March 2022

The nerve tissue between the third and fourth toes are affected when a condition known as Morton’s neuroma is present. It can cause significant pain, and some people say it feels as if there is a rock or pebble inside the ball of the foot. The most common pain consists of a stabbing or burning sensation that typically worsens over time. This condition can develop as a result from wearing shoes that are too narrow or from medical conditions like bunions, hammertoes, and flat feet. Mild relief may be found when the affected foot is elevated or massaged. It can also be beneficial to perform certain exercises to maintain and strengthen the arch of the foot. Fill a plastic bottle with ice and roll it back and forth along the bottom of the foot. (This will help with inflammation too) Another stretch can be performed while sitting down with your legs straight in front of you. Place the ball of your foot in the middle of a towel, then grab both ends of the towel and gently pull towards your shin. If you have pain in the ball of your foot, please schedule an appointment with a podiatrist who can properly diagnose and treat Morton’s neuroma.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Dr. Thomas Madden of Advanced Foot Care Center. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

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

What Increases the Chances of Having Morton’s Neuroma?

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

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

If you have any questions, please feel free to contact our office located in Killeen, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

The plantar fascia is a strong supportive tissue that runs under the arch of the foot, connecting the heel to the base of the toes. It helps distribute weight evenly across the foot which enables us to walk and run with ease. If the plantar fascia gets stretched or stressed excessively, it can become painful and inflamed. This condition is known as plantar fasciitis. Certain factors that contribute to this condition include wearing shoes that don’t support or cushion the feet properly, having low or high arches, being obese, increasing the intensity of workouts abruptly or exercising on a hard surface, standing for prolonged periods of time, and old age. In addition to creating heel pain which usually is at its worst in the morning or after periods of rest, plantar fasciitis can increase the likelihood of calcium deposits forming on the heel bone (heel spurs). Podiatrists have a great deal of experience treating plantar fasciitis as it is the most common form of heel pain. Reach out to a podiatrist if you believe you have plantar fasciitis to get on the road to recovery.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. Thomas Madden  from Advanced Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

• Excessive running
• Non-supportive shoes
• Overpronation
• Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

• Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
• Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
• Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

If you have any questions please feel free to contact our office located in Killeen, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Runners, especially those who run long distances regularly, often get injured. Serious injuries can lead to surgery, either on the foot or the ankle. The question of when you can safely resume running depends on the type of injury and the site of the surgery. For anyone who has had a total ankle joint replacement, for instance, running will most likely be prohibited. As for other injuries, you may not be able to reach the previous levels or length or frequency of running you once enjoyed. As a rule, it takes about one year to fully recover from major foot surgery, because of swelling, gait asymmetry, and reduced muscle strength. Eventually, you may be able to ease back into activity, if you run only on soft surfaces and wear shoes that adequately cushion your feet. To be on the safe side, it is a good idea to check in frequently with a podiatrist who can evaluate your healing progress and guide you on how far and how often you can safely run again.

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 Dr. Thomas Madden of Advanced Foot Care Center. 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 office located in Killeen, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

As we age, several factors combine to make the threat of a fall more prevalent. Balance problems, weaker muscles and poorer eyesight may all contribute to the likelihood of a fall. Most falls happen in the home, and can be caused by inadequate lighting, unsafe footwear, slippery floors, loose rugs and electrical cords, and uneven surfaces. Certain physical conditions, such as low blood pressure, incontinence, and diabetes also may increase the chances of a fall. Many of these issues can be controlled with a few simple lifestyle changes. However, if an elderly person falls more and more often, certain complications may ensue. Among them are hip and thigh fractures, head injuries, wrist fractures, and even a tendency to become more sedentary, which further weakens the muscles. If falling has become a problem for you, it’s a good idea to make an appointment with a podiatrist who can help you find ways to prevent injury and reduce any greater risk to your health.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Dr. Thomas Madden from Advanced Foot Care Center. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

If you have any questions, please feel free to contact our office located in Killeen, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Orthotics are designed to be inserted into shoes to help realign the feet or relieve pressure caused by other foot-related problems. They can also help with non-foot issues, such as knee pain or lower back pain. Orthotics can be made to take stress off certain parts of the feet, or to keep the feet aligned. Orthotics are also often used as a method to delay surgery (e.g., when a child needs to wait for their growth plates to close or for their bones to grow more) or to help alleviate pain after surgery. There are multiple ways to make orthotics as well. These methods include laser scanning the foot, using a foam box, or using a plaster cast. If you believe that orthotics are right for you, consulting with a podiatrist is suggested.  

If you are having discomfort in your feet and would like to try orthotics, contact Dr. Thomas Madden from Advanced Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

If you have any questions please contact our office located in Killeen, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.