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Posts for tag: plantar fasciitis

By Ankle and Foot Institute
August 07, 2020
Category: Foot Care

If you’re dealing with regular bouts of heel pain, then you may want to read this.

It’s normal for most of us to deal with heel pain at some point during our lifetime. After all, we’re on our feet most of the day, putting them through the abuse of high heels, long pavement-pounding runs, and worn-out, unsupportive shoes. So, if you find yourself prone to plantar fasciitis, our St. Louis MO and Fenton MO podiatrist Dr. Richard Wittock can offer up some useful tips to help you prevent heel pain in the future. Here’s how.

Shed Excess Weight

Being overweight or obese can put a lot of added pressure on your feet when standing, walking, or running. Over time, this can lead to issues like chronic plantar fasciitis, Achilles tendonitis, and bunions. This is why it’s a good idea to maintain a healthy body mass index (BMI). Even just losing 10-15 pounds can significantly improve how your feet function.

Choose the Footwear

If you work out regularly, it’s important that you are not only wearing the appropriate shoes for the activities you perform but that you also replace your tennis shoes regularly. It takes about 45-60 hours before the soles of the shoes start to wear, so based on the level of activity you participate in each week this could equate to replacing tennis shoes as often as every 3-4 months or at least once a year. When you are choosing footwear have a shoe specialist measure your feet first to make sure you get shoes that fit perfectly from the get-go.

Consider Custom Orthotics

Another way that our St. Louis MO podiatrist can help you prevent plantar fasciitis in the future is by providing you with custom-made shoe inserts. These inserts can provide your feet with additional support and cushioning when playing sports or even when standing on your feet for long periods. Orthotics can cushion the heels and arches of your feet and even redistribute weight evenly throughout your feet.

Add in Low-Impact Exercises

While a longer run may boost endorphins and make you feel happy, doing runs every day can put quite a toll on your body. If you find yourself dealing with heel pain regularly then you may want to cut back on the intensity or duration of your runs and add in other low-impact activities such as swimming or biking. You can still get a great workout in, but the exercises will be kinder to your feet and joints.

Dealing with recurring or severe heel pain? Since plantar fasciitis can turn chronic, you must have a podiatrist here in St. Louis and Fenton MO that can provide you with immediate and effective care. Call Ankle and Foot Institute at (636) 717-1100 to schedule a consultation with Dr. Richard Wittock.

By Ankle and Foot Institute
March 20, 2019
Category: Foot Conditions
Tags: plantar fasciitis  

According to the American Academy of Orthopaedic Surgeons, plantar fasciitis is a very common foot problem and one of the most foot-paincommon causes of heel pain. Dr. Richard Wittock, a podiatrist at Ankle and Foot Institute in Fenton, MO, and serving the St. Louis area offers diagnostic and treatment options for heel pain, plantar fasciitis, and other foot and ankle conditions and injuries.

Plantar Fasciitis Diagnosis and Treatment in Fenton, MO

Plantar fasciitis is the inflammation of the long tendon that stretches across the bottom of the foot from the ankle to the toes (the plantar fascia). Repetitive stress, strain, and overuse are a common cause of plantar fasciitis. Small tears and repeated pressure on the tendon, which is responsible for absorbing the shocks your feet sustain during motion, result in the inflammation that causes plantar fasciitis. Anyone can develop it, but there are a few factors that can increase the risk:

  • Age - it generally becomes more common after age 40
  • Being obese or excessively overweight, which puts additional strain and pressure on the feet
  • Spending a lot of time on your feet
  • High or low arches - if you have an especially high or low arch (also known as flat feet), you may be more prone to plantar fasciitis due to the alignment of your feet and the way your weight is distributed when you walk

Symptoms of Plantar Fasciitis

The most common symptom of plantar fasciitis is heel pain, usually after long periods of rest, sitting, or sleep. In some cases the pain can make it difficult to walk or put pressure on the heel, causing you to limp and limit physical activities.

Plantar fasciitis can usually be treated conservatively with rest, medication, lifestyle modifications, and supportive foot wear like orthotics. For persistent cases of heel pain, Dr. Wittock offers Extra Corporeal Shockwave Therapy.

Find a Podiatrist in Fenton, MO

For more information about plantar fasciitis and the treatment options for heel pain and other foot and ankle injuries, contact the Foot and Ankle Institute in Fenton, MO and serving the St. Louis area by calling (636) 717-1100 to schedule an appointment with Dr. Wittock today.

By Ankle and Foot Institute
November 13, 2018
Category: Foot Conditions
Tags: plantar fasciitis  

4 Signs You May Have Plantar Fasciitis

Plantar FasciitisDo you have plantar fasciitis? Plantar fasciitis is a common cause of pain in the bottom of the foot. The condition is caused by straining the ligament that supports your arch. Podiatrists offer treatments that can provide relief from plantar fasciitis. Dr. Richard Wittock is one of the top podiatrists in Fenton, MO. Here are five signs you may have plantar fasciitis. 

1. Foot Pain

Plantar fasciitis causes a stabbing pain in the bottom of the foot near the heel. The pain may develop gradually and become worse over time. The pain is usually the worst after stepping out of bed in the morning, although it can also be triggered by long periods of standing or rising from sitting. Pain is also usually worse after physical activity, not during it.

