Orthotics, specialized shoe inserts designed to support and align the foot and ankle, are crafted by a myriad of companies worldwide. However, amidst this diversity, podiatrists stand out as experts in the field. These healthcare professionals possess extensive knowledge of foot anatomy, biomechanics, and gait analysis, enabling them to tailor orthotic solutions to individual needs effectively. Unlike mass-produced inserts, podiatrists meticulously assess each patient's unique requirements, accounting for factors like foot structure, medical history, and lifestyle. This personalized approach ensures optimal fit and function, addressing a wide range of conditions, from plantar fasciitis to diabetic foot complications. Podiatrists employ a variety of techniques and materials, including foam impressions, computerized scans, and custom molds to create orthotics that provide maximum comfort and support. Furthermore, they offer ongoing care and adjustments, ensuring patients experience lasting relief and improved mobility. If you experience foot or ankle discomfort, it is suggested that you schedule an appointment with a podiatrist to discuss whether custom-made orthotics can help you.

If you are having discomfort in your feet and would like to try orthotics, contact Steven Black, DPM from California . Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

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

Flat feet, or pes planus, is a common condition where the arches of the feet collapse, causing the entire sole to touch the ground. It affects approximately 20 to 30 percent of the population and can occur in both children and adults. Flat feet may develop due to specific factors, including genetics, weak foot muscles, injury, or certain medical conditions. People at higher risk include those with family history, obesity, diabetes, or who stand for long periods of time. There are different types of flat feet. Flexible flat feet are where the arches only flatten when weight is applied. Tight Achilles tendon limits foot movement. Posterior tibial tendon dysfunction is when the tendon supporting the arch becomes weakened. Treatment by a podiatrist aims to relieve painful symptoms and improve foot function. This may involve custom orthotic devices, stretching exercises, supportive footwear, or in severe cases, surgery to reconstruct the arch. If you have problematic flat feet, it is suggested that you schedule an appointment with a podiatrist for proper management and relief.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Steven Black, DPM from California . Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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

A heel spur is an abnormal growth of bone on the bottom or back of the heel bone, or calcaneus. Heel spurs often result from excessive pulling by tendons and ligaments. Athletes and non-athletes alike may develop heel spurs, experiencing pain during activities like walking or running. Treatment options for heel spurs typically focus on pain reduction, including oral medications, corticosteroid injections, padding, and custom shoe orthotics. Non-surgical remedies, consisting of shock wave therapy and radiotherapy, have been shown to help relieve pain and improve foot function for individuals with heel spurs. Surgery may be recommended in severe cases where other treatments have been unsuccessful. While pain from heel spurs can diminish over time without treatment, it is important to seek professional advice for persistent heel pain. For an accurate diagnosis and treatment options for relieving heel spur-related pain, it is suggested that you schedule an appointment with a podiatrist. 

Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Steven Black, DPM from California . Our doctor will do everything possible to treat your condition.

Heels Spurs

Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.

Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.

Pain

The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.

Treatments

There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.

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

Foot pain is often one of the earliest signs of rheumatoid arthritis, or RA, an autoimmune condition affecting joints. RA can manifest in various forms in the feet, including swelling, stiffness, and tenderness. Over time, untreated RA can lead to progressive foot deformities such as bunions, hammertoes, and rheumatoid nodules. Additionally, inflammation in the joints can cause joint erosion and instability, further exacerbating foot problems. Seeking care from a podiatrist is necessary for individuals with RA, as these doctors specialize in managing foot conditions associated with arthritis. Podiatrists can provide comprehensive assessments, including gait analysis and imaging studies, to identify specific foot issues related to RA. If you suffer from RA symptoms in your feet, it is strongly suggested that you are under the care of a podiatrist who can help you maintain mobility and a better quality of life.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact Steven Black, DPM of California . Our doctor will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

• Swelling and pain in the feet
• Stiffness in the feet
• Pain on the ball or sole of feet
• Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

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

Bunions manifest primarily as the big toe angling towards the other toes, causing a bony protrusion on the inner edge of the foot. Symptoms include pain, swelling, callused skin, and foot shape changes. Treatment aims to alleviate discomfort and may involve painkillers, orthotics, or surgery for severe cases. Untreated bunions can worsen and lead to complications like arthritis or toe misalignment. Bunions are more prevalent in women, possibly due to footwear choices like high heels. Other causes of bunions include genetics, arthritis, and ill-fitting shoes. Prevention involves wearing properly fitting shoes with ample toe room, and avoiding tight or high-heeled footwear. Surgery is often the only solution for severe cases but may not guarantee complete recovery. If you have a bunion that causes you pain, it is suggested that you make appointments with a podiatrist for regular monitoring and treatment.

