Plantar Fasciitis
Plantar fasciitis is a painful inflammatory condition of the foot. It has been reported plantar fascitis occurs in two million Americans a year and 10% of the population over a lifetime. The etiology of this condition has been associated with one of the most common overuse syndromes including but not limitted to patients with a high body mass index and tight achilles heel cord. The pain usually is felt on the underside of the heel, and is often most intense with the first steps of the day or after periods of rest. It is commonly associated with long periods of work related weight bearing.
WHAT ARE THE SYMPTOMS OF PLANTAR FASCIITIS?
Plantar fasciitis causes foot pain, most commonly near your heel. This discomfort can range from occasional mild throbbing or aching, to severe stabbing pains. In most cases, plantar fasciitis tends to be worse after long periods of inactivity, such as after sleeping or sitting for several hours.
But extended periods of high activity can cause a plantar fasciitis flare-up, too. For instance, if you go to the gym and run on a treadmill, your plantar fasciitis probably won’t affect your workout. Instead, pain is likely going to start shortly after you’re done exercising.
WHAT CAUSES PLANTAR FASCIITIS?
Plantar fasciitis becomes more common with age, partly as a result of years of wear and tear on the plantar fascia, and partly because the fibrous tissue tends to become stiffer and less flexible as you age, causing tiny tears to form in the tissue. If you enjoy activities like running, hiking, or sports like tennis or basketball that result in a lot of impact to your feet, you’re also more likely to develop plantar fasciitis, and the condition is also more common among people who are overweight or obese.
HOW IS PLANTAR FASCIITIS TREATED?
Often, you can temporarily relieve heel pain and other symptoms of plantar fasciitis with medications, including nonsteroidal anti-inflammatory drugs (or NSAIDs), which help reduce inflammation in the tissues. You may also benefit from special splints and exercises that help gently stretch the plantar fascia to:
- Improve circulation
- Reduce inflammation
- Improve flexibility along the sole of the foot
HOW IS PLANTAR FASCIITIS DIAGNOSED?
When you come for an appointment at Brummer Surgical Podiatry, Dr. Brummer talks to you about your medical history and examines your affected foot. This exam enables your doctor to isolate the probable cause of your heel pain, which can then be confirmed using X-rays or other diagnostic imaging techniques. Occasionally patients with heel pain have heel spurs, but these aren’t usually the cause of the pain.
Plantar Fasciitis
Plantar fasciitis is a painful inflammatory condition of the foot. It has been reported plantar fascitis occurs in two million Americans a year and 10% of the population over a lifetime. The etiology of this condition has been associated with one of the most common overuse syndromes including but not limitted to patients with a high body mass index and tight achilles heel cord. The pain usually is felt on the underside of the heel, and is often most intense with the first steps of the day or after periods of rest. It is commonly associated with long periods of work related weight bearing.
WHAT ARE THE SYMPTOMS OF PLANTAR FASCIITIS?
Plantar fasciitis causes foot pain, most commonly near your heel. This discomfort can range from occasional mild throbbing or aching, to severe stabbing pains. In most cases, plantar fasciitis tends to be worse after long periods of inactivity, such as after sleeping or sitting for several hours.
But extended periods of high activity can cause a plantar fasciitis flare-up, too. For instance, if you go to the gym and run on a treadmill, your plantar fasciitis probably won’t affect your workout. Instead, pain is likely going to start shortly after you’re done exercising.
WHAT CAUSES PLANTAR FASCIITIS?
Often, you can temporarily relieve heel pain and other symptoms of plantar fasciitis with medications, including nonsteroidal anti-inflammatory drugs (or NSAIDs), which help reduce inflammation in the tissues. You may also benefit from special splints and exercises that help gently stretch the plantar fascia to:
- Improve circulation
- Reduce inflammation
- Improve flexibility along the sole of the foot
HOW IS PLANTAR FASCIITIS DIAGNOSED?
When you come for an appointment at Brummer Surgical Podiatry, Dr. Brummer talks to you about your medical history and examines your affected foot. This exam enables your doctor to isolate the probable cause of your heel pain, which can then be confirmed using X-rays or other diagnostic imaging techniques. Occasionally patients with heel pain have heel spurs, but these aren’t usually the cause of the pain.
HOW IS PLANTAR FASCIITIS DIAGNOSED?
When you come for an appointment at Brummer Surgical Podiatry, Dr. Brummer talks to you about your medical history and examines your affected foot. This exam enables your doctor to isolate the probable cause of your heel pain, which can then be confirmed using X-rays or other diagnostic imaging techniques. Occasionally patients with heel pain have heel spurs, but these aren’t usually the cause of the pain.
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Sports Injuries
Sports Injuries: As Sports medicine specialists we are involved in preventing, diagnosing and treating injuries related to participating in sports and/or exercise, specifically the rotation or deformation of joints or muscles caused by engaging in such physical activities. Tendonitis, tendon ruptures, ankle sprains, fractures, hyperflexion and hyperextension injuries are commonplace to our patients.
WHAT DOES A SPORTS MEDICINE PODIATRIST DO?
This kind of professional is a fully capable podiatrist, which is a doctor who specialized in injuries and diseases of the lower extremities, like the feet and ankles. A sports medicine podiatrist, though, understands the nuances of sports performance and sports injuries, so this particular kind of professional is especially good at treating athletes or anyone who’s very physically active.
