Haglund’s deformity is a bony enlargement at the upper back of the heel. The bump forms near the point where the Achilles tendon attaches to the heel bone. It can rub against the back of a shoe and cause pain, redness, and swelling behind the heel. The area may feel tender, and a bump can develop. Pain can be noticeable when wearing shoes with firm heel counters. Some patients also have discomfort when they begin walking after resting. The condition can affect one heel or both heels.

The cause of Haglund’s deformity is not always clear. A tight Achilles tendon, high arches, and an inherited heel shape can raise the risk. Pressure from wearing stiff or poorly fitting shoes can worsen irritation. The nearby fluid-filled sac, called a bursa, can become inflamed. This sac cushions the heel bone and Achilles tendon. When it becomes irritated, swelling and pain can increase. A podiatrist examines the heel, checks the patient’s foot structure, and asks when the pain occurs. X-rays can show the heel bone and the size of the bump. Other imaging can help assess the Achilles tendon or surrounding tissue when the cause remains unclear.

Treatment focuses on reducing pressure, easing inflammation, and protecting the back of the heel. The podiatrist can recommend shoes with a softer heel area or room around the bump. Custom orthotics or heel lifts can improve foot position and reduce strain on the Achilles tendon. Padding may limit shoe rubbing. A temporary walking boot can protect the area when pain is severe. The podiatrist can also monitor the tendon and adjust treatment based on the patient’s progress. When these measures do not provide enough relief, surgery may be considered to remove the excess bone and address damaged tissue. If you have symptoms of Haglund's deformity, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Many people suffer from bouts of heel pain. For more information, contact Afshin Javaherian, DPM of Dr. Java Foot & Ankle Clinic. 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 feel free to contact our office located in Los Angeles, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A ganglion cyst is a non-cancerous, fluid-filled lump that can develop near a joint or tendon. Ganglion cysts on the foot may form around the ankle, top of the foot, or near a joint where connective tissues are present. The cyst is usually filled with a thick, jelly-like fluid, and may feel soft or firm when touched. Symptoms may include a visible bump, tenderness, or aching. Irritation while walking may occur. The size of a cyst can change over time and may become more noticeable after activity.

The exact cause of a ganglion cyst is not always known. These cysts may develop when fluid from a joint or tendon sheath collects and forms a sac beneath the skin. Repeated stress or irritation around a joint may contribute to their development. Risk factors can include previous foot injuries, repetitive activity, and conditions that place ongoing stress on the feet. Some people develop a cyst without an obvious injury or triggering event. Because other lumps can look similar, a new growth should be evaluated rather than assumed to be a ganglion cyst.

A podiatrist can examine the foot and determine whether a ganglion cyst is responsible for the lump and symptoms. The evaluation may include reviewing medical history, examining the size and location of the cyst, and checking nearby joints and tendons. Imaging such as an ultrasound or an MRI scan may be recommended when the diagnosis is uncertain. When symptoms interfere with footwear or walking footwear changes may be suggested. Aspiration or surgical removal may be needed, depending on the cyst and the patient’s needs.

Ganglion cysts are usually benign, but persistent growth, pain, or changes in the surrounding skin deserve professional attention. A podiatrist can explain the available treatment options and help determine whether intervention is necessary. If you have a ganglion cyst on your foot, it is suggested that you consult a podiatrist for effective relief and management solutions.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Afshin Javaherian, DPM from Dr. Java Foot & Ankle Clinic. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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

Fibromyalgia causes long-lasting pain and increased sensitivity throughout the body. It can also affect sleep, energy, and mood. Although the condition is not caused by a foot injury, many patients report aching, burning, or stabbing pain in their feet. The toes and ankles can also feel stiff or tender. In some cases, light pressure from socks or shoes can feel unusually painful. This increased sensitivity can cause normally painless sensations to hurt. Foot pain can also make it harder to stand, walk, and complete daily tasks.

Foot pain in a patient with fibromyalgia may be caused by other conditions. Plantar fasciitis, arthritis, or nerve problems can cause similar symptoms. A podiatrist can examine the feet, review the location of the pain, and assess how the patient walks. The examination can also identify swelling, reduced joint movement, or areas that are especially sensitive to pressure. X-rays or other imaging tests can help rule out structural problems. A clear diagnosis matters because fibromyalgia-related sensitivity and a separate foot condition can be present at the same time.

A podiatrist develops a treatment plan based on the examination and the patient’s daily needs. Custom orthotics can improve foot alignment, distribute pressure more evenly, and reduce strain on painful areas. The podiatrist can also recommend shoes with proper support and enough room around sensitive toes. Padding or other protective devices can reduce rubbing against tender skin. Regular foot evaluations allow the podiatrist to track changes in pain, movement, and function. Care can also be coordinated with the doctor managing the patient’s fibromyalgia. The goal is to ease foot stress and help the patient remain as comfortable and active as possible. If you have foot pain as the result of fibromyalgia, it is suggested that you schedule an appointment with a podiatrist effective relief and management solutions.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact Afshin Javaherian, DPM from Dr. Java Foot & Ankle Clinic. Our doctor will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

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

Achilles tendon injuries can affect athletes who run, jump, or make repeated lower-leg movements. The Achilles tendon connects the calf muscles to the heel, and helps the foot push off the ground. Repeated stress can irritate the tendon and cause pain or stiffness. Some athletes develop injuries after a sudden increase in training or repeated high-impact activity. Running sports can place particular stress on the Achilles tendon. Athletes can experience several types of injuries, including tendon irritation, pain where the tendon meets the heel, and partial or complete tears. Symptoms can make it difficult to run, jump, or push off with the foot.

A podiatrist can examine the ankle and foot to determine the location and severity of an Achilles tendon injury. The evaluation can include checking tenderness, strength, and how the foot and ankle work together. A podiatrist can also consider factors that contribute to repeated stress, including limited ankle movement or changes in how the foot moves. Treatment depends on the type and severity of the injury. Care can include activity guidance, treatment to reduce stress on the tendon, and a structured plan to help restore strength and movement. For athletes, the goal is to support recovery while helping them return to their sport safely.

A partial tear or complete tear require careful evaluation because the treatment approach can differ. Complete Achilles tendon ruptures can cause significant weakness and difficulty pushing off with the foot. Some athletes with severe injuries require surgery, while other Achilles tendon problems can be treated without surgery. A podiatrist can explain the treatment options based on the injury and the athlete’s goals. Getting an evaluation early can also help determine how serious the problem is and whether continued sports activity could place additional stress on the tendon. If you have an Achilles tendon injury, it is suggested that you schedule an appointment with a podiatrist for effective relief and treatment solutions.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Afshin Javaherian, DPM of Dr. Java Foot & Ankle Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

• Inflammation
• Dull to severe pain
• Increased blood flow to the tendon
• Thickening of the tendon

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

• Thorough stretching of the tendon before and after exercise
• Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact our office located in Los Angeles, CA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.