The heel fat pad is a thick layer of soft tissue beneath the heel bone that cushions each step. Heel fat pad atrophy develops when this protective layer becomes thinner or loses some of its spring. The heel then has less protection from the force created while walking, running, or standing. Aging can contribute to these changes. Repeated impact and an uneven walking pattern can place added strain on the pad. Certain health conditions, including diabetes, rheumatoid arthritis, and lupus, can also affect this tissue.

Heel fat pad atrophy causes a deep, bruise-like pain in the center of the heel. The discomfort can become stronger on hard floors or after long periods of standing. Some patients feel pain while resting or when firm pressure is placed on the heel. These symptoms can resemble plantar fasciitis, but the location of the pain is usually different. Plantar fasciitis tends to cause pain closer to the inner front edge of the heel. An accurate diagnosis is important because these two problems require different care. Without proper treatment, heel pain can affect a patient’s walking pattern and increase pressure elsewhere in the foot.

A podiatrist can examine the heel, review the patient’s symptoms, and study how the foot moves. X-rays can help rule out a bone injury or another source of pain. Ultrasound imaging can show the thickness and condition of the heel pad. Once the cause is identified, the podiatrist can recommend treatment based on foot structure and activity level. Treatment can include custom orthotics, cushioned heel cups, or taping to hold the heel pad in a better position. The podiatrist can recommend shoes with proper cushioning and support. Regular evaluations can track changes in the heel and allow the treatment plan to be adjusted. If you have pain, it is suggested that you schedule an appointment with a podiatrist who can accurately diagnose and treat heel pad atrophy. 

Many people suffer from bouts of heel pain. For more information, contact one of our podiatrists of Advanced Foot & Ankle. Our doctors 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 offices located in Newburg and Taylorsville, KY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ankle pain can make everyday activities difficult and can affect people of all ages. The discomfort ranges from a mild ache to severe pain that makes standing or walking difficult. Some cases begin after sports or other physical activity. Others develop after wearing shoes that are too tight or shoes that lack proper support. Ankle pain also develops after a twist, a fall, or another injury. Conditions like Achilles tendonitis, bursitis, and fractures also cause ankle pain. Achilles tendonitis affects the strong cord that connects the calf muscles to the heel. Bursitis is an irritation of a small fluid-filled sac that cushions nearby tissues.

Types of ankle pain include sharp, dull, or throbbing discomfort, depending on the cause. Swelling, bruising, and stiffness are also common. Some people notice redness or warmth surrounding the joint. Others hear a popping sound when the injury happens. Difficulty putting weight on the ankle or walking normally can point to a more serious injury. A fracture can cause severe pain, significant swelling, and an ankle that looks out of place. Ignoring these warning signs can allow the condition to worsen and delay proper healing. A careful examination helps determine exactly what is causing the pain.

A podiatrist evaluates ankle pain with a detailed medical history and a thorough examination of the foot and ankle. Imaging tests, like X-rays or ultrasounds, also help identify damaged bones or soft tissues. After finding the cause, the podiatrist creates a treatment plan based on the diagnosis and the patient's needs. Treatment options include supportive devices, custom orthotics, braces, or other medical care designed to improve stability and reduce pain. The goal is to restore comfort, improve movement, and help prevent future ankle problems. If you have consistent ankle pain, it is suggested that you schedule an appointment with a podiatrist for 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 one of our podiatrists from Advanced Foot & Ankle. Our doctors 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 offices located in Newburg and Taylorsville, KY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Tarsal tunnel syndrome is a nerve condition that develops when the posterior tibial nerve becomes compressed as it travels through a narrow passage near the inside of the ankle. This tunnel is located between the ankle bone and the surrounding soft tissues, with the nerve continuing into the foot. When pressure affects the nerve, symptoms can develop along the inner ankle, heel, and bottom of the foot. People may experience tingling, numbness, or shooting pain. 

Several factors can contribute to tarsal tunnel syndrome. An ankle injury or swelling may increase pressure around the nerve. Flat feet can also change foot alignment and place additional strain on the nerve whle walking. Other risk factors include repetitive activity, arthritis, and abnormal foot mechanics. Some people describe a burning sensation that travels from the inside of the ankle toward the sole of the foot. In more advanced cases, numbness or weakness may affect normal foot function.

A podiatrist can evaluate symptoms and determine whether tarsal tunnel syndrome is causing the discomfort. The examination may include reviewing medical history, checking sensation, and observing walking mechanics. The podiatrist may also perform specific nerve assessments and recommend imaging or nerve testing when appropriate. Treatment depends on the underlying cause and may include activity modification, supportive footwear, or measures to reduce swelling and pressure surrounding the nerve. Treating an underlying foot or ankle problem can also help reduce nerve irritation.

Early evaluation may help prevent consistent nerve compression from interfering with walking and daily activities. Persistent tingling or burning should not be dismissed as ordinary foot fatigue, particularly when symptoms repeatedly occur in the same area. A personalized treatment plan can address both the nerve irritation and the mechanical factors contributing to symptoms. If you have pain in this part of your foot, it is suggested that you consult a podiatrist who can accurately diagnose and treat tarsal tunnel syndrome. 

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact one of our podiatrists of Advanced Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please contact our offices located in Newburg and Taylorsville, KY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

The Achilles tendon connects the calf muscles to the heel bone and plays an important role in walking, running, and jumping. It handles strong forces when the foot pushes downward or the body lands after a jump. Achilles tendon injuries can range from irritation and small tears to a complete rupture. Repeated activity can weaken the tendon, while a sudden force can cause it to tear. Basketball, track, and volleyball can place high stress on this area because they involve frequent jumping and landing. However, an Achilles injury can occur in many sports and daily activities.

A rupture can happen when the knee is straight and the foot is suddenly pulled upward while the tendon is under heavy force. Patients can hear or feel a pop at the time of injury. They can also develop immediate weakness when pushing off the foot, making walking difficult. Previous Achilles tendon irritation can increase the risk of a rupture. Weak calf muscles and poor conditioning can also raise the risk. Some patients experience Achilles pain or other symptoms in the weeks before a complete tear occurs, making early evaluation important.

A podiatrist can examine the Achilles tendon and determine the location and severity of an injury. The evaluation can include checking foot movement, calf strength, and the tendon for a gap that can indicate a rupture. A podiatrist can then develop a treatment plan based on the injury and the patient's activity level. Treatment for serious tears can involve immobilization or surgery. Prompt care is important because an untreated rupture can become stiff and scarred, making repair more difficult. If you have an Achilles tendon injury, it is suggested that you schedule an appointment with a podiatrist for effective relief and treatment solutions. 

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of Advanced Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

• Inflammation
• Dull to severe pain
• Increased blood flow to the tendon
• Thickening of the tendon

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

• Thorough stretching of the tendon before and after exercise
• Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

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