I love to run.  Running is my favorite way to relieve stress and spend time outdoors.  I am fortunate to live in Ormond Beach, Florida, where the scenery is breathtaking and the weather is amazing.  The hard-packed sandy beaches are great for running with an ocean view.  The bridges offer uphill challenges in an otherwise flat landscape.  I consider myself the typical hard-headed runner; I have over-trained and am suffering the consequences.  Luckily, I happen to work for an incredible group of foot and ankle physicians at Atlantic Foot and Ankle Associates with four offices located in Daytona Beach, Port Orange, Palm Coast, Orange City, Florida.

A few months ago, I began to experience heel pain, especially when I first got out of bed in the morning.  I learned that I was suffering from Plantar Fasciitis, a condition common to runners.  I went in to see Dr. James Rust in our Daytona Beach location, who carefully listened to what I had to say and took the time to explain my treatment options.  He explained that the physicians at Atlantic Foot and Ankle Associates initially treat patients with heel pain as conservatively as possible recommending: 

• rest or periods of immobilization
• icing the painful area
• heel stretching exercises 
• night splints to stretch the injured fascia and allow it to heal
• wearing shoes with good support and cushions
• non-steroidal or steroid-type medicines 
• steroid shots or injections into the heel
• in severe cases, surgical treatment may be necessary release the tight tissue

Dr. Rust recommended custom orthotics, stretching and icing.  The heel pain slowly began to decrease and I was able to continue running and interval training.  If you are suffering from symptoms such as heel pain, please do not hesitate to contact one of our podiatrists.  You do not have to suffer any longer!

By Marisa Aitken

(4/30/2012) For the roughly 30 million Americans coping with the physical, emotional and social effects of nail fungus, the quest for a safe and effective solution has been frustrating.  Known medically as onychomycosis, nail fungus is typically treated through the use of various topical and oral therapies, but such treatment options have demonstrated limited success or caused adverse side effects.

The physicians at Atlantic Foot and Ankle Associates are providing their patients with a leading therapy to improve the appearance of nails affected by onychomycosis through the use of a new noninvasive laser therapy system called GenesisPlus from Cutera (San Francisco Bay Area, CA).  The system applies laser energy to the nail plate and surrounding tissue.  The laser light gradually heats the fungus and promotes the growth of healthy, clear nails.

Topical treatments alone are generally unable to clear the nail because of insufficient nail plate penetration.  While oral drugs have exhibited some success rate, such treatment is associated with common adverse side effects, including gastrointestinal and skin disorders, headaches and abnormal liver function. 

Dr. James Rust says the GenesisPlus system provides a safe and effective alternative to conventional treatment options for nail fungus.  “While traditional treatment options have been limited due to either insufficient outcomes or patient concerns regarding side effects, the GenesisPlus laser system provides a reliable nontoxic option that is much easier to use and well tolerated by patients,” Dr. Rust said.  “In a few 10-20 minute sessions, I can treat a patient who has been suffering for many years with unsightly, deformed and discolored toenails, all without downtime for my patients.”

Ann Whiddon of Deland, who chose GenesisPlus for toenail fungus, said the laser system surpassed her expectations.  “I suffered from toenail fungus for almost twenty years.  Before I received my laser procedure, my toenails hurt and I was always embarrassed of the unpleasant appearance of my nails,” said Whiddon.  “After receiving GenesisPlus therapy, my nails grew in clearer and healthier-looking.  The treatment sessions were surprisingly comfortable,” she added.

GenesisPlus has been demonstrated to clear nails of mild and severe forms of fungus, ultimately improving the cosmetic appearance of the nails.  Utilizing the latest technology, GenesisPlus also is powerful enough to treat warts and is used to treat and accelerate scar remodeling, including fresh surgical scars, hypertrophic and keloid scars. 

About Onychomycosis

Onychomycosis is a fungal infection of the toenails or fingernails.  Most commonly found in toenails, onychomycosis causes the nail to become discolored, thickened and separated from the nail bed.  If left untreated, the condition can cause toenails to become so thick that they press against the inside of shoes, causing pressure, irritation and pain.

Onychomycosis is the cause of half of all nail disorders and it is the most common nail disease in adults.  Approximately half of the population will have at least one infected toenail during the course of their lives.  The incidence of onychomycosis has been increasing, owing to such factors as diabetes, immunosuppression and increasing age.

About Atlantic Foot and Ankle Associates and the Florida Laser Center

In addition to providing the best quality care for your feet and ankles, Atlantic Foot and Ankle Associates has created the Florida Laser Center for the treatment of toenail fungus.  Visit www.FloridaLaserCenter.com for a website that is completely dedicated to providing a wealth of patient education about onychomycosis and treatment options.  If you or a loved one is suffering from toenail fungus and would like to like to make an appointment, please call (386) 274-LASER (5273).

Recently in different parts of the country including Alabama and California, there has been an outbreak of Hand, Foot, and Mouth Disease (HFMD).  Typically this condition affects children but also has the potential to affect adults as well.  Commonly the disease is seen affect classes of preschools or daycares.  HFMD can be caused by several viruses, commonly coxsackievirus A16.

Once the disease has been contracted it will take about three to seven days to see symptoms.  Signs and symptoms usually begin with fever and malaise.  A day or two after the onset of the fever, small red spots that will become blisters and then sores or ulcers will appear in the mouth.  Often with these lesions there can be associated sore throat and decreased appetite.  A rash will then appear on the skin on the palms of hands and soles of feet which may as well turn into blisters and sores.  The rash may also be present around the calf.

The disease spreads by direct contact often through oral secretions or stools and can even be spread weeks after the disease seems to have resolved.  Thorough washing of hands as well as avoiding close contact and sharing food or utensils with someone affected can help to prevent the spread of the disease or at least decrease the chances of contracting the disease.  

There is no certain treatment for the disease since it will commonly resolve on its own in about seven days.  However to alleviate pain and fever NSAIDs or Tylenol can be used.   Over the counter medicines and sprays can also be used to alleviate any pain of the throat.    As far as complications, one of the more common complications of the disease mostly in younger children is fingernail and toenail loss.  However the nails do grow back with time.

The physicians at Atlantic Foot and Ankle Associates treatpatients of all ages, ranging from pediatric to geriatric.  Please contact our office if you are suffering from any of the following:

• Persistent pain in your feet or ankles
• Severe cracking, scaling, or peeling on the heel or foot
• Blisters on your feet
• Changes in the nails or skin on your foot
• Heel Pain
• Toenail Fungus

With offices conveniently located in Palm Coast, Daytona Beach, Port Orange, and Orange City, our physicians will get you healthy and back on your feet again!

