Surgery for plantar fasciitis is generally reserved for people who continue to experience heel pain despite months of non-surgical treatment. In rare cases where symptoms remain severe and interfere with walking or daily activities, a podiatrist may recommend a partial plantar fasciectomy. This procedure targets the plantar fascia, a thick band of tissue running along the sole of the foot from the heel to the toes. When it becomes scarred or inflamed over time, pain can persist. During the surgery, a podiatrist removes the damaged portion of the fascia without cutting the entire band. The procedure may be done through a small incision or with an endoscope. Recovery includes wearing a cast or boot for several weeks, followed by a period of gradual strengthening. As with any surgery, there are risks such as nerve injury, infection, or continued symptoms. If you are experiencing persistent pain from plantar fasciitis, it is suggested that you schedule an appointment with a podiatrist to see if surgery is right for you.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our podiatrists from APEX Foot & Ankle Center. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

  • Excessive running
  • Having high arches in your feet
  • Other foot issues such as flat feet
  • Pregnancy (due to the sudden weight gain)
  • Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

  • Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
  • Maintain a healthy weight
  • If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

If you have any questions, please feel free to contact our offices located in Fort Myers, Shellpoint, and Naples, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

 

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Tuesday, 19 August 2025 00:00

Plantar Fasciitis

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is the thick band of tissue that connects the heel bone to the toes. When this band of connective tissue becomes inflamed, plantar fasciitis occurs. Fortunately, this condition is treatable.

There are several factors that may put you at a greater risk for developing plantar fasciitis. One of the biggest factors is age; plantar fasciitis is common in those between the ages of 40 to 60. People who have jobs that require them to be on their feet are also likely to develop plantar fasciitis. This includes factory workers, teachers, and others who spend a large portion of their day walking around on hard surfaces. Another risk factor is obesity because excess weight can result in extra stress being placed on the plantar fascia.

People with plantar fasciitis often experience a stabbing pain in the heel area. This pain is usually at its worst in the morning, but can also be triggered by periods of standing or sitting. Plantar fasciitis may make it hard to run and walk. It may also make the foot feel stiff and sensitive, which consequently makes walking barefoot difficult.

Treatment for plantar fasciitis depends on the severity of the specific case of the condition. Ice massage applications may be used to reduce pain and inflammation. Physical therapy is often used to treat plantar fasciitis, and this may include stretching exercises. Another treatment option is anti-inflammatory medication, such as ibuprofen.

If you suspect that you have plantar fasciitis, meet with your podiatrist immediately. If left untreated, symptoms may lead to tearing and overstretching of the plantar fascia. The solution is early detection and treatment. Be sure to speak with your podiatrist if you are experiencing heel pain.

Tuesday, 12 August 2025 00:00

How Flat Feet Are Diagnosed

Flat feet occur when the arches of the feet are low or absent, causing the soles to make full contact with the ground. Diagnosis begins with a physical exam. A podiatrist will observe how you stand, walk, and bear weight. They may check the alignment of your ankles and ask you to rise onto your toes. If the arch does not appear when standing on tiptoe, it may suggest a more rigid form of flatfoot. Imaging tests such as X-rays or an MRI scan may be used to assess bone structure, joint alignment, or soft tissue involvement. Some people have flat feet without symptoms, while others may experience pain or fatigue in the feet, ankles, or legs. If you have foot discomfort or are unsure about changes in your foot shape, it is suggested that you visit a podiatrist for an accurate diagnosis and care plan.

Flatfoot is a condition many people suffer from. If you have flat feet, contact one of our podiatrists from APEX Foot & Ankle Center. Our doctors will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

If you have any questions, please feel free to contact our offices located in Fort Myers, Shellpoint, and Naples, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 12 August 2025 00:00

Flat Feet

Flatfoot is a condition that occurs when the arches on the foot are flattened, which allows the soles of the feet to touch the floor. Flatfoot is a common condition and it is usually painless.

Throughout childhood, most people begin to develop arches in their feet, however, some do not. Those who do not develop arches are left with flatfoot. The pain associated with flat feet is usually at its worse when engaging in activity. Another symptom that may occur with those who have this condition is swelling along the inside of the ankle.

It is also possible to have flexible flatfoot. Flexible flatfoot occurs when the arch is visible while sitting or standing on the tiptoes, but it disappears when standing. People who have flexible flatfoot are often children and most outgrow it without any problems.

There are some risk factors that may make you more likely to develop flatfoot. Those who have diabetes and rheumatoid arthritis have an increased risk of flatfoot development. Other factors include aging and obesity.

Diagnosis for flat feet is usually done by a series of tests by your podiatrist. Your podiatrist will typically try an x-ray, CT scan, ultrasound, or MRI on the feet. Treatment is usually not necessary for flat foot unless it causes pain. However, therapy is often used for those who experience pain in their flat feet. Some other suggested treatment options are arch supports, stretching exercises, and supportive shoes. 

If you are suffering from tenderness, pain, or stiffness in the joints of your feet or ankles, call us to schedule an appointment.

