Plantar Fasciitis Scottsdale, AZ

Plantar Fasciitis

Plantar fasciitis is the most common cause of heel pain. It involves inflammation of a thick band of tissue that spans across the bottom of your foot, connecting your heel bone to your toes. The plantar fascia acts like a shock-absorbing band that supports the arch of the foot.

Overpronation is the most common cause of plantar fasciitis. As the foot rolls inward excessively when walking, it flattens the foot, lengthens the arch, and puts added tension on the plantar fascia. Over time, small tears occur where there is to much tension placed on the plantar fascia causing an inflammatory response and pain.


  • Flat feet (overpronation)
  • Obesity
  • Tight Achilles tendon
  • Increase in activities
  • Age (most common between the ages of 40 and 60)

Signs & Symptoms

  • Stabbing heel pain
  • Pain with first few steps after rest
  • Heel spurs can be present
  • Gait compensation or limping
  • Pain decreases throughout the day as plantar fascia stretches
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Retrocalcaneal Bursitis Scottsdale, AZ

Retrocalcaneal Bursitis

Retrocalcaneal bursitis occurs when the bursa protecting the Achilles tendon from pressue of the heel bone becomes inflamed. This condition is common in athletes and It can be a secondary condition to Achilles tendonitis.


  • Improper shoe gear
  • Overuse injury
  • Arthritis
  • Increases pressure on the posterior heel

Signs & Symptoms

  • Posterior heel pain
  • Redness or warmth on back of heel
  • Swelling around the back of heel
  • Haglund’s deformity, may coexist with condition
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Plantar Heel Bursitis Scottsdale, AZ

Plantar Heel Bursitis

Plantar calcaneal bursitis is inflammation of the bursa or fluid filled sac that protects your heel bone from the pressure of the ground.


  • Sudden increases in forces on the heel
  • Heel striking when running
  • High arch feet
  • Activities that involve repetitive jumping

Signs & Symptoms

  • Pain directly under of the heel
  • Swelling under the heel
  • Pain with walking barefoot
  • Discomfort that increases with prolonged weight-bearing activities
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Peroneal Tendonitis Scottsdale, AZ

Peroneal Tendonitis

Peroneal tendonitis is a common cause of foot and ankle pain secondary to inflammation. This happens when there is an increased load and overuse of the tendons, leading to them rubbing on bone. This friction causes the tendons to swell. Over time, the tendons thicken in size to try and manage the increased load. Peroneal tendonitis is particularly common in athletes especially runners.

There are two peroneal tendons in each leg. They run side by side down the lower leg bone (fibula) and behind the bony lump on the outside of the ankle called the lateral malleolus.

The peroneus brevis is the shorter of the two tendons and it attaches to the base of the fifth metatarsal, while the peroneus longus starts laterally and turns to run along the bottom of the foot to attach to the base of the first metatarsal.

The peroneal tendons provide stability to the ankle when it is bearing weight and protects it from sprains. They also help turn the foot out and stabilize the arch when walking. The amount of stress placed on the peroneal tendons varies depending on what type of foot structure you have.


  • Overuse leading to inflammation
  • High arch foot
  • Acute increase of activity
  • Improper training techniques
  • Unsupportive footwear

Signs & Symptoms

  • Pain along the course of the tendons
  • Warm to touch along tendons
  • Pain when turning the foot in or out
  • Instability of the ankle when bearing weight
  • Pulling or tearing sensation along tendons when walking
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Achilles Tendonitis Scottsdale, AZ

Achilles Tendonitis

The Achilles tendon is the largest and strongest tendon in the body. It connects your calf muscle to the back of your heel bone, allowing your foot to push off the floor when walking. When the tendon is over worked it becomes inflamed, this condition is called Achilles tendonitis.

The tendonitis can be found at the insertion site of the Achilles tendon on the heel bone or at any point along the tendon. Pain and swelling often occurs when the calf muscle contracts as you are pushing off of the ground. This condition if not treated early can progressively get worse and even lead to eventual rupture of the Achilles tendon.


  • Tight calf muscles
  • Hill running or stair climbing
  • Increasing sports activities too quickly
  • Sudden contraction of the calf muscles
  • Biomechanical factors affecting the Achilles tendon

Signs & Symptoms

  • Pain in the back of heel
  • Pulling sensation along Achilles tendon
  • Mild or severe swelling
  • Sluggishness in your leg
  • Sharp posterior heel pain with first steps after rest
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Ankle Sprain Scottsdale, AZ

Ankle Sprain

Sprains are injuries to ligaments in the foot and ankle. Ligaments are fibrous bands of connective tissue that joins the end of two bones together. Ligaments stabilize and support the joints in the foot and ankle. Ankle sprains are the most common type of sprain in the foot and ankle. Ankle sprains account for over 20% of visit to the emergency department in the United States.

Ankle sprains are caused by an unnatural twisting or force on the ankle bones of the foot, which may result in excessive stretching or tearing of one or more ligaments on the outside of the ankle. The severity of the sprain can impact the degree of damage as well as the type and duration of treatment. If not properly treated, ankle sprains may develop into long-term problems.


  • Trauma
  • High arch feet
  • Walking or exercising on uneven surface
  • Genetic disorders
  • Improper shoes

Signs & Symptoms

  • Swelling & bruising
  • Pain with walking
  • Restricted range of motion
  • Feeling of ankle instability
  • Popping sensation or sound at the time of injury
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Haglund’s Deformity Scottsdale, AZ

Haglund’s Deformity

Haglund’s deformity is also known as “pump bump” because it is prevalent among women who wear pump style shoes although it can also occur in men. A bony enlargement at the back of your heel is common. This bony prominence can lead to irritation and inflammation to the Achilles tendon. People often experience pain from shoe gear rubbing against the back of the heel.


  • Genetics
  • Tight Achilles tendon
  • High arch foot
  • Shoe gear leading to discomfort in the back of your heel

Signs & Symptoms

  • Bony bump on back of heel
  • Swelling at the back of the heel
  • Redness near the inflamed tissue
  • Severe pain in area where Achilles tendon attaches to heel
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Tarsal Tunnel Syndrome Scottsdale, AZ

Tarsal Tunnel Syndrome

The tarsal tunnel is a narrow space where the posterior tibial nerve runs along the medial side of the ankle. Tarsal tunnel syndrome is a painful foot condition in which the posterior tibial nerve is compressed. This condition is similar to carpal tunnel syndrome in the wrist.


  • Flat feet
  • Abnormal foot mechanics
  • Trauma
  • Compression of a nerve due to swelling or space occupying mass or lesion

Signs & Symptoms

  • Sharp or burning pain
  • Redness and swelling
  • Numbness and tingling around ankle
  • Hot and cold sensations along the course of posterior tibial nerve
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Foot Fracture Scottsdale, AZ

Foot Fracture

Over 10% of all fractures occur in the foot and ankle. There are 26 bones in the foot, all of which are at risk of fracture if trauma occurs.The most common sites for fractures in the foot are the metatarsal bones. A fracture is a break in the bone and can be either partial or complete. The severity of the fracture depends on the type and location of the break. Patients often times can confuse fractures for sprains.


  • Trauma
  • Increased in physical activity
  • New shoes that aren’t broken in
  • Bone insufficiency (osteoporosis)
  • Change in surface, from grass to hard court

Signs & Symptoms

  • Swelling
  • Bruising
  • Sharp pain to injured area
  • Blisters, clear or blood-filled
  • Inability or difficulty walking
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