Pronation and supination describe the direction the foot rolls while walking or running. Pronation occurs when the foot rolls inward and weight shifts toward the inside of the foot. Supination occurs when the foot rolls outward and weight shifts toward the outside. A small amount of each motion is part of a normal step. Pronation helps the foot absorb shock after the heel reaches the ground. Supination makes the foot firmer as it pushes the body forward. When either motion becomes excessive, pressure can build in certain areas and affect the way a person moves.

These movement patterns can affect more than the feet. Overpronation can place added strain on the arches, heels, and ankles. It can also contribute to discomfort in the knees. Excess supination reduces the foot’s ability to absorb shock and can increase pressure on the outer edge. This can lead to ankle instability, heel pain, or pain in the ball of the foot. Uneven wear on the inner or outer edges of shoe soles can provide a clue. High arches, flat feet, and differences in leg length can influence foot movement. Injuries and repeated stress can also change a person’s gait.

A podiatrist can examine the feet and study how a patient stands and walks. This gait evaluation shows where pressure builds and whether the ankles or knees move out of alignment. The podiatrist can also check joint motion, muscle strength, and shoe-wear patterns. Imaging tests can identify an injury when the examination raises concern. Treatment focuses on improving balance and reducing harmful pressure. A podiatrist can recommend properly fitted shoes with suitable cushioning or stability. Custom orthotics can guide the feet into a better position and distribute weight more evenly. Follow-up visits allow the podiatrist to track changes and adjust treatment. If you have foot or ankle pain while walking or running, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

If you have any concerns about your feet, contact Josef Elouze, DPM from Elite 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 (Holiday City) Toms River, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Common foot problems in elderly people include arthritis, bunions, and diabetic foot complications. These issues often develop due to the natural aging process, which affects joint health, circulation, and skin integrity. As people age, cartilage can wear down, leading to arthritis and stiffness in the feet. Bunions may form as a result of structural changes and long-term pressure on the joints. Diabetic foot problems can arise when high blood sugar affects nerve function and healing ability. The feet are often overlooked, yet they play a vital role in mobility and overall health.

Symptoms of these conditions may include joint pain, swelling, and difficulty walking. Bunions can cause visible deformity and discomfort, especially while wearing shoes. Numbness, tingling, or slow-healing wounds may indicate diabetic foot problems. Risk factors include aging, reduced circulation, chronic conditions such as diabetes, and wearing improper footwear. Limited flexibility and balance issues can also increase the likelihood of developing foot problems in older adults.

The causes of these conditions are closely linked to the aging process. With age, the body experiences reduced blood flow, thinning skin, and decreased cushioning in the feet. These changes can make the feet more vulnerable to injury and pressure-related conditions. A sedentary lifestyle can further reduce circulation and weaken muscles, making it more difficult to maintain proper foot function. Regular movement, wearing supportive footwear, and maintaining a healthy weight can help reduce stress on the feet and improve overall function.

Prevention focuses on daily foot care, proper hygiene, and routine monitoring for changes in skin or structure. Wearing well-fitted, supportive shoes can help reduce pressure and prevent deformities. Stretching and low-impact activity can support circulation and joint mobility. Early intervention can prevent minor issues from becoming more serious. If you are elderly and have developed foot problems, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

If you need your feet checked, contact Josef Elouze, DPM of Elite Podiatry. Our doctor will attend to all of your foot and ankle needs and provide you with quality treatment.

Geriatrics and Podiatry
When people age, some common issues that may occur are bone density loss, dry skin, poor circulation, and rough brittle nails. These issues may also affect your foot health if the necessary steps are not taken to alleviate the problems.

It is important to take care of your feet because feet that are injured or diseased can affect your overall health. Having painful feet hinders your ability to do daily activities or may decrease your willingness to do the things that you need to do.

Visiting Your Geriatrician
As we age, health problems become more likely, so it is essential to visit your doctor for check-ups to ensure that you are doing the best you can to take care of your health. It is recommended to check your feet frequently for any possible cuts, bruises, swelling, corns or any other irregularities. 

Taking Care of Elderly Feet
Cracked or dry feet can be treated by applying moisturizer often. It is also important not to wear old socks because the older the sock is, the higher the possibility there will be that there is bacteria there. Wear fresh socks and make sure they fit properly.

Proper foot health means that you can have a more active lifestyle and you will not be bogged down by pain. Foot health also leads to good circulation, which is paramount for overall health.

If you have any questions, please feel free to contact our office located in (Holiday City) Toms River, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Heel pain in children often occurs during periods of rapid growth. Sever’s disease is frequently linked to overuse and strain on the developing structures of the foot. Children between the ages of eight and 14 are especially at risk because their bones may grow faster than the surrounding muscles and tendons. This imbalance can place added tension on the heel, leading to irritation and pain. Active children who participate in sports that involve running and jumping may experience this condition more often.

Symptoms of heel pain in children include tenderness at the back or bottom of the heel, discomfort during physical activity, and stiffness after rest. Some children may limp or avoid placing full weight on the affected foot. Pain may increase during sports and improve with rest, but it can return when activity resumes. In some cases, swelling or tightness in the calf muscles may also be present. Early recognition of these symptoms can help prevent worsening discomfort and support proper healing.

The main cause of heel pain in children, often called Sever’s disease, can be related to growth spurts. During their adolescent years, the heel bone grows rapidly, while the surrounding muscles and tendons may not keep pace. This can lead to increased tension on the heel. Repetitive impact from sports and physical activities can further strain the area. Relief often includes stretching exercises to improve flexibility and reduce stress on the heel. Parents should never push children through heel pain, as this can lead to more serious issues.

Risk factors for heel pain in children include high levels of physical activity, tight calf muscles, and participation in sports played on hard surfaces. Early attention is important for maintaining comfort and mobility. If your active child has heel pain, it is suggested that you consult a podiatrist for effective relief and management solutions.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Josef Elouze, DPM from Elite 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 (Holiday City) Toms River, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Heel pain is one of the most common foot problems and can make walking, standing, or exercising uncomfortable. The pain may begin gradually or appear suddenly, depending on the underlying cause. Conditions that can contribute to heel pain include plantar fasciitis, Achilles tendon disorders, and heel pad syndrome. Other causes include stress fractures or nerve irritation. Symptoms may include aching, sharp pain, or tenderness near the bottom or back of the heel. Some people notice discomfort with their first steps after resting, while others experience pain that worsens during activity. Because many conditions can produce similar symptoms, a professional evaluation is important to determine the exact cause and recommend the most appropriate treatment.

The heel absorbs significant force with every step, making it vulnerable to repeated stress and overuse. Persistent heel pain can affect the way a person walks, placing additional strain on nearby joints and soft tissues. This may lead to discomfort in the ankle, knee, or hip. A thorough examination helps identify which structures are involved and whether inflammation, tissue injury, or another condition is responsible for the symptoms. In some cases, imaging studies may be recommended to confirm the diagnosis. Identifying the source of heel pain early allows treatment to begin before the condition becomes more severe or limits daily activities.

A podiatrist specializes in diagnosing and treating heel pain by evaluating foot structure, walking mechanics, and overall function. Treatment is tailored to the underlying condition and focuses on relieving pain, improving mobility, and restoring normal foot function. Early podiatry care may also help reduce stress on surrounding tissues and lower the risk of ongoing problems. Regular follow-up exams allow progress to be monitored and treatment to be adjusted when needed. If heel pain is affecting your ability to walk or participate in daily activities, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Many people suffer from bouts of heel pain. For more information, contact Josef Elouze, DPM of Elite 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 (Holiday City) Toms River, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.