Heel pain can make every step uncomfortable because the heel absorbs much of the body's impact while walking, running, and exercising. Repeated stress can cause small injuries faster than the body can repair them. Plantar fasciitis is one major cause. It affects the strong band of tissue connecting the heel bone to the base of the toes. Pain from plantar fasciitis is usually worse when standing after a long rest, especially with the first steps in the morning.

Heel pain has several other possible causes. Heel bursitis is inflammation of a fluid-filled sac beneath the heel bone and can cause pain that worsens throughout the day. Heel bumps can develop from repeated shoe rubbing or tissue changes linked to a tight Achilles tendon. A compressed nerve can produce burning, tingling, or numbness beneath the heel. Fractures can result from a fall or an awkward landing. Children between ages eight and 12 can also develop heel pain related to growth and physical activity.

A podiatrist can determine why the heel hurts and recommend treatment based on the cause. The evaluation can include checking the location of pain, foot movement, and areas of tenderness. An X-ray can help confirm a suspected fracture and show the extent of the injury. Treatment for plantar fasciitis can include padding, strapping, or prescription orthotics, which are special shoe inserts that improve foot function. Other heel conditions can require cushioning, shoe adjustments, or medication. Persistent cases of plantar fasciitis or recurring heel bumps can sometimes require surgery. Because different heel problems require different treatments, an accurate diagnosis is important when pain continues or affects normal activity. If you have heel pain, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Many people suffer from bouts of heel pain. For more information, contact one of our podiatrists of Biebel & DeCotiis Podiatry Associates. Our doctors 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 one of our offices located in Holmdel and Middletown, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Orthotics play an essential role in enhancing the running experience, particularly for those facing foot-related challenges. Custom-made for the individual runner, orthotics provide targeted support, addressing specific biomechanical issues, such as overpronation or supination, common in runners. This tailored support helps in aligning the foot and ankle, leading to a more efficient and natural running gait. By distributing pressure evenly across the foot, orthotics reduce the strain on key areas, notably the arch and heel, thus preventing common injuries like plantar fasciitis or Achilles tendonitis. They also offer improved shock absorption, important in reducing the impact on joints during running. This not only enhances comfort but also minimizes the risk of injury. Furthermore, for runners with existing foot conditions, orthotics can be a game-changer, enabling them to continue their passion with reduced pain and discomfort. If you are a runner and want improved comfort, performance, and fewer injuries, it is suggested that you make an appointment with a podiatrist to discuss how custom orthotics can help you.

Custom orthotics are specialized shoe inserts created to support and align the feet according to each person’s unique structure and walking pattern. They are an effective way to relieve foot discomfort caused by conditions such as flat feet, high arches, plantar fasciitis, bunions, and heel pain. When the natural alignment of the foot is off balance, it can lead to pressure points, strain, and pain that affect how a person stands, walks, and moves. Orthotics work by redistributing weight evenly and supporting the arch to reduce stress on the muscles, tendons, and joints of the feet and lower legs.

Foot discomfort can develop for many reasons, including wearing improper footwear, long hours of standing, repetitive motion, or underlying structural problems. Over time, this discomfort can extend beyond the feet, contributing to knee, hip, or lower back pain. Custom orthotics help correct these issues by improving alignment and promoting more efficient movement. They are made using precise measurements and imaging to ensure the best fit for each patient, providing targeted support and cushioning where it is needed most.

Unlike generic insoles, custom orthotics are durable, medically designed, and tailored to your specific needs. Whether you are managing chronic pain, recovering from an injury, or simply seeking better comfort and stability, orthotics can make a noticeable difference in how your feet feel throughout the day.

If you are experiencing persistent foot discomfort or fatigue, it may be time to have your feet evaluated by a podiatrist. Call our office today for more information or to schedule an appointment.

If you have any questions, please feel free to contact one of our offices located in Holmdel and Middletown, NJ . 

As people age, the Achilles tendon naturally changes. This strong band of tissue connects the calf muscles to the heel bone and helps make walking, climbing stairs, and standing on tiptoe possible. Research shows that aging reduces the tendon's ability to handle repeated stress. Its fibers become less organized, blood flow decreases, and the tendon becomes less flexible. These changes increase the risk of pain, small tears, and complete ruptures. Age-related changes can also slow the body's natural healing process after an injury. While active adults can develop Achilles tendon problems, the risk becomes greater with advancing age because the tendon does not repair itself as efficiently. Pain and stiffness near the back of the heel can make daily activities more difficult and limit mobility.

Patients with age-related Achilles tendon problems can notice pain while walking, swelling, and tenderness above the heel. Some people also feel stiffness after resting or have difficulty pushing off the ground when taking a step. A podiatrist begins with a thorough examination to determine the cause of the pain and evaluate how well the tendon is working. Imaging studies, like ultrasound or MRI scans, can provide a clearer view of tendon damage when necessary. Early diagnosis helps identify whether the problem involves inflammation, small tears, or more advanced wear within the tendon. Understanding the condition allows the podiatrist to develop a treatment plan that matches the patient's symptoms and activity level.

A podiatrist offers several treatment options that focus on reducing pain, improving movement, and supporting tendon function. Treatment includes custom orthotics, stretching programs supervised by the provider, and advanced therapies that encourage healing. Patients also receive guidance about wearing shoes that provide proper support to reduce unnecessary strain on the tendon while walking. When tendon damage is severe and other treatments do not provide enough relief, surgery can become the best option to restore function. Addressing Achilles tendon problems early helps protect mobility and supports long-term foot and ankle health. If you have symptoms of age-related Achilles tendon problems, it is suggested that you make an appointment with a chiropractor for diagnosis and treatment.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of Biebel & DeCotiis Podiatry Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

• Inflammation
• Dull to severe pain
• Increased blood flow to the tendon
• Thickening of the tendon

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

• Thorough stretching of the tendon before and after exercise
• Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact one of our offices located in Holmdel and Middletown, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Big toe pain often affects the joint at the base of the toe, which plays a key role in balance and forward movement. This joint supports body weight during walking and running, so pain in this area can limit daily activity. Symptoms include swelling, stiffness, and redness. A sharp or throbbing discomfort may also occur. In some cases, individuals may notice reduced range of motion or difficulty pushing off the foot, which can interfere with normal movement patterns.

Several conditions can cause big toe pain, including bunions and gout. Bunions develop when the joint becomes misaligned, forming a bony bump that leads to pressure and irritation. Gout is a form of inflammatory arthritis caused by a buildup of uric acid crystals in the joint, resulting in sudden and intense pain. Other causes include injury, overuse, or joint degeneration. Without proper care, these conditions can worsen and lead to long-term discomfort or reduced mobility.

Risk factors for big toe pain include poor footwear, genetic foot structure, and high impact activities. Tight shoes can place pressure on the joint, increasing the risk of bunion formation. Diet and medical conditions can contribute to gout, especially when uric acid levels rise. Age and repeated stress on the joint may also increase the likelihood of pain. Early symptoms like swelling and tenderness should not be ignored, as untreated issues can lead to disability.

Understanding the causes and recognizing symptoms early can help prevent serious complications. Proper care and lifestyle adjustments can reduce pain and improve function. Seeking podiatric evaluation ensures an accurate diagnosis and appropriate treatment plan. If you have pain in your big toe, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

Toe pain can disrupt your daily activities. If you have any concerns, contact one of our podiatrists of Biebel & DeCotiis Podiatry Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please contact one of our offices located in Holmdel and Middletown, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.