Category Archives: Foot Pain

Picture of lady thinking for post Sever's Disease in Children

Got Heel Pain… What About Plantar Fasciitis?

Foot Pain, Heel Pain, Heel Pain in Adults, Plantar Fasciitis, , , , , , ,

What is our most important mode of transportation? If you said our feet, then you were absolutely correct!

Our feet and their well-being, is critical to our livelihood and it is my job, as a practicing podiatrist, to keep them in tip-top shape.

Would you believe that heel pain (specifically heel pain related to a condition called Plantar Fasciitis) is one of the #1 complaints that I see in my adult patients?

So… what about Plantar Fasciitis makes it so common and painful?

I am here to tell you, ad nauseam, EVERYTHING that you could possibly want to know about this condition in simple, easy-to-understand terminology!

Quick note… If we are talking about a child suffering with heel pain, this is NOT where you want to be! I would recommend reading articles titled “Heel Pain in Kids – Everything You NEED to Know” or “Sever’s Disease in Children – Is It Affecting Your Child’s Game” for more information on heel pain in kids.

Back to what you came for… Plantar Fasciitis!

The Anatomy Behind Plantar Fasciitis

To effectively understand what the term “Plantar Fasciitis” means, we first have to understand what the plantar fascia band is and where it is located.

The plantar fascia band is a band of thick, connective tissue that spans along the bottom of the foot from the area of the heel bone to the ball of the foot.

When you stretch your toes up towards your nose, you can also see your plantar fasciial band through the skin. Go ahead… give it a try! You should see something like this:

This strong plantar fascia band (that you should be looking at now) plays a critical role in our feet. It functions to support the arch on the bottom of the foot and prevent its collapse due to the weight of our bodies.

Did you know that the average adult tends to take anywhere from 5,000 – 10,000 steps per day and that this band is strong enough to support our weight, yet elastic enough to withstand the impact of the force of each step?

Pretty amazing, right?

Think of the plantar fascia band as a bowstring that absorbs shock. See the importance?

Now you will be able to better understand exactly what plantar fasciitis is.

What is Plantar Fasciitis?

Simply put, Plantar Fasciitis is a condition that results when the plantar fascia becomes inflamed. Let’s talk about this in a little more detail to make sure you have a better understanding.

When the plantar fascia band is tensed, or overstretched, (for reasons that we will discuss later) tiny little tears occur within it. These “microtears” most commonly occur at the weakest area of the plantar fascia band, which is close to where it attaches to the heel bone.

Once microtears are present, this band begins to get irritated and inflammation results. This, in turn, causes it to become even more tense and it reacts by wanting to contract, or ball-up, in a sense.

For quick clarification purposes, I would like to stress right now that Plantar Fasciitis is NOT caused by a heel spur. This is so very often misconstrued. A heel spur may develop in conjunction with this condition as our bodies naturally create calcium deposits to the area in an attempt to support the damaged plantar fascia band, but these two conditions do not always go hand-in-hand.

What Causes Plantar Fasciitis – Are You At Risk?

Now that you should have a pretty good understanding about exactly what Plantar Fasciitis is, who gets plantar fasciitis?

The easy answer to this question is that ANYONE can develop it; but, generally speaking, Plantar Fasciitis most often occurs in an active man or woman between the ages of 30-60 with the highest occurrence in women.

In addition, there are certain activities/actions that can put you at a greater risk.

Obesity/Pregnancy

You are at a greater risk for Plantar Fasciitis when you are obese, or overweight… especially if there was a sudden weight gain. Why?

When a person rapidly gains weight, our plantar fascia band is subject to an increased work-load without having time to adapt to it.

This is commonly supported by pregnant females who suddenly develop this condition near the end of their pregnancy.

Extreme Physical Activity

Extreme Physical Activity can take many shapes and forms, but does put you at an increased risk to develop Plantar Fasciitis.

Does your job require you being on your feet for hours on end (such as a factory or restaurant worker)? Are you a long-distance runner?

Moderate physical activity is definitely recommended several times per week for our overall health, but putting our bodies in extreme stress regularly can often do more harm than good.

Structural Foot Deformities

Do you have a high-arched foot, or are you flat-footed? Is your Achilles Tendon tight? Add yourself to the increased risk category!

Improper, or Ill-Fitting Shoegear

Ladies… are you guilty of sporting those red bottoms or other high-heeled shoes on a regular basis?

Any shoe with soft soles or inadequate arch support is definitely a risk factor for the development of Plantar Fasciitis. And believe me… once you develop it, NOTHING is worth the pain!

Your selection of shoegear should be based upon the shoe’s ability to provide good support and fit well, not merely as a fashion statement.

What About Plantar Fasciitis Symptoms?

We can’t effectively discuss Plantar Fasciitis without reviewing the symptoms most commonly experienced by those suffering from this condition, now can we?

Some of the most common signs/symptoms associated with Plantar Fasciitis include the following:

  • Stabbing-type pain on the bottom of the foot close to the heel bone.
  • Pain on the bottom of the heel area upon rising after sitting or laying for an extended period of time that improves some with walking. The most intense pain is usually experienced on the first step out of bed in the morning.
  • Pain on the bottom of the heel that occurs immediately following exercise rather than during exercise.

How is Plantar Fasciitis Diagnosed?

Typically, I (as well as other physicians) can diagnose Plantar Fasciitis via a medical history and thorough physical examination of the foot.

For the medical history, I always ask questions similar to the following:

  • What is the nature of the pain? (Heel Pain)
  • Where specifically on the foot is the pain located? (I have them point to the specific area where they are experiencing the pain.)
  • How long have you been experiencing the pain? (Days, Weeks, Months, Years)
  • Did the pain begin suddenly (possibly following an injury) or has it developed gradually?
  • Describe the characteristics of the pain. (Aching, Burning, Stabbing, Throbbing, Dull, Sharp)
  • What time of day is the pain the absolute worst? (First step out of bed in the morning)
  • What makes the pain better or worse? (Activity vs. rest)
  • Have you ever had a similar condition before? If so, what helped it improve?
  • Have you tried any at-home treatments to provide relief? If so, what did you do and did it work?

My physical examination for Plantar Fasciitis is pretty straight forward.

I typically palpate (or feel) the bottom of the foot to locate the area of tenderness.

In addition, I will have my patient flex their foot and push along the plantar fascia band. Typically, pain is experienced during this in Plantar Fasciitis. I will then instruct the patient to point their toes. Pain generally subsides with this motion.

I also examine the area for any swelling or mild redness.

Lastly, I evaluate muscle strength and nerve health via testing the following:

  • Balance and coordination
  • Sense of touch
  • Reflexes

Radiographs (a.k.a. x-rays) and other imaging studies are rarely required for a diagnosis of Plantar Fasciitis unless they are utilized to rule other conditions out.

