

Plantar heel pain affects people of all ages, especially those who spend long hours on their feet. It is often caused by inflammation of the plantar fascia, a thick band of tissue that runs along the bottom of the foot, connecting the heel bone to the toes. Symptoms include sharp or aching pain in the heel, especially with the first steps in the morning or after long periods of rest. The area may appear swollen or feel tender to the touch. This condition can be triggered by wearing improper footwear, obesity, overuse, flat feet, or high arches. A podiatrist can assist in accurately diagnosing the cause through a physical exam, imaging, and gait analysis. Treatment may include custom orthotics, stretching exercises, anti-inflammatory medication, or night splints. In more severe cases, advanced interventions may be recommended. If you have heel pain, It is suggested that you schedule an appointment with a podiatrist for effective relief and personalized care.
Many people suffer from bouts of heel pain. For more information, contact Massimo Pietrantoni, DPM of Rochester Podiatry, LLP. Our doctor can provide the care you need to keep you pain-free and on your feet.
Causes of Heel Pain
Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.
Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.
Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.
Why Might Heel Pain Occur?
Treatments
Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.
If you have any questions, please feel free to contact one of our offices located in Brighton, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Have you ever gotten up from a chair or out of bed in the morning, and upon taking that first step, feel like your heel has stepped on a tack? Many people experience a feeling of sharp pain which radiates into their arch from their heel and which does not allow them to put their heel on the floor. Sometimes they need to sit back down, stand only on their toes and use the wall for balance. If you can take a few steps, it seems to go away and lessen, allowing you to then resume your activity. Later, throughout your day and after a period of rest, it can happen again. If this sounds familiar you may be suffering from your first attack of heel pain.
Heel pain is a debilitating condition that affects day to day activities. Running and walking both causes stress on the heel because the heel is the part of the foot that hits the ground first. This means that the heel is taking on your entire weight. Diagnosis and treatments for heel pain can be easily found through your podiatrist.
Plantar Fasciitis
One of the main causes of heel pain is a condition known as plantar fasciitis. The plantar fascia is a band of tissue that extends along the bottom of the foot, from the toe to the bottom of the heel. A rip or tear in this ligament can cause inflammation of these tissues, resulting in heel pain. People who do not wear proper fitting shoes are often at risk of developing problems such as plantar fasciitis. Unnecessary stress from ill-fitting shoes, weight change, excessive running, and wearing non-supportive shoes on hard surfaces are all causes of plantar fasciitis.
Achilles Tendonitis
Achilles tendonitis is another cause of heel pain. Similar to plantar fasciitis, inflammation of the Achilles tendon will cause heel pain due to stress fractures and muscle tearing. A lack of flexibility of the ankle and heel is an indicator of Achilles tendonitis. If left untreated, this condition can lead to plantar fasciitis and cause even more pain on your heel.
Heel Spur
A third cause of heel pain is a heel spur. A heel spur occurs when the tissues of the plantar fascia undergo a great deal of stress, leading to a separation of the ligament from the heel bone entirely. This results in a pointed fragment of bone on the ball of the foot, known as a heel spur.

