May 2022

The ankle is a complex structure of bones, muscles, ligaments, and tendons that work together to help you stand, walk, and run. A tendon is a band of tissue that connects muscles to bones. Two peroneal tendons are located on the outer side of the ankle. One connects the bone to the metatarsal on the outside of the foot, and the other runs beneath the foot and connects to the arch. Their job is to stabilize the foot and ankle muscles, helping to prevent strains. Injury to these tendons is common among athletes and people with high arches. The three main categories of peroneal tendon injuries are tendonitis, acute tears, and subluxation. Tendonitis, or inflammation, is most likely the result of repetitive use or overuse that causes pain, swelling, and warmth to the touch. Acute tears are commonly caused by repetitive activity or trauma that results in pain, swelling, and ankle joint instability. Subluxation occurs when the tendon slips out of position, often after an ankle sprain. Symptoms include a snapping feeling in the ankle, along with weakness and instability. If you have injured your ankle, it is suggested you consult a podiatrist as soon as possible for an exam and diagnosis. 

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Dr. Thomas Madden from Advanced Foot Care Center. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendinitis
• Achilles tendon rupture
• Stress fractures
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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.

Having an ingrown toenail is annoying and painful, but it can be preventable. When the side of a toenail becomes engulfed by the skin around it, pressure can build up and cause pain. Typical signs of an ingrown toenail include redness and swelling, pain when touched, or hardened skin next to the nail. If the area gets infected, it may become filled with pus and cause bleeding. Causes of ingrown toenails include tight fitting shoes, toenails cut incorrectly or not at all, and poor foot hygiene. Home prevention techniques include cutting toenails straight across, keeping your feet clean and dried, and wearing shoes that fit properly. Anyone who has diabetes, poor peripheral circulation, or other systemic conditions that affect the feet should seek the care of a podiatrist regularly. In cases of a badly ingrown toenail, it is strongly suggested that you consult a podiatrist. Possible treatment may call for partial or complete removal of the nail to prevent further complications. 

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Dr. Thomas Madden of Advanced Foot Care Center. 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 office located in Killeen, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

It is beneficial for women who are pregnant to take frequent breaks during the work day. Many jobs require standing or walking for the majority of the time, and foot pain and swelling may develop. It is important to wear shoes that fit well and are comfortable, in addition to practicing simple stretches while standing. Ideal shoes include those with adequate room for the toes to move freely in, and enough cushioning in the heel area. Stress can be taken off the feet by tightening the core muscles. Also, shifting the weight from one foot to the other may help improve blood circulation and reduce swelling. Some pregnant women choose to wear compression stockings, and these can keep circulation normal. It is known that pregnancy can affect the feet because of the added weight that is endured. If you have questions about how to protect the feet while pregnant, please confer with a podiatrist. 

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Dr. Thomas Madden from Advanced Foot Care Center. 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 office located in Killeen, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Foot cramps are a common and painful complaint that often interrupts an otherwise peaceful night’s sleep. In and of themselves, cramps are simply the result of a muscle flexing and staying flexed for a period of time. This is very common when sleeping, because the feet are usually pointing downward and the leg muscles contract, causing a spasm. The easiest cure is to stretch or massage the tightened muscle. Other symptoms that may appear with cramps are muscle weakness, redness or changes in color to the skin, extremely severe pain, and swelling. These may indicate a need for medical attention. Cramping can also be the result of several underlying conditions, including magnesium or potassium deficiency, dehydration, dialysis, muscle overuse, pregnancy, improper footwear, and side effects from medications. If you experience extreme or frequent foot cramps, it may be a good idea to discuss the condition with a podiatrist who can give you guidance and treatment options.

Everyday foot care is very important to prevent infection and other foot ailments. If you need your feet checked, 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.

Everyday Foot Care

Often, people take care of their bodies, face and hair more so than they do for their feet. But the feet are a very important aspect of our bodies, and one that we should pay more attention to. Without our feet, we would not be able to perform most daily tasks.

It is best to check your feet regularly to make sure there are no new bruises or cuts that you may not have noticed before. For dry feet, moisturizer can easily be a remedy and can be applied as often as necessary to the affected areas. Wearing shoes that fit well can also help you maintain good foot health, as well as making it easier to walk and do daily activities without the stress or pain of ill-fitting shoes, high heels, or even flip flops. Wearing clean socks with closed shoes is important to ensure that sweat and bacteria do not accumulate within the shoe. Clean socks help to prevent Athlete’s foot, fungi problems, bad odors, and can absorb sweat.

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.

If one’s diabetes is not carefully managed through diet, exercise, and insulin treatment, an all-too-common complication can be a foot ulcer. Ulcers develop because skin tissue breaks down and layers of skin underneath are exposed due to poor circulation, high blood sugar, nerve damage, and irritated or hurt feet. Foot ulcers usually develop under big toes or the balls of the feet. Symptoms to watch for are unusual swelling, irritation, redness, discoloration, drainage from the foot, and odors emanating from the feet. The most visible sign of a foot ulcer is when black tissue (known as “eschar”) surrounds the ulcer because of poor blood flow to the area. However, signs of a foot ulcer are not always present or obvious. Good foot care, including wearing properly fitting, quality shoes, maintaining good foot hygiene, proper trimming of toenails, as well as attention paid to other aspects of physical health, such as heart and kidney disease and obesity, can help with the prevention of foot ulcers. Treatment depends on the cause and severity of the ulcer. It is highly suggested to consult with a podiatrist for proper diagnosis and to obtain a treatment plan.

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