My Blog

By Michael Guerra, DPM
April 03, 2019
Category: Foot Care
The human foot and ankle contain 33 joints, 26 bones and over 100 tendons, ligaments and muscles. While all of these parts of the foot should work together, there are certain conditions, injuries and diseases that can affect the health and functioning of your foot or ankle. There are many instances in which you should turn to a podiatrist for individualized care that you can trust time and time again.
From routine visits to managing long-term conditions to surgery, a podiatrist is equipped to treat just about everything. Here are some foot issues that could benefit from coming in for specialized care:
  • Plantar fasciitis
  • Achilles tendinitis
  • Heel pain
  • Ankle sprains and fractures
  • Foot fractures
  • Sports-related injuries
  • Bunions and hammertoes
  • Corns and calluses
  • Diabetic foot care
  • Fungal infections
  • Ingrown toenails
  • Heel spurs
Our number one goal is to provide you with the relief that you need. Whether you are suffering from heel pain or you think your feet could benefit from prescription orthotics, a podiatrist can help determine the best course of action for treating your issues. When you come into our office we will always have a listening ear, so that we understand your questions and concerns. 
We also like to provide our patients with the very latest and greatest technologies and techniques. We understand the importance of options and being able to provide laser treatments and other non-surgical therapies to treat conditions is important to our patients. Whether you are an athlete or 9-5er, we treat clients with a host of different needs, lifestyles and issues. Everyone from children to senior citizens can benefit from the unique and customized foot care a podiatrist offers.
We are here to help diagnose, treat or manage your foot condition. If you are dealing with foot or ankle problems contact your podiatrist for help.
By Michael Guerra, DPM
March 15, 2019
Category: Foot Care

Toenail fungus can become a serious foot condition if not diagnosed and taken care of immediately.

Laser Toenail Fungus TreatmentToenail fungus is when toenail, fingernail, or even skin under a nail, is infected. Your South Burlington, VT, podiatrist can help!

Fungi, yeasts, or molds may result in toenail infection. Fungi thrive in warm, moist places, so try taking the following precautions:

Avoid using direct contact with public showers and pools, which are great places for fungi to thrive. Avoid using nail clippers used by someone who has a toenail fungus. Take proper care of nail injury, or fungus will infect the rest of the toe with ease.

The dangers of not properly caring for your feet and already-existing toe-nail fungus are:

  • Widespread infection
  • Spread of fungus
  • Nail loss
  • Foot pain

Be sure to look out for the darkened, yellow, or white toenail, thick or brittle nail, and nails split from the nail bed. They're indicators of a more severe issue.

Treatments in South Burlington, VT

There are at-home and prescribed treatments, depending on how bad the infection. Treatments include topical and oral anti-fungal treatments that can suppress infection and symptoms.

Laser treatment

The FDA-approved laser beams over the infected nail. The pigmentation present in the fungi absorbs the laser's light which creates heat that kills organisms in the toenail.

There aren't any studies that indicate negative side effects to laser treatment for nail fungus; it doesn’t harm soft, healthy tissue near the infected nail bed. The laser treatment for nail fungus isn't painful, takes approximately 45 minutes, the toenail takes 6 to 9 months to show results, and you can walk out easily.

Fungal treatment shouldn't be difficult but, as mentioned before, if certain sever symptoms manifest, you need to contact your podiatrist. For more information or to schedule an appointment for laser treatment for nail fungus in South Burlington, VT, call your podiatrist at (802) 862-8666 today!

By Michael Guerra, DPM
March 06, 2019
Category: Foot Condition
Is heel pain keeping you down? Pain that occurs following an injury or early in an illness may play a protective role, warning us about the damage we have suffered. SoYour Heel Pain Could Be Plantar Fasciitis what causes heel pain?
Plantar fasciitis is a foot condition in which a band of tissue in the sole of the foot becomes inflamed, leading to severe heel pain. The pain can be so bad that it hurts to walk, much less exercise or perform daily activities. If one step causes shooting pain in your heel—especially when you first get out of bed in the morning or stand up after sitting for a long period of time—plantar fasciitis may be to blame. Contact your podiatrist immediately for proper diagnosis and treatment of your pain. 

