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Posts for: October, 2014

A common foot ailment that we see in our practice is ball of the foot pain. Neuromas, reduction of fat pad, bursitis, plantar fasciitis, Sesamoiditis, and Capsulitis are the more common reasons for ball of the foot pain. We would like to educate you on a very common but not much talked about foot condition which is Capsulitis. Capsulitis is an inflammation of the joint capsule than connects the metatarsal bone to the toe bone. This thick fibrous tissue is a very important structure and when not treated early and correctly can develop into a tear of the capsule and progressive hammer toe deformity. We see many patients that come to our offices that presents with pain below the 2nd MPJ joint which is the more common area to develop capsulitis. Please take a look at one of the leaders of our profession Dr. Weil who discusses in the article below what Capsulitis is and treatments avaiable. I have included a link to our Neuroma video as well as the state of the art surgical treatment of plantar plate tears that Dr. Weil developed.

Again the key is accurate diagnosis and this condition is often time treated as a neuroma. Conservative tx for capsulitis typically resolves the condition.

If surgery is needed Dr. Brown and Dr. Saffer have been trained in this latest surgical technique for plantar plate tears. We have also provided a surgical video from Arthrex website that discusses the surgical treatment of plantar plate tears.

It is very important to understand that if you have been suffering from heel pain it may not be "Plantar fasciits." That is why it is important to be evaluated by a Foot Specialist to make sure you have not been given the wrong diagnosis which could delay the resolution of heel pain. Here are other causes of heel pain that we see in our practice.
•Plantar Fasciosis (Fasciitis)                               
•Infracalcaneal Fat Pad Atrophy
•Medical Calcaneal Nerve Entrapment
•Tarsal Tunnel Syndrome
•Rheumatoid Arthritis
•Reiter’s syndrome

•Ankylosing spondylitis

•Posterior Enethesopathies
•Behet’s syndrome
•Lateral Plantar N. branch to ADQ
•Calcaneal Stress fracture
•Calcaneal tumors/cysts
•Intraosseous edema of calcaneus



The vast majority of Heel Pain is caused by a breakdown in the tissue (plantar fascia) that supports the foot.

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Stay tuned for blogs this week on what a Jones fracture is as well as other types of common fifth metatarsal fractures in professional and recreational athletes.

Dr. Brown and Dr. Saffer are looking forward about being trained in the latest state of the art diagnosis and treatment of heel pain. They both will be attending a two day regional meeting and will be learning from an innovative national Foot and Ankle surgeon on the latest diagnostic evaluation of chronic heel pain as well as minimally invasives surgically techniques to cure chronic heel pain.

Heel pain is not always plantar fasciits which is very important to understand. A good majority of the time it may be an inflammed ligament but it could be other causes such as a stress fracture, growth plate injury in children, nerve injury, or bone tumor.

Dr. Brown and Dr. Saffer will blog in the next two months to educate our community on various causes of heel pain, conservative treatment options, and newer minimally invasive techniques to help cure chronic cases. They will both discuss the upcoming training and newer state of the art evaluations and treatments for the various forms of heel pain.

Carolina Foot Specialists is passionate about healing foot and ankle pain especially our patient population that suffers from heel pain.