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December 2017

Tuesday, 09 May 2023 00:00

Flip Flops and Feet

Flip flops are often a popular choice of footwear for many people. Flip flops allow your feet to breathe and give your toes the freedom of movement. They are easy to slip on and can be worn with virtually any style of clothing. Flip flops, however, despite their many benefits, can be detrimental for your foot health.

Despite their comfortableness, frequently wearing flip flops can create problems in the lower body over time. Issues mainly stem from the fact that people walk differently in flip flops compared to other footwear, such as sneakers. This is due to a change in one’s natural gait, which therefore creates stress in different parts of the body while hindering the body’s natural posture. Problems can also arise in the arches and balls of the feet. Flip flops provide little to no support to these areas.

Aside from long-term problems, flip-fops can also create short-term issues as well, such as ankle sprains and blisters. Weak materials that are flexible and bendable are generally used to manufacture flip flops. These materials make its wearers prone to both tripping and injuring their ankles. Flip flops can create blisters as the material rubs against the foot. People are much more at risk for infection while wearing flip flops due to their openness. This also makes it easier to scrape and cut the foot since there is a lack of protection. If these cuts are left untreated and uncovered, the risk then becomes greater.

To prevent the aforementioned occurrences, purchase a pair of flip flops that offer significant protection. The soles of the flip flops should not be floppy, but sturdy and firm, and should not significantly bend or wiggle when lifted from the floor. Flip flops made of high-quality materials will not be affected by this problem. While higher quality flip flops may be more expensive, they will last longer and provide better protection compared to a cheaper pair. Brand name flip flops sold from a quality manufacturer are a dependable option.

There is no problem in wearing your favorite pair of flip flops so as long as you do not wear them daily or for extended periods of time. Flip flops should be replaced every 3-4 months to ensure that they provide your feet with the best protection.

Published in Featured
Tuesday, 09 May 2023 00:00

Flip-Flops and Heel Pain

Flip-flops are often worn at the beach or around pools, but they are also worn as regular summertime footwear. These sandals are often thin-soled and offer little arch and foot cushioning support. Wearing these types of shoes long-term can lead to painful plantar fasciitis, which is a condition that affects the plantar fascia. This is the band of tissue that runs from the heel to the toes on the bottom of the foot, and may endure small tears or become overstretched. Plantar fasciitis can cause severe foot pain, particularly with the first steps after arising from sleep, or from walking for a prolonged period. If plantar fasciitis is not treated, a heel spur can develop, further irritating the foot. Flip-flops should be left for protecting feet in locker rooms or around the water, and more supportive shoes should be worn for other activities. If you have developed plantar fasciitis from wearing flip-flops, it is suggested that you consult with a podiatrist who can help you with treatment options, and recommend better summertime footwear.

Flip-flops can cause a lot of problems for your feet. If you have any concerns about your feet or ankles, contact Dr. Jonathan Kletz from Texas Foot Works. Our doctor will assist you with all of your foot and ankle needs.

Flip-Flops and Feet

Flip-flops have managed to become a summer essential for a lot of people. While the shoes may be stylish and easy to slip on and off, they can be dangerous to those who wear them too often. These shoes might protect you from fungal infections such as athlete’s foot, but they can also give you foot pain and sprained ankles if you trip while wearing them.

When Are They Okay to Wear?

Flip-flops should only be worn for very short periods of time. They can help protect your feet in places that are crawling with fungi, such as gym locker rooms. Athlete’s foot and plantar warts are two common fungi that flip-flops may help protect your feet against.

Why Are They Bad for My Feet?

These shoes do not offer any arch support, so they are not ideal for everyday use. They also do not provide shock absorption or heel cushioning which can be problematic for your feet. Additionally, you may suffer from glass cuts, puncture wounds, and stubbed toes since they offer little protection for your feet.

More Reasons Why They Are Bad for Your Feet

  • They Slow You Down
  • May Cause Blisters and Calluses
  • Expose Your Feet to Bacteria

If you have any questions, please feel free to contact one of our our offices located in Dallas, Athens, and Gun Barrel City, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Published in Blog
Tuesday, 02 May 2023 00:00

Biomechanics in Podiatry

Podiatry is a branch of medicine that deals with the study, diagnosis, and treatment of foot and ankle conditions. There are various subdivisions in podiatry; biomechanics is one of them. Biomechanics is the way in which the bones, muscles, and joints of the feet and lower limb interact with each other.

Our feet play crucial roles in the way we move, and it is rare to have feet that are completely symmetrical. Common biomechanical issues include high or low arches or uneven leg heights. Excessive pronation often leads to fallen arches, or flat feet, and is a common cause of running injuries. People whose feet are over-pronated tend to have flexible and unstable feet. Pain is usually experienced during walking and running.

