April 2022

The foot contains three arches that work together to help you move. The system of arches is formed around the tarsal and metatarsal bones and is supported by ligaments and tendons. Two longitudinal arches run from the bottom of the toes on either side of the foot (medial and lateral) and meet at the heel. They are connected by the transverse arch, which runs across the metatarsals (long bones in the foot) just below the toes to form a triangle. This complex system works to put the spring in your step, by bearing the weight and absorbing the shock whenever you stand, walk, run, or jump. The two most common arch conditions are high arches (pes cavus) and flat feet (pes planus). A high arch is caused by an unusually high medial longitudinal arch, which runs along the inner side of the foot. Because it is too high, it is less able to absorb the shock of movement, which then puts stress on the ball and heel of the foot. This can result in pain that radiates to the ankle, leg, and thigh. Wearing custom orthotics and losing weight, can help reduce painful symptoms. Fallen arches, or flat feet, are caused by a lack of longitudinal arches. They may not have developed properly in the first place. Wearing shoes with arch supports usually handles the problem. For more treatment information about painful arch problems, it is suggested that you visit a podiatrist to discuss options.

If you have any concerns about your feet, contact Kaveh Panahi, DPM from Acacia Foot and Ankle Surgeons. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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

The band of tissue located on the bottom of the foot is known as the plantar fascia. Its function is to connect the toes to the heel, and plantar fasciitis can develop when this tissue becomes irritated. It may be caused by obesity, wearing shoes that do not fit correctly, or if an injury has occurred. The pain associated with plantar fasciitis is typically felt on the bottom of the foot, often making it painful to walk. Many patients notice that discomfort is more severe in the morning after arising but may feel better when the foot is elevated. Additional reasons why this condition may occur include standing for long periods of time, a recent change in activities, or other conditions, such as flat feet or high arches. Mild relief may be found by performing specific stretches that can strengthen the foot muscles. These include grabbing a towel with the toes and dragging it across the floor. Patients who have plantar fasciitis are wise to be under the care of a podiatrist who can offer correct treatment techniques that can provide permanent relief.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Kaveh Panahi, DPM  from Acacia Foot and Ankle Surgeons. 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 Peoria, AZ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Stress fractures are tiny hairline cracks in the bone, usually the result of overuse common in runners, athletes, and people who spend a great deal of time on their feet. Four main types of stress fractures are navicular, calcaneal, metatarsal and Jones. Each targets a different area of the foot and is brought on by different activities. The navicular stress fracture is often caused by sprinting or jumping. The pain occurs on the top inside arch area of the foot. A calcaneal stress fracture occurs in the heel bone (calcaneus), often found in runners, soldiers, or anyone who marches long distances. A metatarsal stress fracture occurs in one of the long bones in the foot (metatarsals) that connect the toes with the heels. It is usually brought on by overuse or poor biomechanics of the foot and is common in runners, dancers and gymnasts. A Jones stress fracture is specific to the 5th metatarsal, the outermost on the foot. It can be caused by turning over on the side of the foot and affects the end of the bone closest to the ankle. Any of these fractures can be painful and take time to heal. If you think you may have developed a stress fracture, it is a good idea to see a podiatrist as soon as possible for a full diagnosis and options for treatment.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact Kaveh Panahi, DPM from Acacia Foot and Ankle Surgeons. Our doctor can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

• Runners                                  
• People affected with Osteoporosis
• Tennis or basketball players
• Gymnasts
• High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

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

A condition that affects the heel in growing children and young adults is commonly referred to as Sever’s disease. It can cause extreme pain and discomfort, and generally affects children that participate in sporting activities. It happens when the growth plate in the heel undergoes stress, and this can cause inflammation in the heel. A growth spurt can cause the bones to grow faster than the tendons, resulting in tension in the heel. The symptoms that patients can experience often include severe heel pain, limping, or walking on tiptoes, and the pain may be worse upon arising. Relief may be found when the affected foot is elevated or by wearing shoes that have adequate cushioning. Additionally, performing stretches that help to loosen the Achilles tendon can be beneficial in providing relief. If your child is experiencing any of the symptoms mentioned, it is strongly urged that you consult with a podiatrist who can properly diagnose and offer various treatment options for Sever’s disease.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Kaveh Panahi, DPM from Acacia Foot and Ankle Surgeons. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

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