713-467-8886
Podiatrist - Houston
1140 Business Center Drive Suite 510
Houston, TX 77043
713-467-8886
I watched the Oscars and the annual fashion show on the red carpet. While all the women were glamorous from head to toe, by the end of the night most of them were either barefoot or carrying their shoes looking for a place to sit.
Although high heels and stilettos may make women’s legs more shapely and elegant, they are not an everyday shoe. Most of these shoes offer little to no support for your feet and can cause pain because all your weight is forced to the balls of your feet, pinching the toes together. In some cases, the imbalance can lead to sprained ankles or even worse - ankle fractures from falling.
A lot of these shoes may make foot problems worse and speed up the formation of such problems as bunion’s, hammertoes, corns, callous, pinched nerves, and many more deformities.
So, the question I get is, “How can I wear heels and be comfortable?” First thing is find out what is causing the discomfort. If all the weight of your body is forced onto your forefeet, you need to wear a lower heeled shoe of about 1 ½ inches in height. A completely closed-in shoe will give more support than a sling back, peep-toe shoe, or sandal. Padding and wider shoes will often help, but wider shoes may slip off the back of your heels. A custom device called an Orthotic can be made to fit into heels that will keep the muscles, tendons, ligaments and bones in a proper position and prevent the imbalance and discomfort.
Stretching your toes both toward the leg and down helps to strengthen your feet. Stretching the calves and the arch will also help. Your Podiatrist can show you Exercises specific for you to ensure correct form and position. Your foot doctor will go over the pros and cons of different styles of shoes to determine what is best for you. Be sure to bring a pair of high heeled shoes that you frequently wear to your appointment to be evaluated for wear patterns and unequal weight distribution.
I will not tell you to give up high heels. I will simply help you achieve the comfort you desire so you may wear high heels on occasion.
For more information on high heels and your feet, feel free to contact Dr. Bowman at Houston Foot Specialists by either calling 713-467-8886 or at our website www.houstonfootspecialists.com
Seeking medical attention from your podiatric physician is the first line of defense in treating heel pain. However, there are several steps you can take to avoid heel pain in the first place:
*Wear shoes that fit well and have shock-absorbent soles, rigid shanks (the part of the shoe that supports the foot and helps give a shoe its structure), and a supportive heel counter (the rear-most part of the shoe, at the back of the heel above the sole).
* Wear the proper shoes for each activity.
* Do not wear shoes with excessive wear on heels or soles.
* Begin exercises slowly. Consult with your podiatric physician before beginning a new exercise program.
* Wear athletic shoes with good shock support in the heels.
* Purchase shoes that fit.
* Avoid activities that may put constant strain on the foot.
* Avoid going barefoot on all surfaces.
* If obese, lose weight.
A variety of treatment solutions are available to provide short and long-term pain relief. Begin treating heel pain by avoiding all sorts of pressure or tension on the inflamed area, giving your feet ample rest. Applying ice and heat packs in alternating fashion will greatly accelerate the process of healing. Another option is the use of custom insoles that may be created by your podiatric physician. These may assist with treating active conditions of heel pain and likewise reduce the risk for reoccurrence. The custom insole will restore body balance and prevent the plantar fascia from experiencing strain when you walk. If all non-invasive treatment solutions do not work, surgery is probably the best next option, and often Endoscopic procedures or minimally invasive procedures are an option.
Regular exercise for calf muscles and the plantar fascia is necessary to alleviate pain and improve flexibility of the affected muscle. These exercises are advised for both legs even if the pain is in one heel only. Some of the most beneficial exercises are:
*Towel stretches – This exercise should be done every morning before you leave your bed. Make a loop with a towel and use it to pull your toes toward your body, while keeping the knee straight. Stretch each foot three times, and hold each stretch for 30 seconds, if possible.
*Stair stretches – Stand tall on a staircase with the balls of both feet on the edge of the step. Place hands on the railing or the wall for balance and support. Slowly lower heels toward the floor until you feel a stretch in your lower leg and heels. Maintain the stretch for 10 to 15 seconds. Repeat this exercise six times, and perform the stretches twice every day.
*Wall-Leaning Stretch – Stand an arm’s length away from a wall, place both hands on the wall at shoulder height, with the feet slightly apart and one foot in front of the other. Your front knee should be bent, but the back knee should be straight while you lean toward the wall. Hold the position for 10 seconds at a time for up to 15 or 20 repetitions per leg.
If you are unsure of the cause of your symptoms, if pain is severe, or if you have the following symptoms, call a podiatric physician immediately:
*Inability to bend your foot downward.
*Inability to rise on your toes.
*Inability to walk comfortably on the affected side.
*Swelling or discoloration of the back of the foot.
*Heel pain that occurs at night or while resting.
*Heel pain that persists beyond a few days.
Heel pain does not always subside quickly after medical attention is received. Unfortunately, it may take several months before the pain is actually gone. In most cases, heel pain can be treated at home under a podiatric physician’s supervision. If you are in need of a podiatrist, check out Houston Foot Specialists, we'd love to help you get rid of that heel pain!
Do you feel a stabbing pain in your heel with your first steps out of bed in the morning? You’re not alone! Every day, thousands of Americans suffer from this condition. Plantar fasciitis, more commonly known as heel pain, is by far the most common complaint patients bring to podiatric physicians.
