
Plantar Fasciitis in Cyclists

Plantar fasciitis is among some of the most common conditions that negatively impact the feet. The condition occurs when the plantar fascia, the band of tissue that runs underneath the foot from the heel to the toes, becomes strained and inflamed. Some individuals might be more at risk than others of developing plantar fasciitis or getting worse symptoms of the condition. Cyclists and bikers fall into this category. Some cyclists incorrectly position their feet in the pedals when cycling, which can cause plantar fasciitis complications. Specifically, the feet are supposed to point straight when in the pedals. Generally speaking, the toes ought not point outward or inward, as this can put strain on the foot, potentially aggravating plantar fasciitis. Additionally, biking with a saddle that is positioned at an incorrect height can also increase the risk of developing plantar fasciitis. Oftentimes, the saddle is positioned far too low, which can prohibit the legs from fully extending when cycling. If you are a cyclist, it might be a good idea to contact a podiatrist to help you determine how to avoid developing or aggravating plantar fasciitis.
Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact James P. Huish, DPM from Arizona. Our doctors can provide the care you need to keep you pain-free and on your feet.
What Is Plantar Fasciitis?
Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.
What Causes Plantar Fasciitis?
- Excessive running
- Non-supportive shoes
- Overpronation
- Repeated stretching and tearing of the plantar fascia
How Can It Be Treated?
- Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
- Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
- Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel
While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.
If you have any questions please feel free to contact our office located in Safford and Sierra Vista, AZ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Plantar Fasciitis
The plantar fascia is a connective tissue in the heel that stretches across the bottom length of your foot. Plantar fasciitis occurs when the connective tissue becomes inflamed, causing heel pain and discomfort during physical activity. Although the condition is completely treatable, traditional methods can take up to a year to start becoming effective.
Plantar fasciitis is caused by a number of everyday activities, so understanding the condition is important for managing and treating it. One of the most common causes of plantar fasciitis is excessive running, especially with improper fitting or non-supportive shoes. Too much exercise can lead to the plantar fascia being overworked and overstretched, which can cause tears in the tissue. Along with improper fitting shoes, pronation, the rolling of the feet inward, is a common cause of plantar fasciitis. If not treated properly, the plantar fascia becomes overstretched and starts to tear, causing inflammation.
Despite the common causes of plantar fasciitis, there are many different treatment options. For less severe cases, conservative home remedies include taking anti-inflammatory drugs to alleviate pain, applying ice packs to the bottom of your foot and heel, slowly stretching and exercising your feet to re-strengthen the tissue, and using orthotic devices are all ways to help manage your plantar fasciitis.
For more severe cases, shockwave therapy has become a common solution for plantar fasciitis. Shockwave therapy can effectively break up the tissue on the bottom of your foot which facilitates healing and regeneration. This fights the chronic pain caused by plantar fasciitis. Even if this doesn’t work, surgery is always a final option. Surgery on the tissue itself can be done to permanently correct the issue and stop the inflammation and pain in your heels.
No matter what the case may be, consulting your podiatrist is the first and best step to recovery. Even the slightest amount of heel pain could be the first stage of plantar fasciitis. Untreated symptoms can lead to the tearing and overstretching of tissue. Because the tearing of tissue can be compounded if it remains ignored, it can evolve into a severe case. The solution is early detection and early treatment. Talk to your podiatrist about the possibilities of plantar fasciitis if you’re experiencing heel pain.
What Does an Ankle Sprain Feel Like?

Spraining your ankle is certainly not a pleasant experience. Not only can ankle sprains be painful, they can also take weeks to months to fully heal, depending on the severity of the sprain. Ankle sprains occur when the ligaments surrounding the ankle bones and joints become torn, stressed, or otherwise strained. If you suspect that you might have sprained your ankle, here are several symptoms that some patients might experience with an ankle sprain. First, an individual might be unable to put their weight on the affected ankle, and be incapable of walking or running. If you have an ankle sprain, you might also notice some degree of skin discoloration on the affected area or perhaps some bruising. You might even experience different sensations in the ankle, such as a feeling of swelling, tenderness, or stiffness. Ankle sprains happen to many different people, so if you think that you might be one of them, contact a podiatrist. Your podiatrist will be able to help you remedy the problem.
