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Posts for: December, 2014

College basketball: Michigan State vs. PortlandAtlanta Hawks’ rookie Adreian Payne recently missed the season opening game due to his second battle with plantar fasciitis. While enrolled at Michigan State during his senior year, the forward initially discovered he had the same issue in his left foot.

Payne has already missed two games this season due to the foot injury and states, “It’s something that the coaching staff is trying to manage before it gets bad.”  Plantar fasciitis occurs when the tissues that run from the bottom of the foot to the heel become inflamed. Payne is currently working with the coaching staff to rest and rehabilitate his foot in order to prevent any further injury.  

If you have plantar fasciitis, it’s important to get plenty of rest to ensure a full recovery. For help with your heel pain, contact one of our podiatrists of The Foot and Ankle Associates of North Carolina, PLLC. Our doctors will provide you with the best treatment available to make sure you get back on your feet.

What is Plantar Fasciitis?

Plantar fasciitis refers to heel and arch pain caused by an inflammation of the connective tissues on the bottom of the foot.

What Causes Plantar Fasciitis?

·         Ill-fitting shoes

·         Weight change

·         Excessive running

·         Non-supportive shoes

·         Overpronation

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices. 
  • Shockwave therapy – sends sound waves to the areas where pain is experience.  Requires multiple sessions.  This is used for very persistent cases of plantar fasciitis. 
  • Ultrasound-guided technique with steroid injections into the plantar fascia.  This is from a relatively new and small study, but was shown to be effective in most cases treated.

New Studies on Treatment

According to groundbreaking treatment option studies, Luca M. Sconfienza, M.D. says that ultrasound with steroid injections was effective in over 95% of cases that involve plantar fasciitis. This process involves anesthesia and is a single process, out-patient treatment that was discovered to be highly effective. Luca M. Sconfienza M.D. presented her study at an annual meeting for the Radiological Society of North America (RSNA). Be sure to speak with your podiatrist about different methods that can be used, as well as finding out what treatment options they offer.

If you have any questions, please contact one of our offices located in North Carolina. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Plantar Fasciitis

Runners have often chosen footwear that is specifically tailored to their unique biomechanics with the wisdom of sports medicine specialists. However, some modern scientists dispute this notion; believing comfort is the most important attribute of a running shoe. Proponents of the comfort theory maintain that other details, including biomechanics, are rather minor.

To try and settle this debate, scientists at the University of Calgary is working on a new study. This study will focus on the effects of comfort in running shoes and the rate at which runners develop injuries. The ultimate goal of this study is to provide shoe developers with tips for future shoe designs.

For optimal foot health, you should understand the differences between walking and running shoes. If you have any foot or ankle injuries, see one of our podiatrists at The Foot and Ankle Associates of North Carolina, PLLC. Our doctors can treat your foot and ankle needs.

Foot Health: The Differences between Walking & Running Shoes

There are great ways to stay in shape: running and walking are two great exercises to a healthy lifestyle. It is important to know that running shoes and walking shoes are not interchangeable. There is a key difference on how the feet hit the ground when someone is running or walking. This is why one should be aware that a shoe is designed differently for each activity.

You may be asking yourself what the real differences are between walking and running shoes and the answers may shock you.


Walking doesn’t involve as much stress or impact on the feet as running does. However, this doesn’t mean that you should be any less prepared. When you’re walking, you land on your heels and have your foot roll forward. This rolling motion requires additional support to the feet.

Flexibility – walking shoes are designed to have soft, flexible soles. This allows the walker to push off easily with each step.

For more information about the Differences between Walking and Running Shoes, follow the link below.

If you have any questions feel free to contact us at one of our locations in North Carolina. We offer the latest in diagnostic and treatment technology to meet your needs.

Read more about the Differences between Walking and Running Shoes

According to podiatrist Christian Ellul, heel pain is one of the most regularly diagnosed foot problems in women. One of the most common forms of heel pain is plantar fasciitis, inflammation of the band of tissue in the sole that extends to the heels. Although plantar fasciitis can be treated with anti-inflammatories, cortisone injections, footwear is also a major issue. Extremely high heels as well as unsupportive footwear such as flip-flops and flats can make heel pain and other related conditions even worse. Podiatrists may recommend wearing arch supportive footwear, stretching exercises, orthotic devices, and other corrective foot aids to aid patients in managing their everyday heel pain.

Anyone can wind up suffering from heel pain. If your heel is hurting, see one of our podiatrists of The Foot & Ankle Associates of North Carolina. Our doctors will treat your heel pain symptoms in addition to other podiatric-related needs.

Causes of Heel Pain

● Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

● Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

● Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

- Wearing ill-fitting shoes                  

- Wearing non-supportive shoes

- Weight change           

- Excessive running


Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a thing of the past.

With the advancements in technology and greater knowledge of how muscles and joints work, physical therapists can turn things around dramatically.  

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

Read more about Heel Pain 

Aspiring gymnast Rachel Gowey broke her right ankle after a fall while practicing her beam dismount. The sixteen-year-old was training for the upcoming U.S. Gymnastics Championships when she took the fall and received the broken ankle, joining another prior unrelated ankle injury. Gowey is only participating in two events at the championships as is; with her broken ankle, however, the athlete’s participation in the entire competition may now be in jeopardy.

Gowey trains at the gymnasium where Olympic champions Gabby Douglas and Shawn Johnson once trained, under the wing of Coach Liang Chow. Gowey had placed fifth at the international Cup of Jesolo and fourth at the U.S. Classic this year.

To ensure that a broken ankle completely heals, treatment should be sought right away. For assistance, see one of our podiatrists of The Foot and Ankle Associates of North Carolina, PLLC.Our doctors will attend to all of your foot and ankle needs.

Broken Ankles

The ankle consists of three bones- the tibia, the fibula, and the talus. The tibia and the fibula are the two bones that connect to your knees. They sit directly above the talus bone, which is protected by a fibrous membrane and allows slight movement in the ankle joint. A break usually occurs in one of these bones after the foot is twisted too far, a strong impact like jumping from a great height, or repeated stresses like running.


If you suffer an ankle injury, it is essential that you receive a correct diagnosis. One of the first signs that the ankle is broken is an inability to put any weight on it. There will often be severe bruising and swelling at the sight of the injury. Your doctor may also order an x-ray be taken to determine the exact location and extent of the injury.


Without proper care, a broken ankle may not heal properly and could cause arthritis and instability later in life. Therefore, seeking proper treatment is essential to making a full recovery.

There a number of steps you can take to accelerate the healing process however. Elevating your feet above your head and icing the ankle can reduce pain and swelling.

For more information about Broken Ankles, follow the link below.

If you have any questions, please contact one of our offices located in North Carolina. We offer the newest diagnostic and treatment technologies for all your foot ankle injuries.

Read more about Broken Ankles