By Dr. Dennis McBroom

With summer right around the corner comes the season of sandals, beaches, and therefore exposed toes.  Toenail fungus often discourages many from wanting to expose their toes by causing a series of changes to the nails.  Toenail fungus is a very common condition referred to as onychomycosis.  Onychomycosis may start out as just a small area of yellow or white discoloration of the nail.  As the fungus spreads the discoloration may spread and worsen and the nail may thicken.  There may also seem to be an accumulation of material under the nail and possibly an odor.  The condition may eventually become painful as well.

There are a variety of risk factors for developing onychomycosis.  First of all, fungi best survive in dark and damp areas.  With that said, public places such as pools and showers are very common places for fungi to grow and be transmitted.  As well personal footwear can influence the development of onychomycosis.  Wearing shoes and socks and perspiring or having wet feet can also encourage development.  Trauma also leaves the nail susceptible to invasion by fungi.  Onychomycosis is often also seen in aging populations often due to decreased blood supply.

To diagnose onychomycosis your physician will first evaluate the toes clinically.  A sample may be taken to undergo laboratory testing such as a potassium hydroxide smear or a periodic acid-schiff stain.  Once the diagnosis is confirmed treatment will begin.  It often takes months to make sure the fungus is completely eradicated.   Atlantic Foot and Ankle Associates offer several options for the treatment of onychomycosis.  Medications for toenail fungus can be topical or oral.  One of the most common methods of treatment is the oral medication terbinafine (Lamisil).  This medication has to be taken for approximately 90 days.  We also offer a topical treatment called Formula 3, which is available at all four of our offices located in Palm Coast, Daytona Beach, Port Orange, and Orange City, Florida.   There is also a new, FDA approved treatment for onychomycosis called laser therapy.  Please visit the Florida Laser Center website to learn more about laser therapy, which is now available in our Daytona Beach location.

Onychomycosis can be prevented by taking actions such as keeping feet dry or allowing ventilation when wet as well avoiding being barefoot in areas where fungi are likely to grow.  If you are one of the 30 million Americans suffering with toenail fungus, please do not hesitate to get treatment so you can get back to the beach and show off your beautiful toes!

By Dr. Sona Ramdath Jr.

With the NCAA tournament well under way, players are most likely doing their best to avoid any type of injury.  An injury common in athletes refers to posterior tibial tendonitis; however, this injury can occur in nonathletes as well.  The posterior tibial tendon courses along the back of the leg then on the inside of the ankle to the arch of the foot.  It functions to support the arch of the foot.

Posterior tibial tendonitis can occur due to injury or overuse.  There are certain risk factors to the development of posterior tibial tendonitis including being overweight, diabetes, and flat feet.  When the tendon’s function is compromised the arch of the foot may drop placing even more pressure on the tendon which can lead to inflammation.

Symptoms of posterior tibial tendonitis include tenderness or pain on palpation of the course of the tendon.  There may also be pain on the inside of the foot and ankle in walking.  Standing on the tips of the toes may also elicit pain due to weakness.  These symptoms progress as the condition advances.   Treatment of the condition includes non-steroidal anti-inflammatory reactions, applying ice for about 20 minutes two times daily, and rest.  Increasing the arch support of the shoe or adding orthotics can also help control the condition. 

If untreated and with continued overuse, posterior tibial tendonitis can progress to posterior tibial tendon dysfunction (PTTD), causing a progressive flatfoot deformity.   In addition to the above symptoms this may lead to arthritis and a change in gait, or the way a person walks.  The change in gait may even lead to pain in other areas involved in mobilization such as the knees, hip, and back.   With this said, it is important once symptoms begin to seek medical attention and to follow physician instructions to avoid progression.

If you are suffering from posterior tibial tendonitis, please do not wait to see a podiatrist.  The physicians at Atlantic Foot and Ankle Associates take a conservative approach for all types of injuries.   Make an appointment at one of our four offices conveniently located in Palm Coast, Orange City, Daytona Beach, and Port Orange and get back to walking pain free!

By Dr. James Rust

Plantar fasciitis is a common ailment often heard in the news for its effect on athletes but has the potential to affect non-athletes just as well.   Anatomically, the plantar fascia refers to tissue on the bottom surface (plantar surface) of the foot that spans from the heel all the way to the toes.   The area where the tissue attaches at the heel can become inflamed producing heel pain.  With plantar fasciitis the pain often manifests itself when first standing or walking in the morning.  This is because overnight or even after long periods of sitting, the plantar fascia tenses up so when standing and placing pressure on the fascia the pain is exacerbated.

There are risk factors in the development of plantar fasciitis including certain sports like running where there is continuous stress placed on the plantar fascia.  Obesity is also a risk factor since the increased weight places more pressure on the plantar fascia.  Shoe gear can also influence the development of plantar fasciitis.  Shoes with decreased arch support or a poor fit can increase the stress placed on the fascia.  Another risk factor is the biomechanics of one’s foot.  Pronation is a movement that occurs when the foot is rolled inward towards middle of the body so that the outside of the foot begins to lift off the ground.  When a person overly pronates as he or she walks the arch flattens and lengthens, putting tension on the plantar fascia.

Conservative treatment for plantar fasciitis includes applying ice and taking non-steroidal anti-inflammatory drugs to relieve the pain.  Physical therapy and night splints may help stretch the plantar fascia and relieve the tension.  Orthotic devices and padding can also be made to provide support and accommodation.  Steroid injections are also an option to alleviate pain. 

You don’t have to suffer from heel pain.   The physicians at Atlantic Foot and Ankle Associates take a conservative approach for the treatment of plantar fasciitis.  Make an appointment at one of our four offices conveniently located in Palm Coast, Orange City, Daytona Beach, and Port Orange and we’ll have you back on your feet… pain free!

By Dr. Andrew Green, DPM

The American Diabetes Association has declared March 27^th, one month from today, as Alert Day.  The association is urging people to take the Diabetes Risk Test, which can be found on their website.  You may be wondering why this information is presented in a podiatry blog?  Well, diabetes can have a major effect on lower extremity health and one of the most severe complications is the development of the diabetic foot ulcer, something we treat every day at Atlantic Foot and Ankle Associates.

