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Tuesday, 22 April 2025 00:00

Flexible Flat Feet in Children

Flexible flatfoot in children occurs when the arch of the foot appears flattened during standing or walking but returns when the child is sitting or standing on tiptoe. This type of flatfoot is usually caused by laxity in ligaments and is often painless. However, some children may experience foot pain during physical activity or after long periods of standing. A podiatrist can determine whether the flatfoot is flexible or rigid through physical examination, and in some cases, digital imaging scans may be needed. Flexible flatfoot in children often improves naturally as the child matures, but treatment may be necessary if pain, fatigue, or gait abnormalities develop. In severe or persistent cases, surgery may be considered to correct deformities, especially when there is a shortened tendon or structural misalignment of the foot. If your child is complaining of foot pain that may be caused by flat feet, it is suggested that you make an immediate appointment with a podiatrist for a diagnosis and treatment options.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Dr. Todd Goldberg from Complete Family Foot Care Center. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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

Read more about Flatfoot
Tuesday, 22 April 2025 00:00

Flatfoot

Flatfoot is a foot disorder that is not as straightforward as many people believe.  Various types of flatfoot exist, each with their own varying deformities and symptoms.  The partial or total collapse of the arch, however, is a characteristic common to all types of flatfoot.  Other signs of flatfoot include:

  • “Toe drift,” or the pointing outward of the toes and the front part of the foot
  • The tilting outward of the heel and the tilting inward of the ankle
  • The lifting of the heel off the ground earlier when walking due to a tight Achilles tendon
  • Hammertoes
  • Bunions

One of the most common types of flatfoot is flexible flatfoot.  This variation usually starts in childhood and progresses as one ages into adulthood.  Flexible flatfoot presents as a foot that is flat when standing, or weight-bearing.  When not standing, the arch returns.  Symptoms of flexible flatfoot include:

  • Pain located in the heel, arch, ankle, or along the outside of the foot
  • Overpronation, or an ankle that rolls in
  • Shin splint, or pain along the shin bone
  • General foot aches or fatigue
  • Pain located in the lower back, hip, or knee

Your podiatrist will most likely diagnose flatfoot by examining your feet when you stand and sit.  X-rays may be taken to define the severity and help determine the treatment option best for your condition.  Nonsurgical treatments can include activity modification, weight loss, orthotics, immobilization, medications, physical therapy, shoe modifications, and ankle foot orthoses (AFO) devices.  If nonsurgical methods prove ineffective, surgery may be considered.  Multiple surgical procedures can correct flatfoot; and depending on your specific condition, one may be selected alone or combined with other techniques to ensure optimal results.

Tuesday, 15 April 2025 00:00

Facts About Plantar Fasciitis

Plantar fasciitis is a common foot condition involving inflammation of the plantar fascia, a thick band of tissue that connects the heel bone to the toes. This inflammation causes sharp heel pain, often most intense with the first steps in the morning or after long periods of rest. The discomfort may ease with movement, but can return after extended activity. Causes of plantar fasciitis include overuse, poor foot mechanics, or wearing shoes with inadequate support. It is frequently seen in runners, individuals who stand for long hours, or those with flat feet or high arches. Risk factors include age, obesity, and tight calf muscles, which can increase strain on the plantar fascia. Plantar fasciitis can be painful, often causing difficulty in completing daily activities. If you have heel pain, it is suggested that you contact a podiatrist who can provide a diagnosis and treatment.

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 Dr. Todd Goldberg from Complete Family Foot Care Center. Our doctor 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 office located in Littlestown, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

 

Read more about Plantar Fasciitis
Tuesday, 15 April 2025 00:00

Plantar Fasciitis

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is the thick band of tissue that connects the heel bone to the toes. When this band of connective tissue becomes inflamed, plantar fasciitis occurs. Fortunately, this condition is treatable.

There are several factors that may put you at a greater risk for developing plantar fasciitis. One of the biggest factors is age; plantar fasciitis is common in those between the ages of 40 to 60. People who have jobs that require them to be on their feet are also likely to develop plantar fasciitis. This includes factory workers, teachers, and others who spend a large portion of their day walking around on hard surfaces. Another risk factor is obesity because excess weight can result in extra stress being placed on the plantar fascia.