Pain in the ball of the foot, often called metatarsalgia, can develop from a range of conditions that place strain on the forefoot. The most common causes are bunions, which shift the alignment of the big toe and change how weight is distributed, and Morton’s neuroma, where tissue thickens around a nerve between the toes and produces burning or tingling sensations. Injuries such as sprains or more severe Lisfranc injuries involving torn ligaments or broken bones in the midfoot can also lead to significant discomfort in the ball of the foot. Some patients may notice numbness or sharp pain that spreads into the toes. A podiatrist can assess the source of the pain with a physical exam and imaging, provide proper treatment, and in advanced cases recommend surgery to restore stability and function. If you have pain in the ball of the foot, it is suggested that you make an appointment with a podiatrist for an exam and treatment.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Massimo Pietrantoni, DPM from Rochester Podiatry, LLP. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Causes
Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:
Diagnosis
To figure out the cause of foot pain, podiatrists utilize several different methods. This 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
Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.
If you have any questions, please feel free to contact one of our offices located in Brighton, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
The feet, being the foundation of the body, carry all of the body’s weight and are therefore prone to experiencing pain and discomfort. If you are experiencing foot pain, it is important to determine where in the foot you are experiencing this pain to help discover the cause of it. While pain can be experienced virtually anywhere in the foot, the most common sites of foot pain are in the heel and ankle.
Heel pain can be due to a multitude of conditions including plantar fasciitis, Achilles tendinitis, and heel spurs. Pain experienced in the ankle can be a sign of an ankle sprain, arthritis, gout, ankle instability, ankle fracture, or nerve compression. In more serious cases, pain in the foot can be a sign of improper alignment or an infection.
Foot pain can be accompanied by symptoms including redness, swelling, stiffness and warmth in the affected area. Whether the pain can be described as sharp or dull depends on the foot condition behind it. It is important to visit your local podiatrist if your foot pain and its accompanying symptoms persist and do not improve over time.
Depending on the location and condition of your foot pain, your podiatrist may prescribe certain treatments. These treatments can include but are not limited to prescription or over-the-counter drugs and medications, certain therapies, cortisone injections, or surgery.
If you are experiencing persistent foot pain, it is important to consult with your foot and ankle specialist to determine the cause and location. He or she will then prescribe the best treatment for you. While milder cases of foot pain may respond well to rest and at-home treatments, more serious cases may take some time to fully recover.
The condition that is known as peripheral artery disease (PAD) can be a result of restricted blood flow to the arteries. This can occur due to a cholesterol disease, or if scar tissue has developed. PAD can cause the feet to have tingling or numbing sensations, and it may make it difficult to feel existing cuts or bruises on the feet. Research has indicated that it is beneficial to perform gentle foot and leg stretches, as this may help to improve circulation. Additionally, it can help to maintain healthy eating habits which often include drinking plenty of water. If your feet feel numb, you may have PAD, and it is strongly suggested that you seek the care of a podiatrist who can properly diagnose and treat this condition.
Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Massimo Pietrantoni, DPM from Rochester Podiatry, LLP. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.
Symptoms
Symptoms of PAD include:
It is important to note that a majority of individuals never show any symptoms of PAD.
Diagnosis
While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.
Treatment
Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.
If you have any questions, please feel free to contact one of our offices located in Brighton, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Peripheral artery disease (PAD), or peripheral arterial disease, is a circulatory problem in which there is a reduction of blood flow to the limbs due to narrowed arteries. When peripheral artery disease develops, the extremities do not receive enough blood flow; this may cause symptoms to develop such as claudication, or leg pain when walking. The legs are the most common site of peripheral artery disease.
Claudication, or leg pain when walking, is one of several symptoms that can develop due to peripheral artery disease. Other symptoms caused by the disease include painful cramping in the hips, thighs, or calves after certain activities; leg numbness or weakness; coldness in the lower leg or foot; sores on the lower extremities that do not heal; hair loss on the lower extremities; and a missing or weak pulse in the lower extremities. In more severe cases, pain may even occur when the body is at rest or when lying down.
Peripheral artery disease is typically caused by atherosclerosis, a condition in which fatty deposits build up in the arterial walls and reduce blood flow. Smoking, diabetes, obesity, high blood pressure, and high cholesterol are some of the risk factors for peripheral artery disease.
If you are experiencing pain, numbness, or other symptoms in the lower extremities, see your healthcare professional immediately. Diagnosed peripheral artery disease can be treated with various medications, angioplasty and surgery, exercise programs, or alternative medicine. It is important to consult a healthcare professional to determine the best treatment for you.
A small bump on the side of the big toe may be indicative of a bunion. This protrusion can become larger, and it may push the other toes closer to each other. Probable causes of a developing bunion can include genetics and wearing shoes that do not have adequate room for the toes to move freely in. Additionally, existing medical conditions such as certain types of arthritis may cause a bunion, or it may develop as a result of repetitive stress on the front of the foot. A bunion may cause difficulty in walking, and the foot may feel painful and stiff. There are effective methods that can be implemented which may help to manage bunion symptoms. Many patients find mild relief when there is ample room in the shoes that are worn, or from using a bunion pad or wearing custom made orthotics. If you notice a bunion that is beginning to form, it is recommended that you schedule a consultation with a podiatrist who can offer you the correct treatment options.
If you are suffering from bunions, contact Massimo Pietrantoni, DPM of Rochester Podiatry, LLP. Our doctor 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?
Podiatrists 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 provider.
How Are Bunions Treated?
If you have any questions, please feel free to contact one of our offices located in Brighton, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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.

Research has shown the feet can indicate serious health issues within the body. The condition known as scleroderma may be evident in the feet. The symptoms can consist of cold feet and toes and can be associated with Raynaud’s phenomenon. Additional signs of scleroderma may include having patches of thickened skin that develop on the feet. The affected skin may be dry or itchy and will often require expert medical care. A chilblain may occur with Raynaud's disease and the skin may turn red, swollen, and become tender when touched. Having poor blood circulation and exposure to cold weather may lead to this condition, and it can affect the toes. There are simple methods that can be implemented to properly care for the feet. These can consist of choosing shoes that fit correctly and moisturizing the feet often. Many people who are affected by systemic sclerosis can experience a feeling of walking on small pebbles and this may be relieved by wearing custom-made orthotics. If you have any of these symptoms and would like to know more about systemic diseases of the feet, please confer with a podiatrist.
When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly. If you have any concerns about your feet and ankles contact Massimo Pietrantoni, DPM from Rochester Podiatry, LLP. Our doctor will assist you with all of your podiatric needs.
Systemic Diseases of the Feet
Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable. Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.
Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.
Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.
Diabetes of the Feet
Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.
Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet.
If you have any questions please contact one of our offices located in Brighton, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.