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Heel pain is one of the most frequent foot complaints, but it does not always have a single cause. While plantar fasciitis is often blamed, fat pad atrophy or nerve entrapment can produce similar discomfort. Each cause has different symptoms. Plantar fasciitis often creates sharp pain with the first steps in the morning, while fat pad atrophy feels more like a deep bruise from loss of natural cushioning. Because symptoms can overlap, an accurate diagnosis is important in choosing the right treatment. A podiatrist can evaluate foot structure, activity level, and gait patterns to pinpoint the true source of pain. Treatments may include stretching, custom orthotics, footwear changes, or other targeted therapies. If heel pain is interfering with your daily comfort, it is suggested that you schedule a podiatric evaluation to find the most effective treatment solution.

Many people suffer from bouts of heel pain. For more information, contact Joseph M. LaCava, DPM of Arkansas. 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 feel free to contact our office located in Hot Springs, AR . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 18 November 2025 00:00

Heel Pain

Heel pain can be difficult to deal with, especially if you do not know what the underlying cause is. If you ignore your heel pain, the pain can magnify and potentially develop into a chronic condition. Depending on the location of your heel pain, you have developed a specific condition.  

One condition is plantar fasciitis.  Plantar fasciitis is caused by the inflammation of the plantar fascia, or the band of tissue that connects the heel bone to the base of the toes. The pain from this condition is initially mild but can intensify as more steps are taken when you wake up in the morning. To treat this condition, medication will likely be necessary. Plantar fasciitis is often associated with heel spurs; both require rest and special stretching exercises.

There are various options your podiatrist may suggest for heel pain.  Treatment options for heel pain typically include non-steroidal anti-inflammatory drugs (NSAIDS), which may reduce swelling and pain. Other options are physical therapy, athletic taping, and orthotics. In severe cases of heel pain, surgery may be required.

Preventing heel pain is possible.  If you are looking to prevent heel pain from developing in the future, be sure to wear shoes that fit you properly and do not have worn down heels or soles. Be sure to warm up properly before participating in strenuous activities or sports that place a lot of a stress on the heels. If you are experiencing any form of heel pain, speak with your podiatrist to determine the underlying cause and receive the treatment you need.

Thursday, 13 November 2025 00:00

Custom Orthotics for Osteoarthritis

Orthopedic insoles offer a targeted solution for managing osteoarthritis pain in the knees, feet, ankles, and hips. Custom-fitted by a podiatrist, these insoles are designed to absorb shock and minimize stress on cartilage, thus alleviating discomfort. They can be particularly effective when osteoarthritis affects the inner knee by altering the leg's axis to relieve walking stresses. Custom-made orthotics provide a personalized approach to mitigating the daily stresses exerted on osteoarthritic joints in the feet and lower extremities. If you suffer from osteoarthritis, it is suggested that you make an appointment with a podiatrist who can assess whether orthotics can relieve your discomfort and improve the quality of your life.

Custom orthotics can make a remarkable difference in daily comfort and mobility by supporting the feet in their most natural and balanced position. Because the feet form the foundation for the entire body, any imbalance can affect not only how a person walks, but also how the knees, hips, and spine align. Over time, this can lead to fatigue, pain, or reduced movement. Custom orthotics are designed to restore stability and promote proper alignment, which can transform the way a person feels and functions throughout the day.

People who wear custom orthotics often experience improved posture, less joint strain, and greater endurance during work, exercise, and leisure activities. The support they provide helps relieve chronic discomfort from conditions such as plantar fasciitis, flat feet, and heel pain, while also reducing the risk of future injuries. For those who stand for long hours or engage in sports, orthotics can make movement smoother and more efficient, allowing the body to perform at its best without unnecessary stress.

Each pair of custom orthotics is created after a detailed evaluation of foot structure, gait, and pressure distribution. By addressing each person’s unique needs, they offer comfort and confidence with every step.

If you are experiencing ongoing foot discomfort or fatigue, it is suggested that you contact our office for more information or to make an appointment.

If you have any questions, please feel free to contact our office located in Hot Springs, AR

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Thursday, 13 November 2025 00:00

Sole Marketing Supporting Our Feet

The feet form the base of the body’s structure, and proper support is essential for overall comfort and movement. Custom orthotics are designed to give the feet the stability and alignment they need to function at their best. Each pair is created specifically for the shape and movement of an individual’s feet, ensuring that every step is supported and balanced. This personalized fit helps prevent the strain and fatigue that can develop when the feet are not properly aligned.

