Foot pain

Foot and ankle pain affects a large part of the population at any given time and can be quite disabling. Even if your pain doesn’t keep you from work or play, it can significantly affect your quality of life.

I frequently have patients that are surprised when I give them exercises, medications or other lifestyle modifications to help with their foot and ankle pain. They are often even more surprised when their pain gets better with simple changes! Many of the conditions that cause significant pain in the foot and ankle result from mild biomechanical imbalances and can be addressed without surgery.

happy foot

As an orthopedic foot and ankle surgeon, I consider myself an expert in treating disorders of the bones, muscles, tendons, and ligaments of the foot and ankle. Taking care of foot and ankle problems can be challenging and requires extensive knowledge of the anatomy and biomechanics of not only the foot and ankle, but the entire body. Knowing how to expertly perform the surgery is important, but perhaps more important is knowing when it is appropriate. My approach is to use surgery as a last resort when non-surgical options have been exhausted.

If you have been dealing with pain, instability or weakness in the foot and ankle, come see me, Eric R. James, MD at Sarasota Orthopedic Associates to discuss the options we have to get you back on your feet, back to work, back in the game, and back to life. We have three locations in Sarasota, Lakewood Ranch, and Venice and offer same day appointments.

dr james cropped  Eric R. James, MD / Orthopedic Foot & Ankle Surgeon



    1. Your question was posed to our Orthopedic Foot and Ankle Surgeon, Eric James, MD. His reply:
      Based on the question, I assume this is referring to posterior tibial tendinits. The posterior tibial tendon is located on the inner portion of the foot and ankle and connects to the medial (inside) portion of the midfoot. Tendinitis in this tendon is quite common and can result from overuse, injury or abnormal foot positioning. The treatment for posterior tibial tendinitis depends on the severity of damage to the tendon. Many treatment methods may be required to improve the pain, but a combination of anti-inflammatory medications and strengthening of the tendon through physical therapy is commonly used. Periods of immobilization using a boot or cast, orthotics and occasionally surgery may be necessary if other treatments are not successful.

    1. Annabel, Dr Eric James responds to your question: The treatment of tendinitis depends on which tendon is involved and what is the underlying abnormality causing the tendon to be irritated. Rest, short periods of immobilization and various methods to reduce inflammation are typically the starting point of treatment. After the initial inflammation is somewhat resolved, the tendon needs to be strengthened and allowed to work in its most efficient position. For this, we often use physical therapy and at times, bracing or orthotics. Each case is a bit different, but the general pathway is reduction of inflammation then strengthening of the tendon.

  1. hi there,

    for some reason I am getting pain all over my feet and I am just sure if it’s Normal or not but here’s the thing, When I sit or lay down and have my feet up of the floor the pain is starting to easy off very slow but as soon one part of my skin is on that floor the pain starts like mad. I had been to the Doctors and there is not much they can do apart from just to take it easy and try not to put to much strain onto the foot btw I did brake my right leg 3x times in the same place so unless that has something to do about it who knows.

    1. Nathan, pain is not normal, particularly chronic pain. Perhaps you should seek a second and even a third opinion. There are many treatments available but without a personal consultation along with xrays, we would be remiss to make suggestions as to a diagnosis. Be well and take care.

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