My Blog

Posts for: March, 2017

By David T. Magnesen, DPM
March 30, 2017
Category: Foot Care
Tags: Plantar Fasciitis  

Heel pain is most often caused by plantar fasciitis, an inflammation of the long, dense band of connective tissue (the plantar fascia) that runs from the heel to the ball of the foot.

Repeated strain on the plantar fascia can cause tiny tears in the ligament. As tension and tearing increases, so does inflammation and irritation of the affected area. Risk factors of plantar fasciitis include foot arch problems (flat foot and high arches); excess weight; running; and a tight Achilles tendon.

The most common symptom of plantar fasciitis is gradually developing pain on the bottom of the heel. The pain is usually worst in the morning and after sitting or standing for a long period of time. For some, the pain subsides after walking or stretching.

To reduce pain associated with plantar fasciitis:

  • Rest. Limit and/or avoid activities that make your heel hurt.
  • Ice. Reduce pain and swelling by icing the affected area each day.
  • Stretch. Stretch your heel throughout the day, especially when you first wake up in the morning.
  • Footwear modifications. Wear shoes that provide good arch support and a cushioned sole. Ask your podiatrist about pads and shoe inserts to relieve your heel pain.

When conservative treatments aren't effective, or your pain persists for more than a few weeks, schedule an appointment to discuss your symptoms and treatment options. A podiatrist can recommend an appropriate treatment plan for your individual needs. This may include stretching exercises, shoe padding, orthotic devices, night splints or therapy. Most patients respond to non-surgical treatments, but for pain that won't go away, surgery may be required.

With proper rest and treatment, recovering from plantar fasciitis can take just a few months. Visit us when you first experience pain for a diagnosis and an appropriate treatment plan for your individual needs.


Characterized by thick, unsightly, discolored nails, fungus-infected toenails can be irritating, embarrassing and painful. For years, the only treatments available for toenail, fungus were topical and oral medications or removal of the nail. Typically, the medications were largely ineffective and removal of the nail plate was painful and debilitating.

Fast, Effective and Pain-Free Nail Fungus Treatment

A new breakthrough in technology is making it possible to get rid of your nail fungus fast- a new procedure known as PinPointe FootLaser. The new, patented laser technology treats nail fungus safely and quickly, with no drugs, no anesthesia, and no pain. It's specially designed to penetrate your toenail, vaporizing the fungus embedded deep in your nail bed. Better yet, the powerful laser beam targets the infection only and has no effect on surrounding healthy tissue. In just one appointment at our office, we can treat your nail fungus, and within months following the treatment, the toenail will replace itself with a healthy, clear, fungus free nail.

Avoiding Irritating Toenail Fungus

Prevention is key to avoiding a fungal infection. The following tips can help you avoid toenail fungus.

  • Practice good hygiene and inspect feet and toes regularly
  • Try not to injure your nail by cutting it too short, as trauma to the nail may lead to infection
  • Wear moisture wicking socks
  • Wear dry, proper-fitting shoes that allow air to circulate around your feet
  • Wear shower sandals when you are at a public pool or shower

Left untreated, a fungal infection can spread to other toenails, the skin on the feet and even the fingernails. Severe cases can impair one's ability to walk or lead to painful ingrown toenails. It's important to seek care when you notice signs of infection.

If you're ready to eliminate your toenail fungus, contact our office and learn more about the new PinPointe FootLaser. We can evaluate your fungal infection and make recommendations for best treating and eradicating your toenail fungus once and for all.


By David T. Magnesen, DPM
March 02, 2017
Category: Foot Condition
Tags: Morton's Neuroma  

A neuroma is a thickening of nerve tissue that can develop in various parts of your body. In the foot, the most common occurring neuroma develops at the base of the third and fourth toes. This condition is referred to as Morton's neuroma.

There are typically no physical signs of Morton's neuroma, such as a lump or a knot. Instead, symptoms may include:

  • A sharp, achy or burning pain in the ball of your foot
  • Numbness, tingling, or cramping in the toes or forefoot
  • Feeling as if you're standing on a pebble in your shoe

While the exact cause of Morton's neuroma is unknown, the growth of the neuroma seems to occur in response to injury, pressure or irritation to one of the nerves that lead to the toes. People with foot deformities such as bunions, hammertoes and flat feet are at higher risk for developing a neuroma. Women are also more likely to develop this condition, as wearing high-heels or narrow-toed shoes can increase pressure on the toes. Other potential causes are activities that involve repetitive irritation to the ball of the foot, such as running.

Morton's neuroma can make walking and performing normal activities difficult and painful. Treatment options vary with severity, and identifying the neuroma in its earliest stage of development is important to avoid more invasive treatments or surgical correction. Left untreated, neuromas tend to worsen, so it's always best to visit our office at the first sign of pain.

Early treatments aim to relieve or reduce pressure on the area around the affected toes. Depending on the severity of your neuroma, a podiatrist may recommend:

  • Modifications to footwear. Wide-toed shoes relieve pressure on the neuroma.
  • Shoe inserts or padding to provide support for the arch of the foot, which removes pressure from the nerve.
  • Anti-inflammatory medications can help ease any pain and inflammation. Ask your doctor first.
  • Icing to reduce inflammation.
  • Rest to lessen repetitive pressure on the neuroma.

In the most severe cases, surgery may be recommended for patients who do not respond to conservative treatments. We can help you determine the best approach for your specific condition.