What About Plantar Fasciitis? – Final Thoughts

It is imperative to recognize and fully understand where your heel pain is coming from in order to quickly implement the most efficient means of treatment to eliminate your pain.

I truly hope that I helped you either confirm or eliminate your suspicion of Plantar Fasciitis involving you or your loved one.

As always, I welcome any comments below including either questions or your experience with this condition. I truly am here to help!

Your Online Foot Expert,

Dr. Misty

Podiatric Physician and Owner/Creator of FixUglyNails.com

Child playing catcher in baseball for post How to Treat Heel Pain

How to Treat Heel Pain – Get Back in the Game

Foot Pain, Heel Pain, Heel Pain in Kids, Sever's Disease in Children, Treatment of Heel Pain in Kids, , , , ,

Heel pain in children is NO joke! When your child is in pain, it just plain hurts you too.

In this article, I will thoroughly discuss exactly how to treat heel pain and get your child back into their game as quickly as possible.

Child playing catcher in baseball

Because Sever’s Disease is the most common cause of heel pain in children, I will focus on the specific treatments that I utilize to nip this particular condition in the bud, but the recommendations outlined below will definitively aid in heel pain no matter the specific cause.

To read more about the signs and symptoms of heel pain in kids, feel free to read either (or both) of the following articles: “Heel Pain in Kids – Everything You Need to Know” and/or “Sever’s Disease in Children – Is It Affecting Your Child’s Game?“.

Onto what you are here for… let’s talk treatment!!!

A Quick Overview on How to Treat Heel Pain

It is all too familiar… a concerned parent bringing their child to my office with the complaint of heel pain and the fear that little Johnny is doomed from becoming the “next great thing” in his sport of choice because of it.

No fear… Dr. Misty is here!

There ARE ways to efficiently “knock-out” this burdensome pain once and for all and I am here to lay them all out on the table. I will tell you (in detail) exactly how I successfully treat my little patients that come in with this particular complaint.

I utilize the methods outlined below day-in and day-out to get kiddos with heel pain back on their feet:PICTURE OF HAPPY FEET

  • Rest
  • Ice
  • Oral Medication
  • Stretching
  • Shoe Inserts
  • Casting

Let’s talk about these in further detail…

Rest – The Dreaded Word

No child (or parent for that matter) wants to hear the dreaded word “REST”, but I could not write an article concerning how to treat heel pain without addressing it.

So… here it goes!

Rest is FREE and is one of the best ways to go about combating your child’s pain. It can take many shapes and forms and can include total rest to merely activity modifications.

Because Sever’s Disease doesn’t cause any long-term foot problems AND it will eventually go away on its own, temporarily stopping a sport, or reducing intensity, duration, and frequency, will definitely aid in the total elimination of your child’s heel pain.

However… I AM a realist as a physician AND I have treated my own son’s heel pain and I KNOW that for the aggressive athlete “rest” is sometimes not an option.

For this reason, I will leave this here and move on to more fluid ways to combat heel pain in children! ((:

Don’t Forget the Ice

You hear it quite frequently, but just how exactly does ice help with conditions such as heel pain?

Icing an injured area actually works to decrease tissue metabolism thereby reducing the amount of secondary muscle damage and edema (or swelling) of the area. In addition, ice is a great analgesic because it slows down the velocity of nerve conduction.

Simply put… ice decreases inflammation (or swelling) AND aids in reducing pain of a particular area (in our case the heel)!

So how do you effectively ice the heel?

I typically recommend icing the heel for 15 minutes at a time. You want to make sure that the ice is not in direct contact with the skin (to avoid frostbite) by applying a barrier, such as a towel, in between the skin and ice. To be most effective, this needs to be performed every 1-2 hours and ALWAYS directly following participation in an event.

Because it is physically difficult to hold (or balance) ice onto the heel area, products have been created for this purpose. One of my favorites, which I ALWAYS recommend for heel pain, is an Ankle/Foot Ice Therapy Wrap. Products such as these allow your child movement while therapeutically delivering the “cold” treatment that the area needs to heal.

Oral Medication – The Do’s & Dont’s

While I am NOT a huge advocate of “pill-popping”, there are certain times that I do recommend the use of oral medications (when they are not contraindicated) for particular conditions.

We do NOT like to see our babies in pain. If something can help relieve it… let’s do it!

When talking about the implementation of medications in our treatment of heel pain, all medications are NOT equal!

As long as your child has no medical conditions that prevent them from taking what we call non-steroidal anti-inflammatories (a.k.a. NSAIDs), this is my go-to for heel pain. These are common household, over-the-counter medications such as Ibuprofen, Motrin, and Aleeve.

NSAIDs far exceed acetaminophen (Tylenol) for the treatment of heel pain because they not only provide relief of pain, but they also work to block the production of certain chemicals by the body that cause inflammation.

When I recommend these medications for a child with heel pain, I typically instruct the child to follow the directions that come with the medication on how much and how often. I DO recommend taking the medication regularly for 48 hours and then as needed for pain.

How to Treat Heel Pain with Stretching

Stretching is critical in the treatment of heel pain in children.

To better understand, let’s quickly review the reasons that conditions, such as Sever’s Disease, cause pain.

Our children undergo rapid growth spurts. When these “growth spurts” occur, their heel bones develop more rapidly than the surrounding muscles and tendons. This results in a tightening of these muscles and tendons which pull directly on the heel bone thus causing pain and inflammation. To read more on this, visit my article titled, “Sever’s Disease in Children – Is it Affecting Your Child’s Game?”.

How can we help relieve this pain? Simple… let’s stretch it out!

Stretching acts to not only strengthen our muscles, but also to promote flexibility… flexibility that our children need more of when suffering from conditions such as Sever’s Disease.

Before I go into my three favorite stretches for heel pain, I do want to mention that any stretching exercise should ONLY be performed when NO ACUTE PAIN is present. Stretching while significant pain is present will only increase the pain thus being counter-productive.

Now… on to the BEST stretches for heel pain in kids! These stretches should be performed together at a minimum of five times per day. It is AMAZING what these simple stretches will accomplish!

The Active Stretch

Active stretch for how to treat heel pain

Begin stretching exercises with active stretching. This prepares the muscles for a rigorous treatment.

Simply have your child SLOWLY pull the foot and toes in an upward direction to stretch the muscles of the calf. This is best performed while sitting with the legs straight out in front of them and can be performed with or without the use of bands.

Ensure that your child is performing this very gently and controlled as sudden jerking motions may lead to intensified and prolonged pain.

Repeat this stretch at least five times prior to continuing on to the next stretch.

