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It's Time for Beautiful Feet
You don't need an excuse to have beautiful nails. Step outside without worrying about the appearance of your feet.
What Is PAD?
Peripheral artery disease or “PAD”, is a medical condition in which there is inadequate blood flow to the lower limbs due to a buildup of plaque in the arteries. Plaque is a fatty substance that clings to the walls of the arteries, making them narrow and harden. PAD is fairly common, affecting 20% of people over the age of 65, and can lead to serious complications if left undetected. However, many people who have PAD have no symptoms. Those that do have symptoms may notice an increase in leg pain, fatigue, and cramps while walking or exercising, numbness, achiness, or heaviness in the legs, skin discoloration, poor nail and hair growth, and the development of poorly healing wounds on the legs and feet. If you are over the age of 65, have diabetes, have high blood pressure, high cholesterol, or a history of heart disease, stroke, or metabolic syndrome, then you are at an increased risk for PAD. A podiatrist can help diagnose this condition and offer treatment options that will reduce foot and ankle pain and restore mobility.
Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Jack A. Sasiene, DPM from Texas. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.
Symptoms
Symptoms of PAD include:
- Claudication (leg pain from walking)
- Numbness in legs
- Decrease in growth of leg hair and toenails
- Paleness of the skin
- Erectile dysfunction
- Sores and wounds on legs and feet that won’t heal
- Coldness in one leg
It is important to note that a majority of individuals never show any symptoms of PAD.
Diagnosis
While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.
Treatment
Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.
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.
How Shoes Affect Your Plantar Fascia
The connective tissue on the bottom of your feet between your heel and toes is called the plantar fascia. That tissue can become aggravated from overuse, wearing high heels or shoes that change the shape of your foot when you walk, being obese, aging, having certain medical conditions, or being born with flat feet or high arches. This aggravation is called plantar fasciitis, and is the most common form of heel pain. Proper footwear may help avoid plantar fasciitis or reduce pain if it has already developed. Your shoes should allow the natural movement of your foot, and have cushioning that supports pressure points—especially the heel, while being flexible and offering proper arch support. A podiatrist can recommend shoes and even orthotics that can help your individual foot structure, while offering various treatments to relieve the pain and discomfort of plantar fasciitis.
It is important to find shoes that fit you properly in order to avoid a variety of different foot problems. For more information about treatment, contact Jack A. Sasiene, DPM from Texas. Our doctor will treat your foot and ankle needs.
Proper Shoe Fitting
Shoes have many different functions. They cushion our body weight, protect our feet, and allow us to safely play sports. You should always make sure that the shoes you wear fit you properly in order to avoid injuries and deformities such as: bunions, corns, calluses, hammertoes, plantar fasciitis, stress fractures, and more. It is important to note that although a certain pair of shoes might be a great fit for someone else, that doesn’t mean they will be a great fit for you. This is why you should always try on shoes before buying them to make sure they are worth the investment. Typically, shoes need to be replaced ever six months to one year of regular use.
Tips for Proper Shoe Fitting
- Select a shoe that is shaped like your foot
- Don’t buy shoes that fit too tight, expecting them to stretch to fit
- Make sure there is enough space (3/8” to ½”) for your longest toe at the end of each shoe when you are standing up
- Walk in the shoes to make sure they fit and feel right
- Don’t select shoes by the size marked inside the shoe, but by how the shoe fits your foot
The shoes you buy should always feel as good as they look. Shoes that fit properly will last longer, feel better, and improve your way of life each day.
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.
Factors That Lead to Turf Toe
Turf toe is a very common sports injury, particularly among football players and soccer players. It occurs when the big toe joint is sprained because of a repetitive upward bending of the joint that often occurs from jamming the toe, or pushing off while jumping or running. Turf toe gets its name because it is especially common when playing on artificial turf, where the foot is more prone to sticking to the hard surface and becoming jammed. Turf toe is commonly indicated by pain, swelling, and limited joint movement in the big toe. Treatment generally consists of rest, ice, compression and elevation, but severe cases may require surgery. Athletes who are experiencing these symptoms should consult with a podiatrist for a proper diagnosis and treatment.
Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Jack A. Sasiene, DPM from Texas. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Common Injuries
The most common injuries that occur in sporting activities include:
- Achilles Tendonitis
- Achilles Tendon Rupture
- Ankle Sprains
- Broken Foot
- Plantar Fasciitis
- Stress Fractures
- Turf Toe
Symptoms
Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.
Treatment
Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.
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.
