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Thursday, 07 June 2018 15:52

Plantar Fasciitis Has Its Obstacles

Plantar fasciitis is actually a very common source of heel pain for many individuals. Its basically long-lasting inflammation on the plantar fascia whereby collagen deteriorates due to recurring tearing. The many tiny tears that produce this inflammation can cause significant pain which may be at its worst after beginning an activity. More specifically, it is at its worst in the morning and fairly uncomfortable at night.

To understand why this pain can become so significant, its important to know that the plantar fascia provides support to the arch and also shock absorption. With such an important role, your mobility can be significantly affected by constant heel pain. Certain people may be susceptible to plantar fasciitis, such as those with low/high arches or flat feet. The most important part to remember is that you can do something about your heel pain!

Pain from plantar fasciitis can be helped by doing the following:

  • Rest the foot when you experience significant heel pain.
  • It may sound like a simple solution, but it can make a world of difference by changing your shoes. Footwear that fits correctly and offers support and cushioning are best.
  • Orthotics can be very helpful in reducing pressure off of the plantar fascia. These foot support devices can help provide an additional layer of comfort to properly fitting footwear. By reducing the amount of stress on the plantar fascia, you may be able to manage your heel pain more efficiently.
  • When inflammation becomes severe, corticosteroid injections can help to reduce discomfort caused by it. This can lead to other negative health effects, so it is administered when other methods are not as successful in treating heel pain.

At Family Foot Care of Southern Maryland, located in (Owings (410) 257-2242, Lexington Park (301) 863-6601, LaPlata (301) 934-3345 and Huntingtown (410) 535-1719), Maryland, our podiatrists Dr. Jeffrey Idol, DPM, Dr. Judith Olkaba, DPM, or Dr. Ruth P. Devadas, DPM, can help to bring relief to your heels through proven treatment methods tailored to match your specific complaints. Please call our office at any of the numbers provided above to bring lasting comfort to your heels!

Published in Blog
Friday, 01 December 2017 16:12

Bone Spurs in the Heel are Serious Business

Bone spurs can affect many areas of the body, including the heel. Our podiatrists Dr. Jeffrey Idol, DPM, Dr. Judith Olkaba, DPM, or Dr. Ruth P. Devadas, DPM, have the requisite experience in treating this condition and can help if you take the opportunity to visit us at the Family Foot Care of Southern Maryland, located in (Owings (410) 257-2242, Lexington Park (301) 863-6601, LaPlata (301) 934-3345 and Huntingtown (410) 535-1719).

A Bone Spur is actually a bone growing outwards along the edges of a bone. They occur in joints (where bones join), muscles, ligaments or tendons. This condition happens because of constant friction of the bone for a long period of time and can be caused by plantar fasciitis which is an inflammation of the fascia on the foot’s bottom where it attaches to the heel. Generally, cartilage lines the edges of bones at the joint, but with this condition, the cartilage layer is worn down or damaged and new bones form in response to the resulting swelling to try and stabilize it.

This condition may occur more readily for those who sustained severe trauma, such as in an accident, by overusing the joint or by genetics due to family hereditary traits. Treatment for this condition involves:

-          The use of anti-inflammatories to ease pain and to decrease swelling.

-          Physical therapy to reduce and strengthen muscles to increase mobility.

-          Steroid injections into the joint to reduce pain.

-          Appropriate shoe inserts or custom orthotics that can be of great use redistributing. pressure away from the heel where the bone spurs are present.

When these methods are not successful in satisfactorily treating this condition, a surgical procedure may become necessary to remove the bone spurs. This will ensure a more ordinary joint mechanism and will help alleviate pressure on the surrounding tendons, ligaments and nerves. When this condition has not been timely treated, a much larger procedure replacing the joint may become required.

So, please contact us when you have a chance to help get your bone spurs under control and to let your heel hit the ground with confidence!

Published in Blog
Friday, 17 November 2017 15:02

Redistribute Pressure with Orthotics

Orthotics are invaluable in their ability to redistribute pressure in the feet and reduce pain in the process. Our podiatrists Dr. Jeffrey Idol, DPM, Dr. Judith Olkaba, DPM, or Dr. Ruth P. Devadas, DPM, can help to provide orthotics that may give your feet the best chance of being able to experience reduced pain, at the Family Foot Care of Southern Maryland, located in (Owings (410) 257-2242, Lexington Park (301) 863-6601, LaPlata (301) 934-3345 and Huntingtown (410) 535-1719).

Orthotics can involve shoe inserts for the heel that may have been bought over the counter or they can be custom designed devices that fit the specific contours of your feet. Orthotics are very useful in alleviating pain in the feet due to their ability to redistribute where pressure is applied on the foot, as it hits the surface of the ground by manipulating which parts initially absorb forces. Moreover, they are particularly helpful for the following:

  • Aligning the foot and ankle.
  • Preventing or reworking foot deformities.
  • Improving the overall function of the foot or ankle.
  • Supporting those with flat feet.
  • Decreasing a variety of pain in the feet.
  • Reallocating pressures applied to feet.

These devices work by using a wedge-shaped shoe insert that is placed onto side of the sole of the shoe. Heel cushions are a form of orthotics that can help to absorb forces when the foot hits the ground and relieve stress placed on the heel when performing routine activities. Generally, the particular category of orthotics that may be recommended will vary on the type of symptoms exhibited and whether there are any present deformities in the feet. Custom orthotics are generally more expensive; yet, they have greater longevity than those purchased over the counter. Currently, technology allows for custom orthotics to be developed using computerized techniques that map out the contours of the foot.

