Items filtered by date: December 2024
Heel Pain Causes and Risk Factors

Heel pain can be caused by a variety of factors that place stress on the structures of the foot, particularly the heel bone, muscles, and ligaments. Some common causes of heel pain include abnormal walking patterns, obesity, wearing ill-fitting footwear, and prolonged standing or activities on hard surfaces. Physically active people, middle-aged adults, pregnant women, and those with arthritis or diabetes are at greater risk. Heel pain may also result from injuries like stress fractures, inflammation of soft tissues such as bursitis, or nerve issues like neuromas. Complications can include plantar fasciitis, where the connective tissue along the sole becomes inflamed, and heel spurs, which are calcified growths linked to chronic strain. A podiatrist can determine the cause of heel pain, identify contributing factors like gait abnormalities, and recommend treatment, such as custom orthotics or adjustments to footwear. If you are experiencing heel pain, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment options.
Many people suffer from bouts of heel pain. For more information, contact Philip C. Caswell, DPM of Family Foot & Ankle Care. Our doctor can provide the care you need to keep you pain-free and on your feet.
Causes of Heel Pain
Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.
Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.
Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.
Why Might Heel Pain Occur?
- Wearing ill-fitting shoes
- Wearing non-supportive shoes
- Weight change
- Excessive running
Treatments
Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.
If you have any questions please contact our office located in Sparta, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Symptoms and Causes of a Plantar Fibroma

A plantar fibroma is a benign growth of tissue that develops on the bottom of the foot, typically in the arch area. It is characterized by the formation of fibrous nodules or lumps in the plantar fascia, the band of tissue that runs along the bottom of the foot. The exact cause of a plantar fibroma is not always clear, but it may be linked to genetic factors, injury, or excessive stress on the feet. Symptoms of a plantar fibroma include the presence of a small, firm lump in the arch of the foot, which can cause pain or discomfort, especially while walking or standing for long periods. In some cases, the fibroma may not cause noticeable symptoms unless it grows large or presses on surrounding tissues. If you have a lump in the arch of your foot, it is suggested that you consult a podiatrist who can provide an accurate diagnosis, and offer the best treatment for you.
A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Philip C. Caswell, DPM of Family Foot & Ankle Care. Our doctor can provide the care you need to keep you pain-free and on your feet.
Plantar Fibroma
A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.
What Causes a Plantar Fibroma?
While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.
What Are the Symptoms of a Plantar Fibroma?
There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.
Treatment and Prevention
A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:
- Steroid injections
- Orthotics
- Physical therapy to help apply anti-inflammatory creams on the bump
Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.
If you have any questions please feel free to contact our office located in Sparta, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Foot and Ankle Joint and Tissue Disorders

Musculoskeletal conditions of the foot and ankle, such as arthritis, tendonitis, and deformities like bunions or flat feet, often evolve gradually but can significantly challenge the quality of life. These conditions frequently arise from wear and tear, injury, genetic predisposition, or underlying issues like diabetes or obesity. Over time, inflammation, joint damage, or altered biomechanics can lead to pain, stiffness, and reduced mobility. Simple activities like walking or standing may become difficult, limiting independence and daily function. As symptoms progress, compensatory gait changes can strain other joints, leading to knee, hip, or back pain. Chronic discomfort may also impact mental well-being. If you have foot or ankle pain, it is suggested that you visit a podiatrist for a prompt diagnosis and treatment to avoid negative effects on the quality of your life.
Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Philip C. Caswell, DPM from Family Foot & Ankle Care. Our doctor can provide the care you need to keep you pain-free and on your feet.
Arthritic Foot Care
Arthritis is a joint disorder that involves the inflammation of different joints in your body, such as those in your feet. Arthritis is often caused by a degenerative joint disease and causes mild to severe pain in all affected areas. In addition to this, swelling and stiffness in the affected joints can also be a common symptom of arthritis.
In many cases, wearing ill-fitting shoes can worsen the effects and pain of arthritis. Wearing shoes that have a lower heel and extra room can help your feet feel more comfortable. In cases of rheumatoid arthritis, the arch in your foot may become problematic. Buying shoes with proper arch support that contour to your feet can help immensely.
Alleviating Arthritic Pain
- Exercises that stretch the foot can prevent further pain and injury and increase mobility
- Most of the pain can be alleviated with anti-inflammatory drugs, heat, and topical medications
- Massages can help temporarily alleviate pain.
It is best to see your doctor for the treatment that is right for your needs and symptoms. Conditions vary, and a podiatrist can help you determine the right method of care for your feet.
If you have any questions, please feel free to contact our office located in Sparta, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Arthritis Can Cause Pain in the Feet and Ankles
Barefoot Walking in PreSchool Children

Allowing children to walk barefoot until the age of four is beneficial for both brain and body development. Walking without shoes promotes natural foot growth, helping to strengthen muscles and improve balance. It also enhances the sensory experience by allowing the feet to feel different textures and surfaces, which aids in the development of the brain’s sensory pathways. These early experiences help children develop coordination and spatial awareness, important skills for future movement. Barefoot walking also encourages proper posture and alignment, as the feet can move freely, engaging muscles that are vital for walking, running, and jumping. Furthermore, by spending time without shoes, children become more aware of their environment, improving their ability to navigate different terrains. If your child has a foot condition, it is suggested that you contact a podiatrist who can offer effective treatment solutions, and address any concerns you may have about your child walking barefoot.
The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact Philip C. Caswell, DPM of Family Foot & Ankle Care. Our doctor can provide the care you need to keep you pain-free and on your feet.
Tips for Keeping Children's Feet Healthy
- Make sure their shoes fit properly
- Look for any signs of in-toeing or out-toeing
- Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
- Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
- Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
- Cut toenails straight across to avoid ingrown toenails
- Keep your child’s foot clean and dry
- Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.
If you have any questions, please feel free to contact our office located in Sparta, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
What Is Onychogryphosis?

Onychogryphosis, commonly called ram’s horn nails, causes the toenails to thicken, harden, and grow in a curved, claw-like shape. It usually affects the big toe and discomfort or pain can be felt, particularly when wearing shoes or walking. This condition is more common in older adults, individuals with limited mobility, and those who have experienced trauma to the toes, which may trigger abnormal nail growth. Poor circulation, improper nail care, and underlying health conditions like diabetes can also increase the risk of developing onychogryphosis. Diagnosis involves a physical examination by a podiatrist, who may use imaging tests to assess the severity. Management typically includes regular trimming and thinning of the nail, and in severe cases, partial or complete nail removal. If you have any symptoms of this condition, it is suggested that you visit a podiatrist who can provide proper care and guidance to manage symptoms and prevent complications.
Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Philip C. Caswell, DPM from Family Foot & Ankle Care. 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 Sparta, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.