries. Make an appointment with your podiatrist to see if arthroscopic surgery is appropriate for your ankle condition.
Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Kendall Blackwell of InStride Wilson Podiatry Associates. Our doctor will assist you with all of your foot and ankle needs.
When Is Surgery Necessary?
Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:
- Removing foot deformities like bunions and bone spurs
- Severe arthritis that has caused bone issues
- Cosmetic reconstruction
What Types of Surgery Are There?
The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:
- Bunionectomy for painful bunions
- Surgical fusion for realignment of bones
- Neuropathy decompression surgery to treat nerve damage
Benefits of Surgery
Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.
Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.
If you have any questions please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Possible Causes of Pain in the Complex Ankle Joint
The ankle joint is a complex structure that connects the foot with the lower part of the leg, and allows your foot to move up and down. The bones in the ankle include the talus (in the lower part of the joint), as well as the tibia and fibula bones (in the leg). The ankle also includes ligaments that support and hold the ankle together, as well as cartilage, muscles, and tendons. Ankle pain can be caused by a variety of conditions including sprains, strains, injuries, Achilles tendonitis, and various forms of arthritis. Along with pain, these conditions may also cause swelling, bruising, tingles, or numbness, redness, weakness, and stiffness in the ankle. It may even be difficult or impossible to apply weight to the ankle or walk. If you are experiencing any of these symptoms, make an appointment with a podiatrist for a thorough examination to determine the root cause of your discomfort, and to receive proper treatment.
Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. 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 tendinitis
- 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 Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Reminder: When Was the Last Time...?
Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!
Does Hammertoe Surgery Hurt?
If you have hammertoes, you may be weighing your treatment options. Advanced cases of hammertoe, in which the bent toe joints are permanently fixed in a painful, flexed position, are often treated surgically. Hammertoe surgery is used to straighten the deformed toes and relieve painful symptoms. These surgeries are typically outpatient procedures, meaning that you get to go home the same day as the operation. The surgery will be done under local anesthesia, so you will not feel pain during the actual operation. Following surgery, you may experience some pain and swelling. Your doctor will likely prescribe medications to manage pain and prevent infection. You will also probably need to wear a special shoe or boot to keep the foot in the proper position as it heals. Full recovery from a hammertoe surgery may take 4 to 6 weeks. To learn more about hammertoe surgery, please consult with a podiatrist.
Hammertoe
Hammertoes can be a painful condition to live with. For more information, contact Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. Our doctor will answer any of your foot- and ankle-related questions.
Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.
Symptoms
- Pain in the affected toes
- Development of corns or calluses due to friction
- Inflammation
- Redness
- Contracture of the toes
Causes
Genetics – People who are genetically predisposed to hammertoe are often more susceptible
Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur
Trauma – Direct trauma to the toes could potentially lead to hammertoe
Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe
Treatment
Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it
Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used
Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option
If you have any questions please contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Intervention Can Help Improve Foot Health in Aging Adults
Foot pain does not necessarily have to be something older adults simply learn to live with. Many conditions can be treated successfully or managed to provide relief, and help the aging adult remain as active and independent as possible. Common foot disorders in older adults include corns and calluses, fungal nail infections and ingrown toenails, bunions, hammertoes and clawtoes, and complications due to systemic conditions such as rheumatoid arthritis, gout, and diabetes. A simple approach to overall foot health includes routine foot hygiene, help with trimming toenails (which can be very challenging for older adults), evaluating and modifying footwear to ensure proper fit, comfort, and support, and the use of orthotics to correct and manage various foot disorders. Additionally, regular podiatric care can improve and maintain the level of overall foot health in senior citizens.
Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.
The Elderly and Their Feet
As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.
Common Conditions
- Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
- Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
- Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
- Gouging toenails affecting nearby toe
- Shoes that don’t fit properly
- Pressure sores
- Loss of circulation in legs & feet
- Edema & swelling of feet and ankles
Susceptible Infections
Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.
If you have any questions please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Do Symptoms Always Appear With Peripheral Artery Disease?
Peripheral artery disease (PAD) is a condition in which blood flow to the lower limbs is inadequate. This typically occurs due to plaque buildup along the artery walls, which causes them to narrow and harden and restricts the amount of blood flow that can travel to the legs. Sometimes, people who have developed PAD do not experience any symptoms. Others however, may notice a tight, aching, or squeezing pain in the calves, leg cramps when walking, weakness, fatigue, and difficulty walking and balancing. When PAD progresses, symptoms like coldness or numbness in the lower limbs, leg and foot pain at rest, and slowly healing wounds may appear. A podiatrist can help you manage PAD and its effects on your feet and ankles. For more information about this condition please consult with a podiatrist.
Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.
Symptoms
Symptoms of PAD include:
- Claudication (leg pain from walking)
- Numbness in legs
- Decrease in growth of leg hair and toenails
- Paleness of the skin
- Erectile dysfunction
- Sores and wounds on legs and feet that won’t heal
- Coldness in one leg
It is important to note that a majority of individuals never show any symptoms of PAD.
Diagnosis
While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.
Treatment
Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.
If you have any questions, please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.
More...
What Is a Gait Analysis?
A gait analysis is a method used to identify abnormalities in your walking or running pattern. This is a useful tool, especially for runners. Many people are afflicted with muscle imbalances, overpronated gaits, or other biomechanical issues that can make foot and ankle injuries more likely to occur while running. There are several types of gait analyses. An observational gait analysis involves a physical examination of your feet followed by a visual assessment of your gait. Following this, it should be easier to know what types of running shoes, orthotics, or other support you may need to correct any biomechanical problems. Other types of gait analyses may also measure force on your feet. To learn more about gait analyses, please consult with a podiatrist.
If you have any concerns about your feet, contact Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. 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 Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Why Live with Pain and Numbness in Your Feet?
Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.
Traumatic Fractures vs. Stress Fractures in Toes
Broken toe bones can either be acute, traumatic fractures, or stress fractures. Traumatic fractures may occur suddenly due to a direct impact—such as stubbing your toe forcefully on a piece of furniture. The affected bone can crack and become displaced. You may hear a sound at the time of injury, feel pain at the point of impact, and see swelling and bruising the following day. You may also have a crooked or abnormal looking toe following the injury. Stress fractures are tiny cracks in bones that occur over time due to repetitive damage, often from playing sports or wearing poorly-fitted shoes. These types of fractures can cause pain during or after normal activity that may go away with rest, pain at the site of the fracture when it is touched, and swelling. Toe fractures that do not receive prompt and proper treatment may become chronically painful, deformed, or arthritic. If you suspect that you may have broken a toe, it is suggested that you see a podiatrist as soon as possible.
A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. Our doctor will treat your foot and ankle needs.
What to Know About a Broken Toe
Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).
Symptoms of a Broken Toe
- Throbbing pain
- Swelling
- Bruising on the skin and toenail
- The inability to move the toe
- Toe appears crooked or disfigured
- Tingling or numbness in the toe
Generally, it is best to stay off of the injured toe with the affected foot elevated.
Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.
If you have any questions please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
How Extra Body Weight Affects Foot and Ankle Health
There are many reasons for trying to lose weight. You may want to lower your cholesterol, bring down your blood pressure, increase your energy, or just feel more comfortable in your clothes. You can also add improving your foot and ankle health to the list. Being heavy can place a tremendous amount of strain on your feet and ankles, making you more likely to suffer from heel pain. Carrying excessive weight on your body can set the stage for conditions such as plantar fasciitis, heel spurs, hammertoes, bunions, flat feet, and more. You are also at an increased risk of developing systemic diseases that affect foot and ankle health such as diabetes and gout. While you are working hard to take that extra weight off, it is suggested that you consult with a podiatrist who has various methods of easing pain, while reducing pressure and distributing weight more evenly on your feet.
The more you weigh, the harder your feet must work to support your body. If you’re an obese individual and are concerned about your feet, contact Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.
Obesity and Your Feet
People who are overweight are putting more pressure on their ankles, knees, and hips as well as their feet. This unfortunately can lead to variety of different issues.
Problems & Complications Stemming from Obesity
- When the body is overweight, it tries to compensate by changing the way that it moves. An obese person may lean forward and put extra weight on the wrong part of the foot. This puts unnecessary stress on the feet.
- Obese people are also more likely to develop type II diabetes which is a condition that causes a lot of foot problems. People with diabetes often don’t feel the cuts and sores that they may have on their feet, which can lead to more complicated and severe issues.
- Plantar fasciitis is another foot condition that can be caused by obesity. Plantar fasciitis is an inflammation of the tissue along the bottom of the foot, which causes pain and stiffness while walking and climbing stairs.
If you have any questions, please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.