It’s important to remember that orthotics are very helpful for many foot complications from Plantar Fasciitis to high arches and are well worth the cost when considering the many benefits they provide. So, please contact us today and start removing pressure from your feet!

Published in Blog
Friday, 27 October 2017 13:09

It’s Hard to Ignore Heel Pain

Heel pain can be debilitating and hard to ignore because it can arise during routine activities. Our podiatrists Dr. Jeffrey Idol, DPM, Dr. Judith Olkaba, DPM, or Dr. Ruth P. Devadas, DPM, can provide you with quality treatment for your heel pain before it becomes unbearable at the Family Foot Care of Southern Maryland, located in (Owings (410) 257-2242, Lexington Park (301) 863-6601, LaPlata (301) 934-3345 and Huntingtown (410) 535-1719).

Heel Pain generally results from plantar fasciitis, which involves swelling of tissue that extends from the bottom of the foot to the heel bone. This condition results in the ligament on the bottom of the foot stretching irregularly, causing tiny tears in the ligament. Constant heel pain is associated with plantar fasciitis when it’s not treated early on. Heel pain produces bruising, swelling, burning while resting at night or sores that do not heal as usual because of peripheral vascular disease. Contributing causes to heel pain include arthritis because it produces inflammation of the joints or deformities in the heel, diabetes, poor foot wear or standing for extended amounts of time.

Heel Spurs are another usual cause of pain in the heel as they are pointed bone fragments that form on the heel bone. They form at the same time as plantar fasciitis and pain is felt the most when first walking after long periods of relaxation. Although pain does go away as the foot is returned to normal activity, it unfortunately returns after returning to rest.

Treatments to alleviate pain from the pain discussed above include getting plenty of rest, exercise, cold treatment through ice packs, anti-inflammatories or heel inserts. Other methods include stretching and massaging the calf muscle, wearing properly fitted shoes or weight loss. Preventing surgery by reducing inflammation can be successful in stopping pain and can actually reverse damage without the need for invasive surgical treatments. However, early treatment through the methods discussed above are a necessity to avoiding surgery. For these reasons, please contact us today for a comprehensive diagnosis and thoughtful treatment plan that can help you avoid serious complications from heel pain.

Published in Blog

High heelsInflammation and pain involving the plantar fascia, known as plantar fasciitis, is a common foot problem experienced by many people around the world. Physician Lee Sung-hun of the UN Oriental Medical Clinic notes that approximately one in 10 people experience this condition.

Plantar fasciitis is often caused by changes in hormones, pregnancy and heavy physical activity. Physician Lee Sung-hun also notes that poor habits can contribute to it. Although plantar fasciitis often clears up on its own over time, he points out that bee venom, moxibustion and acupuncture treatments found in Oriental medicine are well known for providing patients relief.

Plantar fasciitis can be very painful, but luckily treatment for this condition is often simple. For help with a strained plantar fascia in your foot, contact one of our three podiatrists at Family Foot Care of Southern Maryland. Our podiatrists will assess your injury and provide you with a suitable form of foot care.

 What is Plantar Fasciitis?

Plantar fasciitis refers to heel and arch pain caused by an inflammation of the connective tissues on the bottom of the foot.

What Causes Plantar Fasciitis?

  • Ill-fitting shoes
  • Weight change
  • Excessive running
  • Non-supportive shoes
  • Overpronation

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices. 
  • Shockwave therapy – sends sound waves to the areas where pain is experience.  Requires multiple sessions.  This is used for very persistent cases of plantar fasciitis. 
  • Ultrasound-guided technique with steroid injections into the plantar fascia.  This is from a relatively new and small study, but was shown to be effective in most cases treated.

New Studies on Treatment

According to groundbreaking treatment option studies, Luca M. Sconfienza, M.D. says that ultrasound with steroid injections was effective in over 95% of cases that involve plantar fasciitis. This process involves anesthesia and is a single process, out-patient treatment that was discovered to be highly effective. Luca M. Sconfienza M.D. presented her study at an annual meeting for the Radiological Society of North America (RSNA). Be sure to speak with your podiatrist about different methods that can be used, as well as finding out what treatment options they offer.

If you have any questions, please contact one of our offices in La Plata, Prince Frederick, Lexington Park, and Owing, MD. We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Read more about Plantar Fasciitis

Published in Blog
Monday, 25 August 2014 00:00

Plantar Fasciitis

 Recently, a groundbreaking study concluded that their treatment combining ultrasound with steroid

Plantar fasciitis is a foot problem affecting the plantar fascia, a connective tissue in the heel. This condition is treatable, but in many cases can take up to a year to be effective.

Conventional treatments have included exercises, rest, arch supports, and night splints. If this proves to be inaffective, many patients undergo shockwave therapy. In shockwave therapy, sound waves are directed to the area where pain is experienced. This therapy can be affective, but is somewhat painful, and calls for several sessions. Even still, shockwave therapy does not always alleviate the pain caused by plantar fasciitis.

Luca M. Sconfienza, M.D., from the University of Genoa in Italy, conducted the study. The new treatment involves an ultrasound-guided technique with a steroid injection to the plantar fascia. It is a one time out patient procedure involving a small amount of anesthesia. Then an anesthetic needle punctures the affected area. This technique, known as dry needling, causes small amounts of bleeding that aid in healing the fesci.

It was discovered that 42 of the 44 patients involved in the study had their symptoms disappear entirely within three weeks. “This therapy is quicker, easier, less painful, and less expensive than shockwave therapy” Sconfienza stated. “In cases of mild plantar fasciitis, patients should first try noninvasive solutions before any other treatments. But when pain becomes annoying and affects the activities of daily living, dry-needling with steroid injection is a viable option," she added.

Published in Featured