Roy A. Rothman, DPM, PA
Podiatric Medicine and SurgeonFoot & Ankle Specialist
Heel pain can stem from various factors, including plantar fasciitis, Achilles tendonitis, heel bursitis, Haglund’s deformity, heel spurs, or even stress fractures. Symptoms often manifest as sharp or dull pain, particularly when walking or standing, localized around the heel or bottom of the foot. Risk factors include obesity, wearing improper footwear, and overuse during activities like running, and age. Prevention strategies involve wearing supportive shoes, maintaining a healthy weight, stretching the calf and foot muscles regularly, and avoiding sudden increases in physical activity. Treatment may include rest, stretching exercises, custom orthotic inserts, or in severe cases, surgery. A podiatrist can offer a tailored treatment plan by diagnosing the underlying cause of heel pain and providing targeted interventions. If you have heel pain, it is suggested that you schedule an appointment with a podiatrist for relief options.
Many people suffer from bouts of heel pain. For more information, contact Roy Rothman, DPM of Florida. 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?
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 DeBary, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
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.
Morton's neuroma is a painful condition characterized by a thickening of the tissue surrounding the nerves leading to the toes, often resulting in a sensation akin to stepping on a pebble. It primarily affects the ball of the foot, typically between the third and fourth toes, and is more common in women and those who wear tight or high-heeled shoes. Prevention strategies include wearing properly fitting footwear with adequate support and cushioning. Diagnosis involves a physical examination, possibly supplemented by imaging tests, such as MRI scans or ultrasounds. Treatment options range from conservative measures such as custom-made orthotics and steroid injections to surgical removal of the affected tissue. If you have this type of foot discomfort, it is suggested that you schedule an appointment with a podiatrist for an accurate diagnosis and treatment plan.
Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Roy Rothman, DPM of Florida. Our doctor will attend to all of your foot care needs and answer any of your related questions.
Morton’s Neuroma
Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.
What Increases the Chances of Having Morton’s Neuroma?
Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.
If you have any questions, please feel free to contact our office located in DeBary, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Morton’s neuroma, (also referred to as Morton’s metatarsalgia, Morton’s neuralgia, plantar neuroma or intermetatarsal neuroma) is a condition that is caused when the tissue around one of the nerves between your toes begins to thicken. This thickening can result in pain in the ball of the foot. Fortunately, the condition itself is not cancerous.
Morton’s neuroma affects women more often than men with a ratio of 4:1. It tends to target women between the age of 50 and 60, but it can occur in people of all ages. There are some risk factors that may put you at a slightly higher risk of developing the condition. People who often wear narrow or high-heeled shoes are often found to be linked to Morton’s neuroma. Additionally, activities such as running or jogging can put an enormous amount of pressure on the ligament and cause the nerve to thicken.
There usually aren’t any outward symptoms of this condition. A person who has Morton’s neuroma may feel as if they are standing on a pebble in their shoe. They may also feel a tingling or numbness in the toes as well as a burning pain in the ball of their foot that may radiate to their toes.
In order to properly diagnose you, the doctor will press on your foot to feel for a mass or tender spot. He may also do a series of tests such as x-rays, an ultrasound, or an MRI. X-rays are usually done to rule out any other causes for your foot pain such as a stress fracture. Ultrasounds are used to reveal soft tissue abnormalities that may exist, such as neuromas. Your podiatrist may want to use an MRI in order to visualize your soft tissues.
There are three main options for treatment of Morton’s neuroma: Injections, decompression surgery, and removal of the nerve. Injections of steroids into the painful area have been proven to help those with Morton’s neuroma. Decompression surgery has been shown to relieve pressure on the affected nerve by cutting nearby structures such as the ligaments in the foot. Another treatment option would be to surgically remove the growth to provide pain relief.
If you suspect that you have Morton’s neuroma you should make an appointment with your podiatrist right away. You shouldn’t ignore any foot pain that lasts longer than a few days, especially if the pain does not improve.
You don't need an excuse to have beautiful nails. Step outside without worrying about the appearance of your feet.
Toenail fungus, also known as onychomycosis, is more than just a cosmetic concern. It is a chronic problem that can cause discomfort and affect quality of life. It occurs when fungi infect the toenail, often thriving in warm, moist environments like sweaty shoes or locker rooms. Factors such as poor hygiene, a compromised immune system, aging, or underlying health conditions like diabetes can increase the risk of toenail fungus. The infection typically begins as a white or yellow spot under the nail, gradually spreading and thickening the nail, causing brittleness, discoloration, and even odor. Individuals who frequently wear closed-toe shoes or have a history of nail trauma are particularly susceptible. If you have toenail fungus, it is suggested that you consult a podiatrist for a proper diagnosis and management. Treatment can include prescribed topical or oral antifungal medications, laser therapy, or surgical intervention, tailored to the severity of the condition.
For more information about treatment, contact Roy Rothman, DPM of Florida. Our doctor can provide the care you need to keep you pain-free and on your feet.
Toenail Fungus Treatment
Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.
Antifungals & Deterrence
Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.
Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.
Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.