The Gastrocnemius Stretchgastrocnemius stretch for how to treat heel pain

Following the active stretch, focus should then be moved onto the gastrocnemius muscle which is along the calf area on the back of the leg.

Have your child stand facing a wall with their toes pointed towards the wall. Instruct them to lean forward towards the wall bracing the palms of their hands onto the wall. It is important to ensure that they do not raise their heels while performing this stretch. This position should be held for 45 seconds and repeated three times per stretching session.

Should your child not feel a stretch along the back of their legs, have them move their feet farther from the wall and repeat.

The Soleus Stretch

The soleus muscle is located on the lower half of the back of the leg.

To perform this stretch, have your child stand in front of a wall with their nose touching the wall and the toes of both feet up on the wall. Next, instruct them to bend the knee until a stretch is felt in the lower leg and back of the heel. Hold for 45 seconds and repeat three times.soleus stretch for how to treat heel pain

Shoe Inserts – A Must Have

If you speak to any physician regarding Sever’s Disease… you are going to hear one word (actually two)… heel cups!heel cups for how to treat heel pain

Heel cups are the standardized treatment for heel pain in children and provide two distinct benefits:

  1. Restrict any excessive motion of the heel
  2. Provide shock absorption in order to dissipate some of the ground forces felt throughout the heel

These two things together work fluidly to reduce the stress on the heel bone.

There is no question that heel cups are essential (I won’t waste your time on the science behind them), but how do you know which heel cups are best?

If you google “heel cups”, you will see thousands of results… feel free to try it! However, I am here to help you so I can tell you what the best heel cups on the planet are! Save your time and $$$.

I ALWAYS recommend Tuli’s Heavy Duty Heal Cups to my adolescent patients suffering with heel pain and they are NEVER disappointed. These heel cups are the ultimate product for heel pain relief and are the #1 Podiatrist-recommended heel cups in the world. Need I say more?

When you are treating your child’s heel pain with heel cups, it is essential that you have your child wear them inside of their shoes at all times. Don’t worry… no one will even see that they are there!

In addition, according to my patients (one of whom was my son), they are much more comfortable when worn underneath the sole of the shoe.

Heel cups are NECESSARY!

Casting – The Rarity

I would say that 95% of heel pain in children can be cured by combining rest, ice, anti-inflammatory medication, stretching, and heel cups, but for completeness’ sake, I felt the need to mention casting or immobilization as a means of treatment.

IF you have faithfully tried all the above with your child and they STILL complain of significant pain then it is definitely time to visit a physician.

It is a rarity, but sometimes, in extreme cases, casting is necessary to fully rid of your child’s pain.

How to Treat Heel Pain – You NOW Know

I sincerely hope that you see by now that your child’s heel pain is nothing to ignore and I have given you the tools that you need as a parent to successfully eliminate their suffering.

Remember… rest, ice, oral NSAIDs, stretching, and heel cups are critical to implement upon the first complaint of pain! You will be in awe of the success of these modes of treatment.

I appreciate you reading this article and I know that it will help!

As always, should you have any questions regarding any of the information presented here, please feel free to comment below. I am here to help!

Sincerely,

Dr. Misty

Podiatric Physician and Owner/Creator of FixUglyNails.com

Picture of boy resting feet for post heel pain in kids

Heel Pain in Kids – Everything YOU Need to Know

Foot Pain, Heel Pain, Heel Pain in Kids, , , , , , , , , , , , ,

Heel pain in kids is an increasingly common complaint amongst the youngsters of today’s Heel Pain in Kids with Boy Cryingsociety. Often times parents will mistakenly contribute this type of pain to merely “growing pains” and either ignore their child’s cries OR wait to implement treatment believing that this pain will eventually “go away” on its own.

In this article, I will examine heel pain in kids via discussing the symptoms, difference of this pain in adults versus children, causes, diagnostic modalities, treatment options, and prevention.

Common Signs & Symptoms of Heel Pain in Kids

For clarification purposes, I feel it is essential to state that heel pain is NOT a diagnosis nor disease within itself, but rather a symptom. Having this pain potentially indicates that an underlying disease or injury exists.

When a child complains of heel pain, this should alert the parent that a condition is present that deserves their attention.

Signs and symptoms commonly associated with heel problems in children include:

  • Pain in the bottom or back of the heelHeel Pain in Kids with Boy not Participating
  • Walking with a noticeable limp
  • Toe-walking or walking on the toes with body weight lifted off of the heels
  • Increasing desire to sit and “rest” when walking normal, everyday distances
  • Decreasing desire and difficulty participating in usual sporting events and/or activities.

The Difference Between Heel Pain in Kids & Adults

The unknowing parent may inaccurately self-diagnose their child’s heel pain as a condition called Plantar Fasciitis. With a simple google of “heel pain”, hundreds of articles will discuss Plantar Fasciitis as the most common cause of heel pain. However, there is a HUGE difference regarding the cause of heel pain in kids versus that of adults.

Plantar Fasciitis, usually seen in adults, results in pain within the heel that is most prevalent on the first step out of bed in the mornings or when taking a step after an extended period of sitting down. This pain typically improves in intensity upon walking short distances.

Oppositely, heel pain in kids usually feels better after rest and the intensity of the pain is noticed to increase upon walking and activity.

Why is this?

A child’s bones have what we call growth plates, also known as the epiphysis. This area is the location that new bone forms as the child grows until the particular bone reaches its adult size.

picture of growth plate of heel for post heel pain in kids

The epiphysis of the calcaneus (heel bone) is an area that doesn’t fully develop until a child is around 14 years of age or older. This growth plate is located on the back of the heel and is very weak until it becomes adult-sized.

Excessive stress on this area of the heel bone is the primary cause of heel pain in kids.

Causes of Heel Pain in Kids

Because there are a multitude of causes of heel pain in kids and the diagnosis can be quite challenging, a visit to a podiatric physician (like myself) is recommended to determine the cause of the pain and implement an effective mode of treatment.

Some of the most common causes of pediatric heel pain include the following conditions.

Sever’s Disease

Also referred to as Calcaneal Apophysitis, Sever’s Disease is the #1 cause of heel pain in kids.

Misidentified as a “disease”, this condition is actually a result of inflammation occurring within the growth plate of the heel bone. This inflammation is commonly witnessed in our young athletes or obese children due to repetitive stress and muscle strain to the area before the calcaneus (heel bone) is fully formed.

Calcaneal Apophysitis can occur in both feet or just one foot.

Picture of severs disease for post heel pain in kidsThe signs and symptoms associated with this condition tends to include some or all of the following:

  • Tenderness and pain along the back of and/or bottom of the heel when ambulating
  • Pain or tenderness upon a simple touch to the heel that increases when the heel is squeezed
  • Pain in the heel that is intensified by activity and improves with rest
  • Swelling or redness in one or both heels
  • Ambulating with a limp or toe-walking (walking on tip toes)

If interested in learning more about Sever’s Disease, please visit the following two links:

Sever’s Disease in Children – Is it Affecting Your Child’s Game?

