
Causes and Treatment of Plantar Fasciitis

Plantar fasciitis, or inflammation of the plantar fascia, often leads to heel pain. This condition affects approximately 10 percent of the population at some point, with a higher prevalence in women and individuals between 40 and 60 years old. The plantar fascia is a thick band of tissue that runs from the heel to the toes. It supports the foot's arch and absorbs shock. Plantar fasciitis is considered an overuse injury. It is caused by standing for long periods, engaging in high-impact sports, or wearing poorly supportive shoes. These actions can cause microtears in the tissue, resulting in inflammation and pain. Key treatment strategies include resting the feet, avoiding activities that contribute to the pain, and taking pain relievers. Stretching exercises for the calf muscles and plantar fascia, often recommended by a podiatrist, can enhance recovery by improving strength and flexibility. Custom orthotic inserts may also provide additional support and comfort. If you are experiencing heel pain, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment options.
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 Jon McCreary, DPM from Fort Worth Podiatry. 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 Fort Worth, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Plantar Fasciitis
Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is the thick band of tissue that connects the heel bone to the toes. When this band of connective tissue becomes inflamed, plantar fasciitis occurs. Fortunately, this condition is treatable.
There are several factors that may put you at a greater risk for developing plantar fasciitis. One of the biggest factors is age; plantar fasciitis is common in those between the ages of 40 to 60. People who have jobs that require them to be on their feet are also likely to develop plantar fasciitis. This includes factory workers, teachers, and others who spend a large portion of their day walking around on hard surfaces. Another risk factor is obesity because excess weight can result in extra stress being placed on the plantar fascia.
People with plantar fasciitis often experience a stabbing pain in the heel area. This pain is usually at its worst in the morning, but can also be triggered by periods of standing or sitting. Plantar fasciitis may make it hard to run and walk. It may also make the foot feel stiff and sensitive, which consequently makes walking barefoot difficult.
Treatment for plantar fasciitis depends on the severity of the specific case of the condition. Ice massage applications may be used to reduce pain and inflammation. Physical therapy is often used to treat plantar fasciitis, and this may include stretching exercises. Another treatment option is anti-inflammatory medication, such as ibuprofen.
If you suspect that you have plantar fasciitis, meet with your podiatrist immediately. If left untreated, symptoms may lead to tearing and overstretching of the plantar fascia. The solution is early detection and treatment. Be sure to speak with your podiatrist if you are experiencing heel pain.
Are You Suffering From Ingrown Toenails?
Healing From Hammertoe Surgery

Recovering from hammertoe surgery requires attentive care to ensure proper healing and prevent complications. Follow your doctor's instructions regarding pain relief and any prescribed antibiotics to avoid infection. Keeping the pain under control will also help you stay mobile and adhere to post-surgery exercises. A balanced diet rich in vitamins and minerals supports the healing process, with particular emphasis on nutrients like vitamin C and protein to aid tissue repair. Incision care is vital for preventing infections includes keeping the surgical site clean and dry and following your podiatrist's guidelines on changing dressings. Avoid soaking the foot until the incision is fully healed, and watch for signs of infection like increased redness, swelling, or discharge. Elevating the foot and limiting activity as recommended will reduce swelling and promote faster recovery. If you have had hammertoe surgery, it is suggested that you keep in close contact with your podiatrist who can monitor your recovery.
Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Jon McCreary, DPM of Fort Worth Podiatry. 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 Fort Worth, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Foot and Ankle Surgery
When conservative, noninvasive methods prove ineffective, surgery may be selected as the next course of action for the treatment of your foot or ankle condition. A wide number of foot and ankle surgical procedures exist, and it is up to your podiatrist to determine which intervention will be most appropriate and helpful for your case. Some surgical procedures include bunion surgery, fusion, hammertoe surgery, heel spur surgery, metatarsal surgery, nail surgery, neuroma surgery, reconstructive surgery, skin surgery, and tendon surgery. Typically, surgery is turned to as a definitive way to alleviate excessive pain or discomfort and to return your foot to full mobility.
