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Keeping on Your Toes

Toes are made up of two or three small, fragile bones. A toe bone can break or fracture when it is stubbed, or if something heavy is dropped on it. Broken toes are common, and treatment is often successful by staying off of the affected foot and elevating it. Additionally, using the buddy taping method, or taping the broken toe to the toe next to it, can help to provide stability that is needed. If one has a severe toe fracture, the big toe may be involved, and a break may cause the toe to become crooked. Tiny fragments of bone can break off, and may result in an open wound. Injuries to the big toe may need a cast or splint for proper healing, and more severe fractures may require surgery. When an individual breaks a toe, they often feel pain, and the toe may become bruised, swollen, and stiff. If you think you have broken your toe and home care methods are not helping, please consult with a podiatrist who can perform a proper diagnosis and provide treatment options that are right for you.
Broken toes may cause a lot of pain and should be treated as soon as possible. If you have any concerns about your feet, contact Jack A. Sasiene, DPM from Texas. Our doctor will treat your foot and ankle needs.
What Is a Broken Toe?
A broken toe occurs when one or more of the toe bones of the foot are broken after an injury. Injuries such as stubbing your toe or dropping a heavy object on it may cause a toe fracture.
Symptoms of a Broken Toe
- Swelling
- Pain (with/without wearing shoes)
- Stiffness
- Nail Injury
Although the injured toe should be monitored daily, it is especially important to have a podiatrist look at your toe if you have severe symptoms. Some of these symptoms include worsening or new pain that is not relieved with medication, sores, redness, or open wounds near the toe.
If you have any questions, please feel free to contact our offices located in Texas City and Lake Jackson, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Do You Suffer From Painful Feet?
Your Feet Should Swell Together

When feet become swollen, it most likely will affect both of them. One swollen foot may be cause for alarm, and it is advised that prompt medical attention is obtained from a podiatrist. One swollen foot may indicate an allergy or infection, possibly causing serious complications if not treated. When both feet are swollen, it is a common condition and can happen for various reasons. These can include water retention from circulatory issues, pregnancy, or premenstrual disorders. Swollen feet may be improved by following a gentle exercise regime and drinking plenty of water. Additionally, having regular massages and reducing sodium intake may help to alleviate swollen ankles. If you suffer from this condition, it is advised that you consult with a podiatrist who can determine what the cause is and offer correct treatment options.
Swollen feet can be a sign of an underlying condition. If you have any concerns, contact Jack A. Sasiene, DPM of Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.
Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:
- Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
- Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
- Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
- Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
- Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.
Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet.
Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.
If you have any questions please feel free to contact our offices located in Texas City and Lake Jackson, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Tips for Protecting Your Feet if You Have Diabetes

Many people with diabetes begin to develop problems in their lower legs and feet. Many develop corns, calluses, blisters, and skin ulcers. The main cause of ulcers is an increased level of blood sugar in the body, which can damage nerves (specifically those in the extremities). The result is a condition known as diabetic neuropathy, which is experienced by about 70 percent of diabetics, studies show. The numbing sensation to the feet invites all sorts of problems, including cracked heels, sores that go undetected, and increased exposure to bacterial and fungal infections. It is suggested that diabetics examine their feet daily for cracks, wounds, and sores. Wear shoes that fit properly, and avoid socks that are too tight. Avoid walking barefoot, indoors and out. Keep the feet clean and thoroughly dried each day. Quitting smoking and doing low-impact exercise are recommended by experts. Most importantly, if you have foot problems related to diabetes, please contact a podiatrist for regular visits to stay on top of any complications that may develop.
Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Jack A. Sasiene, DPM from Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.
Diabetic Foot Care
Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.
The Importance of Caring for Your Feet
- Routinely inspect your feet for bruises or sores.
- Wear socks that fit your feet comfortably.
- Wear comfortable shoes that provide adequate support.
Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.
It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.
If you have any questions please feel free to contact our offices located in Texas City and Lake Jackson, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Children, Young Teenagers, and Sever’s Disease

Physically active children may be prone to developing Sever’s disease. It is characterized by heel pain and limping, and it can cause pain and discomfort. It generally affects children and young teenagers who participate in running and jumping activities such as basketball, soccer, or football. It affects the growth plate in the heel, and tight calf muscles may lead to tension on the heel. Treatment begins with stopping the activity that caused this condition and resting the affected foot as often as possible. Many people choose to perform low impact activities that can include swimming and cycling, and this may help to strengthen the entire foot. Mild relief may be found by stretching the calf. This is effectively done while standing on a step, and lowering one heel at a time until a gentle stretch is felt. If your active child has any of these symptoms, please speak with a podiatrist as quickly as possible who can offer correct treatment options.
Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Jack A. Sasiene, DPM from Texas. Our doctor can treat your child’s foot and ankle needs.
Sever’s Disease
Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.
Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.
Symptoms
Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.
Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.
If you have any questions, please feel free to contact our offices located in Texas City and Lake Jackson, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.
Reasons for Toe Pain

