February 2025

Fall prevention is essential for seniors, as falling can lead to serious injuries that impact their health and independence. Regular fitness activities that improve balance, strength, and flexibility can help seniors maintain stability and reduce the risk of falls. An eye exam is essential to ensure that vision problems, which can contribute to falls, are addressed. Seniors should also remove floor clutter and ensure their living space is free from obstacles like rugs or furniture that could cause tripping. Wearing supportive footwear, such as Velcro sneakers, provides better grip and stability compared to loose or high-heeled shoes. These simple yet effective steps can significantly lower the risk of falls, promote safety, and enhance the overall quality of life for seniors. If you are elderly or are caring for a senior citizen, it is suggested that you include a podiatrist as part of a healthcare team who can effectively monitor foot 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.

Ankle arthrodesis, or ankle fusion, is a surgical procedure that permanently joins the bones of the ankle joint to eliminate pain and improve stability. It is typically recommended for individuals with severe arthritis, post-traumatic damage, or deformities that make walking difficult. When cartilage wears away, bones rub against each other, causing chronic pain and inflammation. Fusion stops this movement, relieving pain but reducing ankle flexibility. Candidates for ankle arthrodesis often include those with end-stage arthritis, previous injuries, or failed ankle replacements. While traditional open surgery is an option, minimally invasive techniques using small incisions and screws have improved recovery times and reduced complications. Although mobility is somewhat limited after fusion, many patients experience significant pain relief and improved quality of life. If chronic ankle pain is interfering with your daily activities, it is suggested that you see a podiatrist who can determine if ankle arthrodesis is the right solution 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.

Foot pain at night can stem from several causes, disrupting your rest and comfort. Common reasons include plantar fasciitis, where the band of tissue supporting your arch becomes inflamed, leading to throbbing pain. Neuropathy, often linked to diabetes, can cause burning or tingling sensations due to nerve damage. Poor circulation, as seen in peripheral artery disease, may also lead to nighttime discomfort. Other factors include overuse from standing or walking during the day, wearing poorly fitted shoes, or arthritis, which causes joint inflammation and stiffness. Restless leg syndrome, a condition causing unpleasant sensations in the legs and feet, may also contribute to nighttime discomfort. If you have persistent or worsening foot pain at night, it is suggested that you see a podiatrist to identify the cause, and explore effective treatment options.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot 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.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This 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.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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.

Kidney disease can increase the risk of foot problems due to its impact on circulation and nerve health. Poor kidney function can lead to fluid retention, causing swelling in the feet and ankles. It also raises the risk of peripheral neuropathy, where nerve damage reduces sensation, making it harder to notice injuries. Wounds and infections may heal more slowly, increasing the chances of serious complications like ulcers. To protect your feet, inspect them daily for cuts, blisters, or swelling. Keep your feet clean, moisturized, and avoid walking barefoot to prevent injuries. Choose well-fitting shoes that provide support and reduce pressure points. If you experience pain or notice any unusual changes to your feet, it is suggested that you promptly see a podiatrist.  This type of doctor can provide specialized care to prevent complications and help you maintain healthy, functional feet despite kidney disease.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact Dr. Thomas Madden from Advanced Foot Care Center. Our doctor will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

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.