
Stiff Big Toe and Orthotics

Hallux limitus is a condition where the big toe joint gets sore, stiff, and inflamed. If not treated, it can turn into hallux rigidus, where the joint cannot move, causing a lot of pain and difficulty walking. To help with these issues, foot doctors focus on making the joint move better to reduce pain and improve how it works. They often use special shoe inserts with a deeper heel and a part that supports the inside of the foot. The doctors also look at whether the problem is because the joint does not work well or if it is because of the shape of the foot. Depending on the issue, they may use different kinds of inserts. They usually avoid certain materials and features that can make things worse. When making these inserts for everyday shoes, podiatrists think about things like foot strength and how the foot lines up. They may suggest exercises, massage, and good shoes. If you have a stiff and painful big toe, it is suggested that you schedule an appointment with a podiatrist for treatment, which may include orthotics.
If you are having discomfort in your feet and would like to try orthotics, contact David K. Morris, DPM from Florida. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Are Orthotics?
Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.
Over-the-Counter Inserts
Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.
Prescription Orthotics
If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.
If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.
If you have any questions please contact our office located in Plantation, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Ankle Foot Orthotics for Athletes
Ankle foot orthotics are shoe inserts that offer support to control the placement and movement of the ankle, correct deformities, and compensate for weakness. These inserts are used to stabilize the foot and ankle and provide toe clearance during the swing phase of gate.
Athletes often suffer foot problems because their feet are not being supported within the shoe. Ankle and foot orthotics are custom made inserts that alleviate stress on the foot. However custom orthotics should be prescribed by a podiatrist who specializes in customized footwear and orthotics design. These inserts are used by athletes for different reasons. Runners use orthotics to absorb shock at heel contact and to set up the forefoot for push-off. Basketball players wear them to control their forefeet while jumping and running.
The two main types of orthotics are over-the-counter orthotics and custom-made orthotics. To be eligible for custom orthotics, an examination of the foot and ankle will need to be completed. Afterward, both the foot and ankle will need to be casted and fitted for the proper orthotic. When the fitting process is complete, adjustments can be made to make sure everything fits perfectly.
Over the counter orthotics tend to be more popular than custom fit ones. Athletes who have less severe aches and pains in the foot, ankle or lower back area can use the over-the-counter version of orthotics. Unfortunately, over-the-counter orthotics tend to not work in treating severe injuries or ailments. Whenever you suspect you may need an ankle foot orthotic, you should consult with your podiatrist to determine which type of orthotic is right for you.
Facts About Plantar Fasciitis

Plantar fasciitis, the leading cause of heel pain, stems from inflammation or degeneration of the plantar fascia attaching to the heel. This thick tissue band, essential for foot support, manifests as pain under the heel, often extending into the arch. Symptoms of plantar fasciitis peak in the morning, but often subside as the foot warms throughout the day. Overuse is a key factor of plantar fasciitis, but risks heighten with poor foot biomechanics and other factors. These may include overpronation, a high-arched foot, and improper footwear choice. Additional contributors include excess weight, tight calf muscles, and plantar fascia tightness. Among the symptoms are morning heel pain, arch discomfort, and tenderness when pressing the heel. Distinguishing plantar fasciitis from similar conditions, such as a bruised heel, heel spur, or stress fracture aids in an accurate diagnosis. Treatment involves pain and inflammation reduction, biomechanical correction, and targeted exercises. For a tailored approach to managing plantar fasciitis, it is suggested that you consult a podiatrist for a full exam and suggested treatment. options.
Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact David K. Morris, DPM from Florida. Our doctor 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 Plantation, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Plantar Fasciitis
The plantar fascia is a connective tissue in the heel that stretches across the bottom length of your foot. Plantar fasciitis occurs when the connective tissue becomes inflamed, causing heel pain and discomfort during physical activity. Although the condition is completely treatable, traditional methods can take up to a year to start becoming effective.
Plantar fasciitis is caused by a number of everyday activities, so understanding the condition is important for managing and treating it. One of the most common causes of plantar fasciitis is excessive running, especially with improper fitting or non-supportive shoes. Too much exercise can lead to the plantar fascia being overworked and overstretched, which can cause tears in the tissue. Along with improper fitting shoes, pronation, the rolling of the feet inward, is a common cause of plantar fasciitis. If not treated properly, the plantar fascia becomes overstretched and starts to tear, causing inflammation.
Despite the common causes of plantar fasciitis, there are many different treatment options. For less severe cases, conservative home remedies include taking anti-inflammatory drugs to alleviate pain, applying ice packs to the bottom of your foot and heel, slowly stretching and exercising your feet to re-strengthen the tissue, and using orthotic devices are all ways to help manage your plantar fasciitis.
For more severe cases, shockwave therapy has become a common solution for plantar fasciitis. Shockwave therapy can effectively break up the tissue on the bottom of your foot which facilitates healing and regeneration. This fights the chronic pain caused by plantar fasciitis. Even if this doesn’t work, surgery is always a final option. Surgery on the tissue itself can be done to permanently correct the issue and stop the inflammation and pain in your heels.
No matter what the case may be, consulting your podiatrist is the first and best step to recovery. Even the slightest amount of heel pain could be the first stage of plantar fasciitis. Untreated symptoms can lead to the tearing and overstretching of tissue. Because the tearing of tissue can be compounded if it remains ignored, it can evolve into a severe case. The solution is early detection and early treatment. Talk to your podiatrist about the possibilities of plantar fasciitis if you’re experiencing heel pain.
Diagnosis and Management of Flat Feet

