American Foot and Ankle Specialists

Posts for tag: Dr. John Erotas


Relieve Bunion Pain


It is time to see a podiatrist at the American Foot and Ankle Specialists when you begin to experience any bunion pain.  Bunion progression is not a thing to take lightly. A bunion may start out small but usually becomes worse overtime and you should also have the right advice on how to slow down or even stop the progression of your bunion. 


An advanced bunion greatly alters the appearance of a person’s foot.  It is a growth or deformity that juts out from the side of your big toe.  Large bunions often produce daily complications and pain.  Their is often swelling, redness, and pain.  Even worse, when the bunion has a cut, it can constantly rub up against the side of a person’s shoes causing tremendous pain.  If the cut does not heal, this may lead to an infection.  This is why, as a diabetic, it is especially important to visit us at our Sun City podiatry or Scottsdale podiatry location and get treatment for a bunion. 


Slowing Down The Growth Of A Bunion


One of our main focuses as podiatrists is to stop the progression of the bunion.  This often starts with the right footwear and support.  Custom, podiatrist-made orthotics provide the foot much support alleviating stresses and pressures on the foot that may be contributing to the continued growth of a bunion.  


Wearing roomier more flexible shoes will also help to alleviate pain and the pressure that is placed on the bunion day in and day out.  Importantly, stop wearing shoes that are obviously causing your feet pain such high-heels.  In fact, tight restrictive shoes like heels are a major cause of bunions, which is why more women than men get bunions in the first place.  


Sometimes, a bunion is hereditary and other times an bunion is due to an inflammatory condition such as rheumatoid arthritics, which if the case, we will figure out at your first visit and discuss treatment options.  The symptoms of a bunion normally include pain and tenderness, inflammation and redness, hardened skin on the bottom of the foot, a corn or callus on the bunion bump, inflexibility of the big toe and stiffness.  


Most of the time bunion relief can come from non-surgical treatment.  These treatments include changes in a person’s footwear, padding, orthotics, icing, and medication and provide much relief.  Such treatment will often stop the progression of the bunion.  If the bunion is too large and causing significant unending pain, a minor bunion surgery may be recommended.We take your health seriously and know if we work together, we will find a solution to pain relief.   


Call (480) 483-9000 and schedule your consultation.


By John Erotas 


Why Plantar Fasciitis Occurs And How To Treat It


Plantar fasciitis is one of the most common foot conditions.  There are around 3 million cases in the US each year.  Plantar fasciitis occurs when their is a tightness and inflammation of the plantar fascia band, which is a thick band of tissue that connects your heel bone with your toe box.  


If you are reading this, you probably either already know you have plantar fasciitis or have foot pain and are trying to figure out what is wrong.  One common symptom of plantar fasciitis is heel pain.  You can feel the arch of your foot and if you fee a thickened string like band, you like have at least a minor case of plantar fasciitis. 


Plantar fasciitis usually occurs after a sudden increase in activity but the stage was already set for this injury to happen.  Tight muscles, unsupportive shoes, and inadequate inserts are just a few things that can contribute to the onset of plantar fasciitis.  Tight muscles, particularly tight calf muscles and a tight achilles tendon, can place extra stress on the plantar fascia band causing it to tighten.  Once this band tightens, any sudden increase of activity has the potential to damage the plantar fascia band and begin causing pain and disability.  


Many people with plantar fasciitis have either flat feet or high-arched feet.  Often times, these foot types lead to plantar fasciitis because these foot types need extra support while walking or running.  Different shoes are made for different foot types but most people do not know this.  People can walk into a shoe store and buy a pair of shoes that actually harm their feet. 


If you have flat feet and are wearing shoes for people with a neutral foot or a high-arched foot, then your shoes can actively be harming your feet and lead to plantar fasciitis.  The same would occur if you have high-arched feet but are wearing shoes that are made for a flat-footed person.  Also, the inserts in store bought shoes are often cheap and made for the generic foot.  These inserts can also harm your feet leading to plantar fasciitis. 


Podiatry Treatment


One of the most important tools in podiatry is custom orthotics to provide comfort to people with different foot types.  My patients are often amazed at the difference in comfort they feel after just a few days in orthotics. 

There are many causes of plantar fasciitis and many treatments that will work.  Come in for an office visit at the American Foot and Ankle Specialists.  Our experienced podiatrists will help you heal this painful foot condition and heal quickly.  


Call (480) 483-9000 and schedule your consultation. 


By John Erotas


Relieve Hammertoe Pain and Curl


Hammertoes usually aren’t serious but can cause major pain if left untreated.  There are nearly 200,000 cases each year in the US making this foot condition fairly common.  Hammertoes are actually foot deformities, which are caused by an imbalance in various ligaments, tendons, or muscles and which fail to keep the toe straight.  


As you probably notice, a hammertoe as an abnormal bend in the middle joint of the toe.  The middle joint is then pushed upwards and often rubs up against the top of a person’s shoes causing discomfort.  The goal of hammertoe treatment is often to remove and relieve the pain and pressure of a hammertoe.  In severe cases, surgery may be the best way to get relief.  


Again, the causes of a hammertoe are the imbalance of the toe muscles but trauma and certain shoes can contribute to the development of hammertoes.  Shoes like high heels that are restrictive and tight like high heels provide the pressure and stress to create hammertoes.  


