Items filtered by date: December 2022

Tuesday, 27 December 2022 00:00

Choosing Supportive Shoes for Seniors

One of the major ways to prevent falls among seniors is having proper footwear. Experts suggest that older adults are less likely to lose their balance if they wear shoes that give them proper support. Other guidelines include choosing a size that leaves about one-quarter of an inch between the toes and the tip of the shoe. A deeper and wider toe box should allow the toes to move within the shoe. Shoes that close but allow for changes in foot size are recommended. Either Velcro straps or shoes with laces will fit the bill. Make sure the heel cup of the shoe fits properly to give support and prevent slips. And it is thought that a rounded heel provides more contact with the ground and is safer. In addition, a lower heel height provides more stability. Finally, the sole should offer a good grip but not stick to the carpet. Sandals should have a back strap and adjustable closures. For further guidance on proper footwear for seniors, please consult a podiatrist.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact David Carmack, DPM from Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

  • Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
  • Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
  • Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
  • Gouging toenails affecting nearby toe
  • Shoes that don’t fit properly
  • Pressure sores
  • Loss of circulation in legs & feet
  • Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

If you have any questions please feel free to contact our office located in Marble Falls, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Elderly and their Feet
Wednesday, 21 December 2022 00:00

Effects of Overpronation

Pronation is simply how your foot hits the ground when you walk or run. When someone overpronates, it means that the foot rolls inward when taking a step. The outer edge of the heel generally hits the ground first, and then the foot rolls in toward the arch. This motion may put extra pressure on the muscles, tendons and ligaments. Overpronation can lead to a number of injuries, including ankle sprains, Achilles tendonitis, and plantar fasciitis. One way to determine whether or not you overpronate is to check out the bottom of your shoes. If the shoe is worn on the inside of the sole nearest the big toe, it may indicate overpronation. Next, stand in bare feet and look into a mirror to see if your feet are flat or have low arches. This is another indicator of overpronation. Symptoms of overpronation include heel or arch pain, flat feet, hammertoes, or pain in the knees, hips, or back. To be certain, it is a good idea to visit a podiatrist who can conduct a more formal examination and determine if orthotics can help to correct the condition.  

If you have any concerns about your feet, contact David Carmack, DPM from Texas. 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 our office located in Marble Falls, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about The Importance of Biomechanics in Podiatry

Do you work on your feet all day and find your feet in pain? Don't go to work in pain each day. Your foot pain can be treated, and we can help.

Tuesday, 13 December 2022 00:00

Treatments for Sesamoiditis

A condition known as sesamoiditis occurs when tissues that embed the two tiny sesamoid bones just under the base of the big toe become inflamed. Sesamoiditis is considered to be an overuse injury, caused when pressure is repeatedly put on the ball of the foot, especially when flexing the big toe. As a result, this injury is common among runners, football players, dancers and basketball players. Treatments vary for sesamoiditis, and experts find that a combination of them works best. Included are eliminating the activities that cause the overuse, taking pain medication, and performing certain exercises. Wearing shoes that fit properly is recommended, and wearing high-heels or any shoes that force the weight onto the ball of the foot should be avoided. In some cases, depending on the severity of the sesamoiditis, cortisone injections can be effective in reducing the symptoms of pain, swelling, and difficulty bearing weight. Gel and foam orthotics are often used to reduce the pain. To find out more about treating sesamoiditis, please consult a podiatrist.   

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact David Carmack, DPM of Texas. Our doctor will treat your condition thoroughly and effectively.


Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

  • Sudden increase in activity
  • Increase in physically strenuous movement without a proper warm up or build up
  • Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

If you have any questions please feel free to contact our office located in Marble Falls, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Sesamoiditis
Tuesday, 06 December 2022 00:00

Babies and Flat Feet

The condition that is known as pes planus, or flat feet, is common among babies. It is an ailment that most people are born with, and the arch generally develops during the teenage years. This condition can correct itself, as the muscles and soft tissues become stronger. A child’s foot is often examined by a podiatrist, who may be able to determine if there is an underlying cause. Some of these can include cerebral palsy, connective tissue disorders, or juvenile arthritis. There may be an abnormal foot structure that can cause flat feet, in addition to possible muscle or ligament damage. Additionally, adults who are overweight may have flat feet, as a result of the extra pressure the feet endure from completing daily activities. Many people who have this condition find it beneficial to perform specific stretches that may gradually improve flexibility and range of motion. If you or your child have flat feet, please consult with a podiatrist who can address any concerns and answer questions you may have.

Flatfoot is a condition many people suffer from. If you have flat feet, contact David Carmack, DPM from Texas. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  


  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn


If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

If you have any questions please feel free to contact our office located in Marble Falls, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Flat Feet

Connect With Us