Tag: heel pain

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Heel Pain

Don’t Want Surgery for Your Heel Pain? Try EPAT!

You’ve been diligent. You’ve done the stretches, worn the supportive shoes, and tried the inserts. Still, that chronic heel pain from plantar fasciitis or the persistent ache of Achilles tendonitis dictates your daily life! It’s a frustrating position that often leads patients to wonder:

“Is surgery my only option left?”

At New England Podiatry Associates, we believe in exhausting non-invasive options first. And for many patients, the answer is a powerful, proven technology: EPAT (Extracorporeal Pulse Activation Technology), also known as shockwave therapy. Keep reading to learn how it works and why it might be right for you.

When Conservative Care Isn’t Enough

Chronic soft tissue injuries often get “stuck” in a cycle of inflammation and degeneration.

  • The body’s natural healing process has stalled, which is why standard treatments may no longer provide relief.
  • This is the critical juncture where a more advanced intervention is needed to prevent a trip to the operating room.

EPAT Shockwave Therapy: The Non-Surgical Intervention

Before considering a surgical procedure with its associated risks, anesthesia, and lengthy recovery, many patients explore EPAT.

Think of it as a way to “wake up” the healing process!

  • The energy from EPAT stimulates blood flow, accelerates cell regeneration, and breaks down restrictive scar tissue, all without a single incision.
  • It directly addresses the stalled healing that is causing your chronic pain.

A Direct Comparison: EPAT vs. Surgery

When the two are compared, EPAT’s advantages are obvious.

Whereas surgery features…
  • Incisions, anesthesia, and cutting of tissue
  • Weeks or months of recovery, often non-weight bearing
  • Potential infection, nerve damage, and scarring
  • Treatment in a hospital or surgical center
EPAT is…
  • Completely non-invasive, with no needles or cutting
  • A “walk-in, walk-out” treatment with no downtime
  • Free of any major risks, save for temporary, minor soreness
  • A quick, entirely in-office procedure
Who’s the Ideal Candidate for EPAT?  

EPAT is a powerful option for patients who:

  • Have been struggling with chronicplantar fasciitis or Achilles tendonitis.
  • Have found that conservative treatments are no longer effective.
  • Are looking for a proven, safe, and effective way to avoid surgery.

This is especially true for active individuals and athletes who can’t afford the long recovery time associated with a surgical procedure. With success rates over 80%, EPAT is a game-changing alternative.

Chronic Pain, Meet Long-Lasting Relief

Living with chronic foot pain does not automatically mean you need surgery. EPAT shockwave therapy stands as a formidable, non-invasive solution that can stimulate true healing and help you avoid more serious procedures. If you feel like you’re out of options, it’s time to ask if you’re a candidate for EPAT!

Dr. Catherine Jacobs, Dr. Zachary Sax, Dr. Joshua Oulette, Dr. Ronald Etskovitz, and Dr. Raymond Murano III of  New England Podiatry Associates provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions. Contact us today to schedule an appointment! 

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blog Heel Pain

5 Ways That Athletes Run Into Heel Pain

Heel pain is a common complaint among athletes that can sideline even the best of them for weeks. But “heel pain” isn’t a single diagnosis!

Several different conditions can cause discomfort in this crucial area, each stemming from different structures and requiring a specific diagnosis. In this blog, New England Podiatry Associates will break down 5 conditions that are often at fault.

1.) Plantar Fasciitis 

Plantar Fasciitis is a leading cause of heel pain in athletes. Inflamed tissues along the bottom of the foot connect to the heel bone, so during and after physical activity, athletes will feel sharp or intense pain under the heel.  

  • Runners are particularly susceptible to plantar fasciitis due to constant pressure on the back of their feet. Athletes with tight calf muscles or who haven’t trained in a while are also at risk.  

2.) Achilles Tendonitis 

The Achilles tendon connects the calf to the heel, so it is technically a cause of heel pain. You’ll hear about a major athlete sustaining a major Achilles injury almost monthly. Tiger Woods just ruptured his in March!

  • Inflammation of this tendon causes a dull ache or stiffness at the back of the heel, or slightly higher up the lower leg. Like plantar fasciitis, it’s often worse in the morning or after rest and can intensify after activity.

3.) Heel Spurs  

Heel spurs are often mistaken for plantar fasciitis because of their similar symptoms, but they are actually bony growths of calcium that form on the underside of the heel bone. 

  • Heel spurs themselves are often painless, but when pain is present, it’s usually because the spur is irritating the surrounding plantar fascia tissue. Athletes develop heel spurs over a long period due to chronic strain on foot muscles and ligaments, often as a secondary response to long-standing plantar fasciitis. 

4.) Sever’s Disease:

 Sever’s Disease is one of the most common causes of heel pain for active young children between the ages of 8 and 12.

  • It’s an inflammation of the heel bone’s growth plate (where the Achilles attaches) that causes pain at the back of the heel during and after activity. 