Ankle sprains are common but need immediate attention. If you need your feet checked, contact James P. Huish, DPM from Arizona. Our doctors can provide the care you need to keep you pain-free and on your feet.
How Does an Ankle Sprain Occur?
Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.
What Are the Symptoms?
- Mild to moderate bruising
- Limited mobility
- Swelling
- Discoloration of the skin (depending on severity)
Preventing a Sprain
- Wearing appropriate shoes for the occasion
- Stretching before exercises and sports
- Knowing your limits
Treatment of a Sprain
Treatment of a sprain depends on the severity. Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.
If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.
If you have any questions please feel free to contact our office located in Safford and Sierra Vista, AZ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Ankle Sprains
Although ankle sprains may not be as serious as a broken ankle, they should be given immediate attention and care. An ankle sprain can lead to a significant amount of pain, as well as limited mobility. They are often characterized by the swelling and discoloration of the skin. This occurs when the ligaments are stretched beyond their limits.
The simple act of walking can sometimes cause a sprain, which makes ankle sprains a very common injury that can happen to anyone. They occur when the ankle twists in an awkward way or rolls over itself, causing a pop or snap in the tendons around the ankle. Some people are more at risk than others. These include athletes who continually push their bodies to the limits and also people who have previously suffered accidents to the feet, ankles, or lower legs.
Most of the time, an ankle sprain is not severe enough for hospital attention. There are many at-home treatment options available, including propping the leg up above your head to reduce blood flow and inflammation, applying ice packs to the affected area as needed, taking over-the-counter pain relievers and anti-inflammatory medication, using an ACE bandage to wrap and support the injured ankle, and most importantly, remaining off your feet until the ankle has fully healed.
Despite this, an ankle sprain can turn into a severe injury that might require hospitalization. If the ankle ligaments or muscles are damaged from a tear or rip, that is one sign that the sprain is severe enough for hospital attention and possibly for surgery. Even after the surgery, the recovery process can be long. You may need to have rehabilitation sessions administered by your podiatrist to get your ankle back to full health.
The severity of your sprain might become apparent if you are unable to stand or walk, consistent pain occurs over a prolonged period of time, swelling is much more severe than initially present, or if you start to experience tingling or numbness. These signs may indicate that your ankle sprain might actually be a broken ankle, an injury that requires immediate medical attention.
Although they are not completely avoidable, ankle sprains can be curbed with some preventative treatment measures. These include wearing appropriate-fitting shoes that not only provide a comfortable fit, but also ankle support. It is also recommended to stretch before doing any kind of physical activity, as this will help lower your body’s chance for an injury.
Morton’s Neuroma in Cycling

If you feel pain or numbness near the ball of your foot, under your toes, you may have a Morton’s neuroma. People sometimes describe this as feeling like there is a pebble or rock under their toes. Others describe it as a burning sensation, a sharp pain, or numbness in this area of their foot. A Morton’s neuroma is a thickening of the tissue around the nerves leading to the toes. Pain is usually felt between the 3rd and 4th toe or the ball of the foot between the 2nd and 3rd toes. It is a benign condition. A Morton’s neuroma can happen from wearing tight or high-heeled shoes. In cycling, shoes are usually lower volume, and these could pinch the toes together for prolonged periods depending on the length of your ride. This puts cyclists at a higher risk for this problem. Other causes of Morton’s neuroma include foot abnormalities, such as bunions, hammertoes, or flat feet. It can also be caused by repeated trauma from the feet pounding on pavement like in running, and as related to cycling when the foot tilts as it connects with the pedal of the bike. Make sure your cycling shoes are well-fitted. The toe box should be wide enough to allow toes to move freely and with a proper tilt. A wedge can be used to reduce pressure under the first two toes and help to relieve discomfort. If you are a cyclist and are experiencing the kind of pain described above, consider seeing a podiatrist for proper diagnosis and treatment that best suits you.
Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with James P. Huish, DPM from Arizona. Our doctors will assess your condition and provide you with quality foot and ankle treatment.
