Wednesday, November 19, 2025

Understanding Heel Pain: Causes, Treatments, and How FFLC Helps You Find Relief**

Heel pain is one of the most common foot problems people face, often affecting daily activities like walking, exercising, or even standing for short periods. While many assume heel pain will “go away on its own,” early evaluation and proper treatment can make a major difference in recovery time and long-term comfort.

At Family Foot & Leg Center (FFLC), patients receive tailored solutions designed to diagnose the root cause of heel pain and provide fast, effective relief. Whether the discomfort is sharp, dull, intermittent, or chronic, understanding what’s causing the pain is the first step toward healing.




Common Causes of Heel Pain

1. Plantar Fasciitis

The most common cause of heel pain, plantar fasciitis occurs when the plantar fascia— the thick band of tissue supporting the arch — becomes inflamed.

Symptoms include:

* Sharp pain in the heel, especially during the first steps in the morning

* Pain after long periods of standing

* Discomfort following exercise


2. Heel Spurs

Heel spurs are bony calcium deposits that develop on the underside of the heel bone, often forming over an extended period due to chronic strain or repeated stretching of the foot’s soft tissues. These deposits typically develop where the plantar fascia attaches to the heel, which is why they are so commonly associated with plantar fasciitis.


Although heel spurs can grow up to half an inch in length, many people never realize they have them because the spur itself doesn’t always cause pain. In fact, in many cases, the discomfort people feel is actually due to the inflammation of the surrounding tissues rather than the spur pressing into the foot. However, when heel spurs do cause symptoms, they may lead to sharp, stabbing sensations during the first steps in the morning or a persistent aching discomfort throughout the day.

Heel spurs often develop as a result of repetitive stress—activities such as running, long walks on hard surfaces, or even prolonged standing can gradually contribute to their formation. Poorly cushioned shoes, abnormal foot mechanics (like flat feet or high arches), and tight calf muscles can also increase the likelihood of developing heel spurs.

Early diagnosis through imaging, combined with supportive treatments such as orthotics, stretching, improved footwear, and targeted therapies, can help alleviate symptoms and prevent the spur from worsening. While surgery is rarely necessary, comprehensive care can significantly reduce the pain associated with heel spurs and improve overall foot function.


3. Achilles Tendinitis

Inflammation of the Achilles tendon, known as Achilles tendinitis, occurs when the tendon connecting the calf muscles to the heel becomes irritated or overworked, often due to repetitive stress or sudden increases in physical activity. This condition can cause pain, stiffness, and swelling at the back of the heel, which typically worsens during activities like running, jumping, or climbing stairs. Over time, the tendon may become thickened or develop small microtears, making movement increasingly uncomfortable and potentially limiting daily activities. Factors such as tight calf muscles, improper footwear, sudden changes in exercise intensity, or biomechanical issues like flat feet or high arches can increase the risk of developing Achilles tendinitis. Early intervention—including rest, targeted stretching and strengthening exercises, supportive footwear, and other non-invasive therapies—can reduce inflammation, relieve pain, and help restore normal tendon function before the condition progresses to a more serious injury.


4. Flat Feet or High Arches

The structure of your foot plays a crucial role in how weight and pressure are distributed during everyday activities such as walking, running, or standing, and even small imbalances can lead to significant heel pain over time. Individuals with flat feet, high arches, or abnormal gait patterns often place uneven stress on the plantar fascia, heel bone, and surrounding soft tissues, which can result in inflammation, microtears, or chronic discomfort. Improper support from footwear—such as shoes lacking adequate cushioning, arch support, or stability—can exacerbate these structural issues, causing the heel to absorb more impact than it is naturally designed to handle. Over time, this uneven pressure may contribute to conditions like plantar fasciitis, heel spurs, or Achilles tendinitis, and can make simple daily activities painful. Addressing foot mechanics through proper shoes, custom orthotics, strengthening exercises, and corrective therapies can help redistribute pressure more evenly, reduce strain on the heel, and prevent long-term damage, allowing for better mobility and comfort.