5.) Heel Pad Contusion:

A deep bruise to the fatty pad under the heel that usually occurs from a hard landing.

  • We see this a lot in basketball players, cross-country runners, and other sports that involve jumping. Over time, continued stress on the heel pad can cause heel fat pad syndrome.  

Does any of the above sound uncomfortably familiar? We can help! Get in touch and step toward relief today.

Dr. Catherine Jacobs, Dr. Zachary Sax, Dr. Joshua Oulette, Dr. Ronald Etskovitz, and Dr. Raymond Murano III of New England Podiatry Associates provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions. Contact us today to schedule an appointment! 

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blog Orthotics

Do You Need Orthotics? Find Out if Custom Inserts Can Help Your Feet

Are you experiencing foot pain, discomfort, or problems with your gait? You might need custom orthotics! Also known as shoe inserts, these devices can support, align, and improve the function of your feet. In the Q&A below, New England Podiatry Associates will help you determine if you need a pair.

Q: Do you have… Morning Heel Pain?

  • The Problem: Sharp, stabbing pain in your heel with your first steps in the morning or after periods of rest is a classic sign of plantar fasciitis. This is inflammation of the plantar fascia, a thick band of tissue on the bottom of your foot.
  • How Orthotics Help: Custom orthotics provide arch support and cushioning, reducing stress on the plantar fascia and allowing it to heal.

Q: Do you have… Flat Feet or High Arches?

  • The Problem: Both flat feet (pes planus) and high arches (pes cavus) can cause problems. Flat feet often overpronate (roll inward excessively), while high arches don’t absorb shock effectively.
  • How Orthotics Help:
    • Flat Feet: Orthotics provide arch support, control overpronation, and improve foot alignment.
    • High Arches: Orthotics offer cushioning and distribute pressure more evenly across the foot.

Q: Do you have… Bunions or Hammertoes?

  • The Problem: These foot deformities can cause pain, pressure, and difficulty fitting into shoes.
  • How Orthotics Help: While orthotics can’t reverse bunions or hammertoes, they can help slow their progression, relieve pressure, and improve comfort.

Q: Do you have… Pain in Your Knees, Hips, or Back?

  • The Problem: Foot problems can often cause a “chain reaction” of pain up the body. Poor foot alignment can alter your gait and posture, leading to stress on your knees, hips, and back.
  • How Orthotics Help: By correcting foot alignment and improving biomechanics, orthotics can reduce strain on these other joints and alleviate pain.

Q: Do you have… Diabetes or Circulation Problems?

Are Orthotics Right for You?

Over-the-counter inserts are cookie-cutter solutions, and they won’t be covered by insurance or HSA funds. Get in touch and grab your pair of custom orthotics from New England Podiatry today!

Dr. Catherine Jacobs, Dr. Zachary Sax, Dr. Joshua Oulette, Dr. Ronald Etskovitz, and Dr. Raymond Murano III of New England Podiatry Associates provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions. We’ve proudly served the Boston area since 1984, utilizing state-of-the-art diagnostic and treatment technology to find the best solution for each individual. Contact us today to schedule an appointment!

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blog Obesity

Feeling the Pressure: The Structural Injuries of Obesity

As obesity puts significant stress on the body, the feet and ankles especially bear the brunt. And while podiatrists commonly associate excess weight with diabetes, neuropathy, and other internal foot complications, not enough focus is placed on the structural problems and the mobility limit that occur because of weight gain.

In this article, we at New England Podiatry Associates are emphasizing these affects, along with the injuries that result from them.

The Impact of Obesity on Feet and Ankles

  • Increased pressure: Extra weight places additional pressure on the feet, leading to conditions like plantar fasciitis, heel pain, and metatarsalgia.
  • Joint stress: Obesity can accelerate joint degeneration, particularly in the ankles and feet.
  • Structural changes: Over time, excessive weight can lead to structural changes in the feet, such as flat feet or bunions.
  • Skin issues: Obesity can increase the risk of skin problems, including fungal infections and calluses.
  • Reduced mobility: Foot and ankle pain associated with obesity can limit physical activity, leading to further weight gain and a vicious cycle.

Common Foot and Ankle Injuries Linked to Obesity

With these challenges and changes due to obesity, certain injuries are bound to occur. For instance, ankle sprains become common due to the destabilization of the ankle joint. The added pressure on the heel, ankle, and forefoot can also lead to plantar fasciitis, metatarsalgia, and Achilles tendonitis.

For morbidly obese people, stress fractures are a possibility due to repetitive impact from walking or standing. The severe pressure on the feet can also lead to open sores that are slow to heal. And with limited mobility, they increase the risk of infection due to their inability to thoroughly clean affected areas.

Prevention

Preventing and managing these injuries often involves weight loss, proper footwear, and orthotics. If you experience persistent foot or ankle pain due to obesity, consult with a podiatrist for evaluation and treatment.