Dr. Michael Stegman and Dr. John Erotas have treated hammertoes for over two decades in Phoenix, AZ.  Changing your footwear is one of the best ways to ensure that the hammertoes stop curling.  By applying comfortable roomy shoes and custom-made orthotics, your toes are protected during everyday traveling.  


Change Your Footwear


Custom made orthotics specifically fit your feet only and are designed to match your walking pattern.  Many of the inserts that come in store-bought shoes are made of cheap materials and actually cause harm to the feet while a person walks.  Also, certain stretching and strengthening exercises can help decrease the stiffness of a hammertoe and relieve some of it’s curl.  


If you are experiencing any pain, it is time to see a podiatrist at the American Foot and Ankle Specialists.  Hammertoes can develop corns and calluses and these will be treated during your office visit.  Pads that cover your corns and hammertoes may also help to relieve some of the pressure placed on the toe.  


Hammertoes can either be rigid or flexible.  The hammertoe that is still flexible is in the developmental stage and can be treated much more easily.  If you begin to notice hammertoes, it may be beneficial to seek out treatment for this reason before rigid hammertoes cause permanent joint misalignment and immobility.  


Everyday, we see patients with hammertoes and help people find relief.  Come into our Sun City podiatry office or our Scottsdale podiatry office for an office visit. 


Call (480) 483-9000 and schedule your consultation.


Recover From Achilles Tendinitis


Are you experiencing pain at the back of your ankle?  The Achilles Tendon attaches the heel bone to the calf muscle.  Many runners and middle-aged people get achilles tendinitis who only play sports on the weekends.  This is because a sudden increase in activity can trigger achilles tendinitis.  


Achilles tendinitis usually begins as a mild ache just above the heel after running or another sports activity.  Without treatment, episodes of more-severe pain may occur while sprinting or pro-longed running.  Patients with achilles tendinitis often experience tenderness or stiffness in the morning.  If you are experiencing persistent pain, it is time to see a foot doctor at the American Foot and Ankle Specialists.


The goal is not only to heal achilles tendinitis but also to prevent a rupture.  If you have severe pain and disability, you may have a rupture.  Our goal is to heal your achilles tendinitis before it ruptures as a rupture is a much more severe injury and often requires surgery.  


Achilles Tendinitis is caused by repetitive strain to the achilles tendon, which damages cell tissue.  This can occur due to a sudden increase in activity but also because tight muscles and improper footwear have created an environment where an Achilles Tendon injury is likely.  


Changing Footwear


The podiatrist that you see at our office will make sure you are wearing appropriate shoes for your lifestyle and foot type, which will likely help prevent future injury.  Many of our patients benefit from custom made orthotics that provide their feet maximum support while walking and exercising.  People with flat feet and high-arched feet particularly benefit from custom, podiatrist-made orthotics.  


Different stretching and strengthening exercises will promote the healing of the achilles tendon as well as orthotic devices and the right footwear for your feet.  Though conservative treatments normally work, if months have gone by or your tendon has a tear, you may need surgery.  


Achilles tendinitis usually disappears after a few weeks of stretching, strengthening, and proper footwear.  Just be careful and you will likely be healed within weeks.  Again, the greatest risk of Achilles Tendinitis is tear, which will require many months of rehabilitation and often surgery.  If you can avoid this fate, then achilles tendinitis is nothing to be worried about. 


Our foot doctors have decades of experience treating achilles tendinitis not only healing tissue damage but ensuring this injury is unlikely to return. 

Call (480) 483-9000 and schedule your consultation.


Three Steps To End Plantar Fasciitis Pain


Developing plantar fasciitis is frightening because you may wonder in agony “will this pain ever stop?”.  The answer is “Yes!”.  There is some reason why your plantar fasciitis occurred in the first place and a foot doctor at the American Foot and Ankle Specialists will discover this and treat the cause. 


Usually, there is a combined effect between multiple causes that lead to plantar fasciitis and foot pain.  It is often a combination of tight muscles, inadequate footwear, and a sudden increase in activity or length standing on your feet. 


Reliving tight muscles consists of stretching.  The best areas to stretch are the calf muscles, the achilles tendon, and the plantar fascia band.  To stretch the calf muscles, just do simple calf stretches and to stretch the achilles tendon, while you are doing your calf stretches, turn your foot inwards and bend your knee slightly.  This will target the stretch lower than the calf muscle and onto the achilles tendon.  Stretching the achilles tendon relieves a tremendous amount of pressure being placed on the plantar fascia band. 


To stretch the plantar fascia band, simple grab your toe box (area below the toes) and your heal and gently pull them away from each other.  You should feel your arch or the band in your arch gently stretch.  Hold for 1 minute and repeat three times.


Consulting A Podiatrist For Treatment


The next important area of conservative plantar fasciitis treatment is podiatry treatment and making sure you have the right foot supports and shoes.  Some shoes are made for flat feet while other shoes are made for high arched feet.  It is important that you go shopping with this in mind because you could have accidentally bought shoes that don’t match your foot’s shape, which is a major reason people end up harming their feet in the first place.  


At the American Foot and Ankle Specialists, one of our podiatrists will help you understand what shoes to look for and what shoes to stay away from.  We will also create a custom pair of orthotics, which provide match up directly with your foot shape and size and provide extra cushioning while you walk.  This extra cushioning provides foot relief that allows the plantar fascia band to heal and offers foot support to prevent foot condition even after this problem goes away.  


If you are experiencing foot pain, it is time to see a podiatrist at either our office in Sun City or Scottsdale.  


Call (480) 483-9000 and schedule your consultation.