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Posts for category: Foot Condition

By JAY MERMELSTEIN, D.P.M.
March 06, 2019
Category: Foot Condition
Is heel pain keeping you down? Pain that occurs following an injury or early in an illness may play a protective role, warning us about the damage we have suffered. SoYour Heel Pain Could Be Plantar Fasciitis what causes heel pain?
 
Plantar fasciitis is a foot condition in which a band of tissue in the sole of the foot becomes inflamed, leading to severe heel pain. The pain can be so bad that it hurts to walk, much less exercise or perform daily activities. If one step causes shooting pain in your heel—especially when you first get out of bed in the morning or stand up after sitting for a long period of time—plantar fasciitis may be to blame. Contact your podiatrist immediately for proper diagnosis and treatment of your pain. 
 

Understanding Heel Pain with Help from Your Podiatrist

Plantar fasciitis, or heel pain, occurs when the plantar fascia is strained over time beyond its normal extension. This causes the soft tissue fibers of the fascia to tear or stretch at points along its length, leading to inflammation, pain and possibly the growth of a bone spur where it attaches to the heel bone.
 
Inflammation may become irritated by shoes that lack appropriate support, mainly in the arch area and by the constant irritation associated with an athletic lifestyle. Resting may provide temporary relief, but when you resume walking you may experience a sudden elongation of the fascia band, which stretches and pulls on the heel. As you walk the pain may lessen or even disappear, but that may just be a false sense of relief, as the pain will often return after prolonged rest or extensive walking.  
 
You can take steps now to avoid heel pain, including:
  • Wear shoes that fit well
  • Wear proper shoes for each activity
  • Do not wear shoes with excessive wear on heels or soles
  • Prepare properly before exercising by stretching and warming up
  • Pace yourself when you participate in athletic activities
  • Don’t underestimate your body’s need for rest and good nutrition
  • Lose excess weight
If pain and other symptoms of inflammation persist, you should limit your normal daily activities and contact your podiatrist immediately.  
By JAY MERMELSTEIN, D.P.M.
November 03, 2017
Category: Foot Condition
Tags: Sesamoid Injuries  

Everything You Need to Know About Sesamoid Injuries

 


Think you have a sesamoid injury? Sesamoids are bones embedded in tendons. Sesamoid injuries are often associated with activities requiring increased pressure on the foot, such as tennis, basketball, running, and football. Podiatrists diagnose and treat various foot problems, including sesamoid injuries. Here's everything you've ever wanted to know about sesamoid injuries.

Types of Sesamoid Injuries

Sesamoid injuries can involve the bones, tendons, and surrounding tissue in the joint. Sesamoiditis is an injury involving inflammation of the sesamoid bones and tendons. A sesamoid fracture is an acute or chronic fracture in the sesamoid bone. Turf toe is an injury to the soft tissue surrounding the big toe joint. 

Sesamoid Injury Causes

Sesamoid injuries can be caused by landing too hard on the foot after a fall or jump. Cracks in the sesamoid bones can be caused by wear and tear on the foot over time. People with high arches are at risk for developing sesamoid injuries. Frequently wearing high heels can also be a contributing factor. 

Sesamoid Injury Symptoms

The most common symptom of a sesamoid injury is pain when you move your big toe, stand, run, jump, or walk. With a fracture, the pain will be immediate, whereas with sesamoiditis, pain may develop gradually. A sesamoid injury may be painful for weeks to months. Bruising and swelling may or may not be present.

Sesamoid Injury Diagnosis

If you think you have a sesamoid injury, see a podiatrist for proper diagnosis and treatment. Your podiatrist will ask about your symptoms, activities, and medical history and examine your foot. To diagnose your foot problem, your podiatrist may order X-rays and laboratory tests.

Sesamoid Injury Treatment

Inflammation and pain are treated with oral medications or steroid injections. A pad may be placed in your shoe to cushion the sesamoid area. Your foot may be placed in a cast and crutches may be used to take pressure off of your foot. The rehabilitation period following immobilization may include physical therapy, such as therapeutic exercises and ultrasound therapy. Your podiatrist may recommend surgery if your symptoms persist after nonsurgical treatment. 

A sesamoid injury can affect your day-to-day activities and make life frustrating and miserable. Life always offers us another chance to get back on track. It's called today. Get relief today by scheduling an appointment with a podiatrist near you. A podiatrist can provide all the relief you need, with relatively little expense or hassle.

By JAY MERMELSTEIN, D.P.M.
July 03, 2017
Category: Foot Condition

Maybe you've heard of carpal tunnel syndrome, a condition in the wrist that occurs when swelling or a change in position of the tissue within the carpal tunnel squeezes and irritates the median nerve. Similar to carpal tunnel syndrome is tarsal tunnel syndrome, an ankle condition that occurs from the compression of a nerve in a confined space.

What is Tarsal Tunnel Syndrome?

The tarsal tunnel is a narrow space located on the inside of the ankle next to the ankle bones. Protected by the tarsal tunnel are many arteries, veins, tendons and nerves, one of which is the posterior tibial nerve - the main focus of tarsal tunnel syndrome.

Tarsal tunnel syndrome is caused from a compression on the posterior tibial nerve. Causes include:

  • Injury to the ankle, which may produce swelling near the nerve.
  • Abnormal blood vessels or cysts that occupy space within the tunnel.
  • Scar tissue that press against the nerve.
  • Foot deformities, such as flat feet, which increase strain on the nerve.
  • Systematic diseases, such as diabetes or arthritis.

When patients visit us at our office with tarsal tunnel syndrome, they often experience one or more symptoms, usually felt on the bottom of the foot or the inside of the ankle. In some cases, the pain may extend to the heel, arch, toes and calf. Symptoms include:

  • Pain
  • Numbness
  • Burning or tingling sensation

We Can Help

If you experience pain, burning and tingling in your feet or toes, make an appointment with our office. Left untreated, tarsal tunnel syndrome could result in permanent nerve damage. Treatment for tarsal tunnel syndrome varies depending on the severity of your condition. Anti-inflammatory medications, cortisone injections, immobilization, rest and modifications in footwear are a few methods used to treat the damaged nerve and reduce the pain. When non-surgical treatments are unsuccessful, surgery may be recommended.