The plantar fascia is a strong band of tissue that runs along the bottom of the foot and helps support the arch. A sharp pain near the heel with the first morning steps can be a sign of plantar fasciitis. This painful  condition usually causes a sharp or aching pain near the heel. Pain is frequently strongest with the first steps after getting out of bed or standing after a long rest. It can ease after a few minutes of movement, but return after activity. Some patients also notice stiffness or tenderness along the bottom of the foot.

Repeated strain can place too much stress on the plantar fascia. Risk factors include a sudden increase in exercise, long hours spent standing, and tight calf muscles. Flat feet or high arches can also change how pressure moves through the foot. Other possible causes include excess body weight and shoes that lack proper support. Runners, dancers, and workers who spend time on hard floors can be more likely to develop symptoms. Because several problems can cause similar heel pain, an accurate diagnosis is important before treatment begins.

A podiatrist can examine the foot, review when the pain occurs, and check the patient's range of motion. X-rays or other imaging tests can help rule out a fracture, arthritis, or another cause of heel pain. Treatment by a podiatrist includes custom orthotics, supportive shoe recommendations, and a guided stretching program. This foot doctor may also suggest wearing a night splint or temporary walking boot to reduce strain. Surgery is rarely required, but it can be considered for severe pain that continues despite other care. Early evaluation can help prevent the pain from limiting work, exercise, and everyday movement. It can also support a safer return to activity. If you have symptoms of plantar fasciitis, it is suggested that you schedule an appointment with a podiatrist for effective relief and treatment solutions.

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 Michele Kraft, DPM from Toes on the Go. 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 Carmel, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Falls can cause serious injuries and reduce a person's confidence and independence. Older adults face a higher risk of falls, but balance problems can affect patients of any age. Foot pain, weak ankles, and numbness can make each step less secure. Shoes that fit poorly or lack proper support can increase the chance of slipping or tripping. Fear of falling can cause people to limit activity. This can weaken the legs and make balance more difficult. Recognizing these risks early helps protect mobility and independence.

A podiatrist can examine the feet, ankles, and walking pattern to find problems that affect stability. The examination includes checking joint movement, muscle strength, and sensation. A podiatrist can also look for bunions, corns, or thick toenails that change how a patient walks. Treatment depends on the cause. Custom orthotics can improve foot position and support. Braces can steady weak ankles, while professional nail and skin care can reduce painful pressure. A podiatrist can recommend properly fitted shoes with firm soles, secure fasteners, and enough room for the toes. These steps can help patients feel more stable when walking.

Patients should mention dizziness, vision changes, or hearing problems. A podiatrist can review medicines that affect alertness or balance. Certain exercises can be prescribed to improve strength, flexibility, and coordination. Falls prevention also requires attention to daily surroundings and general health. Inside the home, clear walking paths and bright lighting can reduce hazards. Secure handrails can provide support near stairs. Patients should avoid loose rugs, clutter, and shoes with worn soles. Using a prescribed cane or walker correctly can add stability. Regular visits with a podiatrist are especially important for patients with diabetes, poor circulation, or reduced feeling in their feet. A podiatrist can identify changes before they interfere further with safe movement. If you have fallen, or are at risk of falling, it is suggested that you schedule an appointment with a podiatrist for additional guidance on fall prevention tips. 

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Michele Kraft, DPM from Toes on the Go. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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.

An accessory soleus muscle is an uncommon extra muscle found near the lower portion of the calf and ankle. Most people have a soleus muscle that works with the calf muscle to help control movement of the ankle and push the foot downward. An accessory soleus muscle develops when additional muscle tissue is present beside the normal soleus. It may cause no symptoms, but some people experience pain, swelling, or pressure around the inner or outer ankle. 

The exact reason an accessory soleus muscle develops is related to differences in muscle development before birth. Although it is present from an early stage of life, symptoms may not appear until activity levels increase. Athletes and people involved in repetitive weight-bearing activities may notice discomfort because the extra muscle can become enlarged or irritated. A person may experience pain, tingling, or unusual sensations around the ankle and foot. Numbness on the outside of the ankle should be evaluated because several conditions can produce similar symptoms.

A podiatrist can evaluate the ankle, foot, and lower leg to determine whether an accessory soleus muscle is contributing to symptoms. The examination may include checking muscle strength, range of motion, and walking mechanics. Treatment depends on symptom severity and may include activity modification, supportive footwear, or custom orthotics. When conservative care does not provide relief and symptoms are significant, a podiatrist may discuss additional treatment options.

Persistent ankle pain or numbness should not be assumed to be caused by a simple muscle strain. Identifying the underlying problem is important because symptoms from an accessory soleus muscle can overlap with nerve compression and other foot or ankle conditions. A podiatrist can develop an individualized treatment plan designed to reduce irritation and improve comfortable movement. If you have pain, numbness, or unusual symptoms surrounding the ankle or foot, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Michele Kraft, DPM from Toes on the Go. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendinitis
• Achilles tendon rupture
• Stress fractures
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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

An ingrown toenail develops when the nail edge curves downward and presses into the skin beside it. This can cause pain, redness, and swelling. Drainage can appear when the area becomes infected. The problem affects the big toe and can make shoes uncomfortable. Improper nail trimming is a leading cause. An injury may damage the nail edge and change how it grows. A podiatrist can examine the toe and determine how deeply the nail has entered the skin.

Ingrown toenail removal is a minor procedure used when symptoms are severe, infection is present, or the problem keeps returning. The podiatrist numbs the toe so the patient remains comfortable. A narrow section along the affected side of the nail is then removed. The entire nail usually does not need to be taken off. For a recurring ingrown toenail, the podiatrist can treat the growth area beneath the removed section. This helps stop that part of the nail from growing back. Excess tissue beside the nail can be removed. The toe is cleaned and covered with a bandage after the procedure.

A podiatrist provides instructions for protecting the toe as it heals. Patients can usually return to work or school the following day, although activities that place heavy pressure on the toe must be limited for a short period of time. The bandage protects the area and absorbs drainage. Follow-up care allows the podiatrist to check healing and look for signs of infection. Increasing redness, swelling, or drainage should be reported promptly. Once healing is complete, proper nail care can lower the risk of another ingrown edge. Toenails should be trimmed straight across rather than rounded deeply at the corners. Shoes should also provide enough room for the toes. If you have a painful ingrown toenail, it is suggested that you schedule an appointment with a podiatrist who can determine if this type of foot surgery is right for you. 

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, 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.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

• Improper toenail trimming
• Genetics
• Improper shoe fitting
• Injury from pedicures or nail picking
• Abnormal gait
• Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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.