
Heel pad syndrome, also known as fat pad atrophy, occurs when the thick layer of fatty tissue beneath the heel thins out, reducing its ability to absorb shock. This can lead to deep, aching heel pain that worsens with prolonged standing or walking. Common causes of heel pad syndrome include age-related degeneration, obesity, repetitive impact activities, wearing improper footwear, and prior heel injuries. People who walk barefoot on hard surfaces may place additional stress on the heel, increasing the risk of pain. A podiatrist can evaluate heel pad function and recommend appropriate treatment to relieve pressure on the heel. Supportive orthotics and well-cushioned footwear can help reduce discomfort during daily activities. In addition, specific exercises, such as calf stretches, heel raises, and ankle range-of-motion movements, are often used to improve foot control and reduce stress on the heel. If you are suffering from heel pain, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and proper treatment.
Many people suffer from bouts of heel pain. For more information, contact Patrice Antero, DPM of Tuscany Podiatry. 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 Tuscaloosa, AL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Congenital foot conditions are structural or functional abnormalities present at birth that affect the shape or movement of a baby’s feet. One of the most recognized conditions is club foot, where the foot is twisted inward and downward, making it difficult to walk if untreated. These conditions may result from genetic factors, developmental issues during pregnancy, or environmental influences. Early detection is essential for effective treatment and to prevent long-term complications. A podiatrist can play an important role in diagnosing congenital foot conditions, recommending early interventions, such as stretching, casting, or bracing, and monitoring progress throughout childhood. If your child has been born with a foot condition, it is suggested that you include a podiatrist on your healthcare team.
Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Patrice Antero, DPM of Tuscany Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.
Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.
What are Causes of Congenital Foot Problem?
A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.
What are Symptoms of Congenital Foot Problems?
Symptoms vary by the congenital condition. Symptoms may consist of the following:
- Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
- Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
- Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
- Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
- Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
- Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.
Treatment and Prevention
While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.
If you have any questions please feel free to contact our office located in Tuscaloosa, AL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Sever's disease is a common cause of heel pain in growing children, especially those who are physically active. It occurs when the growth plate in the heel becomes inflamed due to repetitive stress or pressure. This condition is most often seen during periods of rapid growth, when the bones, muscles, and tendons are changing quickly. Symptoms include pain in one or both heels, tenderness, and discomfort during or after physical activity. The pain may worsen with running or jumping and improve with rest. Risk factors include participation in sports that involve running, jumping, or wearing cleats, as well as having tight calf muscles or flat feet. If your active child has heel pain, it is suggested that you schedule an appointment with a podiatrist who can provide an accurate diagnosis and treatment.
Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Patrice Antero, DPM from Tuscany Podiatry. Our doctor can treat your child’s foot and ankle needs.
Sever’s Disease
Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.
Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.
Symptoms
Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.
Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.
If you have any questions, please feel free to contact our office located in Tuscaloosa, AL . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

A tailor’s bunion, also known as a bunionette, is a bony bump that forms on the outside of the foot near the base of the little toe. It occurs when the fifth metatarsal bone shifts outward, often due to genetics, improper foot structure, or wearing narrow, tight shoes that squeeze the toes together. Symptoms include a visible bump, redness, swelling, and pain along the outside of the foot. It may feel irritated or sore, especially when walking or wearing tight shoes. Over time, the discomfort can worsen and make regular activities more difficult. A podiatrist can diagnose a tailor’s bunion through a physical exam and X-rays, then recommend a personalized treatment plan. Non-surgical options include padding, footwear modifications, custom orthotics, and anti-inflammatory medications. In severe cases, surgery may be considered to realign the bone and relieve pain. If you are experiencing this condition, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment.
If you are suffering from bunions, contact Patrice Antero, DPM of Tuscany Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is a Bunion?
A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.
Why Do Bunions Form?
Genetics – Susceptibility to bunions are often hereditary
Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions
How Are Bunions Diagnosed?
Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.
How Are Bunions Treated?
- Refrain from wearing heels or similar shoes that cause discomfort
- Select wider shoes that can provide more comfort and reduce pain
- Anti-inflammatory and pain management drugs
- Orthotics or foot inserts
- Surgery
If you have any questions, please feel free to contact our office located in Tuscaloosa, AL . We offer the newest diagnostic and treatment technologies for all your foot care needs.