Heel pain can stem from various factors, affecting individuals of all ages and activity levels. Primarily localized to the underside or back of the heel, this discomfort can significantly impact mobility and quality of life. The causes of heel pain are multifaceted, with common culprits including plantar fasciitis, Achilles tendonitis, heel spurs, and stress fractures. Plantar fasciitis, caused by inflammation of the thick band of tissue that connects the heel to the toes, often arises from overuse, improper footwear, or biomechanical issues. Achilles tendonitis, involving inflammation of the Achilles tendon, commonly results from overuse or sudden increases in activity level. Heel spurs, bony growths on the underside of the heel bone, can develop due to repetitive stress or poor foot mechanics. Stress fractures, small cracks in the heel bone, may occur from overtraining or sudden changes in activity. If you have heel pain, it is strongly suggested that you consult a podiatrist who can determine the cause and offer you appropriate relief and treatment solutions. 

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.

Read more about Heel Pain
Tuesday, 07 May 2024 00:00

Heel Pain

Heel pain can be difficult to deal with, especially if you do not know what the underlying cause is. If you ignore your heel pain, the pain can magnify and potentially develop into a chronic condition. Depending on the location of your heel pain, you have developed a specific condition.  

One condition is plantar fasciitis.  Plantar fasciitis is caused by the inflammation of the plantar fascia, or the band of tissue that connects the heel bone to the base of the toes. The pain from this condition is initially mild but can intensify as more steps are taken when you wake up in the morning. To treat this condition, medication will likely be necessary. Plantar fasciitis is often associated with heel spurs; both require rest and special stretching exercises.

There are various options your podiatrist may suggest for heel pain.  Treatment options for heel pain typically include non-steroidal anti-inflammatory drugs (NSAIDS), which may reduce swelling and pain. Other options are physical therapy, athletic taping, and orthotics. In severe cases of heel pain, surgery may be required.

Preventing heel pain is possible.  If you are looking to prevent heel pain from developing in the future, be sure to wear shoes that fit you properly and do not have worn down heels or soles. Be sure to warm up properly before participating in strenuous activities or sports that place a lot of a stress on the heels. If you are experiencing any form of heel pain, speak with your podiatrist to determine the underlying cause and receive the treatment you need.

Tuesday, 30 April 2024 00:00

Brittle Toenails

Brittle toenails can lead to discomfort and even pain. They can occur due to factors such as aging, repetitive trauma, fungal infections, or nutritional deficiencies. Individuals most prone to brittle toenails are often women, older adults, athletes engaging in high-impact activities, or those with certain medical conditions like diabetes or thyroid disorders. Brittle toenails can cause pain by becoming jagged or splitting, leading to ingrown toenails or infections. A podiatrist can offer several solutions to alleviate discomfort and address the underlying causes. They may recommend proper nail care techniques, such as keeping nails trimmed and moisturized, or suggest dietary supplements to improve nail health. Treatments for underlying conditions like fungal infections or medical management for systemic issues may also be provided. Additionally, custom orthotics can offer support and alleviate pressure on the feet, promoting overall foot health and reducing discomfort associated with brittle toenails. If you suffer from brittle toenails, it is suggested that you schedule an appointment with a podiatrist for consultation and care.

Toe pain can 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.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

  • Trauma
  • Sports injury
  • Wearing shoes that are too tight
  • Arthritis
  • Gout
  • Corns and calluses
  • Hammertoe
  • Bunions
  • Blisters
  • Ingrown toenails
  • Sprains
  • Fractures (broken bones)
  • Dislocations

When to See a Podiatrist

  • Severe pain
  • Persistent pain that lasts more than a week
  • Signs of infection
  • Continued swelling
  • Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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.