How to Treat Heel Pain – Get Back in the Game

Tendo-Achilles Bursitis

There is a natural bursa, fluid-filled sac, located directly between the back of the heel bone and the Achilles Tendon (heel cord). Certain things can cause this bursa to become inflamed. When this occurs, we refer to the condition as Tendo-Achilles Bursitis.

The inflammation of this particular bursa can be a result of multiple scenarios including, but not limited to, direct injury to the heel, inflammatory diseases (such as Juvenile Rheumatoid Arthritis), or even simply wearing shoes that are poorly cushioned where the shoe touches the back of the heel.

picture of achilles bursitis for post heel pain in kidsSymptoms frequently seen with Tendo-Achilles Bursitis can include the following:

  • Tenderness and pain isolated to the back of the heel
  • Pain along the back of the heel that is intensified by walking, running, or standing on tip-toes
  • Warmth and/or area of redness seen on the skin on the back side of the heel area
  • Pain along the back of the heel that is aggravated by wearing shoe gear that rubs the particular area the pain is present

Achilles Tendonitis

Achilles Tendinitis is a condition that we often term as an “overuse syndrome”.

This diagnosis often results in those over the age of 14 (heel bone is fully developed) and is caused by the repetitive nature of running and pounding on hard surfaces usually in sports such as basketball, soccer, and track among others.

picture of achilles tendinitis for post heel pain in kidsSymptoms associated with Achilles Tendinitis include some or all of the following:

  • Pain just above the back of the heel and lower portion of the leg
  • Pain that intensifies with activity and pointing of the toes and improves with rest and the foot in a relaxed state
  • Soreness and stiffness in the back of the heel area that is worse upon rising in the morning
  • Pain along the back of the heel that is aggravated by wearing shoegear that rubs the back-side of the heel.

Plantar Fasciitis

Also categorized as an “overuse syndrome”, Plantar Fasciitis is most commonly seen in adults, but can be seen in children, typically over the age of 14.

The plantar fascia band is a band of tissue that spans the bottom of the foot from the heel all the way to the toes. When this band becomes inflamed, usually due to obesity or overuse, this is termed Plantar Fasciitis.

picture of plantar fasciitis for post heel pain in kidsSymptoms frequently seen with Plantar Fasciitis may include some or all of the following:

  • Sharp pain on the bottom of the heel
  • Pain on the bottom of the heel is most intense on the first step out of bed in the morning and improves some upon walking a bit
  • Pain that increases when standing for extended periods of time

Fractures

Heel pain in kids may also be the direct result of a fracture (break in the bone). There are two types of fractures (stress fracture and acute fracture) that should be ruled out when heel pain exists.

Stress fractures are typically witnessed in athletic adolescents whom suddenly undergo a change in the level of intensity of workouts.

Acute fractures are seen in a direct injury to the area. Pain and swelling can be immediately correlated to the time of injury.

Diagnosis of Pediatric Heel Pain

A visit to your local podiatrist or other medical professional is essential to diagnose the underlying cause of heel pain in your child.Picture of Foot Exam for Post on Heel Pain in Kids

The examination will begin with questions surrounding your child’s recent activity as well as their medical history. A thorough physical exam of the foot in its entirety as well as the leg will then ensue. Radiographs (x-rays) will often follow and will be utilized to evaluate the bones and structure of the foot as well as to determine the maturity of the bones and whether growth plates are still open.

In some cases, additional studies such as an MRI (Magnetic Resonance Imaging), CT Scan (Computerized Tomography), bone scans, or laboratory testing may be ordered or performed to further assist an accurate diagnosis for the heel pain.

Treatment Options for Heel Pain in Kids

Obviously, the treatment for pediatric heel pain needs to be approached in a manner that eliminates, adjusts, or fixes the root cause of the pain.

Most of the time, treatment modes for heel pain in kids is approached by the level of intensity of the pain and broken down into categories of mild, moderate, and severe pain.

Mild Heel Pain in Kids

  • Reduction in Activity. Immediately stop or reduce whatever activity is generating the pain until the pain no longer exists.
    Picture of boy resting feet for post heel pain in kids
  • Heel Cushions. Implement an added cushion within the shoe which will soften the impact upon the heel when walking or participating in activities. I have found the most success and my pediatric patients rant and rave over the Tuli’s Heavy Duty Heel Cups!

Moderate Heel Pain in Kids

With moderate heel pain, you will want to execute the treatments listed above for mild heel pain in addition to the following recommendations.

  • Medication. Administer ibuprofen or other oral NSAIDs (Nonsteroidal Anti-Inflammatory Drugs) to aid in the reduction of pain and inflammation.
    Picture of Medicine for Post Heel Pain in Kids
  • Physical Therapy. Stretching exercises and/or other modalities of physical therapy may be utilized in order to promote healing of the area(s) of inflammation. Icing the area is a very beneficial form of physical therapy although the heel is a hard area to adequately ice. The ProIce Ankle/Foot Ice Therapy Wrap makes icing the heel a breeze and is what I, personally, recommend to my patients.
  • Orthotics. Often times orthotic devices that are prescribed by your podiatrist and are custom-made for your child’s foot are recommended. The goal behind the use of orthotics is to provide support for the feet and redistribute the ground reaction forces that act upon the joints of the feet while weight-bearing.

Severe Heel Pain in Kids

  • Immobilization. Sometimes, with severe heel pain, aggressive measures such as Picture of Foot in Cast for Post Heel Pain in Kidsimmobilization of the area needs to be implemented in order for the condition to fully resolve. Immobilization may entail either becoming non-weightbearing via the use of crutches or casting. Following the immobilization period, orthotic devices and/or physical therapy modalities are usually implemented to ensure the condition does not return.
  • Surgery. While uncommon, there are times when surgical correction is recommended. This is typically reserved for structural abnormalities within the foot and/or the tendons within in.

For more specific information regarding the treatment of heel pain, feel free to go to my article titled “How to Treat Heel Pain – Get Back in the Game“.

Prevention of Heel Pain in Children

While nothing can 100% guarantee that your child will never develop heel pain, there are certain actions that can be taken to be proactive and minimize their risks.

Some ways to prevent adolescent heel pain include the following:

  • Avoid childhood obesity
  • Purchase shoegear that is well-constructed and provides support to the feet
  • For athletes – Ensure that shoegear worn is appropriate for the particular sport or activity and limit the amount of time that cleated shoes are worn
  • Do not push your child above and beyond their individual physical ability

Take Away on Heel Pain in Kids

Typically, it is the nature of a child to be active and desire to participate in extra-curricular Picture of child playing soccer for post heel pain in kidsevents.