Regardless of the location on the body, all surgical procedures require preoperative testing and examination to ensure the surgery’s success and preferred outcome. A review of your medical history and medical conditions will take place, as will an evaluation of any current diseases, illnesses, allergies, and medications. Tests such as blood studies, urinalyses, EKG, X-rays, and blood flow studies may be ordered. Because the procedure involves the foot and/or ankle, the structures of your feet while walking may also be observed by your podiatrist.
Care post-surgery will depend on the type of surgical procedure performed. Typically, all postoperative care involves rest, ice, compression, and elevation. To improve and ensure a safe recovery, your foot and ankle surgeon may also employ the use of bandages, splints, surgical shoes, casts, crutches, or canes. He will also determine if and when you can bear weight. A timely and thorough recovery is a priority for both you and your podiatrist, and carefully following postoperative instructions can help achieve this.
Potential Foot Ailments During Pregnancy

Pregnancy brings numerous changes to a woman's body, often leading to foot problems. One of the most common issues is flat feet, or overpronation, where increased body weight causes the foot arch to flatten and the feet to roll inward. This can result in pain and additional strain on the feet, calves, and back. Wearing supportive footwear and using orthotics can help alleviate this discomfort. Swelling, or edema, typical in the second or third trimester, results from increased blood volume and pressure, leading to water retention in the legs and feet. Regular movement, elevating the feet, staying hydrated, and reducing salt intake can help reduce swelling. Pregnant women are also prone to developing ingrown toenails due to changes in foot size and shape, often worsened by tighter shoes. Soaking feet in salt water and having toenails properly trimmed can offer relief. Additionally, some women experience hot or burning sensations in their feet due to hormonal changes and increased body temperature. Cracked heels might develop from the added weight and posture changes that cause dry skin and heel expansion. Moisturizing and wearing comfortable shoes can prevent and treat these cracks. If you are experiencing foot pain during pregnancy, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment.
Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Jon McCreary, DPM from Fort Worth Podiatry. Our doctor will attend to all of your foot and ankle needs.
What Foot Problems Can Arise During Pregnancy?
One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward. This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.
Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages.
How Can I Keep My Feet Healthy During Pregnancy?
- Wearing orthotics can provide extra support for the feet and help distribute weight evenly
- Minimize the amount of time spent walking barefoot
- Wear shoes with good arch support
- Wear shoes that allow for good circulation to the feet
- Elevate feet if you experience swelling
- Massage your feet
- Get regular, light exercise, such as walking, to promote blood circulation to the feet
If you have any questions please feel free to contact our office located in Fort Worth, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Foot Care for Pregnant Women
The natural weight that pregnant women gain causes their center of gravity to be completely altered. This causes them to have a new weight-bearing stance which adds pressure to the knees and feet. As a result, pregnant women often experience severe foot pain. The two most common foot issues experienced by women in their pregnancies are edema and over-pronation. It is important for all pregnant women to learn more about how to take care of their feet so they are more comfortable during their pregnancy.
Over-pronation, which is commonly referred to as flat feet, is caused when a person’s arch flattens out upon weight bearing. This causes the person’s feet to roll inward while walking. Pregnant women often experience this due to the sudden weight they gain.
Edema, also referred as swelling in the feet, typically occurs in the later part of the pregnancy. It is the result of the extra blood accumulated in the pregnant woman’s body. The enlarged uterus puts more pressure on the blood vessels in the pelvis which causes leg circulation to slow down. This causes blood to pool in the lower extremities.
Fortunately, there are ways to treat both edema and over-pronation. Edema can be treated by elevating the foot as often as possible. Wearing proper fitting footwear will also be helpful for those with edema. A treatment method for over-pronation could be orthotics. Orthotic inserts should be designed with appropriate arch support and medial rear foot for your foot.