Pes planus, commonly known as flat foot, is a condition where the arch of the foot is lower or in contact with the ground when compared to the typical foot structure. It is important to note that infants are born with flexible flat feet. Arch development usually begins at approximately 3 years of age, and reaches adult levels in arch height between 7 and 10 years old. Flexible flat feet can be developmental in infants and toddlers but may be considered true flat feet by age 8 to 10. On the other hand, rigid flat feet are associated with underlying pathology and lack the longitudinal arches both in heel elevation and weight bearing. Acquired flat feet can develop from various factors, particularly diabetes, which can affect the structure and functionality of the feet. Additionally, foot and ankle injuries can lead to the development of flat feet. Certain medical conditions, including arthritis, spina bifida, cerebral palsy, and muscular dystrophy, are also associated with acquired pes planus. Interestingly, pregnancy can be a factor in the development of flat feet due to the changes that occur in the body during this period. Regardless of the reason for your flat feet, if they are causing you problems, it is suggested that you schedule an appointment with a podiatrist who can help you to find relief.
Flatfoot is a condition many people suffer from. If you have flat feet, contact David K. Morris, DPM from Florida. Our doctor will treat your foot and ankle needs.
What Are Flat Feet?
Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.
Conditions & Problems:
Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.
Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.
Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.
Symptoms
- Pain around the heel or arch area
- Trouble standing on the tip toe
- Swelling around the inside of the ankle
- Flat look to one or both feet
- Having your shoes feel uneven when worn
Treatment
If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle.
If you have any questions please feel free to contact our office located in Plantation, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Flatfoot
Flatfoot is a foot disorder that is not as straightforward as many people believe. Various types of flatfoot exist, each with their own varying deformities and symptoms. The partial or total collapse of the arch, however, is a characteristic common to all types of flatfoot. Other signs of flatfoot include:
- “Toe drift,” or the pointing outward of the toes and the front part of the foot
- The tilting outward of the heel and the tilting inward of the ankle
- The lifting of the heel off the ground earlier when walking due to a tight Achilles tendon
- Hammertoes
- Bunions
One of the most common types of flatfoot is flexible flatfoot. This variation usually starts in childhood and progresses as one ages into adulthood. Flexible flatfoot presents as a foot that is flat when standing, or weight-bearing. When not standing, the arch returns. Symptoms of flexible flatfoot include:
- Pain located in the heel, arch, ankle, or along the outside of the foot
- Overpronation, or an ankle that rolls in
- Shin splint, or pain along the shin bone
- General foot aches or fatigue
- Pain located in the lower back, hip, or knee
Your podiatrist will most likely diagnose flatfoot by examining your feet when you stand and sit. X-rays may be taken to define the severity and help determine the treatment option best for your condition. Nonsurgical treatments can include activity modification, weight loss, orthotics, immobilization, medications, physical therapy, shoe modifications, and ankle foot orthoses (AFO) devices. If nonsurgical methods prove ineffective, surgery may be considered. Multiple surgical procedures can correct flatfoot; and depending on your specific condition, one may be selected alone or combined with other techniques to ensure optimal results.
Inversion and Eversion Ankle Sprains