When an adolescent complains of heel pain and it becomes evident that this heel pain is beginning to influence their participation in the usual activities, it is time to take action to determine the cause of the pain and implement the appropriate treatment.

Heel pain in kids is nothing to be ignored and with the proper diagnosis and treatment modalities, a parent can easily have their child pain-free and enjoying life again.

I sincerely hope that you found my article informative and that it will help you to alleviate your child’s heel pain.

If you have ANY questions, or even personal experience with heel pain involving your kids, please feel free to comment below. I am here to help!

Your Online Foot Expert,

Dr. Misty

Podiatric Physician and Owner/Creator of FixUglyNails.com

Diabetes and Foot Pain – Stop Suffering NOW!

Circulation Boosters, Diabetes, Foot Fungus, Foot Pain, Toenail Fungus, , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,

As a podiatrist that sees a LOT of patients that suffer from diabetes, I can clearly vouchPicture of Medical Alert Bracelet for Post Diabetes and Foot Pain that diabetes and foot pain go hand-in-hand.

Prior to delving into the causes and control of diabetes and foot pain, I would like to bring light to some staggering facts regarding the prevalence of this multi-faceted disease.

Did you know that:

      • About 30 million people in the United States alone suffer with a diagnosis of diabetes.
      • Approximately 1 in every 10 people over the age of 20 has diabetes and 1 out of 3 has pre-diabetes.
      • Approximately 1 in every 4 people over the age of 65 has diabetes.
      • Nearly 1.5 MILLION new cases of diabetes are reported every year in the United States.

Picture of Needle with Insulin for Post Diabetes and Foot Pain

If you are suffering from diabetes, you are definitely not alone.

Now… on to what you came here to read about: Diabetes and Foot Pain!

Diabetes and the Four Most Common Types of Associated Foot Pain

Typically we see four distinct types of foot pain associated with diabetes:

          • Nerve Pain,Picture of person suffering from Diabetes and Foot Pain
          • Pain due to Circulatory Insufficiencies,
          • Muscle and Joint Pain and
          • Pain from Frequent Infections.

Each of the four categories of pain mentioned above can definitely be caused by alternative conditions unassociated with diabetes, but there is a much higher incidence of these specific types of foot pain in those whom do have this dreadful disease.

I cannot “cure” you or your loved one of diabetes (I wish that was possible), but I can educate and recommend some simple solutions to aid in minimizing and/or eliminating pain associated with foot pain and diabetes.

So… sit back, relax and let’s further discuss each of these four different types of foot pain.

Nerve Pain and Diabetes – Neuropathy

By far the most common contributor to foot pain in a diabetic patient stems from damage Picture of Nerves for post Diabetes and Foot Painto nerves and is termed Peripheral Neuropathy.

Peripheral Neuropathy can further be divided into three subsequent categories with altering signs and symptoms for each category. The three sub-categories of Peripheral Neuropathy include the following:

          • Sensory Neuropathy,
          • Motor Neuropathy and
          • Autonomic Neuropathy.
Sensory Neuropathy

Sensory Neuropathy tends to be the most prevalent cause of pain in individuals suffering with diabetes out of the Peripheral Neuropathies and is therefore the one that we will discuss in the most detail.

Typically, with Sensory Neuropathy we see a direct correlation between high blood sugar over a period of time and an increase in this type of pain. In other words, the more controlled (normal) an individual’s blood sugar is, the less likely that this type of pain will present and/or intensify.

The symptoms of Sensory Neuropathy are very individualized amongst patients but tend to include some form of the following in the feet and/or legs:

      • Burning pain,PICTURE OF BURNING FIRE
      • Tingling,
      • Numbness,
      • Stabbing-type pain and/or
      • Excessive pain that is not proportional to the stimulant (i.e. significant pain from a simple touch).

Most of the time the different types of pain noted above will intensify in the evening and at night. This pain can become very detrimental as it becomes not only an added stressor, but can also affect sleep pattern. As a direct result, blood sugar tends to increase which further stimulates the increase in this type of pain.

Do you see how this could easily spiral out of control?

What can be done for relief of this type of pain?

Picture of a Question Mark for Post Diabetes and Foot Pain

As mentioned earlier, Sensory Neuropathy is extremely individualized with different people experiencing different types of pain at a multitude of intensity levels. With that being said, treatment for this condition is very personalized as well. Particular remedies work for some and not others.

There are ALWAYS going to be oral prescription medications, such as Lyrica and Gabapentin (Neurontin), that are overly prescribed for the treatment of Sensory Neuropathy. While I do have my own reservations on some of these drugs due to significant side effects and the build-up of tolerance it is essential that you or your loved one have an in-depth conversation with the prescribing doctor prior to initiating these for control of pain.

That being said, there are some great alternatives that have worked fabulously on my patients for the control of this type of unnerving pain. Two of my absolute favorites thatPicture of Penetrex Pain Cream for Post Diabetes and Foot Pain can be used in conjunction with one another include:

While the other two types of Peripheral Neuropathy are far less cumbersome, I would like to briefly discuss them for completeness’ sake.

Motor Neuropathy

Motor Neuropathy can contribute to foot pain in a patient with diabetes because of the direct effect of the disease process on the nerves that innervate our muscles.

Picture of Nerve Innervating Muscle for Post Diabetes and Foot Pain

This can cause muscles (typically in the thigh area first) to feel achy and/or weak. Other areas of muscles that are routinely affected are those in the shin area and feet.

As a result of this weakness, walking imbalances can occur. When this happens, we tend to see friction areas occur on the feet due to increased rubbing in the shoe and therefore an increase in callus formation which can become painful.

The goal in the treatment of Motor Neuropathy is to minimize damage to the feet from gait abnormalities via the use of supportive foot inserts and padding.Picture of HappyStep Shoe Insoles for Post Diabetes and Foot Pain

My #1 recommendation for the best supportive inserts is one that my patients say they could not live without:

Autonomic Neuropathy

Lastly, Autonomic Neuropathy can affect the nerves to the parts of our body that lack conscious control.

One example of this includes our sweating mechanism. When an individual’s sweating PICTURE OF DRY CRACKED FEET WITH SEVERE FOOT FUNGUS ON POST WHAT IS FOOT FUNGUSmechanism is altered we may begin to see thickened nails and skin that becomes abnormally dry and cracking which can predispose an individual to bacterial and fungal infections.

I consistently recommend hydrating products for the treatment of Autonomic Neuropathy with great results. These products include oils and diabetic foot cream that routinely condition the feet and are essential in the prevention of the complications of this condition.

