The heel fat pad is a layer of fatty tissue under the heel bone. It works like a cushion, absorbing force when your heel hits the ground. Heel fat pad atrophy occurs when this layer becomes thinner, shifts out of place, or loses its springy quality. The heel then has less protection from pressure. Pain feels deep and bruise-like in the center of the heel. It can worsen when standing for long periods of time, when walking on hard floors, or when running. Unlike plantar fasciitis, which usually hurts closer to the inner edge of the heel, fat pad pain tends to stay centered beneath it.

Age-related changes can reduce the fat pad’s thickness and flexibility. High-impact activity and added body weight can place stress on this tissue. Other causes include an injury, diabetes, or arthritis. Shoes that lack proper support can make symptoms worse because they provide less cushioning. Patients may change the way they walk to avoid pain. That can place extra strain on the feet, ankles, or knees. Since heel fat pad atrophy can resemble other heel problems, an accurate diagnosis is important. A podiatrist will review the symptoms, examine the painful area, and study how you stand and walk. Imaging, like an ultrasound or X-ray, can measure the pad or rule out another cause.

Treatment focuses on reducing pressure and improving heel protection. A podiatrist can recommend heel cups, supportive shoes, or custom orthotics. Orthotics are shoe inserts that support your feet and improve how pressure is spread. The podiatrist also may use taping to hold the heel pad in a better position. The care plan will reflect specific symptoms, activity level, and foot structure. Surgery is rarely considered for this problem. If you have pain underneath the heel, 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 Anas Khoury, DPM of North Eastern Foot & Ankle Specialists. 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 Passaic, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ankle pain is a common problem that can affect people of all ages and activity levels. The ankle is a complex joint that supports body weight while allowing the foot to move in different directions. Pain may develop suddenly after an injury or appear gradually from repeated stress. Common symptoms include swelling, stiffness, and tenderness surrounding the joint. Some people also experience bruising, difficulty walking, or a feeling that the ankle is unstable. Ankle pain may result from sprains, fractures, or inflammation of the tendons that connect muscles to bones. Because many conditions can produce similar symptoms, a professional evaluation is important to identify the underlying cause and recommend the most appropriate treatment.

Persistent ankle pain can interfere with everyday activities and limit mobility if left untreated. Ongoing discomfort may change the way a person walks, placing additional stress on the foot and lower leg. In some cases, such altered movement can increase strain on the knee or hip over time. A comprehensive podiatry examination helps evaluate the ankle's stability, range of motion, and overall function. Imaging studies may be recommended when a fracture or more serious injury is suspected. Early diagnosis allows treatment to begin before the condition progresses or causes long-term problems that affect balance and daily movement.

A podiatrist specializes in diagnosing and treating ankle pain while evaluating how the injury or condition affects the entire foot and ankle. Professional care focuses on relieving pain, restoring mobility, and improving joint function through an individualized treatment plan. Care is based on the cause of the symptoms and may be adjusted as healing progresses. Regular follow-up visits also help monitor recovery and reduce the risk of ongoing instability or recurring injuries. If you have persistent ankle pain, swelling, or difficulty walking, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with Anas Khoury, DPM from North Eastern Foot & Ankle Specialists. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendonitis
• Achilles tendon rupture
• Stress fractures
• Bursitis
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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

Gout can cause sudden, intense pain in a joint, and the big toe is one of the most frequent areas affected. The condition develops when uric acid builds up in the body and forms tiny crystals inside a joint. These crystals can trigger swelling, redness, and strong tenderness. A gout flare can begin quickly, sometimes reaching its highest level of pain within a day. Gout can also affect the ankle, midfoot, or other joints, making foot pain difficult to identify by symptoms alone. Because several foot problems can cause similar symptoms, a careful evaluation is important.

A podiatrist can assess the painful area and look for signs that fit gout. The evaluation can include a review of symptoms, a physical examination, and testing when the diagnosis is unclear. A blood test can measure urate, which is the form of uric acid found in the blood. However, a normal urate level does not always rule out gout during a flare. In some cases, fluid from the affected joint can be examined for crystals. Imaging tests can also help identify crystal buildup or rule out other causes of joint pain. These steps help guide an appropriate treatment plan and help separate gout from other causes of sudden joint pain.

Treatment for gout focuses on controlling painful flares and lowering the chance of future attacks. A podiatrist can help identify foot and ankle problems related to gout and coordinate care that fits the patient’s needs. Treatment can involve medicines that reduce inflammation during a flare. Long-term care can also involve medicines that lower uric acid and reduce crystal buildup. Managing gout is important because repeated flares can damage joints and lead to firm lumps called tophi, which are collections of urate crystals under the skin. If you have symptoms of gout, it is suggested that you are under the care of a podiatrist who can help you to manage this painful condition.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Anas Khoury, DPM from North Eastern Foot & Ankle Specialists. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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