Causes and Treatment of Plantar Fasciitis

Plantar fasciitis is the most common cause of heel pain. Its main symptom is inflammation of the plantar fascia, the tissue connecting the front of the foot to the heel. Plantar fasciitis affects approximately 2 million patients each year, with athletes and individuals between 40 to 60 years of age being the most susceptible. The heel pain can range from sharp to dull, often worsening after prolonged periods of standing or physical activity. Causes of plantar fasciitis include repetitive physical activity, foot arch issues, and increased body weight. If left untreated, heel pain can lead to difficulty in walking. Fortunately, plantar fasciitis can be treated with proper care. Stretching exercises can help to rehabilitate the plantar fascia, and wearing proper footwear with adequate arch support is crucial. In some cases, wearing a foot brace or night splint can help to reduce swelling and alleviate pain. A podiatrist may suggest steroid shots or injections, as well as other pain relief medication, and in extreme cases, surgery may be considered. For help with problems associated with plantar fasciitis, it is suggested that you make an appointment with a podiatrist for an exam and treatment options.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Kenneth Donovan, DPM  from Advanced Care Foot and Ankle. 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 Charleston, SC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Simple Tips for Happy Feet

Your feet not only leave a lasting impression but also reveal a lot about your hygiene. They can speak volumes about your foot health, including pain and fungal issues. To avoid these problems, prioritize foot care with these simple tips. First and foremost, maintain foot hygiene by thoroughly cleaning your feet, especially the toenails and between the toes, to prevent infections and pain. Incorporate foot soaks into your routine, using Epsom salt in warm water once or twice a week to soothe your feet. After soaking, moisturize to prevent dryness and cracks. Additionally, always wear appropriate and well-fitting footwear with proper soles for adequate arch support. Avoid excessive use of high heels, which can contribute to foot pain. Rotate your shoes regularly to allow them to air out and avoid fungal growth from sweat buildup. By adopting these daily habits, you'll promote foot health and overall well-being. If you find that you are experiencing foot problems that do not respond to rest, it is suggested that you make an appointment with a podiatrist.

Everyday foot care is very important to prevent infection and other foot ailments. If you need your feet checked, contact Kenneth Donovan, DPM from Advanced Care Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Everyday Foot Care

Often, people take care of their bodies, face and hair more so than they do for their feet. But the feet are a very important aspect of our bodies, and one that we should pay more attention to. Without our feet, we would not be able to perform most daily tasks.

It is best to check your feet regularly to make sure there are no new bruises or cuts that you may not have noticed before. For dry feet, moisturizer can easily be a remedy and can be applied as often as necessary to the affected areas. Wearing shoes that fit well can also help you maintain good foot health, as well as making it easier to walk and do daily activities without the stress or pain of ill-fitting shoes, high heels, or even flip flops. Wearing clean socks with closed shoes is important to ensure that sweat and bacteria do not accumulate within the shoe. Clean socks help to prevent Athlete’s foot, fungi problems, bad odors, and can absorb sweat.

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

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The Key to Proper Shoe Fitting

The importance of a proper shoe fitting can make a world of difference in foot comfort and health. Getting the right shoe size is like finding the perfect fit for a puzzle piece. Shoes that are too tight can cramp the toes and cause pain, while loose shoes can lead to blisters and discomfort. To find the ideal fit, measure the feet regularly as they can change as the body grows. It is beneficial to try on new shoes with the socks that will be worn to get an accurate feel. It is important to check that the heels do not slip and the arch of your foot aligns with the shoe's arch support. The feet are comfortable in shoes that fit properly right away. If you would like more information about how to measure for shoes that fit correcty, it is suggested that you speak with a podiatrist who can provide you with the knowledge you are seeking. 

It is important to find shoes that fit you properly in order to avoid a variety of different foot problems. For more information about treatment, contact Kenneth Donovan, DPM from Advanced Care Foot and Ankle. Our doctor will treat your foot and ankle needs.

Proper Shoe Fitting

Shoes have many different functions. They cushion our body weight, protect our feet, and allow us to safely play sports. You should always make sure that the shoes you wear fit you properly in order to avoid injuries and deformities such as: bunions, corns, calluses, hammertoes, plantar fasciitis, stress fractures, and more. It is important to note that although a certain pair of shoes might be a great fit for someone else, that doesn’t mean they will be a great fit for you. This is why you should always try on shoes before buying them to make sure they are worth the investment. Typically, shoes need to be replaced ever six months to one year of regular use.

Tips for Proper Shoe Fitting

  • Select a shoe that is shaped like your foot
  • Don’t buy shoes that fit too tight, expecting them to stretch to fit
  • Make sure there is enough space (3/8” to ½”) for your longest toe at the end of each shoe when you are standing up
  • Walk in the shoes to make sure they fit and feel right
  • Don’t select shoes by the size marked inside the shoe, but by how the shoe fits your foot

The shoes you buy should always feel as good as they look. Shoes that fit properly will last longer, feel better, and improve your way of life each day.

If you have any questions please contact our office located in Charleston, SC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Possible Causes of Hammertoe

Hammertoe is easy to notice. It is a foot condition that causes the second or third toe to bend up at the middle joint and may be caused by shoes that are the incorrect size. This is a common condition among people who wear high heels or tight shoes, and in severe cases, it may be difficult to walk. Many people develop corns on top of the hammertoes, caused by the toes constantly rubbing against the top of the shoe. In mild cases, some stretches can gradually straighten the toes. This can be coupled with wearing protective pads on top of the toes, which may help reduce friction. Some people choose to wear orthotics, which may help realign the foot. If you have developed hammertoe, it is strongly suggested that you consult with a podiatrist who can effectively diagnose and treat this condition.