People with plantar fasciitis often experience a stabbing pain in the heel area. This pain is usually at its worst in the morning, but can also be triggered by periods of standing or sitting. Plantar fasciitis may make it hard to run and walk. It may also make the foot feel stiff and sensitive, which consequently makes walking barefoot difficult.

Treatment for plantar fasciitis depends on the severity of the specific case of the condition. Ice massage applications may be used to reduce pain and inflammation. Physical therapy is often used to treat plantar fasciitis, and this may include stretching exercises. Another treatment option is anti-inflammatory medication, such as ibuprofen.

If you suspect that you have plantar fasciitis, meet with your podiatrist immediately. If left untreated, symptoms may lead to tearing and overstretching of the plantar fascia. The solution is early detection and treatment. Be sure to speak with your podiatrist if you are experiencing heel pain.

Wednesday, 09 April 2025 00:00

The Many Sources of Heel Pain

Heel pain is a common issue that can be caused by numerous conditions like plantar fasciitis, Achilles tendonitis, or bursitis. Arthritis and gout can also play a role. Plantar fasciitis causes sharp pain in the bottom of the heel, especially with the first steps in the morning. Achilles tendonitis results in pain and swelling in the back of the heel due to overuse or strain on the Achilles tendon. Bursitis involves inflammation of the fluid-filled sacs around the heel, causing pain and swelling. Arthritis and gout can lead to joint pain, swelling, and redness, often in the heel area. The causes of heel pain vary but often involve repetitive stress, poor footwear, obesity, or underlying health conditions like arthritis or gout. The pain can range from mild to severe and can significantly impact mobility. A podiatrist can diagnose the underlying cause of heel pain and recommend treatment, such as targeted exercises, orthotics, medication, or, in severe cases, surgery. If you are dealing with heel pain, it is suggested that you make an appointment with a podiatrist.

Many people suffer from bouts of heel pain. For more information, contact Dr. Todd Goldberg of Complete Family Foot Care Center. 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 Littlestown, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Heel Pain
Wednesday, 09 April 2025 00:00

Heel Pain

Have you ever gotten up from a chair or out of bed in the morning, and upon taking that first step, feel like your heel has stepped on a tack? Many people experience a feeling of sharp pain which radiates into their arch from their heel and which does not allow them to put their heel on the floor. Sometimes they need to sit back down, stand only on their toes and use the wall for balance. If you can take a few steps, it seems to go away and lessen, allowing you to then resume your activity. Later, throughout your day and after a period of rest, it can happen again. If this sounds familiar you may be suffering from your first attack of heel pain.

Heel pain is a debilitating condition that affects day to day activities. Running and walking both causes stress on the heel because the heel is the part of the foot that hits the ground first. This means that the heel is taking on your entire weight. Diagnosis and treatments for heel pain can be easily found through your podiatrist.

Plantar Fasciitis

One of the main causes of heel pain is a condition known as plantar fasciitis. The plantar fascia is a band of tissue that extends along the bottom of the foot, from the toe to the bottom of the heel. A rip or tear in this ligament can cause inflammation of these tissues, resulting in heel pain. People who do not wear proper fitting shoes are often at risk of developing problems such as plantar fasciitis. Unnecessary stress from ill-fitting shoes, weight change, excessive running, and wearing non-supportive shoes on hard surfaces are all causes of plantar fasciitis.

Achilles Tendonitis

Achilles tendonitis is another cause of heel pain. Similar to plantar fasciitis, inflammation of the Achilles tendon will cause heel pain due to stress fractures and muscle tearing. A lack of flexibility of the ankle and heel is an indicator of Achilles tendonitis. If left untreated, this condition can lead to plantar fasciitis and cause even more pain on your heel.

Heel Spur

A third cause of heel pain is a heel spur. A heel spur occurs when the tissues of the plantar fascia undergo a great deal of stress, leading to a separation of the ligament from the heel bone entirely. This results in a pointed fragment of bone on the ball of the foot, known as a heel spur.

Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.

