07 Oct


Posted in Heel Pain, Plantar Fasciitis

Enjoy daylight after work for a few more weeks.

Daylight savings time ends November 2. You don’t have to get on that trainer or treadmill yet.  Here are some tips for exercising outdoors in the fall.
1. Wear reflective gear on moving body parts (shoes, socks, hands)
2. Wear a headlight with a rear flashing red light.
3. Avoid the roads and enjoy local trails and parks. 
4. Increase the intensity of your exercise and shorten the time. Many people see more desirable results when they add interval type workouts to their routine. (http://www.runnersworld.com/workouts/quick-workouts-in-just-20-minutes?cid=socTP_20141002_32652116)
5. Don’t be afraid of the dark. Exercising at night can provide a different perspective on your workout and refresh your interest.
Remember we are here for you if you have any foot or ankle pain. 

Local Walk/Jog/Run Events this fall

Crozet - Crozet Trails Crew Trail 5K / October 11th
Waynesboro - Fall Foliage Race 5k & 10k / October 11th
Roseland (Devil’s Backbone Brewery) - The Blue Ridge Burn / October 11th
Charlottesville - Color Me Cured 5k / October 18th
Stuarts Draft - Jack-O-Lantern Jog / October 24th
Waynesboro - Howl-o-Weenie 5k  / October 25th
Charlottesville  -  DANGER! ZOMBIES! RUN! 5K / October 26th
Staunton (Frontier Cultural Museum) - 5k MAD Zombie Run/Walk / October 18th
Staunton - Illuminate 5K Run/Walk / October 18th

Need help with your shoe selection?  Click here for some help.


Blue Ridge Foot and Ankle Clinic has been a part of the Waynesboro and Charlottesville communities for over 20 years. Podiatrists Dr. Kevin Murray and Dr. Stewart Chang offer services in sports podiatry, foot and ankle problems and diabetic foot care. Our friendly, accommodating team of Certified Podiatric Medical Assistants look forward to welcoming you to our practice.

You can also visit us @ www.brfootandankle.com

887 A Rio East Court  Charlottesville, VA 22901
66 Parkway Lane Suite #102
Fishersville, VA 22939

No Comments »

29 Jul

Plantar Fasciitis Information & Treatment

Posted in Heel Pain, Plantar Fasciitis

PF.INTERNALPlantar Fasciitis

A common, yet no less painful, injury, plantar fasciitis refers to the inflammation of the plantar fascia, the connective tissue that runs along the bottom of the foot and creates the arch of the foot. The plantar fascia helps to support the arch of the foot, taking pressure off the arch when the foot bears weight. Experts suggest that the plantar fascia supports up to 14% of the pressure exerted on the foot. During activity, the plantar fascia acts like a spring, propelling us forward as we take steps.

Inflammation of the plantar fascia is called plantar fasciitis, and occurs when the plantar fascia is over stretched or over used. Causes include foot arch problems, obesity or sudden weight gain, long-distance running, especially running downhill or on uneven surfaces, a tight Achilles tendon, and shoes with poor arch support or soft soles. Plantar fasciitis is one of the most common injuries treated among the running population.

Plantar fasciitis is frequently diagnosed in men between ages 40 and 70 years, however, it is such a common podiatric injury that it is seen across the board with various age groups and genders. The symptoms of plantar fasciitis include pain and stiffness in the bottom of the heel, which can be either dull or sharp, ache or burn. Patients commonly complain that the worst pain is felt in the morning, but also after standing or sitting for long durations, while climbing stairs or after intense activity.

Here is the unfortunate catch to plantar fasciitis: while it does not hurt during activity, activity is exactly what causes the pain. Plantar fasciitis will hurt during recovery from a workout, or after waking up in the morning. Despite not hurting during running or activity, be aware that running only causes further damage to the plantar fascia. The cold, hard truth of the matter is that you cannot run through plantar fasciitis – running will only make your injury worse.

Diagnosis and treatment for plantar fasciitis vary. You can expect your podiatrist to perform a physical exam to provide clues from your foot’s physiology – flat feet or high arches, for example. Tenderness in the bottom of the foot, mid-foot swelling, redness, and stiffness are indicators of plantar fasciitis. Your podiatrist may also take X-rays to rule out other problems. Treatment regimens include taking non-steroidal anti-inflammatory meds (NSAIDs), such as Ibuprofen, Advil, Motrin, or Aleve, that work by blocking enzymes that stimulate swelling to reduce pain caused by inflammation, heel stretch exercises, mid-foot massage, plenty of rest, and ensuring that you are wearing supportive and cushioned shoes. Applying ice at least twice a day for 15 minutes at a time will help reduce inflammation and pain, and padding such as heel cups, foot pads, shoe inserts and custom made orthotics will help everyday activity. Night splits will enable your plantar fascia to stretch and heal, and let you get up in the morning pain free. In more severe cases, boot castes may be prescribed, and even steroid shots or injections may be given. If pain continues, in very extreme cases, your podiatric surgeon may suggest surgical methods.

In general, to prevent plantar fasciitis, make sure your ankle, Achilles tendon and calf muscles are flexible. Please continue to read the rest of our site, Heel Pain Center of Virginia, for more information on Plantar Fasciitis and other injuries to the heel.