Common Injuries
The most common injuries that occur in sporting activities include:
- Achilles Tendonitis
- Achilles Tendon Rupture
- Ankle Sprains
- Broken Foot
- Plantar Fasciitis
- Stress Fractures
- Turf Toe
Symptoms
Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.
Treatment
Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.
If you have any questions, please feel free to contact our office located in Safford and Sierra Vista, AZ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Sports Related Foot And Ankle Injuries
Foot and ankle injuries are common among people who participate in sports. Several factors contribute to this. They include failing to stretch or warm up properly, not wearing the proper type of shoe and not taping or providing other types of support for the ankle or foot. The most common foot and ankle injuries suffered by people involved in sports are plantar fasciitis, ankle sprains and Achilles tendon damage or ruptures. If not treated properly, they can lead to permanent disability.
Treating these injuries is relatively simple if they are identified and addressed early. Many athletes dismiss the initial aches and pains associated with injury as just soreness or tired muscles. Their first response is usually to try to work through it. This can lead to serious problems. Many minor injuries are made far more serious when athletes continue to put strain and pressure on them. That attitude can change a mild strain into a serious strain and a minor tear into a rupture. Athletes should have unusual aches and pains evaluated by a skilled medical professional.
Plantar fasciitis is a painful injury. It is inflammation of the plantar fascia, the thick band of tissue running from the heel to the base of the toes. If left untreated, it can lead to a degenerative disease called plantar fasciosis. There are several effective treatments for this ailment. Doctors often prescribe rest, massages, stretching, night splints, physical therapy, anti-inflammatory medication, corticosteroids or surgery, usually in that order. The most effective treatment for plantar fasciitis is orthotics, which offers foot support. Surgery is occasionally used as a last resort, but it comes with the risk of nerve damage and infection and often does not stop the pain.
The Achilles tendon is the largest tendon in the body. It connects the calf muscles to the heel bone. Running, jumping and walking all impact this tendon. Two common injuries to the Achilles tendon are tendonitis and a rupture of the tendon. Tendonitis is inflammation in the tendon often caused by an increase in the amount of stress placed on it. Non-surgical treatments include rest, ice or anti-inflammatory medication. A rupture (tear) of the Achilles tendon can be treated by placing the lower leg in a cast for several weeks or with surgery. Many physicians feel surgery is the better option because it lowers the risk of re-ruptures. Both methods require 4 to 6 months of rehabilitation.
Ankle sprains are the most common sports related foot and ankle injury. A sprain occurs when the ligament holding the ankle bones and joint stretches beyond its normal range. It can be treated non-surgically with a combination of rest, ice wrapped around the joint for 30 minutes immediately after injury, compression by a bandage and elevating the ankle above the heart for 48 hours. This combination is referred to as RICE. Severe ankle sprains in which the ligaments are torn may require reconstructive surgery followed by rehabilitation.
Are You Suffering From Ingrown Toenails?
Beyond Fashion in Shoe Shopping

Many of us want the shoes we wear to be fashionable, but it is important to look beyond fashion to function when wanting to keep our feet in good shape. There are steps you can take to find shoes that fit well. Though it might sound strange, it can help to take a tracing of our feet with us when we go shoe shopping. Before even trying shoes on, place shoes under consideration on top of the tracing and notice if the shoe is shorter or narrower than it should be. Shop for shoes in the afternoon as the feet naturally expand during the day. Wear the same type of socks or hose to the store as you plan on wearing with the shoes to be purchased. Have a salesperson measure your feet every time you buy new shoes as your feet change with age, often becoming flatter and wider. If one of your feet is bigger than the other, opt for the larger size in shoe selection. Try on the shoes, wiggle your toes to make sure there is enough room in the toe box, pay attention to the shoe’s width on your foot, and press on the top of the shoe to see if you have about a half an inch of space between the longest toe and the end of the shoe. Walk around in the shoes to see how they feel, if they are comfortable, and whether there are any areas of friction from the start. Shoes should not have to be broken in. Feel around the inside of the shoes to see if there are tags or seams that might irritate your foot. Finally, examine the soles of the shoes to see if they provide protection from sharp objects and have enough cushioning. For more advice on selecting the best shoes for your feet, consult with a podiatrist who is trained in everything related to the health of your feet and ankles.