If you are suffering from bunion pain, contact Steven Black, DPM of California . Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

• Genetics – some people inherit feet that are more prone to bunion development
• Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

• Redness and inflammation
• Pain and tenderness
• Callus or corns on the bump
• Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

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

Experiencing pain in the arches of your feet can be attributed to various factors, including overuse, injury, and weakness. Other causes that may lead to arch pain are inflammation and anatomical variations in foot arch structure. Whether you have high, neutral, or flat arches, each type presents its own set of challenges. High arches may lack shock absorption and support, making them susceptible to overuse injuries during activities like sports. Flat feet, or fallen arches, can result from weak posterior tibial tendons, leading to decreased stability and support. Congenital conditions or acquired conditions, such as neuropathy or muscle atrophy, also can contribute to arch weakness and pain. Treatment strategies include proper foot support, medication, and orthotic shoe inserts. If you are experiencing pain in the arch of the foot, it is suggested that you schedule an appointment with a podiatrist who can identify the underlying cause, and develop an effective treatment plan for you.

If you have any concerns about your feet, contact Steven Black, DPM from California . Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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

Foot pain affects up to 30 percent of older adults. This discomfort not only diminishes their overall health but also contributes to impaired balance and reduced physical function. The result is an increased risk of falls. Studies show that the link between foot pain and falls becomes increasingly significant with age. More than a third of those aged 65 and above experience a fall at least once a year, a percentage that rises to over 40 percent for those 75 and older. Recurrent falls are particularly common among individuals suffering from severe foot pain, and certain foot postures, such as flat feet, are linked to a higher risk of falls. By addressing foot pain and taking measures to improve foot function and posture, older adults can lower the risk of falls. For help with foot pain and its related risk of falling, it is suggested that you make an appointment with a podiatrist for an evaluation and guidance.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Steven Black, DPM from California . Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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

Neuropathy, a nerve disorder characterized by damage or dysfunction to peripheral nerves, can manifest in various symptoms and significantly impact the feet. Common symptoms of neuropathy include tingling, burning sensations, numbness, and sharp pain in the affected areas. In the context of foot neuropathy, individuals may experience loss of sensation, making it difficult to detect injuries or changes in temperature. This increases the risk of foot ulcers, infections, and other complications, particularly for those with diabetes or other underlying health conditions. Neuropathy can also disrupt normal motor function, leading to muscle weakness and altered gait patterns, affecting balance and coordination while walking or standing. Additionally, neuropathic pain can be chronic and debilitating, impairing quality of life and overall mobility. Recognizing the symptoms of neuropathy and its impact on the feet is critical for early diagnosis and management. If you have symptoms of neuropathy and your feet are affected, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this condition.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Steven Black, DPM from California . Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

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

Flatfoot occurs when the arches of the feet are low or even touch the ground. While many people with flatfoot don’t experience major foot problems, the altered biomechanics of the foot can lead to foot pain and gait issues. Collapsed arches can strain the ligaments, tendons, and muscles that support the foot's structure. This strain is what may lead to pain, particularly in the arch area and the inner side of the ankle. This pain can even extend to the knee or lower back. Individuals with flat feet may experience pain during prolonged periods of standing or walking. The absence of a natural arch can also affect shock absorption, increasing the force on joints and potentially causing discomfort. Podiatrists can recommend supportive footwear, shoe inserts, and targeted exercises to strengthen the foot muscles. If you have foot pain and flat feet, it is suggested you consult with a podiatrist who can locate the source of your pain and provide a customized treatment plan to improve your foot health.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Steven Black, DPM from California . Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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