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Kevin F Gallagher, DPM
Board Certified in Foot and Ankle Surgery
(724) 941-4330


December 2023

Tuesday, 26 December 2023 00:00

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.

Tuesday, 26 December 2023 00:00

Common Causes of Plantar Fasciitis Unveiled

Plantar fasciitis, a commn cause of heel pain, is a condition that occurs when the plantar fascia, a thick band of tissue that connects the heel bone to the toes, becomes inflamed and irritated. Several common factors contribute to the development of plantar fasciitis. One primary cause is excessive or repetitive strain on the feet. This often results from activities that place a significant burden on the plantar fascia, like prolonged standing, walking, or running, especially on hard surfaces. Footwear with inadequate arch support or cushioning can exacerbate the condition. Sudden weight gain or obesity is another contributing factor, as it places additional pressure on the feet. Tight calf muscles and Achilles tendons can also lead to plantar fasciitis by altering the mechanics of the foot, affecting the way it absorbs shock and distributes weight. Understanding these common causes is essential for both preventing and managing plantar fasciitis. If you have heel pain, it is strongly suggested that you are under the care of a podiatrist who can effectively diagnose and treat this condition.

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 Dr. Kevin F. Gallagher from Gallagher 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 one of our offices located in McMurray and Hickory, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

 

Read more about Plantar Fasciitis
Tuesday, 19 December 2023 00:00

Causes and Symptoms of Foot Stress Fractures

Foot stress fractures, prevalent among runners, are primarily attributed to overuse, constituting 80 percent of cases. The repetitive forces during running may cause microscopic bone damage, escalating into hairline fractures if adequate recovery time is not provided. Sudden increases in running volume, intensity, or frequency, common in the overtraining syndrome, can make it worse. Running form also plays a role, especially with those who have a pronounced heel strike. However, transitioning abruptly to a forefoot strike or wearing minimal footwear can similarly increase the risk of metatarsal stress fractures. Nutrition is a vital factor in preventing stress fractures of the feet. Low vitamin D levels, specifically during winter, elevate the risk of stress fractures. Runners, especially women, face heightened risk if conditions such as osteoporosis or menstrual cycle-related amenorrhea are present. Additionally, sudden changes in running surfaces, such as switching from trails to roads without proper training, can elevate the risk. Wearing proper footwear is equally as important. Old, ill-fitting shoes that lack proper support can increase bone stress. Balancing training intensity, adopting gradual changes in running techniques, maintaining a nutritious diet, and ensuring proper footwear are key components of a comprehensive approach to foot health and injury prevention. For help in managing foot stress fractures, it is suggested that you schedule an appointment with a podiatrist.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact Dr. Kevin F. Gallagher from Gallagher Podiatry. Our doctor can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

  • Gender – They are more commonly found in women compared to men.
  • Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
  • Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
  • Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
  • Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

If you have any questions, please feel free to contact one of our offices located in McMurray and Hickory, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Stress Fractures of the Foot and Ankle
Tuesday, 19 December 2023 00:00

Stress Fractures of the Foot and Ankle

Our bones are important aspects of our body and they are constantly changing. The heavier the workload for a bone, the more likely it is that calcium will be placed in it. When a bone isn’t used often, there won’t be much calcium within it. When stress from repetitive loads prevent the bone from being able to repair itself, cracks will start to form. Stress fractures are defined as cracks in a bone that result from repetitive force, such as overuse.

The most common cause of stress fractures is a sudden increase in intensity and duration of physical activity. For example, if you begin to run long distances without working your way into doing so, you will be more likely to develop a stress fracture.

Common symptoms of stress fractures are pain and swelling near the weight bearing area on the injured bone. When initial x-rays are performed, it is possible that the fracture will not show up. However, once the stress on the area continues, the damage will increase, and the fracture will be severe enough to show up on an x-ray. Certain parts of the foot are more likely to develop stress fractures than others. Areas that typically have these fractures are: the metatarsals, the navicular bone, the calcaneus, tibia, and fibula.

Since women are at an increased risk of developing osteoporosis, they are twice as likely as men to sustain a stress fracture. Additionally, old age causes a decrease in bone mineral density which is why elderly people are also likely to develop these fractures.

It is important for you to be professionally diagnosed by a podiatrist if you suspect you have a stress fracture, because there are other injuries that can easily be mistaken for a fracture.  Sprains, strains, shin splints, plantar fasciitis, and Morton’s neuroma can all easily be mistaken for stress fractures in the foot. Your podiatrist will likely ask you a series of questions to determine what type of pain you are experiencing. These questions will help your doctor identify whether you have a stress fracture.

