Items filtered by date: December 2019
Surgery Options for Flat Feet

Flat feet, resulting from a collapsed arch, can lead to pain and discomfort, affecting both children and adults. When non-surgical approaches fall short, surgical intervention offers a viable solution. Surgery for flat feet aims to reconstruct the foot's architecture to restore a supportive arch and alleviate complications like change of gait, knee pain, plantar fasciitis, and Achilles tendonitis. An evaluation before surgery involves a thorough history, examination, and imaging. Surgical intervention may involve tendon reconstruction, bone augmentation, joint fusion, or bone resection. Post-surgery recovery may take up to four months and requires keeping the weight off the affected foot as well as taking prescribed pain relief medication. A protective cast or boot may be needed. Surgical treatment for flat feet, while not necessary in many cases, offers an opportunity to regain mobility, alleviate pain, and enhance overall quality of life. To find out if surgery for flat feet is right for you, it is suggested that you make an appointment with a podiatrist for a full examination.
Flatfoot is a condition many people suffer from. If you have flat feet, contact one of our podiatrists from Podiatry Associates of Texas. Our doctors 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 offices located in Arlington Weatherford, Mineral Wells, and Farmers Branch, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Stop Your Toenail Fungus
Wound Care
Diabetics must be wary of all wounds, regardless of depth or size. Diabetes, a chronic disease in which the body cannot properly use glucose the way it normally would, causes various complications that make wounds difficult to heal. Nerve damage or neuropathy will cause diabetics to have trouble feeling the pain of a blister or cut until the condition has significantly worsened or become infected. A diabetic’s weakened immune system can make even the most minor of wounds easily susceptible to infection. Diabetics are also more prone to developing narrow, clogged arteries, and are therefore more likely to develop wounds.
Wounds should be taken care of immediately after discovery, as even the smallest of wounds can become infected if enough bacteria build up within the wound. To remove dirt, wounds should be first rinsed under running water only. Soap, hydrogen peroxide, or iodine can irritate the injury and should be avoided. To prevent infection, apply antibiotic ointment to the wound and cover it with a bandage. The bandage should be changed daily. The skin around the wound may be cleaned with soap.
To prevent further exacerbation, see a doctor—especially if you have diabetes. Minor skin conditions can become larger problems if not properly inspected. As the wound heals, make sure to avoid applying pressure to the affected area.
Negative Pressure Wound Therapy

Diabetes is a condition that affects how sugar in the blood is controlled. Those with the condition are at a greater risk of developing wounds on their feet because of nerve and vein damage. These can be painful and take a long time to heal. If left untreated, they can lead to amputation of the foot or leg. Negative pressure wound therapy, or NPWT, is a method where a special dressing is put on the wound, and a machine sucks out any fluid from the wound. This method is used to help wounds heal faster, but it is more expensive than regular wound dressings. Studies on this method have shown that while this is a beneficial treatment, it may not be better than traditional foot wound treatment, and more research is needed. Diabetes is a serious condition, and if you are suffering from this disease and have foot problems, including wounds on your feet, it is strongly suggested that you make an appointment with a podiatrist for an accurate diagnosis and treatment.
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 one of our podiatrists from Podiatry Associates of Texas. Our doctors 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 Arlington Weatherford, Mineral Wells, and Farmers Branch, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Taking Care of Elderly Feet
Many foot diseases and conditions become more serious and common among the elderly. Some of these conditions include diabetic ulcers, ingrown toenails, fungus, arthritis, corns, and calluses. Unfortunately, it may be harder for older adults to take care of their own feet, but there are some precautions they can take in order to avoid any serious conditions.
Dry, cracked heels tend to be a common problem for older people. In order to avoid this, you should always keep your feet clean and well moisturized. Special feet moisturizers should be used as average lotions might not provide enough moisture for dry and cracked heels. Daily foot inspections are crucial for the elderly to detect any irregularities in their earliest stages. During the aging process, blood circulation tends to slow down causing older people to not feel their feet as well as they used to. This often results in foot problems going unnoticed.
Fungal and bacterial conditions thrive on elderly feet because older adults are less likely to keep their feet clean and dry; this makes it easier for bacteria to take hold in their dry, cracked skin. Elderly people should be sure to thoroughly dry their feet, especially in between the toes, after bathing. This will help them avoid developing any fungal infections. Additionally, clean cotton socks should be worn after the feet are dried.
Cutting toenails straight across will help prevent ingrown toenails. When toenails are cut too lose, the nail might break through the skin resulting in an ingrown nail. Clippers should be used to cut the nails in order to make the cut even.
Elderly people who have diabetes are at risk of developing serious foot problems that may lead to amputation. Ulcers that are left untreated can lead to gangrene. Dry and cracked feet, fungus, and untended cuts under the nails may also lead to infections.
Fortunately, Medicare covers many different types of services for foot care. Elderly people with any of these foot conditions should seek the help of a podiatrist and perform daily foot inspections in order to ensure that they have healthy feet.
How Aging Affects the Feet

