My Blog

Posts for tag: Dr. Adam Brown

Plantar fasciitis is one of the most common causes of foot pain, especially among athletes, older adults, and people who spend a lot of time on their feet. If you’re overweight or if you have a certain type of foot shape or walking style you can also be more prone to plantar fasciitis.

The good news: At Carolina Foot Specialists we offer custom treatment plans to help men, women, and children eliminate the painful symptoms of plantar fasciitis/heel pain, so they can get back to the activities they love — without pain.

However, even when treated successfully plantar fasciitis can return. Dr. Brown and Dr. Saffer offer the following preventive tips.

1. Get lots of rest

Since plantar fasciitis pain is caused by irritation and inflammation, staying off your feet can be helpful in reducing both these problems, so pain is reduced too. Keep your feet elevated while you rest and limit your exercise to low-impact activities like cycling or swimming. Avoid any activities that involve running or jumping for a period of time. And if your job requires a lot of standing, see if there's a way to incorporate sitting more often or using an elevated stool to take some pressure off your feet.

2. Stretch your feet

Gently stretching the bottoms of your feet before exercise or activity can help “warm up” the plantar fascia and the muscles that surround it, so your entire foot is more flexible and therefore less prone to injury and pain. Plus, stretching improves circulation which helps the area heal. During your office visit, we can provide you with specific exercises that can help condition your foot without straining it.

3. Night Splints

Night splints are an essential part of the treatment plan to avoid reoccurring plantar fasciitis. Night splints work by stretching the calf (Gastroc-soleus muscle) and plantar fascia of the foot while you sleep. Night splints also help provided the supportive stretching the user may need throughout the day while they are on their feet. Both of our locations have various night splints and we make sure that the appropriate style and fit is made for each individual patient.

4. Lose excess weight

Extra pounds mean more load on your feet, especially on your arches. Taking off that weight can reduce the strain on your plantar fascia ligament and the other structures that support your feet. Low impact exercise such as biking, yoga, and swimming will reduce excess load on the feet while you are recovering from plantar fasciitis.

5. Wear the right shoes

Good arch support is a big part of preventing a recurrence of plantar fasciitis, and you also want to be sure your shoes provide your feet (and your ankles) with ample support as well. If you’re active, it’s really important to replace athletic footwear on a regular basis since the structure of your shoes can wear down over time. If you can, limit your use of footwear with flat bottoms, like flip-flops and slippers since these provide no arch support at all. Our Foot care specialists will recommend the appropriate athletic shoe for your specific individual activity.

6. Invest in custom orthotics

Custom orthotics (special shoe inserts custom designed and made just for you) are one of the best ways to prevent plantar fasciitis from recurring. Unlike over-the-counter inserts that use a one-size-fits-all approach, custom orthotics are based on your foot shape and on the issue, you need to have treated for far better results. Plus, they’re built to last, which means they can save you a lot of money in the long run.

7. Schedule a visit at the first sign of pain

Plantar fasciitis is very common, and there are plenty of ways to treat it. One of the best ways to prevent painful symptoms from recurring is to schedule an office visit at the first sign of discomfort so you can get early care that can prevent the problem from progressing.

Don’t let foot pain stand in your way

Plantar fasciitis is just one of the causes of chronic foot pain. No matter what’s behind your painful symptoms, one thing’s for sure: Getting prompt treatment is one of the best ways to prevent your problem from becoming a lot worse. Don’t let foot pain interfere with your lifestyle. If you’re having foot pain or other foot or ankle symptoms, the skilled team at Carolina Foot Specialists can help. To schedule your consultation and evaluation, contact the practice today.

Keep Kids’ Feet Healthy with the Right Back-to-School Shoes

The start of a new school year brings about two certainties: new clothes and new shoes. Unlike in years past, today’s shelves are stocked with a variety of shoe types that run the gamut in style and fit. As such, parents have much more to consider when shopping for back-to-school shoes. To make things easier at the shoe store, follow these tips to help minimize foot problems caused by poorly fitting or worn out shoes.