Toe pain can make every single step excruciating. Toe pain can have many different sources, including injuries, arthritis, and hammertoe. Some of these things can be treated with home care, and some need additional medical intervention. Gout is a form of arthritis that commonly affects the big toe. It is caused by a buildup of uric acid in the bloodstream, and crystals form, which settle in certain joints. It causes severe pain at the base of the big toe, redness, and swelling. Hammertoe is a deformity where toes bend abnormally in the middle joint. The downward flex of the joint looks like a hammer, thus its name. It is most common in the second, third, and fourth toes. A hammertoe can make it difficult to walk, and stretching and moving the toes can be impossible. If you have toe pain, see a podiatrist for medical treatment.
Toe pain can disrupt your daily activities. If you have any concerns, contact Jack A. Sasiene, DPM of Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Causes Toe Pain?
Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.
Toe pain can be caused by one or more ailments. The most common include:
- Trauma
- Sports injury
- Wearing shoes that are too tight
- Arthritis
- Gout
- Corns and calluses
- Hammertoe
- Bunions
- Blisters
- Ingrown toenails
- Sprains
- Fractures (broken bones)
- Dislocations
When to See a Podiatrist
- Severe pain
- Persistent pain that lasts more than a week
- Signs of infection
- Continued swelling
- Pain that prevents walking
Diagnosis
In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.
Treatment
Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.
If you have any questions please feel free to contact our offices located in Texas City and Lake Jackson, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Plantar Warts Can Be Treated!
Cuboid Syndrome and Manual Manipulation

Many different foot afflictions primarily impact a bone in the feet. Cuboid syndrome is one such condition, and it primarily targets the cuboid bone. The cuboid bone is a cube-shaped bone on the outer side of the foot. When it moves out of alignment, this is known as cuboid syndrome. There are several different ways that a medical professional might go about treating cuboid syndrome. One common way is by performing what is known as a “cuboid whip,” which is essentially a manual manipulation of the bone back into alignment. The medical professional can perform this manual procedure by making the patient lie down, relax the leg, and extend the knee while the professional pops the cuboid bone back into place. As a result of this manipulation, the patient might hear some kind of pop sound when the bone shifts back into place. Contact a podiatrist today for more information.
Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Jack A. Sasiene, DPM from Texas. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.
Causes
The most common causes of cuboid syndrome include:
- Injury – The most common cause of this ailment is an ankle sprain.
- Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
- Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.
Symptoms
A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.
Diagnosis
Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.
Treatment
Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.
If you have any questions, please feel free to contact our offices located in Texas City and Lake Jackson, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Why Do Cracked Heels Occur?

People who have cracked heels may notice they become worse in the colder months. This condition can cause your feet to look older and may be painful or uncomfortable. There are various reasons why cracked heels can develop, including standing on hard surfaces and wearing shoes that have an open back. Flip flops and sandals also fall into this category and if you choose to wear this shoe, it helps if it has a strap to secure the heel. People who are obese may find they have cracked heels due to the added weight the heels endure. Medical conditions like eczema, psoriasis, and thyroid disorders may lead to cracked heels. Some of the symptoms that are associated with this ailment include redness, flaky skin, and in severe cases, the cracks in the heel may bleed causing an infection. There are several treatment methods for cracked heels and if you suffer from this condition, it is advised that you consult a podiatrist who can help you with effective healing techniques.
If the skin on your feet starts to crack, you may want to see a podiatrist to find treatment. If you have any concerns, contact Jack A. Sasiene, DPM from Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.
Cracked Heels
It is important to moisturize your cracked heels in order to prevent pain, bleeding, and infection. The reason cracked heels form is because the skin on the foot is too dry to support the immense pressure placed on them. When the foot expands, the dry skin on the foot begins to split.
Ways to Help Heal Them
- Invest in a good foot cream
- Try Using Petroleum Jelly
- Ease up on Soaps
- Drink Plenty of Water
Ways to Prevent Cracked Heels
- Moisturize After Showering
- Skip a Shower
- Keep Shower Water Lukewarm
- Don’t Scrub Your Feet
If you are unsure how to proceed in treating cracked heels, seek guidance from a podiatrist. Your doctor will help you with any questions or information you may need.
If you have any questions, please feel free to contact our offices located in Texas City and Lake Jackson, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Surgery for Morton’s Neuroma

