
Heel Pain in Middle-Aged and Older Adults

Heel pain is a common and debilitating issue that often affects middle-aged and older adults. This condition, often attributed to plantar fasciitis, can have a significant impact on the quality of life for individuals in these age groups. As people age, the tissues in their feet, including the plantar fascia, tend to lose elasticity and become more prone to inflammation and injury. This can lead to the development of heel pain, characterized by discomfort and tenderness in the bottom of the heel, particularly in the morning or after periods of rest. Several factors contribute to heel pain in middle-aged and older adults, including changes in foot structure, reduced flexibility, and the cumulative effects of wear and tear on the feet over time. Additionally, chronic conditions like osteoarthritis, diabetes, and vascular issues can exacerbate heel pain in this population. Managing heel pain in middle and older adults often involves a combination of conservative treatments, such as proper footwear, orthotics, stretching exercises, and anti-inflammatory medications. In some cases, medical interventions like corticosteroid injections may be necessary to alleviate the pain and improve mobility. If you are in this age group and suffer from heel pain, it is suggested that you consult with a podiatrist for a proper diagnosis and relief options.
Many people suffer from bouts of heel pain. For more information, contact one of our podiatrists of Dr. Jeffrey J. Betman & Associates . 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 offices located in Northwest Chicago, Southwest Chicago, and Wicker Park, Chicago, IL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Heel Pain
Heel pain can be difficult to deal with, especially if you do not know what the underlying cause is. If you ignore your heel pain, the pain can magnify and potentially develop into a chronic condition. Depending on the location of your heel pain, you have developed a specific condition.
One condition is plantar fasciitis. Plantar fasciitis is caused by the inflammation of the plantar fascia, or the band of tissue that connects the heel bone to the base of the toes. The pain from this condition is initially mild but can intensify as more steps are taken when you wake up in the morning. To treat this condition, medication will likely be necessary. Plantar fasciitis is often associated with heel spurs; both require rest and special stretching exercises.
There are various options your podiatrist may suggest for heel pain. Treatment options for heel pain typically include non-steroidal anti-inflammatory drugs (NSAIDS), which may reduce swelling and pain. Other options are physical therapy, athletic taping, and orthotics. In severe cases of heel pain, surgery may be required.
Preventing heel pain is possible. If you are looking to prevent heel pain from developing in the future, be sure to wear shoes that fit you properly and do not have worn down heels or soles. Be sure to warm up properly before participating in strenuous activities or sports that place a lot of a stress on the heels. If you are experiencing any form of heel pain, speak with your podiatrist to determine the underlying cause and receive the treatment you need.
Are Bunions Affecting Your Everyday Life?
Definition and Causes of Plantar Fibroma

Plantar fibroma, a condition affecting the connective tissue in the foot, is characterized by the development of noncancerous nodules, or fibromas, in the arch of the foot. These fibromas arise from the plantar fascia, a band of tissue supporting the arch, and gradually lead to the formation of firm, sometimes painful lumps. The exact cause of plantar fibromas remains elusive, but factors like genetic predisposition, trauma, or inflammation of the plantar fascia are believed to contribute. Overuse or strain on the feet, coupled with genetic susceptibility, may trigger the abnormal growth of fibrous tissue. Unlike other foot conditions, plantar fibromas do not typically involve viral or bacterial infections. Understanding the definition and potential causes of plantar fibroma is vital for early recognition and management. If you have symptoms of this condition, it is suggested that you confer with a podiatrist who can accurately diagnose and treat plantar fibromas.
A plantar fibroma may disrupt your daily activities. If you have any concerns, contact one of our podiatrists of Dr. Jeffrey J. Betman & Associates . Our doctors can provide the care you need to keep you pain-free and on your feet.
Plantar Fibroma
A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.
What Causes a Plantar Fibroma?
While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.
What Are the Symptoms of a Plantar Fibroma?
There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.
Treatment and Prevention
A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:
- Steroid injections
- Orthotics
- Physical therapy to help apply anti-inflammatory creams on the bump
Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.
If you have any questions please feel free to contact our offices located in Northwest Chicago, Southwest Chicago, and Wicker Park, Chicago, IL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
How to Select the Ideal Running Shoe