It is best for pregnant women to buy new shoes during the day, because this is the time where swelling is at its peak. Pregnant women also shouldn’t rush when buying shoes. It is always advised that you make sure your shoes fit properly but this is especially important during pregnancy.
If you are a pregnant woman, you should consult with a podiatrist in order to make sure your feet are healthy throughout the entirety of your pregnancy.
Understanding Peripheral Artery Disease
Peripheral Arterial Disease, PAD, is a condition where the arteries that supply blood to your limbs become narrowed or blocked due to plaque, a buildup of fatty deposits. Due to reduced blood flow, symptoms such as leg pain, cramping, and fatigue may develop, particularly during physical activities like walking. PAD is both an uncomfortable and serious condition, as it can lead to more severe complications, including infections, sores that won't heal, and even an increased risk of amputation, if not treated properly. Early diagnosis and management are essential to improving blood flow, relieving symptoms, and protecting your overall limb health. If you notice these symptoms, it is suggested you meet with a podiatrist to discuss the best plan to improve and maintain your foot health.
Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Jon McCreary, DPM from Fort Worth Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.
Symptoms
Symptoms of PAD include:
- Claudication (leg pain from walking)
- Numbness in legs
- Decrease in growth of leg hair and toenails
- Paleness of the skin
- Erectile dysfunction
- Sores and wounds on legs and feet that won’t heal
- Coldness in one leg
It is important to note that a majority of individuals never show any symptoms of PAD.
Diagnosis
While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.
Treatment
Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.
If you have any questions, please feel free to contact our office located in Fort Worth, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Peripheral Artery Disease
Peripheral artery disease (PAD), or peripheral arterial disease, is a circulatory problem in which there is a reduction of blood flow to the limbs due to narrowed arteries. When peripheral artery disease develops, the extremities do not receive enough blood flow; this may cause symptoms to develop such as claudication, or leg pain when walking. The legs are the most common site of peripheral artery disease.
Claudication, or leg pain when walking, is one of several symptoms that can develop due to peripheral artery disease. Other symptoms caused by the disease include painful cramping in the hips, thighs, or calves after certain activities; leg numbness or weakness; coldness in the lower leg or foot; sores on the lower extremities that do not heal; hair loss on the lower extremities; and a missing or weak pulse in the lower extremities. In more severe cases, pain may even occur when the body is at rest or when lying down.
Peripheral artery disease is typically caused by atherosclerosis, a condition in which fatty deposits build up in the arterial walls and reduce blood flow. Smoking, diabetes, obesity, high blood pressure, and high cholesterol are some of the risk factors for peripheral artery disease.
If you are experiencing pain, numbness, or other symptoms in the lower extremities, see your healthcare professional immediately. Diagnosed peripheral artery disease can be treated with various medications, angioplasty and surgery, exercise programs, or alternative medicine. It is important to consult a healthcare professional to determine the best treatment for you.
The Importance of Diabetic Foot Care
For people with diabetes, proper foot care is critical due to the risk of neuropathy and poor circulation, which can lead to severe complications. High blood sugar levels over time can damage nerves and reduce blood flow, causing numbness and decreased healing ability. This makes the feet more susceptible to injuries, infections, and ulcers, which can develop unnoticed and worsen quickly. To maintain foot health, individuals with diabetes should inspect their feet daily for cuts, blisters, redness, or swelling. Keeping feet clean and dry, moisturizing to prevent cracks, and trimming nails carefully are essential steps. Wearing properly fitted shoes and socks that reduce pressure and friction can prevent sores. Regular foot exercises and avoiding smoking may help to improve circulation. Failure to care for diabetic feet can lead to severe infections, gangrene, and even amputations. If you have diabetes, it is strongly suggested that you are under the care of a podiatrist for regular check-ups and specialized treatment plans.
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 Jon McCreary, DPM from Fort Worth Podiatry. 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 Fort Worth, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.