Shoes Should Fit   

Your child’s feet can grow up to two sizes in six months, so you need to account for growth when buying shoes. That does not mean you should buy shoes that are too big—oversized shoes cause the foot to slide forward, putting excessive pressure on the toes that may cause long-term problems. A good fit is about a finger’s width from the end of the shoe to the tip of the big toe. Tight shoes can cause blisters, corns and calluses on your child’s toes, blisters on the back of the heels or ingrown nails, which can become infected. Signs of infection from ingrown nails include pain, redness or fluid draining from the area. If you notice any of these symptoms, call us to schedule an appointment so we can perform a simple and safe procedure to remove the nail.

Shoes Wear Out                                                                                          

Shoes lose their shock absorption over time, so inspect new and old shoes for proper cushioning and arch support. Worn-out shoes elevate the risk for heel pain, Achilles tendonitis and even ankle sprains and stress fractures. Replace any shoes with wear and tear around the edges of the sole. When buying shoes, make sure that the toe box flexes easily and the shoe does not bend in the middle of the sole.

Children with Flat Feet                     

Children with flat feet need shoes with a wide toe box, maximum arch support and shock absorption. The best shoes to buy are oxford, lace-up shoes that have enough depth for an orthotic insert, if necessary. Try to find shoes in which the foot bed can be taken out. This will allow supportive over the counter inserts or a custom foot orthotic to fit in the shoe to add more support to the arches.

Our practice supports local shoe stores in town so that you children can be fitted correctly for the right shoe for school. We like to refer patient's to Phillips shoe store, The Foot Store, Kassis Brother's, Fleet feet, Dicks Sporting Goods, and Belk's shoe department.

 

 

Sever's Disease: Growth Plate Injury in a Child's Heel

 
 
 
We would like to talk about a common heel pain condition that we see in children and adolescents between the ages of 8-16. Sever's Disease or Calcaneal apophsitis is a growth plate injury of the heel often misdiagnosed as plantar fascitis. We are starting to see this injury more often most likely because of year round travel sport teams as well young children specializing in one sport without  variety as well as much needed rest. This is typically an overuse injury of the growth plate of the heel. The heel bone is called the "calcaneus" and has an important growth plate at the base. Boys from 8 to 14 and Girls 7 to 13 can have pain develop in this area either from the pull of the achilles tendon, or the pull of the plantar fascia. We see this in sports such as basketball, running, baseball, gymnastics, and tennis. After those ages, the growth plates will fuse and there can no longer be a source of pain. This form of heel pain can disrupt activity and be frustrating for children as well as their parents. If recognized and diagnosed promptly, conservative treatment will usually resolve this condition rather quickly.
 
     The basic rule is to create a pain free environment with no limping. Treatment consist of ice, oral NSAIDS, stretching, achilles/plantar fascial night splint, heel lifts/heel cushions, custom orthotics, physical therapy, and in extreme cases cam walker boot/cast immobilization. Physical therapy modalities such as electrical stimulation, iontophoresis, dry needling of the calf, and achilles stretching can be useful ways to resolve this condition. Brief modification of exercise routine to more low impact can help the growth plate to heal.
 
If your children are suffering from heel pain it is important to have them seen as soon as possible. The faster that this condition is recognized and treated the quicker your children will have resolution of heel pain which will allow them to resume to the sports that they love to participate in.
 
For more information please refer to our website: www.carolinafootspecialists.net

Plantar fasciitis is one of the most common complaints that we see in our practice.  The number of patients known to have the problem is estimated to be between six and seven million.

Many patients attempt to treat the problem at home prior to seeking treatment from a doctor which is fine unless the problem has been present for an extended period of time, usually between 3-6 months. That is when they often learn about Plantar Fasciopathy for the first time.

WHAT’S THE DIFFERENCE BETWEEN PLANTAR FASCIITIS AND PLANTAR FASCIOPATHY?

 

Plantar fasciitis is actually divided into conditions with two different treatment requirements. Acute plantar fasciitis is an inflammatory condition and is associated with irritation and inflammation of the plantar fascia at its insertion on the heel region.

After six months this develops into chronic plantar fasciitis, the problem actually changes and and is referred to as plantar fasciopathy. Plantar fasciopathy is non-inflammatory and there is a lack of blood supply to the region and the body thinks of the problem as being normal. This lack of blood supply results in the body not responding to the condition and therefore a lack of healing potential in the region.

IS PLANTAR FASCIITIS AND PLANTAR FASCIOPATHY TREATED DIFFERENTLY?

Treatment for these two conditions is very different and we would like to educate you on new and improved treatments for chronic plantar fasciopathy.