Diabetes can affect nerves which can result in sensory and motor neuropathy.  With sensory neuropathy, the symptoms may manifest as tingling or burning pain in the foot.  As well, there may be a loss of sensation and proprioception.  This is problematic because someone affected will lose the ability to feel pressure and damage to the foot, leading to the potential for an ulcer to develop on the foot.  For instance, a person with sensory neuropathy may step on a nail and break open skin without even noticing.  Ulcers are often susceptible to bacterial infection, which if not detected and treated may extend all the way to bone.  This chain of events may eventually lead to amputation of the foot.  With motor neuropathy, symptoms may manifest as muscle weakness or change in muscle mass.  The foot may as well undergo a change in shape which may create areas of pressure, increasing the chance of development of an ulcer.  In addition, diabetes affects the vascular system by decreasing blood flow.  Since blood flow is imperative to healing this can decrease the speed and quality of the healing of any ulcers.

Lifestyle modifications may be taken to prevent the development and complications of diabetes such as exercise and control of blood sugar through healthy eating choices like decreasing salt intake.  The cessation of smoking will also work to prevent the complications.  One month from today, please take the first step to recognizing or preventing Diabetes.  And if you are one of the 15 million people that suffer from Diabetes, please do not hesitate to visit one of our four offices located in Daytona Beach, Port Orange, Palm Coast, and Orange City, Florida for your diabetic foot care needs.

By Dr. Matthew Hentzel

Although Adele won six Grammy Awards, celebrity fashion on the Red Carpet is still a hot topic in the news.  A key feature of fashion is of course shoes, particularly high heels.  High heels, as fashionable as they are, often contribute to many foot pathologies. 

Wearing high heels which often have a narrow toe box can encourage the formation of a bunion, a swelling at the big toe joint.  Bunions may not be aesthetically pleasing and may also cause pain and difficulty in finding appropriately fitting shoewear.   To avoid the formation of bunions, the American Podiatric Medical Association (APMA) recommends not wearing shoes with heels taller than 2 inches.  However, of course high heels are not the sole cause of bunions, genetics and biomechanics are also contributing factors.

High heels may also exacerbate the symptoms of a neuroma, a benign nerve tumor that often brings feelings of pain, numbness, or tingling.  The APMA again recommends shoes with heels no higher than 2 inches due to the stress placed on the forefoot where the neuroma is often located.

Wearing high heels constantly may also shorten the Achilles tendon which may lead to pain and tendonitis.  High heels may also alter the direction and pull of the Achilles tendon causing a deformity known as the “pump bump” (Haglund’s deformity) which may become painful.

Last but not least, high heels are infamous for the foot pain associated with them.  With the heel lifted, more pressure and body weight is placed on the ball of the foot.  This can change the position of the foot during gait (or movement).

Certain steps may be taken to prevent serious complications from high heels.  At Atlantic Foot and Ankle Associates, we recommend that you limit the amount of time wearing heels.  When wearing heels, chose a pair with a wider toe box and a smaller heel.  Also, stretch your calves to avoid any complications with your Achilles tendon.

If you’ve suffered from the pain that wearing high heels cause, come in and see us at Atlantic Foot and Ankle Associates.  We have four offices conveniently located in Palm Coast, Daytona Beach, Port Orange, and Orange City, Florida.  You don’t need to suffer any longer!

By Dr. Dennis McBroom

Having never considered myself much of an athlete, let alone spent any time running, in 2004 I strangely convinced myself to run a half marathon.  The Detroit Free Press Marathon really appealed to me because it offered what no other marathon does: two international border crossings and an underwater mile through the Detroit-Windsor Tunnel.  With less than two months to train, I hit the pavement. 

Autumn in Michigan is nothing short of breathtaking.  Vibrant colors of changing leaves helped take my mind off the pain I was experiencing in just about every part of my body.  I did most of my training at a beautiful park with a scenic eight-mile pathway winding through hills and woods, often with views of the lake the path surrounded (which inevitably sparked my on-and-off-again love affair with running).  The cool temperatures were ideal, and two months later, I ran the half with an overall time of 2:13.  Being a novice runner, I had no idea if that was good or bad – I was just happy I finished.

The experience of participating in such an amazing event had me convinced; next year I was going to run the full marathon!  I was going to keep training throughout the year so I would be prepared and ready for next fall’s event!  And then winter set in.  Snow, sleet, slop.  Yuck.  As much as I despise the cold (and running in snow), my disdain for treadmills is even stronger.  

Fast-forward seven years.  The on-and-off-again love affair continues.  Although running has consistently been a part of my exercise regimen, there has been no distance training to speak of.  I now live in Florida where the weather is optimal for outdoor activities.  I had heard about a small group of runners that trained a few times a week, and decided to give it a whirl.  Within a couple of months, I’m back up to eight-mile distance runs on the on the beach (talk about beautiful scenery), and the rest is an up-hill battle at the bridge. 

I’ve always had some knee issues when running distance, but for the first time I’m finding other pains creeping in (maybe I’m just getting old).  As the Director of Marketing and Community Relations at Atlantic Foot and Ankle Associates, I have full access to five of the best podiatrists in Daytona Beach, Port Orange, Palm Coast, and Orange City.  A runner’s dream! 

When I began experiencing heel pain, (especially when I first got out of bed in the morning), I learned that I was suffering from Plantar Fasciitis, a condition common to runners.  Being the typical hard-headed runner, I wasn’t willing to hang up my shoes just yet.  With the help of custom orthotics made at our office, I have been able to continue training and have run three 5k’s, and a 10k (that is a picture of me getting my 2^nd place award at the Daytona Speedway 5k race).   My heel pain is going away and I am looking forward to the next event!

By Marisa Aitken

A-Rod has ventured into the world of ‘Orthobiologics’.  In December of 2011 he flew to Germany where his knee and shoulder were treated with PRP (Platlet-rich plasma).

Orthobiologics is cutting edge technology which augments the body’s healing potential and in the case of PRP, it allows for healing proteins known as growth factors to aid in the repair process.  This treatment initially originated in the dental community where it was used with mandibular reconstruction.  The process for PRP is fairly simple where a small sample of blood is withdrawn from the patient, placed into a centrifuge and separated into its components. The platelets are then injected into the site of injury.  Other notable athletes who have used PRP include Tiger Woods and Cliff Lee.

PRP has been used to treat a variety of foot and ankle pathology including but not limited to plantar fasciitis (heel pain),  peroneal and Achilles tendonopathy.  Additional options include but are not limited to ankle bracing, custom orthotics, physical therapy, cross-training, activity modification and/or surgical intervention. The treatment plans for the particular problem are based on the pathology, diagnosis and clinical presentation of the patient.

