Wearing high heels later in life adds pressure on the forefoot and increases strain on the toes and ankles, which can make balance more difficult and raise the chance of falls. When a heel sits too far back on the shoe and does not line up well with the leg bones, the foot is not properly supported and the ankle can become unstable. A heel positioned more directly under the leg helps improve balance, reduces wobbling, and lowers the chance of injuries. Choosing a shorter or wider heel eases pressure on the ball of the foot, and avoiding very narrow styles for long-term standing helps limit irritation. High heels also shift weight forward, which can lead to aching or burning beneath the ball of the foot. A podiatrist can offer guidance on safer footwear choices and prescribe orthotic inserts as needed. If you are experiencing foot pain or balance problems from wearing high heels, it is suggested that you make an appointment with a podiatrist for an exam and treatment.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Michael Bess, DPM from Florida. Our podiatrist can provide the care you need to keep you pain-free and on your feet.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

• Ankle Joints
• Achilles Tendon – May shorten and stiffen with prolonged wear
• Balls of the Feet
• Knees – Heels cause the knees to bend constantly, creating stress on them
• Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

• Corns
• Calluses
• Hammertoe
• Bunions
• Morton’s Neuroma
• Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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

Webbed toes, also known as syndactyly, occur when two or more toes are joined by skin or soft tissue. Surgery for webbed toes is designed to separate the toes and improve their appearance and function. This treatment may be needed when webbing causes discomfort, limits shoe wear, affects balance, or creates hygiene concerns between the toes. During the procedure, the podiatric surgeon carefully separates the toes and reshapes the skin to allow proper healing and movement. A podiatrist helps by evaluating the condition, discussing treatment options, performing or coordinating surgical care, and guiding recovery with wound care and targeted exercises. If webbed toes are causing pain, functional problems, or self-concern, it is suggested that you schedule a podiatry consultation to learn whether surgical correction is appropriate for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Michael Bess, DPM of Florida. Our podiatrist 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 office located in West Palm Beach, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Plantar fibromatosis is a condition in which firm nodules form within the plantar fascia, the thick band of tissue along the bottom of the foot. These nodules can cause discomfort when standing, walking, or wearing certain shoes. The exact cause is not always clear, but genetics, repeated stress on the feet, and certain medical conditions may contribute to its development. Symptoms often include lumps in the arch, soreness, and gradual changes in foot comfort. A podiatrist can help by evaluating the nodules, recommending supportive footwear, providing orthotics, and offering treatments that reduce pressure and discomfort. If you notice lumps or pain in your arch, it is suggested that you consult a podiatrist who can address the condition early and protect your ability to move comfortably. 

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Michael Bess, DPM of Florida. Our podiatrist can provide the care you need to keep you pain-free and on your feet.

Plantar Fibroma

A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.

What Causes a Plantar Fibroma?

While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.

What Are the Symptoms of a Plantar Fibroma?

There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.

Treatment and Prevention

A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:

• Steroid injections
• Orthotics
• Physical therapy to help apply anti-inflammatory creams on the bump 

Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.

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

Plantar fasciitis develops when the thick band of tissue along the bottom of the foot becomes irritated, often from repeated strain or limited flexibility in the surrounding muscles. Many people first notice a sharp or pulling sensation near the heel when getting out of bed or after sitting for a while. As the day goes on, the pain may ease, only to return after long periods of standing or increased activity. The condition can appear in anyone, especially those who spend long hours on their feet, have high or low arches, or wear shoes that lack steady support. Addressing the irritation early with stretching, wearing supportive footwear, and activity changes helps prevent the problem from becoming persistent. If heel discomfort continues or begins to interfere with daily movement, it is suggested that you schedule an appointment with a podiatrist for proper guidance.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Michael Bess, DPM  from Florida. Our podiatrist can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

• Excessive running
• Non-supportive shoes
• Overpronation
• Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

• Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
• Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
• Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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