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Haglund’s Deformity and Heel Pain

Haglund’s deformity is a bony enlargement at the upper back of the heel. The bump forms near the point where the Achilles tendon attaches to the heel bone. It can rub against the back of a shoe and cause pain, redness, and swelling behind the heel. The area may feel tender, and a bump can develop. Pain can be noticeable when wearing shoes with firm heel counters. Some patients also have discomfort when they begin walking after resting. The condition can affect one heel or both heels.
The cause of Haglund’s deformity is not always clear. A tight Achilles tendon, high arches, and an inherited heel shape can raise the risk. Pressure from wearing stiff or poorly fitting shoes can worsen irritation. The nearby fluid-filled sac, called a bursa, can become inflamed. This sac cushions the heel bone and Achilles tendon. When it becomes irritated, swelling and pain can increase. A podiatrist examines the heel, checks the patient’s foot structure, and asks when the pain occurs. X-rays can show the heel bone and the size of the bump. Other imaging can help assess the Achilles tendon or surrounding tissue when the cause remains unclear.
Treatment focuses on reducing pressure, easing inflammation, and protecting the back of the heel. The podiatrist can recommend shoes with a softer heel area or room around the bump. Custom orthotics or heel lifts can improve foot position and reduce strain on the Achilles tendon. Padding may limit shoe rubbing. A temporary walking boot can protect the area when pain is severe. The podiatrist can also monitor the tendon and adjust treatment based on the patient’s progress. When these measures do not provide enough relief, surgery may be considered to remove the excess bone and address damaged tissue. If you have symptoms of Haglund's deformity, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.
Many people suffer from bouts of heel pain. For more information, contact Jeffrey Parrett, DPM of Parrett 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 feel free to contact our office located in Waxahachie, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Dealing Safely With Blisters on the Feet

A blister is a raised pocket of fluid that forms when the upper layers of skin separate. On the feet, repeated friction is the leading cause. Shoes that are too tight, loose, or stiff can rub the skin. Heat and moisture can make this rubbing worse. Blisters frequently develop on the heels, toes, or balls of the feet. Symptoms of foot blisters include tenderness, redness, and a fluid-filled bubble. Although most blisters heal within several days to a week, pressure can delay healing and increase discomfort.
Some people face a greater risk of complications from a foot blister. Diabetes, poor circulation, or reduced feeling in the feet can make a small wound harder to notice and heal. A blister that breaks can invite a bacterial infection. Warning signs of infection include increasing redness, warmth, or swelling. Drainage, worsening pain, and red streaks also require medical attention. A podiatrist can examine blisters that are severe, keep returning, or do not improve. Prompt care is especially important for patients with diabetes or circulation problems, since an untreated infection can threaten tissue and raise the risk of limb loss.
Popping a blister yourself is not recommended. A podiatrist can clean and protect the area, safely draining a large blister while preserving its protective skin, or applying a dressing. The podiatrist can also reduce pressure with padding or custom orthotics. To help prevent new blisters, the podiatrist may assess shoe fit, foot shape, and walking patterns. Recommendations can include wearing well-fitting shoes, moisture-wicking socks, and protective padding for areas that rub. Patients who develop repeated blisters may need an evaluation for a bony prominence or another source of pressure. Addressing the cause can improve comfort and reduce the chance of another blister forming. If you have a painful blister on the foot, it is suggested that you schedule an appointment with a podiatrist for effective relief and prevention tips.
Blisters may appear as a single bubble or in a cluster. They can cause a lot of pain and may be filled with pus, blood, or watery serum. If your feet are hurting, contact Jeffrey Parrett, DPM of Parrett Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.
Foot Blisters
Foot blisters are often the result of friction. This happens due to the constant rubbing from shoes, which can lead to pain.
What Are Foot Blisters?
A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.
Symptoms
(Blister symptoms may vary depending on what is causing them)
- Bubble of skin filled with fluid
- Redness
- Moderate to severe pain
- Itching
Prevention & Treatment
In order to prevent blisters, you should be sure to wear comfortable shoes with socks that cushion your feet and absorb sweat. Breaking a blister open may increase your chances of developing an infection. However, if your blister breaks, you should wash the area with soap and water immediately and then apply a bandage to the affected area. If your blisters cause severe pain it is important that you call your podiatrist right away.
If you have any questions, please feel free to contact our office located in Waxahachie, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Ingrown Toenails Causes and How Podiatrists Treat Them