Choosing the right running shoe is a critical decision that directly impacts both comfort and performance. Different foot types and running styles necessitate a personalized approach to ensure the perfect fit. For those individuals with high arches, cushioned shoes with ample shock absorption help absorb impact and provide essential support. Conversely, individuals with low arches or flat feet benefit from stability shoes that offer extra arch support and motion control. Runners who overpronate or supinate require shoes designed to address their specific gait patterns, preventing potential injuries. Determining your foot type and understanding your running mechanics are pivotal in guiding the selection process. Ultimately, investing time in finding the right running shoe tailored to your individual needs enhances not only the running experience but also safeguards against potential discomfort and injury. If you would like specific information about how to find the right running shoes for your needs, it is suggested that you consult a podiatrist.
You should always make sure your running shoes fit properly in order to avoid injury. For more information, contact one of our podiatrists from Dr. Jeffrey J. Betman & Associates . Our doctors can provide the care you need to keep you pain-free and on your feet.
Choosing the Right Running Shoe for Your Foot Type
Improper shoe sizing can cause a myriad of problems for your feet. Shoes that don’t fit you properly can lead to muscular imbalances in your body, which can result in foot, knee, and hip injuries.
Tips for Finding the Right Running Shoe
- Make sure you have a thumb’s width of wiggle room between the end of your longest toe and the front of the shoe.
- There should be little to no slipping at the heel
- Don’t assume your size in one shoe brand will be your size in another
- Do not lace up your shoes too tightly
- Walk around in the store with your new shoes before you buy them
If you have any questions please feel free to contact our our offices located in Northwest Chicago, Southwest Chicago, and Wicker Park, Chicago, IL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Choosing the Right Running Shoe
Choosing the right running shoes for you is an important part of running. A good pair of running shoes will make the running experience more enjoyable for you and prevent potential injury.
Poorly-fitted shoes can increase the risk of injury in runners substantially. Common injuries from running with poor quality shoes include shin splints, sprained ankles, Achilles tendinitis, stress fractures, plantar fasciitis and more. This is due to the fact that bad shoes do not provide proper foot support, can increase pronation (how much the foot rolls when hitting the ground), have little to no cushioning, do not allow the feet to breath, and do not provide enough flex and rigidity in the right parts.
When looking for running shoes, first, determine where you will be running. If you are a trail runner, then pick trail shoes. If you run on concrete and asphalt, then regular running shoes are the best choice. When trying on shoes, its best to go at the end of the day as feet grow during the day and shrink after a night of sleep. Shoes should be more rigid towards the back of the foot while being more flexible up where the toes are. The toe box should provide enough room for the toes to move freely. The overall fit should be snug, not too tight but not too loose. A good pair of running shoes should also provide enough arch support for your foot type. If you experience overpronation or under-pronation while running, try to find a pair of shoes that will help correct this with different sole patterns. Finally, try to find a pair of shoes that allow the feet to breathe like nylon mesh or synthetic leather.
Don’t forget about the socks either. Socks that hold too much moisture can lead to athlete’s foot. Socks should be breathable so that your feet can air out and breathe. Synthetic socks wick away moisture like sweat. If you tend to run a lot, having a second pair of shoes that you can wear while you let the first pair air out is smart. Just don’t forget to replace your shoes after about every 300 to 500 miles.
Before you start running, it is advised to see a podiatrist to see if running is right for you. They can also offer good advice on how to run and what to look for in a pair of running shoes. If you have flat feet or poorly supported ones, they can also offer custom-made orthotics that will help give your feet the support they need.
Defining and Diagnosing Foot Fractures

A foot fracture, also known as a broken foot, refers to the break or crack in one or more of the bones within the foot. These fractures can result from various incidents, such as traumatic injuries, repetitive stress, or weakened bone structure. Diagnosing a foot fracture often involves a combination of physical examination and diagnostic imaging. The podiatrist will assess the injured area, looking for signs like pain, tenderness, swelling, deformity, and impaired range of motion. X-rays are the most common imaging tool used to confirm the diagnosis, allowing podiatrists to determine the type and location of the fracture accurately. Understanding the definition and diagnosis of a foot fracture is crucial for proper treatment and recovery. Whether it is a stress fracture from overuse or a traumatic injury, early diagnosis and appropriate management are essential for optimal healing and the restoration of normal foot function. If you have broken your foot, it is suggested that you consult a podiatrist who can provide one of several treatment options that are right for you.
A broken foot requires immediate medical attention and treatment. If you need your feet checked, contact one of our podiatrists from Dr. Jeffrey J. Betman & Associates . Our doctors can provide the care you need to keep you pain-free and on your feet.
Broken Foot Causes, Symptoms, and Treatment
A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury.
Common Symptoms of Broken Feet:
- Bruising
- Pain
- Redness
- Swelling
- Blue in color
- Numbness
- Cold
- Misshapen
- Cuts
- Deformities
Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.
Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.
If you have any questions please feel free to contact our offices located in Northwest Chicago, Southwest Chicago, and Wicker Park, Chicago, IL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Causes, Symptoms, and Treatment for a Broken Foot
One out of ten broken bones is reported to be in the feet. When an object crushes, bends, or stretches the bone beyond acceptable ranges, bones break. A break in the foot is either a fracture or a straight break.
The location of any break can tell you how the break happened. Toes, for instance, break typically as a result of something being kicked hard and with great force. Heel breaks almost always are a result of an improper landing from a tall height. Twists or sprains are the other two frequent occurrences. As with all usual breaks, they result from unexpected accident or sudden injury. As with stress fractures, breaks form as a process over time from repeated stress on already present cracks. Runners, dancers, and gymnasts are the usual athletes who receive this type of break. Stress fractures result from incredible pressure on the feet. It is no surprise these athletes bear the majority of reported fractures.
Pain, swelling, bruising, and redness are all indicative of the typical symptoms from a broken foot. Severe pain—to the point of not being able to walk—usually depends on the location of the break in the foot. Toes are on the lower scale of pain threshold, but heels are high, as are a few other particular bones. As the severity of the broken foot increases, symptoms like blueness, numbness, misshaping of the foot, cuts, or deformities will become apparent. These symptoms indicate the need to see a medical professional with access to an x-ray facility.
Prior to seeing a specialist, precautions should be taken to reduce pain and swelling. Elevate and stabilize the foot, and refrain from moving it. Immobilization of the foot is the next priority, so creating a homemade splint is acceptable. Keep in mind that while creating a splint, any increase of pain or cutting off blood circulation means that the splint should be removed immediately. Use ice to decrease swelling and relieve pain symptoms.
When dealing with a medical center, the patient should note that the treatment can vary. The treatment will depend on the severity of the fracture and the cause of the break. Crutches, splits, or casts are common treatments while surgery has been known to be used in more severe cases in order to repair the break in the bones.
Causes and Treatment of Toenail Fungus