Read more about Toe Pain
Tuesday, 30 April 2024 00:00

Toe Pain

Toe pain can originate from corns, calluses, hammertoes, and bunions, as well as ingrown toenails, sprains, fractures, and dislocations. Corns develop as the toe rubs against the inside of a shoe which causes the skin to thicken as a form of protection. A corn is typically cone-shaped and has a small, hardened spot that points inward. When a corn is pressed into the skin, the toe becomes painful. Corns usually form on the top or side of the toe. A callus is also a thickened patch of skin that generally forms on the bottom of the foot. Calluses are the result of friction from the toe rubbing against the inside of a shoe. They may also occur by walking barefoot or having flat feet. A hammertoe is a bump on the knuckle of the second toe that is produced by wearing shoes that are too short for your feet. The bony protrusion rubs against the top of the shoe causing pain and irritation. A bunion is a malformation of the big toe. The base of the big toe pushes away from the smaller toes, forcing the top of the big toe to press toward the other toes. Bunions can be hereditary, or they can result from injury to the toe joint or from wearing high heels with a narrow toe box. The toe becomes inflamed, and a bump may develop at the end of the misplaced bone. Ingrown toenails typically affect the big toe and its surrounding skin. The nail will dig into the skin and become painful. Wearing tight or narrow shoes that compress the big toe causes the nail to grow into the fleshy part of the toe. Cutting toenails incorrectly can also add to the development of an ingrown toenail. A toe sprain originates from a torn or stretched ligament. Strapping the injured toe to the toe next to it for stabilization is common. A broken or fractured toe usually occurs from trauma like dropping a heavy object on it or bumping into something extremely hard and rigid. Osteoporosis, a thinning of the bones, can also bring about toe fractures. 

Any of the conditions mentioned can lead to pain and irritation. While some are more serious than others, seeking an examination and diagnosis from a podiatrist is a good idea. A podiatrist can treat each ailment and get you back on your feet again without pain.


 

Tuesday, 23 April 2024 00:00

Proper Footwear for Retail Workers

The role of footwear for retail workers cannot be overstated, especially when considering the demands of a long workday. Wearing the right shoes is essential for maintaining comfort, productivity, and overall well-being throughout the day. Retail workers typically spend hours on their feet, constantly moving and standing on hard surfaces. Wearing ill-fitting or unsupportive shoes can lead to discomfort, fatigue, and even chronic foot problems like plantar fasciitis or bunions. Opting for shoes with adequate arch support, cushioning, and a comfortable fit can significantly reduce the risk of foot pain and injuries. Additionally, wearing appropriate footwear enhances stability and reduces the likelihood of slips, trips, and falls in busy retail environments. By investing in quality shoes designed for prolonged standing and walking, retail workers can ensure they stay comfortable and focused, enabling them to deliver excellent customer service while minimizing the risk of foot-related issues. If you are experiencing foot pain during your work day, it is suggested that you confer with a podiatrist who can help you choose appropriate shoes that will provide relief.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Philip C. Caswell, DPM from Family Foot & Ankle Care. Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

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.

Read more about How to Handle a Long Work Day on Your Feet

In 2014, the American Podiatric Medical Association surveyed 1,000 American adults and found that half of all respondents lived with foot pain. Fortunately, there are ways to avoid foot problems such as following a daily footcare routine and wearing proper footwear at work.

If you have a job that requires you to be on your feet, it is best that you do not wear flat sole shoes. Your heel should be slightly elevated (less than 2 inches, but at least ¼-inch) if you are going to be standing for a prolonged period. You should also make sure that the shoes you wear are not too small. Tight shoes may cut off circulation to your feet, which will result in pain and blisters. It is always best to purchase fitted shoes later in the day, because the feet tend to swell as the day progresses. It may also be helpful to buy shoes a half size larger if you plan on wearing custom orthotics or arch supports.

Your muscles may become stiff when you are constantly standing up. It is important to take breaks every hour to stretch and relax. One tip is to perform calf raises, because this exercise will help improve your circulation. To perform this stretch, you first need to stand on the edge of a step with your abdominal muscles pulled inward. You then need to grip the step with the balls of your feet with your heels hanging over the edge. Next, try to raise your heels above the step by a few inches while standing on your tiptoes; hold this pose for a second. You should then lower your heels back even to the platform. These calf raises should be done ten times for full effectiveness.

You should also take care of your feet while you are at home. One of the best ways to prepare your feet for a long day of work is to soak them in ice water. Doing so for 20 minutes will help fight the swelling and inflammation that results from being on your feet at work.