From the professional athlete to the weekend warrior, our goal is to keep you on your feet at Atlantic Foot and Ankle Associates.  With four offices conveniently located in Palm Coast, Daytona Beach, Port Orange, and Orange City, Florida, we are able to provide a wide variety of both conservative and surgical options to keep you pain free.

Don’t suffer from foot or ankle pain any longer… have your feet evaluated by one of our five physicians at Atlantic Foot and Ankle Associates.  To make an appointment online visit our appointment request page or call our office and speak with one of our friendly staff members.

By Dr. Sona Ramdath Jr.  

If you're a runner, it goes without saying that your feet take the brunt of the punishment. In fact, for runners the feet are more vulnerable to injury than any other part of the body. Luckily, both long-distance runners and casual joggers can improve their performance by paying extra attention to their feet and taking steps to prevent common foot problems. Poor fitting footwear is often the source of many foot problems caused by running. A visit to Atlantic Foot & Ankle Associates can help you determine the best shoes for your foot structure.

A Runner's Road Block

While many running-related foot injures can result from a fall or twisted ankle, most running injuries are caused by overuse, meaning the majority of runners experience foot and ankle pain because they do too much for too long. Runners should be aware of the signs of foot problems that can slow them down if not treated promptly. Common foot and ankle injuries experienced by runners include:

Achilles Tendonitis: Achilles tendonitis and other calf-related injuries are prevalent in runners. Poor training, overuse and improper footwear are the three most common reasons for this condition. A sudden increase in distance or pace can strain the muscles and tendons in the foot and ankle, causing small tears within these structures that result in pain and inflammation. Appropriate shoes and training are the most important steps to preventing Achilles tendonitis. Conservative treatment includes, rest, ice, stretching, and sometimes orthotics or physical therapy.

Heel Pain: Runners develop heel pain more than any other foot-related injury. Plantar fasciitis is the most common cause of heel pain, which is the result of excess stress placed on a ligament in the bottom of the foot. Rest, stretching and support are the best ways to ease the pain and inflammation. Reduce your mileage and avoid hill and speed workouts. Stretch before and after you run, and ice your heel after each workout. Special splints and shoe inserts from Atlantic Foot & Ankle Associates may also provide support and relief for your heel pain.

Stress Fractures: Stress fractures are small cracks in the surface of a bone. Runners generally notice gradual muscle soreness, stiffness, and pain on the affected bone, most often in the lower leg or the foot. Early diagnosis is critical as the small fracture can spread and eventually become a complete fracture of the bone. Stress fractures are typically caused by an increase in training that occurs more quickly than the body's ability to build up and strengthen the bone. If you have symptoms of a stress fracture, you should stop running immediately and see a podiatrist at Atlantic Foot & Ankle Associates. This injury can keep a runner off the roads for several weeks and is not an injury that you can run through. Depending on the severity of the stress fracture, a cast may be necessary.

If you experience chronic foot pain from running, make an appointment with a podiatrist at our Daytona Beach office. Leaving foot injuries untreated could result in more serious conditions, ultimately keeping you from your best performance. Keep in mind that these are not the only foot ailments caused by running, and when at-home foot care isn't effective, you'll need to be evaluated by a podiatrist. As in most cases, prevention is your best treatment. Good footwear, proper training and recognizing a problem before it becomes serious are your keys to staying on the road and avoiding foot injuries.

Recently several athletes such as Penn State’s Devon Still, Baltimore Ravens’ Ray Lewis and Lardarius Webb, and New Orleans Saints’ Mark Ingram have been suffering from a common injury known as turf toe.  Although turf toe often affects football players, it can happen to anyone.  Turf toe refers to an injury to the ligaments and joint capsule of the first (big) toe.  Often for athletes, this injury occurs when wearing flexible shoes on a hard surface like turf.  The specific injury to the first toe typically involves hyperextension (hyperdorsiflexion) beyond its range of motion.  To explain, when walking the heel lifts up and places pressure on the ball of the foot.  Typically, the toes will then aid in propulsion; however, if the first toe fails to aid in propulsion and remains planted to the ground, then there is a risk of turf toe.   The injury can also occur with jamming or stubbing of the toe.  The symptoms of turf toe are pain which may last for a couple of weeks, swelling, bruising, decreased range of motion of the first toe joint, and sometimes even a pop can be felt or heard upon injury. 

There are three grades of turf toe.  Grade 1 is characterized by stretching of the joint capsule.  Grade 2 has an incomplete tear of these soft tissue structures, and grade 3 turf toe has a complete tear.  Pain, tenderness, swelling, and bruising typically increase with higher grades.  At Atlantic Foot and Ankle Associates, turf toe is treated depending on the grade of the injury, starting with RICE (rest, ice, compression, and elevation).  Often anti-inflammatory medications will be taken as well.  It is extremely important to avoid bearing weight on the toe for approximately 2-4 days and resting an additional 3-4 weeks.  If the injury is more severe and a higher grade, crutches or a cast and toe spica may be needed.  Extremely severe injuries may even require surgery.

If you’ve suffered an injury such as turf toe, do not hesitate to come into one of our four offices located in Orange City, Daytona Beach, Palm Coast and Port Orange.  Remember, this type of injury does not only affect athletes, it can happen to anyone. 

By Dr. Sona Ramdath Jr.

Recently singer Chely Wright has been recovering from surgery on various foot problems including what podiatrists call Morton’s neuroma.  Morton’s neuroma refers to a swelling or thickening along the nerve between the third and fourth toes.  Morton’s neuroma can be a very painful condition but may also be associated with feelings of tingling and numbness.  Often this pain is localized to the area around the ball of the foot.  At first the pain may be periodic or only with activities that irritate the foot and place pressure on the ball of the foot such as running and jumping.  The pain may also occur when wearing shoes that constrict the toes.  The pain may increase in frequency and magnitude with time.

An exact cause of Morton’s neuroma has not been identified; however, certain risk factors have been.  One of the risk factors for Morton’s neuroma is wearing shoes that are very narrow in the toe box as well as high heels that tend to place pressure on the toes.  People with certain foot conditions are also shown to have a higher chance of having Morton’s neuroma including those with bunions, flat feet, and hammerdigits.   Foot injuries can also lead to an increased chance of Morton’s neuroma.

A Morton’s neuroma can be treated in a variety of ways, often depending on the extent of pain.  For less severe cases of Morton’s neuroma treatment can include a change in shoe wear with a wider toe box or lower heel and possibly padding or orthotics to reduce the pressure placed on the nerve.   Anti-inflammatory drugs may also help reduce pain.  In more severe cases, corticosteroid or alcohol shots may be added to alleviate the pain.  If these attempts are not successful, surgery is an option. 

