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Home BlogHeel Pain (Page 5)

Category: Heel Pain

Illustration of osteoarthritis and rheumatoid arthritis in feet.
23Feb

foot arthritisThe inflammation of one or more joints causes pain and stiffness common in arthritis in foot. Many forms of arthritis that affect the foot, making it difficult to enjoy activities such as walking. The foot has more than 30 joints and 28 bones which allow movement. The joints are covered with articulate cartilage, which helps the bones to glide over each other, a thin lining surrounding the joints that produce a lubricant fluid to reduce friction. Studies have shown great connections between foot alignment, hip, and knee. Hip osteoarthritis is common among high arched feet people while knee osteoarthritis is common with flat-footed people. With proper treatment, it is possible to lead a fulfilling and active life.

Psoriatic arthritis

This is the inflammation of the tendons and ligaments attached to the bones, causing foot joint pain especially the toes. They cause sausage-like swelling. The irritation happens in the tissue that connects the heel bone and toes, which cause pain when rubbed or pressed on other bones.

Symptoms

  • Heel pain that is easily confused with the Achilles tendon.
  • Swelling of the toes.
  • Stiff ankles and feet.
  • Overextended big toe
  • Painful calluses and sore joints.
  • Bending toes looking shorter like claws.
  • The skin around the affected joints turns purplish.
  • Flattening arch which leads to rolling of the foot inward while walking or standing.
  • The tendency of joints to lock and limit the range of motion.
  • Foot swelling.
  • Difficulty and pain while walking after a long period of rest or in the morning.

Maintain mobility by taking physiotherapy or wearing shoes that do not pinch and bind areas of inflammation. Take foods rich in omega 3 fatty acids, fiber such as oatmeal, beans, and brown rice, and take green tea to reduce inflammation.

Rheumatoid arthritis feet

Joint inflammation in multiple joints of the feet and hands is a sign of rheumatoid arthritis. It is considered symmetrical because it affects the same joints on both sides of the body and it is autoimmune. This means that the immune system attacks its tissues such as the thin lining covering the joints causing them to swell. The lining, in turn, attacks cartilage, tendons, ligaments, and bones leading to disability and deformity.

Over 85% of patients report painful ankles and feet, causing instability in hindfoot causing deformation of the forefoot. Correcting the plantar stabilizes the ankle and foot, reducing foot deformities and walking disabilities.

The function of footwear in arthritis in feet

Footwear is an effective strategy to improve the function of the feet and reduce pain in arthritis. Women are at greater risk of knee and hip osteoarthritis while the use of high heels shoes has been implicated. Contrary to belief, high heeled shoes do not promote joint degeneration, though they have been associated with the development of foot pain. Arthritis in the foot is prevalent in older people and it increases with age. High heels, slippers, and sandals are poor shoes that cause foot pain in later years, it is advisable to wear average shoes. Poor shoes contribute to poor foot alignment and development.

The foot pain has a modifiable factor, especially if it affects the extremity joint alignment, though little focus is made on foot interventions. Footwear and orthotics interventions are important in foot health. Biomechanical evidence indicates that footwear plays a significant role in the treatment of osteoarthritis of the foot, knee, and hip and the treatment of rheumatoid arthritis. A running shoe-shaped toe rocker sole reduces foot joint pain by decreasing forefoot loading by promoting a normal heel-toe rolling. Custom made foot orthotics reduce pain, increase stride length and steps. Specialized footwear reduces is an effective non-surgical intervention for the feet affected by arthritis.

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

Close-up of red, sore heels indicating running injury or plantar fasciitis.
4Feb

What Causes Running Injuries?

More than fifty percent of runners suffer from an injury every year. Every elite runner knows that being sidelined for running injuries, especially heel pain, Achilles tendon pain, and the plantar fasciitis, is disappointing. People think running injuries occur because they increased the distance or intensity, or they did not stretch before and after running among other reasons. Some of these reasons aggravate an already underlying problem.