5. Overuse or Improper Footwear

Everyday activities such as running, taking long walks, standing for extended periods, or even engaging in high-impact sports can place significant stress on the heel, especially when combined with unsupportive or poorly cushioned footwear. Repetitive pressure and impact can strain the plantar fascia, Achilles tendon, and surrounding soft tissues, leading to inflammation, microtears, and pain that can develop gradually or appear suddenly. Individuals who spend a lot of time on hard surfaces or who engage in intense physical activity without proper foot support are particularly susceptible to heel pain, which may start as a mild discomfort but can worsen if left unaddressed. Additionally, shoes that fail to provide adequate arch support, cushioning, or stability can exacerbate underlying biomechanical issues, causing uneven distribution of pressure and accelerating the development of conditions such as plantar fasciitis, heel spurs, or tendonitis. Taking preventive measures—including wearing supportive footwear, incorporating stretching routines, and avoiding sudden increases in activity—can help reduce the risk of heel pain and maintain overall foot health.


How FFLC Provides Effective Heel Pain Relief

FFLC takes a personalized, patient-centered approach to heel pain treatment. Rather than relying on generic advice, the team conducts a thorough evaluation to understand the exact source of your discomfort.


1. Customized Treatment Plans

No two feet are the same. FFLC uses diagnostic tools, gait analysis, and tailored care strategies to design treatment plans that fit each individual’s unique needs.


2. Advanced Therapies

Treatment options may include:

* Anti-inflammatory therapies

* Shockwave therapy

* Prescription orthotics

* Supportive bracing

* Stretching and strengthening programs

* Footwear guidance

* Minimally invasive procedures when necessary

These therapies aim to reduce inflammation, restore function, and prevent future pain.


3. Fast, Focused Relief

FFLC prioritizes both immediate pain relief and long-term solutions. By treating the underlying cause—not just the symptoms—patients experience faster recovery and improved foot health.


Tips for Managing Heel Pain at Home

While professional care is essential, there are steps you can take to ease discomfort:


* Stretch your calves and plantar fascia daily

* Wear supportive shoes with proper cushioning

* Avoid walking barefoot on hard surfaces

* Apply ice to reduce inflammation

* Reduce high-impact activities until the pain improves


If heel pain persists for more than a few days or worsens, seeking professional evaluation is crucial.


When to Seek Professional Help

You should consider visiting FFLC if you experience:

* Persistent heel pain lasting more than a week

* Swelling, redness, or warmth in the heel

* Pain that interferes with daily activities

* Pain after an injury or sudden movement

Early treatment often leads to faster results and fewer complications.


Get Back on Your Feet With FFLC

Heel pain doesn’t have to slow you down. With expert diagnostics, personalized care plans, and advanced treatment options, FFLC helps patients find reliable relief and restore comfort.

If you’re experiencing heel pain, taking the first step toward treatment can be the key to long-term healing and improved mobility.



Tuesday, November 11, 2025

10 Weeks After Reverse Peabody and Akin Osteotomy: Minimally Invasive Bunion Correction by Dr. Kevin Lam

Precision Bunion Surgery with Modern Techniques


Bunion deformities are a common condition affecting the alignment of the great toe, often leading to pain, stiffness, and difficulty with footwear. At the Family Foot & Leg Center (FFLC), we utilize advanced, minimally invasive techniques to correct bunions with less downtime and improved long-term outcomes.


In this featured case, Dr. Kevin Lam performed a reverse Peabody procedure combined with an Akin osteotomy to restore alignment and function. This approach allows for excellent correction with minimal soft tissue disruption and faster recovery compared to traditional open methods.



Case Overview


This patient underwent a reverse Peabody bunion correction along with an Akin osteotomy for fine-tuning of the toe alignment.

The combination of these procedures enables precise bone realignment, stable fixation, and improved cosmetic and functional outcomes.


At the 10-week postoperative visit, results were outstanding:


* ✅ Excellent bone healing and stable fixation on X-ray

* ✅ Corrected toe alignment and balanced joint position

* ✅ Minimal swelling and good scar healing

* ✅ Comfortable walking and return to daily activities




Why the Reverse Peabody and Akin Osteotomy Work So Well


The reverse Peabody technique is a refined method that repositions the metatarsal head through a smaller incision while preserving joint integrity. When paired with the Akin osteotomy, which adjusts the proximal phalanx, the combination provides a balanced correction of the bunion deformity.


