Foot and Ankle Doctor Blog Space

Budding Bunions

Bunions are every shoe lover’s worse nightmare. A bunion is a painful bump that forms on the joint at the base of the first or fifth toe making it difficult to wear shoes. These deformities progress over time and can be debilitating especially in runners. Overpronators are more prone to bunions because they place excessive stress on the big toe when running. This repetitive stress causes changes to the joint resulting in deviation of the toe inwards towards the other toes.

Padding and taping your foot before running can help position the foot in a more “normal” alignment and prevent abnormal stresses. Toe exercises can help strengthen the foot muscles and reduce the progression of the deformity. Physical therapy and anti-inflammatory medications can reduce the inflammation at the joint. Orthotics and proper fitted shoes with a deep and wide toe box are also recommended. If these treatment options fail or in severe cases surgical intervention is required to realign the joint and remove the bony bump on the side of the foot.

If you are concerned about your bunion come and see Dr. Nejad for a consult.

Morning Heel Pain

Do you ever wake up and have pain in your feet after stepping out of bed? Do you have foot pain when walking barefoot? You may have a condition known as plantar fasciitis. The plantar fascia is a long band of tissue that stretches from your heel along the length of the arch and inserts into the toes helping to support the arch of the feet. When this band of tissue becomes aggravated or strained it becomes inflamed. The inflammation of this ligament is called plantar fasciitis.

Overpronation is the most common cause of plantar fasciitis. Pronation is an inward rolling movement of the foot that naturally occurs when walking or running. When pronation occurs in excess amount it is termed overpronation, which results in excessive inward rolling, stretching and flattening of the foot resulting in increased stress on the plantar fascia. Plantar fasciitis is a common cause of heel pain in runners because they pull and stretch this band of tissue causing microscopic tearing. Overweight individuals can also experience plantar fasciitis because they put a lot of pressure and force on the band causing small tears leading to inflammation and pain. Most people with plantar fasciitis experience a stabbing pain at their heel with the first few steps it the morning, or after getting up from sitting for an extended period of time. The pain tends to get better after moving around.

If the underlying cause of plantar fasciitis is left untreated it can progress into chronic heel, knee, hip or back pain. Plantar fasciitis can be easily treated if caught early. If you experience any of these symptoms see your local podiatrist or come see us at Foot & Ankle Doctors, Inc.


Dr. Farshid Nejad

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