August 2023

The structure of the foot comprises a fascinating network of bones and joints that enable us to walk, run, and stand. The foot has three major sections: the forefoot, midfoot, and hindfoot. The forefoot contains metatarsal bones forming the ball of the foot, while the midfoot houses various tarsal bones. The tarsal bones are responsible for maintaining arches and facilitating flexibility. The hindfoot houses the heel bone, or calcaneus, and is crucial for absorbing shock during movement. Other joints in the foot, like the ankle joint and the subtalar joint, allow for complex motions that include dorsiflexion and plantarflexion. Understanding this skeletal framework is essential for appreciating the importance of proper foot care and maintaining overall mobility and comfort. If you would like more information about the biomechanics of the feet, it is suggested that you consult with a podiatrist who can provide you with the knowledge you are seeking.

If you have any concerns about your feet, 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.

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 office located in Killeen, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Finding shoes that fit properly is important for foot health and overall comfort. Different shoe brands vary in fit, due to factors like material and construction. Incorrect sizing and improper shoe fittings can result in foot problems. Regular refitting is essential because feet change over time due to factors like aging, foot deformities, or pregnancy. In some cases ligaments lose elasticity, arches fall, and foot size changes. When fitting a shoe, measurements using a Brannock device determine length and width, but it is also important to consider your weight, the purpose of the shoe, and the materials from which it is made. Foot width ranges from AAA to 6E, and choosing the right width matters in order to prevent issues like neuromas, corns, or painful skin folding. Wearing improperly fitted shoes can exacerbate problems like pronation or supination. Experts suggest avoiding shoes that allow the toes to touch the front, which can lead to toe pain, bunions, or hammertoes. If you have problem feet and need guidance in finding the right shoes, it is suggested that you make an appointment with a podiatrist for more information.

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

Foot stress fractures are common injuries that can significantly impact daily life and physical activities. It's essential to understand the basics of these fractures to prevent and manage them effectively. Stress fractures occur due to repetitive stress on the bones, often seen in athletes and runners, especially those who suddenly increase their activity levels. They are tiny cracks in the bone that can be difficult to detect initially, as symptoms may start mild and gradually worsen. Common signs include localized pain, swelling, and tenderness in the affected area. Resting and elevating the affected foot is crucial in the early stages of managing a stress fracture. Seeking prompt medical attention and avoiding weight-bearing activities can prevent further damage. Wearing proper footwear, implementing gradual exercise progression, and incorporating rest days into the routine are essential preventive measures. Understanding foot stress fractures empowers individuals to take proactive steps in maintaining foot health and avoiding potential complications. If you have a foot stress fracture, it is suggested that you speak to a podiatrist who can effectively treat this condition.

Stress fractures occur when there is a tiny crack within a bone. To learn more, 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.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

• Gender – They are more commonly found in women compared to men.
• Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
• Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
• Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
• Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

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.

Heel spurs, or osteophytes, are extra bone growths on the heel bone that can cause pain and discomfort. Although only 5% of people with heel spurs experience pain, they can develop from conditions like plantar fasciitis or arthritis, leading to inflammation and pressure on the heel. Exercises can help increase flexibility in the plantar fascia and strengthen foot muscles to reduce inflammation and alleviate pain, though they will not make heel spurs go away. Such exercises include the big toe stretch, calf stretches, golf ball rolls, and more. The big toe stretch involves crossing the affected leg over the opposite leg, gently grabbing the big toe between the thumb and index finger, and slowly pulling the big toe upward until a stretch is felt on the bottom of the foot. Calf stretches are done by standing facing a wall with the hands placed on the wall at shoulder height and stepping the injured foot back about 18 inches. The heel should be flat on the ground and the front knee bent forward. Slowly lean forward until a stretch is felt along the back calf. For the golf ball roll, sit in a chair with a golf ball placed under the bare foot and roll it from the ball of the foot to the heel several times. Other treatments for heel spurs include wearing orthotics, night splints, steroid injections, or in severe cases, surgery. If you have a painful heel spur, it is suggested that you make an appointment with a podiatrist for treatment tailored to your needs.

Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Dr. Thomas Madden from Advanced Foot Care Center. Our doctor will do everything possible to treat your condition.

Heels Spurs

Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.

Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.

Pain

The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.

Treatments

There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.

If you have any questions feel free to contact our office located in Killeen, TX . We offer the latest in diagnostic and treatment technology to meet your needs.

Diabetes is a chronic health condition that affects how our bodies use food for energy, leading to high blood sugar levels. People with diabetes are more prone to getting wounds on their feet due to poor blood circulation and nerve problems, which can make it hard to feel pain. Open wounds on the feet can easily get infected, so it is essential for diabetics to take good care of their feet. This includes wearing well-fitting and cushioned shoes and regularly checking their feet for any issues. If they notice any wounds, especially if they are oozing pus, they should see a podiatrist immediately. Podiatrists may give antibiotics to prevent infections and clean the wound using special gauze with a saline solution. Sometimes, they might need to place a small tube in the wound called a drain to help with healing and reduce infection risks. After treating the wound, it will be covered with a dressing for protection. If you have diabetes, it is highly suggested to see a podiatrist regularly. This medical professional can help you take care of your feet properly.

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.