An ingrown toenail develops when the edge of a nail presses into the nearby skin instead of growing forward normally. The big toe is affected most often because it receives considerable pressure inside a shoe. Early signs include tenderness, redness, and swelling along one side of the nail. If bacteria enter the irritated area, drainage or a pocket of pus can appear. Patients with diabetes, poor circulation, or reduced feeling in the feet face a greater risk of complications. They should have any unusual nail changes examined promptly.
Several factors can cause an ingrown toenail. Cutting a nail too short or rounding its corners can encourage the edge to grow into the skin. Wearing tight shoes can squeeze the toes and increase pressure along the nail borders. A toe injury can also change the way the nail grows. Some patients inherit nails that curve sharply at the sides, making the problem more likely. Without professional care, continued irritation can lead to infection and increased pain. Severe redness, spreading swelling, or drainage requires prompt attention from a podiatrist.
A podiatrist can examine the nail, check for infection, and determine how deeply the edge has entered the skin. Treatment includes carefully trimming, lifting, or removing the troublesome nail section, depending on severity. When an ingrown toenail repeatedly returns, a minor procedure can treat part of the nail-growth area and prevent the same edge from growing back. The podiatrist can also address thick nails and recommend properly fitting shoes with enough room around the toes. Patients with diabetes or circulation problems benefit from professional nail care because small wounds can become serious quickly. Timely treatment eases pressure, protects nearby tissue, and lowers the risk of infection. Surgery is generally reserved for repeated or severe cases. If you have a painful ingrown toenail, it is suggested that you schedule an appointment with a podiatrist for effective relief and treatment solutions.
Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Jeffrey Parrett, DPM of Parrett Podiatry. 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
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 Waxahachie, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Understanding Normal Foot And Ankle Biomechanics

Normal foot and ankle biomechanics describe how the bones, joints, and ligaments work together during movement. Healthy biomechanics allow the foot to absorb impact, adapt to different surfaces, and provide stability when needed. During weight-bearing activities, the feet support the body while distributing pressure across the heel, midfoot, and forefoot. Proper alignment and controlled movement help reduce unnecessary stress on the lower extremities and support efficient walking, standing, and exercise.
Walking follows a coordinated sequence that begins when the heel contacts the ground and continues as the body moves forward over the foot. The ankle and foot gradually adjust to absorb impact before becoming more stable for push-off. Muscles and tendons provide control throughout this process. If alignment, flexibility, or joint motion is altered, certain areas may experience increased pressure. These changes can contribute to discomfort, overuse injuries, or changes in walking patterns.
Running places greater demands on foot and ankle biomechanics because the body experiences increased impact and faster movement. The foot must absorb force and then become stable enough to help propel the body forward. Risk factors for abnormal biomechanics include previous injuries, muscle weakness, and limited flexibility. Structural differences, improper footwear, and sudden increases in activity may also be factors. Symptoms of a biomechanical problem may include persistent foot or ankle pain, uneven shoe wear, or discomfort during weight-bearing activities.
A podiatrist can evaluate biomechanics by observing walking and running patterns and examining foot alignment, joint movement, and weight distribution. The foot doctor may also recommend supportive shoes, orthotics, or activity changes when appropriate. Follow-up visits can help determine whether treatment is improving movement and reducing stress. Understanding foot mechanics can support injury prevention and better mobility. If you have foot or ankle pain and want to understand your foot biomechanics, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.
If you have any concerns about your feet, contact Jeffrey Parrett, DPM from Parrett Podiatry. 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 Waxahachie, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
