Cracked heels develop when dry, thickened skin around the heel splits under pressure. The cracks, also called fissures, can range from shallow lines to deep openings. Standing for long periods of time increases pressure on the heel, when skin loses moisture. Shoes that fit poorly can create friction and make the problem worse. Wearing open-back sandals can allow the heel to spread outward, placing extra strain on dry skin. Aging makes skin less flexible. Because the soles lack oil glands, they have less natural protection against dryness. These factors can leave heels rough, uncomfortable, and more likely to crack.

At first, cracked heels may appear as dry patches or thick, hard skin along the heel's edge. Deeper cracks can cause pain while walking or standing. Some patients notice bleeding when the skin splits. Redness, swelling, or drainage can suggest an infection requiring attention. Certain health problems, including diabetes, can increase concern about breaks in the skin. Athlete's foot and psoriasis can contribute to cracking. Hot water and harsh soaps can strip moisture from the skin, adding to the problem. Identifying the cause matters because cracked heels can return when the underlying pressure or skin condition remains.

A podiatrist can examine the heels, assess the depth of the cracks, and look for signs of infection. Treatment can include reducing thick callused skin and applying protective dressings. A podiatrist can recommend suitable moisturizing products to help restore the skin's protective barrier. They can also evaluate shoe fit and suggest cushioned shoes that support the heel. When another skin condition is responsible, treatment can address that cause as well. Follow-up care can help monitor healing and reduce the chance of further cracking. If you have  cracked heels, it is suggested that you schedule an appointment with a podiatrist for effective treatment solutions, which may include prescribed medication.

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact Ramin Nadjafi, DPM from Advanced Podiatry Group. Our doctor can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin. 

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed. 

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

Keeping your feet healthy as you age can make them more comfortable and help you stay active. Aging can change the skin, muscles, and circulation. These changes may increase the chance of common foot problems. Wearing supportive shoes and having good hygiene helps protect foot health. Paying attention to changes in pain, swelling, or walking comfort is important. Early attention to foot problems can make them easier to manage.

Bunions and hammertoes are common concerns. A bunion is a bony bump that forms at the base of the big toe as the top of the toe moves toward the others. Hammertoe is a deformity that causes one or more smaller toes to bend downward at a joint instead of lying flat. Risk factors include age, family history, and wearing shoes that cause pressure on the toes. Arthritis can contribute to stiffness and deformity. Symptoms may include aching, redness, or difficulty wearing shoes.

Healthy habits can lower the chance of worsening foot problems. Wash and dry your feet each day between the toes. Moisturize dry skin, but avoid lotion between the toes. Choose shoes with enough room for your toes and a stable sole. Additionally, trim toenails and inspect your feet daily for blisters, cuts, or pressure spots. If pain develops, avoid pushing through it. A podiatrist can examine your feet, assess your walking pattern, and identify problems needing treatment.

Treatment depends on the cause and severity of the problem. A podiatrist may recommend footwear changes, padding, or medication. For bunions or hammertoes that remain painful, surgery may be considered when other options fail. Regular follow-up can help track changes and protect mobility. If you are aging and noticing foot pain or new deformities, it is suggested that you consult a podiatrist for effective relief, treatment, and management solutions.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Ramin Nadjafi, DPM from Advanced Podiatry Group. Our doctor can provide the care you need to keep you pain-free and on your feet.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

• Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
• Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
• Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
• Gouging toenails affecting nearby toe
• Shoes that don’t fit properly
• Pressure sores
• Loss of circulation in legs & feet
• Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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

Tarsal tunnel syndrome is a nerve condition that develops when the tibial nerve becomes compressed as it passes through a narrow space along the inside of the ankle. Symptoms can include burning pain, tingling, or an electric-like feeling that may extend into the sole. Some people also notice weakness or discomfort after standing or walking for extended periods.

Several factors can contribute to tarsal tunnel syndrome. An ankle injury may cause swelling that places pressure on the nerve. Flat feet can change foot alignment and increase tension around the tarsal tunnel. Arthritis, bone spurs, or cysts may also narrow the space surrounding the nerve. Diabetes and other conditions affecting nerves can increase risk. Repetitive standing, walking, or activities that place stress on the ankle may further aggravate symptoms.

A podiatrist begins treatment by reviewing symptoms, examining the foot and ankle, and checking sensation and nerve function. Imaging may be recommended. Treatment depends on the underlying cause and may include wearing supportive footwear, custom orthotics, or medication when appropriate. The podiatrist may also recommend strategies to reduce swelling and pressure around the nerve. If symptoms remain severe or a clear structural cause is identified, surgical nerve decompression may be considered.

