Whether an athlete is a recreational, competitive, or elite runner, foot and ankle health is essential for optimal performance.  Runners are susceptible to overuse injuries including heel pain (plantar fasciitis), Achilles tendonitis, sesamoiditis, neuromas, MPJ capsulitis, stress fractures, posterior tibial tendonitis (or PTTD), and calcaneal apophysitis in children/adolescents.  Evaluation by a foot and ankle surgeon will help the athlete determine the underlying cause of pain and the best course of treatment. Custom orthotic devices are often used for treatment of these conditions.