Different Types of Foot Wounds
Foot wounds are open cuts or sores that form on the feet. There are several different types of foot wounds. Diabetic foot ulcers (DFUs) occur due to diabetes or diabetic neuropathy. They can appear anywhere on the foot, but often appear on the big toes, balls of the feet, and the heels. These wounds typically heal slowly and poorly. Venous stasis ulcers appear on the ankles or legs due to vein damage. Arterial ulcers are caused by arterial insufficiency or poor circulation, and usually occur between or on the tips of the toes and along the outer ankles. A pressure ulcer is caused by foot immobility or by wearing improper shoes. They are usually seen on the heels or ankles. If you have any wounds on your feet, it is strongly suggested that you seek the care of a podiatrist.
Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Jack A. Sasiene, DPM from Texas. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
What Is Wound Care?
Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic.
What Is the Importance of Wound Care?
While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.
How to Care for Wounds
The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.
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.
Caring For Elderly Feet
Did you know that by the time the average American reaches just 50 years old, they have likely already walked 75,000 miles? So much activity can, unsurprisingly, cause wear and tear in the feet. This wear and tear becomes more apparent as we age, resulting in foot pain and other foot problems. Many seniors are prone to foot conditions such as fungal toenail infections, athlete’s foot, dry skin, plantar fasciitis, bunions, and Morton’s neuroma. Systemic health conditions such as diabetes, peripheral neuropathy, and poor circulation also become increasingly common with age and can affect the feet. When caring for elderly feet, it is important to keep the feet dry, wear comfortable shoes, trim the toenails appropriately, and perform regular foot inspections to identify any problems or irregularities early. If you or a loved one are older, please seek the care of a podiatrist who can help you maintain the health of your feet.
Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Jack A. Sasiene, 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 offices located in Texas City and Lake Jackson, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Heel Pain Can Be Treated!
Do you suffer from heel pain when you get up in the morning? If so, you should seek the professional help of your podiatrist and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.
Two Tiny Bones and a Big Toe
Sesamoids are tiny bones located within tendons that connect to muscles—as opposed to most bones which link to one another via joints. The patella, or kneecap, is the largest sesamoid, while the two sesamoids on the bottom of the feet near the big toe (the tibial and the fibular) are pea-sized. Despite their small size, these two sesamoids bear the body’s weight and the tendons they are attached to can become inflamed if they are overly stressed from high heels or activities such as ballet, basketball, or running. This condition is called sesamoiditis and can cause gradually-worsening pain under the ball of the foot, and popping sensations or difficulty bending the big toe. If you experience any of these symptoms, a podiatrist can thoroughly examine you and may utilize an X-ray, bone scan, MRI or ultrasound to determine if you have sesamoiditis. Treatment may involve lifestyle or footwear modifications, medications, or orthotics. Severe cases of sesamoiditis that do not respond to traditional treatment may require surgery.
Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact Jack A. Sasiene, DPM of Texas. Our doctor will treat your condition thoroughly and effectively.
Sesamoiditis
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 offices located in Texas City and Lake Jackson, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Are Tarsal Tunnel Syndrome and Carpal Tunnel Similar?
The tarsal tunnel is a narrow passageway on the inside of the ankle that protects the veins, tendons, arteries and nerves within it, such as the tibial nerve. Tarsal tunnel syndrome occurs when the tibial nerve becomes compressed. Symptoms range from a shooting pain, numbness, or a burning/tingling sensation anywhere along the tibial nerve from the ankle down through the heel, arch, and even toes. Tarsal tunnel syndrome is similar to carpal tunnel syndrome (which occurs in the wrist) in that both conditions involve a nerve being compressed within a confined space. Common causes of tarsal tunnel syndrome include flat feet, ankle sprains, diabetes and arthritis, and other conditions that contribute to compressing, or squeezing the tibial nerve. It’s important to seek prompt treatment for tarsal tunnel syndrome because if left untreated the condition may permanently damage the tibial nerve. If you believe you are suffering from tarsal tunnel syndrome, contact a podiatrist who can properly diagnose your condition and provide a variety of treatments and therapies.
Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Jack A. Sasiene, DPM of Texas. 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 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.
What Are Some Common Running Injuries?
Did you know that many runners are sidelined by injuries each year? Common injuries to the feet and ankles, such as plantar fasciitis, Achilles tendonitis, ankle sprains, and foot fractures, often affect runners. A combination of factors, including anatomical issues, wearing the wrong shoes, or training incorrectly, can lead to a painful injury. To help avoid running injuries, it is suggested that you stretch and strengthen your feet and ankles, find shoes that fit the biomechanics of your feet, and increase the mileage, intensity, and duration of your runs slowly over time. For more information about preventing foot and ankle injuries caused by running, please consult with a podiatrist.
