There are 52 bones in your feet and ankles, which means that feet contain about 25 percent of the bones in our bodies. Our feet also contain about 20-25 percent of the total joints in our body; therefore, it’s not too surprising to find out that your feet and ankles are unfortunately more likely to deal with tendon and joint pain at some point, whether through injury or certain conditions such as arthritis. When pain and other foot problems arise it’s important that you have a podiatrist you can turn to.

Common Causes of Tendon and Joint Pain in the Feet

Tendons are soft tissues that connect the muscles to the bones. Everything from overuse and foot injuries to structural imbalances can lead to pain. Common causes of tendon and joint pain include:

• Tendonitis: inflammation of the tendon caused by injury or overuse
• Sprains and strains: a common but usually minor foot and ankle injury, typically caused by physical activity
• Arthritis: a chronic, progressive condition that leads to joint pain, stiffness, and damage (osteoarthritis is the most common type of arthritis to affect feet and ankles)
• Obesity: being overweight or obese can also put excessive pressure on the joints and tendons of your feet and ankles, leading to pain and other problems

Treating Tendon and Joint Pain

Visiting a podiatrist is the best choice you can make if you are dealing with severe, persistent, or new foot and ankle pain. Since some conditions can get worse without proper care and rest it’s important to find out what’s causing your pain so you know how to effectively treat it.

If you are dealing with pain caused by a sports injury or strain it’s a good idea to see a medical professional so you know the extent of the injury. More severe sprains may require protective boots or crutches to reduce the amount of weight being placed on the injured ankle or foot.

Arthritis is also a surprisingly common cause of foot pain. If you notice joint pain and stiffness that affects functionality, range of motion and mobility in your feet then you could be dealing with arthritis. Since arthritis can get worse without treatment, it is important that you work with your pediatrician and a team of medical professionals to determine the best medications and course of action to help manage your foot pain and to prevent permanent joint damage.

If you are experiencing foot pain it’s important to see a qualified medical professional that can determine the best way to treat your symptoms. Call your podiatrist today for a comprehensive evaluation.

Did you know that the metatarsals, or bones in the foot, are the most commonly broken bones in the human body? These long bones run the length of the foot and a fractured metatarsal means that there is a break in at least one of these five bones (the fifth metatarsal is the most commonly fractured metatarsal bone). If you suspect that you’ve broken a bone in your foot it’s important that you see a podiatrist right away.

Broken metatarsals most commonly occur as a result of a sports injury; however, this fracture can also occur over time due to overuse and wear (this is commonly known as a stress fracture). Dropping a heavy item on the foot or experiencing a bad fall can also cause broken metatarsals. Signs and symptoms of a broken toe caused by trauma to the foot include:

• Hearing a snapping or popping sound at the moment of injury
• Severe and sudden pain in the toe immediately after impact or trauma
• Bruising or swelling of the toe (this may not appear until the day after the injury)
• Changes in the alignment or appearance of your toe

Symptoms of a stress fracture will be a bit different from traumatic fractures. Since stress fractures occur over time as a result of overuse you may start to notice foot pain with your routine activities or pain that goes away with rest but is exacerbated by physical activity. A metatarsal that has sustained a stress fracture may also be tender to the touch.

Some people assume that if they can walk on their foot then they must not be dealing with a broken metatarsal, but this is simply not true. This is why it’s always best to play it safe and to schedule an immediate evaluation with a foot and ankle specialist if you have experienced a traumatic foot injury that you suspect has led to one or more broken metatarsals. Not treating the broken bone could lead to certain deformities, which can greatly impact mobility. You may also experience chronic pain or be at an increased risk for arthritis.

Treating Broken Metatarsals

Common ways to treat a traumatic fracture include rest, splinting, or tapping toe affected toe, custom-made shoe inserts and wearing rigid footwear such as a special boot or shoe that provides the foot with protection, support, and cushioning.

If the break is severe enough your podiatrist may recommend surgery, but surgery is rarely necessary for treating broken toes. Those with stress fractures will want to avoid any activity that causes repetitive stress on the foot, to prevent the stress fracture from getting worse.

If you are experiencing symptoms of a broken bone after a fall, accident or injury then it’s time to schedule an immediate appointment with a podiatrist. The sooner you seek treatment the sooner you can begin your road to recovery.

Struggling with heel pain? Here at Oakton Foot & Ankle Center in Fairfax, VA, Drs. Steven Vetter and Jugal Dharia proudly provide patients with quality foot care, including the diagnosis and treatment of painful conditions. Read on to learn how they can help you too.

More about Heel Pain

Heel pain may be the result of a number of conditions, including a stress fracture, nerve irritation, tendonitis, arthritis, or a cyst. However, the most common cause of heel pain is plantar fasciitis, a condition in which the plantar fascia (a band of connective tissue that extends from the heel to the toes) becomes inflamed.

Some causes of plantar fasciitis include:

• Faulty structure of the foot, such as overly flat feet or high-arched feet
• Wearing non-supportive footwear on hard, flat surfaces
• Obesity
• Certain occupations that require standing for long periods of time

Symptoms of plantar fasciitis include pain on the bottom of the heel and in the foot arch. People may also feel pain worsening over a period of months and swelling on the bottom of the heel. Pain is usually the worst in the morning, just after getting out of bed.

Drs. Steven Vetter and Jugal Dhari diagnose plantar fasciitis with the use of medical history and examining your foot. Additionally, X-ray screenings or other imaging modalities are used to figure out what exactly could be the root of the problem.