If you have any questions please feel free to contact our office located in DeBary, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Fungal infection of the toenail, or onychomycosis, typically appears as a gradual change in a toenail’s texture and color that involves brittleness and darkening. The fungal infection itself occurs beneath the surface of the nail. Aside from discoloration, other symptoms include the collection of debris beneath the nail plate, white marks on the nail plate, and a foul odor emanating from the nail. If ignored, the infection can spread into other nails and the skin; in severe cases, it can hinder one’s ability to work or walk.
The toenails are particularly vulnerable to contracting infection in moist environments where people are likely to be walking barefoot, such as around swimming pools, public showers, and locker rooms. Fungal infection may also be more likely to occur in nail beds that have been injured, and sufferers of chronic diseases such as diabetes, circulatory problems, or immunodeficiency conditions are particularly prone to developing fungal nails.
Fungal nails can be primarily prevented by practicing proper hygiene and regularly examining the feet and toes. Carefully washing the feet with soap and water and thoroughly drying the feet afterwards are essential. Other tips include wearing shower shoes in public areas, changing shoes and socks daily, keeping toenails clipped at a short length, wearing breathable shoes that fit properly, wearing moisture-wicking socks, and disinfecting home pedicure tools and instruments used to cut nails.
Fungal nail treatment may vary between patients and the severity of the condition. Your podiatrist may suggest a daily routine of cleansing that spans over a period of time to ease mild infections. Over-the-counter or prescription antifungal agents may also be prescribed, including topical and/or oral medications. Debridement, or the removal of diseased nail matter and debris, may also be performed. In more severe cases, surgical treatment may be needed. In some instances, the temporary removal of the fungal nail allows for the direct application of a topical antifungal to the nail bed. In other cases, a chronically painful fungal nail that has not responded to other treatments may be permanently removed; this allows the infection to be cured and avoids the growth of a deformed nail.
Pregnancy, particularly during the third trimester, can contribute to pain in the front of the foot. This discomfort is mostly because of natural weight gain and the resulting increase in pressure on the feet. Additionally, hormonal changes during pregnancy cause the ligaments in the body to relax and stretch in preparation for childbirth, which can lead to a spreading of the feet and a decrease in arch support. This combination of factors can strain the forefoot and lead to conditions like plantar fasciitis, which results in pain and inflammation in the ball of the foot or heel. Podiatrists, or foot doctors, can provide personalized advice on how to manage this pain. Suggestions may include wearing supportive footwear, custom orthotics, and engaging in gentle foot exercises. If you are pregnant and experiencing foot pain, it is suggested that you consult a podiatrist.
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 Roy Rothman, DPM from Florida. 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?
If you have any questions please feel free to contact our office located in DeBary, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
The natural weight that pregnant women gain causes their center of gravity to be completely altered. This causes them to have a new weight-bearing stance which adds pressure to the knees and feet. As a result, pregnant women often experience severe foot pain. The two most common foot issues experienced by women in their pregnancies are edema and over-pronation. It is important for all pregnant women to learn more about how to take care of their feet so they are more comfortable during their pregnancy.
Over-pronation, which is commonly referred to as flat feet, is caused when a person’s arch flattens out upon weight bearing. This causes the person’s feet to roll inward while walking. Pregnant women often experience this due to the sudden weight they gain.
Edema, also referred as swelling in the feet, typically occurs in the later part of the pregnancy. It is the result of the extra blood accumulated in the pregnant woman’s body. The enlarged uterus puts more pressure on the blood vessels in the pelvis which causes leg circulation to slow down. This causes blood to pool in the lower extremities.
Fortunately, there are ways to treat both edema and over-pronation. Edema can be treated by elevating the foot as often as possible. Wearing proper fitting footwear will also be helpful for those with edema. A treatment method for over-pronation could be orthotics. Orthotic inserts should be designed with appropriate arch support and medial rear foot for your foot.
It is best for pregnant women to buy new shoes during the day, because this is the time where swelling is at its peak. Pregnant women also shouldn’t rush when buying shoes. It is always advised that you make sure your shoes fit properly but this is especially important during pregnancy.
If you are a pregnant woman, you should consult with a podiatrist in order to make sure your feet are healthy throughout the entirety of your pregnancy.
The abductor hallucis muscle, positioned along the inner border of the foot, is pivotal for big toe movement and upholding the medial longitudinal arch. Yet its pain is often overlooked or misdiagnosed, as it can resemble conditions like plantar fasciitis. Overuse, sudden activity increases, and foot trauma may contribute to abductor hallucis pain. Risk factors such as flat feet, inadequate footwear, and excess weight also make this muscle more vulnerable. People experiencing abductor hallucis pain may notice accompanying symptoms, such as swelling or bruising, especially following traumatic injuries. There may be tenderness when touching the affected area, and they might feel tight bands within the muscle upon palpation. Additionally, muscle tightness can cause sensations of tingling or numbness in the foot. If you have foot pain on the inner part of your foot, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment options.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Roy Rothman, DPM from Florida. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Causes
Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:
Diagnosis
To figure out the cause of foot pain, podiatrists utilize several different methods. This 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
Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.
If you have any questions, please feel free to contact our office located in DeBary, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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