A sports medicine podiatrist is capable of performing surgery when necessary but prefers to treat patients with manual therapies and hands-on care. Another service a sports medicine podiatrist provides is preventive care to prevent injuries from occurring. This service is especially useful for athletes.
WHEN SHOULD I SEE A PODIATRIST?
You should go see one when you suffer a sports- or exercise-related injury (like a sprain) that isn’t life-threatening and that has to do with your lower extremities (your ankles, feet, or heels). You can and should also see a sports medicine podiatrist if you believe you have an injury or issue you believe hasn’t healed properly or that may be chronic, like arthritis in the ankle. Foot pain, arch pain, or heel pain can be managed by the podiatrist. A sports medicine podiatrist is the perfect professional to treat such issues and injuries with treatments like corrective exercise and gait and movement analysis, and can provide long-term support too.
WHAT WILL A SPORTS PODIATRIST DO ON MY FIRST VISIT?
This depends on the reason you’re going to see the sports podiatrist in the first place, but typically, the podiatrist will ask you about your medical history, your history of injuries, your physical activity, etc. After, the podiatrist will examine how you stand, walk, and run, then check your range of motion in your joints, or if you’re injured, the podiatrist will examine the injury and evaluate how it affects you. Finally, the podiatrist will tell you about and suggest certain services like:
- Shoe and orthotics evaluation
- Custom foot orthotics
- Video gait analysis
- Functional assessment (strength, flexibility, balance)
- Athletic taping
- Physical therapy
- Surgery only when necessary
A GUIDELINE FOR RETURNING TO ACTIVITY
Return-to-activity guidelines are an important part of your practice. The level, age, fitness, and motivation of the athlete are just several important considerations in coming up with a return to activity plan. I am careful to under-promise and over-deliver. This will make your patients happier and more satisfied with your treatment program and return to activity if they return sooner than expected.
Sports Injuries
Sports Injuries: As Sports medicine specialists we are involved in preventing, diagnosing and treating injuries related to participating in sports and/or exercise, specifically the rotation or deformation of joints or muscles caused by engaging in such physical activities. Tendonitis, tendon ruptures, ankle sprains, fractures, hyperflexion and hyperextension injuries are commonplace to our patients.
WHAT DOES A SPORTS MEDICINE PODIATRIST DO?
This kind of professional is a fully capable podiatrist, which is a doctor who specialized in injuries and diseases of the lower extremities, like the feet and ankles. A sports medicine podiatrist, though, understands the nuances of sports performance and sports injuries, so this particular kind of professional is especially good at treating athletes or anyone who’s very physically active.
A sports medicine podiatrist is capable of performing surgery when necessary but prefers to treat patients with manual therapies and hands-on care. Another service a sports medicine podiatrist provides is preventive care to prevent injuries from occurring. This service is especially useful for athletes.
WHEN SHOULD I SEE A PODIATRIST?
You should go see one when you suffer a sports- or exercise-related injury (like a sprain) that isn’t life-threatening and that has to do with your lower extremities (your ankles, feet, or heels). You can and should also see a sports medicine podiatrist if you believe you have an injury or issue you believe hasn’t healed properly or that may be chronic, like arthritis in the ankle. Foot pain, arch pain, or heel pain can be managed by the podiatrist. A sports medicine podiatrist is the perfect professional to treat such issues and injuries with treatments like corrective exercise and gait and movement analysis, and can provide long-term support too.
WHAT WILL A SPORTS PODIATRIST DO ON MY FIRST VISIT?
This depends on the reason you’re going to see the sports podiatrist in the first place, but typically, the podiatrist will ask you about your medical history, your history of injuries, your physical activity, etc. After, the podiatrist will examine how you stand, walk, and run, then check your range of motion in your joints, or if you’re injured, the podiatrist will examine the injury and evaluate how it affects you. Finally, the podiatrist will tell you about and suggest certain services like:
- Shoe and orthotics evaluation
- Custom foot orthotics
- Video gait analysis
- Functional assessment (strength, flexibility, balance)
- Athletic taping
- Physical therapy
- Surgery only when necessary
A GUIDELINE FOR RETURNING TO ACTIVITY
Return-to-activity guidelines are an important part of your practice. The level, age, fitness, and motivation of the athlete are just several important considerations in coming up with a return to activity plan. I am careful to under-promise and over-deliver. This will make your patients happier and more satisfied with your treatment program and return to activity if they return sooner than expected.
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Customer Reviews
If you're in Manhattan you should know the name Dr. Brummer. He is a skillfully trained podiatrist with years of knowledge. I would feel comfortable going to Dr. Brummer for minor pain to major surgeries, he can do it all. Not only is he a leader in the field but he and his assistant Nicole are compassionate for every patient that walks in the door. You can tell they truly care about each individual and make you feel comfortable!
Devon B.
PATIENT
Dr. Brummer was amazing. I am on my feet all day and after diagnosing me with plantar fasciitis, he taped up my foot and told me to start wearing orthotics. I was completely better by the time my followup came around 2 weeks later. I could not recommend him enough!! Also, Nicole is the best! She is always quick to call back and she makes it very easy to book an appointment. Barely any wait time at the office. 10/10 service.
Rian R.
PATIENT