- Warts
- Plantar FasciitisOne of the main causes of heel pain is a condition known as plantar fasciitis. The plantar fascia is a band of tissue that extends along the bottom of the foot, from the toe to the bottom of the heel. A rip or tear in this ligament can cause inflammation of these tissues, resulting in heel pain. People who do not wear proper fitting shoes are often at risk of developing problems such as plantar fasciitis. Unnecessary stress from ill-fitting shoes, weight change, excessive running, and wearing non-supportive shoes on hard surfaces are all causes of plantar fasciitis.
- Primary Care• Referral from your primary care physician —Applies only if your insurance plan is an HMO or managed care plan. A referral must be in place, or at least requested prior to your appointment.
- Diabetic Foot CareDiabetic foot care at home is possible if a patient is provided with instructions from their physician. Patients can cure dry heels with creams or ointments. If trying to remove a callus with a tool, practice caution as severe diabetics may not be able to feel pain. Improper removal may cause a wound to develop.
- Diabetes Care
- UltrasoundIn order to properly diagnose you, the doctor will press on your foot to feel for a mass or tender spot. He may also do a series of tests such as x-rays, an ultrasound, or an MRI. X-rays are usually done to rule out any other causes for your foot pain such as a stress fracture. Ultrasounds are used to reveal soft tissue abnormalities that may exist, such as neuromas. Your podiatrist may want to use an MRI in order to visualize your soft tissues.
- MRIAchilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as...
- X-Rays
- BunionsDid you know the foot has 26 bones, 33 joints, 107 ligaments, 19 muscles, and numerous tendons? These parts all work together to allow the foot to move in a variety of ways while balancing your weight and propelling you forward or backward on even or uneven surfaces. Whether it's plantar fasciitis or bunions, it's no wonder that 75 percent of all Americans will experience foot problems at one point or another in their lifetimes.
- GangreneDiabetic feet must be inspected on a daily basis. Set up regular visits with your podiatrist since proper diabetic foot care is necessary. If you suspect that you have a wound, notify your doctor immediately. Gangrene is a serious problem for diabetics and can lead to sepsis and amputation in its worst cases. Early treatment and daily inspection of diabetic feet are keys to staying healthy.
- Ingrown ToenailsIngrown toenails can form when the side of a toenail begins to grow into the flesh surrounding the nail. As a result, the affected toe—most commonly the big toe—may become red, swollen, painful, and—in severe cases—infected.
- CallusesThe most common reason an Achilles tendon injury can happen is overuse. Many runners experience this type of injury, possibly as a result of increasing speed and distance too quickly. Additionally, it may happen from not stretching properly before running or jogging. The Achilles tendon is located in the lower calf area and connects the heel to the calf muscles. This type of injury generally causes severe pain and discomfort and can be challenging to walk. Additional symptoms associated with an Achilles tendon injury can include stiffness, swelling, and a burning sensation. An Achilles tendon injury may cause some patients to feel weak and existing calluses on their feet may change in size. This may be a result of the impact an Achilles tendon injury can have on the skin while walking. If you have incurred this type of injury, it is strongly suggested that you consult with a podiatrist as quickly as possible who can guide you toward the right treatment methods.
- FungusThe feet are especially susceptible to toenail fungus because shoes and socks create the ideal dark and moist environment that fungal infections thrive in. While fungal infections of the nail plate are quite common, fungi can be harmful once they have invaded past the skin and more serious infections can spread beyond the feet.
- Sports MedicineAs with any sporting activity, it’s very important to be aware of the safety precautions needed to help avoid injury and reduce risk. With that being said, injuries of the foot and ankle are fairly common among those who actively participate in sports.
- Physical TherapyAn Achilles tendon injury can be diagnosed by your podiatrist after they examine you, check your range of motion, and possibly perform a calf squeeze test or review an X-ray or MRI. Depending on the type and severity of your injury, your podiatrist may treat your condition with rest/ice/compression/elevation (RICE), nonsteroidal anti-inflammatory medications, heel lifts, and stretching and strengthening exercises. If you have torn your Achilles tendon, treatment may include physical therapy, ultrasound, shockwave therapy, or possibly even surgery.