Hammertoes can be a painful condition to live with. For more information, contact Kenneth Donovan, DPM of Advanced Care Foot and Ankle. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

  • Painful and/or difficult toe movement
  • Swelling
  • Joint stiffness
  • Calluses/Corns
  • Physical deformity

Risk Factors

  • Age – The risk of hammertoe increases with age
  • Sex – Women are more likely to have hammertoe compared to men
  • Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
  • Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.

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

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Runners and Big Toe Pain

People who participate in running or jogging may experience pain in their big toe. The main joint in the big toe can be prone to undergoing substantial forces while running. It is known as the MTP, or metatarsophalangeal, joint. As the body shifts between the heel and toes while running, the weight can shift to the big toe, which is used as a lever for pushing off. The sesamoid bones are located under the MTP joints, and are as small as sesame seeds. They are prone to injury when they are overworked, and the pain can radiate to the big toe. Additionally, having arthritis in the MTP joint may lead to toe pain, and the affected area may feel stiff. This is known to become worse with age, and mild relief may be felt when the correct shoes are worn. If you have pain in your big toe, it is suggested that you confer with a podiatrist who can offer you additional relief options.

Toe pain can disrupt your daily activities. If you have any concerns, contact Kenneth Donovan, DPM of Advanced Care Foot and Ankle. 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 contact our office located in Charleston, SC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Signs of a Broken Ankle

The ankles play a significant role in balancing the weight of the body and are strong enough to endure participating in strenuous activities. They are also flexible and may be susceptible to breaking, which can happen from landing awkwardly on a hard surface. One of the first signs you may have that you have broken your ankle is severe pain. This is considered to be the body’s natural defense against an injury, and the pain level happens accordingly to the severity of the injury. Other symptoms may include a numbing sensation and immediate swelling, and it is often difficult, if not impossible to walk. A severely broken ankle may have a bone protruding from the skin, which may bleed and become infected. A diagnosis is often performed that can confirm the broken ankle, and treatment can begin. Many people wear a cast or protective boot as their fractured ankle heals, and this may provide an opportunity for mobility. If you have broken your ankle, it is suggested that you confer with a podiatrist who can determine what the best form of treatment is for you.

Broken ankles need immediate treatment. If you are seeking treatment, contact Kenneth Donovan, DPM from Advanced Care Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

  • Excessive pain when the area is touched or when any pressure is placed on the ankle
  • Swelling around the area
  • Bruising of the area
  • Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

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

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The Definition of Clubfoot

Clubfoot is a common congenital foot defect that causes a newborn’s foot to turn in or down, and the toes point toward the opposite foot. The foot, heel, and calf muscle on the affected foot may be smaller than in the other foot. In severe instances, the foot may be twisted upside down. The tendons that connect the leg muscles to the heel are too short, which causes the baby’s foot to twist into an unnatural position. It is thought that this can happen due to genetic reasons or if there is low amniotic fluid surrounding the baby in the womb. It is more common in babies with mothers who smoked or used recreational drugs during pregnancy. It is twice as likely to impact boy infants as girls. Clubfoot can affect one or both feet and may be mild or severe. Clubfoot is not painful and can often be corrected while the child is an infant if treated immediately. The success rate is high for those treated, and the majority of children will walk normally and lead an ordinary life. If you know your child has clubfoot in utero or is born with this affliction, it is strongly suggested that you visit a podiatrist as soon as possible after birth to have the severity of the deformity determined, and to begin the correct treatment.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Kenneth Donovan, DPM of Advanced Care Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

  • Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
  • Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
  • Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
  • Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
  • Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
  • Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

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

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Reasons Blisters Develop on the Feet

A common reason for blisters to develop on the feet is excessive pressure. This can happen as a result of wearing shoes that do not fit correctly, which may cause a part of the foot to rub against the shoe. A blister looks like a small bubble. It is filled with liquid and protects the damaged skin until it is replaced by new skin. It will gradually drain when the healing process is completed, and it is beneficial to refrain from prematurely popping it. Additional reasons to get a blister on the foot can consist of enduring a bad sunburn or having an allergic reaction to an insect bite. They may also develop from having an illness such as chickenpox. Treatment can begin with changing the shoes that are worn, followed by keeping the affected area clean and dry. Some people find it helpful to wear a protective covering over the blister until it has healed. If you have a blister on your foot, it is suggested that you consult with a podiatrist who can help you properly manage this condition.

Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, contact Kenneth Donovan, DPM of Advanced Care Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

How Do Blisters Form?

Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.

Prevention & Treatment

It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.

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

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Who Can Get Plantar Warts?

Plantar warts are essentially growths that can form on the soles of the feet due to contracting the human papillomavirus. Many patients who are trying to prevent the onset of plantar warts will ask podiatrists who can get plantar warts. The answer is that ultimately anyone can develop a plantar wart. However, certain types of people are more susceptible than others. For example, children attending school may be more susceptible than adults to developing plantar warts. Additionally, individuals living with weakened immune systems could be especially prone to developing plantar warts. This might include people with HIV and those on chemotherapy. If you are living with plantar warts, it is suggested that you schedule an appointment with a podiatrist today for treatment options.

Plantar warts can be very uncomfortable. If you need your feet checked, contact Kenneth Donovan, DPM from Advanced Care Foot and Ankle. Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

  • Lesions on the bottom of your feet, usually rough and grainy
  • Hard or thick callused spots
  • Wart seeds, which are small clotted blood vessels that look like little black spots
  • Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

  • Freezing
  • Electric tool removal
  • Laser Treatment
  • Topical Creams (prescription only)
  • Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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

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