My Blog
April 11, 2019
Category: Foot Condition
Tags: Heel Pain  
Your left heel is so sore that you can't wait to get off your feet. What's happening? At New England Heel-PainPodiatry in Boston, MA, your team of five podiatrists see case upon case of heel pain. Most often, it's an inflammatory condition called plantar fasciitis. Plantar what? Don't worry. The medical term may sound scary, but the cure usually is simple! Find out more by reading below.
Causes of heel pain
While sometimes a wart or stone bruise causes discomfort in the heel, the most common cause of heel pain remains plantar fasciitis. Entailing an overstretching of the ligament which extends from the heel bone to the base of the toes, plantar fasciitis precipitates persistent heel pain and swelling.
The American Academy of Orthopaedic Surgeons says 2 million people in the US annually receive medical treatment for heel pain traced to plantar fasciitis, making it one of the most common podiatric conditions affecting American adults. How does this condition develop? Causes vary and include:
  • Obesity
  • Overuse (running, tennis and other athletic activities)
  • Overpronation, a gait problem involving an inward rotation of the foot
  • Flat arches
  • Poorly constructed shoes, particularly in the area of the arch
  • Rigid calf muscles
Even though symptoms seem activity-related, many people suffer the most just after rising from bed in the morning or after sitting in the car for long periods of time.
What can help
At New England Podiatry, your foot doctor diagnoses plantar fasciitis with a hands-on examination, X-ray screening, and specialized imaging such as MRI. While they do offer endoscopic fasciotomy to relieve the pressure and inflammation of heel pain, most patients do well without surgery of any kind.
Your foot doctor will put together a treatment plant to address how heel pain affects you personally and to give you lasting relief. Interventions may include:
  • Custom-crafted shoe inserts (orthotics) to correct gait problems and provide adequate support
  • Stretching exercises, particularly for the feet and calves
  • Over-the-counter pain relievers, such as ibuprofen
  • Weight loss
  • A change in footwear
  • Rest
  • Ice
  • Elevation
  • Splints (typically worn at night)
  • Cortisone injections
  • Shockwave treatment
  • Endoscopic surgery
 ​​​​Need relief? Give one of our Boston offices a call!
You can start to live pain-free when the staff at New England Podiatry help you with your plantar fasciitis. For an in-person consultation on your heel pain, call one of our two Boston-area offices for an appointment. For the Chestnut-Hill office, phone (617) 232-1752, or for the Newton-Wellesley location, call (617) 630-8280.
February 14, 2019
Category: Foot Care

Are you dealing with heel pain? It could be plantar fasciitis.

Do you have heel pain that radiates from the bottom of the heel to the arches? Do you have significant, sharp heel pain when first heel painarising in the morning? If you said yes then your heel pain could be due to an overuse injury known as plantar fasciitis, which causes inflammation in the thick bundle of tissue that runs from the toes to the heels. From our Boston area podiatrists at New England PodiatryAssociates in Chestnut Hill, Newton-Wellesley Hospital and serving patients in the entire Boston metro area, find out what you can do to treat plantar fasciitis-related heel pain.

What is plantar fasciitis?

This condition is one that affects a thick, fibrous band of tissue known as the plantar fascia. This tissue serves to support the arch of the foot and it connects the toes with the heel bone. Plantar fasciitis can be acute or chronic. Acute forms often come about suddenly and can be triggered by an injury or by an intense workout. Chronic forms, on the other hand, often develop over time as a result of overuse.

What are the telltale symptoms of plantar fasciitis?

The most obvious symptom of this condition is pain at the bottom of the heel, which may extend to the arches of the foot. While the pain may be mild, you may notice more severe pain when walking around first thing in the morning. Symptoms may ease up throughout the day but get worse by the evening. Your foot pain may also be accompanied by stiffness.

When should I see a doctor?

If the pain doesn’t get better within a week, or if symptoms get worse then it’s a good idea to see one of our Boston area foot specialists as soon as possible for an evaluation.

I have plantar fasciitis. Now what?

Treating plantar fasciitis can be simple. In fact, some people can treat their symptoms with easy, at-home care and proper rest. The best thing you can do is to stay off your foot as much as possible and to avoid any high-impact activities like running.

Stretching your foot through the day and even wearing a brace to help support the arches and alleviate pain can help manage yoursymptoms. If your condition doesn’t improve with traditional treatments, your podiatrist will discuss other treatment options such as Extracorporeal Shock Wave Therapy (ESWT) to alleviate pain and inflammation.

New England Podiatry Associates has locations in Chestnut Hill, at the Newton-Wellesley Hospital, and serves patients in Boston, Metro West and North and South Shores. Whether you are dealing with symptoms of plantar fasciitis or other foot pain, we are available for consultation.

October 31, 2018
Category: Foot Care
Tags: Toenail Fungus  

Discover the best treatment options for getting rid of that unsightly toenail fungus.

Toenail fungal infections are more common than you might realize. In fact, if you are dealing with a toenail that is gnarled, thick and yellowtoenail fungus then you are most likely dealing with a fungal infection. While it might not be causing you issues yet, it’s important that you nip this problem in the bud, as it isn’t always easy to treat on your own. Our podiatrists at New England Podiatry in Chestnut Hill and Newton-Wellesley, MA, and serving patients in Boston, Metro West and North and South Shores are here to tell you your treatment options when it comes to dealing with a toenail fungus.

