Posts for category: Plantar Fasciitis

Are you about to surrender to unbearable heel pain? Are you sometimes woken up in the middle of the night from the bottom of your heel hurting? From the bottom of your heel to the bottom of your forefoot makes up the planter fascia which when under repetitive trauma like long distance running, or wearing non supportive footwear, or being on your feet all day can cause foot discomfort. This type of trauma causes the foot to flatten out or over pronate creating stress to the planter fascia; hence for many individuals heel pain can commonly be diagnosed as plantar fasciitis. Foot X-rays will sometimes reveal bone spurs. In some of these cases where spurs are present, the pain isn't from bone spurs, but from the micro tears from the stretched plantar fascia. When you wake up in the morning if your first step out of bed is painful, it is likely you have plantar fasciitis

If you are finding yourself in a situation where you are battling Plantar Fasciitis, let us help you fight back, and get you back on your feet. We have treatment options for you here at Affiliated Foot and Ankle Care that will have you satisfied with your care. Beginning remedies like proper footwear, stretching, night splints, icing, and over the counter NSAIDs for inflammation and pain can reduce or take away heel discomfort. Proper fitted footwear with good support cannot be emphasized enough for those dealing with Plantar Fasciitis. If your pain persists you may ask your podiatrist about a custom molded orthosis, or a steroid injection. If you find yourself still dealing with heel pain, you and your podiatrist may elect to have an endoscopic plantar fasciotomy performed. Don't let the procedure name scare you away, it's a basic scope procedure that is minimally invasive that enables a portion of the Plantar Fascia to be released. The surgery allows for immediate limited weight bearing, and most people are able to resume normal activity within 3-6 weeks. 

The holiday season is busy, but don't let that stop you from getting on a walking path to a healthier you. Be ready for your 2016 resolutions. If you would like more information about Plantar Fasciitis, or would like to create a treatment plan for your Plantar Fasciitis, contact our office to make an appointment with one of our Affiliate Foot and Ankle Care podiatrist team located in Edison and Monroe, NJ.

By Varun Gujral



It’s no secret that President Barack Obama has a passion for basketball. For example, every election day he hosts a pick-up game of basketball in his hometown of Chicago. He is also frequently playing on his court that he had installed at the White House with numerous political figures and friends. So, with how avid a basketball player he is and with all of the walking/traveling/standing he does on a day-to-day basis, it’s probably not another secret that his feet hurt. According to the presidential health exam conducted in May of this year, President Obama was diagnosed with plantar fasciitis. It’s more commonly referred to as “heel pain”, or in this case, “basketball heel”.

 Plantar fasciitis is inflammation of the ligament on the bottom of your foot and it is one of the, if not the most common complaints your podiatrists at Affiliated Foot and Ankle Care deal with. Plantar fasciitis can be caused by numerous things, the most common being improper shoe gear. It is very important, especially for athletes, that proper shoe gear is worn at all times. Athletes do a lot of jumping, running, cutting, landing, and falling so their feet take a beating. If they are wearing shoes that don’t fit them, that beating will actually be worse than expected. There are a couple things you want to keep in mind when buying your next pair of shoes. First, when trying them on, make sure you have at least a thumb’s width from your big toe to the end of the shoe. Second, and probably one of the most common mistakes, is making sure the width of the shoe is appropriate. The last thing you want is your feet to be crammed in your shoes. Lastly, make sure the heel of the shoe is solid or stiff. You really want to have good ankle support, and if not, your heel will continuously move around in your shoe and increase the chances of future heel pain.

 Naturally, if none of these tips work, please make an appointment with your local podiatrists at Affiliated Foot and Ankle Care in Monroe and Edison, NJ. We can properly measure the length and width of your feet and make the proper recommendations for shoe gear. 

