Plantar fasciitis is a common foot condition that causes pain in the heel and bottom of the foot. It occurs when the thick band of tissue along the sole of the foot, called the plantar fascia, becomes irritated or inflamed due to overuse, improper footwear, or excessive pressure. The hallmark symptom is sharp, stabbing pain in the heel, especially with the first steps in the morning, or after long periods of sitting. Treatment options include rest, stretching exercises, and anti-inflammatory medications. Wearing supportive shoes or using custom orthotics can also provide relief. In more severe cases, corticosteroid injections or even surgery may be necessary. A podiatrist can offer personalized advice, diagnose the condition, and recommend the best treatment plan. They can also help prevent future flare-ups by addressing underlying issues like improper gait or foot structure. If you are experiencing heel pain, it is suggested that you schedule an appointment with a podiatrist to get the care you need.

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 Dr. Michael T. Hames from Florence Foot Center. 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 Florence, Alabama . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Determining whether to pursue limb salvage or amputation for problematic diabetic feet is a critical decision that involves careful evaluation of several factors. Podiatrists assess the severity of the foot condition, considering factors such as the extent of infection, blood flow, and the overall health of the patient. Imaging tests may be conducted to understand the degree of damage and the presence of viable tissue. In cases where blood circulation is sufficient and the infection is manageable, limb salvage techniques, including surgery and advanced wound care, may be preferred to preserve the foot. If you have diabetes and your feet are severely affected, it is strongly suggested that you are under the care of a podiatrist who can discuss effective limb salvage methods.

Limb salvage can be an effective way in preventing the need for limb amputation. If you have diabetes, cancer, or any other condition that could lead to foot amputation if left unchecked, consult with Dr. Michael T. Hames from Florence Foot Center. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Limb Salvage?

Limb salvage is the attempt of saving a limb, such as the foot from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Diabetes is the number one cause of non-traumatic amputations in the United States. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.

However, there are other causes as well, such as cancer and traumatic injury. Links between higher mortality rates and amputation have been found. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.

Diagnosis and Treatment

Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated. 

If you have any questions, please feel free to contact our office located in Florence, Alabama . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Cracked heels, also known as heel fissures, are a common foot condition characterized by dry, thickened skin that develops cracks at the heel's edge. These fissures can be painful and may lead to further complications if left untreated. The primary causes include skin disorders like eczema and psoriasis, which can cause dryness and irritation. Lifestyle factors also play a significant role, as prolonged standing, walking barefoot, and wearing open-back shoes can contribute to the development of cracked heels. Additionally, environmental conditions like low humidity and excessive exposure to water can strip the skin of its natural moisture. Proper foot care, including regular moisturizing and wearing supportive shoes, is essential for preventing cracked heels, ensuring healthy and comfortable feet. Cracked heels can cause severe pain, and it may be difficult to complete daily activities. If you have developed this condition, it is suggested that you contact a podiatrist who can offer you prescribed medication for effective treatment.

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact Dr. Michael T. Hames from Florence Foot Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin. 

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed. 

If you have any questions, please feel free to contact our office located in Florence, Alabama . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Proper foot care is vital for diabetic patients, as diabetes can lead to nerve damage and poor circulation, which increase the risk of foot complications. Regularly inspecting the feet for cuts, blisters, or redness is essential, as early detection can prevent serious issues. Keeping the feet clean and dry helps reduce the risk of infections. It is important to moisturize the skin, but avoid applying lotion between the toes to prevent excess moisture. Wearing well-fitted shoes is important to prevent friction and blisters, while checking inside shoes for foreign objects daily can help avoid injuries. Maintaining blood sugar levels within a target range contributes to overall foot health. If you have diabetes, it is strongly suggested that you are under the care of a podiatrist and schedule routine visits. This type of doctor can help you to manage this serious condition.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Dr. Michael T. Hames from Florence Foot Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

If you have any questions, please feel free to contact our office located in Florence, Alabama . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Plantar fasciitis surgery is considered for individuals who have not found relief from conservative treatments after an extended period. Two primary surgical options are open surgery and endoscopic surgery. Open surgery involves a larger incision to release the plantar fascia or remove inflamed tissue, while endoscopic surgery uses smaller incisions and a camera for a minimally invasive approach. Good candidates for surgery typically include those with persistent pain, significant functional limitations, and no improvement despite comprehensive non-surgical treatments. Recovery times can vary based on the type of surgery, as open surgery may require a longer recovery period of several weeks, while endoscopic surgery often allows for a quicker return to normal activities, typically within a few weeks. If you have plantar fasciitis and are considering surgery for relief, it is suggested that you consult a podiatrist who can determine if this is the right decision for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Michael T. Hames of Florence Foot Center. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions, please feel free to contact our office located in Florence, Alabama . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Psoriatic arthritis, or PsA, is a type of inflammatory arthritis that affects some people who have psoriasis. It can cause significant pain and swelling in the feet. When PsA targets the feet, it commonly affects the small joints in the toes. This leads to a condition called dactylitis, or sausage toe, where the entire toe swells up. It can also cause enthesitis, which is inflammation where tendons and ligaments attach to bones, often at the heel or arch. This inflammation can make walking difficult and lead to structural changes in the foot over time. A podiatrist can provide valuable support for treating psoriatic arthritis in the feet by prescribing custom orthotics, and anti-inflammatory therapies, as well as offering guidance on proper footwear to relieve pressure on affected areas. If untreated, PsA in the feet can progress to deformities, making early intervention important. If you have psoriatic arthritis that affects your feet, it is suggested that you schedule an appointment with a podiatrist for an exam and relief options.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact Dr. Michael T. Hames from Florence Foot Center. Our doctor will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

If you have any questions please contact our office located in Florence, Alabama . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Gout is a form of inflammatory arthritis causing sudden and severe pain, swelling, and redness in the affected joints, most commonly the big toe. This condition occurs when uric acid builds up in the body, leading to the formation of sharp crystals in the joints. Symptoms include intense pain, often occurring at night, and lingering discomfort even after the initial attack. Risk factors for gout include obesity, high blood pressure, and certain dietary choices, such as consuming excessive purine-rich foods like red meat and shellfish. Alcohol consumption can worsen the condition. Genetics also play a role, as a family history of gout increases susceptibility. Gout attacks can be painful and can cause difficulty in completing daily activities. If you have had one or more attacks, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this painful condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Michael T. Hames from Florence Foot Center. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

If you have any questions, please feel free to contact our office located in Florence, Alabama . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Plantar fasciitis is an inflammation of the plantar fascia, the thick band of tissue that runs along the bottom of the foot. This condition often leads to significant discomfort, particularly in the heel and arch, and is commonly associated with symptoms such as swelling and stiffness. Many individuals report sharp pain upon taking their first steps in the morning or after prolonged periods of rest. Several factors contribute to the development of plantar fasciitis, including excessive physical activity, improper footwear, and obesity. Additionally, individuals with flat feet or high arches may be at greater risk. Plantar fasciitis can cause severe pain and discomfort. If you are experiencing heel pain, it is strongly suggested that you contact a podiatrist who can accurately diagnose and treat plantar fasciitis.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. Michael T. Hames  from Florence Foot Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

• Excessive running
• Non-supportive shoes
• Overpronation
• Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

• Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
• Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
• Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

If you have any questions, please feel free to contact our office located in Florence, Alabama . We offer the newest diagnostic and treatment technologies for all your foot care needs.