Nonsurgical Treatment

Your Fairfax podiatrist will opt for non-surgical treatments first. That includes stretching exercises, avoiding barefoot movement, icing your heel for 20 minutes several times a day, cutting down on extended physical activities, choosing more appropriate shoes, and using oral non-steroidal anti-inflammatory drugs like ibuprofen to reduce pain and inflammation.

Your doctor may also suggest orthotic devices. Orthotics are custom shoe inserts that optimize foot function. Some examples of orthotics include:

• Rigid orthotics, which control motion in two major foot joints
• Semirigid orthotics, which provide dynamic balance to the foot while walking or participating in sports
• Soft orthotic devices, which help absorb shock, increase balance, and take the pressure off of sore spots

Other Non-Surgical Treatment Options Include:

• Padding, taping and strapping
• Injection therapy
• Removable walking cast
• Night splint
• Physical therapy

Need Relief? Give Us a Call

If you'd like to speak with Drs. Steven Vetter or Jugal Dharia of Oakton Foot & Ankle Center in Fairfax, VA, about heel pain, dial (703) 352-8888 today.

Heel pain is a common foot problem that podiatrists often treat. Knowing the cause of your pain is important in determining the most effective treatment method. Even if the pain seems minor, it’s amazing how much it can affect your whole body, making it difficult to get out of bed let alone go on your regular run. If you are struggling with heel pain you might be dealing with a condition known as plantar fasciitis.

What is plantar fasciitis?

The source of your pain may originate in the plantar fascia, a tough band of connective tissue that connects your toes to your feet. If the fascia becomes inflamed, you may feel pain in your heel. Of course, everything from wearing high heels to long runs can actually irritate and cause inflammation within the plantar fascia. When this happens this is known as plantar fasciitis. This condition is usually the result of overuse and repeated stress rather than an injury.

What are the symptoms of plantar fasciitis?

Plantar fasciitis causes heel pain that originates at the bottom of the heel below the heel bone. The pain may spread to the arches of the feet and may also be accompanied by stiffness. These symptoms are often exacerbated first thing in the morning or after long bouts of sitting or standing. Sometimes, light activity and exercise can momentarily lessen the pain.

How is plantar fasciitis treated?

If you know that you have plantar fasciitis (perhaps you’ve had it before) then you know it’s important to rest, avoid physical activity, and take over-the-counter pain relievers. Of course, if you’ve never experienced heel pain before it’s important to see a podiatrist to find out whether it’s plantar fasciitis or another condition such as heel spurs or Achilles tendonitis. A thorough evaluation from a medical professional is often necessary, especially if this is the first time dealing with heel pain.

Your podiatrist can also show you stretching and strengthening exercises that you can perform to help stretch the plantar fascia to reduce pain and discomfort. Some patients also choose to wear a night splint to reduce morning stiffness and arch pain.

If your symptoms aren’t being alleviated through conservative treatment methods or if you are experiencing chronic heel pain your podiatrist may recommend surgery.

If you are dealing with stubborn and painful heels turn to a podiatrist for a consultation.

Peripheral artery disease (PAD) is a condition that often affects blood flow to the legs due to narrowing of the arteries. PAD is caused by atherosclerosis, a serious condition in which fat deposits known as plaques build up in the arteries and eventually restrict or block blood flow.

If you have PAD you will most likely experience painful cramping, weakness or numbness in the legs, particularly during movement. You may also notice that the leg or foot is colder than the rest of your body. Sometimes persistent sores can develop that won’t heal. Your legs may also change color or the skin may appear shiny. While the pain will often go away at rest, if PAD is left untreated you may notice these symptoms even at rest. Sometimes symptoms can even be bad enough to affect your sleep.

While these symptoms can also be indicative of other conditions you should not ignore your symptoms, as undiagnosed PAD can lead to heart attack or stroke. This is why it’s important to see your podiatrist if you notice leg or foot numbness, weakness, tingling or pain.

You may be at an increased risk for peripheral artery disease if you:

• Smoke
• Are obese
• Have high cholesterol
• Have high blood pressure
• Have diabetes
• Are over age 65
• Have a family history of peripheral artery disease or stroke

Preventing Peripheral Artery Disease

Your podiatrist’s goal is to reduce your risk for peripheral artery disease, especially if you are at an increased risk. This involves implementing a variety of lifestyle changes. Some ways to prevent PAD include:

• Getting your diabetes under control
• Lowering your cholesterol
• Exercising regularly several times a week
• Quitting smoking
• Eating a healthy balanced diet and avoiding junk foods
• Losing weight or maintaining a healthy weight

Treating Peripheral Artery Disease

If you do end up developing PAD a podiatrist can be an instrumental part of your medical team to help you manage your symptoms and prevent complications. PAD treatments are designed to reduce symptoms such as leg pain while also stopping the buildup of fat deposits within the arteries.

Again, modifying your lifestyle can greatly improve your condition. The same lifestyle changes that prevent PAD can also treat PAD. Of course, lifestyle modifications alone won’t be enough to prevent atherosclerosis from progressing. Therefore, your podiatrist may also prescribe certain medications including cholesterol and blood pressure medications, diabetes medication, and medication that prevents blood clots. Sometimes surgery or angioplasty is recommended if there is a blockage within the arteries.

If you are experiencing any of the symptoms of PAD it’s important that you turn to a podiatrist right away for an evaluation.