My Blog

Posts for: April, 2015

Chronic heel pain is the most commong diagnosis that the doctors at Carolina Foot Specialists see in our practice. A good majority of our patient's respond to conservative treatment with complete resolution of heel pain. A small percentage do have reoccuring heel pain or do not respond to various conservative treatment options.

Dr. Saffer and Dr. Brown are looking into newer state of the art minimally invasive surgery such as Tenex and biologics. We will explore these treatment options during the month of May so that you are fully informed on these options for chronic heel pain.

Please refer to the tenex website and we will follow up next week on more detailed information and our experiences with these treatment options.  We pride ourselves in staying current with the newest treatment options for our patients for various foot disorders.

Tips to Prevent CrossFit Related Foot & Ankle Injuries

1) Don’t do too much too soon.

CrossFit challenges you to push yourself, but overdoing a routine is a sure way to end up with an injury.

2) Work out with a qualified trainer.

It is important to choose a trainer who is properly qualified to oversee your workout and can make sure you’re not putting yourself at risk for injuries.

3) Be a fanatic about form.

This is especially important for beginners. By focusing on maintaining the right form from the outset, you’ll be less likely to suffer injury as you increase your load or intensity.

4) Choose the right shoe.

Finding the right athletic shoe for CrossFit is of the utmost importance. Look for a cross-training type shoe that is stiff at the heel, provides proper arch support, and has a non-slip sole.

5) Have your feet evaluated by a Sports Podiatrist

You may have issues with your foot and not even be aware of it. It is not normal to have foot pain longer than 5 days. A Sports Podiatrist can give you a clear picture of how healthy your feet are, what type of athletic shoes are best for you, or what adjustments you might need to make in your CrossFit routine before you even hit the gym.

If you’ve experienced a foot or ankle injury, or if you want to make sure your feet are ready to take on the unique challenges of a CrossFit workout, schedule an appointment with Dr. Brown or Dr. Saffer. For more information on sport foot injuries please refer to our website and blogs at :

Heel pain is the most common diagnosis that we see in our practice. It is important to understand that not all heel pain is "plantar fasciitis." Heel pain can be caused from stress fractures, achilles tendonitis, nerve compression, sciatic nerve irritation, and growth plate injuries in children. A good majority of patients that we see that have heel pain do have "Plantar Fasciitis."

A good majority of our patients get relief and eventual resolution of heel pain with conservative treatment such as custom orthotics, tapings, stretching, night splints, NSAIDS, PT, cortisone injections via Ultrasound guidance, and sometimes a brief period of immobilization with a cam walker boot.

Dr. Saffer and Dr. Brown are board certified in foot surgery and can perform some of the latest state of the art treatments for chronic heel pain if needed. Topaz and minimally invasive release of the plantar fascia are two options with a quick recovery time and minimally post operative follow up. Our doctors are also looking at new minimally invasive procedures that involve the use of Ultrasound to repair and chronically degenerative plantar fascia ligament. Procedures such as Tenex, the use of biologics, and PRP are some of the options for chronic heel pain. We will take the month of April and May to discuss some of these state of the art minimally invasive procedures in our upcoming blogs.

We pride ourselves in keeping up with the latest technology to give our patients the best chance to heal and become increasingly more active.


Summer is right around the corner and Carolina Foot Specialists would like to give recommendations for excellent sports/casual women's sandals. It is important to remember that when you are in one of the local shoe stores trying on the shoe, check each shoe to make sure that the sole is thick and rigid with as little bend as possible across the ball of the foot and there should be no motion across the arch area.

  1. Keen Venice H2: Keen's Venice H2 is a great sandal for many reasons. It has a thick, rigid protective sole with excellent added toe protection as well as excellent forefoot, midfoot and rearfoot control. It's a great sandal to wear at the beach and even into the water.
  1. Ecco Yukaton: This is a popular shoe with many of our patients due to it's comfort, decent price and the fact that it's light weight, good looking and versatile. It has a thick and relatively rigid sole with adjustable forefoot, midfoot and rearfoot control
  1. Abeo Hungtington Neurtral: This is a very similar sandal to the Ecco Yucaton in it's build, weight and recommendations. This sandal is approved by the American Medical Podiatric Association and provides good biomechanical control of the foot and ankle.                                                                                                                                                                                                                        4)    Easy Spirit Women’s heel Riser: If you like the Fit-Flop - this is much better. It has an   awesome sole that is thick, rigid and light.
  2. Chaco Z/2 Vibram Unasweep: This is a great sandal with fabulous arch support and a thick rigid protective sole.If you have painful bunions or Tailor's bunions - be careful that the straps do not cut across them which can cause more irritation and discomfort.
  3. Bite Orthosport: This sandal has a removable foot bed that will accommodate orthotics. Great arch support!
  1. Keen’s Newport H2: Another great Keen Sandal! This sandal offers even more biomechanical control and protection of the foot and ankle than the Venice H2. It has a thick, rigid, and protective sole as well as an excellent forefoot guard for the toes and wonderful forefoot, midfoot and rearfoot
  2. Sketcher Shape-Up X: It's frustrating when I hear the bad press on Sketcher Shape-Ups! Although there are some patients who I would never put in a rocker-bottom soled shoe, the majority patients wearing this shoe will greatly benefit from it. Patients who should not wear a rocker-bottom shoe are: anyone with balance issues, anyone with Achilles Tendonitis, the elderly, anyone with nerve damage that causes muscle or leg weakness.
  1. Taos Rockstep II: This is another great rocker-bottom soled sandal. I like the extra arch support that is built into the sandal and I also like the aesthetics.
  1. MBT Katika: The MBT's are a bit  but look at it as an investment as it may save them not just pain but also money in doctor's bills for painful feet, knees, hip and lower back. Good shoes are crucial to keeping joints healthy! So, as we get older, we can keep out joints healthy and protected so that we can stay active and do all the activities we love to do!