My Blog
By Mark S. Block, DPM, FACFS, CWS
October 03, 2018
Category: Foot Care
Tags: Foot Care   Heel Spurs  

Have you been experiencing any heel pain or bothersome tenderness without any obvious cause? Although heel spurs themselves sometimes do not cause acute discomfort, they are frequently associated with the painful inflammation known as plantar fasciitis, a condition commonly described as feeling like a knife is wrenching through your foot. Read below for more information on the typical causes, symptoms, and treatments of heel spurs.

What is a Heel Spur?

A heel spur is often the result of overstraining foot muscles and ligaments, overstretching the plantar fascia (the thick band of tissue that connects the heel bone to the toes), and repeatedly tearing the heel bone membrane. From these actions arises a calcium deposit on the underside of the heel bone. Risk factor for developing the condition include:

  • Possessing any walking gait abnormalities
  • Regularly running or jogging on hard surfaces
  • Wearing poorly fitted or overly worn shoes
  • Wearing shoes that lack arch support
  • Being excessively overweight or obese

What are The Symptoms?

Heel spurs do not carry many symptoms by themselves. However, they are often related to other afflictions, most typically plantar fasciitis. The most common sign of this combo of conditions is a feeling of chronic pain along the bottom or back of the heel, especially during periods of walking, running, or jogging. If you are experiencing this recurring inflammation, it is a good idea to visit your local podiatrist's office and inquire about undergoing an x-ray or ultrasound examination of the foot.

What are the Treatment Options?

The solutions to heel spurs are generally centered around decreasing inflammation and avoiding re-injury. They include:

  • Applying ice on the inflammation
  • Performing stretch exercises
  • Wearing orthotic devices or shoe inserts to relieve pressure off of the spur
  • Taking anti-inflammatory medications such as ibuprofen to relieve pain
  • In extreme cases, surgery can be performed on chronically inflamed spurs

If you are dealing with symptoms of heel spurs or pain in your feet, turn to a podiatrist so that we can get you back on your feet. Don't ignore your pain.

By Mark S. Block, DPM, FACFS, CWS
September 14, 2018
Category: Foot Care
Tags: Custom Orthotics   Foot Pain  

Custom orthotics are removable shoe inserts that provide greater arch support and stability to the feet and ankles. There are different types of orthotics available depending on the issue and level of support that is needed. Basic orthotics are sold over the counter, but a custom pair designed specifically for your foot will provide optimal support and comfort.

When are Custom Orthotics Necessary?

Podiatrists typically recommend custom orthotics for people with flat feet, or very high arches. One of the most common signs that you may benefit from a pair of orthotics is heel pain (although you may also experience pain and swelling in other parts of the foot). You may also experience pain and swelling after normal and relatively low impact activities like standing or walking.

A good way to figure out if you are having pronation issues is to examine the soles of your shoes and sneakers. If the soles and insoles tend to become visibly more worn on one side, it may be a sign that your alignment is off and you are over or under pronating. A podiatrist may ask you to walk in your bare feet to observe your stride and gait (known as a gait analysis). If you experience persistent pain, swelling, or stiffness, especially after exercise or after long periods of rest, schedule an appointment with a podiatrist.

Types of Custom Orthotics

There are a few different types of custom orthotics designs available depending on your needs.

Functional (also known as rigid) orthotics are made of harder materials and are usually prescribed for pronation problems or joint issues like arthritis.

Accommodative orthotics are designed to provide more cushioning and support and are typically prescribed for problems like plantar fasciitis and bunions.

In addition to improving your gait and foot and ankle alignment, custom orthotics can help to prevent related strains and injuries and relieve back, joint, and knee pain if it is caused by issues with your arches and pronation.

By Mark S. Block, DPM, FACFS, CWS
August 31, 2018
Category: Foot Care
Tags: Arthritis  

Arthritis is a joint condition that affects roughly 54 million American adults according to the Arthritis Foundation. It can show up in joints all around the body, including the feet and toes. When the joints of the feet are affected by inflammation, it affects a patient’s ability to move their toes, bend their feet up or down, and turn on a dime when participating in athletic activities. Learn the steps that you can take to care for arthritic feet and improve your overall foot health.

Arthritis in the Feet
Arthritic joint pain, which is usually caused by an inflammatory reaction, is most commonly felt in the big toe, ankle, and the middle part of the foot. There are many different types of arthritis conditions that could affect the feet, including psoriatic, reactive, and rheumatoid arthritis. Osteoarthritis is the most common form—it is caused by the bones rubbing together, making the joints feel stiff and painful. Patients who are overweight are more likely to struggle with arthritic feet, as are seniors. Some people have had arthritis since childhood (juvenile arthritis or JA), making them more likely to develop foot deformities like bunions and struggle with swollen joints.

Arthritis Treatments
Though arthritis isn’t a curable condition, the symptoms can be eased with treatment so that you can continue to walk, jog, exercise, and work without debilitating pain. These are some of the ways your podiatrist may treat arthritis in the feet:

  • An X-ray or other imaging test to examine the condition of the joints.
  • Physical therapy exercises to make the joints more flexible.
  • Orthotic device or shoe for better foot support.
  • Joint injections (corticosteroids).
  • NSAID drugs (anti-inflammatories).
  • Surgery to remove inflamed tissue around the joints (Arthroscopic debridement) or fuse the bones (arthrodesis).