A bunion is a bony bump that forms at the base of the big toe, as the top of the toe moves toward the lesser toes. This causes the joint to stick out and often leads to discomfort. Bunions develop over time due to genetics, wearing tight or narrow shoes, arthritis, or abnormal foot mechanics. Symptoms include a visible bump on the side of the foot, redness, swelling, and pain around the big toe joint. The area may feel tender or sore, especially when walking or wearing shoes. When the big toe leans toward the other toes, it sometimes results in overlapping or crowding. A podiatrist can diagnose bunions and recommend treatments like wider footwear, padding, custom orthotics, and exercises to reduce pressure and pain. In severe cases, surgery may be necessary to realign the joint. If you are dealing with a painful bunion, it is suggested that you make an appointment with a podiatrist 

If you are suffering from bunions, contact one of our podiatrists of APEX Foot & Ankle Center. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

  • Refrain from wearing heels or similar shoes that cause discomfort
  • Select wider shoes that can provide more comfort and reduce pain
  • Anti-inflammatory and pain management drugs
  • Orthotics or foot inserts
  • Surgery

If you have any questions, please feel free to contact our offices located in Fort Myers, Shellpoint, and Naples, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 05 August 2025 00:00

Bunions

A bunion is a bump that forms at the base of the big toe. Bunions form when the big toe pushes against the next toe, which forces the big toe joint to get bigger and stick out.  As a result, the skin over the bunion may start to appear red and it may feel sore.

There are risk factors that can increase your chances of developing bunions. People who wear high heels or ill-fitting shoes are more likely to develop them, in addition to those who have a genetic history of bunions or have rheumatoid arthritis.

The most obvious way to tell if you have a bunion is to look for the big toe pushing up against the toe next to it. Bunions produce a large protrusion at the base of the big toe and may or may not cause pain. Other symptoms are redness, swelling, and restricted movement of the big toe if you have arthritis. 

Nonsurgical methods are frequently used to treat bunions that aren’t severe. Some methods of nonsurgical treatment are orthotics, icing and resting the foot, taping the foot, and pain medication. Surgery is usually only required in extreme cases. However, if surgery is needed, some procedures may involve removing the swollen tissue from around the big toe joint, straightening the big toe by removing part of the bone, or joining the bones of your affected joint permanently.

Your podiatrist will diagnose your bunion by doing a thorough examination of your foot. He or she may also conduct an x-ray to determine the cause of the bunion and its severity.

Tuesday, 29 July 2025 00:00

Is It Gout or a Bunion?

Toe pain can be caused by various conditions, but two common culprits are gout and bunions. Gout is a type of arthritis caused by a buildup of uric acid crystals in the joint, often affecting the big toe. It causes sudden, intense pain, redness, swelling, and warmth. Bunions, on the other hand, are bony bumps that form at the base of the big toe due to joint misalignment, often from genetics, tight shoes, or arthritis. Bunion pain tends to be more gradual and may worsen with pressure from footwear. A podiatrist can diagnose the exact cause of your toe pain through a physical exam, X-rays, and lab tests if needed. Treatment may include medication for gout, shoe modifications, orthotics, or in severe cases, surgery for bunions. If you are dealing with big toe pain, it is suggested that you make an appointment with a podiatrist.

Toe pain can disrupt your daily activities. If you have any concerns, contact one of our podiatrists of APEX Foot & Ankle Center. 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 feel free to contact our offices located in Fort Myers, Shellpoint, and Naples, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Tuesday, 29 July 2025 00:00

Toe Pain

Toe pain can originate from corns, calluses, hammertoes, and bunions, as well as ingrown toenails, sprains, fractures, and dislocations. Corns develop as the toe rubs against the inside of a shoe which causes the skin to thicken as a form of protection. A corn is typically cone-shaped and has a small, hardened spot that points inward. When a corn is pressed into the skin, the toe becomes painful. Corns usually form on the top or side of the toe. A callus is also a thickened patch of skin that generally forms on the bottom of the foot. Calluses are the result of friction from the toe rubbing against the inside of a shoe. They may also occur by walking barefoot or having flat feet. A hammertoe is a bump on the knuckle of the second toe that is produced by wearing shoes that are too short for your feet. The bony protrusion rubs against the top of the shoe causing pain and irritation. A bunion is a malformation of the big toe. The base of the big toe pushes away from the smaller toes, forcing the top of the big toe to press toward the other toes. Bunions can be hereditary, or they can result from injury to the toe joint or from wearing high heels with a narrow toe box. The toe becomes inflamed, and a bump may develop at the end of the misplaced bone. Ingrown toenails typically affect the big toe and its surrounding skin. The nail will dig into the skin and become painful. Wearing tight or narrow shoes that compress the big toe causes the nail to grow into the fleshy part of the toe. Cutting toenails incorrectly can also add to the development of an ingrown toenail. A toe sprain originates from a torn or stretched ligament. Strapping the injured toe to the toe next to it for stabilization is common. A broken or fractured toe usually occurs from trauma like dropping a heavy object on it or bumping into something extremely hard and rigid. Osteoporosis, a thinning of the bones, can also bring about toe fractures. 

Any of the conditions mentioned can lead to pain and irritation. While some are more serious than others, seeking an examination and diagnosis from a podiatrist is a good idea. A podiatrist can treat each ailment and get you back on your feet again without pain.


 

In certain types of foot surgery, small bones in the front of the foot need to be realigned to reduce pain and improve function. These procedures are often done through tiny incisions, which is called minimally invasive surgery. One of the challenges in this approach is making sure the angle of the bone cut is just right, especially when the surgeon cannot see everything directly. To help with this, some surgeons now use digital angle-measuring tools. These tools provide real-time feedback, allowing for more precise adjustments during the procedure. The goal is to improve the outcome, reduce healing time, and lower the chance of needing further corrections. Using this kind of technology can support better results, especially for people with bunions or other forefoot problems. If you are considering foot surgery and want to understand your options, it is suggested that you speak with a podiatrist who can explain the approach that fits your needs.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact one of our podiatrists of APEX Foot & Ankle Center. Our doctors will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions please feel free to contact our offices located in Fort Myers, Shellpoint, and Naples, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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