Advanced Foot and Ankle Center Blog

At Advanced Foot and Ankle Center, we see a lot of patients everyday for heel pain.  Sometimes the pain is on the bottom, the sides, or the back of the heel.  When the pain is on the back of the heel it is usually due to Achilles tendinitis.   

This pain is usually without any specific injury or trauma and it slowly gets worse.   The pain can be worse after rest or after extended periods of walking.  To reach this diagnosis, our providers will obtain a detailed history and provide a physical exam to both your feet and ankles.  We will usually acquire an X-ray of the heel to help confirm our diagnosis and rule out other possible issues.  One thing that we look for on the X-ray is a spur that could be forming on the back of the heel.  This occurs because your calf muscle is too tight and is acting like a rope and pulling the back of the heel bone with every step and not stretching like a rubber band like it should.  After we diagnose you with Achilles tendinitis treatment begins right away.   The treatment we provide will be tailored to your pain level, chronicity of the condition and your activities. 

At Advanced Foot and Ankle Center our providers see heel pain everyday and have helped thousands of patients with their condition.  If you have a question about this or any other foot/ankle issue, please call us at 972-542-2155.

A common complaint we see at Advanced Foot and Ankle Center is a painful spot on the bottom of the foot.  The patient does not remember stepping on anything and it has gotten progressively larger and more painful.  There are several different reasons for this issue but one of the more common causes is called an intractable plantar keratosis.  When this occurs, you develop a deep, discrete, pinpoint area of callus that can become extremely painful.  It may look small on the outside but underneath the skin it is much larger, kind of like an iceberg.  These do not usually go away on their own, but treatment is straightforward and painless.  At Advanced Foot and Ankle Center, our providers see patients experiencing this issue nearly every day and we can help you get back on your feet.

If you have questions about this or any other foot/ankle condition.  Please call us at 972-542-2155 for an evaluation.

October 14, 2020
Category: Foot Care
Taking Care of Your FeetWrinkles and back pain aren’t the only issues you may deal with as you get older. You may also notice changes in your feet that can leave you prone to aches, pain, cracked heels and other unpleasant issues. As you get older it’s important that you provide your aging feet with what they need, and sometimes that means consulting a podiatrist for additional care and treatment. Here are some tips to keep your aging feet looking and feeling their best,

Clean Feet Daily

It’s easy for our feet, just like the rest of our bodies, to pick up bacteria and fungus. Washing your feet with soap and water every day can help to remove these germs to prevent infections. Just remember to always dry your feet off thoroughly after bathing to reduce your risk for fungal infections. While you can do this at any time of the night, bathing and washing your feet in the evening could help you relax prior to bedtime.

Keep Feet Moisturized

You may notice that as you get older your skin also gets drier. While staying hydrated will certainly help to keep skin supple and moisturized, it’s also a good idea to apply a moisturizer to your feet to prevent cracking or broken skin (which can lead to infection). Once you’ve applied moisturizer to the feet it’s a good idea to cover the feet with socks made from breathable material such as cotton.

Trim Nails Properly

If you neglect to trim nails regularly you may find that long nails are prone to fungal infections and ingrown toenails. If you are able to trim nails yourself you will want to trim them so they are level with the tips of the toes (any lower and you could risk an ingrown toenail). Always trim nails straight across, never curve the edges of the nails. If you are having trouble trimming your own nails you can turn to a podiatrist for proper foot care.

Wear Appropriate Footwear

With all the changes that occur to your feet as you get older, it’s particularly important that you wear the proper footwear that will provide additional support and cushioning. It’s also important that you have your feet properly measured (best done in the afternoon when feet are at their largest due to swelling) and shoes fitted by a specialist. If you are dealing with blisters, calluses, and sore feet then you’ll want to talk with your podiatrist about getting different shoes or about getting custom orthotics/arch support.

Fungal infections, bunions and ingrown toenails can appear almost instantly, so having a podiatrist that you can turn to for regular care and treatment can provide you with peace of mind. Talk with your podiatrist about how to keep your aging feet feeling young and healthy.

Signs and Symptoms


- Heel pain with running, jumping, and other high impact activity

- Pain to one or both heels

- Pain with side to side squeeze of the heel

- Limping




- Tight achilles’ tendon, calf, hamstrings

- Growth Spurts

- Active Kids

- Inadequate stretching

- Poor shoe gear

- Sporting activity with running, jumping, and other high impact activity




- Rest and reduction of high impact activity as needed based on pain

- Icing of the heel after activity

- Stretching of the achilles’ tendon, calf, hamstrings

- Anti-inflammatory medication as needed for pain

- Heel lift

- Orthotics, arch supports, new shoes

- K-laser treatment

- Ankle brace or boot

- occasionaly  casting


If your child has heel pain due to calcaneal apophysitis (sever’s disease), contact the foot and ankle specialists at Advanced Foot and Ankle Center for an appointment. Your foot and ankle specialist will evaluate your child’s heel pain, the specific cause of the heel pain, and set up a customized treatment plan in order to get your child back into playing the sports and activities they enjoy. Your specialist will evaluate and manage your child’s specific foot and ankle needs for prevention and optimization. 



Advanced Foot and Ankle


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