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Dr. Szpiro and Dr. Bolla are Participating Providers with the Beth Israel Lahey Physicians Organization

We are featured as one of the 5 Best Podiatrists in Boston, MA

We see pediatric patients!

Blog

July 2023

Causes of Foot Pain After Running

Running has become a popular method of keeping physically fit, but it can also come at a price. Besides having a certain level of fatigue, running can also cause painful injuries to the feet. Several factors can contribute to foot pain after running, but experts believe that ignoring the pain can often make matters worse. The top three causes of most foot pain are being overweight, overtraining, and wearing improper or ill-fitting shoes. Wearing shoes that do not fit well or are the wrong type of shoe for the terrain on which running takes place can increase the chances of injury, aches, and sore feet. In addition, poor quality outsoles that fail to cushion the feet adequately can cause foot problems. Running on uneven terrain or hard surfaces can subject the feet to more pressure and lead to unnatural strides. Overtraining, especially running farther than the body can handle, often results in foot maladies such as plantar fasciitis and stress fractures. Carrying extra weight is particularly harmful to the feet, which absorb several times the body weight with each step. This opens up the runner to injury or, at the very least, foot aches and pains. If you experience foot pain after running, it is suggested that you make an appointment with a podiatrist. 

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries. If you have any concerns about your feet, contact the podiatrists of Boston Common Podiatry. Our doctors will treat your foot and ankle needs.

How to Prevent Running Injuries

Many common running injuries are caused by overuse and overtraining. When the back of the kneecap starts wearing out and starts causing pain in your knee, this is commonly referred to as runner’s knee. Runner’s knee is a decrease in strength in your quadriceps and can occur if you’re not wearing properly fitted or supporting shoes. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned.

What Are Some Causes of Running Injuries?
- One cause of a common running injury is called iliotibial band syndrome.
- Plantar fasciitis is also another common injury.
- Stress fractures can occur from overtraining, lack of calcium, or even your running style.

Best Ways to Prevent Running Injuries
- Wear footwear that fits properly and suits your running needs.
- Running shoes are the only protective gear that runners have to safeguard them from injury.
- Make a training schedule. Adding strengthening exercises as well as regular stretching can help keep you strong and limber and can lessen the possibility of injuries.
- Stretching keeps muscles limber; this will help you gain better flexibility.

If you have any questions please feel free to contact our office located in Boston, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Preventing Running Injuries

Gout and the Big Toe

Gout is a condition that affects the joints in the big toe. It often begins in that area, and it may spread to other parts of the foot if treatment is not received. Gout can happen when excess uric acid occurs and collects in the joints of the toes. Common symptoms that many people experience with gout can include intense pain, swelling, and it can be difficult to walk. Foods that are eaten with purines may produce uric acid, and it is beneficial to limit eating these types of foods. These can include shellfish, red meat, and drinks that are made with large amounts of sugar. Additionally, drinking plenty of water daily to stay hydrated may help to avoid painful gout episodes. Many people enjoy getting massages and have reported they may help to relieve the pain of gout. If you have pain in your big toe, it is strongly suggested that you are under the care of a podiatrist who can effectively treat and offer prevention techniques against gout.

Gout is a painful condition that can be treated. If you are seeking treatment, contact the podiatrists from Boston Common Podiatry. Our doctors will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

  • Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
  • Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
  • Inflammation and Redness -Affected joints may become swollen, tender, warm and red
  • Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

  • Genetics - If family members have gout, you’re more likely to have it
  • Medications - Diuretic medications can raise uric acid levels
  • Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
  • Diet - Eating red meat and shellfish increases your risk
  • Alcohol - Having more than two alcoholic drinks per day increases your risk
  • Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

If you have any questions, please feel free to contact our office located in Boston, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Everything You Need to Know About Gout

Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

How Footwear Can Help Prevent Injuries at Work

Foot injuries in the workplace are classified into two general categories, injuries or slips and falls. Common foot injuries include punctures, crushing, sprains, and cuts. Among the other conditions that result in pain are calluses, ingrown toenails, and tired feet. Long periods of standing and the type of shoes worn may also contribute to foot pain on the job. High heels, pointed shoes, lack of arch support, and shoes that are too loose or tight may contribute to foot pain. Workplace safety experts recommend replacing footwear with better options. Included are shoes that grip the heel firmly, while the front of the shoe allows the toes to move freely. Choose shoes that fasten across the instep to help prevent tripping. The heels of the shoe should be no higher than 2.5 inches and no lower than the ball of the foot. Have the feet measured properly before purchase, and if the feet are different sizes, it is best to purchase the larger size. Wearing socks and stockings that are too tight can also contribute to foot pain. If you are having trouble with job-related foot pain, it is suggested that you make an appointment with a podiatrist.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact the podiatrists from Boston Common Podiatry. Our doctors will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

If you have any questions please feel free to contact our office located in Boston, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Working on Your Feet

Why Does My Heel Hurt?

Heel pain is a common foot condition, and there are various reasons why it can happen. The largest tendon in the body is called the Achilles tendon, and it attaches to the heel. An injury can cause this tendon to become torn or irritated, and heel pain may ensue. Many people suffer from plantar fasciitis, which is caused by an inflamed plantar fascia. This is the band of tissue that connects the heel to the toes, and the pain is often felt in the heel. The condition that is known as neuropathy can cause the inability to feel sensations in the foot, including the heel. Waking can be difficult, and patients may need to use a cane or walker to maintain balance. A stone bruise is a heel disorder that can happen to people who jump from heights and lands on their feet. This condition may affect the heel pad, which acts as a shock absorber and may possibly become damaged. If you have heel pain, it is strongly suggested that you confer with a podiatrist who can determine what the reason is and offer treatment options that are correct for you.

Many people suffer from bouts of heel pain. For more information, contact the podiatrists of Boston Common Podiatry. Our doctors 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?

  • Wearing ill-fitting shoes                  
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running

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 contact our office located in Boston, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Heel Pain
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