Most injuries are due to biochemical imbalance which causes the breakdown of the body due to subjective repetitive load causes. Biochemical imbalances cause muscle weakness and other imbalances that cause running injuries include

foot pain

Muscle Flexibility Imbalances

A tight muscle is a common reason for a running injury. It is very possible to do a few stretches and get back running without pain. Simple, right! No, it’s not because the stretches help you re-align a muscle or tissue and you are back running again. The main question is what was the cause of the tight muscle? First, you need to find out why the muscle is overworking or tightening because stretching is a temporal solution. A tight hamstring may be as a result of weak abdominal muscles or glute muscle. These might be forcing the hamstring to compensate and with a few stretches you do not solve the weak abs or glutes and the problem might recur.

Soft Tissue Imbalances

This is complex, but changes in muscle tension can trigger points of fascia tightness. Muscle tension affects how the body functions, but with regular massage, the muscles relax.

Structural Imbalances

The body is not perfectly symmetrical; that is the right side of the body is not the same as the left side. People who cope well have minor asymmetries of the body depending on the number of differences. Others have severe structural imbalances that need more attention to avoid overstraining causing injuries from time to time.  

Muscle Strength Imbalances

For optimal functioning of the body, a balance between the inside and outside, the right and left side, the bottom and top, and the front and back of the body should be maintained. If the muscles of the right leg are weaker the muscles of the left leg will have difficulties. Unfortunately, there is never enough exercise to strengthen your muscles as you would expect. It is important to note that every joint in your body is affected when you work on one muscle. Effective muscle exercises need to be tailored individually for running purposes.

Some common running injuries include

Plantar fasciitis

This is an irritation of the fibrous tissue at the base of the heel due to forced strain on the plantar fascia. One experiences an arch pain or heel pain and the foot hurts with every step making running very difficult. This injury is common with runners who have very low or very high arches because the plantar fascia is forced to stretch. The pain caused by plantar fasciitis can continue for months and even years before completely healing so it should be treated as soon as possible.

Achilles tendon pain

The Achilles tendon is the strongest and thickest tendon connecting the back of the heel and calf muscles. The Achilles tendon injury is the painful inflammation of the tendon. The pain is common in the morning or with activity. Avoid training amidst this injury because the pain will eventually hinder the ability to jog lightly. Runners who have tight, weak calves are vulnerable to this injury.

Choosing the right running shoe is one of the protective ways in which runners can safeguard themselves from injuries. Correct your biomechanics to decrease the probability of injuries.

Foot examination by podiatrist at DeNiel Foot and Ankle Center.
3Oct

What is a podiatrist?

A podiatrist is a term used to describe medical specialists who treat problems in your feet, ankle or lower part of the legs. Podiatric treatments can range from treating injuries in the feet, to treat other health problems affecting the feet, such as diabetes, skin and nail problems, arthritis, and so on. Podiatrists are informally known as foot and ankle doctor in Houston TX, “foot physicians” or also known as podiatric physicians.

Foot examination by podiatrist at DeNiel Foot and Ankle Center.

Medical training of podiatrists

Although podiatrist Cypress TX is referred as a doctor, they do not study in conventional medical schools. Instead, they go to their own professional associations and schools. While doctors usually carry the MD degree (written beside their names), podiatrists carry the DPM degree (doctor of podiatric medicine). Similar to other medical students, podiatrists, too, study and train for four years in podiatric medical school. According to mandate, podiatrists have to complete three years (minimum) of residency training for gaining experience, in clinics and hospitals. 

After a student of podiatric medicine has passed all the necessary examinations, the American Board of Podiatric Medicine certifies him or her as a doctor of podiatric medicine. In some cases, the podiatrist may pursue specialized fellowship training focusing on a particular area in Podiatry to become a specialist podiatrist.

What does a podiatrist do?

