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Tuesday, 31 October 2023 00:00

An In-Depth Look at Plantar Fibromatosis

Plantar fibromatosis is a relatively rare, but often painful, condition that affects the plantar fascia, the thick band of tissue running along the bottom of the foot. Unlike more common foot problems, such as bunions or heel spurs, plantar fibromatosis is marked by the development of fibrous nodules or lumps within the plantar fascia. These nodules can vary in size and are typically firm to the touch. They often form in the arch of the foot but can appear in other areas as well. While the exact cause of plantar fibromatosis remains unclear, it's thought to be related to genetic factors and may also be influenced by trauma or injury to the foot. The condition is typically benign but can be quite painful, affecting one's ability to walk and engage in regular activities. Understanding plantar fibromatosis is important for early diagnosis and appropriate care, as it can help individuals find relief from this challenging foot condition. If you have developed this ailment, it is suggested that you confer with a podiatrist who can confirm the diagnosis and offer appropriate relief and treatment methods. 

A plantar fibroma may 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.

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 offices located in Texas City and Lake Jackson, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Plantar Fibroma
Friday, 03 November 2023 00:00

Gout Pain Can Be Managed

Gout is a painful, inflammatory form of arthritis. Those affected will typically feel an intense stiffness in the joints of their feet, particularly in the big toe. Schedule a visit to learn about how gout can be managed and treated.

Tuesday, 07 November 2023 00:00

Symptoms and Treatment of Freiberg's Disease

Freiberg's disease, a condition affecting the bones in the ball of the foot, often near the base of the big toe, can cause substantial pain and discomfort. It is more apt to affect runners, dancers, and women who wear high heels. Freiberg's disease sometimes affects people with a short big toe and a longer second toe. It is characterized by the death of tissue in the foot's bones, primarily the second metatarsal head. Symptoms can include persistent pain, described as a sharp, aching discomfort. Swelling and stiffness in the affected joint can hinder mobility. The pain worsens during weight-bearing activities, especially when pushing off of the foot and wearing high-heeled shoes. Freiberg's disease is more prevalent in adolescent girls experiencing rapid growth, or people with specific bone structure issues. Diagnosis by a podiatrist involves taking X-rays to confirm and assess the condition's severity. Treatment options include corticosteroid injections to help manage pain and inflammation during flare-ups. Footwear modifications, including low-heeled shoes with thicker soles and rounded heels, can help redistribute pressure across the foot. Custom orthotics also can relieve pressure on affected joints. Surgery, which is rarely required, may involve removing the second metatarsal bone for unmanageable, persistent pain. If you suspect you may be suffering from Freiberg's disease, it is suggested that you make an appointment with a podiatrist for an accurate diagnosis and personalized treatment plan. 

Some foot conditions may require additional professional care. 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.

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 offices located in Texas City and Lake Jackson, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
 

Read more about Rare Foot Conditions
Tuesday, 17 October 2023 00:00

Why Pronation of the Feet Matters

Understanding supination and pronation as they relate to the feet is essential for maintaining proper foot health. Supination refers to the positioning of your foot when your weight tends to be more on the outside during walking or running, essentially causing your foot to lean outward. Pronation means your weight tends to be more on the inside of your foot during these activities, causing your foot to lean inward. Ideally, during a proper stride, your foot should roll forward from heel to toe with neutral pronation, ensuring even weight distribution. Excessive supination places stress on the outer side of your foot and can lead to uneven wear on the outside of your shoe. It may result in various issues, including calluses, bunions, and pain in your heels and the balls of your feet. Excessive pronation involves your foot rolling toward the inside, leading to uneven wear on the inside of your shoe and potential pain in your arch, heel, and ankle. The causes of these pronation issues can be genetic, such as having a high arch or uneven leg lengths, or they can result from injuries, overuse, or walking on hard surfaces. Obesity or pregnancy may also increase overpronation. If you suspect issues with your foot mechanics, it is suggested that you make an appointment with a podiatrist for an exam and treatment plan options. 

If you have any 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.

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 offices located in Texas City and Lake Jackson, 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

Cuboid syndrome is a relatively uncommon but painful condition that can affect athletes, particularly those engaged in sports that involve repetitive foot movements or sudden directional changes. It occurs when the cuboid bone in the foot becomes misaligned or irritated, leading to discomfort and limited mobility. Diagnosing cuboid syndrome can be challenging. The symptoms associated with this condition consist of pain along the outer edge of the foot, difficulty bearing weight, and a decreased range of motion and can resemble other foot and ankle injuries. A thorough physical examination, along with imaging studies such as X-rays or an MRI, may be required to confirm the diagnosis. Treatment for cuboid syndrome typically involves conservative approaches. Rest, compression, and elevation can help reduce pain and inflammation. Physical therapy exercises to strengthen foot muscles and improve joint stability are also beneficial. In some cases, manual manipulation by a podiatrist may be necessary to realign the cuboid bone. Athletes experiencing persistent foot pain should seek prompt evaluation and diagnosis, as early intervention can lead to quicker recovery. If you have lateral foot pain, it is suggested that you consult a podiatrist who can accurately diagnose and treat cuboid syndrome.

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.

 

Read more about Cuboid Syndrome
Wednesday, 04 October 2023 00:00

Are Bunions Affecting Your Everyday Life?

Have you noticed a bony protrusion on the side of your big toe? If so, you may have developed the foot condition known as a bunion. Don't let bunions interfere with your daily activities.