Early evaluation can help identify the source of nerve irritation and prevent ongoing discomfort. During healing, a podiatrist monitors symptoms and adjusts treatment. Following recommendations for footwear, activity, and follow-up visits can support recovery. Tarsal tunnel syndrome can sometimes resemble other causes of foot numbness, making an accurate diagnosis important. If you have persistent burning, tingling, or pain around your ankle or foot, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment. 

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Ramin Nadjafi, DPM of Advanced Podiatry Group. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please contact our offices located in Orlando Orlando and Orlando, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Swollen feet are common during pregnancy, especially as the day comes to an end. This swelling, called edema, happens when the body holds more water than usual. Extra fluid can gather in the lower part of the body because gravity pulls it downward. Additionally, a growing womb can place pressure on blood vessels, making it harder for blood and fluid to return from the legs. Feet and ankles may look puffy.

Several pregnancy changes can increase the risk of swollen feet. Standing for long periods of time can encourage fluid to collect around the ankles. Warm weather, body weight and less movement may also contribute. Swelling is often more noticeable late in pregnancy. Although mild swelling can be normal, sudden or severe swelling needs prompt medical attention. Swelling with severe headache, vision changes, or shortness of breath should be evaluated because these symptoms can signal a complication.

You can take simple steps to manage pregnancy-related foot swelling. Avoid standing for long periods of time, and change positions regularly. When resting, elevate your feet when possible. Gentle foot exercises can help circulation. Rotate your feet in circles, then point and flex each foot. Comfortable shoes can reduce pressure. A podiatrist can examine your feet and ankles, review your symptoms, and determine whether another foot condition is contributing. Treatment may include footwear recommendations or activity guidance.

Pregnancy swelling usually improves with rest and after delivery, but persistent discomfort should not be ignored. Keep track of when swelling appears and whether one foot becomes more swollen. A podiatrist can monitor changes and recommend care. If your feet are swollen during pregnancy and are causing difficulty in completing daily activities, it is suggested that you consult a podiatrist for effective relief and management solutions.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact Ramin Nadjafi, DPM of Advanced Podiatry Group. Our doctor can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

If you have any questions please contact our offices located in Orlando Orlando and Orlando, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Hammertoe is a foot deformity that causes one of the smaller toes to bend downward at the middle joint instead of lying flat. The condition usually affects the second toe, although it can involve other toes. At first, the toe may still move freely. As the condition progresses, the joint can become stiff and more difficult to straighten. People with hammertoe frequently notice pain, swelling, and irritation where the bent toe rubs against shoes. Corns and calluses can also develop because of repeated pressure. A podiatrist carefully examines the affected toe, evaluates its flexibility, and determines whether nearby joints are also involved. X-rays help reveal changes in bone alignment and assist with planning the most appropriate treatment.

Several factors can contribute to hammertoe. Muscle imbalance is one of the most common causes. This happens when the muscles and tendons that control the toe no longer work together properly, causing the toe to remain in a bent position. Arthritis, foot injuries, and inherited foot structure can also increase the risk of developing hammertoe. Wearing shoes that do not fit properly can place added pressure on the toes and make the deformity worse. As the condition advances, walking can become uncomfortable because the bent toe no longer rests naturally against the ground. A podiatrist evaluates the severity of the deformity and checks for joint stiffness, pain, and changes in foot function.

Treatment depends on how flexible the toe remains and how much the deformity affects daily activities. A podiatrist develops a treatment plan that improves comfort, restores function, and helps prevent further changes in toe alignment. Care includes custom orthotics, protective padding, and careful monitoring of the affected joints. Custom orthotics are specially made shoe inserts that improve foot support and reduce pressure on the toes. When the toe becomes rigid or the deformity is severe, surgery can straighten the toe and improve its position. If you have symptoms of hammertoe, it is suggested that you schedule an appointment with a podiatrist for effecitve relief, treatment and management tips. 

Hammertoes can be a painful condition to live with. For more information, contact Ramin Nadjafi, DPM of Advanced Podiatry Group. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

• Painful and/or difficult toe movement
• Swelling
• Joint stiffness
• Calluses/Corns
• Physical deformity

Risk Factors

• Age – The risk of hammertoe increases with age
• Sex – Women are more likely to have hammertoe compared to men
• Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
• Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.

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