You can also visit us @ www.brfootandankle.com


887 A Rio East Court  Charlottesville, VA 22901
66 Parkway Lane Suite #102
Fishersville, VA 22939




No Comments »

14 Mar


Posted in Heel Pain, Plantar Fasciitis



Cold laser therapy is a relatively new technology (30 years old) when compared to acupuncture which has been used since 8000-3500 B.C. Just like the abacus evolved into the computer, slowly needles are evolving into light. Recent innovations in low-level lasers now make it possible for the average physician or consumer to own cold laser equipment. Cold lasers are sometimes called Low Level Lasers (LLL) or soft lasers.

In general, cold lasers can be used in 2 distinct ways:

  • Targeting acupuncture trigger points (similar to acupuncture but without the needles)
  • Broad coverage of deep tissue with laser photons to stimulate changes in the tissue

Cold Laser therapy offers a non-intrusive option to acupuncture and surgery. It also provides a non-addicting treatment that eliminates the complications of long-term drug treatment programs. Cold laser are widely use for treatment of:

  • Acute and chronic pain
  • Ligament sprains
  • Muscle strain
  • Soft tissue injuries
  • Tendonitis
  • Arthritis
  • Tennis elbow
  • Back pain
  • Bursitis
  • Carpal Tunnel Syndrome
  • Fibromyalgia

Healing With Cold Lasers

The cold laser produces an impulse of light at a wavelength (approximate 900nm) that maximized the energy (in photons) at a desire depth, usually 10-13cm (4-5 inches) deep. This may be combined with other laser diode with a shorter wavelength (875nm) to add photons to the shallower levels of tissue. In addition, red light diode with a wavelength of 660nm may be used to add energy to even shallower levels of tissues.

The goal of laser therapy is to deliver light energy units from infrared laser radiation, called photons, to damaged cells. It is the consensus of experts is that photons absorbed by the cells through laser therapy stimulate the mitochondria to accelerate production of ATP. This biochemical increase in cell energy is used to transform live cells from a state of illness to a stable, healthy state.

Over 4000 studies have been conducted in recent years to validate the effectiveness of cold laser therapy. Cold lasers treatment systems may be cleared by the FDA.

Benefit of Cold Lasers

  • Easy to apply
  • Extremely safe
  • Non-Toxic
  • Non-Invasive
  • No side effects or pain
  • Cost effective for both the practitioner and patient
  • Highly effective in treating ailments (more than 90% efficacy)
  • Superior alternative to analgesics, NSAID’s and other medications
  • Reduces the need for surgery

General Therapeutic Laser Biological Effects

  • Increased Cell Growth: Laser photons accelerates cellular reproduction and growth.
  • Increased Metabolic Activity: Photons initiate a higher outputs of specific enzymes, greater oxygen and food particle loads for blood cells and thus greater production of the basic food source for cells, Adenosine Tri-Phosphate (ATP).
  • Faster Wound Healing: Cold laser photons stimulates fibroblast development and accelerates collagen synthesis in damaged tissue
  • Anti-Inflammatory Action: Laser photons reduce swelling caused by bruising or inflammation of joints resulting in enhanced joint mobility.
  • Increased Vascular Activity: Laser photons induce temporary vasodilation that increases blood flow to effected areas.
  • Reduced Fibrous Tissue Formation:Laser photons reduce the formation of scar tissue following tissue damage from: cuts, scratches, burns or post surgery.
  • Stimulated Nerve Function: Laser photon exposure speeds the process of nerve cell reconnection to bring the numb areas back to life.

Types of Cold Lasers

Class I – III continuous and modulated lasers

The fixed level of power is too low to deliver photons beyond the surface of the skin, making them ineffective in delivering photons to deep tissues. This includes laser pointers and other low cost laser diodes.

Class IV Continuous Lasers

The increase in the power of class IV continuous wave lasers increases the photon delivery to deep tissues. Unfortunately, it also increases the amount of the heat generated. This heat increases the potential risk of destructive thermal effects. Class IV laser may result in damage to the retina requiring clinicians to exercise additional FDA implemented controls to ensure patient and practitioner safety. This can include a safely lock on the device to prevent accidental exposure.

Modulated Lasers (Class II to IV) Modulating or super-pulsing the laser output power (turning it on and off in less than 1 billionth of a second) provides a unique combination of benefits. It allows the use of very high power levels (up to 50 watts) while insuring that there is no heat or damage. The ratio between the on and off times is call the duty cycle. In general a super pulsed laser class II laser can provide more power to the treatment area than a class IV continuous lasers without a risk of damage. Modulated lasers provide a good combination of safety and power.


Today, lasers are used extensively in the medical industry for everything from cosmetic surgery, eye surgery and heart surgery. The ability to put just the right amount of energy into a critical area of the human body has been a huge advancement in the medical field. Cold lasers are an important addition to these other established medical laser treatments and the recent development of low-cost professional cold lasers means that cold laser therapy will be a rapidly growing medical treatment option.

Source: ColdLasers.org

No Comments »

23 Feb

APMA Footprints: Heel Pain

Posted in Heel Pain, Plantar Fasciitis

The Spring 2012 edition of APMA Footprints is now available and it focuses on Heel Pain! CLICK HERE to download a PDF copy.

No Comments »