A favorite amongst my patients includes the following:

Picture of Foot Cream in Unique Gifts

Diabetes and Foot Pain due to Circulatory Insufficiencies

Circulatory insufficiencies can also be a causative factor for intense pain and diabetic PICTURE OF INCREASED BLOOD FLOWindividuals are at a greater risk for this complication.

For you to better understand how circulatory insufficiencies can lead to pain, especially in diabetics, here is a quick review of the function of our arteries, capillaries and veins which are the primary sub-components of our circulatory system:

      • Arteries
          • Carry oxygenated blood from our heart to nourish our vital organs and tissues.
      • Capillaries
          • Take the oxygenated blood from our arteries directly to the specific tissues and then carries the de-oxygenated blood away from our tissues.
      • Veins
          • Carry de-oxygenated blood from our capillaries back up to our heart to be replenished with new oxygenated blood.

High blood sugars associated with diabetes have a direct impact on the wellness of these arteries, capillaries and veins.

Arteries

Diabetes, or high blood sugar, accelerate the formation of fatty deposits within our arteries. As a result, the walls of our arteries become thickened and may even begin to develop calcium deposits. As this continues, the lumen (channel with which blood travels) becomes smaller and less blood is able to get through.

Picture of Artery Lumen Blockage for post Diabetes and Foot Pain

This most commonly affects the arteries behind the knee and calf.

Over time, with the shrinking of the lumen, blood flow to the feet can become partially or even totally blocked.

Our tissues require oxygen to survive and when they don’t receive it, an extreme pain ensues. Often times this pain is described as a “strangling” type of pain.

Capillaries

High blood sugars tend to cause our capillaries to become thickened and stiff as well. When this occurs, the capillaries become unable to be as efficient as they should be in delivering the oxygenated and nutrient-rick blood directly to our tissues.

Patients suffering from these phenomena typically experience the similar type of “strangling” pain as associated with arterial insufficiencies.

Veins

Our veins carry blood against gravity. In order to be efficient at this, our veins have tiny little valves that help push this blood upward from our feet to our heart.

When our arteries become blocked and are no longer able to handle the associated blood flow, they will sometimes form small channels above the blockage in order to re-direct the blood directly over to the veins.

When this occurs, the veins can become stressed, taking on more blood than they can handle. The result is veins that become swollen and painful.

Eventually, the veins become so full that some of the valves contained within them break. Blood is no longer able to be pushed up against gravity and as a direct result, pools in the feet and legs.

Picture of Venous Valves for Post Diabetes and Foot Pain

This blood pool can cause extreme swelling and, in time, leaking of fluids from the skin. This can create ulcerations, or sores, which usually occurs around the ankle area. These ulcerations are known to be quite painful.

Treatment/Prevention of Vascular Insufficiencies

If you are experiencing any of the signs/symptoms of vascular insufficiency, it is imperative that you see your medical doctor right away. Ulcerations need to be treated immediately and a lack of treatment can cause the condition to quickly get out of control.

Your doctor may recommend support hose, physical therapy, oral medications and a variety of surgical procedures which are extremely successful in improving circulation.

If you have found this article prior to any significant complications arising from vascular compromise, there are some preventative measures that can easily be incorporated into your daily routine in an attempt to avoid these problems.

Some of my recommendations to my own diabetic patients include the following in order to successfully improve circulation and deter the complications that arise with a lack thereof include the following:

Picture of REVITIVE Circulation Booster for Post Diabetes and Foot Pain

Diabetes and Muscle and Joint Pain

Another frequent source of discomfort associated with the feet and legs common in patients with diabetes includes muscle and joint pain.

This type of pain is an indirect consequence of the diabetic neuropathy and circulatory insufficiencies talked about above via walking imbalances.

If you will recall from my section above on Motor Neuropathy, the muscles of the feet and legs can become weak and can even atrophy, or shrink thereby resulting in gait abnormalities. When this occurs, the tendons (which attach the muscle to the bone) can become stiff and contract.

As a direct result, our feet and joints will function in ways that are not intended in an attempt to allow us to remain mobile. They may stiffen in bent positions due to an excess of blood sugar combining with our normal joint proteins. When this occurs, it is termedPICTURE OF FOOT WITH SEVERE ARTHRITIS FOR POST FIBROMYALGIA AND FOOT PAIN diabetic glycosylation.

While this is by no means the only cause of foot deformities such as hammertoes, bunions and bone spurs, diabetic glycosylation of the joints of the feet definitely can be a source of resultant pain, infection and/or ulcerations.

Some strategies that I have had great success with involving my diabetic patients for this particular source of pain include the following:

Diabetes and Foot Pain Associated with Frequent Infections

Due to medical and nutritional alterations that occurs within the body, individuals with diabetes are far more susceptible to fungal, yeast and bacterial infections.

Bacterial Infections

Bacterial infections can show up on any area of the body that becomes irritated, ulcerated or injured and are commonly witnessed on the feet of patients suffering from diabetes.

Signs of a bacterial infection can include one or more of the following:Picture of Infected Ulcer for Post Diabetes and Foot Pain

      • Redness,
      • Warmth,
      • Swelling,
      • Foul Odor,
      • Discharge and/or
      • Pain.

Even if a diabetic patient experiences numbness in the feet due to Sensory Neuropathy, it is commonly reported that they experience pain when a bacterial infection is present.

A bacterial infection can remain isolated to the skin (cellulitis) or can disperse to infect the bone (osteomyelitis).

Bacterial infections can be life-threatening and should be treated as such. If you or your loved one has diabetes and experience any of the signs and/or symptoms of a bacterial infection noted above, you should see your physician immediately.

Fungal or Yeast Infections

Fungus and/or yeast are common causes of many infections in individuals with diabetesPicture of Thick Toenails and are most recognized in the form of Athlete’s Foot or Fungal Toenails.

For a full breakdown of these infections and successful treatment recommendations, please visit the following:

The Prevention of Frequent Infections

To begin, I want to stress that if you are suffering from a bacterial infection and have diabetes, you MUST call your physician immediately. I have seen infections deemed minor become fatal overnight.

If it is a toenail fungus or Athlete’s Foot that you are experiencing, click on the appropriate link above and you will be directed to the absolute, tried-and-true best remedies (as well as anything you might want to know about those conditions). Don’t waste your money on the hundreds of products out there that really just don’t work.

If you want to know the best way to prevent the occurrence of and maximize your ability to fight off infections then you must think about strengthening your immune system.

Risk Factors for Toenail Fungus - Immune System

Some of my recommendations to strengthen the immune system when you have diabetes include the following:Picture of NutriChem Immune Booster for post Diabetes and Foot Pain

In addition, it is essential to understand that not all individuals with diabetes experience pain associated with infections and every diabetic should make it routine to visually and manually inspect their feet every day.

