While the foot and ankle are designed to bear great weight, their complex structure of small bones and soft tissue is concentrated in a narrow and rather vulnerable space. Ankle injuries, heel injuries, and foot problems can develop over time as the result of variables or dysfunctions in a person’s walking and running pattern. Ankles are most susceptible to acute injury.
Plantar fasciitis is a tightening of the plantar fascia band connecting the toes to the heel bone. A condition of overuse and strain, plantar fasciitis develops gradually as the fascia band becomes increasingly irritated and inflamed, and sometimes torn. Over time, the damaged tissue grows tense and inhibits movement or causes pain and discomfort when called upon to stretch.
Plantar fasciitis is characterized by a sharp and stabbing pain at the bottom of the heel, especially first thing in the morning. The pain may decrease throughout the day as foot flexibilities increases.
Runners are particularly susceptible to plantar fasciitis symptoms, as well a painful secondary condition called heel spurs, which are abnormal growths on the heel bone. When plantar fasciitis continues untreated, heel spurs form as calcium deposits where the plantar fascia band connects to the heel. Heel spurs may not cause pain themselves, but they are a strong diagnostic indicator of plantar fasciitis.
As we step or run, we engage each of the bones, tendons, ligaments, and muscles of the ankle and foot. Not only does the pressure of the body’s weight impact the ankle and foot, so does the overall function of the spine. Aside from acute injury to the ankle or foot, pain in this area is usually the result of an abnormal or imbalanced gait applying stress on a certain part of the foot or heel. Variances in arch, from a flat foot to a high arch, also impact foot and heel function.
Dr. Nemirovsky approaches each patient’s foot and heel pain symptoms with a comprehensive evaluation of your gait and overall kinetic chain (i.e. how your body moves from head to toe) to assess the function and performance of your spine, hip, knee, ankle, and foot. His expert diagnosis ensures the most appropriate, effective, and efficient remedies for your foot and heel pain symptoms.
Using a highly effective, proven blend of therapeutic physical care, Dr. Nemirovsky addresses imbalances and stabilizes the ankle and foot components. His targeted treatment modalities include the use of Active Release Technique® (ART), Cold-Laser Light Therapy, and the Graston Technique® to restore balance and stability.
Athletes benefit greatly from his advanced ankle and foot stabilization treatments, including expert application of Kinesiology Taping. Many patients suffering from plantar fasciitis and other foot and heel pain experience further relief with the use of custom orthotics. Combined, these methods ensure a smooth, effective, and efficient recovery time so you can get back to living your life without foot pain.
Dr. Nemirovsky is New York City’s only certified ALINE custom orthotics provider. Using patented Bilateral Foot Alignment System Technology, ALINE insoles address the root of leg and foot problems by accurately distributing pressure and weight. Dr. Nemirovsky may recommend these same-day, custom-fit orthotics in conjunction with his hands-on therapies to reduce your pain symptoms and improve your performance and running efficiency.