If you are suffering from pain associated with Morton’s neuroma, schedule an appointment with Atlantic Foot and Ankle Associates to find out which treatment option works best for you.  Atlantic Foot and Ankle has four convenient office locations in Palm Coast, Daytona Beach, Port Orange, and Orange City, Florida.  Ditch those Kim Kardashian heels and let us help you find comfort for your feet!

By, Dr. Sona Ramdath

They often occur as a small flesh-colored callus on the bottom of the foot. They typically have black pinpoint discoloration in the middle of the lesion which is a characteristic feature of plantar warts. They can present as a single lesion, as multiple lesions or one large lesion called a mosaic wart.

Left untreated they can potentially disappear on their own, but commonly take up to 7 years to do so. Because of its potential to spread and cause pain it is better to have it treated as soon as possible. Even though they are a virus they are not highly contagious.

There are many different treatment options for treating plantar warts such as topical treatments, injection therapy and laser destruction. We perform all these treatments at all four of our offices located in Daytona Beach, Palm Coast, Port Orange, and Orange City. Each treatment is chosen depending on the size, location and effectiveness of other treatments in the past.

The topical treatment is the most commonly used method of treatment in our office for single lesions. This consists of debriding (trimming) the wart and then applying a strong salicylic acid compound to the area. This is effective roughly 85-90% of the time. If unfortunately this method fails after two or three attempts then an injection therapy is usually performed. This is where we inject a live yeast under the wart and in response the body fights and rids both the yeast and wart simultaneously. If this too fails, then our laser method is our last line of defense for this condition. This is more aggressive in which we numb the area with a local anesthetic and then burn the wart with a high power laser. Though this is a highly effective treatment method it does have a downside in which there is an increase of healing time (3 to 4 weeks).

Preventive medicine is the best medicine for plantar warts. This consists of avoiding direct contact to warts, keeping your feet clean and dry, avoid going barefoot in public areas, don't pick at warts (this may cause them to spread), and washing your hands. If you feel you may have a plantars wart do not hesitate to treat it. The sooner it is treated, the better the outcome.

By Dr. Andrew Green, DPM

Phil Mickelson has been treated for arthritis that surfaced just before the U.S. Open and left him in so much pain he couldn't walk. Arthritis is a problem that we treat at Atlantic Foot and Ankle Associates on a daily basis. Because the foot and ankle have 36 joints, the inflammation caused by arthritis can cause limitation, pain, swelling, and ultimately affects day-to-day life. We try to find not only the cause of the arthritis, but also give patient's solutions to get them back to their activity level, with conservative measures and straightforward treatment options.

Many causes of arthritis exist, but most commonly is day-to-day wear and tear. Arthritis is also caused by a sudden trauma or repetitive small trauma, and can be due to the shape of the foot which can cause jamming of the joints. Hereditary factors, bacterial and viral infections, and multisystem disorders can also cause a lead to arthritis. Also, arthritis in one joint can cause or worsen arthritis in another joint seen commonly in the foot with bunions, hammertoes, or even an arthritic ankle.

Arthritic conditions are initially diagnosed with symptomatology, x-ray findings, laboratory studies, and ruling out other common tendon and ligament issues in the foot. At Atlantic Foot and Ankle Associates we not only use these tests, but also our clinical experience to determine how to gear the proper treatment toward each patient. Treatments include padding and strapping of the foot, molded insoles, multiple anti-inflammatory medications both topical and oral, and in severe cases an injection. In some cases, surgical options may need to be entertained.

We Atlantic Foot and Ankle Associates are familiar with the management and treatment of arthritis of the foot and ankle. Often times, there is no permanent cure. However through palliative treatment, proper shoes and insoles, and careful working with other physicians, we can get you on your feet pain free. Don't be one of the 40 million people in America that suffers with this disease. Visit one of our four offices (Daytona Beach, Palm Coast, Port Orange, and Orange City) and let us help you with your arthritis today.

By Dr. Matthew Hentzel, DPM

Recently, a Kenyan collegiate runner in Alaska suffered severe frostbite and had to have both of his feet amputated.  A severe consequence of frostbite that often leads to amputation is gangrene.  However gangrene is not limited to frostbite.  Gangrene also occurs in the feet of diabetics. 

There are two major types of gangrene: dry and wet.  Dry gangrene occurs with diminished blood supply to a particular area.  Wet gangrene most often occurs when a bacterial infection affects blood flow.  Gas gangrene is a subset of wet gangrene in which anaerobic bacteria produce gas and poisons.

Symptoms of gangrene include a red line that delineates the gangrenous area from the healthy area.  Dry gangrene will become discolored, starting as a pale color and progressing to brown then black.  In wet gangrene including gas gangrene, the affected areas may feel heavy or painful.  As well there may be pus or a foul discharge as well as bubbles of gas noticed under the skin.  In wet gangrene, the skin may first appear blistered and red and then become brown or black.  Other symptoms include fever, loss of appetite, diarrhea, confusion, malaise, and low blood pressure.

Often with dry gangrene, the affected part will slough off or the affected part will be surgically removed.  Gas gangrene is much more of a serious medical situation.  Surgery and antibiotics will have to be administered promptly in order to stop the spread of infection.   In some cases the area may be exposed to hyperbaric oxygen in hopes to increase oxygen in the bloodstream and therefore to the affected area.  If the gangrene is allowed to progress to the point of the death of the affected tissues, often amputation will have to occur to remove the dead tissue.

We see a large number of diabetic patients at Atlantic Foot and Ankle Associates with locations in Daytona Beach, Orange City, Palm Coast, and Port Orange, Florida, and encourage them to inspect their feet every day.  Conserving good oxygenation and blood flow can prevent gangrene.  In the case of diabetes, ensuring a controlled blood glucose level and monitoring feet can also help avoid gangrenes. 

By Dr. Matthew J. Hentzel, DPM

“Matt Schaub — who guided the Texans to a four-game winning streak, a 11/2-game lead in the AFC South and a 7-3 record that's tied with Pittsburgh for the best in the AFC — will be lost for the season if he elects to undergo surgery to repair the injury to the Lisfranc joint in his right foot. Before making a decision on season-ending surgery, Schaub will consult foot specialists in Indianapolis and Charlotte, N.C., next week.”