Ankle sprains, a common injury, often result from the foot turning inward, causing pain, swelling, and tenderness, primarily in the outer ankle area. Diagnosis involves clinical evaluation and sometimes X-rays. Treatment for mild sprains includes protection, rest, compression, and elevation along with early weight bearing. Moderate to severe sprains may require immobilization, and severe cases may need surgery. Inversion injuries typically involve the foot turning inward. It can cause tears in the outer ligaments, beginning with the one in front called the anterior talofibular. Conversely, eversion injuries occur when the foot turns outward, and may result in fractures of the inner ankle bone or ligament injuries. Recurrent sprains can increase the risk of future injuries. Clinical evaluation primarily diagnoses ankle sprains, and stress testing helps assess ligament integrity. X-rays are performed if fractures are suspected. If you feel you have sprained your ankle, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment.
Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact David K. Morris, DPM from Florida. Our doctor can provide the care you need to keep you pain-free and on your feet.
How Does an Ankle Sprain Occur?
Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.
What Are the Symptoms?
- Pain at the sight of the tear
- Bruising/Swelling
- Ankle area is tender to touch
- In severe cases, may hear/feel something tear
- Skin discoloration
Preventing a Sprain
- Wearing appropriate shoes for the occasion
- Stretching before exercises and sports
- Knowing your limits
Treatment of a Sprain
In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.
It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.
If you have any questions, please feel free to contact our office located in Plantation, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Ankle Sprains
Ankle sprains occur when ligaments that support the ankle stretch beyond their limits and tear. These types of injuries are very common and can occur in people of all ages. Sprains may range from mild to severe, depending on how much damage is done to the ligaments. If a sprain goes untreated, a more severe sprain may occur which can further damage the ankle. Repeated ankle sprains can lead to chronic ankle pain.
There are some risk factors that can increase your risk of suffering a sprained ankle. Those who participate in sports, walk on uneven surfaces, have a prior ankle injury, are in poor physical condition, or wear improper shoes are more likely to get a sprained ankle.
There are a few symptoms to look out for if you suspect you are suffering from a sprained ankle. Some common symptoms are swelling, bruising, tenderness, and instability of the ankle. In cases where the tearing of the ligaments is severe, there may be a “popping” sound when the strain occurs.
The RICE method is proven to be effective in treating ankle sprains. RICE stands for Rest, Ice, Compression, and Elevation. Rest is important for treatment, especially within the first 24 to 48 hours. You should also ice your sprained ankle for the first 48 hours for 20 minutes at a time. A small piece of cloth should be placed between the ice and the affected area. For the compression step, you should wear a brace that is snug, but not too tight that it cuts off circulation. When choosing a brace, be sure to choose one that is suitable for the type of ankle sprain you have. Lastly, you should elevate your foot above the heart as often as possible.
After you treat a sprain, you should go through rehabilitation to prevent the injury from occurring again. There are three phases to the rehab process. The first phase involves resting, protecting, and reducing the swelling of the injury. The second phase consists of restoring the ankle’s flexibility, range of motion, and strength. The third phase consists of slowly returning to activity and maintenance exercises.
If you suspect you have an ankle sprain, you shouldn’t hesitate to consult with your podiatrist. Your podiatrist will be able to give you a proper diagnosis and a suitable treatment option for your condition.
Laser Treatment for Toenail Fungus

Toenail fungus, or onychomycosis, is a common condition that can be both persistent and aesthetically bothersome. Traditional treatments like topical antifungal medications or oral prescriptions have limitations, prompting the exploration of innovative solutions such as laser therapy. Laser treatment for toenail fungus involves directing concentrated light energy onto the affected nails, effectively targeting the fungal infection without causing damage to the surrounding tissues. The high-intensity light penetrates the nail bed, disrupting the fungal cells and inhibiting their growth. While this method does not promise instantaneous results and may require multiple sessions, it offers a non-invasive alternative with minimal side effects compared to some conventional medications. Laser therapy is gaining popularity for its potential to enhance the appearance of affected nails and address the root cause of the fungal infection. Consulting with a podiatrist can provide valuable insights into whether laser treatment is a suitable option for addressing toenail fungus and restoring healthier, clearer nails. If you have toenail fungus, it is suggested that you confer with this type of doctor who can determine if this is a correct treatment option for you.
Laser treatment can be an effective way to get rid of toenail fungus. If you have any questions about laser treatment, consult with David K. Morris, DPM from Florida. Our doctor will assess your condition and provide you with quality treatment for fungal nails.
What Are Toenail Fungal Infections?
Onychomycosis, or fungal infection of the nail, is a relatively common and non-serious condition. Around 10 percent of U.S. citizens are afflicted with fungal nails. Common forms of fungus that infect the nail include dermatophytes, yeasts, and molds.
Symptoms of Toenail Fungal Infections Include:
- Nail thickening
- Brittleness of the nail
- Discoloration of the nail
Diagnosis for Fungal Nails
Fungal infections are diagnosed by fungal culture and microscopy. This will rule out any other conditions such as nail trauma, psoriasis, lichen planus, and onychogryphosis.
What Is Laser Treatment?
Laser treatment is a non-invasive, safe, quick, and painless procedure that uses the heat from a laser to kill fungus in the nail. Each infected nail is targeted with a laser for several minutes. The treatment is usually utilized several different times over a select period. During this time, a podiatrist will keep an eye on the infection.
If you have any questions, please feel free to contact our office located in Plantation, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.