Pros and Cons of Plantar Fasciitis Surgery

Plantar fasciitis causes pain in the bottom of the heel and arch of the foot. It develops when the plantar fascia, a strong band of tissue that supports the arch, becomes damaged and irritated. Many people experience sharp pain with their first steps in the morning or after periods of rest. While most patients improve with treatment provided by a podiatrist, a small number continue to have severe pain that affects daily activities. When symptoms remain intense and limit mobility, surgery may be considered. A podiatrist will carefully evaluate the foot and review previous treatment efforts before recommending an operation. Surgery for plantar fasciitis is usually reserved for cases that have not responded to other forms of care. This is especially true where pain interferes with work, exercise, or normal movement.

The most common procedure is called a plantar fasciotomy. During this surgery, part of the plantar fascia is released to reduce tension and relieve pain. The procedure can be performed through a traditional incision or with smaller surgical tools. A podiatrist will determine which approach is most appropriate based on the severity of the condition. The goal is to decrease strain on the damaged tissue while preserving foot function. As with any surgery, there are risks. These include continued pain, scar discomfort, and changes in the way the foot bears weight. For this reason, surgery is recommended only after a thorough examination and discussion of expected results.

Research has shown encouraging outcomes for many patients who undergo plantar fasciitis surgery. One long-term study found that most patients reported a major reduction in pain and were satisfied with the results years after the procedure. Greater success was seen in patients who had surgery earlier in the course of persistent symptoms. A podiatrist can explain the benefits, risks, and recovery process while helping patients decide whether surgery is an appropriate option. If you have extremely painful plantar fasciitis, it is suggested that you schedule an appointment with a podiatrist to discuss the benefits of this type of foot surgery.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Ankita Patel, DPM  from All Pro Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

If you have any questions, please feel free to contact our office located in Swedesboro, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Understanding Pronation and Supination in the Feet

Pronation and supination describe how the feet move while walking. Pronation occurs when the foot rolls slightly inward after the heel touches the ground. This movement helps absorb shock and spread body weight more evenly. With supination, the foot rolls outward and places more pressure on the outer edge of the foot. A small amount of both movements is normal, but too much can lead to pain and balance problems. Excessive pronation can place stress on the arches, heels, and ankles. Too much supination is more common in people with high arches and can reduce the foot’s ability to absorb impact. Signs of gait problems include uneven shoe wear, foot fatigue, and pain in the ankles or heels. A podiatrist can examine how your feet move while walking and recommend supportive shoes, custom orthotics, or other treatment options. If you have gait problems that are causing pain, it is suggested that you make an appointment with a podiatrist. 

If you have any concerns about your feet, contact Ankita Patel, DPM from All Pro Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

  • Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
  • In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

If you have any questions please feel free to contact our office located in Swedesboro, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Do Your Child's Feet Hurt?

Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.

Choosing Shoes for Growing Feet

Babies do not always need shoes right away, but once they begin standing and walking, proper footwear becomes important for healthy development. Early shoes should be lightweight with flexible soles that allow natural movement. A correct fit is essential, as tight shoes can restrict growth and lead to discomfort or changes in foot shape. Non-skid soles help provide stability as babies learn balance and coordination. When shoes are too stiff or poorly fitted, they may interfere with normal walking patterns and cause strain on small joints. Parents may notice redness, fussiness, or uneven steps if there is a problem. A podiatrist can assess foot development, ensure proper fit, and recommend appropriate shoe types for each stage. If your child has foot pain, it is suggested that you consult a podiatrist who can offer effective treatment tips and guide you on what type of shoes to purchase.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact Ankita Patel, DPM of All Pro Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

  • Make sure their shoes fit properly
  • Look for any signs of in-toeing or out-toeing
  • Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
  • Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
  • Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
  • Cut toenails straight across to avoid ingrown toenails
  • Keep your child’s foot clean and dry
  • Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

If you have any questions, please feel free to contact our office located in Swedesboro, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Causes and Grades of Ankle Sprains

An ankle sprain occurs when strong bands of tissue, called ligaments, stretch or tear after the ankle twists or rolls. Common causes of ankle sprains include falls, sports injuries, or stepping awkwardly on uneven ground. Weak ankle muscles and previous ankle injuries increase the risk of another sprain. Doctors classify ankle sprains into three grades based on severity. A Grade 1 sprain is mild and includes slight stretching of the ligament, with minor swelling and pain. A Grade 2 sprain is moderate and includes a partial tear, bruising, swelling, and trouble walking. A Grade 3 sprain is severe and includes a complete ligament tear, severe pain, major swelling, and ankle instability. A podiatrist can examine the ankle and order imaging to check for fractures. Depending on the results, the proper treatment to restore strength and stability is provided. If you have sprained an ankle, it is suggested that you promptly schedule an appointment with a podiatrist for appropriate treatment solutions.

Ankle sprains are common but need immediate attention. If you need your feet checked, contact Ankita Patel, DPM from All Pro Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

  • Mild to moderate bruising
  • Limited mobility
  • Swelling
  • Discoloration of the skin (depending on severity)

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

If you have any questions please feel free to contact our office located in Swedesboro, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Three Grades of Ankle Sprains
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