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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.

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Tuesday, 27 December 2022 00:00

Elderly and their Feet

While proper foot care is important for everybody, senior citizens have the tendency to be more susceptible to certain foot conditions. The elderly should therefore be well informed about any problems that may arise and about what they can do to properly avoid or treat them.

Some of the most common foot problems seniors are susceptible to include foot ulcers, ingrown toenails, fallen arches, and fungal nails. A foot ulcer is an open sore on the foot and can be a result of diabetes and decreased sensation in the feet. An ingrown toenail is defined as when the nail grows into the side of the toe. Fallen arches are indicated by the instep of the foot collapsing. A fungal nails is a condition that results in deformed and discolored toenails.

In order to avoid these conditions it is recommended that the feet be inspected by the patient on a regular basis. If these inspections are carried out routinely, there is a good likelihood that problems can be identified before they become severe, or can even be avoided altogether. If any abnormality is discovered, it is important that the individual consult a podiatrist for diagnosis and information on treatment options.

Proper foot hygiene is also important. Making sure that you always have clean, dry socks on can be a major deterrent to many different problems including bacterial infections, foot odor, and certain types of fungus. Wet feet are a major cause of many of these problems.  If your socks get wet, it is important to change them. Walking around in wet socks may not only lead to various infections, but can irritate the skin and result in a number of various complications. Clean, dry feet are less likely to be affected by fungal and other infections.

As people age, the fat present on your feet begins to deteriorate. The protective nature of this fat keeps the feet healthy by providing a barrier between your bones and the ground. This also aids in giving the skin on the feet a certain amount of elasticity. This is one factor that causes elderly people to develop some serious foot issues. Foot moisturizers can be helpful to avoid certain problems associated with this. However, water-based moisturizers do not work as well for elderly people as they do for the young. Instead, it is more effective to use an emollient instead. An emollient is effective because it binds the water in the foot, keeping it from becoming absorbed too readily which will result in dry skin. Emollients also have a special property called occlusion, which provides a layer of oil on the skin. This layer prevents the foot from drying up and can be very effective in treating dry skin disorders.  If you can keep the skin on your feet healthy, this will substantially reduce the number of foot problems you will encounter in old age.

Proper footwear is another way to keep feet healthy. Shoes that fit well and provide proper support help prevent ingrown toenails and fallen arches.

Certain medical conditions such as diabetes or poor blood circulation increase the risk for foot issues. For individuals with any of these conditions it is extremely important to conduct regular foot inspections to make sure that there are no sores or infections present.

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.  

Symptoms

  • 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

Treatment

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.

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Tuesday, 06 December 2022 00:00

Flat Feet

Flatfoot is a condition that occurs when the arches on the foot are flattened, which allows the soles of the feet to touch the floor. Flatfoot is a common condition and it is usually painless.

Throughout childhood, most people begin to develop arches in their feet, however, some do not. Those who do not develop arches are left with flatfoot. The pain associated with flat feet is usually at its worse when engaging in activity. Another symptom that may occur with those who have this condition is swelling along the inside of the ankle.

It is also possible to have flexible flatfoot. Flexible flatfoot occurs when the arch is visible while sitting or standing on the tiptoes, but it disappears when standing. People who have flexible flatfoot are often children and most outgrow it without any problems.

There are some risk factors that may make you more likely to develop flatfoot. Those who have diabetes and rheumatoid arthritis have an increased risk of flatfoot development. Other factors include aging and obesity.

Diagnosis for flat feet is usually done by a series of tests by your podiatrist. Your podiatrist will typically try an x-ray, CT scan, ultrasound, or MRI on the feet. Treatment is usually not necessary for flat foot unless it causes pain. However, therapy is often used for those who experience pain in their flat feet. Some other suggested treatment options are arch supports, stretching exercises, and supportive shoes. 