Aching heels can truly affect your lifestyle and disrupt essential activities and prevent you, to a large extent, from playing sports or simply going for a walk. An accurate expedient diagnosis of the cause of your symptoms will help you receive the appropriate treatment.
There are several causes of heel pain. The most common include:
*Plantar Fasciitis – Inflammation of the band of fibrous connective tissue (fascia) running along the bottom (plantar) surface of the foot, from the heel to the ball of the foot. Both heel pain and heel spurs are frequently associated with plantar fasciitis.
*Heel Spurs – A bony growth on the underside of the heel bone. The spur, visible by X-ray, appears as a protrusion that can extend forward as much as half an inch. Heel spurs can result from strain on the ball of the foot and repeated tearing away of the lining or membrane that covers the heel bone.
*Excessive Pronation – Excessive inward motion can create an abnormal amount of stretching and pulling on the ligaments and tendons that attach to the bottom back part of the heel bone. Excessive pronation may also contribute to injury to the hip, knee, and lower back.
*Achilles Tendinitis – Pain at the back of the heel is associated with Achilles tendinitis, which is inflammation of the Achilles tendon as it runs behind the ankle and inserts on the back surface of the heel bone.
*Tarsal Tunnel Syndrome – This syndrome causes a large nerve in the back of the foot to become entrapped, or pinched. Similar to carpal tunnel syndrome in the hand, tarsal tunnel syndrome can cause heel pain.
Other possible causes of heel pain include rheumatoid arthritis and other forms of arthritis (e.g., gout); Haglund’s deformity (a bone enlargement at the back of the heel bone in the area where the Achilles tendon attaches to the bone); inflamed bursa (“bursitis”), a small, irritated sac of fluid; neuromas (nerve growths) or other soft-tissue growths; and bruises or contusions, which involve inflammation of the tissues that cover the heel bone. A bone bruise is a sharply painful injury caused by the direct impact of a hard object or surface on the foot.
Some contributing factors associated with heel pain are age (with increasing age, often there is decreasing flexibility); any sudden change in activity (particularly activities that increase weight bearing or pressure on the foot); flat, pronated feet or high-arched feet; a sudden increase in weight; pregnancy; stress from an injury; a bruise incurred while walking, running, or jumping on hard surfaces; or medical conditions such as tarsal tunnel syndrome.
If you have any questions on heel pain, contact Dr. Bowman at Houston Foot Specialists.
Don’t know if you know it or not, but one of Dr. Bowman’s patients, Christi, has been keeping a blog through her experience with Dr. Bowman. If you haven’t already, you should check it out and read her blog to hear straight from a patient what it’s like to have Dr. Bowman as your podiatrist. See her testimonial by clicking here.
Christi has need several surgeries to correct the problems in her feet and ankles. Where many other podiatrists told Christi that she had plantar fasciitis, but only offered injections to take care of the problem. Dr. Bowman knew that something had to be wrong because of the amount of injections she had received, but the pain still remained. So he guided her through the surgery process and even preformed the surgery for her.
But after the surgery for the plantar fasciitis, Christi still had pain in another part of her foot. After further inspection, Dr. Bowman figured out that Christi’s Anterior Tendon was damaged. So another round of surgery by Dr. Bowman on Christi’s right foot. Now she is healing up very nicely and by January, Christi was able to walk a 5k on the beach of Galveston! Recently, Dr. Bowman also fixed her Achilles Tendon Rupture and she is doing great!
The funniest thing about this though is that Christi is a Ohio State Buckeye, while Dr. Bowman is a Michigan Wolverine. If you read Christi’s blog, you’ll see the hilarious antics these two have done to support their teams.
If you have any questions on plantar fasciitis, Anterior Tendon damage or any other questions on foot or ankle pain, contact Dr. Bowman at Houston Foot Specialists. Dr. Bowman would love to help you just like he helped Christi.
And thanks Christi for being such a great patient! Oh and GO BLUE!!!
“Dr. Bowman, My referring doctor told me I had a Paronychia. What is it?” I get this question at least once a week.
A Paronychia is a skin infection that occurs around the nails and is often occur with an Ingrown Nail. This condition is usually caused by an injury to the surrounding tissue of the nail from picking at the nail, improper trimming of the nail and trauma.
The main symptom of a Paronychia is a painful, red area with swelling to the nail fold. More often than not pus or drainage is present. There may be pus filled blisters with a bacterial infection. Acute Paronychia is typically caused by bacteria called Staphylococcus Aureus.
Treatment is often to perform a minor procedure in the office where the area is drained and a culture will be taken to determine the bacteria. A small portion of the nail may need to be removed as well. The patient will be given oral antibiotics and soaks with a topical antibiotic.
A chronic Paronychia is one that “comes and goes” or one that clears up on its own but then reoccurs. Chronic conditions can cause permanent damage to the shape of the nail and spread of infection to other areas, including tendons, bone, or blood stream.
If you see pus or drainage from a toenail, contact your local podiatrist right away before the condition spreads.
Dr. Bowman is a Foot and Ankle surgeon with Houston Foot Specialists and can be contacted at www.houstonfootspecialists.com or by calling 713-467-8886.
1140 Business Center Drive
Houston, TX 77043