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Posts for category: Heel Pain

By Dr Alison Croughan
December 17, 2021
Category: Heel Pain
Tags: High Heels  

Many patients present to the office with bunions and hammertoes and question if they are due to their shoes.

Yes, shoe gear especially high heels can play a part in foot pain.  How you may ask? High heels move your weight load further onto the ball of your foot increasing the pressure and work of tiny muscles and ligaments around your toes and metatarsal joints.  The increase in motion and pressure of the forefoot can lead to nerve irritation or a neuroma which is a bulbous nerve causing numbness, tingling and burning into the adjacent toes.  The heel height as well as pitch of the shoe also changes your posture, lower back, pelvis and hip position.  It can shorten your calf muscles and achilles tendons which can lead to heel pain and increased motion in your mid foot. The lack of control and support of the shoe itself can lead to ankle injuries and even irritation of your heel bone.  Some patients present with a “pump bump” which can be very painful.  My philosophy is everything in moderation; full days and many miles should never be performed in a very high heel.  An orthotic can be made for a dress shoe to help hold your foot in the most optimal position and give you the arch support you need.  I always recommend patients bring their shoes in for an evaluation as they play an integral role in treating one’s pedal complaints.

By Dr Arden Smith
January 11, 2021
Category: Heel Pain
Tags: High Heels  
If you’ve ever wondered what the average timeframe is for wearing high heels, you’re not alone. According to "Who What Wear", many other women have also been curious.
Heels also alter the ability of the foot to absorb shock evenly across the foot and to hold up our body weight. A larger size heel will still force the distribution of weight onto the ball of your foot and compact your toes into a small space which will still lead to the progression of bunions and hammertoes if you are predisposed to having them.
For a medium heel height, 1.5 to 3 inches, a maximum of three hours should be the limit. This type of heel is not really for walking long periods of time or dancing; however, if attending a social gathering, limit the physical activity to avoid foot damage and risk injury.
Never go over 3 inches in heel height because it changes the biomechanics of how you walk. This leads to shorter strides, and more pressure is placed on the balls of your feet, which throws off your center of gravity, putting unneeded and unnecessary stress on your knees and lower back.
If you have any questions regarding the appropriateness of your shoes, or your shoes in general, please call Advanced Podiatry of Manhasset, Huntington, Plainview, and Maspeth and one of our expert podiatrists will be happy to help.
By Dr Arden Smith
December 19, 2020
Category: Heel Pain
Tags: Heel Pain Patients  
Heel pain is a great imposter. Of all the bones in the body, the heel bone has one of the largest blood supplies. With that heavy flow comes a higher risk of infection, and other muscular problems. Our research at Advanced Podiatry has found that many of people with plantar heel pain have a plantar fascia tear. This diagnosis can be confirmed with MRI, or our diagnostic ultrasound.  If you have a high arch, you are more prone to this problem since your place more force on the heel when you walk or run. Overuse can also up your risk.
You will experience plantar fasciitis like pain, but you may also limp, notice swelling near the ankle, feel a pop in your foot with each step, or see bruising on the heel. The discomfort can last all day. Avoid stretching which can worsen a tear. Our expert podiatrists at Advanced Podiatry of Manhasset, Huntington, Plainview, and Maspeth recommend a Walking Boot for shock absorption, Custom Foot Orthotics for support, or EPAT (Extracorporal Pulse Activation Technology) Shockwave treatment to improve circulation and speed healing.
By Dr Aarti Kumar
September 23, 2020
Category: Heel Pain
Tags: Heal your Heels  
Dry skin around the heels may seem like a common and minor problem until it goes unaddressed. Dry heels can often lead to thickened calluses which can be painful while walking or even when in shoes. These calluses often develop from wearing open back shoes, sandals or walking barefoot in the summer. Living in dry climates can also lead to dry heels as moisture is not retained in the skin as well as it should be. Some medical conditions such as poor circulation, cancer, thyroid disorders and diabetes can also lead to dry, cracked heels. 
Extremely dry heels can lead to deep cracks in the skin which are referred to as "fissures". Any opening or breach in the skin serves as a portal for bacterial infections and the feet are no different. Once bacteria enter the heel fissures, skin infection or cellulitis can occur around the foot or ankle region. This becomes a grave concern in diabetic and other immunocompromised patients who cannot fight off minor infections unlike otherwise healthy individuals. 
So what should you do if you notice dry, cracked heels? The first step is always to moisturize your skin. Patients are usually instructed to moisturize the heels after a shower as your skin is most supple. Instead of using a lotion, use a cream or a petroleum jelly to have a more protective barrier. Lotions have a higher concentration of water than creams and do not retain moisture as well. Exfoliation is always a good idea if the calluses are just starting to develop and not bleeding.
 The key is to start treating dry skin early and not letting it become severe enough to developing into fissures or deep cracks. Podiatrists can shave or debride the thickened skin to get rid of all the dead skin and then recommend proper emollients or moisturizers to avoid such problems in the future. Sometimes we will recommend proper shoe gear or orthotics to prevent friction in addition to shaving the skin which will help future recurrences. If you think you have dry heels, do not hesitate to come in! The podiatrists here at Advanced Podiatry will help you get back on your toes-or heels!
By Dr Arden Smith
June 01, 2020
Category: Heel Pain
Tags: Heel Pain  
All of our Advanced Podiatry offices have had many reports of heel and arch pain from patients stuck at home as a result of the COVID-19 pandemic.
Nonsuportive footwear - or lack of footwear - may be to blame for the upsurge in cases. Adults are shifting routines and adapting to new working environments; and it’s easy to neglect proper care and support of their feet.
The top priority when treating heel and arch pain, is to reduce the mechanical strain on the plantar fascia, often with custom foot orthotics, splints for stretching, and supportive footwear. Most cases of heel pain respond well to conservative (nonsurgical) treatment, including anti-inflammatory measures and stretching. However, our expert podiatrists at Advanced Podiatry of Manhasset, Huntington, Plainview, and Maspeth are well trained to provide advanced, cutting edge treatments, including EPAT therapy, ultrasound guided injection therapy, and surgical intervention for more complex cases.
Foot and heel pain is never normal, so see one of our expert podiatrists at Advanced Podiatry of Manhasset, Huntington, Plainview, and Maspeth right away.

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Woodbury, NY 11797

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Maspeth, NY 11378

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Williston Park, NY 11596

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 *Recently Moved to Woodbury