Plantar fasciitis occurs when the thick band of tissue along the bottom of the foot, known as the plantar fascia, becomes irritated from repetitive stress. Plantar fasciitis commonly causes sharp heel pain, especially with the first steps after waking or standing up after a period of rest. Many patients describe the pain as stabbing, burning, or a persistent ache beneath the heel or along the arch. Swelling and redness may occur around the heel or arch, even if not always visible, and the area often feels tender to the touch. Stiffness in the feet, particularly in the morning, can make movement uncomfortable until the tissue warms up. People may also report discomfort in the foot arch or increased tightness by the end of the day due to prolonged standing, walking, or climbing stairs. In some cases, pain can extend into the Achilles tendon due to altered foot mechanics. A podiatrist can assess the severity of plantar fasciitis and recommend orthotic devices, imaging, medication, or surgery, when necessary. If you have heel pain that may be caused by plantar fasciitis, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment options.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Katie Besselman, DPM  from Advanced Podiatry. Our doctor 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 Saint Peters, MO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Pressure ulcers, also called bedsores, can develop on the feet, heels, or toes when constant pressure or shear forces restrict blood flow to the skin and underlying tissues. This often happens when people are confined to bed, use wheelchairs for long periods, or cannot move certain parts of their body. Shear forces, which occur when the skin moves in one direction while the bone moves in another can stretch or tear small blood vessels. Friction and moisture further weaken the skin, making ulcers more likely to develop. Older adults, people with foot deformities, poor circulation, or diabetes and kidney disease are more prone to developing these ulcers. A podiatrist can evaluate the depth and severity of the pressure ulcer and help manage it through proper wound care, debridement to remove dead tissue, and dressing selection. If you are suffering from painful pressure ulcers, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Katie Besselman, DPM from Advanced Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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

Bunion surgery is a procedure performed to correct the misalignment of the big toe joint and relieve discomfort caused by a bunion. It is usually considered when non-surgical treatments no longer provide relief and the pain begins to interfere with daily activities. There are various surgical techniques available, and the choice depends on the severity of the bunion and the overall foot structure. Recovery may take several weeks, during which limited weight-bearing and proper foot care are essential. Many patients experience significant improvement in pain and function following the procedure. The goal is long-term relief and it is important to follow postoperative instructions to prevent recurrence. If you have a painful bunion, it is suggested that you consult a podiatrist who can determine if surgery is appropriate, and what to expect during the healing process for optimal results.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Katie Besselman, DPM of Advanced Podiatry. Our doctor 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 office located in Saint Peters, MO . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.