Podiatrist Blog

Posts for tag: Plantar Fasciitis

By Cherry Creek Foot Clinic
February 20, 2020
Category: Podiatry
Tags: Plantar Fasciitis  

According to the American Academy of Orthopaedic Surgeons, plantar fasciitis impacts more than 3 million individuals annually. It’s also the leading cause of heel pain. Plantar fasciitis is a degenerative condition that occurs when the plantar fascia deteriorates. Specifically, it affects the area where your plantar fascia is connected to your heel bone’s bottom portion. If you think you have plantar fasciitis, our doctors here at the Foot Associates at Cherry Foot Clinic in Denver, CO, Dr. Florin Costache and Dr. Lorry Melnick, can determine what’s causing it and what you can do about it.

What Causes Plantar Fasciitis?

Similar to most degenerative conditions, plantar fasciitis results from the wear and tear of the fascia fibers. The most leading cause involves tissue strain from a certain activity combined with insufficient or improper flexibility of your calf muscle and Achilles tendon. Other common causes are heel bone stress fractures, pinched heel nerves or thinning heel fat pads.

What is Chronic and Acute Plantar Fasciitis?

Plantar fasciitis can be chronic or acute. Acute plantar fasciitis is typically triggered by a particular injury. Chronic plantar fasciitis, on the other hand, is characterized by symptoms that worsen over time.

How Do I Know If I Have Plantar Fasciitis?

The most telltale signs of plantar fasciitis include pain on your heel’s bottom portion, particularly when walking for the first time upon waking. In most cases, this pain will improve but then get worse later on as you use the affected foot throughout the day. Essentially, this occurs because the plantar fascia is overstressed and causes a persistent healing response that might stay sore for months on end.

When Should I Seek Help?

If your symptoms were brought on by a specific injury or episode and persist for more than a week even after icing and resting the affected foot, visit your podiatrist in Denver, CO, as soon as possible. Likewise, because most plantar fasciitis cases are usually chronic, and symptoms gradually appear, and then starts to worsen over time, visit your podiatrist, especially when your condition is starting to affect your quality of life.

How is Plantar Fasciitis Treated?

Our podiatrists usually recommend conservative, noninvasive treatments for most plantar fasciitis cases. One such treatment is proper stretching exercises to alleviate the pain without damaging the plantar fasciitis’ structural integrity. You may also be given non-steroidal anti-inflammatory drugs or NSAIDs like ibuprofen to aid in minimizing inflammation and pain. In addition, soft orthotics, heel cups, and cushioned soled shoes are very useful in easing symptoms or most people. But if your symptoms don’t improve within 12 weeks of following a noninvasive treatment plan, your podiatrist may recommend corticosteroid injections. If all else fails, you may be a candidate for surgery.

Think You May Be Suffering from Plantar Fasciitis?

Call the Foot Associates at Cherry Foot Clinic in Denver, CO, at (303) 355-1695 to schedule a visit with one of our podiatrists, Dr. Florin Costache or Dr. Lorry Melnick.

By Cherry Creek Foot Clinic
November 12, 2019
Category: Podiatry
Tags: Plantar Fasciitis  

While heel pain is a common problem this doesn’t mean that it should just be brushed aside or considered a small matter. Untreated heel pain can lead to long-term pain and other problems. While there are many causes of heel pain the most common cause is plantar fasciitis. This condition causes irritation and inflammation within the thick band of tissue (known as the plantar fascia) that runs along the soles of the feet from the toes to the heel.

The telltale sign of plantar fasciitis is that the heel pain occurs under the heel beneath the heel bone. The pain may radiate to the arches of the feet because the plantar fascia provides support to the arches, as well. Heel pain may be worse first thing in the morning or after long bouts of inactivity. You may notice that your heel pain gets better with movement and exercise but gets worse immediately after.

Many people can treat plantar fasciitis effectively with at-home care; however, if your symptoms are severe, become worse or aren’t responding to conservative home treatments after five days then it’s time to see your podiatrist. A podiatrist will be able to provide you with answers as to what is causing your heel pain and how to best treat it.

Treating Plantar Fasciitis

Simple, conservative measures are usually all that’s needed to treat heel pain caused by plantar fasciitis. This includes:

  • Resting and avoiding exercise and high-impact activities that will make symptoms worse
  • Icing the heel and arches of the feet up to 20 minutes at a time, 2-3 times a day
  • Wearing supportive shoes with a low heel
  • Placing custom orthotics within shoes for additional support
  • Performing specific foot stretching and strengthening exercises
  • Taking over-the-counter pain relievers to reduce pain and swelling
  • Wearing a night splint to reduce morning pain and stiffness

Your foot doctor can show you a variety of exercises to perform that can alleviate heel pain and stiffness associated with plantar fasciitis. A podiatrist can also make prescription shoe inserts to provide your feet with the proper cushioning and structural support they need to reduce pressure points and improve the biomechanics of your feet.