When the feet lack adequate support, other parts of the body often compensate, leading to pain in the knees, hips, or lower back. Custom orthotics help correct these imbalances by evenly distributing weight and guiding the feet to move naturally. Over time, they can improve posture, reduce discomfort, and make walking or standing more comfortable throughout the day.

Whether used for daily wear, work, or sports, custom orthotics provide consistent support that benefits the entire body.

Wednesday, 12 November 2025 00:00

Ankle Fracture? Don’t Wait for Treatment

If you're suffering from an ankle fracture, professional attention shouldn't wait. Fractures may worsen over time and can make completing everyday activities incredibly difficult. See your specialist for treatment and guidance through the healing process. 

Tuesday, 11 November 2025 00:00

Plantar Fasciitis

The plantar fascia is a connective tissue in the heel that stretches across the bottom length of your foot. Plantar fasciitis occurs when the connective tissue becomes inflamed, causing heel pain and discomfort during physical activity. Although the condition is completely treatable, traditional methods can take up to a year to start becoming effective.

Plantar fasciitis is caused by a number of everyday activities, so understanding the condition is important for managing and treating it. One of the most common causes of plantar fasciitis is excessive running, especially with improper fitting or non-supportive shoes. Too much exercise can lead to the plantar fascia being overworked and overstretched, which can cause tears in the tissue. Along with improper fitting shoes, pronation, the rolling of the feet inward, is a common cause of plantar fasciitis. If not treated properly, the plantar fascia becomes overstretched and starts to tear, causing inflammation.

Despite the common causes of plantar fasciitis, there are many different treatment options. For less severe cases, conservative home remedies include taking anti-inflammatory drugs to alleviate pain, applying ice packs to the bottom of your foot and heel, slowly stretching and exercising your feet to re-strengthen the tissue, and using orthotic devices are all ways to help manage your plantar fasciitis.

For more severe cases, shockwave therapy has become a common solution for plantar fasciitis. Shockwave therapy can effectively break up the tissue on the bottom of your foot which facilitates healing and regeneration. This fights the chronic pain caused by plantar fasciitis. Even if this doesn’t work, surgery is always a final option. Surgery on the tissue itself can be done to permanently correct the issue and stop the inflammation and pain in your heels.

No matter what the case may be, consulting your podiatrist is the first and best step to recovery. Even the slightest amount of heel pain could be the first stage of plantar fasciitis. Untreated symptoms can lead to the tearing and overstretching of tissue. Because the tearing of tissue can be compounded if it remains ignored, it can evolve into a severe case. The solution is early detection and early treatment. Talk to your podiatrist about the possibilities of plantar fasciitis if you’re experiencing heel pain.

Tuesday, 11 November 2025 00:00

Ingrown Toenails

Ingrown toenails (onychocryptosis) are a common foot ailment and it is very unpleasant to experience. The condition is caused by an increase in pressure from the ingrowth of the nail edge into the skin of the toe. Ingrown toenails commonly cause pain in those who experience them. In some cases, the skin surrounding the ingrown toenail may break which may lead bacteria to enter through and cause an infection. Common symptoms of this ailment include pain, redness, swelling, and warmth around the toe.

An imbalance between the size of the nail and the enlargement of the nail skin edge causes ingrown toenails. This condition is often caused by improperly trimming the toenails. If you are trying you cut your nails, you should always try to trim straight across instead of in a rounded shape. Ingrown toenails can also be an inherited condition and they may also be caused by improper shoe fitting.

Another common cause of the condition is wearing shoes that are either too small or too large. Other causes include poor foot hygiene, obesity, diabetes, arthritis, edema, and fungal infections. There are many risk factors that may make a person more likely to develop an ingrown toenail. Athletes who play “stop and start” sports such as tennis, soccer, and basketball are most likely to have ingrown toenails.

People who have diabetes, a compromised immune system, or poor circulation should immediately seek care from a podiatrist if they have an ingrown toenail. It is also recommended to seek professional assistance if at-home remedies are not successful within a week or if there is persistent pain.

