Plantar fasciitis, an inflammation of the plantar fascia, often affects individuals between 40-60 years old. This is due to factors like excessive pronation, high arches, or prolonged standing that affect the broad band of tissue that runs along the bottom of the foot. One of the main symptoms of plantar fasciitis is sharp heel pain, particularly in the morning or after rest, which can radiate along the foot's arch. Initial management of plantar fasciitis may involve reducing inflammation and pain by moderating activity, taking certain pain relievers, and wearing properly fitting shoes. A podiatrist can assess factors like foot structure, gait abnormalities, and muscle imbalances that may contribute to the condition. Physiotherapy with stretching and strengthening exercises also may be implemented. A podiatrist may recommend advanced treatments like corticosteroid injections for persistent symptoms. In severe cases, podiatric surgical options, such as plantar fasciotomy, may be considered. It is suggested that you make an appointment with a podiatrist, who can conduct a thorough exam and suggest the best treatment options for plantar fasciitis discomfort. 

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Michael Tomey, DPM from Cary Foot & Ankle Specialists. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

• Excessive running
• Having high arches in your feet
• Other foot issues such as flat feet
• Pregnancy (due to the sudden weight gain)
• Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

• Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
• Maintain a healthy weight
• If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

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

Tarsal tunnel syndrome is a condition caused by repeated pressure on the posterior tibial nerve near the ankle. It can lead to debilitating symptoms such as pain, numbness, or tingling sensations, often radiating into the sole of the foot or inside the ankle. This compression occurs within the tarsal tunnel, which is a narrow passageway bound by bone and soft tissue. Tarsal tunnel syndrome's origins include severely flat feet, benign bony growths, and varicose veins. Inflammation from arthritis, lesions or masses near the tibial nerve, and trauma from ankle sprains or fractures also may cause tarsal tunnel syndrome. Patients with conditions like diabetes are at further risk. Left untreated, tarsal tunnel syndrome can cause permanent and irreversible nerve damage that may affect mobility and hinder completing daily activities. If you suspect you may be experiencing symptoms of tarsal tunnel syndrome, it is suggested that you schedule an appointment with a podiatrist for a comprehensive evaluation and treatment plan. 

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Michael Tomey, DPM of Cary Foot & Ankle Specialists. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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

Despite its association with strength, the Achilles tendon is susceptible to injury which can lead to discomfort and impair mobility. Several factors contribute to the development of Achilles tendonitis, including wearing improper footwear, overexertion during activities like speed or mountain running, and insufficient recovery time between training sessions. Other causes can include incorrect loading of weight on the legs or feet, poor running technique, and a lack of proper warm-up exercises. These factors collectively strain this strong tendon, leading to micro-tears in its structure. If left untreated, Achilles tendonitis can progress through various stages of severity. Initially, Achilles tendonitis may cause discomfort during activity or mild pain, which diminishes with rest and conservative measures. However, as the condition progresses, symptoms worsen, with visible changes in the tendon's structure and increased pain levels. Scar tissue formation and a loss of full functionality characterize the advanced stage of this injury. If you are experiencing Achilles tendon pain, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment options.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Michael Tomey, DPM of Cary Foot & Ankle Specialists. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

• Inflammation
• Dull to severe pain
• Increased blood flow to the tendon
• Thickening of the tendon

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

• Thorough stretching of the tendon before and after exercise
• Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact our office located in Cary, NC . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Understanding your child's foot problems is important for early detection and intervention. Sever’s disease, medically known as calcaneal apophysitis, usually affects children ages eight to 14, especially those who are physically active. It is caused by inflammation of the heel growth plate and aggravated by repetitive stress from sports participation. Ingrown toenails in children often result from wearing ill-fitting shoes paired with improper nail cutting. Treatment from a podiatrist and proper shoe fitting changes may be necessary. Intoeing, characterized by walking with inward-turned feet, may require stretching exercises or casting under the guidance of a podiatrist. Metatarsus adductus is a congenital foot deformity that causes the front half of the foot, or forefoot, to turn inward, but typically resolves itself without treatment. However, regular visits to a podiatrist for monitoring are suggested. Pediatric flat feet, while common in babies and toddlers, may warrant intervention to ensure proper arch development if the arch fails to appear with growth. Plantar warts, caused by the human papillomavirus, or HPV, can be painful and affect mobility. If your child has any of these conditions, it is suggested that you schedule an appointment with a podiatrist for periodic exams and treatment as needed. 

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Michael Tomey, DPM of Cary Foot & Ankle Specialists. Our doctor can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

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