My Blog


Have you ever felt any pain in the bottom of your heel? It can be caused by plantar fasciitis. The plantar fascia is a thick ligament that connects the heel to the front of the foot. It is the part the supports the arch of the foot and helps us walk.


Plantar fasciitis is a common orthopedic complaint. Our plantar fascia ligaments are no stranger to wear and tear, especially since our feet do a lot of work on a daily basis. Normally, plantar fascia ligaments act as shock absorbers. They support the arches of the feet. If there is too much pressure on the feet, then the ligaments can be damaged or torn, resulting in an inflamed plantar fascia. The inflammation, then, causes heel pain and stiffness.



Generally, the major complaint of patients with plantar fasciitis is the pain on the bottom of their heels. Some people also experience pain at the bottom of their midfoot area. At first, it can affect just one foot and eventually, it may affect both feet.Some patients experience dull pain, while others, sharp pain. Some patients can even feel a burning or ache on the bottom of their feet extending outward from their heels.


The pain can usually be felt (and is worse) in the morning when the first steps for the day are taken, or if one has been lying down or sitting for a while. Climbing stairs can also be extremely challenging due to heel stiffness.


After prolonged activity, the pain and inflammation may increase. One may not feel the pain during the activity, but once that person stops with the activity, then the pain will start to kick in.



If a person is overweight or obese, then he or she is at a greater risk of developing plantar fasciitis. For overweight patients, there is an increased pressure on the plantar fascia ligaments. Pregnant women mayto experience bouts of plantar fasciitis, particularly around the time of late pregnancy.


Long-distance runners or athletes who use their feet and put too much pressure on their feet are also more likely to develop plantar fascia problems. Those who have an active job that involves being on their feet may also be at risk.



Our podiatrist, Sheldon H. Nadal, DPM will take a thorough history and perform a physical exam to check for any tenderness in your foot as well as the exact location of the pain rule out other foot problems. He may ask you to flex your foot while he pushes on the plantar fascia to see if the pain worsens when you flex and betters when you point your toe. He will also note if you have any mild redness or swelling.


You should not suffer from plantar fasciitis. Sheldon H. Nadal, DPM can definitely correct this foot problem! Set up an appointment with him today!



There are many foot problems that can affect people from all age groups. In this blog, we talk about some of the most common foot problems that can be seen in each age group.



Congenital Malformations

One of the most common foot problems that can be seen in infants and newborns are congenital malformations. The common types of these malformations include:


-webbed toes

-disfigured toes

-missing toes

-flat or high arched feet

-excess toes

Today, however, most congenital problems of the feet can be rectified.


Walking Problems

Many children start to walk late, while some children often trip and fall when walking.



Growing Pains

Growing pains (or Sever’s Disease) involves pain in the growth plate of the heel. This is quite a common foot condition that can be treated with ultrasound and heat to resolve the poor blood supply to the growth plate.


Traumatic Injuries

Foot fractures and ankle sprains are also common in athletic children or teenagers.


Skin and Nail Problems

Plantar warts, Athlete’s Foot, lacerations, splinters, and ingrown toenails are also commonly found in teenagers. Exercise related foot concerns would include overuse injuries due to use of improper techniques while playing sports or exercising.



Overuse Injuries

Even in adults, overuse injuries can be seen. These injuries involve causing an anatomical structure such as a tendon to undergo excessive pulling or tension that results in an injury. Some of the common overuse injuries are Achilles’ tendonitis, plantar fasciitis, metatarsal stress fracture, Sesamoiditis, and Morton’s Neuroma.


Acquired Foot Deformities

Due to the amount of force that is placed on the feet when we stand and walk, the feet undergo structural changes that often lead to joint misalignment and muscle imbalances. The most common acquired deformities are hammertoes, bunions, and bone spurs.


Shoe Complications

Shoe complications occur when too much pressure is placed on the skin or there is wrong positioning of the foot while wearing shoes. Such foot conditions include blisters and metatarsalgia, as well as corns and calluses. Natural wear and tear foot complications occur when the joints in the body become worn and painful.


Systemic Foot Complications

These complications happen when the body is not functioning properly, resulting in a foot complication. Common systemic diseases that cause foot problems include gout, skin allergies, and diabetes, among others.


Exercise Related Problems

The muscles need to be able to flex through the full range of motion. Because of this, many injuries are due to a lack of warm-up or caused by an inappropriate technique while playing sports. The most common exercise related problems are Achilles’ tendonitis, plantar fasciitis, and peroneal tendonitis.



Most of us have the habit of procrastinating, putting things off until ‘sometime’ in the future – especially if it is something that we believe to be a scary thing, such as surgery. People often put off a problem and only do something about it once they no longer have a choice. Most of the time, though, procrastinating only gives the problem time to worsen. This is usually the case for most foot problems like bunions.


Sometimes, a bunion surgery just might be your best option for pain relief and recovery, so it is important that you recognize the signs that tell indicate you need it. Once you notice these signs, pay attention to them – doing so will certainly get you the care that you need.


Don’t fret – bunion surgery is always considered to be the last resort for treatment. In many cases, bunions can be treated successfully by using only conservative methods such as custom orthotics or changes in footwear. There are times, however, when bunion surgery is the best option.


Here are some of the signs that will tell you that you need bunion surgery:


#01. Lifestyle-altering Pain

When the pain gets in the way of your normal life, then it becomes a different story. For instance, if you are no longer able to wear most of your shoes, and the pain you feel in your joints make normal standing, walking, or simply just getting around more difficult for you.