Benefits of this minimally invasive approach include:


* Smaller incisions, less soft tissue trauma

* Reduced postoperative pain and scarring

* Faster recovery and return to function

* Strong, lasting correction of the bunion deformity


Dr. Lam is internationally recognized for his expertise in minimally invasive foot and ankle surgery, including the Lam Bunionectomy, reverse Peabody procedure, and other advanced reconstructive techniques.

He leads a team of board-certified specialists across FFLC locations in SWFL, offering comprehensive care for foot, ankle, and leg conditions.

Dr. Lam is also the Founder & CEO of the Family Foot & Leg Center, P.A., based in Naples, Florida.


Learn More or Schedule a Consultation

If you’re suffering from bunion pain or considering surgical correction, schedule a consultation with Dr. Kevin Lam and the expert team at Family Foot & Leg Center to explore your treatment options.


📍 Family Foot & Leg Center, P.A.

🌐https://www.scarlessbunion.com/

📞 (239) 430-3668 (FOOT)

Wednesday, October 22, 2025

The Home of the “Scarless” Bunionectomy

Can you see the scar on this patient after bunion surgery?

Scarless Bunion Surgery by Dr. Kevin Lam


This patient came to Dr. Lam with a severe bunion. In most people’s minds, a severe bunion means a large incision, a long recovery, and months of visible scarring.


That is not what happened here.

* Recovery was fast

* Recovery was essentially pain-free

* And the scar? Practically invisible


This is what Dr. Lam’s patients mean when they talk about the “scarless bunionectomy” experience — the incision is placed and closed in a way that makes the scar blend so naturally that, to the naked eye, it’s hard to see that surgery ever happened.



Why patients choose us before committing to bunion surgery anywhere else

Most doctors still use techniques that leave a large dorsal or medial scar along the side of the big toe. Dr. Lam’s method is designed around four priorities:

1. Cosmetic discretion — Incision approach and closure designed to fade into the natural lines of the foot

2. Rapid return to function — Patients walk the same day

3. Pain-minimizing protocols — Most patients describe recovery as “shockingly easy”

4. Correction built to last — Cosmetic improvement without compromising biomechanics



Before you get bunion surgery — see us first

If you were told that bunion surgery “will hurt,” “will leave a scar,” or “will take months to recover from,” you may be hearing about an older technique.


You have options.

Visit Dr. Lam — at the home of the scarless bunionectomy at ScarlessBunion.com





Wednesday, October 15, 2025

The Future of Bunion Surgery Is Here: Minimally Invasive Bunion Correction by Dr. Kevin Lam

If painful bunions are keeping you from walking comfortably or wearing your favorite shoes, there’s good news — you no longer have to face large incisions, metal plates, or long recovery times.

At Family Foot & Leg Center (FFLC), Dr. Kevin Lam and his surgical team are proud to offer Minimally Invasive Bunion Surgery  — a modern approach that’s transforming how we correct bunions and restore comfort.

This innovative procedure uses tiny incisions, precise imaging, and advanced instrumentation to realign the bone — meaning less pain, less scarring, and a faster return to walking. 💙


What Is a Bunion?

A bunion, or hallux valgus, is a bony bump that forms at the base of your big toe. Over time, the big toe drifts toward the smaller toes, causing joint pain, redness, swelling, and difficulty wearing shoes.

Traditional surgery often involves a large incision, cutting and repositioning bones, and using screws or plates — which can mean more discomfort and longer healing.

With Minimally Invasive Bunion Surgery, Dr. Lam performs the same correction through incisions as small as a few millimeters — often requiring only local anesthesia and allowing most patients to walk shortly after surgery.


Why Choose Minimally Invasive Bunion Surgery?

Minimally invasive techniques focus on precision and preservation — correcting the bunion without the trauma of traditional open surgery.