Tuesday, 22 November 2022 00:00

Club Foot Is Treatable

Club foot is a condition that begins when the baby is inside the womb. It is considered to be a rare foot condition and is noticeable as the feet turn in and point down. It happens as a result of a short Achilles tendon and can affect one or both feet. Club foot is generally not painful to babies despite the difficulty in walking if it is not treated. An ultrasound can be performed during the pregnancy, and it can give the parents the opportunity to speak with their doctor about specific treatment methods. A common treatment is referred to as the Ponseti method, and this provides gentle manipulation that stretches the feet into a better position. This is followed by having the baby wear a cast, and the method is repeated approximately every eight weeks. Minor surgery may be necessary to perform on the Achilles tendon when the feet have straightened out, and this can be helpful in loosening this tendon. If you have questions about club foot, it is strongly advised that you seek the counsel of a podiatrist who can perform the necessary treatment options that can benefit your child. 

Some foot conditions may require additional professional care. If you have any concerns, contact David Carmack, DPM of Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

  • Freiberg’s disease
  • Kohler’s disease
  • Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

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

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Tuesday, 15 November 2022 00:00

How to Strengthen the Feet

Many people have chronic foot pain and find comfort in strengthening their feet. This is done by performing specific stretches and exercises that are simple to do. Increased foot strength can reduce the risk of injury and may improve existing foot structure. A tennis ball is an effective tool to strengthen the entire foot. An exercise using a tennis ball is simply done by rolling the foot from the toes to the heel over the tennis ball or similar object. This can help to keep the muscles and tendons surrounding the arch to remain strong, which may alleviate general foot pain. The heels and calf muscles can become stronger by standing on a step while lowering the heels one at a time until a gentle stretch is felt. Stretching the toes can be easy to do, and is done by picking up marbles that are on the floor with the toes. Additionally, this is also an effective stretch for the entire foot. If you would like more information about the benefits of exercising the feet, and how to perform specific stretches, please schedule an appointment with a podiatrist. 

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries and build strength. 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.

Exercise for Your Feet

Exercise for your feet can help you gain strength, mobility and flexibility in your feet. They say that strengthening your feet can be just as rewarding as strengthening another part of the body. Your feet are very important, and we often forget about them in our daily tasks. But it is because of our feet that are we able to get going and do what we need to. For those of us fortunate enough to not have any foot problems, it is an important gesture to take care of them to ensure good health in the long run.

Some foot health exercises can include ankle pumps, tip-toeing, toe rises, lifting off the floor doing reps and sets, and flexing the toes. It is best to speak with Our doctor to determine an appropriate regimen for your needs. Everyone’s needs and bodies are different, and the activities required to maintain strength in the feet vary from individual to individual. 

Once you get into a routine of doing regular exercise, you may notice a difference in your feet and how strong they may become.

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.

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Tuesday, 15 November 2022 00:00

Exercise for Your Feet

Whether your feet are over-worked or under-worked, chances are they could benefit from some special attention. Even those who exercise regularly probably do not spend any time strengthening their feet. This can be just as rewarding as strengthening the rest of the body, since the health of your feet affects the health of the rest of the body as well, especially the ankles, legs, and spine.

For those who might not have any idea on how a foot-specific exercise might be conducted, there are several workouts that are fairly easy to perform in the comfort of ones’ home. One of the easiest is the toe rise, also known as the tip-toe. This exercise involves standing on the tip-toes for a count of 15 then resting the feet on the ground. This process should be repeated a minimum of three times a day in order to strengthen the feet.

Toe pick-ups strengthen the feet by working them in a very different way. In this exercise, small items are picked up using the toes in order to strengthen the muscles on the upper part of the feet. Once again three sets should be performed, with the item in question being held for 15 seconds then dropped. Items that may be picked up using the feet include marbles and even stationery, which works wonders for the toes and the surrounding muscles.

Yet another simple workout is the ankle pump. This can be done either upwards or downwards, but for the workout to be most effective both can be incorporated into the routine. As the term suggests, this involves lifting the foot off the floor and flexing the toes either towards the shin or towards the ground. This movement puts the feet and ankles through a large range of motion which works the muscles.