Aging affects various aspects of our bodies, including changes to the feet. Common problems that develop with aging affect the toenails, skin, and structure of the feet. Toenails often become thicker, more brittle, and susceptible to fungal infections due to diminished circulation. To counteract these effects, prioritize wearing comfortable shoes with wide-toe boxes to prevent crowding and promote airflow. Aging also impacts skin cell regeneration, leading to thinning, dryness, and skin lesions. This can result in cracked heels, corns, and calluses. Protecting the feet from the elements and opting for supportive, comfortable footwear will contribute to healthier skin as you age. The structure of the feet undergoes significant changes as you age, affecting tendons, ligaments, and arch support. Over time, tendons and ligaments lose elasticity and strength, leading to flattened arches and lengthened feet. The fat pads that cushion your heels also diminish, increasing the risk of heel pain, tendon tears, and muscle strains. One of the main ways of staving off the effects of aging on the feet is to invest in properly fitting footwear. Seek out shoes that offer proper support and cushioning. For help with foot problems as you age, it is suggested that you make a podiatrist a regular member of your healthcare team.
Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact one of our podiatrists from Podiatry Associates of Texas. Our doctors 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 Arlington Weatherford, Mineral Wells, and Farmers Branch, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Plantar Fibroma
A plantar fibroma is a knot in the arch of the foot. It can cause pain when repeated pressure is applied by walking barefoot or wearing tight shoes. While plantar fibromas can appear in anyone, men who are middle-aged or older are said to be more susceptible. The main symptom of a plantar fibroma is a firm lump on the arch of the foot. If there is pain, it can be intensified by putting pressure on the nodule. The lump can stay one size or grow larger. You may have one or more fibromas in the feet and there tends to be a high incidence of recurring plantar fibromas. Generally, a plantar fibroma can be treated without surgery. Treatment might include steroid injections to help shrink the lump, orthotics to help redistribute weight away from the nodule, plantar fascia stretching, or physical therapy to help use anti-inflammatory medication on the lump. If a lump grows larger or more painful, a podiatrist can be consulted to confirm the diagnosis. The doctor will palpate the lump and this may cause pain that can be felt all the way to the toes. An X-ray, MRI, or biopsy might be done if further evaluation is necessary. A lump in the arch of the foot might be something other than a plantar fibroma, such as cysts, nerve or fatty tumors, swollen tendons, or an infection in the foot. It is important to see a podiatrist for proper diagnosis and treatment of plantar fibromas.
What Is a Plantar Fibroma and How Is It Treated?