2. Stiffness

Plantar fasciitis can cause stiffness and limited range of motion. Climbing stairs can be difficult due to stiffness in the heel. Physical therapy is a very important part of treatment for plantar fasciitis. It can help you safely stretch your Achilles tendon and plantar fascia. Physical therapy can also help reduce stiffness, as well as improve range of motion, making you more mobile.

3. Numbness

Plantar fasciitis can also cause numbness in the bottom of the foot. If you experience this, you may have no or little sensation. Numbness of the foot can also occur because of injury to the foot, nerve damage, and poor circulation (such as with peripheral vascular disease and diabetes).

4. Inflammation

Plantar fasciitis is associated with swelling and warmth in the heel area. This inflammation is caused by excessive stretching of the plantar fascia. There may also be tenderness of the bottom of the heel at the plantar fascia's point of attachment. 

Call Today!

The key to proper diagnosis of plantar fasciitis is an examination by a podiatrist. Whether your goal is getting back to sports, hobbies, work, or just enjoying life, our podiatrist can help. Don't wait another minute—call Ankle and Foot Institute at (636) 717-1100 right now to schedule an appointment in Fenton, MO. We want you to live your best life!

By Ankle and Foot Institute
January 08, 2018
Category: Foot Care
Tags: plantar fasciitis  

Your job requires you to be on your feet almost constantly throughout the day. Over the past few months, you've noticed increased pain in plantar fasciitisyour heel and across the arch of your foot. What could be happening? Well, many adults with heel pain suffer from an inflammatory condition called plantar fasciitis. Your foot doctor at the Ankle and Foot Institute in St. Louis, MO, Dr. Richard Wittock, sees it frequently in adults of all ages, and he successfully treats in many ways for maximum comfort and foot function.

What is plantar fasciitis?

Affecting the wide band of tissue which connects the base of the toes to the calcaneus, or heel bone, plantar fasciitis in St. Louis may come on suddenly. However, Dr. Wittock says this painful condition rarely results from trauma. Rather, overuse typically causes it-- for instance, simply standing for hours on hard surfaces or playing sports such as tennis and running.

Other contributing factors are:

  • Age (the fat pad on the bottom of the foot thins as we get older)
  • Wearing poorly supporting shoes or high heels
  • Overpronation, or excessive flattening of the arch of the foot when walking, running or jumping
  • Obesity

In addition. while some people with heel spurs, small bony projections off the heel bone, have plantar fasciitis, not all people with plantar fasciitis have heel spurs.

How your foot doctor can help

If you're having pain in the heel and/or arch of your foot, please contact your foot doctor so he can perform a complete podiatric examination, including a visual inspection of how you place your feet when you walk. Also, Dr. Wittock may take X-rays to visualize your heel structure.

If Dr. Wittock diagnoses plantar fasciitis, there are several options available which supply substantial relief to most patients. Typical interventions include:

  • Rest
  • Anti-inflammatory medications
  • Shoes with good arch support
  • Custom-made orthotics, or shoe inserts
  • Cortisone injections
  • Stretching exercises and physical therapy

If a patient does not improve significantly over the course of several months, Dr. Wittock may recommend innovative Extracorporal Shock Wave Therapy. Performed right at the Ankle and Foot Institute in St. Louis, ESWT treats plantar fasciitis with short, painless waves of energy. These mini-shock waves reduce inflammation and speed healing.

The Food and Drug Administration reports that 92 percent of patients treated with ESWT experience significant pain relief, and there's no down time. Patients are in and out of the office quickly after their treatments and enjoy better foot and ankle function.

Stop hurting

And, feel better. See Dr. Richard Wittock of the Ankle and Foot Institute of St. Louis, MO, about your heel pain. It could be plantar fasciitis, and it's totally treatable. Contact the office today for an appointment, won't you? Call (636) 717-1100.

By Ankle and Foot Institute
May 01, 2014
Category: Foot Care
podiatrist plantar fasciitis orthoticsNo, we aren’t talking about the miles on your car. This is about the miles and pressure you put on your feet on a daily basis. Let us ask a quick question—are you dealing with foot issues, such as heel pain?
 

What is plantar fasciitis?

Heel pain is formally called plantar fasciitis. It’s the pain and inflammation of the plantar fascia, which is the thick band of tissue in the foot. The plantar fascia is responsible for connecting the heel bone to your toes, acting as the shock absorber. Pain typically occurs when the foot isn’t limber. You may notice a sharp pain while walking, typically during the morning and after long periods of sitting.
 

Common sufferers of plantar fasciitis

Athletes, people who are overweight and women who are pregnant are common sufferers of plantar fasciitis. Why is that? For athletes, many of them are involved in sports that require strenuous footwork: running, jumping and kicking. During such physically demanding activities, the plantar fascia has to absorb a lot of shock. Over time, the band of tissue can start to wear and tear, causing inflammation and pain. People who are overweight or pregnant have extra weight added to the equation, also applying unneeded strain.
 

Treatment for plantar fasciitis in St. Louis

If you deal with chronic heel pain, you should talk to your St. Louis, MO podiatrists, Drs. Richard Wittock and Gabriel Cardenas. They can give you top-notch advice and treatment options, such as custom-fit orthotics in St. Louis.
 
When you are constantly on your feet, your shoes will start to wear out, decreasing foot support. Custom-fit orthotics are designed with your feet in mind, paying attention to your unique foot structure. For more information regarding custom orthotics in St. Louis, Fenton area, call Ankle and Foot Institute at (636) 717-1100.