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March 2022

Plantar fasciitis will affect 1 in 10 people, mostly between the ages of 40-60, or younger if they are runners, athletes or dancers. The plantar fascia is the web-like fibrous tissue connecting the heel bone with the toes on the sole of the feet. Stress, micro-tears or other damage to the plantar fascia can cause it to become inflamed, which results in plantar fasciitis. This inflammation, in turn, causes the plantar fascia to tighten during periods of rest or inactivity and typically produces a sharp, stabbing pain towards the middle of heel, where the plantar fascia attaches to it. Initially, once activity is resumed (after waking in the morning, for example), and the plantar fascia begins to stretch, the pain may subside, but will reoccur later in the day. Contributing factors to plantar fasciitis include obesity, foot structure disorders such as flat feet or high arches, having to stand for prolonged periods, and participating in sporting activities with repetitive stress on the plantar fascia (i.e., running and jogging). If you have heel pain, it is a good idea to make an appointment with a podiatrist who can determine if plantar fasciitis is the cause and create a treatment plan to reduce your pain and help repair the plantar fascia.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. Richard DiMario  from Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

If you have any questions please feel free to contact our office located in York, ME . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Published in Blog
Tuesday, 22 March 2022 00:00

Dealing With Blisters on the Feet

A blister is a sac of fluid that develops in the upper layer of your skin when a body part, typically a toe, rubs against a hard surface like the side or top of a shoe. This is the body’s way of protecting the toe from injury. While most blisters are clear, if one becomes infected it may fill with blood or a yellowish-green pus. Generally, a blister will heal itself in a few days, especially if the activity that caused it is stopped. For instance, if you are walking for long periods in hard leather shoes, and a blister develops, it’s a good idea to change to a more open type of shoe. It's never wise to pop a blister, as that can leave you open to serious infection. If it bursts on its own, avoid removing the dead skin, but gently wrap the area in sterile gauze until it heals. Any time a blister becomes extremely painful or appears to be infected, it is important to consult a podiatrist as soon as possible for appropriate treatment options.

Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, contact Dr. Richard DiMario of Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

How Do Blisters Form?

Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.

Prevention & Treatment

It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.

If you have any questions, please feel free to contact our office located in York, ME . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Published in Blog
Tuesday, 15 March 2022 00:00

Baby’s First Shoes and Walking

Many parents choose to have their babies wear shoes, despite the fact that research has indicated that shoes are unnecessary to wear until walking begins. At this time, the first shoes often consist of having a flexible and non-slip sole, in addition to fitting correctly. The shoe is ideal when it fits securely on the foot. This can be helpful in preventing stubbed toes, splinters, or broken toenails. There are certain foot conditions that children can develop that require the expertise of a podiatrist. If your child has ingrown toenails, walks on their toes, or doesn’t walk by 15 months, it is suggested that you schedule an appointment with a podiatrist.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Dr. Richard DiMario of Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

If you have any questions please feel free to contact our office located in York, ME . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Wednesday, 09 March 2022 00:00

Are Bunions Affecting Your Everyday Life?

Have you noticed a bony protrusion on the side of your big toe? If so, you may have developed the foot condition known as a bunion. Don't let bunions interfere with your daily activities.

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Heel pain is a very common occurrence. It is usually felt under the heel or at the back of the heel. When pain and inflammation is located on the bottom of the heel toward the front of the foot, plantar fasciitis is typically the cause. Plantar fasciitis is a painful inflammation of the plantar fascia tissue, which runs along the bottom of the foot and connects the heel with the toes. Other causes of heel pain on the bottom of the foot may be attributed to heel pad atrophy or heel spurs. If pain is felt at the back of the heel, Achilles tendonitis is often at the root of the cause. This condition occurs when the Achilles tendon, which attaches to the back of the heel bone, becomes damaged or torn over time, causing pain and swelling. Other possible causes include bursitis, Sever’s disease, and heel bumps. Pain from a heel stress fracture can occur anywhere on the heel, and tarsal tunnel syndrome can cause heel pain underneath the ankle bone. Heel pain can also be caused by neurological issues, infections and arthritis. Unless you suffer an acute injury, heel pain typically starts out mild, but can become severe. If you are experiencing any type of heel pain, don’t hesitate to contact a podiatrist to find out the cause and take measures to keep it from worsening or becoming chronic or debilitating.

Many people suffer from bouts of heel pain. For more information, contact Dr. Richard DiMario of Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.

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

Treatments

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 condition of the past.

If you have any questions please contact our office located in York, ME . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Published in Blog
Tuesday, 01 March 2022 00:00

What to Do for Cracked Heels

Heel fissures, also known as cracked heels, are the result of splitting and cracking on the skin of the heel. As the skin on the heel dries out, it loses its strength and elasticity, and it gets hard, dry, and flaky. Cracked heels can have a variety of causes that include standing for long periods of time, wearing shoes that don’t fit correctly, cold/dry weather, or obesity. If you are struggling with dry and cracked heels, applying moisturizer to the heels is the first key step in dealing with the situation. It is also important to use a pumice stone and/or liquid bandage on the affected area as well as avoiding harsh soaps and long harsh showers. In severe cases, cracked heels may require the help of a podiatrist who can help remove dead skin, prescribe stronger medicine, prescribe antibiotics, and suggest shoe inserts or heel pads. Therefore, if you are struggling with cracked heels don’t hesitate to visit a podiatrist for treatment recommendations.  

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact Dr. Richard DiMario from Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin. 

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed. 

If you have any questions, please feel free to contact our office located in York, ME . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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