At-Home Care

There are many articles on the Internet talking about different home remedies for killing toenail fungus. Of course, while some people may swear by certain home remedies, there is no substantial proof that this is an effective treatment option.

At home care you may have already tried include an over-the-counter antifungal treatment that is specifically designed to target toenail fungus. Most of these medications are topical, which means that you will need to apply it to the affected nail as directed.

When to See a Podiatrist

If you are treating your toenail fungus at home but it doesn’t seem to be responding to treatment it’s usually a good time to call our Boston foot doctor for an evaluation. Since fungal infections can get worse with time, it’s important that if at-home care isn’t helping that you seek medical attention as soon as possible.

Those with compromised immune systems, nerve damage in the feet or diabetes should always see a podiatrist right away if they experience changes in their feet, as even the most minor problems can become more serious if they aren’t properly and professionally treated.

Professional Treatment Options

Even though toenail fungus can be persistent or challenging to treat with at-home measures, our podiatric specialists near Boston have an effective laser treatment that can safely and effectively penetrate through the nail in ways that a topical antifungal can’t. The treatment itself only takes about 30-40 minutes, it’s painless and there is no recovery time.

Laser fungal treatment may be a great option for you if at-home treatments or prescription oral antifungal medication isn’t working for you. Those with severe or recurring infections may also want to consider getting laser treatment.

If you are dealing with severe or persistent fungal infections and are interested in how laser therapy can help you, then call New England Podiatry in Chestnut Hill or Newton, MA, today.

August 06, 2018
Category: Foot Care
Tags: Heel Pain  

Your heel really hurts. More than soreness, you feel a sharp pain that radiates across the bottom of your foot. Most commonly, heel painheel pain stems from plantar fasciitis, an inflammation of the connective tissue which stretches from the heel bone to the toes. At New England Podiatry in Chestnut Hill and Newton-Wellesley, MA, and serving patients in Boston, Metro West and North and South Shores, your team of highly-skilled podiatrists have heel pain treatment options that will get you some relief.

The origins of heel pain

Some heel pain does come from a fracture of the calcaneus, or heel bone. Alternatively, it could stem from a plantar wart on the heel or even from Achilles tendonitis, an inflammation of the tendon at the back of the leg.

Heel pain symptoms can come from inflammatory plantar fasciitis. Due to overuse (from sports or work), flat arches, poor support from shoes or flat feet, plantar fasciitis can be debilitating. Pain is at worst in the morning and can continue all day. Additionally, people with plantar fasciitis may have a small bony projection, called a heel spur, off the front of the calcaneus.

Heel pain treatment in Chestnut Hill, Newton-Wellesley, and the Boston area

You have options, with the help of the foot doctors at New England Podiatry. A simple physical examination of your foot and digital X-rays tells the podiatrist the nature of your problem.

Your podiatrist normally recommends prudent lifestyle strategies to control the inflammation and discomfort from this condition.

These interventions include:

  • Losing weight
  • Wearing quality shoes with good arch support
  • Over-the-counter analgesics
  • Stretching exercises, to be performed particularly in the morning
  • Custom-made shoe orthotics
  • Posterior night splints worn while you sleep to support the Achilles tendon
  • Cortisone injections to reduce inflammation
  • Physical therapy

Over time, most patients find relief from their heel pain. In resistant cases, non-invasive Extracorporeal Shock Wave Therapy and surgery may be considered.

What about your heel pain?

Don't suffer from persistent heel pain. Have it correctly diagnosed and treated at New England Podiatry. We have two offices in the Boston area to serve all your lower extremity needs. In Chestnut Hill, phone (617) 232-1752, or for the Newton-Wellesley Hospital office, call (617) 630-8280.

June 28, 2018
Category: Foot Care
Tags: Bunions  

A bunion is a bony protrusion that changes the shape of the front half of the foot. If it forms on one foot, the problem will most likely happenbunions on the other as well. Unfortunately, many people don’t have this foot deformity corrected soon after it begins to appear. No matter the stage of bunion formation, treatments are available at New England Podiatry in Chestnut Hill and Newton-Wellesley, MA, and serving patients in Boston, Metro West and North and South Shores, to help patients get relief.

How Bunions Form
Bunions often hurt due to wearing tight, ill-fitting shoes. For example, some pointed-toe shoes crush the toes into a triangular shape over time, causing the bone on the side of the foot to push outward. Some patients have a family history of foot bunions because of the way their feet are structured. A bunion deformity may also be present at birth, which is why some school children have this foot issue. Patients who have arthritis and other degenerative conditions may struggle with this problem.

Bunion Problems
Patients are often inspired to seek treatment for bunions because of the way they make the feet look. The deformity looks like an unusual growth on the foot, which can be embarrassing when wearing sandals and similar open-toed shoes. You may also have a problem trying on new shoes when you have a bunion. Additionally, because the bunion causes the toes to press together, the big toe often lays on top of the other four. People who have bunions may also develop hammertoes, which can also be treated by our podiatrists.

Bunions: How They Are Treated
Treating a moderate to severe case of a bunion requires time and patience. In many cases, the toe bone can be trained back to its proper alignment using splinting, foot wrapping and other therapies. Padding placed between the toes can also help. Your podiatrist may prescribe rest and activity changes. A foot surgery called a bunionectomy may be the only viable solution in an advanced case of bunions.

Life Without Bunions
If you’ve been plagued with bunions for much of your life, it’s comforting to know that there’s a solution available at New England Podiatry. Call today to schedule an appointment to discuss the ways a podiatrist can help your feet.

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