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Jim Maxka, DPM

Hanover (717) 524-1034


April 2021

Monday, 26 April 2021 00:00

Is Heel Pain a Common Occurrence?

The calcaneus, or heel bone, and its supporting fat pad, tendons and ligaments bear the brunt of the body’s weight and impact, while absorbing the stress of walking and running. For this reason, it is not uncommon for people of all ages and lifestyles to develop heel pain. Children and adolescents can develop Sever’s Disease when the growth plate of the calcaneus is repeatedly stressed due to growth spurts or physical activity. Plantar fasciitis (inflammation of the tissue on the bottom of the foot from heel-to-toe) and Achilles tendonitis (inflammation of the tendon connecting the calf muscles to the heel bone) can occur at any age, but is most common among adults. Whatever your lifestyle or age, contact a podiatrist if you or someone you love is experiencing any type of heel pain.

Many people suffer from bouts of heel pain. For more information, contact Dr. Jim Maxka of South Penn Foot & Ankle Associates. 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?

  • 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 Hanover, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Heel Pain
Monday, 26 April 2021 00:00

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.

Tuesday, 20 April 2021 00:00

Heel Pain Can Be Treated!

Do you suffer from heel pain when you get up in the morning? If so, you should seek the professional help of your podiatrist and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.

While corns and calluses can be mistaken easily, corns can be harder and painful to touch because they are the result of inflamed skin due to friction or pressure. Hard corns are the most common, while soft corns are rubbery and light in color—often forming between the toes—and smaller seed corns typically appear on the bottom of the feet. You can reduce your chances of developing corns by wearing shoes that fit well, keeping your toenails trimmed, wearing corn pads, and keeping your feet moisturized—all of which reduce friction or pressure on the skin of the feet. While trying to use pumice stones or salicylic acid to remove corns may be tempting, these home remedies can lead to bleeding or infection and are particularly dangerous for those with diabetes, circulation or skin disorders. Contact a podiatrist who can provide safe and effective treatment methods for removing corns, and advise you on how to prevent them from returning.

If you have any concerns regarding your feet and ankles, contact Dr. Jim Maxka of South Penn Foot & Ankle Associates. Our doctor will treat your foot and ankle needs.

Corns: What Are They? and How Do You Get Rid of Them?
Corns can be described as areas of the skin that have thickened to the point of becoming painful or irritating. They are often layers and layers of the skin that have become dry and rough, and are normally smaller than calluses.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as wearing:

  • Well-fitting socks
  • Comfortable shoes that are not tight around your foot
  • Shoes that offer support

Treating Corns
Treatment of corns involves removing the dead skin that has built up in the specific area of the foot. Consult with Our doctor to determine the best treatment option for your case of corns.

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

Read more about Corns: What Are They, and How Do You Get Rid of Them

Corns are thickened areas on the skin’s surface, to the point of being irritating and sometimes painful. Commonly found on the feet, corns are circular or cone-shaped. They develop where there are areas of pressure or friction, such as on the little toe when it rubs up against shoes, or on the ball of your foot.

Corns are often confused with a callus, but there is a difference between them. Corns can be raised bumps that are painful to the touch. They consist of a rough, thick area of skin that may be dry or waxy. Corns tend to be surrounded by skin that is inflamed, and are usually much smaller than calluses.

Removing the dead skin that has built up is the key in treating corns. Salicylic acid medication is most common in accomplishing this. The acid works by dissolving keratin, which is the protein that makes up the majority of corns. You can purchase salicylic acid over-the-counter in products such as wart removers. It comes in a variety of forms such as medicated pads, drops, or creams. However, people who are diabetic should not use salicylic acid, but should instead consult their doctor immediately.

According to the product directions, applying the medication directly onto the corn will treat it. The top layer of the corn will begin to turn white after use. When that occurs, the layers of skin can then be peeled away, making the corn smaller. Shaving off corns with razors or other pedicure equipment is never a good idea. This can lead to infection. If your corn gets infected, and is not treated immediately, a visit to the doctor will be necessary.

Another way to treat corns and help prevent their return is by using orthotic inserts, fitted by a podiatrist. Inserts fit right into your shoes and adjusts the way your foot fits into your shoes. This fixes the way you walk. This will lower your chances of getting corns, and eliminate current corns by reducing rubbing from friction.

Surgery is rarely used to treat corns, but does occur on occasion. Surgery actually deals with the underlying issue that causes corns. During surgery, the bone is shaved and any abnormalities are corrected, thus reducing the amount of friction that occurs during walking.

To prevent corns, the first step is reducing friction. Always wear shoes that fit well and don’t rub your feet. Pads can be purchased if you notice rubbing developing. These pads can be purchased over-the-counter, and can be simply placed on the irritated area. Wearing cushioned insoles in your shoes can always reduce the friction, and making sure to wear well-fitting shoes. This will ensure that your foot is not being squeezed awkwardly, and prevent corns from forming in the first place.

Monday, 12 April 2021 00:00

Tarsal Tunnel Syndrome and Nerve Damage

Patients who have consistent foot pain are aware of the discomfort it may cause in daily life. The foot condition that is referred to as tarsal tunnel syndrome can cause severe pain and discomfort, and is caused by nerve damage. The tarsal tunnel is found inside the ankle, and the nerve that lies in this area may become damaged from repetitive motions, bone spurs, or flat feet. When specific stretches are frequently performed, mild relief may be found. If you have ankle pain, it is suggested that you schedule a consultation with a podiatrist who can properly diagnose and treat tarsal tunnel syndrome.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Jim Maxka of South Penn Foot & Ankle Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

  • Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
  • Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
  • At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

  • Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
  • The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
  • If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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

Read more about Treating Tarsal Tunnel Syndrome
Monday, 12 April 2021 00:00

Treating Tarsal Tunnel Syndrome

Tarsal tunnel syndrome is a condition in which the tibial nerve, located in the tarsal tunnel in the foot, is compressed. The tibial nerve can become compressed from injury, such as an ankle sprain, flat feet, and lesions. Arthritis, diabetes, and varicose veins can also cause swelling and thus result in nerve compression.