Last but not least, feet should be stretched so that the muscles can relax and recuperate. This can be done by placing both feet off of the floor and bracing oneself against the wall at a 45 degree angle. This ensures that the feet and ankles are adequately stretched once the workout is complete.

In short, giving the feet a good workout every now and then is important in order to avoid problems such as plantar fasciitis. It’s also important to warm-up or cool-down after running or vigorous walking. Foot exercises may be followed by a good foot massage. This encourages circulation in the feet as well as muscle relaxation.

Tuesday, 08 November 2022 00:00

Diagnosing a Broken Toe

Although they are relatively small parts of the human body, the toes have different bones that can cause problems when broken. Typically, a broken toe can occur from blunt force trauma or from some kind of stress fracture. If you believe that you have broken your toe, it is best to err on the side of caution and contact a medical professional, such as a podiatrist, to get your injury assessed. It is possible that during this examination the podiatrist will ask you specific questions about the injury. It is also possible that an X-ray examination may be conducted. Besides an X-ray, a medical professional might similarly perform bone scans, an MRI, or a CT scan. This is done to give the practitioner a better sense of the underlying injury and how it affected the bones in the toes. If you suspect a broken toe, schedule an appointment with a podiatrist today. 

A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact David Carmack, DPM from Texas. Our doctor will treat your foot and ankle needs.

What to Know About a Broken Toe

Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).

Symptoms of a Broken Toe

  • Throbbing pain
  • Swelling
  • Bruising on the skin and toenail
  • The inability to move the toe
  • Toe appears crooked or disfigured
  • Tingling or numbness in the toe

Generally, it is best to stay off of the injured toe with the affected foot elevated.

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.

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.

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Tuesday, 25 October 2022 00:00

Where Does a Plantar Fibroma Develop?

A growth, or lesion that is found in the arch of the foot may be indicative of a plantar fibroma. It is considered to be benign, and it develops in the thick tissue of the plantar fascia. This is the portion of tissue that connects the heel to the toes, and provides stability to the arch. A plantar fibroma generally develops slowly, and may be more prevalent in young adults. There may be existing medical ailments that can cause a plantar fibroma to develop, such as being diabetic, having an alcohol use disorder, or possibly from being an epileptic. The condition that is known as plantar fibromatosis may happen when the lesion begins to get larger, and multiple growths develop on the sole of the foot. Patients may notice pain and discomfort as the fibroma becomes larger, and may worsen when standing for long periods at a time. This is a condition that is treated by a podiatrist, and it is strongly advised that you contact this type of doctor if you are afflicted with this condition.

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact David Carmack, DPM of Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.

Plantar Fibroma

A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.

What Causes a Plantar Fibroma?

While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.

What Are the Symptoms of a Plantar Fibroma?

There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.

Treatment and Prevention

A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:

  • Steroid injections
  • Orthotics
  • Physical therapy to help apply anti-inflammatory creams on the bump 

Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.

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

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Tuesday, 04 October 2022 00:00

Painful Morton’s Neuroma

The feet are known to absorb more force than any other body part. There are many foot conditions that can cause extreme pain and discomfort, and Morton’s neuroma falls into that category. It is defined as a compressed nerve that lies between the third and fourth toes, and can happen from wearing shoes that do not have enough room for the toes to move in freely. Women who wear high heels may develop and suffer from Morton’s neuroma, and if it is not diagnosed promptly, surgery may be needed for permanent relief. Early detection of this condition may help the inflamed tissue surrounding the nerve to stabilize, and wearing shoes that fit correctly may help to accelerate this process. Morton’s neuroma can become a serious foot condition, and if you feel you have this, it is strongly advised that you are under the care of a podiatrist who can properly assess and treat this ailment.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact David Carmack, DPM of Texas. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

  • Ill-fitting high heels or shoes that add pressure to the toe or foot
  • Jogging, running or any sport that involves constant impact to the foot
  • Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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 care needs.

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