Here’s how patients benefit:

Smaller Incisions: Just a few millimeters long — less scarring, faster healing.
Less Pain & Swelling: Minimal tissue disruption means a gentler recovery.
Faster Recovery: Many patients walk in a post-op shoe the same day.
Lower Risk of Complications: Reduced infection risk and faster wound healing.
Natural Foot Appearance: Improved cosmetic outcome with better alignment.


🦶 How It Works

Using specialized instruments and fluoroscopic (live X-ray) guidance, Dr. Lam carefully realigns the bones of the big toe joint through tiny openings.

The correction is stabilized with micro-fixation — often without the need for large screws or plates. Because the surrounding tissues remain largely untouched, patients experience significantly less postoperative pain and swelling compared to traditional methods.

Most procedures are done outpatient, allowing patients to return home the same day.


💙 Recovery: Walk Sooner, Heal Faster

One of the greatest advantages of minimally invasive bunion surgery is how quickly patients get back on their feet.

Most are able to bear weight immediately in a special surgical shoe and transition to normal footwear within weeks rather than months.

At FFLC, we provide comprehensive postoperative care including digital imaging, follow-up evaluations, and customized recovery plans to ensure every patient regains strength, balance, and confidence.


🧠 Why Experience Matters

Dr. Kevin Lam, founder of Family Foot & Leg Center, is a nationally recognized foot and ankle surgeon known for pioneering advanced, minimally invasive procedures. His expertise and commitment to innovation make FFLC a leading destination for patients seeking the best in modern podiatric care.

With years of experience in bunion correction, Dr. Lam continually refines his approach to ensure each patient experiences the safest, most comfortable recovery possible.

If bunion pain is slowing you down, you don’t have to live with it. The future of bunion surgery is here — and it’s gentler, faster, and more effective than ever before.

Let Dr. Kevin Lam and the expert team at Family Foot & Leg Center help you walk confidently again — pain-free and without long recovery times.

📅 Schedule your consultation today to learn whether you’re a candidate for Minimally Invasive Bunion Surgery.

💙 Smaller incisions. Less pain. Faster recovery.
#WeKeepYouWalking


#FFLC #DrKevinLam #MinimallyInvasiveBunionSurgery #FootSurgery #BunionRelief #NaplesPodiatrist #FootAndLegCare #WalkConfidently #PainFreeFeet #WeKeepYouWalking




Tuesday, October 7, 2025

Stress Fracture Treatment: Offloading, Support, and Bone Healing

Dealing with foot or ankle pain from a stress fracture? Learn how offloading, proper support, and guided healing can get you back on your feet faster.


What Is a Stress Fracture?

A stress fracture is a tiny crack in a bone that develops from repetitive stress or overuse. Unlike a sudden break, stress fractures often build up over time, causing pain that gradually worsens with activity.

 

They commonly occur in the foot and ankle, especially in athletes, runners, or anyone who spends long hours on their feet.


---


### **Common Causes**


Stress fractures are often linked to:


* Overtraining or increased activity without adequate rest

* Poor footwear or improper shock absorption

* Bone weakness due to conditions like osteoporosis

* Sudden changes in exercise intensity or surface type


Even everyday walking can trigger a stress fracture if the bone is fatigued or weakened.



Symptoms to Watch For

If you have a stress fracture, you may notice:

* Localized pain and swelling that worsens with activity

* Tenderness to touch over a specific bone

* Pain relief when resting, but recurrence upon resuming activity

* Occasional bruising or mild redness


Ignoring these signs can turn a small crack into a complete fracture — leading to a much longer recovery.


How Stress Fractures Are Treated


At Family Foot & Leg Center, we focus on three key principles of stress fracture recovery:


1. Offloading the Injury

Offloading means reducing pressure on the affected bone. This can involve:

* Walking boots or braces

* Crutches to limit weight-bearing

* Custom orthotic devices to redistribute forces


Proper offloading prevents further damage and allows the bone to heal naturally.




2. Supportive Care

Supportive footwear and bracing stabilize the area and keep the fracture aligned. Our team ensures you’re fitted with the right level of protection to maintain comfort and promote optimal healing.