The best method of treatment for a stress fracture is rest. Additionally, a walking boot, cast, or crutches, will help rest the area that is injured. The typical healing time for stress fractures is 4-12 weeks, however this depends on which bone is involved.

Tuesday, 12 December 2023 00:00

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.

Tuesday, 12 December 2023 00:00

Foot Size Changes During Pregnancy

During pregnancy, many women experience changes in their bodies, including foot size growth. This phenomenon is primarily attributed to hormonal changes and increased fluid retention. The hormone relaxin, which helps to relax the ligaments in the pelvis for childbirth, can also affect the ligaments in the feet, leading to an increase in foot size. When it comes to addressing foot size changes during pregnancy, consulting a podiatrist can be beneficial. A podiatrist specializes in diagnosing and treating foot and ankle issues, in addition to providing guidance on managing foot discomfort and swelling during pregnancy. If you have foot-related concerns during pregnancy, it is suggested that you schedule an appointment with a podiatrist to ensure these issues are addressed promptly, increasing your health and well-being during this transformative period.

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 Dr. Kevin F. Gallagher from Gallagher 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 one of our offices located in McMurray and Hickory, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Foot Care for Pregnant Women
Tuesday, 05 December 2023 00:00

All About Cuboid Syndrome

Though cuboid syndrome predominately affects athletes, non-athletes can suffer from it too. Cuboid syndrome is also called cuboid subluxation or cuboid fault syndrome, and occurs when a joint or ligament near the cuboid bone of the foot becomes damaged, or when the bone itself is dislodged from its natural position. Pain may be persistent, or come and go, and it is usually marked by the outside of the foot. Cuboid syndrome, unless severe, can be difficult to diagnose. A doctor will likely ask questions about how long the pain has been present, and will apply pressure on the cuboid bone to determine the origin of pain.

There are a number of causes that can lead to the syndrome. Due to athletic activities, repeated stress placed on the foot can cause cuboid subluxation. Ballet dancers, runners, and other athletes often develop this condition. Basketball or tennis players may also develop this condition, as they place stress on their feet while moving side to side. Cuboid syndrome can often develop over time; however it can come out of a sudden injury as well. Over pronation, or other problems with feet, can exacerbate the condition if not corrected.

Among podiatrists, there is some disagreement about the treatment, as well as the definition of cuboid syndrome. Some see the injury as an injury to the ligaments located nearby the cuboid bone, while others believe it refers to the dislocation of the calcaneal-cuboid joint only. Treatment opinions differ as well. Although it can be treated by manipulation in order to reposition the bone, this must be done with extreme care in order to avoid injury. Some doctors, however, prefer treatment through the use of orthotic pads, designed to keep the bone in its place. Effectiveness of these treatments may vary, according to the severity of the injury.

When you experience side foot pain, it is important that you seek medical assistance. If a subluxed cuboid is caught and treated early, treatment is usually successful, and individuals may begin activities such as sports when the pain subsides. If left untreated, the pain will worsen, and the condition could cause permanent damage.

Tuesday, 05 December 2023 00:00

A Closer Look at Causes of Cuboid Syndrome

Cuboid syndrome, a relatively lesser known foot ailment, involves the dislocation or subluxation of the cuboid bone, which is one of the seven tarsal bones in the foot. This condition typically occurs when there is excessive stress on the foot, often stemming from activities that involve repeated impact or sudden twisting motions. Participating in high impact sports, wearing improper footwear, or sudden changes in activity levels can contribute to the misalignment of the cuboid bone. The cuboid bone sits on the outer side of the foot, forming a vital connection between the foot and the ankle. When it shifts out of its normal position, it can cause pain and discomfort along the outer edge of the foot, accompanied by swelling and limited range of motion. Recognizing the definition and understanding the causes of cuboid syndrome is essential for prompt diagnosis and appropriate management that can restore normal foot function. If you have pain in this area of your foot, it is suggested that you contact a podiatrist who can accurately diagnose whether it is cuboid syndrome and offer appropriate treatment techniques.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Dr. Kevin F. Gallagher from Gallagher Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

  • Injury – The most common cause of this ailment is an ankle sprain.
  • Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
  • Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

If you have any questions, please feel free to contact one of our offices located in McMurray and Hickory, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

 

Read more about All About Cuboid Syndrome
Sunday, 03 December 2023 00:00

Do Your Child's Feet Hurt?

Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.

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