Your feet can provide important clues about your overall health. Changes in their appearance, sensation, or function may indicate underlying medical conditions. Cold feet could suggest poor circulation, while persistent swelling might be a sign of heart, kidney, or venous issues. Discoloration, sores that do not heal, or numbness may point to diabetes or nerve damage. Brittle or discolored toenails can indicate fungal infections or nutritional deficiencies. Foot cramps or muscle weakness could be linked to dehydration or vitamin imbalances. Additionally, dry, cracked heels may suggest thyroid problems. If you notice persistent discomfort, swelling, or unusual changes in your feet, it is suggested that you seek a medical evaluation from a podiatrist who can offer you advice and appropriate treatment.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact Dr. Todd Goldberg from Complete Family Foot Care Center. Our doctor will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

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

Read more about Systemic Diseases of the Foot
Tuesday, 01 April 2025 00:00

Systemic Diseases of the Foot

There are several systemic diseases, or diseases that affect the whole body, that either display symptoms in the feet or affect the health of the feet. Common systemic diseases that affect the overall health of the feet, and the patient’s ability to walk comfortably, include gout, diabetes mellitus, neurological disorders, and arthritis, among others.

In gout, which is caused by an excessive buildup of uric acid in the body, the most common symptoms of pain, inflammation, and redness occur at the metatarsal/phalangeal joint at the base of the big toe. Any excess levels of uric acid crystallize and are deposited in tendons, joints, and surrounding bone and muscle tissue. Gout is commonly treated with NSAIDs to relieve pain and inflammation and other drugs to lower uric acid levels in the body. Gout most commonly affects those who are overweight, have low protein diets and lead a more sedentary lifestyle.

Diabetes mellitus is an increase in the level of blood sugar in which the body cannot counteract with naturally occurring insulin in the body. The three types of diabetes, Type I, Type II and Gestational Diabetes, are all signs the body is either not producing enough insulin or is not efficiently using the insulin that is produced. Gestational diabetes only affects women who are pregnant and have never, prior to pregnancy, exhibited symptoms of the disease.

There are two main issues that affect the feet that are commonly caused by diabetes. They include diabetic neuropathy and peripheral vascular disease. Diabetic neuropathy can lead to damaged nerves and affect the feet through numbness and loss of sensation. Peripheral vascular disease restricts the flow of blood to the foot and can, in extreme cases, lead to the necessity of amputating the foot. Peripheral issues that are caused by diabetes and can affect the foot include athlete’s foot, nail infections, corns, blisters, bunions, severe dry skin, plantar warts and ingrown toenails. These can all be attributed to the decrease of blood flow to the foot.

Neurological disorders and rheumatoid arthritis can also have severe impact on the health of the feet. Neurological disorders can affect the nerves in the main structure of the foot and cause loss of sensation and possible decreased muscle response. Rheumatoid arthritis can affect the bones and joint structures of the foot, making it impossible to walk normally without serious pain.

All systemic diseases that affect the foot can effectively be treated to minimize joint and muscle damage if they are diagnosed early and treated with medication and lifestyle therapy. Diabetes patients must monitor their blood sugar levels and work with their physician to keep their levels as close to normal as possible. Rheumatoid arthritis patients should work with their physician to ensure the proper medications are being taken to reduce the amount of damage to the joints of the body.

Planning a trip to Europe or one of America’s historic cities? Destinations like Rome, Prague, Paris, Lisbon, Boston, and New York’s older neighborhoods are famous for their charming cobblestone streets. But while these streets are beautiful, they can be tough on your feet, especially if you are wearing high heels. Walking on uneven cobblestones in narrow or unsupportive shoes increases your risk of ankle sprains, foot fractures, falls, blisters, and foot pain. High heels put added pressure on the balls of your feet and toes, and, on bumpy ground, they offer little stability. If you are traveling to these destinations, choose supportive shoes with low, wide heels or cushioned flats that can handle uneven terrain. Before you go, it is suggested that you visit a podiatrist who can recommend the best footwear and custom orthotics to keep your feet comfortable and injury-free during your travels.

A broken foot requires immediate medical attention and treatment. If you need your feet checked, contact Dr. Todd Goldberg from Complete Family Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Broken Foot Causes, Symptoms, and Treatment

A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury. 

Common Symptoms of Broken Feet:

  • Bruising
  • Pain
  • Redness
  • Swelling
  • Blue in color
  • Numbness
  • Cold
  • Misshapen
  • Cuts
  • Deformities

Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.

Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.

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

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