Morton’s neuroma is the thickening and hardening of the nerve cells in the foot. It most often affects the third and fourth toes. This condition is caused by repeated trauma or injury to the foot, shoes that do not fit well, wearing high heels, or foot abnormalities, such as flat feet or high arches. With Morton’s neuroma, one can experience pain, swelling, numbness, tingling, and burning in the ball of the foot and radiating out to the toes. Some describe the sensation as walking on a pebble. Rest, properly fitting shoes, and a cushioned shoe pad can help when one has a Morton’s neuroma. When more conservative treatment is unsuccessful, surgery to space tissue around the nerve or excise the neuroma can be considered. While such surgery is usually successful in resolving pain, it can lead to numbness in the affected area. There is also a chance a Morton’s neuroma will come back. If you are suffering from a Morton’s neuroma, seeking treatment from a podiatrist to try and deal with the problem before surgery is the most viable option.
Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Jack A. Sasiene, 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 offices located in Texas City and Lake Jackson, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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Ankle Sprain Recovery for Runners

It is well-known by experts that an ankle sprain that is not given ample time to heal is likely to be reinjured. And in some cases, this can develop into chronic ankle weakness. Because the ankle bears the weight of the body and absorbs the force when you run, it becomes harder for it to heal. Most runners, and probably most athletes, want to hurry the process along. This is not wise, because a sprained ankle that is not fully healed may end up having an effect on other parts of the body due to overcompensation. Statistics show that reinjury rates for ankle sprains are between 40 and 70 percent, causing ankle instability problems for many months or even years. Rather than shaking off, or worse, ignoring the ankle problems, experts recommend that runners take as long as needed to fully recover healthy ankle function. Exercises to improve balance and strengthen the feet are suggested, along with bracing or taping the ankles. Please consult a podiatrist if you have any questions about ankle sprain recovery.
Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact Jack A. Sasiene, DPM from Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.
How Does an Ankle Sprain Occur?
Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.
What Are the Symptoms?
- Pain at the sight of the tear
- Bruising/Swelling
- Ankle area is tender to touch
- In severe cases, may hear/feel something tear
- Skin discoloration
Preventing a Sprain
- Wearing appropriate shoes for the occasion
- Stretching before exercises and sports
- Knowing your limits
Treatment of a Sprain
In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.
It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.
If you have any questions, please feel free to contact our offices located in Texas City and Lake Jackson, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Arthritis Can Cause Pain in the Feet and Ankles
Foot Problems in Newborns

Foot deformities are among the most common deformities in newborns. Most of the foot problems newborns face are treated non-surgically. Such newborn deformities include clubfoot, which describes an array of foot deformities that lead a newborn’s feet to be twisted, pointed down, and inward. Approximately half of the babies with clubfoot have it on both feet and boys are more apt to have clubfoot than girls. This affliction does not cause a baby pain, but it can lead to long-term difficulties with walking. If treated with stretching exercises, casts, or surgery, a clubfoot deformity can be corrected in early childhood. If you are pregnant and expect your baby to be born with clubfoot, or you have such a newborn, it is suggested that you see a podiatrist as soon as possible for treatment to prevent any long-term impact from this condition.
Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Jack A. Sasiene, DPM of Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.
Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.
What are Causes of Congenital Foot Problem?
A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.
What are Symptoms of Congenital Foot Problems?
Symptoms vary by the congenital condition. Symptoms may consist of the following:
- Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
- Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
- Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
- Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
- Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
- Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.
Treatment and Prevention
While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.
If you have any questions please feel free to contact our offices located in Texas City and Lake Jackson, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Stretches That May Help Plantar Fasciitis

Plantar fasciitis is a foot condition many people are unaware they may have until it becomes painful. The plantar fascia is defined as the band of tissue that lies on the sole of the foot and connects the heels to the toes. An injury can cause plantar fasciitis to occur, which is a result of an inflamed plantar fascia. The pain is felt in the heel and may radiate to the calf, affecting the Achilles tendon. This condition can happen from wearing shoes that do not fit correctly, or from standing on hard surfaces for most of the day. Pregnant women may temporarily experience plantar fasciitis from the extra weight the heels must endure. Some people may be prone to getting this condition if they have tight foot or calf muscles. This may be prevented when specific stretches are frequently performed, such as heel raises and calf stretches. The heel raises are done by standing on a step while lowering one heel at a time until a gentle stretch is felt. A foam roller is used to effectively stretch the calves. This is done while sitting in a chair and rolling the affected foot back and forth. Some people use a water bottle or a tennis ball, which can yield the same results. Plantar fasciitis can cause severe pain and can interfere with completing daily activities. If you are afflicted with this condition, please confer with a podiatrist as quickly as possible who can offer you the correct treatment options.
Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Jack A. Sasiene, DPM from Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is Plantar Fasciitis?
Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.
What Causes Plantar Fasciitis?
- Excessive running
- Having high arches in your feet
- Other foot issues such as flat feet
- Pregnancy (due to the sudden weight gain)
- Being on your feet very often
There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.
Prevention
- Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
- Maintain a healthy weight
- If you are a runner, alternate running with other sports that won’t cause heel pain
There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.
If you have any questions, please feel free to contact our offices located in Texas City and Lake Jackson, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.