Understanding Heel Pain with Help from Your Podiatrist

Plantar fasciitis, or heel pain, occurs when the plantar fascia is strained over time beyond its normal extension. This causes the soft tissue fibers of the fascia to tear or stretch at points along its length, leading to inflammation, pain and possibly the growth of a bone spur where it attaches to the heel bone.
Inflammation may become irritated by shoes that lack appropriate support, mainly in the arch area and by the constant irritation associated with an athletic lifestyle. Resting may provide temporary relief, but when you resume walking you may experience a sudden elongation of the fascia band, which stretches and pulls on the heel. As you walk the pain may lessen or even disappear, but that may just be a false sense of relief, as the pain will often return after prolonged rest or extensive walking.  
You can take steps now to avoid heel pain, including:
  • Wear shoes that fit well
  • Wear proper shoes for each activity
  • Do not wear shoes with excessive wear on heels or soles
  • Prepare properly before exercising by stretching and warming up
  • Pace yourself when you participate in athletic activities
  • Don’t underestimate your body’s need for rest and good nutrition
  • Lose excess weight
If pain and other symptoms of inflammation persist, you should limit your normal daily activities and contact your podiatrist immediately.  
By Michael Guerra, DPM
February 05, 2019
Category: Foot Care

Heel pain is one of the most common complaints a podiatrist hears about from patients. If you are dealing with heel pain above the heel bone then you could be dealing with Achilles Tendonitis, a result of overuse. The Achilles tendon is the longest tendon in the body and it serves to connect the muscles of the calf with the lower leg and heel bone.

While Achilles Tendonitis tends to occur most often in runners, this condition can still occur in athletes that play certain sports such as soccer or tennis. Unfortunately, this tendon does weaken as we get older, which makes at an increased risk for developing this overuse injury as we age.


What are the symptoms of Achilles Tendonitis?

The most obvious symptom of Achilles Tendonitis is pain above the heel bone. When the pain first appears it’s usually pretty mild and you may only notice it after running; however, over time you may notice that the pain gets worse after certain exercises. Along with pain you may also experience stiffness or tenderness in the heel, especially in the morning or after long periods of sitting.


When should I see a podiatrist?

If this is the first time that you’ve ever experienced heel pain then it’s a good idea to turn to a foot doctor who can determine whether Achilles Tendonitis is causing your symptoms or whether it’s something else. If you’re experiencing chronic heel pain around the Achilles tendon it’s also a good time to see a doctor. If the pain is severe or you are unable to put weight on your foot it’s possible that you might be dealing with a ruptured tendon, which requires immediate attention.


How do you treat Achilles Tendonitis?

In most cases, Achilles Tendonitis can be treated with simple self-care options. Unless symptoms are severe you may be able to treat your heel pain by:

  • Taking over-the-counter pain medications
  • Avoiding high-impact activities or activities that exacerbate symptoms
  • Elevating the foot to reduce swelling
  • Performing stretching exercises or undergoing physical therapy
  • Icing the heel
  • Wearing custom orthotics
  • Replacing worn-out shoes, especially running shoes

Surgery is only necessary if your symptoms aren’t responding to any other nonsurgical treatment options after several months or if the tendon is torn.


If you think your heel pain could be the result of Achilles Tendonitis then it’s time to turn to a podiatrist as soon as possible. A podiatrist can provide you with a variety of treatment options, from simple lifestyle modifications to custom orthotics.

By Michael Guerra, DPM
January 11, 2019
Category: Foot Condition
Tags: Heel Pain  

Find out when to turn to a podiatrist to treat your heel pain.

Heel pain will happen to most people at some point during their lifetime; however, if this is the first time you are dealing with heel pain you may not know what’s going on or how to treat your symptoms. This is where our South Burlington, VT, podiatrist Dr. Michael Guerra can help you.

So, what could be causing your heel pain?

While there are many reasons why you might be dealing with this symptom the most common cause of heel pain is a condition known as plantar fasciitis, which causes inflammation of the plantar fascia. The plantar fascia is a thick band of tissue that runs along the soles of the feet and it also supports the arches of the foot.

What causes plantar fasciitis?

When there is too much pressure applied to the foot it can cause microtears within the plantar fascia, which leads to a throbbing and stabbing heel pain. Athletes, those with flat feet and those with high arches are particularly prone to developing plantar fasciitis.

What are the symptoms of plantar fasciitis?

The most common symptoms associated with plantar fasciitis are heel pain and stiffness, which is usually worse in the mornings or after sitting for long periods of time. The pain may ease up throughout the day.

When should I see a podiatrist?

If you have had plantar fasciitis before then chances are good that you’ll know when another bout flares up. In this case, you may choose to ease your symptoms and promote faster healing with simple at-home measures such as rest. Of course, if this is the first time you’ve ever experienced this type of heel pain, or if at-home care isn’t giving you the relief you need, then it’s important to turn to our South Burlington, VT, foot doctor as soon as possible.

If heel pain is affecting your daily routine or quality of life then it’s important that you turn to our South Burlington, VT, foot and ankle specialists to help get you back on your feet. Foot pain isn’t normal! Let our team at Burlington Podiatry help.

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