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January 2024

Wednesday, 31 January 2024 00:00

Are You Suffering From Ingrown Toenails?

If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!

Tuesday, 30 January 2024 00:00

Diagnosis of Pain and Discoloration of Toes

Toe pain can have various causes, and it is necessary to consider a number of possibilities to determine the underlying condition accurately. Cellulitis, a bacterial skin infection, can lead to toe pain accompanied by symptoms like redness, swelling, warmth, and sometimes fever. Cryoglobulinemia, although rare, can result in recurrent skin discoloration, known as palpable purpura, on the lower extremities, often associated with joint pain and kidney issues. Trauma is another common cause, with toe pain following a history of injury, typically displaying corresponding contusion patterns. Warfarin skin necrosis, a rare complication of anticoagulant therapy, may present as painful skin necrosis in areas with accumulated fat during the beginning of warfarin use. Lastly, blue toe syndrome can cause acute, painful cyanotic discoloration in the toes due to an embolism. If you have painful, discolored, or swollen toes and there is no obvious cause, or one that needs attention, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment.

Toe pain can disrupt your daily activities. If you have any concerns, 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.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

  • Trauma
  • Sports injury
  • Wearing shoes that are too tight
  • Arthritis
  • Gout
  • Corns and calluses
  • Hammertoe
  • Bunions
  • Blisters
  • Ingrown toenails
  • Sprains
  • Fractures (broken bones)
  • Dislocations

When to See a Podiatrist

  • Severe pain
  • Persistent pain that lasts more than a week
  • Signs of infection
  • Continued swelling
  • Pain that prevents walking


In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.


Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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

Read more about Toe Pain
Tuesday, 23 January 2024 00:00

Defining Foot Blisters and Their Origins

Foot blisters are defined as fluid-filled sacs that form on the skin, and are often encountered during daily activities or as a result of wearing ill-fitting footwear. They develop as a result of friction or repeated rubbing, which separates the layers of skin, creating a pocket of clear fluid. Several factors can contribute to the formation of foot blisters. Tight or improperly fitting shoes can lead to excessive rubbing, especially while walking or running. Moisture, such as sweat or wet conditions, softens the skin and makes it more prone to blistering. Certain materials consisting of rough socks or shoes, can exacerbate the problem. Additionally, activities that place excessive stress on the feet, like hiking or long-distance running, are common culprits. Understanding the definition and causes of foot blisters can help you take preventive measures. If you have blisters on your feet, it is suggested that you contact a podiatrist who can safely treat them and guide you on blister-prevention tactics. 

Blisters may appear as a single bubble or in a cluster. They can cause a lot of pain and may be filled with pus, blood, or watery serum. If your feet are hurting, 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.

Foot Blisters

Foot blisters are often the result of friction. This happens due to the constant rubbing from shoes, which can lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.


(Blister symptoms may vary depending on what is causing them)

  • Bubble of skin filled with fluid
  • Redness
  • Moderate to severe pain
  • Itching

Prevention & Treatment

In order to prevent blisters, you should be sure to wear comfortable shoes with socks that cushion your feet and absorb sweat. Breaking a blister open may increase your chances of developing an infection. However, if your blister breaks, you should wash the area with soap and water immediately and then apply a bandage to the affected area. If your blisters cause severe pain it is important that you call your podiatrist right away.

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.

Read more about Blisters on the Feet
Tuesday, 16 January 2024 00:00

Plantar Fasciitis Surgery Realities

Plantar fasciitis, a common cause of heel pain, may necessitate surgery in severe cases when conservative treatments prove ineffective. The surgical approach typically involves releasing tension on the plantar fascia, either partially or completely. It is essential to understand that surgery is considered a last resort after exhausting non-invasive options. Recovery can be lengthy, requiring patience and adherence to post-operative instructions. Complications, though rare, may include infection, nerve damage, or incomplete pain relief. Prior to surgery, thorough consultation with a podiatrist is imperative for accurate diagnosis and determining the appropriateness of surgical intervention. While success rates are generally high, individual outcomes vary. Understanding the facts about plantar fasciitis surgery aids in informed decision-making, emphasizing the importance of exploring conservative treatments before considering surgical options for this persistent and often debilitating foot condition. If you have plantar fasciitis, it is strongly suggested that you consult a podiatrist who can determine if surgery is right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Thomas Madden of Advanced Foot Care Center. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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.

Read more about Foot Surgery
Tuesday, 09 January 2024 00:00

Causes of Numbness in the Feet

Numb feet, characterized by diminished sensation, often arises from simple factors like nerve compression due to awkward sitting or tight shoes. However, persistent numbness, or neuropathy, can signal serious underlying health concerns. Numbness in the feet typically accompanies sensations such as pain, burning, or tingling, collectively known as paraesthesia. If left untreated, the numbness may progress to weakness and reduced foot control. The causes can be broadly categorized into nerve damage and diminished blood supply. Nerve damage disrupts communication between sensory nerves and the brain, leading to numbness. This breakdown prevents the interpretation of pressure and temperature stimuli. Pins and needles sensations arise when signals are erratic. Causes of nerve damage include temporary nerve compression, where prolonged awkward sitting or tight shoes reduce oxygen and nutrient flow to nerves, resulting in temporary numbness and subsequent pins and needles upon movement. Peripheral neuropathy involves damaged peripheral nerves unable to transmit signals to the central nervous system. It can lead to persistent numbness and is associated with conditions such as diabetes, systemic diseases, and alcoholism. If you experience numbness in the feet frequently, or for long periods, it is suggested that you schedule an appointment with a podiatrist for a full examination and treatment options. 


Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, 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 for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

  • Numbness
  • Sensation loss
  • Prickling and tingling sensations
  • Throbbing, freezing, burning pains
  • Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.


To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

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.

Read more about Neuropathy
Tuesday, 02 January 2024 00:00

Symptoms and Causes of Ankle Sprains

An ankle sprain occurs when the ligaments that support the ankle are stretched or torn. This type of sprain is a common injury, constituting 25 percent of all sports-related injuries. Ankle sprains can affect anyone, not just those engaged in sports. While they are often caused by activities such as running and walking, they also can be the result of missteps on uneven surfaces, such as stepping into a hole or missing a curb. Symptoms vary in severity, and include pain, soreness, swelling, difficulty bearing weight or walking, and bruising. Diagnosis involves a comprehensive examination by a podiatrist, who can evaluate bones, soft tissues, range of motion, and strength. In some cases, imaging studies like X-rays may be ordered to rule out additional injuries, such as a fracture. Timely and proper treatment typically takes between four and six weeks, depending on severity. Acknowledging the causes and symptoms of ankle sprains is important for prompt intervention, ensuring optimal recovery and minimizing the risk of future complications arising from these common injuries. If you have endured an ankle sprain, it is suggested that you schedule an immediate appointment with a podiatrist for an exam and treatment.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, 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 Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

  • Pain at the sight of the tear
  • Bruising/Swelling
  • Ankle area is tender to touch
  • In severe cases, may hear/feel something tear
  • Skin discoloration

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further 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.

Read more about Ankle Sprains
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