Getting the right shoe size is an important part of proper foot health. Seek the assistance of James P. Huish, DPM from Arizona. Our doctors will provide the care you need to keep you pain-free and on your feet.
Getting the Right Shoe Size
There are many people who wear shoes that are the incorrect size, negatively affecting their feet and posture. Selecting the right shoes is not a difficult process, so long as you keep several things in mind when it comes to choosing the right pair.
- When visiting the shoe store, use the tools available to measure your foot.
- Be sure there is ‘wiggle room’. There should be about an inch between your toes and the tip of your shoes.
- Do not always assume you are the same size, as manufacturers run differently.
- Purchase shoes later in the day, as your feet swell as the day progresses.
- If a shoe is not comfortable, it is not suitable. Most shoes can’t be ‘broken in’, and comfort should be the ultimate goal when it comes to choosing the right pair of shoes
As our feet hold our body weight and keep us moving, it is important to treat them right. Picking the right pair of shoes can provide your feet comfort and mobility without pain.
If you have any questions, please feel free to contact our office located in Safford and Sierra Vista, AZ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Getting the Right Shoe Size: To Keep Your Feet Happy
People are constantly wearing improperly-fitting shoes. Though it isn’t hard, picking the right shoes does require keeping a few things in mind.
Shoe stores have rulers so you can get an exact measurement of your feet. Be sure to always measure your feet with your shoes on. Measuring just your foot will give you a shoe size that is 1-2 inches too small for picking the right size shoe.
To ensure that your toes won’t be cramped, make sure there is wiggle room. Approximately one inch should be between your toes and the tip of your shoe. It is easy to tell if your shoes are too tight, because you will start to experience pain, blisters, and swelling.
Additionally, do not always assume your shoe size will be the same at every store. Manufacturers sometimes run differently, and your size will vary from brand to brand. Make sure the stores you purchase from have return policies, in case there is a problem.
Rather than shoe shopping in the morning, it is advised to shop for shoes later in the day. Your feet will swell as the day passes. If shoes are purchased in the morning, they may not be as snug as they should be. Furthermore, not all two feet are the same size. Therefore, accommodations may be necessary.
An overall concern in buying shoes is making sure they are comfortable and supportive. There is no such thing as a shoe being ‘broken in’. If they are uncomfortable at the store, they likely will always be uncomfortable.
Since we do a lot of walking, it is important that we pick the right shoes. Our feet will benefit from this, and we will be happier and healthier because of it.
Ingrown Toenail Surgery Pain

Ingrown toenails are a common yet uncomfortable and potentially painful foot condition. This unsightly condition occurs when the side of a toenail essentially grows into the skin. If the toenail is cut too short or if it has a natural curved shape, the nail may be especially prone to growing into the skin. This condition is most common in the big toe. There are a variety of home remedies to treat ingrown toenails. However, if these remedies do not work or if you have multiple ingrown toenails, your podiatrist may recommend undergoing a surgical procedure. This procedure might include removing part of the nail or the entire affected nail. Many patients are curious to know whether or not this procedure is painful. Although each patient’s experience is unique, there is information about this procedure that may be applicable to you. For example, before the surgical procedure, you may need an anesthetic injection that can potentially be uncomfortable for some patients. However, many patients report that the actual procedure following the injection is quite painless. After the procedure, you might experience pain when the numbness slowly abates. To treat this pain following the procedure, you might be able to use over-the-counter medications. If you are curious about the pain you could feel during a surgical procedure to remove an ingrown toenail, speak to your podiatrist.
Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact James P. Huish, DPM of Arizona. Our doctors can provide the care you need to keep you pain-free and on your feet.
Ingrown Toenails
Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.
Causes
- Bacterial infections
- Improper nail cutting such as cutting it too short or not straight across
- Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
- Ill-fitting shoes that bunch the toes too close together
- Genetic predisposition
Prevention
Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.
Treatment
Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.
If you have any questions please feel free to contact our office located in Safford and Sierra Vista, AZ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.