John McClain, EXPRESS-NEWS STAFF

A Lisfranc injury can be in the form of a fracture, joint dislocation or ligament tear combination. The Lisfranc joint is located on the top middle of the foot straight back from the second toe. This injury is usually associated with a tremendous force loaded to the foot while the foot is in a fixed position or planted firmly. The large majority of non-athletic Lisfranc injuries occur from car accidents when the foot is violently forced into the floor board of the car or a fall from a height. These injuries mostly can be diagnosed by x-rays and clinical examination. The foot is swollen and pain elicited with near every step. The x-rays usually consist of comparison of the injured and uninjured foot. The Lisfranc injury can be a very subtle fracture or gapping necessitating an MRI to allow visualization of the bone and soft tissue in much finer detail.

Simple treatment may involve supportive wrapping, ice, elevation, non-steroidal anti-inflammatories and a walking boot for 2-4 weeks. More complex injuries may need anatomic realignment of the disrupted joint by means of surgery involving screws and surgical hardware. A history of a Lisfranc injury may predispose a patient to early arthritis of the Lisfranc joint necessitating the need for good supportive shoes and arch supports with most activities. Severe joint pain associated with a neglected or old Lisfranc injury may need fusion of the painful joint.

Many different approaches to Lisfranc injuries are available at Atlantic Foot and Ankle Associates in Port Orange, FL. If you feel you are suffering from a new or old Lisfranc injury, let us know and we will immediately start treatment helping you recover.

By Dr. Dennis McBroom, DPM

News this week revealed Giants running back, Ahmad Bradshaw, has a stress fracture in his right foot.  Although Bradshaw has played through similar injuries, his status for the next couple of games as well as choice of treatment remains uncertain.

Stress fractures are common injuries, especially in athletes.  Stress fractures refer to cracks in bones and are very common in the feet, accounting for about 95% of all stress fractures.  They result from continuous low grade stress and force put on the foot over a period of time.  Normally when bone is put under stress it undergoes remodeling; however, the constant repetitive forces that cause stress fractures do not allow the bone time to adequately remodel. 

As for diagnosis, a patient’s history can strongly suggest a stress fracture.  Commonly stress fractures occur in people who change activities, wear improperly fitted or worn shoes, make training errors such as undertaking too much activity very quickly, or make a change in running surfaces.  Risk factors include women with amenorrhea (absent menstrual periods) or osteoporosis.  The physical examination of a stress fracture will typically shows tenderness and soreness over the affected area and pain when supporting the weight of the body or engaging in activity.  Swelling near the injury may also be present.  Once suspected, stress fractures are evaluated through physical examination and imaging studies including X-rays, bone scans, and CT scans. 

At Atlantic Foot and Ankle Associates in Palm Coast, Florida, it is recommended that to treat a stress fracture, most importantly activity level will need to decrease or be replaced with an activity that will not place the same stresses on the foot, such as swimming.  At this point it is important if the activity hurts to stop to avoid further damage.  The foot will need adequate time to heal.  Also orthoses or immobilization of the foot may be recommended depending on the cause and extent of injury.  Some more severe stress fractures may even require surgery.

By Dr. Dennis B. McBroom, DPM

Last week, Salma Hayek appeared on The Late Show with David Letterman where she discussed amongst other topics, her reoccurring ankle problems.  Hayek expressed that since her first ankle injury, she has continued to reinjure her ankle.   Reoccurring ankle injury is especially a concern in ankle sprains, where ankle ligaments undergo some sort of damage.  The most frequently sprained ankle ligaments are those on the lateral, or outer aspect, of the ankle namely the anterior talofibular ligament, the posterior talofibular ligament, and the calcaneofibular ligament.  These ligaments are most commonly injured when inverting the foot. 

There are three grades of ankle sprains increasing in severity from an intact ligament in Grade I to a partially torn ligament in Grade II to Grade III sprains in which ligaments are completely torn.  Diagnosis of ankle sprains may include a few different approaches.  The anterior drawer ankle test is a physical exam performed to test the laxity of the ligaments.  In this test the foot is plantarflexed, or pushed downward from the leg and the examiner pulls the heel away from the body.  Ankle sprains can also be diagnosed radiographically.

Once diagnosed, the next step is rehabilitation, although surgery may be necessary if ligaments are completely torn.  Rehab begins with focus on edema and pain through rest, ice, compression, and elevation.   Rehabilitation then continues on for a couple of weeks focusing on regaining strength, range of motion, and proprioception.  This is accomplished through exercise, which may be partial weight bearing or weight bearing.   The last phase of rehab which can last weeks to months aims to restore complete function through bracing or taping and possibly orthoses. 

Ankle sprains are something we commonly see at Atlantic Foot and Ankle Associates in Port Orange.  Although the ankle may start to feel better after a couple of days, we recommend complete rehabilitation of ankle sprains to regain functionality and prevent reoccurrence.   This is especially crucial as the most common cause of an ankle sprain is a previous ankle sprain. 

By Dr. Sona Ramdath Jr.

Watching Ryan Howard of the Philadelphia Phillies fall and grab his leg on the last play of the NLDS was painful.  My initial thought was… oh no, not his Achilles!  As Ryan related during one of his post-game interviews, “he felt as if his bat had hit him on the back of his leg”, which was sufficient testament to a torn Achilles.  During my training progression from student, to resident, to fellow, and now ultimately private practice at Atlantic Foot and Ankle Associates, I have been exposed to similar clinical presentation in both the young athlete to the weekend warrior.

Typically we are able to primarily repair the tendon after the swelling has resolved and begin the rehabilitation program shortly thereafter.  Dr.  Amol  Saxena recently reported in a pilot study that an athlete was able to return to activity (RTA) after being able to run for 10 minutes at 85% of their body weight on the “anti-gravity” Alter-G treadmill, able to complete 5 sets of 25 single leg heel raises, post-op calf girth of 0.5 cm and range of motion within 5 degrees of the contralateral leg.  The expectation is that he should be able to return to the sport in approximately six to nine months.  But at what point will he actually return to his dominant self?  As Ryan’s Achilles went ‘pop’, so too did the Phillies’ chance at a World Series this year.

Ryan’s injury brings to mind another high profile athlete who sustained an Achilles rupture, David Beckham.  Untouched and with no surrounding players or actual injury, David tore his Achilles.  His return to his dominant form is well documented after his injury but he was unable to participate in the 2010 World Cup as a result.  He was, however, able to return just short of 6 months after his injury, so Ryan Howard has some precedence for a speedy recovery.   If you have suffered from a sports injury and need to recover quickly, do not hesitate to make an appointment at our Orange City office or any our other three locations.  Our goal is to get you back in the game!