A plantar fibroma is a benign and non-cancerous growth that forms on the thick band of tissue on the bottom of the foot known as the plantar fascia. These fibromas typically develop slowly and are often painless, but they can cause discomfort or pain when pressure is applied. The exact cause of plantar fibromas is not fully understood, but they are thought to be related to genetic factors or trauma to the foot. Treatment for plantar fibromas depends on their size and the level of discomfort they cause. Non-surgical options such as orthotics, or corticosteroid injections may help to alleviate symptoms. However, in more severe cases, surgical removal of the fibroma may be necessary to relieve pain and restore foot function. Early diagnosis and intervention are essential to effectively manage plantar fibromas and prevent complications. If you have a growth on the bottom of your foot, it is suggested that you confer with a podiatrist who can diagnose a plantar fibroma, and offer treatment options that are correct for you.
A plantar fibroma may disrupt your daily activities. If you have any concerns, contact one of our podiatrists of Podiatry Associates of Texas. Our doctors 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 Arlington Weatherford, Mineral Wells, and Farmers Branch, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
What is a Podiatrist?
A podiatrist is a Doctor of Podiatric Medicine who treats the foot, ankle, and related structures of the leg. If you are having any pain, injuries, or abnormalities in these areas, it is best that you seek help from a podiatrist.
Podiatrists complete four years of training in a podiatric medical school. Their training is like that of other physicians, and they may go on to complete a fellowship training after a residency training. Some podiatrists are board certified meaning they have advanced training, clinical experience, and have taken an exam to prove their skills. Certifying boards for podiatry are the American Board of Foot and Ankle Surgery and the American Board of Podiatric Medicine. Podiatrists may work in private practices, hospitals, clinics, or they may even become professors at colleges of podiatric medicine.
While in college, those who want to be podiatrists often take biology, chemistry, and physics classes in preparation for podiatry school. In podiatry school, students study how the bones, nerves, and muscles work together to help you move around. Additionally, they study injuries and how to properly diagnose and treat them. Admittance into podiatric medical school requires the completion of 90 semester hours of undergraduate study with a good grade point average, and acceptable scores on the MCAT (Medical College Admission Test)
Podiatrists treat many different conditions such as: aching feet, ankle pain, bunions, corns, hammertoes, fungus, ingrown toenails, plantar fasciitis, sprains and more. Common forms of treatment for these conditions are physical therapy, drugs, or surgery. Podiatrists may also recommend corrective shoe inserts, custom-made shoes, plaster casts, and strappings to correct deformities.
Even if you are someone whose feet are in generally good condition, you should still visit a podiatrist to have your feet properly exfoliated and maintained, or to make sure you are looking after your feet properly.
Podiatrists: Specialists in Foot and Ankle Care

Podiatrists are healthcare professionals specializing in the medical care and treatment of the foot and ankles. They undergo extensive education and training, obtaining doctorate degrees from accredited institutions of podiatric medicine. Podiatrists can diagnose and treat a wide range of conditions, including fractures, arthritis, diabetic foot disorders, skin, and nail conditions, and causes of heel pain, like plantar fasciitis. Podiatrists can specialize in general foot conditions, or focus on specific areas like sports medicine, wound care, orthotics, diabetes, pediatrics, geriatrics, neurologic and circulatory foot conditions, and reconstructive surgery. To become a podiatrist, one must complete a bachelor's degree, followed by a Doctor of Podiatric Medicine degree, three years of residency training, national board certification, and state licensing. Specializations can be pursued through fellowship programs and certification exams. Podiatrists are considered physicians, possessing a comprehensive understanding of human anatomy, physiology, and systemic diseases, with their expertise solely focused on foot and ankle disorders. They differ from orthopedists, who treat musculoskeletal issues affecting the entire body. If you have any interest in becoming a podiatrist, it is suggested that you make an appointment to speak to one about their experiences.
If you are experiencing pain in the feet or ankles, don’t join the stubborn majority refusing treatment. Feel free to contact one of our podiatrists from Podiatry Associates of Texas. Our doctors can provide the care you need to keep you pain-free and on your feet.
What Is a Podiatrist?
Someone would seek the care of a podiatrist if they have suffered a foot injury or have common foot ailments such as heal spurs, bunions, arch problems, deformities, ingrown toenails, corns, foot and ankle problems, etc.
Podiatric Treatment
A podiatrist will treat the problematic areas of the feet, ankle or lower leg by prescribing the following:
- Physical therapy
- Drugs
- Orthotic inserts or soles
- Surgery on lower extremity fractures
A common podiatric procedure a podiatrist will use is a scanner or force plate which will allow the podiatrist to know the designs of orthotics. Patients are then told to follow a series of tasks to complete the treatment. The computer will scan the foot a see which areas show weight distribution and pressure points. The podiatrist will read the analysis and then determine which treatment plans are available.
If you have any questions please feel free to contact our offices located in Arlington Weatherford, Mineral Wells, and Farmers Branch, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.