At times, people may be able to adapt to these abnormalities without any difficulties, but in other cases, these issues can cause a great deal of pain. This pain occurs because the joints, muscles, ligaments, and tendons are put under an excess amount of stress during movement. Common symptoms of biomechanical problems stemming from the feet include hip pain, knee pain, leg cramps, ankle pain, lower back pain, weak ankles, tripping, heel pain, Achilles pain, and shin splints.

Many biomechanical issues can be treated with orthotics. Orthotics are shoe insoles that are used to help control the way the foot operates.  They can provide relief from foot pain, heel pain, and knee pain. Depending on your specific case, you may need to purchase over-the-counter orthotics or custom orthotics to fit your feet. Your podiatrist will be able to prescribe the perfect orthotic for your feet to help you walk around with ease.

Gait is defined as the way we move our bodies from one point to another. This is usually done by either walking or running. Gait analysis is a method used to assess the way we walk or run to highlight biomechanical abnormalities. Gait analyses are a great way to take a detailed look at how you walk and how your foot moves while you walk. An examination of the feet will help your podiatrist understand why you are suffering pain in other parts of your body.

Published in Featured
Tuesday, 02 May 2023 00:00

What Is Morton’s Toe?

Despite being relatively small parts of the human body, the toes are critical to maintaining the health of the body and feet. The toes may be susceptible to many conditions, including hammertoe, ingrown toenails, and toenail fungus. Many patients may not be familiar with a condition known as Morton’s toe. This condition is present in a patient when their second toe is longer in length than their big toe. Therefore, Morton’s toe is defined by the relative lengths of the second and big toe. Interestingly, women are more predisposed to this condition than men. As a result of having Morton’s toe, an individual may be at an increased risk of developing calluses on the feet. Having the condition may also lead to a somewhat uneven distribution of weight. If you are living with Morton’s toe, it is recommended that you contact a podiatrist today for treatment and advice. 

If you have any concerns about your feet, contact Dr. Jonathan Kletz from Texas Foot Works. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

  • Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
  • In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

If you have any questions please feel free to contact one of our our offices located in Dallas, Athens, and Gun Barrel City, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Published in Blog
Tuesday, 25 April 2023 00:00

Foot and Ankle Surgery

When conservative, noninvasive methods prove ineffective, surgery may be selected as the next course of action for the treatment of your foot or ankle condition.  A wide number of foot and ankle surgical procedures exist, and it is up to your podiatrist to determine which intervention will be most appropriate and helpful for your case.  Some surgical procedures include bunion surgery, fusion, hammertoe surgery, heel spur surgery, metatarsal surgery, nail surgery, neuroma surgery, reconstructive surgery, skin surgery, and tendon surgery.  Typically, surgery is turned to as a definitive way to alleviate excessive pain or discomfort and to return your foot to full mobility.

Regardless of the location on the body, all surgical procedures require preoperative testing and examination to ensure the surgery’s success and preferred outcome.  A review of your medical history and medical conditions will take place, as will an evaluation of any current diseases, illnesses, allergies, and medications.  Tests such as blood studies, urinalyses, EKG, X-rays, and blood flow studies may be ordered.  Because the procedure involves the foot and/or ankle, the structures of your feet while walking may also be observed by your podiatrist.

Care post-surgery will depend on the type of surgical procedure performed.  Typically, all postoperative care involves rest, ice, compression, and elevation.  To improve and ensure a safe recovery, your foot and ankle surgeon may also employ the use of bandages, splints, surgical shoes, casts, crutches, or canes.  He will also determine if and when you can bear weight.  A timely and thorough recovery is a priority for both you and your podiatrist, and carefully following postoperative instructions can help achieve this.  

Published in Featured
Tuesday, 25 April 2023 00:00

Do I Need Ankle Fusion Surgery?

Ankle pain hurts and can negatively impact daily activities. There are various reasons one might have ankle pain, and having surgery performed may be an option for permanent relief. Ankle fusion surgery is described as a procedure that combines the bones of the ankle by using screws, plates, or possibly bone grafts. This is primarily done to reduce ankle arthritis, and is generally chosen as a last resort option. It may also be done to treat abnormal ankle structure, infections, or a failed ankle replacement. The benefits that may be gained by having this type of surgery performed can include improved foot stability, permanent pain relief, and it may be easier to complete daily activities. Additionally, the overall quality of life may be improved, and possible disability may be reduced. If you have ankle arthritis, it is suggested that you consult with a podiatrist who can determine if ankle fusion surgery is best for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Jonathan Kletz of Texas Foot Works. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions please feel free to contact one of our our offices located in Dallas, Athens, and Gun Barrel City, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Published in Blog
Tuesday, 18 April 2023 00:00

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome is a condition in which there is a compression of the posterior tibial nerve. The posterior tibial nerve runs along the inside of the ankle into the foot. Tarsal tunnel syndrome is named for the tarsal tunnel, which is a thin space along the inside of the ankle beside the ankle bones. This space contains various nerves, arteries, and tendons, and includes the posterior tibial nerve. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome the tibial nerve is compressed, causing tingling or burning, numbness, and pain.