By Dr. Sona Ramdath Jr.

At Atlantic Podiatry Associates, we are thrilled to present to you a new treatment that can quickly and effectively eliminate toenail fungus.  Toenail fungus, also called onychomycosis, is a common condition estimated to affect up to 10% of the population worldwide.  It can cause nails to become yellow or discolored.  As the infection advances the nail can become thick, brittle, and separate from the nail bed.  It can also cause pain when wearing shoes or walking. 

At our Laser Center, we are using an FDA approved laser that safely and effectively treats nail fungus by targeting the fungus directly and getting to the source of the problem immediately.  Tiny pulses of light from the laser pass through the nail to the fungus underneath.  The fungus is irradiated without any damage to the surrounding nail or skin.  The procedure takes 15 – 30 minutes, and all toes are treated for the best chance of success.

Most patients see results as the nail grows out.  Toenails grow slowly, especially nails infected with fungus, so it may take six to twelve months for your toenail to clear.  And you may be wondering, is this laser procedure painful?  Most people feel a slight warming sensation during the laser therapy procedure, but no pain medication is needed and most people find the treatment very easy to tolerate.  You can resume your normal activities immediately and can apply nail polish the very next day. 

Laser therapy for toenail fungus is a quick, easy, safe and effective way to treat fungus at the source and studies show a success rate of 85%.  So if you want to have supermodel-beautiful feet, come visit us in Daytona Beach and let us help you enjoy sandals and walk barefoot on the beach again.

By Dr. James Rust 

Flatfeet, or Pes Planovalgus, is a term with a very vague description of decreased arch height as someone stands down on the ground.  Kelly Osborne of Dancing with the Stars has suffered from shooting pains as a result of flat feet.  It is well known that this foot condition is a precursor to foot problems ranging from general foot pain/fatigue, bunions, hammertoes, ball-of-foot pain, arch pain, and ankle pain.

There are four basic stages of flatfeet that are directly related to the degree of pain and correlating treatment, ranging from non-surgical to surgical:

1. The first stage usually is associated with general foot pain with mild to aggressive activity and long periods of standing. Initial X-rays are usually taken to determine if there are any signs of arthritis. At Atlantic Podiatry Associates, we typically recommend arch supports, good supportive shoes and anti-inflammatory medications, which are a great start and usually reduce pain significantly.
2. The second stage is associated with more pain and possible changes seen as a slight drop in the arch with more swelling. At this stage the treatment is typically a special walking boot and a possible MRI to visualize the tendons to see if there is any tear within the tendon.
3. The third stage typically is quite severe. There may be pain with every step and the foot has turned outwards; it is hard to move the joints in the arch. Treatment at this stage typically needs aggressive custom ankle-foot braces or orthotics (arch supports) for shoes. If pain is not controlled, surgery may be indicated.
4. The final stage is a painful foot and ankle that is debilitating. This is the “end stage” with a large majority needing foot and ankle fusion-type procedures aimed at moving the foot back underneath the ankle. Surgery is reserved for patients who fail conservative treatments.

A large majority of our patients ranging from Port Orange to Palm Coast find great relief with a custom arch support made from a mold of their foot. The custom inserts fit in athletic shoes and can ease the pressure on the fallen arch, decreasing pain and allowing for more activity.

It is important to address flatfeet to prevent “arch breakdown”. The idea is keep a person from progressing through any of the above stages. This can only be accomplished by supporting the weakened flat arch.

By, Dr. Dennis McBroom

The world’s former #1 golfer, Tiger Woods has recently missed approximately 1 year to a left leg and heel injury. The extent and severity of his ailment, much like many of our patients, can lead to long periods of pain and inactivity, as well as lifestyle changes.

It is estimated that Achilles tendonitis accounts for 11% of all running injuries. The Achilles tendon is the large tendon at the back of the ankle. It connects the large calf muscles (Gastrocnemius and Soleus) to the heel bone (Calcaneus) and provides the power in the push off phase of the gait cycle (walking and running).

Achilles tendonitis can be either acute, following an increase in training, or chronic which occurs over a longer period of time. In addition to being either chronic or acute, the condition can also be either at the attachment point to the heel or in the mid-portion of the tendon (typically around 4cm above the heel). Healing of the achilles tendon is often slow, due to its poor blood supply at certain areas of the tendon.

At Atlantic Podiatry Associates, we try to treat this injury as conservatively as possible. Initially, simple rest, ice, an anti-inflammatory, strapping or orthotics are used to take stress off the tendon. We make sure you have the right running or walking shoes for style or aggressiveness of activity.

If the tendon and injury progresses, cast or boot immobilization, and MRI’s are commonly employed to grade the extent of the damage. In cases of tears or ruptures, our physicians feel comfortable in fixing the problem surgically, coordinating rehabilitation, and getting the tendon back to normal strength.

Don’t let your Achilles heel drag you down like Tiger. Atlantic Podiatry Associates in Port Orange and Orange City, FL, have treatments and solutions to get you back on the playing field, with a path to keep the problem from coming back. 

By Dr. Matthew Hentzel

“Doctor, my heel hurts and I can’t understand why?  It is definitely worse in the morning or after I sit and try to stand up.  It is a sharp pain that is causing me to limp.  I’ve tired different shoes and pads from the foot care isle and nothing is working.”  This is a daily complaint we treat at Atlantic Podiatry Associates in Palm Coast, and is without a doubt one of my favorite things to treat as a podiatrist.  

Our approach to heel pain is simple and effective.  After listening to our patients describe their pain, a thorough lower extremity physical examination is done.  A radiograph allows us to visualize the foot bones to see how the bones and joints interact with the ground.  Radiographs should always be weight bearing.  If there is pain while the toes are bent up and simultaneous pressure of the inner heel, an ultrasound will be performed.  If the ultrasound reveals a thickened plantar fascia, the patient is diagnosed with plantar fasciitis.

To start treatment, our doctors prefer to decrease inflammation of the plantar fascia with an oral anti-inflammatory (Advil or Motrin) or an injectable anti-inflammatory (cortisone) when pain is moderate to severe.  By using an ultrasound, we are certain to inject precisely where the fascia is inflamed using an ultrasound guided technique.  

Stretching the foot after periods of rest is crucial.  A night splint may be worn during leisure times or while sleeping to assist with stretching the foot.  Wearing arch supports, or orthotics, can help stabilize the foot and relieves the pressure of the plantar fascia.  It is very important to be sure the arch supports are somewhat hard or made from a plastic material that may be covered with a softer material.