3. Bone Healing Support


Healing a stress fracture isn’t just about rest — it’s about creating the right conditions for bone repair.

We may recommend:

* Nutritional support (calcium, vitamin D)

* Bone stimulators or regenerative therapies

* Physical therapy once healing begins


Every treatment plan is customized to your activity level, bone health, and lifestyle.


Recovery and Return to Activity

Most stress fractures heal within 6–8 weeks, but recovery time depends on the severity and your adherence to offloading.

Rushing back to activity too soon can cause setbacks — that’s why follow-up imaging and podiatric guidance are key to ensuring full recovery.



When to See a Specialist

If foot or ankle pain doesn’t improve after a few days of rest — or if it worsens when walking — it’s time to get evaluated.

Early diagnosis through X-rays or MRI can prevent complications and shorten your downtime.


Get Expert Stress Fracture Care at Family Foot & Leg Center

Serving Southwest Florida Since 2005, Family Foot & Leg Center has multiple convenient locations throughout Collier, Lee, Charlotte, and Sarasota Counties. Offering pediatric to geriatric family care: Ingrown Toenails, Heel Pain, Bunions, Foot / Ankle Arthritis Pain, Plantar Fasciitis, Foot / Ankle Surgery, Custom Orthotics, and Diabetic Wound Care. In office X-rays, ultrasounds, and minor surgical suite exam rooms. Practice powered by EMR and advanced technologies.

Home of the Lam Minimally Invasive No-Scar Bunion Surgery! Come Discover Why Patients Love Our 5-Star Foot & Ankle Care!

For advanced wound management and diabetic wound healing resources, visit:
👉 WoundHealingExperts.com

Same Day Appointments! Easy Online Appointment Scheduling.

Log in using patient portal

Schedule online

Let’s get you back to strong, pain-free steps — safely and confidently. 💙



Monday, September 22, 2025

Popping Peroneal Tendon Syndrome in Children: Understanding the Condition


At Family Foot & Leg Center, we often see young patients who experience unusual ankle symptoms. One such case involved an active 11-year-old girl who came in with a very specific complaint:

> “It feels like a bone is popping behind my ankle.”

This is a classic description of *popping peroneal tendon syndrome* (also called peroneal tendon subluxation). Let’s break down what this means, why it happens, and how it can be treated.


What Are the Peroneal Tendons?

The peroneal tendons are two important tendons located on the outside of the ankle:

* Peroneus brevis tendon – attaches to the base of the 5th metatarsal (outer edge of the foot).

* Peroneus longus tendon – runs under the foot and attaches near the arch.

Normally, these tendons glide smoothly behind the fibula (the small bone on the outside of the ankle) inside a protective groove. A strong ligament called the peroneal retinaculum helps hold them in place.



What Causes the “Popping” Sensation?

When a patient describes a “popping” or “snapping” behind the ankle, it usually means the tendon is slipping out of its groove. Instead of gliding smoothly, the tendon jumps forward over the bone.


This can happen for a few reasons:

1. Shallow fibular groove – Some children are born with a groove that is too shallow to hold the tendon securely.

2. Weak or loose retinaculum – If the ligament that stabilizes the tendon is weak, the tendon can dislocate.

3. Tendon tear (less common in kids) – A split or tear in the tendon may also contribute to instability.


How Do We Diagnose It?

A careful physical exam is often the first step. During movement tests, such as flexing and turning the foot outward (a peroneal stress test), the tendon may visibly or audibly “pop” out of place.


An MRI scan may be ordered to confirm the diagnosis and check for:

* The depth of the fibular groove

* The strength of the peroneal retinaculum

* Any tendon tears or damage


Treatment Options

The best treatment depends on the underlying cause:


* Shallow groove → A surgical procedure may be performed to deepen the groove and prevent the tendon from slipping forward.

* Weak retinaculum → The ligament can be repaired or reinforced to hold the tendon in place.

* Tendon tear → If a tear is present, surgical repair may be needed.


