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April 2025

Selecting the proper shoes for marathon running is essential to ensure comfort, performance, and injury prevention. The ideal running shoe should match your foot type, gait, and running style. It is important to choose a shoe that offers adequate cushioning to absorb impact while providing support and stability over long distance. Trying on shoes later in the day, when feet are slightly swollen, can give a more accurate fit. A snug but not tight fit is key, with enough room in the toe box to accommodate foot movement. Prioritizing comfort and function over style will help you stay focused on your training. If you are considering running in a marathon, it is suggested you confer with a podiatrist who can help you choose shoes that are right for you.

For more information about walking shoes versus running shoes, consult with Dr. Richard DiMario from Maine. Our doctor can measure your feet to determine what your needs are and help you find an appropriate pair of footwear.

Foot Health: The Differences between Walking & Running Shoes

There are great ways to stay in shape: running and walking are two great exercises to a healthy lifestyle. It is important to know that running shoes and walking shoes are not interchangeable. There is a key difference on how the feet hit the ground when someone is running or walking. This is why one should be aware that a shoe is designed differently for each activity.

You may be asking yourself what the real differences are between walking and running shoes and the answers may shock you.

Differences

Walking doesn’t involve as much stress or impact on the feet as running does. However, this doesn’t mean that you should be any less prepared. When you’re walking, you land on your heels and have your foot roll forward. This rolling motion requires additional support to the feet.

Flexibility – Walking shoes are designed to have soft, flexible soles. This allows the walker to push off easily with each step.

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

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Tuesday, 22 April 2025 00:00

Signs and Treatment of a Fractured Heel

A broken heel bone, or calcaneus fracture, is a serious foot injury that often results from high-impact trauma, such as falling from a height or being in a car accident. In some cases, athletes who engage in repetitive stress, like long-distance running, may develop a stress fracture in the heel. Signs of a broken heel bone include intense heel pain, swelling, bruising, and an inability to walk. A podiatrist will perform a thorough exam, which may include imaging tests, to determine the severity of the fracture. If the bone fragments remain in proper position, casting and immobilization may be sufficient. However, when the bone is significantly displaced or if the fracture is open, surgery may be necessary. This typically involves repositioning the bone and securing it with plates and screws. In the most severe cases, a fusion between the heel and ankle bones may be required to stabilize the foot. If you have extreme heel pain and fear it may be broken, it is suggested that you make an immediate appointment with a podiatrist for an exam, diagnosis, and appropriate treatment.

Many people suffer from bouts of heel pain. For more information, contact Dr. Richard DiMario of Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

  • Wearing ill-fitting shoes                  
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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

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A biomechanical assessment of the feet and ankles evaluates how they function during movement. Podiatrists use this exam to identify issues like abnormal gait patterns, misalignment, or imbalances that may contribute to pain or injury. The assessment typically begins with a static evaluation, where a podiatrist examines foot posture, arch height, and weight distribution while standing. Next comes a dynamic assessment, analyzing how the feet move during walking or running. This may involve video gait analysis or pressure mapping technology. Joint mobility, muscle strength, and flexibility are also tested. Findings from the assessment help determine if orthotics, footwear changes, or strengthening exercises are needed. If you would like to better understand foot pain, injury prevention, or athletic performance enhancement, it is suggested that you see a podiatrist for a biomechanical assessment.

If you have any concerns about your feet, contact Dr. Richard DiMario from Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

  • Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
  • In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

If you have any questions please feel free to contact our office located in York, ME . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 08 April 2025 00:00

Managing Ingrown Toenails

Ingrown toenails occur when the edge of a toenail grows into the surrounding skin, causing pain, redness, and swelling. The affected toe may become tender to the touch and appear inflamed. If left untreated, the area can become infected, and pus or drainage may develop. Most commonly, ingrown toenails affect the big toe, but they can occur on any toe. This condition is often caused by improper nail trimming, wearing ight footwear, or trauma to the toe. People with curved nails, or conditions like diabetes or poor circulation, are more prone to developing ingrown toenails. The pain can range from mild discomfort to severe, making walking or wearing shoes difficult. A podiatrist can help by carefully removing the ingrown portion of the nail, providing antibiotics if an infection is present, and offering advice on proper nail care and footwear. If you have a painful ingrown toenail, it is suggested that you schedule an appointment with a podiatrist.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Dr. Richard DiMario of Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

  • Bacterial infections
  • Improper nail cutting such as cutting it too short or not straight across
  • Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
  • Ill-fitting shoes that bunch the toes too close together
  • Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

If you have any questions please feel free to contact our office located in York, ME . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 01 April 2025 00:00

Symptoms and Types of Toe Arthritis

Arthritis in the toes can cause significant discomfort and impact mobility. Swelling is a common symptom, often making shoes feel tighter and causing tenderness with pressure. Soreness may be persistent or worsen with activity, leading to difficulty walking or standing for long periods. Restricted movement can develop as the joints become stiff, making it challenging to bend or flex the toes. Additionally, redness and warmth surrounding the affected joints may indicate inflammation, often accompanied by pain. In more advanced cases, deformities such as bunions or claw toes can occur, altering the foot’s natural shape. The most common types of arthritis affecting the toes include osteoarthritis, rheumatoid arthritis, and gout. If you have toe pain, it is suggested that you confer with a podiatrist who can offer a proper diagnosis and treatment.

Toe pain can disrupt your daily activities. If you have any concerns, contact Dr. Richard DiMario of Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

  • Trauma
  • Sports injury
  • Wearing shoes that are too tight
  • Arthritis
  • Gout
  • Corns and calluses
  • Hammertoe
  • Bunions
  • Blisters
  • Ingrown toenails
  • Sprains
  • Fractures (broken bones)
  • Dislocations

When to See a Podiatrist

  • Severe pain
  • Persistent pain that lasts more than a week
  • Signs of infection
  • Continued swelling
  • Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please feel free to contact our office located in York, ME . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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