Exercising your feet regularly with the proper foot wear is a great way to prevent injuries. If you have any concerns about your feet, contact Jack A. Sasiene, DPM of Texas. Our doctor will treat your foot and ankle needs.
How to Prevent Running Injuries
Many common running injuries are caused by overuse and overtraining. When the back of the kneecap starts wearing out and starts causing pain in your knee, this is commonly referred to as runner’s knee. Runner’s knee is a decrease in strength in your quadriceps and can occur if you’re not wearing properly fitted or supporting shoes. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned.
What Are Some Causes of Running Injuries?
- One cause of a common running injury is called iliotibial band syndrome.
- Plantar fasciitis is also another common injury.
- Stress fractures can occur from overtraining, lack of calcium, or even your running style.
Best Ways to Prevent Running Injuries
- Wear footwear that fits properly and suits your running needs.
- Running shoes are the only protective gear that runners have to safeguard them from injury.
- Make a training schedule. Adding strengthening exercises as well as regular stretching can help keep you strong and limber and can lessen the possibility of injuries.
- Stretching keeps muscles limber; this will help you gain better flexibility.
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.
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Reminder: When Was the Last Time...?
Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!
What is a Lateral Ankle Sprain?
Foot and ankle injuries—particularly lateral ankle sprains—are the most common forms of physical trauma that athletes face. In order to regain full motion and movement while avoiding any secondary injuries from occurring, accurate diagnosis and proper treatment is necessary. Lateral ankle sprains typically take place when the ankle rolls outward—forcing ligaments along the side of the ankle to stretch unnaturally and tear, and in some cases, cause joint instability to occur. The severity of the damage dictates the course of treatment which can include prophylactic support, immobilization, anti-inflammatory or steroid medications, balance and neuromuscular control activities, and more. If you are an athlete that has suffered from any kind of injury to your foot or ankle, make an appointment with a podiatrist for a full examination.
Ankle sprains are common but need immediate attention. If you need your feet checked, 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 take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.
What Are the Symptoms?
- Mild to moderate bruising
- Limited mobility
- Swelling
- Discoloration of the skin (depending on severity)
Preventing a Sprain
- Wearing appropriate shoes for the occasion
- Stretching before exercises and sports
- Knowing your limits
Treatment of a Sprain
Treatment of a sprain depends on the severity. Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.
If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.
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.
Causes and a Possible Solution for Ingrown Toenails
An ingrown toenail can be quite painful and uncomfortable. It is a foot condition defined as a toenail that grows into the sides of the nail bed. This can occur for a variety of reasons including genetics, trimming the toenails incorrectly, or from an injury to the affected toe. Additionally, this condition may also arise due to wearing shoes that do not have adequate room for the toes to move freely in. A common symptom is extreme tenderness surrounding the affected nail, and pus may drain from the area if it becomes infected. Many patients have found mild relief when the foot is frequently soaked in warm water, and this can be helpful in softening the skin to gently lift the corners of the nail. If you have developed an ingrown toenail it is suggested that you seek professional advice from a podiatrist who can effectively treat this condition.
Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Jack A. Sasiene, DPM of Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.
Ingrown Toenails
Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.
Causes
- Bacterial infections
- Improper nail cutting such as cutting it too short or not straight across
- Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
- Ill-fitting shoes that bunch the toes too close together
- Genetic predisposition
Prevention
Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.
Treatment
Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right 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 and ankle needs.
Understanding How Fungal Nail Infections Occur
Fungal toena
il infections, also known as onychomycosis, are common infections that lead to the nails becoming discolored, yellowed, thickened, and brittle, often causing them to break. They are usually caused by fungi or yeast that enter into small cracks in the nail, ultimately infecting them. While toenail infections can affect people of any age, they are more likely in patients who have a nail injury, a weakened immune system, are older, or have athlete’s foot. The easiest way to prevent these infections is to keep the toes clean and dry. Fungi thrives in warm and moist environments, so it is important to not walk barefoot in public locker rooms and showers. Because fungal nail infections are difficult to cure, it is important to visit with a podiatrist if you notice signs of toenail fungus.
If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Jack A. Sasiene, DPM of Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.
Symptoms
- Warped or oddly shaped nails
- Yellowish nails
- Loose/separated nail
- Buildup of bits and pieces of nail fragments under the nail
- Brittle, broken, thickened nail
Treatment
If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.
Prevention
In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.
In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.
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.
