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July 2023

Plantar fasciitis is a common foot condition that gradually develops for various reasons. These can include wearing shoes that do not fit correctly or from gaining weight. Standing on hard or uneven surfaces for most of the day or from recently increasing speed while running can also increase your chance of getting plantar fasciitis. The plantar fascia is found on the bottom of the foot and is the band of tissue that connects the heel to the toes. Any one of the above reasons may cause the plantar fascia to become irritated or torn, and this can lead to plantar fasciitis. Mild relief may be found when specific heel stretches are performed, in addition to wearing shoes that have a cushioned heel. It may help to lose weight if applicable, and elevating the foot frequently may reduce the discomfort. Orthotics may be worn that can provide the necessary support as the foot heals. If you have heel pain, it is suggested that you visit a podiatrist who can treat plantar fasciitis.

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.

Read more about Plantar Fasciitis
Published in Blog
Tuesday, 18 July 2023 00:00

Facts About Stress Fractures

Stress fractures are considered to be overuse injuries that are common among runners, as well as other athletes. Football players, basketball players, and dancers are at risk for stress fractures over time. A stress fracture is a hairline crack in the bone as a result of repetitive pounding of the feet. People with poor nutritional habits and who smoke or drink excess alcohol are also susceptible to incurring stress fractures. The most common causes of these painful stress fractures are repetitive force, overtraining, and running on hard surfaces. A stress fracture often develops as the result of a sudden change in physical activity, such as increasing running speed too quickly or starting to participate in a sport after being sedentary for a long time. Furthermore, a vitamin D deficiency can cause the bones to weaken, possibly making them more vulnerable to this type of injury. Wearing shoes that do not fit well or provide inadequate support is another common cause of stress fractures. If you believe you have developed stress fractures in the feet or ankles, it is suggested that you visit a podiatrist for a full examination and correct treatment options.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact Dr. Richard DiMario from Maine. 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 our office located in York, ME . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Dealing with Stress Fractures of the Foot and Ankle
Published in Blog
Tuesday, 11 July 2023 00:00

What Can Be Done About Ugly Bunions?

Bunions are bony deformities of the big toe joint. They are unattractive, are a common affliction, and can affect people of all ages. Medically, bunions are referred to as hallux valgus. The metatarsal bones in the foot fan out from the base near the ankle to each toe and the distance between them increases as they approach the toes. With bunions, the distance and angle at the base, between the first and second metatarsals, increases over time and a bump develops on a big toe joint. The foot widens and the deformed big toe joint presses uncomfortably against shoes. Pressure from shoes pushes the big toe towards the smaller toes, which emphasizes the bulge on the side of the foot. As time passes, the second toe can lie on top of the big toe and calluses and corns can develop on the toes, leading to further distortion and pain. Walking can also become problematic. If bunions are not tended to, arthritis can develop. It is not just shoes that contribute to bunion formation. Genes, gait, and being female can add to a propensity toward bunions. Wearing narrow-toed shoes or high heels for a prolonged time should be avoided because these types of shoes force the weight down to the ball of the feet and push the toes together. Insoles or orthotics can help and surgery for permanent removal may be an option. If you have a bunion or notice that one may be forming, it is suggested that you consult with a podiatrist who can give you advice and offer treatment options.

If you are suffering from bunions, contact Dr. Richard DiMario of Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

  • Refrain from wearing heels or similar shoes that cause discomfort
  • Select wider shoes that can provide more comfort and reduce pain
  • Anti-inflammatory and pain management drugs
  • Orthotics or foot inserts
  • Surgery

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.

Read more about Bunions
Published in Blog
Tuesday, 04 July 2023 00:00

Hammertoe Surgery

A hammertoe occurs when one of the three middle toes bends upward at the middle joint. Corns and calluses that can develop on the hammertoe can make wearing shoes and walking uncomfortable. If lifestyle changes, such as wearing wider shoes, using shoe inserts, or doing stretching and strengthening toe exercises do not help, surgery can be considered to correct a hammertoe. Hammertoe surgery is not a good option for those who have poor circulation in their feet, have a foot infection, or have other health problems making surgery a risk. If considered a good candidate for this surgery, it is typically a procedure that can be done as an outpatient under general anesthesia or using numbing medications. If the hammertoe is still somewhat flexible, a tendon transfer involving redirecting tendons from the bottom of the toe to the top where it is bent can be done to straighten the toe. If the hammertoe is fixed or rigid, a joint resection or fusion can be done. Joint resection is when tendons and ligaments are cut to help straighten the toe and the end of the bone is cut off so the toe can be fully extended. In fusion surgery, the ligaments and tendons are also cut but the two bones forming the affected joint are also cut for straightening the toe. If you have a painful hammertoe, it is suggested that you make an appointment with a podiatrist to see if more conservative treatment is possible or whether surgery is an option for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Richard DiMario of Maine. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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.

Read more about Foot Surgery
Published in Blog
Sunday, 02 July 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.

Published in Blog
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