It is common for athletes with sports injuries to be diagnosed with plantar fasciitis, including pros like Kobe Bryant and Eli Manning.  Sometimes patients need more than one injection, aggressive physical therapy, orthotics, and sometimes surgery.  

As the summer months continue, we love to kick off our running shoes and throw on our sandals.  However, prolonged sandal wearing is a major cause of plantar fasciitis and we encourage everyone to evaluate your shoes of choice.  Match them appropriately to your activity of the day and you may be able to avoid the “summertime” heel pain also known as plantar fasciitis.

By Dr. Dennis McBroom

(ORANGE CITY, FL 8/2/2011)  Atlantic Podiatry Associates announced today that foot and ankle specialist, Sona Ramdath Jr., will be practicing at their Orange City, FL office.  Dr. Ramdath specializes in the surgical and non-surgical treatments of the foot and ankle, ranging from pediatrics to geriatrics.  Dr. Ramdath is a board-qualified foot and ankle surgeon and Associate Member of the American College of Foot and Ankle Surgeons.

Dr. Ramdath provides care including conditions for the more common foot problems such as general foot & ankle pain, athletes foot, bunions, plantar warts, heel pain, and ingrown toenails to the more serious conditions like sports injuries, foot trauma, diabetes, arthritis, ulcerations, and foot and ankle deformities. 

Atlantic Podiatry Associates is also proud to provide a wealth of patient education materials online at www.atlanticpodiatry.com.  The website offers weekly blogs that are intended to continually educate people about common foot and ankle problems and preventative steps to take to avoid occurrence or recurrence.   If you or a loved one is suffering from foot or ankle pain and would like to visit the Orange City office, please call (386) 775-2281.  Appointments can also be scheduled online or by contacting one of the other three office locations listed on the website.

Bunions are often described as a bump on the side of the great toe joint. But a bunion is more than that.  This visible bony prominence actually reflects changes in the framework in the front of the foot.  With a bunion the big toe leans toward the second toe rather than point straight ahead thus causing the bones to become out of alignment.  This produces the bunion deformity.

What causes a bunion?  Bunions are most often caused by an inherited faulty mechanical structure of the foot, most commonly over flattening of the arch.  Although wearing tight fitting shoes can make the condition worse, (like Posh Spice is typically seen in), it cannot actually cause the deformity.

Bunion pain most commonly occurs when wearing shoes that crowd the toes.  This may explain why women are more likely to have symptoms than men.  Symptoms of bunion pain include inflammation or soreness around the great toe joint (most commonly while wearing shoes), numbness and tingling, and even early arthritis pain.  Other conditions which may appear with bunions include: calluses on the side of the great toe, sores between the first and second toe and ingrown toenails.

Bunions are common and can be easily recognized.  If bunion pain progresses you should follow up with a podiatric foot and ankle surgeon to further evaluate the condition.  X-rays are usually taken and reviewed during the time of the office appointment.

At Atlantic Podiatry Associates in Palm Coast, conservative therapy is always recommended during initial bunion pain.  This includes wearing non-irritating shoe gear, icing, anti-inflammatories, padding and a possible cortisone injection. If the condition worsens surgical treatment may be necessary.  Victoria Beckham’s bunions have reportedly gotten so bad that she’s getting ready for a bunionectomy.  This is performed as an outpatient surgery and the procedure may vary depending on the severity of the bunion.

By Dr. Andrew Green

I had a wonderful question by a newly diagnosed diabetic patient that recently visited Atlantic Podiatry Associates in Orange City.  “Why do so many diabetics have problems with their feet, Dr. McBroom?”  The answer is simple and complex.

Diabetes, in the uncontrolled state, damages the blood flow causing peripheral vascular disease to the feet and legs and can make the feet lose feeling, also known as diabetic peripheral neuropathy.  Imagine not being able to feel that you have stepped on a sharp object. A minor infection develops, and the foot lacks the proper blood flow to heal.  A few days pass and the entire foot becomes swollen and red, but no pain. A few more days go by, and now the foot hurts and there is some darkening of the skin near one of the toes.  At this point, most diabetic patients realize something is not right and head to the emergency room.  One look at the foot by the ER doctor and the patient is admitted and an urgent podiatric surgical consultation must be done.

So many Americans are diagnosed each year with diabetes, including celebrities like Halle Berry and Bret Michaels, and it is important for a diabetic to understand how “at risk” they are regarding their feet.  A routine foot examination by a podiatrist can let you know which risk factors you may have.  If you have great pulses and feel every little touch to your feet, more than likely you are “low risk”.  If you have decreased pulses and some tingling to the toes, you are probably “moderate risk”.  If you have no pulses and cannot feel much of anything, you are most likely “high risk”.  Each risk category may need different levels of podiatric care ranging from a once-a-year examination, nail trimming, and special shoes with arch supports.  

Diabetic foot problems can be avoided.  See your podiatrist to understand what you can do to prevent foot problems.

By Dr. Dennis B. McBroom

Summer and fall is a time for wearing sandals and going barefoot for many people.  Unfortunately this can lead to multiple foot aches.  Most commonly heel pain, or as we refer to it in the office, plantar fasciitis.

This presents as pain in the bottom of the heel, usually worse in the morning or after rest. This is most commonly caused from the lack of support not given by many sandals, flip flops, or bare feet.  

The best way to combat this is by not wearing this type of shoe gear, and wearing supportive shoes at all times (even in the house).  In more severe cases you will need to wear orthotics in your shoes to give you added support through the heel and arch.  These can be provided for you at your podiatrist’s office.  They may be prefabricated or custom-made depending on the severity of the condition. 

Other keys to treating plantar fasciitis is by stretching, icing, and taking anti-inflammatories.  If this does not aid in your condition then it is recommended that you schedule an appointment with your podiatrist, so he or she can assist you in treating this annoying and many times painful condition.

Many patients visit our offices located in Daytona Beach, Palm Coast, Port Orange and Orange City with a similar scenario as described above.  So whether you prefer to wear beachy summer sandals or six-inch heels like Kim Kardashian and Lady Gaga, Atlantic Podiatry Associates can help. 

At Atlantic Podiatry Associates, one of our four doctors, Dr. Andrew B. Green, Dr. James W. Rust, Dr. Dennis B. McBroom, or Dr. Matthew J. Hentzel will be happy to discuss proper stretching exercises that will help lessen the pain associated with plantar fasciitis and which shoes will best help to prevent pain.

By Dr. Andrew B. Green