Podiatrists perform a wide range of activities such as surgery, resetting bones which have been fractured, broken or damaged and so on. They are also authorized to prescribe drugs and order X-ray tests and other lab tests. Often, with patients suffering from conditions which affect their lower legs and feet, podiatrists require to work closely along with specialists from other medical disciplines.

What conditions do podiatrists treat?

Here is a brief list of the usual problems and conditions that are treated by podiatrists. If you’re facing any of these, consult a podiatrist at the earliest:

  1. Injuries such as sprains, fractures:

These are common injuries of the foot or ankle. Often, these injuries are met by athletes who go to foot and ankle doctor Houston at DeNiel Foot and Ankle Center for treatment as well as to learn about how to avoid such injuries.

  1. Bone problems in the feet:

These include conditions such as bunions are hammertoes. Bunion refers to a condition in which the joint located at the base of the big toe becomes larger or gets knocked out of its position, resulting in the big toe bending towards the other toes. Hammertoes, on the other hand, refers to a condition in which the toe (any toe) does not bend in the correct way.

  1. Nail problems:

Nail problems include infections in the toenails such as fungal infections, and so on. An ingrown toenail is also a troublesome problem in which a corner of the toenail grows into the toe instead of growing outwards.

Comparison of healthy toe and ingrown toenail for foot health.

  1. Diabetes:

Diabetes refers to a health disorder in which the blood sugar levels in the body remain excessively high due to the lack of production or usage of a hormone called insulin. Patients affected with diabetes can suffer from neural damage in the feet and legs and also may suffer problems getting sufficient blood supply to the feet. Diabetes can seriously affect a patient’s feet and legs.

According to statistics, every year, over sixty-five thousand patients require amputation of a foot due to diabetes. Therefore it is very important for diabetic patients to see a podiatrist from Houston foot and ankle center in order to prevent that. In case you’re a diabetic patient and you notice a sore or a callus on your feet, it is advised that you consult a podiatrist at the earliest.

  1. Arthritis:

Arthritis is a disorder in which the joints of your body get inflamed, swollen or suffer from wear and tear. Patients suffering from arthritis must see a podiatrist. Each foot in the body has thirty-three joints and they can be severely affected by arthritis. Podiatrists can recommend medication, physical therapy, special type of shoes and inserts for alleviating feet and leg (joint) pain in arthritis. In case these do not work, the podiatrist may suggest surgery.

  1. Growth pains in children:

In children, problems or mild deformities may be present or develop. If a child’s feet point inwards, or they look flat, or his or her toes do not line up in a normal way, he or she should be taken to a foot doctor in Houston Texas. Initially, depending upon the condition, the podiatrist will recommend putting braces, use insoles, or suggest exercises. In case the condition requires further treatment, surgery is recommended.

  1. Pain in the heels:

Heel spurs refer to a condition in which excess calcium builds up at the bottom of the heel bone. Heel spurs may be caused due to a variety of reasons- being obese or overweight, excessive running, or due to wearing ill-fitting footwear. Besides heel spurs, heel pain can also be caused by plantar fasciitis that is the inflammation of a connective band of tissue along the bottom of the foot. Taking part in sports or wearing non-supportive footwear may lead to this. If your foot bends inwards or outwards too much when you walk (overpronation) is also a cause of heel pain. Achilles tendinitis is a condition causing pain at the back of the heel where the Achilles tendon is present. These are usually treated with pain-alleviating drugs and using shoe inserts known as orthotics. In a few cases, surgery is required.

  1. Morton’s neuroma:

This is a nerve problem between the third and fourth bones in the foot. Symptoms include pain, burning and a sensation that there is something inside the shoe. This neural problem is generally faced by runners, which is worsened if tight shoes are worn and over pronation occurs. A foot doctor in Houston Texas will give shots for relieving pain and inflammation and recommend orthotics (shoe inserts). Surgery may also be suggested for this condition.

When should you go see a podiatrist?

