Heel pain is not always caused by overuse or injury. In some cases, it may be a sign of ankylosing spondylitis, a chronic inflammatory disease classified as a type of arthritis. This condition leads to enthesitis, which is inflammation at the points where tendons and ligaments attach to bone. In the foot, the most commonly affected areas include the Achilles tendon and the plantar fascia, both of which play a major role in movement and support.

Symptoms of inflammatory heel pain often differ from typical strain-related discomfort. Patients may notice persistent pain that is worse after rest and improves slightly with activity. The back of the heel may feel sore due to Achilles tendon involvement, while the underside of the heel may be tender from plantar fascia inflammation. Swelling and stiffness can make walking uncomfortable, especially during the early part of the day or after long periods of inactivity.

The causes of this condition are linked to immune system activity rather than physical stress alone. Ankylosing spondylitis triggers inflammation at tendon and ligament attachment sites, leading to pain and irritation. While the exact cause is not fully understood, genetic factors and immune responses play a significant role. Because the heel absorbs repeated pressure throughout the day, it is often one of the first areas where symptoms appear.

Risk factors include a family history of inflammatory arthritis, early adulthood onset, and ongoing joint stiffness. Identifying symptoms early allows for better management and improved outcomes. Supportive care and medical evaluation are key components of treatment. If you have heel pain or symptoms of ankylosing spondylitis, it is suggested that you consult a podiatrist for an accurate diagnosis and effective relief and treatment solutions.

Many people suffer from bouts of heel pain. For more information, contact one of our podiatrists of Dr. Jeffrey J. Betman & Associates . Our doctors 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 offices located in Northwest Chicago, Southwest Chicago, and Wicker Park, Chicago, IL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ankle arthrodesis, also known as ankle fusion surgery, is a procedure designed to treat chronic ankle pain by permanently joining the bones of the joint. This approach is often used when cartilage damage has led to bone on bone contact, causing inflammation and limited mobility. By eliminating joint movement, the surgery reduces pain and provides a stable foundation for standing and walking. It is widely recognized as an effective treatment for advanced ankle joint disease.

During the procedure, the podiatric surgeon carefully removes the remaining cartilage and prepares the bone surfaces for fusion. The bones are then aligned in a functional position and secured with surgical hardware, such as screws or plates. In some cases, bone graft material may be used to support healing and improve fusion success. The healing process requires time, and patients typically follow a structured recovery plan that includes immobilization and a gradual return to activity.

This type of foot surgery is recommended for certain conditions, such as severe arthritis, deformity, and long term joint instability. It is also used for patients who have experienced traumatic injuries or progressive degeneration of the ankle joint. Risk factors that may lead to the need for this procedure include repeated ankle injuries, improper alignment, and chronic inflammation. When non-surgical treatments no longer provide relief, ankle arthrodesis becomes a dependable solution.

Patients who undergo ankle arthrodesis can expect improved stability and reduced pain, although some stiffness is normal due to the loss of joint motion. Many individuals return to daily activities with greater confidence and less discomfort. Long-term success depends on proper healing and supportive care. If you have severe ankle pain and are exploring this type of foot surgery, it is suggested that you seek care from a podiatrist who can determine if this type of surgery is right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact one of our podiatrists of Dr. Jeffrey J. Betman & Associates . Our doctors will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions, please feel free to contact our offices located in Northwest Chicago, Southwest Chicago, and Wicker Park, Chicago, IL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Plantar fasciitis is one of the most common causes of foot pain. It affects a strong band of tissue that runs along the bottom of the foot from the heel to the toes. This tissue, called the plantar fascia, helps support the arch and absorbs stress when walking. When it becomes irritated, pain can develop near the heel or along the bottom of the foot. Heel pain is frequently felt where the plantar fascia attaches to the heel bone. The discomfort is often strongest with the first steps in the morning. It can also occur after sitting for a long period. Pain may ease after moving around, but often returns later in the day. 

