Morton's Neuroma

Morton’s Neuroma is a condition that makes it feel like you are “walking on a marble.”  This condition usually forms between the third and fourth toes. It is caused by irritation, trauma or excessive pressure. Morton’s Neuroma is eight to ten times more likely to occur in women than men because of their shoe choices.

 

If you are suffering from Morton’s Neuroma, there are no outward symptoms such as a bump or bulge. Common symptoms include a burning pain in the ball of the foot, tingling or numbness sensation in the toes and a feeling of something inside the ball of the foot. The symptoms occur gradually and will intensify with overuse or improper footwear. You can temporarily diminish the pain by massaging the foot or by avoiding the activities that brought on the pain.

 

If symptoms persist or worsen over time, is might be time to visit us at Affiliated Ankle & Foot Care Center. Treatment can come in many forms, such as:

• Changes in footwear – avoiding high heels or tight shoes enables the bones to spread out and may reduce pressure on the nerve, giving it time to heal
• Custom orthotics – custom shoe inserts and pads can be prescribed to relieve irritation. The orthotics will lift and separate the bones, reducing pressure on the nerve
• Injections – Corticosteroid medication can be prescribed to reduce swelling and inflammation in the nerve

You can schedule an appointment with Dr. Harry Cotler at Affiliated Ankle & Foot Care Center in Soldotna, AK, by calling 907-260-3668 or visit us online at www.hcotler.com. 

Heel Pain/Fasciitis

Heel pain has many causes, and depending on the affliction, can be extremely disruptive or even disabling. Heel pain is generally the caused by placing too much stress on the heel bone and the soft tissues that attach to it. The stress may also result from an injury or a bruise caused by walking, running, or jumping on hard surfaces. It can also be caused by wearing poorly constructed footwear or being overweight.

 

If left untreated, heel pain can lead to further heel damage. Common heel conditions include:

• Heel spurs – bony growth on the underside of the heel bone
• Plantar Fasciitis – inflammation of the band of fibrous connective tissue running along the bottom of the foot
• Excessive pronation – normal, flexible motion and flattening of the arch
• Achilles tendinitis – inflammation of the Achilles tendon

Treatment for heel conditions such as plantar fasciitis or Achilles tendinitis is simple. At Affiliated Ankle & Foot Care Center, Dr. Cotler recommends patients participate in activities such as stretching, icing, footwear change and anti-inflammatory medications to help ease heel pain. If you are experiencing heel pain, visit with our Soldotna, AK to learn if you may be suffering from plantar fasciitis. 

Metatarsalgia

Metatarsalgia is a condition that causes a burning, stabbing or aching pain in your foot, just beneath the toes in the metatarsal region of the foot. Metatarsalgia pain is often related overuse from walking or running. At Affiliated Ankle & Foot Care Center, we often see athletes who participate in high-impact sports suffering from this condition. In most cases, the pain occurs over a period of several months rather than suddenly.

 

Persistent stress can lead to chronic irritation and inflammation of the bone covering and adjacent to tissues. The following factors are said to contribute to metatarsalgia:

• High level of activity
• Improper biomechanics
• Unusual foot shape
• Tight Achilles tendon
• Hammertoe
• Bunions
• Ill-fitting footwear

This condition is possible to treat. Through regular icing and pressure bandages, metatarsalgia is reversible. Our team may also suggest that you not put any weight on your foot for a period of time. However, if your pain is severe or ongoing, it may be time to see us. Other treatment options include modification of footwear or insoles, use of metatarsal pads and arch supports.

 

Call our office in Soldotna, AK at (907) 260-3668 to schedule an appointment with Dr. Harry Cotler or visit www.hcotler.com for more information about Affiliated Ankle & Foot Care Center. 

Achilles Tendonitis

If you are suffering from painful swelling in the back of the foot, just above the heel, you might be experiencing Achilles Tendonitis issues. This condition affects millions of Americans, from athletes to couch potatoes. At Affiliated Ankle and Foot Care Center, we see and treat this condition quite regularly.

 

This condition affects the Achilles tendon, which is the strongest and largest tendon in the body. It also connects the leg to the foot as it stretches from the lower leg to the heel bone. The Achilles tendon is crucial to sustaining normal walking patters as it allows the foot to rise up on the toes.

This condition typically develops gradually as the tendon inflammation and may include one or more of the following three stages:

• Peritenonitis – an inflammatory and fibrous reaction between the tendon and the paratenon (areolar tissue filling the space between a tendon and its sheath). It may occur by itself or in conjunction with tendinosis.
• Tendinosis ­– typically an asymptomatic stage that may result in a nodule, or know to swelling at the back of the leg
• Peritenonitis with tendinosis - this stage may lead to a rupture of the tendon and it is characterized by pain and swelling during and after activity.

Similarly to most medical conditions, Achilles tendonitis is best treated early in its development. If you are experiencing pain and/or swelling in this region, a consultation with Dr. Harry Cotler will give you the best chance for a full recovery. You can schedule an appointment at our Soldotna, AK practice by calling (907) 260-3886 or visit us online at www.hcotler.com to learn more about our practice!

Work-Related Foot Problems

When it comes to work-related foot injuries, it doesn’t matter what line of work you’re in, you are at risk of foot injuries. While most foot injuries occur off the job, there are a number of work-related factors that can lead to foot problems, especially in jobs that require long periods of standing.

 

The main thing to remember when you’re thinking about your foot health while working is choosing the right footwear. Poor footwear that does not fit properly heavily contributes to foot disorders. You should look for the following in a pair of work shoes:

• Flexibility – footwear should stretch and grow with your feet
• Comfort fit – sometimes feet are different sizes so make sure to measure both feet when shopping
• Timing – buy your new shoes in the late-afternoon when feet are swollen to their maximum size
• Shock-absorbing – if the shoes you’re looking at don’t have shock-absorbing qualities, buy insoles. Your feet will thank you if you’re walking around a lot as part of your job.

Next time you have an appointment with Dr. Harry Cotler, tell him about your job and ask what types of shoes you should wear, he’s happy to help! We treat all types of foot pain, so if you aren’t sure what you have just call for an appointment. The most work-related pain we treat is:

• Bunions
• Hammertoe
• Arch disorders
• Heel spurs
• Corns and callouses
• Ingrown toenails