Fitness facilities encourage strength, balance, and overall well-being, but they can also be a common setting for lower extremity injuries. Ankles, feet, and knees are especially vulnerable during weight training, running, or high-intensity classes. Poor footwear, uneven surfaces, and improper form can all contribute to strains, sprains, or stress fractures. Even overuse from repetitive motion can cause discomfort that worsens over time. Listening to your body and using proper support are key to avoiding injury and maintaining long-term mobility. Early evaluation helps prevent small problems from becoming major setbacks. If you experience pain, swelling, or instability after exercising, it is suggested that you see a podiatrist who can assess the cause and provide effective treatment to help you return to your fitness routine safely and with confidence.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Joseph M. LaCava, DPM of Arkansas. Our doctor can provide the care you need to keep you pain-free and on your feet.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

  • Plantar Fasciitis
  • Achilles Tendinitis
  • Achilles Tendon Rupture
  • Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

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

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Tuesday, 04 November 2025 00:00

Sports Related Foot And Ankle Injuries

Foot and ankle injuries are common among people who participate in sports. Several factors contribute to this. They include failing to stretch or warm up properly, not wearing the proper type of shoe and not taping or providing other types of support for the ankle or foot. The most common foot and ankle injuries suffered by people involved in sports are plantar fasciitis, ankle sprains and Achilles tendon damage or ruptures. If not treated properly, they can lead to permanent disability.

Treating these injuries is relatively simple if they are identified and addressed early. Many athletes dismiss the initial aches and pains associated with injury as just soreness or tired muscles. Their first response is usually to try to work through it. This can lead to serious problems. Many minor injuries are made far more serious when athletes continue to put strain and pressure on them. That attitude can change a mild strain into a serious strain and a minor tear into a rupture. Athletes should have unusual aches and pains evaluated by a skilled medical professional.

Plantar fasciitis is a painful injury. It is inflammation of the plantar fascia, the thick band of tissue running from the heel to the base of the toes. If left untreated, it can lead to a degenerative disease called plantar fasciosis. There are several effective treatments for this ailment. Doctors often prescribe rest, massages, stretching, night splints, physical therapy, anti-inflammatory medication, corticosteroids or surgery, usually in that order. The most effective treatment for plantar fasciitis is orthotics, which offers foot support. Surgery is occasionally used as a last resort, but it comes with the risk of nerve damage and infection and often does not stop the pain.

The Achilles tendon is the largest tendon in the body. It connects the calf muscles to the heel bone. Running, jumping and walking all impact this tendon. Two common injuries to the Achilles tendon are tendonitis and a rupture of the tendon. Tendonitis is inflammation in the tendon often caused by an increase in the amount of stress placed on it. Non-surgical treatments include rest, ice or anti-inflammatory medication.  A rupture (tear) of the Achilles tendon can be treated by placing the lower leg in a cast for several weeks or with surgery. Many physicians feel surgery is the better option because it lowers the risk of re-ruptures. Both methods require 4 to 6 months of rehabilitation.

Ankle sprains are the most common sports related foot and ankle injury. A sprain occurs when the ligament holding the ankle bones and joint stretches beyond its normal range. It can be treated non-surgically with a combination of rest, ice wrapped around the joint for 30 minutes immediately after injury, compression by a bandage and elevating the ankle above the heart for 48 hours. This combination is referred to as RICE. Severe ankle sprains in which the ligaments are torn may require reconstructive surgery followed by rehabilitation.

Tuesday, 28 October 2025 00:00

Hidden Foot Problems Caused by High Heels

Wearing high heels may enhance height and appearance, but frequent use can lead to significant foot problems. The unnatural position of the foot places pressure on the toes and forefoot, often causing bunions and hammertoes. The elevated heel strains the Achilles tendon, leading to Achilles tendonitis, and increases tension on the plantar fascia, resulting in plantar fasciitis. Over time, these conditions can cause chronic pain and limit mobility. A podiatrist can assess the damage, relieve discomfort, and recommend supportive footwear or custom orthotics. If you have pain from wearing high heels, it is suggested that you visit a podiatrist who can treat various foot conditions, and guide you on how to choose heels that are better for your feet.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Joseph M. LaCava, DPM from Arkansas. Our doctor can provide the care you need to keep you pain-free and on your feet.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

  • Ankle Joints
  • Achilles Tendon – May shorten and stiffen with prolonged wear
  • Balls of the Feet
  • Knees – Heels cause the knees to bend constantly, creating stress on them
  • Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

  • Corns
  • Calluses
  • Hammertoe
  • Bunions
  • Morton’s Neuroma
  • Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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

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