Those with severe and persistent heel pain may require more aggressive treatment options such as ultrasound, steroid injections or shockwave therapy. Chronic plantar fasciitis may even require surgery to get rid of inflammation and tension within the plantar fascia. Surgery is rare but may be necessary when other treatment options have failed to properly manage and treat symptoms.

If you are dealing with heel pain for the first time it’s a good idea to see a podiatrist who can determine the cause of your pain and provide you with a customized treatment plan to get your heel pain under control.

By Cherry Creek Foot Clinic
April 03, 2019
Category: Foot Care
The human foot and ankle contain 33 joints, 26 bones and over 100 tendons, ligaments and muscles. While all of these parts of the foot should work together, there are certain conditions, injuries and diseases that can affect the health and functioning of your foot or ankle. There are many instances in which you should turn to a podiatrist for individualized care that you can trust time and time again.
From routine visits to managing long-term conditions to surgery, a podiatrist is equipped to treat just about everything. Here are some foot issues that could benefit from coming in for specialized care:
  • Plantar fasciitis
  • Achilles tendinitis
  • Heel pain
  • Ankle sprains and fractures
  • Foot fractures
  • Sports-related injuries
  • Bunions and hammertoes
  • Corns and calluses
  • Diabetic foot care
  • Fungal infections
  • Ingrown toenails
  • Heel spurs
Our number one goal is to provide you with the relief that you need. Whether you are suffering from heel pain or you think your feet could benefit from prescription orthotics, a podiatrist can help determine the best course of action for treating your issues. When you come into our office we will always have a listening ear, so that we understand your questions and concerns. 
We also like to provide our patients with the very latest and greatest technologies and techniques. We understand the importance of options and being able to provide laser treatments and other non-surgical therapies to treat conditions is important to our patients. Whether you are an athlete or 9-5er, we treat clients with a host of different needs, lifestyles and issues. Everyone from children to senior citizens can benefit from the unique and customized foot care a podiatrist offers.
We are here to help diagnose, treat or manage your foot condition. If you are dealing with foot or ankle problems contact your podiatrist for help.
By Cherry Creek Foot Clinic
March 06, 2019
Category: Podiatric Issues
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 Cherry Creek Foot Clinic
April 11, 2018
Category: Foot Care
Tags: Plantar Fasciitis  

Find out if your foot pain might be the result of this common ailment.plantar fasciitis

Whether you are a runner or on your feet all day, you might find yourself dealing with heel pain at some point. If so, you might be wondering what’s going on and how to treat the problem. Our Denver, CO, podiatrists, Dr. Florin Costache and Dr. Lorry Melnick, have you covered. Find out if the problem you are having might actually be plantar fasciitis.

What is plantar fasciitis?

Plantar fasciitis is characterized as an overuse injury, as this foot problem usually appears gradually as a result of repeated stress placed on the thick band of tissue known as the plantar fascia. The plantar fascia is a dense connective tissue that runs along the soles of the feet and provides the arches with support.

What causes plantar fasciitis?

There are quite a few factors that can predispose someone to developing plantar fasciitis. It’s more common in older individuals and those who are overweight, as well as those who are on their feet for hours out of the day.

However, you may also develop plantar fasciitis if you have flat feet or extremely high arches, if you wear old, worn shoes that don’t provide enough support or if you often wear high heels. Those who overpronate when they walk or run are also at an increased risk.

What are the symptoms?

So, how can you tell if you are dealing with plantar fasciitis or not? The most common symptom is a pain at the bottom of the heel. This pain often extends to the arches. You may find that the pain gets worse when you first get up in the morning and that the discomfort often dissipates throughout the course of the day; however, you may find that pain and stiffness return after certain athletic activities or after sitting for a while.

How is plantar fasciitis treated?

Bracing or splinting the foot can provide the arches with additional support and cushioning when walking. If symptoms don’t improve over the course of a week, if symptoms are severe or if they get worse, then we may need to consider other treatment options like shockwave therapy, ultrasound, or steroid injections.

Call Cherry Creek Foot Clinic in Denver, CO, if you are dealing with new or worsening foot pain. We will make sure that you get the care you need right away.