Tuesday, 03 October 2023 00:00

Foot Protection Tips for the Workplace

In many jobs, the feet are our most valuable assets, and ensuring their safety should be a top priority. Whether you work in construction, healthcare, or any field that requires you to be on your feet, there are essential foot protection tips to keep in mind. This begin with investing in high-quality, industry-appropriate footwear. Steel-toed boots or shoes with composite safety toes can provide protection against falling objects or heavy equipment. Consider the type of sole your work shoes have. Slip-resistant soles are especially important if you work in environments with wet or slippery surfaces. Regularly inspect your footwear for signs of wear and tear. Damaged or worn-out shoes can compromise your safety. If your job involves prolonged standing, consider orthotic inserts or cushioned insoles that can provide comfort and support. By prioritizing foot protection in the workplace, you can reduce the risk of injuries, ensure your comfort, and maintain your overall well-being on the job. If you would like more information about foot protection in the workplace, it is suggested that you speak with a podiatrist who can guide you toward the correct type of shoes to purchase. 

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Jack A. Sasiene, DPM from Texas. Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

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.

Read more about How to Handle a Long Work Day on Your Feet
Tuesday, 26 September 2023 00:00

The Definition of a Foot Fracture

A foot fracture, also known as a broken foot, can vary in severity, from small hairline cracks to complete bone breaks. The human foot is a complex structure comprising 26 bones, making it susceptible to a variety of fracture types. Foot fractures often result from traumatic incidents, such as falls, sports injuries, or accidents. They can also occur due to repetitive stress on the foot over time, especially in athletes or individuals engaged in high-impact activities. Common symptoms of a foot fracture include pain, swelling, and bruising, and it can also be difficult to walk. A diagnosis typically involves physical examination, X-rays, or other imaging tests to determine the type and extent of the fracture. Treatment options can vary depending on the fracture's severity and location. Mild fractures may heal with rest, immobilization, and pain management. Conversely,  more severe cases may require casting, surgery, or other interventions to ensure proper healing that can restore normal foot function. In conclusion, a foot fracture is a break in one or more of the foot's many bones, often resulting from trauma or repetitive stress. If you have broken your foot, it is suggested that you visit a podiatrist who can provide you with an accurate diagnosis and offer the treatment plan that is right for you.

A broken foot requires immediate medical attention and treatment. 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.

Broken Foot Causes, Symptoms, and Treatment

A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury. 

Common Symptoms of Broken Feet:

  • Bruising
  • Pain
  • Redness
  • Swelling
  • Blue in color
  • Numbness
  • Cold
  • Misshapen
  • Cuts
  • Deformities

Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.

Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.

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.

Read more about Causes, Symptoms, and Treatment for a Broken Foot
Tuesday, 19 September 2023 00:00

Foot Comfort and Shoe Size

When it comes to foot comfort, wearing the right shoe size is crucial. Many people unknowingly wear the wrong size, which can lead to foot pain and various conditions. Determining your proper shoe size is essential for getting the best support and comfort for your feet, whether you are shopping for running shoes, athletic shoes, or everyday footwear. To measure your shoe size, you can place your bare foot on a piece of paper, trace its outline, mark the longest and widest points, and measure both length and width. You should add about half an inch to the length measurement to find your ideal shoe size. If you are in between sizes, going up a size is recommended for added comfort. Regularly measuring your feet is advisable as they can change over time. If you have further questions about how to find the right size shoes for your feet, it is suggested that you make an appointment with a podiatrist who can provide you with additional tips.

Getting the right shoe size is an important part of proper foot health. Seek the assistance of Jack A. Sasiene, DPM from Texas. Our doctor will provide the care you need to keep you pain-free and on your feet.

Getting the Right Shoe Size

There are many people who wear shoes that are the incorrect size, negatively affecting their feet and posture. Selecting the right shoes is not a difficult process, so long as you keep several things in mind when it comes to choosing the right pair.

  • When visiting the shoe store, use the tools available to measure your foot.
  • Be sure there is ‘wiggle room’. There should be about an inch between your toes and the tip of your shoes.
  • Do not always assume you are the same size, as manufacturers run differently.
  • Purchase shoes later in the day, as your feet swell as the day progresses.
  • If a shoe is not comfortable, it is not suitable. Most shoes can’t be ‘broken in’, and comfort should be the ultimate goal when it comes to choosing the right pair of shoes

As our feet hold our body weight and keep us moving, it is important to treat them right. Picking the right pair of shoes can provide your feet comfort and mobility without pain.

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.

Read more about Getting the Right Shoe Size: To Keep Your Feet Happy
Tuesday, 12 September 2023 00:00

Treatment and Recovery for Broken Ankles

Dealing with a broken ankle can be both painful and challenging. The first step is to seek medical attention for diagnosis through an X-ray. The treatment approach will depend on the severity of the fracture. Treatment options include using a specialized boot or a plaster cast to stabilize the ankle, possible bone manipulation under anesthesia, or even surgical intervention. Regular follow-up appointments are essential to monitor healing progress. Once diagnosed and treated, the recovery process begins. Healing typically takes 6 to 8 weeks or longer, depending on the severity of the break. Specific post-treatment instructions include how long the boot or cast will be needed and guidelines for weight-bearing. Gradual ankle movement and prescribed exercises may be recommended to prevent stiffness. Other recovery tips include resting and elevating the ankle, taking prescribed pain relievers, and being cautious about weight bearing. Gently moving your toes and bending your knee to prevent muscle stiffness is thought to be helpful. For help in dealing with a fractured ankle, it is suggested that you make an appointment with a podiatrist. 

Broken ankles need immediate treatment. If you are seeking treatment, contact Jack A. Sasiene, DPM from Texas. Our doctor can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

  • Excessive pain when the area is touched or when any pressure is placed on the ankle
  •  Swelling around the area
  •  Bruising of the area
  • Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

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.

Read more about Broken Ankle Causes, Differences, Symptoms and Treatments
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