Diabetes and Foot Pain – My Conclusion

If you have made it this far then you can now recognize the correlation between diabetes and foot pain and the extreme importance of prevention and treatment.

PICTURE OF FEET FOR POST FIBROMYALGIA AND FOOT PAIN

I would like to close with a review of the causes of diabetes and foot pain and also provide a little insight on my #1 recommendation for the prevention/treatment of each.

Nerve Pain
  • Sensory Neuropathy
    • Penetrex Pain Relief Cream – My patients swear by this product for neuropathy pain!
      • Apply anywhere you experience pain, discomfort, burning, tingling, and/or numbness.

Picture of Penetrex Pain Cream for Post Diabetes and Foot Pain

  • Motor Neuropathy

Picture of HappyStep Shoe Insoles for Post Diabetes and Foot Pain

  • Autonomic Neuropathy
    • O’Keeffe’s for Healthy Feet Foot Cream
      • Apply daily to the feet.
      • Contains a high concentration of glycerin in order to draw in and retain moisture, which is essential for healthy, hydrated skin.
      • Contains Allantoin which helps to penetrate the thick, rough skin on the feet.
Picture of Foot Cream in Unique GiftsPain from Circulatory Insufficiencies

Picture of Revitive Circulation Booster

Joint and Muscle Pain
    • Miko Shiatsu Foot Massager
      • Provides deep kneading, gentle vibrating, rolling, and heat features with pressure settings that have the ability to target multiple pressure points to ensure relaxing pain relief.

Picture of Miko Shiatsu Foot Massager for post Diabetes and Foot Pain

Pain Associated with Frequent Infections
    • NutriChem Immune Booster
      • Strengthens our natural defense mechanisms and immunity function.
      • Eliminates toxins that cause weakening of the immune system.
      • Contains an unsurpassed combination of super foods, herbs, antioxidants, vitamins and minerals.

Picture of NutriChem Immune Booster for post Diabetes and Foot Pain

I appreciate you taking the time to read this article. I want you to know that I truly am here to help you. Should you have any questions over any of the material presented in this article OR any other condition related to the feet please do not hesitate to comment below.

Sincerely,

Dr. Misty

Podiatric Physician and Owner/Creator of FixUglyNails.com

Fibromyalgia and Foot Pain – MUST READ!

Fibromyalgia, Foot Pain, , , , ,

Have you been diagnosed with OR just believe that you are suffering from Fibromyalgia?

How are Fibromyalgia and foot pain related?PICTURE OF FEET FOR POST FIBROMYALGIA AND FOOT PAIN

As a podiatric physician, I can vouch that most patients that I see that have been diagnosed with Fibromyalgia have some form of pain within the feet.

Also… on numerous occasions I have actually diagnosed Fibromyalgia on patients that present to my office with a primary complaint of foot pain.

So… to me, Fibromyalgia and foot pain go hand-in-hand.

We, in the medical community, must not be quick to disregard this diagnosis with a patient that presents with atypical, non-specific foot pain.

The need to delve deeper into Fibromyalgia and foot pain is present and essential.

With foot pain being so prevalent among those with this often-misunderstood disorder, also referred to as FMS, I believe that it is vital that we understand Fibromyalgia and exactly how it correlates with many types of foot pain.

Fibromyalgia and Foot Pain – What Exactly is Fibromyalgia Syndrome?

Got chronic pain?

FMS is actually one of the most common conditions associated with chronic pain with over 5 million people in the United States alone being affected.

PICTURE OF A LOT OF PEOPLE FOR POST FIBROMYALGIA AND FOOT PAIN

With that being said, the journey that one goes through until an adequate diagnosis of Fibromyalgia Syndrome is made can be quite frustrating as most patients whom suffer from this often misdiagnosed condition are usually at their wits-end, have suffered from chronic pain for years and are desperate for relief.PICTURE OF FIBROMYALGIA RIBBON FOR POST FIBROMYALGIA AND FOOT PAIN

So… what exactly is Fibromyalgia?

Fibromyalgia = pain.

It is not your typical pain, but a chronic, widespread type of pain that can best be described as an exaggerated tenderness.

Typically, a diagnosis of FMS must be considered when one presents with the following:

  • Chronic Pain – This generally means that the pain has been present for a minimum of 3 months or longer.
  • Widespread Pain – Pain is usually generalized and felt throughout both the upper and lower body. While this should be a tell-tale clue towards a diagnosis of Fibromyalgia, this is only the case with the majority. The actual symptoms of this condition may vary considerably from one person to the next with some exhibiting the majority of their pain in specific body areas such as the shoulder, neck or feet.
  • Increased Pain Sensitivity – Do you experience a lot of pain with even the smallest amount of pressure? This exaggerated pain response should definitely raise a red flag for a diagnosis of Fibromyalgia. In other words… people with this condition are more aware of pain that others would usually ignore. There is a decreased pain tolerance and an increased sensitivity to pain.
  • Cyclic Pain – Fibromyalgia symptoms are usually expressed as an atypical pain that varies in intensity with the typical patient experiencing both “good days” and “bad days”. Upon further investigation, one can usually correlate an increase in symptoms directly with an increase in physical activity and/or stress.

Can you see why Fibromyalgia is so frequently misdiagnosed?

Physicians are often so quick to want to provide a typical diagnosis and treatment for pain that often important components, such as the overall well-being of the patient and actual triggers and frequency of pain, are easily missed.

Why Do I Believe That There Is A Definitive Correlation Between Fibromyalgia And Foot Pain?

Studies show that over half of individuals suffering from Fibromyalgia have foot pain; PICTURE OF WORDS FIBROMYALGIA AND FOOT PAINhowever, I strongly believe that this is an under-estimate considering the large amounts of patients that I have seen with foot pain and personally diagnosed with FMS who were previously misdiagnosed.

If I had to make a guess on the relationship between Fibromyalgia and foot pain I would go as far to say that about 75% (3 out of 4) of patients with Fibromyalgia experience some form of pain within the feet.

Why do I believe this?

There are two important facts that lead me to the conclusion that there is a definitive correlation between Fibromyalgia and foot pain.

1. Because individuals that suffer from FMS have an increased sensitivity to pain, I tend to see that when a patient with this condition presents with a foot ailment, we are catching this ailment at a much earlier stage as compared to one that presents without fibromyalgia with the same complaints.

In other words, as stated above, a patient with Fibromyalgia experiences pain with a foot condition that would not normally be advanced enough to cause pain in a disease-free individual.

For more on this see the case study below.

2. One of the recommendations for the treatment of Fibromyalgia is increased physicalPICTURE OF WALKING FOR EXERCISE FOR POST FIBROMYALGIA AND FOOT PAIN activity, such as walking. This proves to create a vicious cycle in one already struggling with Fibromyalgia.

