When adults experience heel pain, a podiatrist begins diagnosis by asking detailed questions about symptoms, daily activities, and any recent injuries. The exact location of the pain, whether under the heel, behind it, or on the sides, can help identify the cause. Common conditions include plantar fasciitis, Achilles tendinopathy, or heel spurs. During a physical exam, the podiatrist checks for tenderness, swelling, range of motion, and how the foot functions during movement. Gait analysis may reveal abnormal foot mechanics. Imaging tests such as X-rays or ultrasound are sometimes used to detect bone spurs, soft tissue damage, or stress fractures. In certain cases, lab tests may be ordered to rule out systemic conditions. Because heel pain can have many causes and may worsen without treatment, it is suggested that you see a podiatrist for an accurate diagnosis and an effective treatment plan.

Many people suffer from bouts of heel pain. For more information, contact Michele Kraft, DPM of Toes on the Go. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                  
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions please contact our office located in Carmel, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Ankle sprains occur when the ligaments that support the ankle stretch beyond their limits or tear, often resulting from a sudden twist or roll of the foot. Common causes include uneven surfaces, improper footwear, lack of warm-up before activity, and previous ankle injuries that weaken stability. Athletes and individuals with poor balance or weak ankle muscles are especially at risk. To help prevent ankle sprains, it is important to maintain strength and flexibility in the lower legs and ankles. Wearing supportive shoes and practicing good technique during physical activity also play a key role. Avoiding sudden changes in movement and being mindful on unstable surfaces can reduce the chance of injury. If you have sustained a foot or ankle injury while running, it is suggested that you consult a podiatrist who can treat foot problems and help you with additional running injury prevention methods.

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries. If you have any concerns about your feet, contact Michele Kraft, DPM of Toes on the Go. Our doctor will treat your foot and ankle needs.

How to Prevent Running Injuries

Many common running injuries are caused by overuse and overtraining. When the back of the kneecap starts wearing out and starts causing pain in your knee, this is commonly referred to as runner’s knee. Runner’s knee is a decrease in strength in your quadriceps and can occur if you’re not wearing properly fitted or supporting shoes. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned.

What Are Some Causes of Running Injuries?
- One cause of a common running injury is called iliotibial band syndrome.
- Plantar fasciitis is also another common injury.
- Stress fractures can occur from overtraining, lack of calcium, or even your running style.

Best Ways to Prevent Running Injuries
- Wear footwear that fits properly and suits your running needs.
- Running shoes are the only protective gear that runners have to safeguard them from injury.
- Make a training schedule. Adding strengthening exercises as well as regular stretching can help keep you strong and limber and can lessen the possibility of injuries.
- Stretching keeps muscles limber; this will help you gain better flexibility.

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

Athletes are more likely to develop onychomycosis, a fungal infection of the toenails. Constant sweating, wearing tight shoes, and exposure to communal areas like locker rooms create an ideal environment for fungus to thrive. Repetitive trauma to the toenails from running or sporting activity can also make nails more vulnerable to infection. Early signs include discoloration, thickening, and crumbling of the nail. If left untreated, onychomycosis can cause pain, make wearing shoes difficult, and even lead to secondary bacterial infections. Treatment often involves topical antifungal medications, oral prescriptions, or laser therapy. Athletes can help prevent onychomycosis by keeping their feet clean and dry, changing socks regularly, wearing breathable shoes, and using shower shoes in public areas. If you notice changes in your toenails, it is suggested that you see a podiatrist for diagnosis and appropriate treatment.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Michele Kraft, DPM of Toes on the Go. Our doctor can provide the care you need to keep you pain-free and on your feet.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

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

Plantar warts are small growths that develop on the soles of your feet. They are caused by the human papillomavirus, or HPV, which enters the skin through tiny cuts or breaks in the skin. While often harmless, plantar warts can become painful, especially when located on weight-bearing areas like the heel or ball of the foot. Walking can feel like you’re stepping on a pebble, and over time, the pressure may cause the wart to grow inward beneath thick layers of skin. Mild treatments do not always work and can take months to show results. A podiatrist offers more effective options, including cryotherapy, or freezing, as well as topical acids, or minor surgical removal. Early treatment not only relieves discomfort but also helps prevent the wart from spreading to other areas or people. If you suspect you have a plantar wart and it is not improving, it is suggested that you schedule an appointment with a podiatrist for proper diagnosis and appropriate treatment.

Plantar warts can be very uncomfortable. If you need your feet checked, contact Michele Kraft, DPM from Toes on the Go. Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

• Lesions on the bottom of your feet, usually rough and grainy
• Hard or thick callused spots
• Wart seeds, which are small clotted blood vessels that look like little black spots
• Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

• Freezing
• Electric tool removal
• Laser Treatment
• Topical Creams (prescription only)
• Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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

Rheumatoid arthritis, or RA, is an autoimmune disease that can affect the small joints in the feet and ankles. It causes inflammation, pain, and swelling, which can make walking difficult. Over time, RA can damage the joints, leading to deformities such as bunions, hammertoes, and collapsed arches. This can result in pain with every step, stiffness, and loss of mobility. Many people with RA also experience fatigue, which adds to the challenge of staying active. Supportive footwear, custom orthotics, and bracing can help relieve pressure on painful joints. Targeting stretching and exercises that improve strength and flexibility may also make walking easier. If RA is affecting your feet, it is suggested that you see a podiatrist who can recommend treatments to reduce discomfort and prevent further joint damage.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact Michele Kraft, DPM of Toes on the Go. Our doctor will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

• Swelling and pain in the feet
• Stiffness in the feet
• Pain on the ball or sole of feet
• Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

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