Most women (myself included) like dressing up and heading out in a nice pair of high heel shoes. High heels are a symbol of sophistication, they inspire a sense of fashion and are after all an amazing accessory to your outfit. “Beauty is pain” is often what I repeat to myself with every painful step of wearing certain heels. But consider this; The pain you experience by wearing heels can often have lasting effects on your feet as a whole. You can cause damage to your toenails which could result in a nail fungus, you could cause your Bunions to be come worse and you could increase your risks of developing osteoarthritis. Hammertoes, blisters and corns can also be a source of pain that a lot of women are more than willing to endure in the name of beauty and fashion.  Furthermore, if your a person who has worn heels all of your life and are finding your regular fabulous shoe gear to be causing you pain, you would be in good company. As we age the fat pad in the balls of our feet atrophies, causing you to have less cushion in the balls of your feet when wearing your high heels. This can expose you to the risk of getting stress fractures in your bones.

Now, the best way to remedy the aforementioned issues with high heel shoes is to switch to more supportive sports shoes. But lets be honest, nobody leaves their precious heels behind without a fight. So, here are some tips to consider when buying a new pair of heels to limit the possibility of foot pain.

Tip #1

Get cushion for the balls of your feet!  Metatarsal pads can be purchased and placed on the heel.  This pad can  act like the fat pad that has been lost.

Tip #2

Wear shoes with a thicker heel.  This will give you more stability and not put as much pressure on the balls of your feet.

Tip #3

Open toe high heels won’t cause as much friction on the toes and will reduce the changes of corns and calluses. If you do have corns and calluses, you can make an appointment and have your podiatrist remove them and discuss correcting the problem that is causing them (i.e hammertoes).

If you have pain in your feet due to high heel shoes, call my office to schedule an appointment!


November 12, 2018 0Uncategorized

Many people experience pain to the feet due to fallen arches or flat feet.  People can experience painful or achy feet in the arches, pain on the bottom of the feet, swelling, and leg and back pain.  Often times, standing for hours or not being able to exercise without a considerable amount of pain; or feet that tire easily are symptoms that individuals with flat feet can have.  People can be born with flat feet or they can acquire flat feet over time.  With constant use of your feet with such careers as military service, people can get stretched or torn tendons. The Posterior tibial tendon is the most significant tendon that can be damaged to cause lack of the middle arch of the foot. Others can have broken bones or develop nerve problems that can cause flat feet.

Some people do not experience any pain with flat feet, but for those who do, there are several treatment options depending on the severity of your condition.

For mild pain and discomfort from flat feet the following can be considered. 

  • Rest and ice to relieve pain and reduce swelling
  • Stretching exercises
  • Nonsteroidal Anti- inflammatory medications
  • Physical therapy
  • Orthotics or Shoe inserts

For more severe pain, surgical intervention may be necessary. 

  • Fusing foot or ankle bones together (Arthrodesis)
  • Removing bones or bony growths
  • Cleaning the tendons’ protective coverings (synovectomy)
  • Grafting bone to your foot to make the arch rise more naturally (lateral column lengthening)

If you are experiencing pain in the feet due to fallen arches, call to schedule an appointment to get you back on the right foot!


Fungal Nails

Fungal nails is called onychomycosis and is caused by a special type of fungus known as a dermatophyte. Nails can be thick, elongated and discolored with a lot of debris under the nail . While this may look bad, the good news is that this is mostly a cosmetic problem. It can be VERY difficult to get rid of fungal nails and often times people try several over the counter topical medications, prescribed medications and even the oral medications to get rid of the eye sore of the fungal nails.

Topical Remedies

Topical medications for fungal nails include prescribed medications such as PenLac,  Jublia or Kerydin.  Over the counter medications  include products like Tea Tree Oil, and Vicks Vapo Rub. Prescribed oral medications require liver function testing prior to beginning treatment.  The risk of liver damage is low, however every precaution is taken as to not cause a medical problem when trying to fix a cosmetic issue. Oral medication usually has a success rate of 70% of patients.

Laser Nail Therapy

If all of these methods fail do not fear! Here at OC Podiatry, we do laser therapy to treat Fungal nails!  75% of patients who undergo treatment usually see results after 3 months of treatment! It typically requires 2 to 3 sessions at the cost of about $150-$350 per session and  is not covered by insurance.  The procedure involves shaving down the nail plat and applying the laser over each affected nail. Lasers produce  light energy of a specific strength and specific wavelength.  When projected into the target nail, it produces heat and destroys the tissues that house the fungus. Treatments are generally 2 months apart from one another.  I suggest topical treatment of nail fungus in addition to Laser treatment for the most desired outcome.

So, If you are affected by fungal nails make an appointment and we can discuss the best treatment option for you!


Orthotics are shoe inserts that can assist patients with foot pain. Patients are either casted for orthotics in the office or referred out for custom molds. Orthotics are an excellent conservative treatment option for patients with foot pain.