Items filtered by date: April 2022

Heel pain can be caused by a variety of conditions, with the most common being plantar fasciitis: an inflammation of the plantar fasciitis tissue on the bottom of the foot. Identifying where the pain is specifically located in the heel can sometimes help your podiatrist diagnose your condition. For instance, plantar fasciitis usually causes pain in the bottom/middle of the heel which is at its worst when you first wake up in the morning. Other conditions, such as heel stress fractures, nerve issues, or heel pad atrophy can also cause pain on the bottom of the heel. Pain in the back of the heel may be caused by problems with your Achilles tendon, which connects the heel bone to the calf muscles. These conditions include Achilles tendinopathy/tendinitis, which is usually an overuse injury to the tendon, Haglund’s deformity, which produces a bump at the back of the heel due to shoes exerting pressure on the tendon, and Sever’s disease, which is due to stress on the heel’s growth plate in growing children. Pain in the middle of the heel can sometimes be caused by an entrapped nerve in the ankle (tarsal tunnel syndrome). Sinus tarsi syndrome, typically due to flat feet or following an ankle sprain, can cause pain in the middle/side portion of the heel. Any type of heel pain should be examined by a podiatrist to receive proper diagnosis and treatment.

Many people suffer from bouts of heel pain. For more information, contact Cory Brown, DPM of Cory Brown, DPM. 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 Lewiston, ID . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

If your podiatrist suspects that you may have peripheral artery disease (PAD), they will most likely perform a vascular test called a duplex ultrasound. Duplex ultrasound uses two modes of ultrasound: 1) traditional ultrasound to create images of your blood vessels based on sound waves bouncing off them, and 2) doppler ultrasound to estimate the speed and direction of blood by recording sound waves that reflect off it as it flows. Duplex ultrasound is non-invasive and painless. Your podiatrist will spread gel on the skin of the area(s) to be tested, and then wave a transducer wand which emits the sound waves and records the echoes that are reflected. For more information about duplex ultrasound, ask your podiatrist.

Vascular testing plays an important part in diagnosing disease like peripheral artery disease. If you have symptoms of peripheral artery disease, or diabetes, consult with Cory Brown, DPM from Cory Brown, DPM. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Vascular Testing?

Vascular testing checks for how well blood circulation is in the veins and arteries. This is most often done to determine and treat a patient for peripheral artery disease (PAD), stroke, and aneurysms. Podiatrists utilize vascular testing when a patient has symptoms of PAD or if they believe they might. If a patient has diabetes, a podiatrist may determine a vascular test to be prudent to check for poor blood circulation.

How Is it Conducted?

Most forms of vascular testing are non-invasive. Podiatrists will first conduct a visual inspection for any wounds, discoloration, and any abnormal signs prior to a vascular test.

 The most common tests include:

• Ankle-Brachial Index (ABI) examination
• Doppler examination
• Pedal pulses

These tests are safe, painless, and easy to do. Once finished, the podiatrist can then provide a diagnosis and the best course for treatment.

If you have any questions, please feel free to contact our office located in Lewiston, ID . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Sever’s disease, despite its name, is actually an injury. Common in active children between the ages of 8 and 14, Sever’s disease refers to the inflammation of the growth plates in a child’s heels. This causes heel pain that can make walking, running, and jumping difficult. Sever’s disease is treated conservatively, through simple and noninvasive methods. If your child has Sever’s disease, they should rest their injured foot as much as possible, limiting any high impact activities that can put pressure on the foot. Inflammation can be reduced by applying ice to the injured heel and taking non-steroidal anti-inflammatory medications. Stretching the calves gently can help increase flexibility and improve recovery. You can protect the heel by wearing comfortable shoes ,or orthotics, and resume normal activities slowly and carefully to avoid re-injury. For more information, please consult with a podiatrist.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Cory Brown, DPM from Cory Brown, DPM. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

If you have any questions, please feel free to contact our office located in Lewiston, ID . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

While pregnancy comes with innumerable joys, swollen feet are not one of them… Swollen feet are common among pregnant women and though not serious, can cause quite a bit of discomfort. Most foot swelling occurs in the latter part of a woman’s pregnancy, particularly in the second trimester, and it becomes noticeable around the third trimester. Beyond increased blood and fluids, the uterus becomes heavier as the baby grows and this can slow blood flow from the legs to the heart. Dietary issues, caffeine, insufficient water intake, hot weather, and being on one’s feet for long time periods can contribute to foot swelling during pregnancy. Again, all of this is normal though not fun, but it is important for moms-to-be to be aware of more serious conditions that may develop by monitoring sudden or dramatic increases in foot swelling. Regular consultation with a podiatrist can help pregnant women understand what to expect with their feet and legs during pregnancy.

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 Cory Brown, DPM from Cory Brown, DPM. Our doctor will 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 please feel free to contact our office located in Lewiston, ID . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.