#02. Severe Bunion Deformity

With the first sign comes the unusual deformity. Your bunion might be getting worse progressively, despite performing the appropriate foot care or worse, you might already have a severe bunion deformity present.


#03. Ineffective Conservative Treatments

You and your podiatrist might have been trying to do non-invasive treatments for some time, but there is no improvement whatsoever, or there is still the presence of pain and a slow progression of the problem. In such circumstances, then bunion surgery is most likely considered.


If the situations aforementioned sound familiar for your own foot, then it is probably time to consider bunion surgery. The procedure will correct the deformity, alleviate your pain, and improve your foot function. It is much better to have bunion surgery earlier than to continue with your suffering.


Bunion surgery might not be your first choice for treatment, but it can easily become your best option, especially when conservative methods are not enough. Contact us today and set up an appointment with our podiatrist, Sheldon H. Nadal, DPM, and find out if minimally invasive bunion surgery can help you.



There are different styles and types of shoes that women can choose from. This can often make it a bit challenging when deciding what to buy. At the end of the day, what you want to have is something comfortable, sturdy, and trendy. In addition to having a large variety to choose from,  you also have to match your shoes to the occasion. What is appropriate for one event might not be suitable for a different one.


There are some rules that should be followed, but there are not always set in stone. You might be able to find some leeway when trying to decide which footwear you should wear.


Here are some tips on how you can choose the right shoe for a particular occasion:



Will you be running errands? Then you need to have footwear that is comfortable and something you can spend a long period of time in. If you want to make the most of the time available to you, you may choose running shoes or other athletic shoes. This type of footwear offers a great deal of support and it will not leave you wincing in pain at the end of the day. If you, however, still want to be a bit stylish, you can always go for a comfy pair of flats.



During the winter, you want to stay as warm as possible. This means that you should have footwear that is well insulated from the inside. You might want to get a pair that is waterproof or a pair that will prevent your feet from getting wet. This type of footwear will keep your toes toasty even in the harshest weather. If you want a pair that is a little more upscale, then you should consider getting boots but in a different style. To stay as warm as possible, choose boots that come up to your mid-calf or even higher.



During the summer, wearing boots insulated footwear is definitely a no-no. It is best to have a pair of comfy sandals when going out and about. Make sure that you wear sandals that provide support to your heels and arches so you will not experience any pain at the end of the day. You may also go for flip-flops but make sure to limit the time you wear them as they can cause damage to your feet if you wear them for a long time.



The most common footwear for events such as cocktail parties, galas or dinners are high-heeled shoes. They look elegant and they also provide the boost that you need, especially if you are wearing a long dress. There are still other options that you could choose from if you are not fond of wearing heels. High-heeled shoes can actually be quite harsh on the feet. A more comfortable option you can go for would be wedged shoes. This type of footwear has a sturdier heel and it can also support your balance better.


Remember, trends are changing so this means that you do not have to stick to the same style for each event. There are now different footwear options available to women. Make sure that when you are choosing shoes of any kind, foot comfort should always be your main priority and the style should only come second to that.

August 01, 2018
Category: Foot Pain
Tags: Untagged


Heel and foot pain are usually associated with getting older, but let us not dismiss the fact that children can suffer from them, too. Prompt and effective treatment is, in fact, more important for growing, active children. Unlike adults, however, children might not be able to communicate their symptoms right away.


This is why it is important that we are aware of the common causes of heel pain in children. You should know how those conditions may manifest themselves so you know when to see our podiatrist, Sheldon H. Nadal, DPM in order to keep our children healthy and active.


Here are some of the most common causes of heel pain in children:



Children tend to have endless amounts of energy, but the muscles and ligaments in their heels and feet are susceptible to wear and injury through overuse. When too many sports practices take place, or when kids engage in an intense physical activity without the proper warm-up, the ligaments and muscles in the foot may not be able to rest and recover from micro-injuries and wear. This can result in a compounding effect and eventual injury.



Severs Disease is a serious foot condition that causes heel pain and is commonly mistaken for “growing pains”. When the bone in the heel goes through a growth spurt, but the rest of the legs and feet struggle to catch up, the result can be heel pain that would need immediate medical attention. The condition may manifest as difficulty walking, limping, intense pain, swelling and redness.



Sports are one of the most common causes of foot and heel injury for children. Any activity that involves jumping, running or any rapid changes in direction and movement can put a significant strain on the arch and heels of the feet. When children engage in sports without the proper footwear, or if they fail to warm-up the muscles in the legs and feet, injury to those parts is highly likely.



Whether children play sports or not, most of them are constantly on-the-go as they play and explore. Falls, tumbles, and jumps on hard or uneven surfaces can result in stress fractures to their heel or the bones in the feet. Stress fractures are not a complete break of the bone, but they can be microfractures , painful fissures in the bone that would require immediate medical attention.



This foot condition is the result of the inflammation and damage to the arch of the foot and it also causes pain the heel and the foot while walking, especially upon waking up first thing in the morning. Plantar fasciitis in children can have many causes, but overuse, high-impact sports, and improperly fitting shoes are major culprits for children.



Poorly-fitted shoes can result in an array of heel and foot problems for children. Because kids’ feet grow quickly, it is easy for their shoes to become too tight in the heel or toe box areas. Because many kids are active, shoes also tend to wear out more quickly than their adult counterparts, which can result in a poor arch and heel support.

This website includes materials that are protected by copyright, or other proprietary rights. Transmission or reproduction of protected items beyond that allowed by fair use, as defined in the copyright laws, requires the written permission of the copyright owners.