Common causes of tarsal tunnel syndrome involve pressure or an injury. Injuries that produce inflammation and swelling in or around the tunnel may place pressure on the posterior tibial nerve. Direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or trauma to the tibial nerve, can result in tarsal tunnel syndrome. Diseases that damage nerves, such as diabetes or arthritis, may cause tarsal tunnel syndrome. Those with flat feet are at risk for developing the condition, as the extra pressure and strain placed on the foot may compress the posterior tibial nerve.

Feeling different sensations in the foot at different times is a common symptom of tarsal tunnel syndrome. An afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg. Symptoms are primarily felt on bottom of the foot and/or the inside of the ankle. Symptoms can appear suddenly and may occur due to overuse of the foot.

To diagnose tarsal tunnel syndrome, your podiatrist may examine the foot and tap the posterior tibial nerve to see if symptoms surface. He or she may also order an MRI to determine if a mass is present.

Treating tarsal tunnel syndrome will depend on the decision of your podiatrist. Multiple options are available, however, and can include rest, ice, immobilization, oral medications such as anti-inflammatory drugs (NSAIDS), physical therapy, injection therapy, orthotics, supportive shoes, braces, and surgery.

Published in Featured
Tuesday, 18 April 2023 00:00

Pain From Tarsal Tunnel Syndrome

There is a narrow passageway in the ankle that is called the tarsal tunnel. The tibial nerve runs through this tunnel and can become damaged if an injury has occurred or if there is consistent pressure on it. Some of the symptoms that are associated with this condition can include a numbing sensation, or it may feel like it is burning with sharp, shooting pains. Existing medical conditions may lead to getting tarsal tunnel syndrome. These can include arthritis, flat feet, or diabetes. The pain is often felt in the ankle, and a diagnosis is needed to properly confirm tarsal tunnel syndrome. In addition to examining the affected foot, a test may be performed which is called Tinel’s test. This is done by gently tapping on the tibial nerve which will tingle if this condition is present. There may be an MRI that is taken that is successful in determining if there is a bony growth or mass that can cause tarsal tunnel syndrome. Effective treatment methods can include frequently elevating the feet, and possibly wearing a brace or a splint that can limit mobility. If you have this type of pain in your ankle, please consult a podiatrist for a correct diagnosis and treatment plan.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Jonathan Kletz of Texas Foot Works. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

  • Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
  • Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
  • At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

  • Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
  • The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
  • If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please feel free to contact one of our our offices located in Dallas, Athens, and Gun Barrel City, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Published in Blog
Wednesday, 12 April 2023 00:00

Wounds That Don't Heal Need to Be Checked

Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

Published in Blog
Tuesday, 11 April 2023 00:00

Foot Pain

The feet, being the foundation of the body, carry all of the body’s weight and are therefore prone to experiencing pain and discomfort. If you are experiencing foot pain, it is important to determine where in the foot you are experiencing this pain to help discover the cause of it. While pain can be experienced virtually anywhere in the foot, the most common sites of foot pain are in the heel and ankle.   

Heel pain can be due to a multitude of conditions including plantar fasciitis, Achilles tendinitis, and heel spurs. Pain experienced in the ankle can be a sign of an ankle sprain, arthritis, gout, ankle instability, ankle fracture, or nerve compression. In more serious cases, pain in the foot can be a sign of improper alignment or an infection.

Foot pain can be accompanied by symptoms including redness, swelling, stiffness and warmth in the affected area. Whether the pain can be described as sharp or dull depends on the foot condition behind it. It is important to visit your local podiatrist if your foot pain and its accompanying symptoms persist and do not improve over time.

Depending on the location and condition of your foot pain, your podiatrist may prescribe certain treatments. These treatments can include but are not limited to prescription or over-the-counter drugs and medications, certain therapies, cortisone injections, or surgery.

If you are experiencing persistent foot pain, it is important to consult with your foot and ankle doctor to determine the cause and location. He or she will then prescribe the best treatment for you. While milder cases of foot pain may respond well to rest and at-home treatments, more serious cases may take some time to fully recover.

Published in Featured
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