If plantar fasciitis is treated early and aggressively, it is often not very difficult to treat. Treatment options include stretching, night splints, oral NSAIDS, shoe modifications to a stiffer and stronger sole, added arch support or custom orthotics, physical therapy and cortisone injection therapy.

Chronic plantar fasciopathy, there is NO inflammation present and there is a chronic scar tissue formation in the heel region with the body not responding to the region. The goal of treatment is to INCREASE inflammation and return the body’s blood supply to the region to help with healing.

Typically conservative treatments used for acute plantar fasciitis do not usually work well in these situations.

CHRONIC PLANTAR FASCIOPATHY TREATMENTS

Our common treatments in chronic plantar fasciopathy include aggressive physical therapy with additional custom arch support and shoe modifications. However, in many cases, there is a need for noninvasive and minimally invasive therapy to increase blood to the region.

Treatment options plantar Fasciopathy

Treatment options cause an irritation of the region of the plantar fascia that’s non-responsive and lacking the healing blood supply. This will result in a return of blood to the area and take the chronic condition and make it more acute which can then allow the body to heal the region.

Shockwave Therapy (EPAT)

Shockwave therapy has been around for about 30 years and is basically a small jack hammer that is hitting the heel area and breaking up scar tissue. Much like someone hitting your shoulder over and over with a punch which causes inflammation, the concept of shockwave therapy is to cause minor damage to the region and increase blood supply. It is a treatment that can work well but is somewhat obsolete. The main benefit is that the treatment is fairly simple and does not involve injection or internal treatment.

Platelet Rich Plasma and Amniotic Injections

PRP and amniotic injections are used to bring the patient’s own blood cells and healing cells to the region of chronic injury. Both treatments help recruit cells necessary to heal and have a very strong result in our hands. These treatments work well but can be somewhat painful and moderate to severe cases of scar formation may not respond well to this treatment.

Radio Frequency Ablation (TOPAZ)

There is a group of patients who have such extensive plantar fasciopathy that the PRP and amniotic injection are not strong enough to treat. In such cases, radio frequency ablation was used to break up the scar tissue with a small needle probe. The previous treatments such as Topaz used approximately 20-30 small needle holes made through the skin on the bottom of the foot to break up the scar tissue on the sole of the foot.

 

The Tenjet System for Chronic Plantar Fasciopathy (Our practice is currently researching this new technology and looking at long term studies)

 

The Tenjet system releases a high-power water jet into the region of the plantar fascia scar tissue and damage. The system is used under ultrasound guidance and the water jet which breaks up the scar tissue is connected to suction and the scar tissue is sucked out after it is broken up by the water jet.

WHAT’S THE BEST TREATMENT OPTION FOR CHRONIC PLANTAR FASCIITIS TREATMENT?

The best treatment always depends on the patient and their individual condition. So the first thing we do is separate patients into two distinct groups, those with acute plantar fascia (suffering less than six months) and those that have truly chronic plantar fascia issues.

Acute treatment for Plantar Fascia patients includes:

  • Shoe modification/recommendations
  • Custom Orthotics
  • Physical therapy
  • Tapings
  • Oral NSAIDS
  • Possible steroid injection

In conclusion, if you have been suffering from acute or chronic heel pain then please visit our Sports Podiatrist at Carolina Foot Specialists so that we can figure out the cause of your heel pain and work on solutions to resolve your pain.

Dr. Andrew Saffer-CFS Mount Pleasant 843-654-8250

Dr. Adam Brown-CFS Charleston 843-225-5575

www.carolinafootspecialists.net

Modern-Plantar-Fasciitis-Treatment-Options-Explained

We hope your training is going well for the upcoming Cooper River Bridge Run 2019! One of the top Sports Podiatrist in our field has a really informative youtube video on common running injuries. It is about an hour video but we feel would be worth taking some time to listen to the video especially if you have been suffering from various running injuries of the lower extremity.

https://www.youtube.com/watch?v=9bgoIdnqNhM&feature=youtu.be

If you are suffering from nagging foot or ankle ailments please give our offices a call so we can help complete your training and resolve your foot/ankle pain.

Dr. Adam Brown-Charleston: 843-225-5575

Dr. Andrew Saffer-Mt. Pleasant: 843-654-8250

Image result for cooper river bridge run 2019