Plantar fasciitis is one of the most common causes of heel pain and is frequently treated in podiatry practices. It involves inflammation of the plantar fascia, which is a thick band of connective tissue that runs along the bottom of the foot from the heel bone to the toes. This structure helps support the arch of the foot and absorbs shock when walking and standing. When the plantar fascia becomes irritated or strained, it can lead to microtears and inflammation, resulting in significant heel discomfort. This condition is often associated with overuse and repetitive stress on the foot.

Symptoms of plantar fasciitis include sharp heel pain that is most noticeable with the first steps in the morning or after periods of rest. The pain may lessen with movement, but can return after long periods of standing, walking, or physical activity. Some individuals describe a stabbing or burning sensation along the bottom of the heel. In more advanced cases, the pain can become persistent and affect walking, exercising, or standing for extended periods. Swelling and tenderness in the heel area may also be present, depending on the severity of inflammation.

Several risk factors increase the likelihood of developing plantar fasciitis. These include obesity, prolonged standing, occupations that require long hours on the feet, and participation in high-impact sports like running. Foot structure also plays a role, as people with flat feet or high arches may place additional stress on the plantar fascia. Footwear without adequate arch support or cushioning can further contribute to strain. Tight calf muscles and limited ankle flexibility are also common contributing factors that increase pressure on the heel and arch.

The primary causes of plantar fasciitis are repetitive strain and excessive tension placed on the plantar fascia. This can occur gradually due to daily activities, sudden increases in physical activity, or poor biomechanics while walking or running. Without proper treatment, the condition may become chronic and lead to ongoing heel pain and reduced mobility. Early recognition and management are important for preventing long-term complications and improving recovery outcomes. If you have heel pain, it is strongly suggested that you consult 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 Scott Matthews, DPM, MD  from Salem Foot Care . 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 Wikesboro, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Sever's disease is a common cause of heel pain in children and adolescents, especially during growth spurts. The condition develops when the growth plate at the back of the heel becomes irritated from repeated stress and pulling of the Achilles tendon. It is often seen in active children who participate in running and jumping sports, such as soccer, basketball, or gymnastics. Symptoms may include pain at the back or bottom of the heel, tenderness, limping, and discomfort that worsens during activity. The heel may appear slightly swollen, and some children walk on their toes to reduce pressure. Tight calf muscles, flat feet, or wearing poorly supportive shoes can increase strain on the heel. A podiatrist can evaluate the foot structure, gait, and level of inflammation to confirm the diagnosis and rule out other causes of heel pain. Treatment may include wearing supportive footwear, activity modification, and heel padding to reduce stress on the growth plate. If your child has ongoing heel pain, it is suggested that you schedule an appointment with a podiatrist for effective relief tips.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Scott Matthews, DPM, MD from Salem Foot Care . Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

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

An infected foot blister develops when a fluid-filled pocket on the skin becomes exposed to bacteria and begins to worsen instead of heal. It often starts as a simple blister caused by friction from wearing tight shoes or long periods of walking. When the skin breaks, germs can enter and lead to redness, warmth, swelling, and pain. Some people may notice pus, increased tenderness, or a foul odor. Risk factors include wearing poor footwear, excessive moisture, and conditions like diabetes that affect healing. Without proper care, the infection can spread and cause deeper tissue problems. A podiatrist can evaluate the severity, clean the area safely, and provide treatment to control infection and support healing. If you have a blister on your foot that has become infected, it is suggested that you promptly consult a podiatrist who can effectively treat this condition. 

Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, contact Scott Matthews, DPM, MD of Salem Foot Care . Our doctor can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

How Do Blisters Form?

Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.

Prevention & Treatment

It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.

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

Cycling can put repeated pressure on the feet, especially during long rides or when equipment does not fit properly. One common cause of foot pain from cycling is wearing tight shoes that squeeze the toes and reduce circulation. Thick socks or poorly fitted shoe inserts can also create extra pressure inside the shoe. Another cause is poor cleat placement on the pedals. Cleats placed too far forward can increase pressure on the ball of the foot. This can force the small foot muscles to work harder while pedaling. Some cyclists also develop pain along the outer side of the foot near the little toe. This may be the result of the natural shape and position of the forefoot. Symptoms include soreness, burning, or tingling sensations after riding. A podiatrist can examine foot structure, evaluate cycling mechanics, and prescribe custom orthotics designed for cycling. If you have foot pain after cycling, it is suggested that you schedule an appointment with a podiatrist for effective relief and treatment solutions.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Scott Matthews, DPM, MD of Salem Foot Care . Our doctor can provide the care you need to keep you pain-free and on your feet.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

• Plantar Fasciitis
• Achilles Tendinitis
• Achilles Tendon Rupture
• Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

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