By Varun Gujral

That moment when you get out of bed in the morning and the pain on the bottom of your foot immediately makes you jump back in, is one of the most common complaints our podiatrists at Affiliated Foot and Ankle Care treat. Now pain on the bottom of the foot can be a number of things but it is mostly heel pain; and of all the causes of heel pain that it could possibly be, plantar fasciitis is usually the culprit.

Plantar fasciitis is an extremely common complaint and it arises from numerous causes. One of the most common causes is the type of shoe gear. Normally, people with plantar fasciitis wear very flat shoes which provide no arch support. If there is no arch support, your plantar fascia (the structure in the foot that is actually causing your heel pain) is stretching and pulling on your heel bone. There are, however, many people who wear flat shoes but don’t get heel pain. Needless-to-say everyone’s foot type is different so if you are one of the many people who do get arch/heel pain by wearing flat shoes, there are a few things your local podiatrists are able to do to relieve the pain.

First, if the pain is severe and you want it to go away as soon as possible or while you’re in the office, the podiatrist can make a temporary arch fill out of padding and place it directly on your foot. Again, this is only temporary but it is useful to relieve the pain for a short period of time. Second, we can cast your foot for custom orthotics which are placed inside your shoes and they act as the insole of your shoe to give you better, more stable arch support. Lastly, and probably a last resort of conservative care, is steroid injections.

Heel pain can be very detrimental to patients but at the same time it is very treatable, especially if caught early. If after trying and failing with the insoles you bought at your local pharmacy, please call and make an appointment at Affiliated Foot and Ankle Care located in Monroe and Edison NJ. We are here to serve you and make sure you can get out of bed pain free!

By Varun Gujral


Everyone (well almost everyone), has two arches in their feet: a transverse and a longitudinal.  The longitudinal arch is the largest and most obvious arch which stretches from your heel to the ball of your foot.  The height of this arch is sometimes referred to as the instep.

This arch has to support a lot of weight throughout the day so it has to have some support.  It’s supported by muscles in the foot as well as tendons from the muscles in your leg.  The biggest support however, is by ligaments and connective tissue.  Your arches have a very thick and resilient piece of connective tissue that runs from the heel to the digits called the plantar fascia.  The plantar fascia holds the arch up and keeps your foot from collapsing when your feet are bearing weight (If you have flat feet your arch is low or collapsed).

You can think of the plantar fascia as sort of a spring that is stretched when your feet hit the ground to absorb force and conserve energy.  If you aren't wearing shoes I want you to reach down and pull up on your big toe while grabbing your arch with the other hand.  You should be able to feel your plantar fascia tighten up, just like it does while you're walking.  It's easy to see how this can undergo a little wear and tear.

Plantar fasciitis is a painful inflammation of your plantar fascia that many feel in their arches or at their heel (where the plantar fascia attaches).  This is usually due to an increase in weight, activity, or overuse.  The pain arises with tiny micro tears that can cause the fascia to tighten up.  The tighter it gets the more prone it becomes to injury.  It can be a vicious cycle of progressing tightness and pain if not properly addressed. 

Often there are simple things you can do at home to keep plantar fasciitis at bay. 

  • Massage your arches a few times a day with your fingers.  Or, place a small ball (a golf ball works well) under your foot and roll it around on your arches.  This will work out the scar tissue and allow the tissue to expand. 
  • Tight calves can cause tight plantar fascia.  Do calve stretches and work on your flexibility.
  • Wear shoes with supportive arches that decrease the strain on your plantar fascia.
  • If you are still having trouble then try buying a device that will stretch out your fascia.  The Strassburg sock is a device that pulls up on your toes to stretch your plantar fascia while you sleep.  Many patients have had a lot of success with devices like this.
  • Severe plantar fasciitis can result in heel spurs and may require surgery, but surgery is always a last case scenario

If you want to learn more about your feet or you can't get rid of the pain in your archesmake an appointment with your local podiatrist at Affiliated Foot and Ankle Care located in Edison and Monroe NJ.

by Nrupa Shah