Several factors can increase stress on the plantar fascia. These include standing for long periods, wearing shoes that lack adequate support, and suddenly increasing physical activity. People with very high arches or very flat feet can also develop this condition. Symptoms include a burning sensation and a sharp, stabbing pain when walking. The discomfort can make daily activities more difficult to carry out and may affect balance and movement. Left untreated, plantar fasciitis can cause people to change the way they walk. This can place extra strain on other parts of the foot and ankle and cause further difficulties.

A podiatrist can diagnose plantar fasciitis through a physical examination and a review of symptoms. Diagnostic imaging and X-rays may be used to rule out other causes of heel pain. Treatment options include stretching exercises, custom orthotics, and night splints that gently stretch the foot while sleeping. Additional treatment may focus on reducing stress placed on the plantar fascia and improving foot function. If you have symptoms of plantar fasciitis in your feet, it is suggested that you make an appointment with a podiatrist for an exam and diagnosis.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our podiatrists from Dr. Jeffrey J. Betman & Associates . Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

• Excessive running
• Having high arches in your feet
• Other foot issues such as flat feet
• Pregnancy (due to the sudden weight gain)
• Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

• Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
• Maintain a healthy weight
• If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

If you have any questions, please feel free to contact our offices located in Northwest Chicago, Southwest Chicago, and Wicker Park, Chicago, IL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Webbed toes, known as syndactyly, is a condition where two or more toes are joined together by skin or deeper tissues. It is present at birth and occurs during early development when the toes do not fully separate. There are different types based on how much tissue is involved. Simple syndactyly includes only a soft tissue connection. Meanwhile, complex syndactyly involves bones or nails that are fused. Complicated cases may include abnormal bone structure or other developmental concerns. Risk factors can include genetic traits or family history. This condition may appear as a partial or full web between toes and can affect shoe fit or walking patterns. A podiatrist can evaluate the structure and order imaging to determine the extent of the condition. This foot doctor can then discuss treatment options, including monitoring or surgical correction. If your child was born with webbed toes, it is suggested that you consult a podiatrist who can help you to manage this condition and offer treatment when necessary.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact one of our podiatrists of Dr. Jeffrey J. Betman & Associates . Our doctors can provide the care you need to keep you pain-free and on your feet.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

• Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
• Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
• Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
• Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
• Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
• Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

If you have any questions, please feel free to contact our offices located in Northwest Chicago, Southwest Chicago, and Wicker Park, Chicago, IL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Corns are thick, hardened areas of skin that develop on the feet due to repeated pressure or friction. They often appear as small, raised bumps that may feel hard or tender while walking or wearing shoes. Corns commonly form on the toes or areas where bones press against footwear. This happens when the skin tries to protect itself from ongoing irritation, often caused by wearing tight shoes, high heels, or abnormal walking patterns. Symptoms include pain, sensitivity, and a rough or dry texture in the affected area. Risk factors include wearing poorly fitted shoes, foot deformities, and long periods of standing or walking. Over time, corns may become more painful and interfere with daily comfort. A podiatrist can safely remove corns, assess foot structure, and help prevent recurrence through proper care. Corns can be painful and may cause difficulty in completing daily activities. If you have a corn, it is suggested that you consult a podiatrist who can offer effective relief and prevention tips.

Corns can make walking very painful and should be treated immediately. If you have questions regarding your feet and ankles, contact one of our podiatrists of Dr. Jeffrey J. Betman & Associates . Our doctors will treat your foot and ankle needs.

Corns: What Are They? And How Do You Get Rid of Them?
Corns are thickened areas on the skin that can become painful. They are caused by excessive pressure and friction on the skin. Corns press into the deeper layers of the skin and are usually round in shape.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as:

• Wearing properly fitting shoes that have been measured by a professional
• Wearing shoes that are not sharply pointed or have high heels
• Wearing only shoes that offer support

Treating Corns

Although most corns slowly disappear when the friction or pressure stops, this isn’t always the case. Consult with your podiatrist to determine the best treatment option for your case of corns.

If you have any questions, please feel free to contact our offices located in Northwest Chicago, Southwest Chicago, and Wicker Park, Chicago, IL . We offer the newest diagnostic and treatment technologies for all your foot care needs.