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Dr. Ed Davis Podiatrist San Antonio
540 Madison Oak, Suite 260, San Antonio, TX 78258
Podiatrist San Antonio 210-490-3668
Recent Activity
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Stress fractures are cracks in bones that occur from chronic repetitve trauma. It is relatively easy to understand how bones are broken in trauma such as falls or collsions with objects as there is a readily identifiable event as the culprit. Consider a paperclip that, after being bent several times, will break in two. If it takes 4 bends to break a paperclip then a paperclip that has been bent three times, that appear to be in one piece is not a normal paperclip since one more bend will break it. Human bones, when loaded or bent repeatedly beyond their... Continue reading
Posted Oct 28, 2015 at Dr. Ed Davis, San Antonio Podiatrist
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We have discussed the importance of obtaining an accurate diagnosis as the critical first step in effectively treating heel pain on this blog. Also, the blog contains lists of common causes of heel pain. It is certainly possible for heel pain to have more than one cause in a patient. I just completed a fascinating course taught by Stephen L. Barrett, DPM called the Heel Pain Boot Camp in Scottsdale, Arizona: http://www.heelpain.guru. Dr. Barrett is an internationally acclaimed expert on the subject of heel pain and has authored a number of publications on the subject. Dr. Barrett discussed the concept... Continue reading
Posted Sep 26, 2014 at Dr. Ed Davis, San Antonio Podiatrist
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Tight or contracted Achilles tendon can lead to plantar fasciitis or heel pain. The ankle joint allows the foot to move up and down (dorsiflexion and plantarflexion). The foot needs to be able to move up on the leg by about 15 degrees in order to allow normal gait. Upward motion of the foot on the leg is called dorsiflexion. Lack of adequate dorsiflexion range of motion is called functional equinus. The term “equinus” is derived from the Latin “equus” for horse. A horses hoof points downward without upward motion. What causes functional equinus? Congenital causes: The Achilles tendon and... Continue reading
Posted Aug 8, 2014 at Dr. Ed Davis, San Antonio Podiatrist
The Tenex TX Procedure adds a new tool for the treatment of heel pain. Continue reading
Posted Jun 19, 2014 at Dr. Ed Davis, San Antonio Podiatrist
The plantar fascia is a flat broad ligament that acts as a strut, orginating at the base of the heel and extending across the bottom of the foot to attach at the bases of the toe joints. It is narrower at the heel and widens as it goes forward. The plantar fascia is very strong in terms of tensile strength (pulling strength) but is prone to damage when twisted either excessively or repetitively, AKA torsional strain. Too much pronation (inward rolling) of the foot or too much supination (outward rolling) is what can cause such twisting of the fascia. That... Continue reading
Posted May 30, 2014 at Dr. Ed Davis, San Antonio Podiatrist
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Most heel pain is caused by mechanical issues such as heel pain due to plantar fasciitis. There are numerous causes of heel pain so getting a proper diagnosis is important. I see a number of patients with heel pain that they beleive is caused by plantar fasciitis but the symptoms are not relieved by common treatments for plantar fasciitis. Such cases often involve other causes of heel pain. Here is a partial list of heel pain causes: 1) Gout Gout is a metabolic disease in which the body collects too much of a waste product, uric acid. Uric acid levels... Continue reading
Posted Feb 9, 2014 at Dr. Ed Davis, San Antonio Podiatrist
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Heel pain is less common in children than adults and the causes are usually different. It is unusual for plantar fasciitis to occur in youth. The most common cause of heel pain in the approximately 9 to 14 year old age group is calcaneal apophysitis or Sever's disease. The heel bone or calcaneus has a growth plate, that is, an open area of growing tissue that creates bone growth located at the posterior (back) area where the Achilles tendon attaches. A growth plate is termed an "epiphysis" and a growth plate to which a tendon attaches is known as an... Continue reading
Posted May 19, 2013 at Dr. Ed Davis, San Antonio Podiatrist
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ESWT is a treatment modality derived from renal lithotripsy in which high energy shock waves are used to break up kidney stones. The best way to understand the nature of a shock wave is to consider what happens when a tire blows out and the windows rattle afterwards. A acoustic wave or pressure wave is generated. The pressure waves that are used in lithotripsy or ESWT involve a very rapid increase in pressure followed by a rapid decrease in pressure. Studies performed on kidney tissue via biopsies after renal lithotripsy noted a surprising finding, that the kidney tissue in the... Continue reading
Posted May 11, 2013 at Dr. Ed Davis, San Antonio Podiatrist
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Baxter's nerve is another name for the inferior calcaneal nerve, which is a nerve branch which runs beneath the heel bone. Donald Baxter, MD, an orthopedic surgeon from Houston identified entrapment of this nerve branch as a potential cause of heel pain. Baxter's neuritis or Baxter's nerve entrapment may cause heel pain which can be confused with plantar fasciitis but there are some differences in the type of symptoms each causes. Plantar fasciitis causes heel pain that is often worse after rest or after getting out of bed, also know as "first step" pain. A medical term for that is... Continue reading
Posted Apr 28, 2012 at Dr. Ed Davis, San Antonio Podiatrist
Four advanced treatments for "difficult" cases of plantar fasciitis or plantar fasciosis are offered by San Antonio Podiatrist, Dr. Ed Davis. 1) The Topaz Procedure: This procedure is a minimally invasive procedure for plantar fasciitis that involves use of a small wand made by Arthrocare. It employs radiofrequency utilized by the surgeon to debride or thin the fascia at the heel, that is, remove the diseased tissue causing the heel pain. The procedure is performed via tiny "puncture" holes made in the skin at the bottom of the heel that require no sutures and leave no scarring. Patients can walk... Continue reading
Posted May 14, 2011 at Dr. Ed Davis, San Antonio Podiatrist
Treatment Triad I coined the term "treatment triad" for plantar fasciitis a few years back to better describe the disease process and its treatment. Acute plantar fasciitis is basically a sprain of the fascia, it is an inflammatory condition. It thus can be treated successfully with anti-inflammatories -- oral or injections or cortisone plus the use of soft heel pads or OTC inserts (acute PF can sometimes progress to chronic PF but lets leave that out for simplicity's sake for now). Plantar fasciitis that persists or becomes chronic does so for one of two reasons.... ...abnormal or excessive strain persists... Continue reading
Posted Jan 3, 2010 at Dr. Ed Davis, San Antonio Podiatrist
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I see many patients with heel pain in my practice as a San Antonio podiatrist, who have had the problem for months, if not years but have never had a well defined treatment plan.Such treatment plan starts with an accurate diagnosis. Plantar fasciitis, inflammation of the ligament which supports that arch and originates on the heel bone is the most common cause of heel pain. Other causes may include:...stress fractures of the heel bone (calcaneus), Baxter's neuritis - a nerve entrapment of a small nerve branch beneath the heel bone, plantar fasciosis - degenerative process of the plantar fascia, rheumatologic... Continue reading
Posted Jan 3, 2010 at Dr. Ed Davis, San Antonio Podiatrist
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Jan 3, 2010