August 2022

The foot condition known as plantar fasciitis occurs when the plantar fascia becomes inflamed. This is the band of tissue that is found on the sole of the foot and connects the heel to the toes. It also creates the arch in the foot. One of the first symptoms of plantar fasciitis is heel pain and it may be worse upon arising in the morning. It can develop as a result of repetitive stress that is common among runners, or it may happen from overstretching. People who have flat feet or high arches may be prone to developing this condition, in addition to being obese or pregnant. It may also happen from wearing shoes that do not fit correctly. The symptoms that many people have can consist of severe pain, swelling, and redness in the heel area, and it may be difficult to walk. If the condition is mild, relief may be found when specific stretches are performed. Additionally, custom-made orthotics may be worn so daily activities can be completed with little or no pain. For severe cases, surgery may be necessary for permanent relief. If you have heel pain, it is advised that you seek counsel from a podiatrist who can properly diagnose plantar fasciitis and offer you the correct treatment options.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our podiatrists from Central Valley Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

• Excessive running
• Having high arches in your feet
• Other foot issues such as flat feet
• Pregnancy (due to the sudden weight gain)
• Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

• Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
• Maintain a healthy weight
• If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

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

A form of arthritis known as gout can cause severe pain and discomfort and many people have difficulty in walking. Gout develops because of excess uric acid in the blood and may result from genetic factors or eating foods that have high levels of purines. These foods can include shellfish, red meat, alcohol, or drinks that are made with large amounts of sugar. This can cause crystals to develop in the joints of the big toe and may cause debilitating pain as well as redness and swelling. For many people, maintaining a healthy eating regimen can limit the number of gout attacks. It can help to drink plenty of fresh water daily and to engage in a gentle stretching and exercise program. It is beneficial to find out why they may be recurring and learn about methods to control them. If you have gout, it is strongly advised that you are under the care of a podiatrist who can guide you toward correct treatment options and educate you about effective preventive methods.

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our podiatrists from Central Valley Foot & Ankle. Our doctors will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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

There is a rare foot condition that is known as Ledderhose disease, which causes hard lumps to develop on the bottom of the feet. It is a result of a build up of connective tissue, and can cause pain and discomfort. The lumps are generally benign, and can be related to other connective tissue diseases. Additional symptoms include foot and ankle pain, tight skin, and a sensation of pins and needles. There may be existing conditions that lead to Ledderhose disease, including chronic liver disease, prior foot injuries, and diabetes. Patients with a long history of alcohol use may experience symptoms of this condition. Mild relief may be found when soft shoe inserts are worn to provide adequate padding for the bumps. It can be beneficial to perform mild stretches, and many patients find it can help to get regular foot massages. If you have any of these symptoms, it is suggested that you consult with a podiatrist for a proper diagnosis and treatment options that may involve surgery for permanent relief.

Some foot conditions may require additional professional care. If you have any concerns, contact one of our podiatrists of Central Valley Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

• Freiberg’s disease
• Kohler’s disease
• Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

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

Many people who have bunions are concerned that it is a cosmetic condition. There are some patients who are aware they may cause pain, and this can hinder completing daily activities. The medical term for a bunion is referred to as hallux valgus, and it is defined as a bony lump on the side of the big toe. It gradually develops from genetic reasons, or from wearing shoes that do not have enough room for the toes to move freely in. It will begin as a small bump, and will gradually increase in size if the same type of shoes are frequently worn. It can affect the other toes by pushing against them, and this can cause them to shift. Some patients develop corns and calluses on top of the shifted toes, and bursitis can develop in the affected joint of the big toe. There are protective pads that can be worn over the bunion until larger shoes are purchased. If you see the first sign of a bunion, or if it has increased in size, it is strongly advised that you are under the care of a podiatrist who can possibly recommend surgery for permanent relief.

If you are suffering from bunions, contact one of our podiatrists of Central Valley Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• Surgery

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

Many of us want the shoes we wear to be fashionable, but it is important to look beyond fashion to function when wanting to keep our feet in good shape. There are steps you can take to find shoes that fit well. Though it might sound strange, it can help to take a tracing of our feet with us when we go shoe shopping. Before even trying shoes on, place shoes under consideration on top of the tracing and notice if the shoe is shorter or narrower than it should be. Shop for shoes in the afternoon as the feet naturally expand during the day. Wear the same type of socks or hose to the store as you plan on wearing with the shoes to be purchased. Have a salesperson measure your feet every time you buy new shoes as your feet change with age, often becoming flatter and wider. If one of your feet is bigger than the other, opt for the larger size in shoe selection. Try on the shoes, wiggle your toes to make sure there is enough room in the toe box, pay attention to the shoe’s width on your foot, and press on the top of the shoe to see if you have about a half an inch of space between the longest toe and the end of the shoe. Walk around in the shoes to see how they feel, if they are comfortable, and whether there are any areas of friction from the start. Shoes should not have to be broken in. Feel around the inside of the shoes to see if there are tags or seams that might irritate your foot. Finally, examine the soles of the shoes to see if they provide protection from sharp objects and have enough cushioning. For more advice on selecting the best shoes for your feet, consult with a podiatrist who is trained in everything related to the health of your feet and ankles.

Getting the right shoe size is an important part of proper foot health. Seek the assistance of one of our podiatrists from Central Valley Foot & Ankle. Our doctors will provide the care you need to keep you pain-free and on your feet.

Getting the Right Shoe Size

There are many people who wear shoes that are the incorrect size, negatively affecting their feet and posture. Selecting the right shoes is not a difficult process, so long as you keep several things in mind when it comes to choosing the right pair.

• When visiting the shoe store, use the tools available to measure your foot.
• Be sure there is ‘wiggle room’. There should be about an inch between your toes and the tip of your shoes.
• Do not always assume you are the same size, as manufacturers run differently.
• Purchase shoes later in the day, as your feet swell as the day progresses.
• If a shoe is not comfortable, it is not suitable. Most shoes can’t be ‘broken in’, and comfort should be the ultimate goal when it comes to choosing the right pair of shoes

As our feet hold our body weight and keep us moving, it is important to treat them right. Picking the right pair of shoes can provide your feet comfort and mobility without pain.

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