When to See a Podiatrist

If your child complains of a popping or snapping sensation around the ankle, especially if it happens on both sides, it’s important to have it evaluated. While not always painful at first, untreated tendon instability can lead to:

* Chronic ankle pain

* Swelling

* Tendon tears over time

At Family Foot & Leg Center, our team uses advanced imaging and specialized surgical techniques when needed to restore tendon stability and get kids back to their activities safely.


Take the Next Step Toward Healthy Ankles

If your child is experiencing ankle popping or pain, schedule a consultation today.

📞 Call 239-430-3668 (FOOT) or visit https://www.naplespodiatrist.com to request an appointment with our expert team.


Monday, September 15, 2025

Same-Day Appointments: Why Speed Matters in Wound Care

When it comes to wound care, time isn’t just important—it’s critical. Every day that a chronic or complex wound goes untreated increases the risk of infection, tissue damage, hospitalization, or even amputation. As a podiatrist and wound care specialist, I’ve seen firsthand how fast action can change the outcome for patients. That’s why we offer same-day appointments for wound care: because delaying treatment is never worth the risk.


Why Delays Are Dangerous

Many patients hope a wound will heal on its own. Unfortunately, foot and ankle wounds—especially in people with diabetes, vascular disease, or neuropathy—rarely improve without professional care. Waiting even a few extra days can allow infection to spread or tissue to break down further. In severe cases, a small wound can quickly escalate to a limb-threatening condition.

Complications that can result from delayed treatment include:

  • Infection spreading into the bone (osteomyelitis)

  • Gangrene that may lead to amputation

  • Sepsis, a life-threatening systemic infection

  • Chronic pain and mobility loss

The bottom line? Time is tissue. The sooner a wound is addressed, the better the chances of saving the affected area—and in many cases, preserving overall health.


The Benefits of Same-Day Wound Care


1. Infection Prevention

Early cleaning, debridement, and protective dressings can dramatically reduce infection risk. Quick intervention creates a cleaner wound bed, which is essential for healing.

2. Faster Healing
The sooner advanced wound therapies are started, the greater the likelihood of full recovery. Treatments such as advanced dressings, biologic grafts, and negative pressure wound therapy work best when applied early.

3. Pain Reduction
Immediate attention often means less swelling, reduced pressure, and improved mobility. Patients frequently report decreased discomfort after even the first treatment.

4. Avoiding Hospitalization
By treating wounds aggressively at the clinic level, we can prevent the need for hospital admissions, which are costly, stressful, and sometimes risky.

5. Peace of Mind
Knowing that a specialist has evaluated your wound right away provides reassurance and a clear treatment plan, reducing anxiety for both patients and families.



Advanced Wound Care Close to Home


At Naples Podiatrist, we use the latest technology—advanced dressings, bioengineered skin grafts, vascular evaluations, and more—to treat wounds effectively. Our podiatry team is skilled in recognizing early warning signs that others may miss, which can make all the difference in outcomes.

Our same-day scheduling means if you notice a wound that isn’t healing—or if you have redness, swelling, drainage, or odor—you can call and be seen immediately. We believe in removing barriers to care, because waiting for weeks to see a specialist isn’t an option when your health is at stake.


When to Seek Same-Day Wound Care

Call us immediately if you notice:

  • A wound that hasn’t improved in 1–2 weeks

  • Signs of infection (redness, swelling, warmth, pus, or odor)

  • Increasing pain around a wound

  • Changes in skin color near the wound (black, blue, or pale skin)

  • Numbness or tingling in the foot or ankle

These signs often indicate a worsening wound that requires urgent podiatric evaluation.


Don’t Wait—Your Health Depends On It

If you or a loved one is dealing with a stubborn foot or ankle wound, remember: every day matters.


Same-day appointments could mean the difference between saving a foot—or losing it.

Call (239) 430-3668 today or visit woundhealingexperts.com to schedule your same-day appointment and take the first step toward healing.


Dr. Kevin Lam is a board-certified podiatrist and wound care specialist dedicated to advanced treatments for diabetic foot ulcers, vascular wounds, and complex podiatric conditions in Southwest Florida.