Nevertheless, if you are experiencing pain in your feet, you should seek help from your podiatrist. Your doctor will help treat any ailments you may have in addition to helping you prevent any other ailments from developing in the future.

Tuesday, 16 April 2024 00:00

Heel Spur Facts

Heel spurs occur in two main forms. One is called heel spur syndrome and the other is termed insertional Achilles tendinitis. Heel spur syndrome involves a bony growth at the bottom of the heel, often resulting from repetitive stress or strain on the foot. Symptoms include sharp pain upon standing or walking, particularly after periods of rest. Conversely, insertional Achilles tendinitis involves inflammation where the Achilles tendon connects to the heel bone. This condition commonly arises from overuse, tight calf muscles, or poor footwear, leading to pain and swelling at the back of the heel. Treatment for both conditions typically starts with conservative measures like rest, stretching, and orthotics. If you have pain that could signify one of these types of heel spurs, it is suggested that you schedule an appointment with a podiatrist who can provide corticosteroid injections or custom shoe inserts to alleviate discomfort. In severe cases, surgical options, such as heel spur removal or Achilles tendon repair, may be considered.

Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Philip C. Caswell, DPM from Family Foot & Ankle Care. Our doctor will do everything possible to treat your condition.

Heels Spurs

Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.

Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.

Pain

The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.

Treatments

There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.

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

Read more about Heel Spurs
Tuesday, 16 April 2024 00:00

Heel Spurs

Heel spurs are the result of calcium deposits that cause bony protrusions on the underside of the heel. Heel spurs are usually painless, but they have the potential to cause heel pain. Heel spurs tend to be associated with plantar fasciitis, which is a condition that causes inflammation of the band of connective tissue that runs along the bottom of the foot. They most often occur to athletes whose sports involve a lot of running and jumping.

Some risk factors for developing heel spurs include running and jogging on hard surfaces, being obese, wearing poorly fitting shoes, or having walking gait abnormalities.

It is possible to have a heel spur without showing signs of any symptoms. However, if inflammation develops at the point of the spur’s formation, you may have pain while walking or running. In terms of diagnosis, sometimes all a doctor needs to know is that the patient is experiencing a sharp pain localized to the heel to diagnose a heel spur. Other times, an x-ray may be needed to confirm the presence of a heel spur.

Heel spurs can be prevented by wearing well-fitting shoes that have shock-absorbent soles. You should also be sure that you are choosing the right shoe for the activity you want to partake in; for example, do not wear walking shoes when you want to go on a run. Additionally, maintaining a healthy weight can be beneficial toward preventing heel spurs, as it will prevent an excess amount of pressure being placed on the ligaments.

There are a variety of treatment options for people with heel spurs. Some of these include stretching exercises, physical therapy, shoe inserts, or taping and strapping to rest stressed muscles and tendons. If you have heel pain that lasts longer than a month, don’t hesitate to seek help from a podiatrist. Your doctor can help you determine which treatment option is best for you.

Ingrown toenails can be painful and can make wearing shoes or walking uncomfortable. Seek professional help if you believe you've developed an ingrown toenail and be treated safely. 

Foot care is a critical aspect of diabetic management, as individuals with diabetes are prone to foot comp-lications. Maintaining skin integrity is essential, especially in diabetic feet where issues like neuropathy and poor circulation can lead to ulcers, infections, and possibly even amputations. Preventive care and regular screening are paramount in mitigating risks. A multidisciplinary team, including podiatrists, plays a pivotal role in diabetic foot care. Podiatrists specialize in assessing foot health, identifying early signs of complications, and providing tailored interventions. They offer expertise in wound care, orthotic management, and footwear recommendations, all aimed at preventing and managing foot problems. By emphasizing preventive measures, such as daily foot inspections, proper hygiene, and appropriate footwear, podiatrists collaborate with patients to minimize the likelihood of diabetic foot complications. If you are a diabetic patient, it is strongly suggested that you schedule regular appointments with a podiatrist as part of your diabetes management.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Philip C. Caswell, DPM from Family Foot & Ankle Care. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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.

Read more about Wound Care
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