- Flatfoot Correction
- Heel Pain
- Orthotics and Prosthetic Therapy
- General PodiatryGet relief from foot pain from Dr. Michael E. Newman in Plymouth Meeting, Pennsylvania and our Ambler location, Ambler Podiatry Associates. Dr. Michael Newman and Dr. Denise Kohler also provide podiatry services for people of all ages, including pediatric podiatry Different lifestyles and the aging process can result in injuries and foot pain. With a proper treatment plan, however, this can be reversed. The doctors are dedicated to aiding their patients in finding a balance between comfort, fashion, activity, and treatment.
- Achilles TendonitisThere are many different causes of heel pain, including strains or sprains, tarsal tunnel syndrome, stress fractures, Achilles tendonitis, and heel bursitis. One of the most common causes of heel pain for children and teenagers specifically is Sever’s disease. Sever’s disease can develop due to overuse or repetitive microtrauma of the heel bone's growth plates. This condition is often seen among those who are active in sporting activities.
- Ankle SprainSome sports may be considered more dangerous in terms of foot and ankle injuries compared to others. These sports may include basketball, running, football, soccer, and dancing. Sports that require tightly worn shoes as well as have a particular focus on jumping typically run a higher risk of injury. Because the feet are considered the foundation of the body, help us stay balanced, and enable us to perform our everyday activities, professional help should be sought at the first instinct of something gone wrong.
- Bunions ProblemsMorton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.
- Calluses
- Diabetic Foot CareAlways washing and thoroughly drying the feet are pertinent parts of diabetic foot care. There should be a focus on cleaning between the toes. Even if no pain is felt, the entire foot should be examined for redness and sores. Neuropathy can often mask the pain of sores and ulcers, and cause these conditions to be overlooked. Use a mirror to examine the underside of your feet if needed. It is recommended that diabetics wear will-fitting socks.
- Flat Feet
- Fungus ToenailsToenail fungus is a frustrating problem that affects many people. It can be persistent and hard to get rid of. As many different types of fungi are present throughout the environment, it is very easy to contract toenail fungus.
- HammertoesA burning pain in the ball of the foot and the feeling of having a small pebble under your foot are signs that you may have Morton’s neuroma. This condition involves a thickening of the tissue across the metatarsal nerves, causing pressure and pain. It is generally felt in the space between the third and fourth toes, and may be connected to the type of shoes that are worn. High heels with pointed toes and shoes that are too tight can cause pressure on the metatarsal joints by pushing the weight onto the ball of the foot. Certain foot deformities, such as hammertoes or bunions, can cause the weight of the body to shift onto the ball of the foot. High impact sporting activities, such as tennis and running, can place increased stress in the area. Additionally, rock climbers and snow skiers may develop Morton’s neuroma, as a result of a combination of wearing tight shoes that can exert pressure on the toes. For a diagnosis and treatment options, it is suggested that you make an appointment with a podiatrist.
- Heel SpursA third cause of heel pain is a heel spur. A heel spur occurs when the tissues of the plantar fascia undergo a great deal of stress, leading to a separation of the ligament from the heel bone entirely. This results in a pointed fragment of bone on the ball of the foot, known as a heel spur.
- Heel Pain
- Foot Pain
- Ingrown ToenailsTreatment for an ingrown toenail will vary on a case by case basis. One form of treatment requires lifting the ingrown nail and placing a splint or piece of cotton underneath. Another method for a more severe case would involve partially removing the nail. For cases that need extreme care, the nail itself and tissue would have to be removed.
- MetatarsalgiaMorton’s neuroma, (also referred to as Morton’s metatarsalgia, Morton’s neuralgia, plantar neuroma or intermetatarsal neuroma) is a condition that is caused when the tissue around one of the nerves between your toes begins to thicken. This thickening can result in pain in the ball of the foot. Fortunately, the condition itself is not cancerous.
- Foot NeuromaMorton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.
- Plantar FasciitisPlantar fasciitis may occur when the band of tissues that support the arch of your foot experience too much stress. These tissues can become strained from frequently performing sporting activities, thus causing inflammation and pain at the bottom of the heel.
- Podiatric DeformitiesSuffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.
- Podiatric SurgeryDr. Kohler joined Ambler Podiatry Associates and services surrounding communities. Dr. Kohler is board certified by the American Board of Podiatric Surgery.