June 2022

While a common cause of heel pain is plantar fasciitis, treatment options for relief may vary. Plantar fasciitis is an inflammation of the band of tissue on the sole of the foot that runs from the bottom of the toes to the heel. It is an overuse injury and is especially common among runners. With every step the plantar fascia contracts and then stretches, which can cause tiny tears in the tissue nearest the heel bone. The area then becomes inflamed and painful. Corticosteroid injections are a common treatment option for plantar fasciitis because they help to reduce the inflammation. However, steroids may also weaken the fatty pads under the heel, which in some cases results in chronic pain. A number of non-invasive treatments are thought to help reduce the effects of plantar fasciitis in those who do not respond to exercises and stretching. Among them are shock wave therapy and ultrasound therapy. If you have questions about treatment options, please consult a podiatrist for more information.  

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our podiatrists from Advanced Foot & Ankle Associates, PLLC. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

• Excessive running
• Having high arches in your feet
• Other foot issues such as flat feet
• Pregnancy (due to the sudden weight gain)
• Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

• Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
• Maintain a healthy weight
• If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

If you have any questions, please feel free to contact one of our offices located in Lake Worth and Aledo/Willow Park, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Many people are born with flat feet. Some live a healthy, active lifestyle with little to no pain from this condition while others are subject to chronic foot and leg pain. With normal walking, the foot flattens slightly to absorb force and to help accommodate the surface being walked on. A flat foot allows flexibility compared to a foot that has a higher arch, it is locked and rigid and does not absorb the force or mold to the ground. However, because a flat foot is looser, it can be prone to chronic muscle strain because the muscles work harder to keep the foot in a stable position. While the body can adapt to flat feet, when there is an increase or change in intensity or duration of an activity, pain may result. A flat foot can also trigger the inward rotation of the lower leg bone (the tibia), which causes the knees to point inward. Since the upper leg bone will generally follow this movement along, the leg, hip, and lower back may become affected. It is important to know whether you were born with flat feet or if they are caused by something else. A podiatrist can help you figure this out and if you are in pain, provide suggestions and treatment on what can be done to increase your comfort.

Flatfoot is a condition many people suffer from. If you have flat feet, contact one of our podiatrists from Advanced Foot & Ankle Associates, PLLC. Our doctors 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 one of our offices located in Lake Worth and Aledo/Willow Park, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Metatarsophalangeal (MTP) joints connect the long metatarsal bones in the forefoot with the proximal phalanges which form at the base of the toes. Athletes such as football players, soccer players, dancers, basketball players, and gymnasts can place excessive force on the MTP joints by repeatedly pushing off and flexing the big toe on harder, artificial surfaces, by changing direction abruptly, or stopping and starting frequently. This constant type of action can cause the ligament under the big toe to hyperextend and lead to an MTP joint sprain in the big toe, commonly referred to as turf toe. Turf toe symptoms include pain, swelling, instability, stiffness, and limited movement in the big toe that worsens when you put pressure on it or extend it. Turf toe can develop over time or may be the result of a sudden injury—at which point a popping sensation may be felt. If you are experiencing any of the symptoms described here, it is  wise to schedule an appointment with a podiatrist to be properly diagnosed and treated.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with one of our podiatrists from Advanced Foot & Ankle Associates, PLLC. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

• Achilles Tendonitis
• Achilles Tendon Rupture
• Ankle Sprains
• Broken Foot
• Plantar Fasciitis
• Stress Fractures
• Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

If you have any questions, please feel free to contact one of our offices located in Lake Worth and Aledo/Willow Park, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Many people who have had diabetes for a long time may also have a condition known as diabetic neuropathy. The most common form is peripheral neuropathy, which in diabetics usually affects the feet. Symptoms include numbness, reduced ability to feel pain or temperature changes, and tingling or burning sensations. Sharp pains or cramps may also occur. These can further evolve into foot ulcers (wounds that do not heal properly) and infections from cracks or sores in the skin. If ignored or left untreated, gangrene may develop which could lead to surgery or amputation. The main causes of peripheral neuropathy are high levels of sugar and triglycerides in the blood which can damage the nerves and blood vessels in the feet. Since the symptoms of peripheral neuropathy develop over time, it is easy to overlook this condition. Daily foot care is imperative to maintain healthy feet. Another important way to prevent or handle diabetic neuropathy is to schedule regular visits to a podiatrist who can monitor the condition of your feet and treat them accordingly.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with one of our podiatrists from Advanced Foot & Ankle Associates, PLLC. Our doctors will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

If you have any questions, please feel free to contact one of our offices located in Lake Worth and Aledo/Willow Park, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.