Plantar fasciitis causes pain and inflammation in the thick band of tissue running along the bottom of the foot. This tissue, known as the plantar fascia, connects the heel to the toes and helps support the arch. Repetitive strain or excessive pressure can cause small tears in the fascia, leading to irritation and discomfort. The pain is often felt near the heel and is typically worse in the morning or after long periods of rest. Risk factors include prolonged standing, high-impact activities, improper footwear, and foot structure abnormalities like flat feet or high arches. Plantar fasciitis can cause severe pain and discomfort, and it may become difficult to complete daily activities. If you have heel pain, it is strongly suggested that you promptly consult a podiatrist who can accurately diagnose and treat this condition.

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.

Swollen feet and ankles are a common issue for diabetic patients due to circulation problems and fluid buildup. High blood sugar can weaken blood vessels to the lower limbs and feet. This may result in poor circulation and venous insufficiency, allowing fluid to collect in the feet and ankles. Some people who have diabetes are at higher risk for blood clots, which may cause swelling in one leg and require immediate medical attention. Certain medications used to manage diabetes also can also cause fluid retention, which increases the likelihood of swelling. Left untreated, persistent swelling of the feet and ankles may lead to infections or ulcers that can be difficult to heal. A podiatrist can evaluate the cause of swelling, check for underlying complications, and recommend treatment, including medical management, specialized footwear, or surgery when necessary. If you have swollen feet that may be linked to diabetes, it is suggested that you make a podiatrist a part of your medical management team. 

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.

Foot drop occurs when patients find it difficult to lift the front portion of their foot, resulting in dragging or slapping of the foot while walking. Known as steppage gait, this walking pattern involves raising the leg higher than usual to prevent the toes from catching on the ground. Foot drop may affect one or both feet, causing sensations of tingling, numbness, or weakness in the ankle, toes, or top of the foot. Several conditions can cause foot drop, including peripheral neuropathy, muscular dystrophy, nerve injury, diabetes, and neurological issues like stroke or multiple sclerosis. A podiatrist can assess symptoms through a physical examination, checking for muscle weakness or loss of function, and by performing nerve conduction studies, ultrasounds, or imaging tests to rule out other causes. Treatment of foot drop often involves nerve stimulation, or wearing braces or orthotics to support proper foot positioning. In some cases, surgery may be needed to repair nerve damage or reposition tendons. If you have trouble lifting your feet when walking, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment.

If you have any 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.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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 and ankle needs.

Tarsal tunnel syndrome is a condition where the posterior tibial nerve, which runs along the inside of the ankle, becomes compressed or irritated as it passes through a narrow passageway called the tarsal tunnel. This compression can result from various causes, including injury, inflammation, or structural abnormalities like flat feet. Symptoms often include pain, tingling, burning sensations, or numbness in the foot and ankle, which may worsen with activity. Diagnosing tarsal tunnel syndrome typically involves a physical examination, medical history review, and tests such as nerve conduction studies or imaging to evaluate nerve function and detect any underlying issues. If you have pain in this part of your foot, it is suggested that you contact a podiatrist who can provide timely treatment.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Michael T. Hames of Florence Foot Center. Our doctor 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 office located in Florence, Alabama . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Foot pain is a widespread issue that affects people of all ages and lifestyles. One of the most frequent culprits is improper footwear, which can lead to pressure points, arch strain, and misalignment. Long hours of standing or walking on hard surfaces often result in overuse injuries, such as plantar fasciitis or Achilles tendonitis. High-impact activities like running can cause stress fractures, while sudden movements may lead to sprains or ligament damage. Structural issues, such as flat feet or high arches, can contribute to chronic discomfort by altering weight distribution. Medical conditions like arthritis, diabetes, and nerve disorders may also cause persistent pain, inflammation, or numbness. Ignoring early symptoms can lead to worsening conditions, making daily movement difficult. Addressing foot pain early with proper footwear, rest, and professional care can help prevent long-term damage and keep feet healthy and pain-free. If you are suffering from persistent foot pain, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and appropriate treatment.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, 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.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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.