At New England Podiatry Associates, Dr. Ronald Etskovitz, Dr. Raymond Murano III, Dr. Catherine Jacobs, Dr. Joshua Ouellette, and Dr. Zachary Sax are always pleased to assist. We offer convenient locations in Norfolk, Suffolk, and Middlesex Counties. Contact our Chestnut Hill office at 617-232-1752 and our Newton-Wellesley office at 617-630-8280 to schedule an appointment today.

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blog Heel Pain

Say No to Heel Spurs

Heel Spurs

Americans take an average of 5,000 steps per day. As we grow older, those steps turn into miles, and those miles can easily lead to a lot of wear and tear if we’re not careful. Around 10% of the population will develop a heel spur at some point in their life, making it one of the most common foot conditions you can have. If you’re a runner or stand on your feet for long hours every day, you’re at a higher risk of getting it. But luckily, there are some ways you can prevent this from happening, no matter how active you are. Let’s take a look…

What Is a Heel Spur?

To better prevent heel spurs, it’s important to understand what they are and why they develop in the first place. A heel spur is an extra calcium deposit that lies on the base of your heel bone. Bony growths develop and you’ll likely experience pain, inflammation, and swelling. However, it is possible to not experience any pain at all.

Heel spurs don’t show up in those with a gentle workout routine. It’s a wear and tear condition, occurring when excess stress and strain on your heels build up over time. Runners, professional athletes, and those who stand or walk on their feet all day are commonly the ones affected.

Preventing Heel Spurs

If you want to steer clear of any pain and discomfort that heel spurs can bring, you’re in luck! There are plenty of ways you can keep your feet healthy and safe. Here are some of our top tips for avoiding a heel spur:

  • Buying the right size shoe
  • Wearing shoes with arch support
  • Picking dirt or grass walking trails
  • Avoiding exercise classes on cement or hardwood floors
  • Invest in custom orthotics
  • Eat a healthy, balanced diet.

At New England Podiatry Associates, Dr. Ronald Etskovitz, Dr. Raymond Murano III, Dr. Catherine Jacobs, and Dr. Zachary Sax treat various foot and ankle conditions. Equipped with a board-certified podiatrist team, we offer two convenient locations to provide excellent care for patients in Norfolk, Suffolk, and Middlesex Counties. Contact our Chestnut Hill office at 617-232-1752 and our Newton-Wellesley office at 617-630-8280. We are still offering a telemedicine option for your safety and convenience.

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Back-To-School blog Pediatrics

Beware of Back-To-School Myths

Back-to-School

The back-to-school season is back, and so are the unhelpful myths when it comes to shoe shopping. We’re so excited for students and parents as they begin a new journey of education. We also want them to start the year strong and with their feet in the best health. While shoe shopping, many people can make simple mistakes that can have uncomfortable consequences.

At New England Podiatry Associates, our goal is to share information now to help you prevent making those mistakes. Myths are those common stories or statements that we hear that are simply untrue. Unfortunately, they continue to pop up year after year. We’re getting the conversation started by highlighting three myths and telling you the truth about how misinformation can harm your foot health.

Let’s get to the truth.

Myth 1: Growth spurts are not real

Ask any pediatrician, and they will quickly spot the lie. Growth spurts are indeed real, and they are a normal part of life. Depending on the age of your child, they may need to change shoe sizes more often. Unfortunately, many children walk around in shoes that are too small.

Tip: Check in with your pediatrician. Your child is growing often, so measure their feet, too.

Myth #2: It can take months for shoes to feel better

We really dislike this one. Parents and children can fall for the lie that a shoe should be uncomfortable for a while before things get better. We cannot disagree more. Of course, a new pair of shoes may feel different. However, it should never be uncomfortable.

Tip: Walk around the store wearing both shoes. Be sure of their comfort before continuing.

Myth #3: Children don’t have foot problems

We help children, too. Even children can have foot problems, and some are more common than you think. Children often deal with flat feet, ingrown toenails, plantar warts or even heel pain. We can help with the treatment and prevention of recurring issues.

Tip: Introduce your child to their neighborhood podiatrist. Just like the dentist, optometrist, or pediatrician, we can help them, too.

We are wishing you a wonderful back-to-school season!

At New England Podiatry Associates, Dr. Ronald Etskovitz, Dr. Raymond Murano III, Dr. Catherine Jacobs, and Dr. Zachary Sax treat various conditions such as sports injuries, foot and ankle pain, pediatric foot care, ingrown toenails, and flat feet. Equipped with a board-certified podiatrist team, we offer two convenient locations to provide excellent care for patients in Norfolk, Suffolk, and Middlesex Counties. Contact our Chestnut Hill office at 617-232-1752 and our Newton-Wellesley office at 617-630-8280. We are still offering a telemedicine option for your safety and convenience.