Caring for Your Feet
Seeing a foot doctor is an important part of caring for arthritic feet. But there are also some actions you can take at home to keep your feet and joints in good condition:

  • Get rid of shoes that put too much pressure on your joints, like high heels or sneakers that don’t support the ankles.
  • Soak your feet in warm water with Epsom salt and massage your feet when relaxing.
  • Commit to doing the toe and foot exercises suggested by your podiatrist.

Treating Arthritic Feet
Arthritic feet shouldn't prevent you from carrying on with normal life and physical activities. Get help from a podiatrist as soon as you start to experience symptoms and take extra steps to care for your feet.

By Mark S. Block, DPM, FACFS, CWS
August 23, 2018
Category: Foot Conditions
Tags: Plantar Fasciitis  

Put an end to your heel pain and get back into the swing of things again.

Did you awaken in the morning thinking you were going to go to the gym but quickly realized that one of your heels is in a lot of pain? Isheel pain the pain bad enough that you even have trouble walking? Heel pain can be the result of a couple different issues but the most common cause is plantar fasciitis, a condition that causes inflammation within a thick band of tissue that runs along the soles of the feet. Our Boca Raton, FL, podiatrist, Dr. Mark Block, is here to shed some light on this very common foot problem.

What is plantar fasciitis?

There is a thick band of tissue that runs along the soles of your feet from your toes to the heel, and this tissue is known as the plantar fascia. When the plantar fascia develop microtears from injury or misuse, it becomes inflamed, leading to heel pain and sometimes arch pain, as well.

What are the symptoms of plantar fasciitis?

As we mentioned before, the most common symptom is heel pain that may radiate to the arches since the plantar fascia are also responsible for supporting the arches of your feet. Heel pain can range from a dull ache to a sharp stabbing pain. In most cases, the pain will be worse when you first get up in the morning or after long periods of standing or sitting.

You may find that symptoms dissipate throughout the day and even during exercise but come back quickly and sometimes severely right after.

How does plantar fasciitis happen?

In most cases, our patients know what they might have suddenly changed up in their routine that could have lead to this problem. More often than not it’s runners and other athletes who suddenly increased the intensity or duration of a workout without progressing gradually.

Of course, if you also spend long hours on your feet for work, you may also be at an increased risk for heel pain.

How can I treat my heel pain?

First thing’s first, our Boca Raton foot doctor will want to determine if plantar fasciitis is to blame for your heel pain or if there is an injury or other health problem that could be causing your symptoms. Once we determine that you have plantar fasciitis, we can walk you through your treatment plan.

Luckily, most plantar fasciitis cases can be treated with simple, conservative at-home measures such as:

  • Over-the-counter medications
  • Resting and avoiding high-impact activities
  • Wearing proper and supportive footwear
  • Splinting or bracing the foot at night
  • Wearing custom orthotics
  • Stretching and strengthening exercises (which we can show you during your checkup)

Do you have questions about treating your heel pain? Is this the first time you’ve had plantar fasciitis? If so, our foot specialists here in Boca Raton, FL, are ready to answer your questions and provide your feet with the care they need. Call our office today.

By Mark S. Block, DPM, FACFS, CWS
August 14, 2018
Category: Foot Care
Tags: Poor Circulation  

Are you experiencing numbness, tingling, or discolorations in your feet?

 

Even though poor circulation isn’t a condition, if you are experiencing poor circulation in your feet this is often a symptom of a much larger issue. This is why it’s important to understand the warning signs of poor circulation and when to see a podiatrist, as many of these conditions can be serious or cause further complications to your health.

Causes of Poor Circulation

There are many reasons why someone may have poor circulation. The most common conditions include:

1. Peripheral artery disease (PAD)

This causes poor circulation in the legs due to a narrowing in the arteries and blood vessels. Over time this condition can cause damage to nerves or tissue. While this condition can occur in younger people, particularly smokers, it’s more common for people over 50 years old to develop PAD.

2. Blood Clots

A blood clot causes a block or restriction in blood flow and can develop anywhere in the body. The most common places for a blood clot include the arms or the legs, which can lead to symptoms of poor circulation. In some cases, a blood clot can cause serious complications such as a stroke.

3. Diabetes

While this condition does affect blood sugar levels, it is also known to affect circulation within the body. Those with circulation issues may experience cramping in the legs that may get worse when you are active. Those with diabetic neuropathy may experience nerve damage in the legs and feet, as well as numbness or tingling.

4. Raynaud’s Disease

A less common condition, Raynaud’s disease causes chronic cold fingers and feet due to the narrowing of the arteries in the hands and toes. Since these arteries are narrow it’s more difficult for blood to flow to these areas, leading to poor circulation. Of course, you may experience these symptoms in other parts of the body besides your toes or fingers, such as your nose, ears, or lips.

Warning Signs of Poor Circulation

You may be experiencing poor circulation in your feet if you are experiencing these symptoms:

  • Numbness
  • Pain that may radiate into the limbs
  • Tingling (a “pins and needles” sensation)
  • Muscle cramping

If you are experiencing symptoms of poor circulation that don’t go away it’s best to play it safe rather than sorry and turn to a podiatric specialist who can provide a proper diagnosis and determine the best approach for improving circulation. Don’t ignore this issue.





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