Clubfoot is a congenital foot deformity that occurs when a baby is born with one or both feet twisted in an abnormal position. It can be caused by a combination of genetic and environmental factors, although the exact causes are not always clear. One of the primary characteristics of clubfoot is midfoot cavus, which refers to a high arch in the middle of the foot. Forefoot adductus is another common feature, where the front part of the foot turns inward. The heel or hindfoot varus causes the heel to turn inward, leading to an abnormal walking posture. Hindfoot equinus is also present in many cases, where the foot points downward, limiting normal movement. While clubfoot can vary in severity, early diagnosis and treatment, often involving stretching, casting, or surgery, can correct the condition and allow children to walk without limitations or discomfort later in life. If your child has been born with clubfoot, it is strongly suggested that you include a podiatrist on your healthcare team who can provide exceptional care for this condition.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Dr. Michael T. Hames of Florence Foot Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

• Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
• Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
• Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
• Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
• Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
• Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

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.

A dancer's fracture is a break in the shaft of the 5th metatarsal, the long bone on the outer side of the foot. This injury is typically caused by twisting motions, awkward landings, or direct trauma. It is common among dancers and athletes but can happen to anyone. Symptoms of a 5th metatarsal fracture include sharp pain on the outer side of the foot, swelling, bruising, tenderness, and difficulty walking. Diagnosis is made through a physical examination and imaging, such as X-rays, to determine the exact location and severity of the fracture. Treatment often involves immobilizing the foot with a cast or walking boot to allow the bone to heal properly. In severe cases, surgery may be required to realign and stabilize the bone. A podiatrist can provide expert care and ongoing monitoring to ensure the foot heals correctly and regains full functionality. If you have fractured your foot, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment options.

A broken foot requires immediate medical attention and treatment. If you need your feet checked, 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.

Broken Foot Causes, Symptoms, and Treatment

A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury. 

Common Symptoms of Broken Feet:

• Bruising
• Pain
• Redness
• Swelling
• Blue in color
• Numbness
• Cold
• Misshapen
• Cuts
• Deformities

Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.

Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.

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.

Choosing the right shoes is essential for people with bunions, as these bony protrusions on the side of the big toe joint can lead to chronic discomfort and mobility issues. Shoes that provide relief should have a wide, roomy toe box to reduce pressure on the bunion and surrounding toes. Soft, flexible materials like leather or mesh can help prevent irritation. Heels no higher than two inches and cushioned soles offer added support and stability. Extra-depth shoes may be beneficial for accommodating bunions and any associated issues such as corns or calluses. Adjustable features, like laces or straps, allow for a better fit as feet change over time. Orthotic inserts can be added to relieve pressure, support the arch, and improve alignment. A podiatrist can guide patients in selecting the most appropriate footwear or, if needed, recommend custom-made shoe inserts to address severe deformities. If you have problematic or painful bunions, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment options, which may include shoe selection.

It is important to find shoes that fit you properly in order to avoid a variety of different foot problems. For more information about treatment, contact Dr. Michael T. Hames from Florence Foot Center. Our doctor will treat your foot and ankle needs.

Proper Shoe Fitting

Shoes have many different functions. They cushion our body weight, protect our feet, and allow us to safely play sports. You should always make sure that the shoes you wear fit you properly in order to avoid injuries and deformities such as: bunions, corns, calluses, hammertoes, plantar fasciitis, stress fractures, and more. It is important to note that although a certain pair of shoes might be a great fit for someone else, that doesn’t mean they will be a great fit for you. This is why you should always try on shoes before buying them to make sure they are worth the investment. Typically, shoes need to be replaced ever six months to one year of regular use.

Tips for Proper Shoe Fitting

• Select a shoe that is shaped like your foot
• Don’t buy shoes that fit too tight, expecting them to stretch to fit
• Make sure there is enough space (3/8” to ½”) for your longest toe at the end of each shoe when you are standing up
• Walk in the shoes to make sure they fit and feel right
• Don’t select shoes by the size marked inside the shoe, but by how the shoe fits your foot

The shoes you buy should always feel as good as they look. Shoes that fit properly will last longer, feel better, and improve your way of life each day.

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.