Symptoms of tarsal tunnel syndrome include several different sensations in the sole of the foot, inside the ankle, and around the tibial nerve. These sensations include shooting pains, numbness or reduced sensation, pins and needles, burning, and tingling. Symptoms tend to worsen with greater activity to the area. In rare and severe occasions, this can change the muscles in the foot.

If you suspect you have tarsal tunnel syndrome, you should consult with your podiatrist. He or she will examine your medical history to see if you have a history of diabetes, arthritis, or flat feet. They will also check to see if you have suffered an injury to the area recently. An electrical test will be conducted to check if the nerve has been damaged. A simpler Tinel’s Test might also be used. This includes simply tapping the nerve to create a sensation. An MRI scan of the area may also be used.

Treatments vary greatly for tarsal tunnel syndrome. Treatments include both nonsurgical and surgical options depending upon the severity of the condition. Nonsurgical options include anti-inflammatory medication and steroid injections to the area. Orthotics, such as a splint or brace that immobilizes the foot, is another noninvasive option. For those with flat feet, custom shoes can be made to offer better foot support. Surgical options include a tunnel tarsal release, in which an incision is made behind the ankle down to the arch of the foot. This releases the ligament and relieves pressure off the nerve. Some doctors use a more minimally invasive surgery, where smaller incisions are made in the ankle and the ligament is stretched out.

If you are suffering from painful sensations in your foot, see a podiatrist who can determine if you are experiencing tarsal tunnel syndrome. Tarsal tunnel syndrome that is left unchecked can cause permanent nerve damage to the foot.

Monday, 05 April 2021 00:00

Getting the Right Shoe Size

If you want to ensure the long-term health of your feet, you should choose the right pair of shoes to wear on an everyday basis. Poorly fitting shoes will not only be uncomfortable, but they may also cause foot pain and unwanted foot conditions. When looking for a new pair of shoes, there are certain factors you should look for.

One of the most crucial tips you can follow is to always try shoes on in the afternoon. It is normal for feet to swell throughout the day, which means your shoe size may be different in the morning compared to what it is at night. To be safe, you should go with the slightly bigger size to ensure that your feet have enough room within your shoes.

Another rule is to never buy shoes that are too tight (Many people buy shoes that are too tight for their feet and expect the shoes to stretch out). If you are looking for a pair of running sneakers, you can go to a specialty running shoe store to have your feet properly sized. When you purchase shoes in-store, walk around in them to make sure the shoes you are going to buy fit you properly. Take some time to make sure the shoes are comfortable for your feet

The upper section of your shoe should be made from a softer, more flexible material. The material that makes up the shoe should not be slippery. Arch support should be a key factor in the decision-making process for shoes. Arch support is crucial because it will prevent the arches in your feet from collapsing. If your arches collapse, the plantar fascia may begin to stretch out which could lead to plantar fasciitis.

Many problematic foot conditions may be prevented by wearing properly fitting shoes. Some of these unwanted conditions are bunions, corns, calluses, pain, stress fractures, and plantar fasciitis. If you are suffering from any of these ailments you may want to speak with your podiatrist.

Monday, 05 April 2021 00:00

Do My Shoes Fit Properly?

Wearing the right shoe size can help protect your feet from a variety of foot related issues and injuries. Shoes should cushion and support the foot, feel comfortable, and fit properly. There are some important tips to remember to achieve the perfect fit. If you are participating in physical activities, it is important to purchase shoes that are made and designed for your type of activity, such as walking shoes, running shoes, or even hiking boots. Because our feet are at their largest towards the end of the day, it is suggested to have them measured in the afternoon or evening. Ask a sales person for help to ensure you use the brannock device correctly. Make sure the toes can be wiggled while wearing the shoes and it is also suggested to wear the socks you intend to wear with the shoes. Additionally, make sure the shoes are comfortable when walking around the store, and avoid shoes that are made with plastic or have a narrow toe box. If you have questions or need help making sure your shoes fit properly, please seek the advice of a podiatrist.

Getting the right shoe size is an important part of proper foot health. Seek the assistance of Dr. Jim Maxka from South Penn Foot & Ankle Associates. Our doctor will provide the care you need to keep you pain-free and on your feet.

Getting the Right Shoe Size

There are many people who wear shoes that are the incorrect size, negatively affecting their feet and posture. Selecting the right shoes is not a difficult process, so long as you keep several things in mind when it comes to choosing the right pair.

  • When visiting the shoe store, use the tools available to measure your foot.
  • Be sure there is ‘wiggle room’. There should be about an inch between your toes and the tip of your shoes.
  • Do not always assume you are the same size, as manufacturers run differently.
  • Purchase shoes later in the day, as your feet swell as the day progresses.
  • If a shoe is not comfortable, it is not suitable. Most shoes can’t be ‘broken in’, and comfort should be the ultimate goal when it comes to choosing the right pair of shoes

As our feet hold our body weight and keep us moving, it is important to treat them right. Picking the right pair of shoes can provide your feet comfort and mobility without pain.

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

Read more about Getting the Right Shoe Size
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