Why?

Well… as one begins to increase physical activity with exercise, our feet naturally tend to get abused.

Whether this abuse is due to inadequate shoe gear, a minute gait abnormality OR just the stress and strain from increased requirements and load on the feet, an individual without Fibromyalgia tends to adapt to these new requirements of the feet.

However, in persons with Fibromyalgia, these newly introduced expectations of the feet tend to lead to the enhanced development of some form of foot pain.

Fibromyalgia and Foot Pain: A Case Study

One recollection of an example of the correlation between fibromyalgia and foot pain includes a specific diagnosis of arthritis in the 1st metatarsophalangeal joint with two separate patients that I recently saw in the same day at my office.

Just for clarification purposes… below is an x-ray of a foot with no foot deformity at the involved joint.

PICTURE OF NORMAL FOOT XRAY WITH WORDS FOR POST FIBROMYALGIA AND FOOT PAIN

On to the case study…

Patient A reports to my office with fluctuating pain in her foot. Some days it is a 1 out of 10 with 10 being the worst and other days it is a 7.

X-rays showed the following:

PICTURE OF XRAY WITH WORDS OF MILD ARTHRITIS IN FOOT FOR POST FIBROMYALGIA AND FOOT PAIN

Just in case you aren’t an expert at reading x-rays (as I suspect you aren’t) there is very minimal joint deformity noted as compared to the normal x-ray above.

Also,… the physical appearance of any joint deformity is predominantly absent.

PICTURE OF MILD BUNION FOR POST FIBROMYALGIA AND FOOT PAIN

In simpler terms, you would not expect this patient to be having the amount of pain as described.

In addition, upon further questioning, patient A reports the following:

  • Sensitivity to touch,
  • Problems sleeping,
  • Generalized fatigue,
  • Problems thinking clearly,
  • Stress,
  • Anxiety,
  • Mild depression and
  • Headaches.

In walks patient B.

PICTURE OF FOOT WITH SEVERE ARTHRITIS FOR POST FIBROMYALGIA AND FOOT PAIN

As you can see above, patient B has significant, visible deformity and upon taking x-rays I see the following:

PICTURE OF XRAY WITH SEVERE ARTHRITIS WITH WORDS FOR POST FIBROMYALGIA AND FOOT PAIN

Patient B reports a consistent daily pain of 3 out of 10 on a scale of 1 to 10 with 10 being the worst.

Patient B denies all the following:

  • Problems sleeping,
  • Generalized fatigue,
  • Problems thinking clearly,
  • Stress,
  • Anxiety,
  • Mild depression and
  • Headaches.

Upon speculation of a diagnosis of Fibromyalgia, patient A is sent to a specialist for further testing. The diagnosis is confirmed… Patient A has FMS.PICTURE OF FEET FOR POST FIBROMYALGIA AND FOOT PAIN

You can easily see from this one case study that the correlation between Fibromyalgia Syndrome and enhanced foot pain is confirmed.

To clarify… I do NOT want to continue boring you with case-study after case-study, but I see examples just like this literally all the time!

Fibromyalgia and Foot Pain – The Solution

We have clearly identified the problem of a relationship between Fibromyalgia and foot pain; so, what is the solution?

That is easy to answer… control and treat the Fibromyalgia.

That is much easier said than done, right?

How do you do that?

It took me years and years to find the most effective way of treating FMS.

I have not only prescribed numerous prescriptions that were developed specifically for this condition, but also consulted numerous specialists to no avail.

I can FINALLY say with confidence that I have found THE ABSOLUTE BEST WAY TO MANAGE FIBROMYALGIA and foot pain, and; it doesn’t even require a prescription!

CALL TO ACTION TO PURCHASE THE BEST TREATMENT FOR FIBROMYALGIA AND FOOT PAIN

This “magic solution” to treat the symptoms of Fibromyalgia and foot pain is routinely recommended by the Fibromyalgia experts and is all that I recommend to my patients for the treatment of their fibromyalgia and foot pain.

My treatment, that has worked wonders, for many, many, many of my patients consists of one amazing product: Turmeric Curcumin with Bioperine by BioSchwartz.

The Benefits of Turmeric Curcumin with Bioperine by BioSchwartz for the Treatment of Fibromyalgia and Foot Pain

Let’s face reality… the treatment of Fibromyalgia and foot pain is very difficult.

Most supplements used for many situations do NOT do what they say they are going to do.PICTURE OF TURMERIC CURCUMIN WITH BIOPERINE BY BIOSCHWARTZ FOR TREATMENT OF FIBROMYALGIA AND FOOT PAIN

But… what if I told you that there is an all-natural supplement that has the ability to cure chronic pain?

Well… there surely is and I see Turmeric Curcumin with Bioperine by BioSchwartz positively working on my personal patients to fight the chronic pain associated with Fibromyalgia every single day!

Let’s take a glimpse of the benefits of Turmeric Curcumin with Bioperine by BioSchwartz.

  • Prevents chronic discomfort/pain in feet and within the body as a whole,
  • Relieves joint pain throughout the body,
  • Reduces inflammation,
  • Reduces skin dryness,
  • Boosts memory and brain function,
  • Improves digestion,
  • Promotes cardiovascular health,
  • Enhances immune and nervous systems,
  • Enhances mood,
  • Boosts energy and
  • All-natural with no side effects.

Sound too good to be true? Try it for yourself now… you will NOT be disappointed.PICTURE OF MONEY BACK GUARANTEE

I can personally guarantee you that this product really DOES work for fibromyalgia pain, but if for any reason you aren’t 100% satisfied with your purchase, there is a 100% money-back guarantee. You have NO excuse.

If you suffer from chronic pain due to Fibromyalgia, do something about it and ORDER THIS PRODUCT NOW!

Fibromyalgia and Foot Pain – The Conclusion

If you are struggling with Fibromyalgia and foot pain then STOP now!

There is absolutely no reason to be fighting this condition when the absolute best solution is simply one click away!

Fibromyalgia and foot pain are debilitating when combined and when left untreated can significantly and negatively impact your life.

Order this amazing product now… don’t continue to suffer!

CALL TO ACTION TO BUY THE BEST TREATMENT FOR FIBROMYALGIA AND FOOT PAIN

I hope that I have helped you understand Fibromyalgia and how it relates to foot pain. I truly do want to help you! Should you have any questions regarding this article, or really anything to do with the feet, please feel free to comment below. My readers and I would also love to hear what you have tried in an attempt to relieve pain resulting from Fibromyalgia and how it worked!

Your Online Foot Expert,

Dr. Misty

Podiatric Physician and Owner/Creator of FixUglyNails.com