The heel fat pad is a layer of fatty tissue under the heel bone. It works like a cushion, absorbing force when your heel hits the ground. Heel fat pad atrophy occurs when this layer becomes thinner, shifts out of place, or loses its springy quality. The heel then has less protection from pressure. Pain feels deep and bruise-like in the center of the heel. It can worsen when standing for long periods of time, when walking on hard floors, or when running. Unlike plantar fasciitis, which usually hurts closer to the inner edge of the heel, fat pad pain tends to stay centered beneath it.

Age-related changes can reduce the fat pad’s thickness and flexibility. High-impact activity and added body weight can place stress on this tissue. Other causes include an injury, diabetes, or arthritis. Shoes that lack proper support can make symptoms worse because they provide less cushioning. Patients may change the way they walk to avoid pain. That can place extra strain on the feet, ankles, or knees. Since heel fat pad atrophy can resemble other heel problems, an accurate diagnosis is important. A podiatrist will review the symptoms, examine the painful area, and study how you stand and walk. Imaging, like an ultrasound or X-ray, can measure the pad or rule out another cause.

Treatment focuses on reducing pressure and improving heel protection. A podiatrist can recommend heel cups, supportive shoes, or custom orthotics. Orthotics are shoe inserts that support your feet and improve how pressure is spread. The podiatrist also may use taping to hold the heel pad in a better position. The care plan will reflect specific symptoms, activity level, and foot structure. Surgery is rarely considered for this problem. If you have pain underneath the heel, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

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

Causes of Heel Pain

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

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

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

Why Might Heel Pain Occur?

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

Treatments

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

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

A broken toe is a common foot injury that can occur after stubbing the toe, dropping a heavy object on the foot, or experiencing a direct impact during sports or other activities. Although some fractures are minor, others can affect the position and function of the toe. Common symptoms include pain, swelling, and bruising. Some people also notice difficulty walking or putting weight on the affected foot. In certain cases, the toe may appear crooked or become difficult to move. Because the symptoms of a broken toe can be similar to those of a severe sprain, a professional evaluation is important to determine the extent of the injury and recommend the most appropriate treatment.

A broken toe can affect more than the injured bone. Ongoing pain may change the way a person walks, placing additional stress on the rest of the foot. This altered movement can also increase strain on the ankle, knee, or hip. A thorough podiatry examination helps determine which toe is injured and whether the fracture extends into a nearby joint. Imaging studies, such as X-rays, may be recommended to confirm the diagnosis and evaluate bone alignment. Early diagnosis is important because untreated fractures may heal improperly and lead to lasting pain or reduced toe function.

A podiatrist specializes in diagnosing and treating broken toes while monitoring the healing process. Professional care focuses on restoring proper alignment, reducing discomfort, and helping the toe heal as expected. Treatment is tailored to each patient's injury and may be adjusted based on the severity of the fracture. Regular follow-up visits also allow healing to be monitored and any complications to be identified early. If you have toe pain, swelling, or difficulty walking after a foot injury, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact Michele Kraft, DPM from Toes on the Go. Our doctor will treat your foot and ankle needs.

What to Know About a Broken Toe

Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).

Symptoms of a Broken Toe

• Throbbing pain
• Swelling
• Bruising on the skin and toenail
• The inability to move the toe
• Toe appears crooked or disfigured
• Tingling or numbness in the toe

Generally, it is best to stay off of the injured toe with the affected foot elevated.

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.

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

In-toeing and out-toeing are common foot and lower-limb alignment conditions that affect the way a child’s feet point while walking or standing. In-toeing occurs when the feet turn inward, while out-toeing occurs when the feet point outward. These conditions are often noticed when children begin walking and may change as the bones and muscles develop. Understanding the definition and causes of in-toeing and out-toeing can help parents recognize normal development patterns and identify when professional evaluation may be needed.

Signs of in-toeing include toes pointing inward, frequent tripping, or an uneven walking pattern. Out-toeing may appear as feet turning outward while walking, standing, or running. Some children may have difficulty with balance or coordination, although many cases improve naturally with growth. Risk factors include family history, differences in bone development, muscle tightness, and positioning during early growth. The alignment of the hips, knees, and feet can all influence how a child walks and moves.

The causes of in-toeing and out-toeing vary depending on the child’s stage of development. In-toeing may result from curved foot structure, inward rotation of the shin bone, or inward positioning of the thigh bone. Out-toeing may develop from outward rotation of the hip, leg alignment differences, or foot positioning issues. These conditions are not always caused by footwear or walking habits, but certain structural factors can influence how the feet align.

Early observation and regular monitoring can help ensure healthy foot development. Supportive footwear, proper movement habits, and professional guidance may be recommended depending on the severity of the condition. Most children improve as they grow, but some cases may require treatment to support proper alignment and function. If your child shows signs of in-toeing or out-toeing, it is suggested that you consult a podiatrist for effective treatment and management solutions. 

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Michele Kraft, DPM of Toes on the Go. Our doctor can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

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

A black toenail is a condition where the toenail becomes darkened or discolored due to changes under or within the nail. The discoloration may appear black, purple, or dark red, depending on the cause. A black toenail is often related to bleeding beneath the nail, known as a subungual hematoma, but it can also develop from other conditions. Understanding the causes and symptoms can help determine when professional evaluation is needed.

Symptoms of a black toenail may include dark discoloration, swelling, and pressure under the nail. In some cases, the nail may become loose or separate from the nail bed. Pain is common when blood collects under the nail and creates pressure. Some individuals may not experience discomfort, especially when discoloration develops gradually. Changes in nail appearance should be monitored because they may indicate trauma, infection, or another underlying concern.

The causes of a black toenail often involve repetitive trauma or blunt force injuries. Repetitive trauma commonly occurs in runners, hikers, and athletes when the toes repeatedly hit the inside of a shoe during activity. Wearing shoes that are too tight can increase pressure and cause irritation beneath the nail. Blunt force, such as dropping an object on the toe or stubbing the toe, can also damage blood vessels under the nail. Fungal infections may cause darkened or thickened nails and can sometimes contribute to nail discoloration.

Risk factors for developing a black toenail include participating in high-impact activities, wearing improper footwear, and experiencing repeated pressure on the toes. Individuals with circulation concerns or certain medical conditions may also require closer monitoring of nail changes. Properly fitted shoes, wearing protective footwear, and attention to foot care can help reduce the risk of injury. If you have a black toenail, it is suggested that you consult a podiatrist for effective relief and treatment solutions. 

Toe pain can disrupt your daily activities. If you have any concerns, contact Michele Kraft, DPM of Toes on the Go. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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