Toenail fungus, or onychomycosis, affects up to 14 percent of the population, with a higher incidence in toenails. Symptoms include discoloration, thickening, brittleness, and nail distortion. Advanced cases of toenail fungus may involve nail detachment, causing pain and potential infections. Fungal nail infections result from exposure to environmental fungi, exploiting small cracks in nails or surrounding skin. Risk factors include nail injuries, foot deformities, and trauma, creating entry points for fungi. Diabetes increases susceptibility due to compromised circulation and weakened immunity. Cancer or conditions suppressing the immune system elevate vulnerability. Poor leg circulation, such as venous insufficiency, or narrowed arteries, signaling peripheral artery disease, can contribute to the susceptibility for fungal nail infections. Those with a history of fungal skin infections are also more prone, especially anyone with a weakened immune system. Secondary bacterial infections are common in people with diabetes, amplifying health risks. Understanding toenail fungus causes and symptoms is essential for early detection. If you believe you have developed a toenail fungus infection, it is suggested that you schedule an appointment with a podiatrist who has advanced measures that can help rid you of this stubborn condition.
If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact one of our podiatrists of Dr. Jeffrey J. Betman & Associates . Our doctors can provide the care you need to keep you pain-free and on your feet.
Symptoms
- Warped or oddly shaped nails
- Yellowish nails
- Loose/separated nail
- Buildup of bits and pieces of nail fragments under the nail
- Brittle, broken, thickened nail
Treatment
If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.
Prevention
In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.
In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.
If you have any questions, please feel free to contact our offices located in Northwest Chicago, Southwest Chicago, and Wicker Park, Chicago, IL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Treating Toenail Fungus
Fungal infection of the toenail, or onychomycosis, typically appears as a gradual change in a toenail’s texture and color that involves brittleness and darkening. The fungal infection itself occurs beneath the surface of the nail. Aside from discoloration, other symptoms include the collection of debris beneath the nail plate, white marks on the nail plate, and a foul odor emanating from the nail. If ignored, the infection can spread into other nails and the skin; in severe cases, it can hinder one’s ability to work or walk.
The toenails are particularly vulnerable to contracting infection in moist environments where people are likely to be walking barefoot, such as around swimming pools, public showers, and locker rooms. Fungal infection may also be more likely to occur in nail beds that have been injured, and sufferers of chronic diseases such as diabetes, circulatory problems, or immunodeficiency conditions are particularly prone to developing fungal nails.
Fungal nails can be primarily prevented by practicing proper hygiene and regularly examining the feet and toes. Carefully washing the feet with soap and water and thoroughly drying the feet afterwards are essential. Other tips include wearing shower shoes in public areas, changing shoes and socks daily, keeping toenails clipped at a short length, wearing breathable shoes that fit properly, wearing moisture-wicking socks, and disinfecting home pedicure tools and instruments used to cut nails.
Fungal nail treatment may vary between patients and the severity of the condition. Your podiatrist may suggest a daily routine of cleansing that spans over a period of time to ease mild infections. Over-the-counter or prescription antifungal agents may also be prescribed, including topical and/or oral medications. Debridement, or the removal of diseased nail matter and debris, may also be performed. In more severe cases, surgical treatment may be needed. In some instances, the temporary removal of the fungal nail allows for the direct application of a topical antifungal to the nail bed. In other cases, a chronically painful fungal nail that has not responded to other treatments may be permanently removed; this allows the infection to be cured and avoids the growth of a deformed nail.