If you detect symptoms of any of the disorders mentioned above, you should go see a podiatrist. If you experience foot pain, notice unusual thickness or discoloration in the toenails, or cracks, warts on the skin of your feet, or see the sole of your feet scaling or peeling off, consult a podiatrist from Houston foot and ankle center as early as possible.

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

26Aug

Hammertoe is a foot deformity that occurs due to an imbalance in the tendons, muscles, or ligaments that are responsible for holding the toes in their normal position. This condition may be caused by poor footwear, foot structure, trauma, and disease. The most common solution for hammertoe is to relieve the pain by changing your footwear and wearing orthotics. In severe cases, surgery may be required.

The shoes that are most likely to cause hammertoe are high heeled shoes or shoes that are too tight in the toe box. Tight shoes will force your toes to crowd together in a curled position. This position will likely continue when you take your shoes off. Another cause is trauma. When you stub your toe, you are increasing the chance that you will develop hammertoe.

There are risk factors that may make you more likely to develop this condition. Women are more likely to have the condition compared to men, and it is also more likely to appear in those who are older in age.

Many different foot problems can be avoided by wearing shoes that have adjustability, adequate toe room, and low heels. Furthermore, if you want to buy new shoes, you should look to purchase them at the end of the day and make sure you know your correct size. The importance of buying shoes at the end of the day is that your feet swell as the day progresses. You should also ensure that you are wearing your correct size because your shoe size may change as you grow older.

To diagnose someone with hammertoe, your podiatrist will need to conduct a thorough examination of your foot. Your doctor may even order an x-ray to evaluate the bones and joints of your feet and toes.

If you have hammertoe, your podiatrist may recommend that you wear shoes that fit you better along with inserts to place inside them. Additionally, he or she may suggest special exercises for you to perform to stretch your toes. One helpful exercise it to pick up marbles with your feet or crumple a towel with your toes.

Prior to meeting with your podiatrist, it will be helpful to make a list of all the symptoms you are experiencing. You should also make a note of medications you are taking and important personal information about your medical history.

5Aug

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.

22Jul

Have you ever gotten up from a chair or out of bed in the morning, and upon taking that first step, feel like your heel has stepped on a tack? Many people experience a feeling of sharp pain which radiates into their arch from their heel and which does not allow them to put their heel on the floor. Sometimes they need to sit back down, stand only on their toes and use the wall for balance. If you can take a few steps, it seems to go away and lessen, allowing you to then resume your activity. Later, throughout your day and after a period of rest, it can happen again. If this sounds familiar you may be suffering from your first attack of heel pain.

Heel pain is a debilitating condition that affects day to day activities. Running and walking both causes stress on the heel because the heel is the part of the foot that hits the ground first. This means that the heel is taking on your entire weight. Diagnosis and treatments for heel pain can be easily found through your podiatrist.

Plantar Fasciitis

One of the main causes of heel pain is a condition known as plantar fasciitis. The plantar fascia is a band of tissue that extends along the bottom of the foot, from the toe to the bottom of the heel. A rip or tear in this ligament can cause inflammation of these tissues, resulting in heel pain. People who do not wear proper fitting shoes are often at risk of developing problems such as plantar fasciitis. Unnecessary stress from ill-fitting shoes, weight change, excessive running, and wearing non-supportive shoes on hard surfaces are all causes of plantar fasciitis.

Achilles Tendonitis

Achilles tendonitis is another cause of heel pain. Similar to plantar fasciitis, inflammation of the Achilles tendon will cause heel pain due to stress fractures and muscle tearing. A lack of flexibility of the ankle and heel is an indicator of Achilles tendonitis. If left untreated, this condition can lead to plantar fasciitis and cause even more pain on your heel.

Heel Spur

A third cause of heel pain is a heel spur. A heel spur occurs when the tissues of the plantar fascia undergo a great deal of stress, leading to a separation of the ligament from the heel bone entirely. This results in a pointed fragment of bone on the ball of the foot, known as a heel spur.