Posts for: June, 2014
After reading last week’s blog about Plantar Fasciitis, do you think your heel pain is something else? Is it in the back of your heel as opposed to the bottom? Achilles Tendonitis may be your diagnosis!
The Achilles tendon, also called the heel cord, is the band of tissue that connects the calf muscle to the heel bone. It facilitates walking by helping to raise the heel off the ground. As an overuse disorder, the tendonitis can be caused by a sudden increase of a repetitive activity involving the tendon. Athletes as well as “weekend warriors” are at a high risk for developing disorders of the Achilles. Additionally, people with excessively flat feet have a tendency to develop Achilles tendonitis due to the greater demands placed on the tendon when walking – especially if they wear shoes without adequate stability.
Dr. Mendoza can determine the extent of the condition with x-rays, ultrasound, or an MRI, and will develop the best treatment plan for you based on the degree of damage to the tendon. Surgical repair is only necessary when the tendon has ruptured, but is a last resort when an injection, immobilization, icing, oral anti-inflammatory medications, and physical therapy fail to be effective.
Do you have pain in your heel? Is it worse when you first get up in the morning? Or after you have been sitting down for a while and stand back up? Does it seem to subside but then return after spending a long time on your feet? You may have plantar fasciitis!
Plantar fasciitis is inflammation of the plantar fascia – the ligament that stretches from your heel to your toes. The ligament can become inflamed at your heel if you have problems with your arches (either overly flat or high-arched), work long hours on hard surfaces, or wear non-supportive footwear.
If you are unable to come in to see Dr. Mendoza for a few days, try to avoid going barefoot – no shoes puts more strain on the plantar fascia. Resting, icing the heel, and stretching the calf and Achilles tendon can also help ease the pain. Wearing supportive shoes is important; Dr. Mendoza recommends running shoes for everyone (even if you’re only walking in them!). Other treatment options include:
- Anti-inflammatory medications
- Strapping the foot
- Custom orthotics to support the arch
- Steroid injections to break the pain cycle
- Night splints to keep the keep the plantar fascia extended while sleeping
- Surgical release of the ligament
Call our office at 615-452-8899to schedule an appointment to treat your heel pain!
Have you been experiencing pain, numbness, or tingling in the ball of your foot? Have you had a feeling that there is something inside your shoe? Or have you even felt a clicking towards your toes? You may have a Morton’s Neuroma.
A Morton’s Neuroma is the thickening of the nerve between the third and fourth metatarsals. It is caused by compression (such as wearing shoes with a tapered toe box) and irritation of the nerve. This causes the nerve to swell, and eventually can lead to permanent nerve damage. People with certain foot deformities, such as bunions and hammertoes, are at a higher risk for developing neuromas due to the pressure at the ball of the foot.
Icing, anti-inflammatories, and steroid injections are commonly used to avoid surgically removing the enlarged nerve when possible. Dr. Mendoza will work with you to develop the best treatment option for your neuroma.