My Blog

Posts for category: Pain

By Dr. Steven Miller
November 15, 2016
Category: Pain
Tags: Muscle   sore   strain   DOMS  

Delayed onset muscle soreness (DOMS) is an aching pain felt most strongly 24 to 72 hours after the activity. The pain is felt only when the muscle is used, not when resting.

When your legs hurt immediately after a marathon, it’s not DOMS. However, when find yourself unable to walk downstairs the next morning, you’re experiencing DOMS.

Most believe DOMS develops as a result of microscopic damage to muscle fibers.  The severity of soreness normally becomes less with repetition. Therefore, practice good uphill and downhill running techniques when training for the Boston Marathon.

Unlike DOMS, a muscle strain (or pulled muscle) is an acute injury as a result of tearing a muscle. Immediate pain as a result of lifting a heavy object is typical.

If you need to schedule an evaluation, you can call (847) 675-3400 or go to


July 30, 2015
Category: Pain
Tags: feet   shoe   pronation   knee  

Foot Type Diagram"Foot pain is common in people with knee osteoarthritis (OA)" is the conclusion of a new study published in Arthritis Care and Research.


Caveat emptor (Latin term that means "buyer beware").


Some of the authors of this study are from the University of Melbourne in Australia and receive royalties from the sales of the “Gel-Melbourne OA” shoe manufactured for sale in Australia by Asics.


The manufacturer states that “while most sports and walking shoes are made to resist the inward roll or over-pronation of the foot, this shoe is the opposite and encourages pronation of the feet.”


The theory is that pronation can reduce stress and discomfort on the inner (medial) side of the knee. However, this may create other problems such as exacerbating flat feet.


If you need specific guidance on the most appropriate shoes for your foot structure, please schedule an appointment with Dr. Miller by calling (847) 675-3400 or by clicking


By Skokie Foot & Ankle Specialists, Ltd.
October 03, 2014
Category: Pain
Tags: pain   heel   child   fasciitis  

Heel painThe most common form of heel pain experienced by adults is plantar fasciitis, often referred to as heel spur syndrome.  This is due to inflammation of the plantar fascia that is attached to the heel bone.  This pain is often intense when getting out of bed or after a long period of sitting.

Heel pain in children is usually not related to the plantar fascia.  Calcaneal apophysitis, also known as Sever’s disease, is a common cause of pediatric heel pain.  This is an inflammation within the heel bone growth plate, worse with activity.

For both adults and children, the best way to determine the cause of one’s heel pain is an examination and x-rays.(X-rays can be done in our office.) This will help distinguish it from other causes such as a stress fracture and insertional Achilles tendonitis. Treatment may require inserts, change in footwear, and anti-inflammatory medication.

Dr. Steven Miller treats both adults and children at his easy-to-reach office in Skokie, next to Old Orchard Shopping Mall and Edens Expressway.  If you or a family member are suffering with heel pain, you can schedule an evaluation by calling (847) 675-3400 or by clicking here.

Years ago my grandmother purchased diclofenac gel (an anti-inflammatory medication) while visiting family outside the United States. Eventually she ran out and asked me to obtain some for her locally. I informed her that it was not yet approved for sale in the United States. A few days later a patient in my office told me that she purchases it in Mexico and would be traveling there shortly. When she returned, she gifted a tube to her and I am forever grateful.

At the time of that story, the primary preparation of diclofenac in the United States was tablets. Now we also have gel and patch formulations available. The gel is applied four times daily and the patch twice daily. (Both of these have online discounts available, at and respectively.)

For more information about anti-inflammatory medication, please contact Dr. Miller by calling (847) 675-3400 or via this website ("Contact Us" link at the top of this page).

By Dr. Miller
February 03, 2013
Category: Pain
Tags: pain   clot   arteries  

“I, Barack Obama, President of the United States of America, do hereby proclaim February 2013 as American Heart Month.”

I would like to add a “footnote” (pun intended).

Everyone knows the seriousness of a heart attack: damage caused by a lack of blood supply to the heart for an extended time. But how many people know that they can get the same clots in the blood vessels to their feet?

Just like for the heart, exercising regularly, quitting smoking, and limiting dietary fat reduces the progression of this disease called Peripheral Arterial Disease (PAD).  New treatment options (medications and procedures) have made it now possible to reverse symptoms.

What are the symptoms?

  • Feet feel cool to touch.
  • Leg pain or cramping when walking.
  • Foot pain during the night.
  • Sores that do not heal.

If any of these apply to you, please come in right away. PAD is treatable as long as tissue damage doesn’t develop. Just like the chest pain that precedes a heart attack, don’t ignore these warning signs!