What Are Heel Spurs?

Heel spurs are a common foot condition. They are bony growths that form on the underside of the heel bone (calcaneus). These calcium deposits develop over time and are often associated with chronic strain or stress on the foot’s muscles, ligaments, and fascia.

Causes:

Heel spurs are typically the result of long-term stress on the foot. This can occur from repetitive walking, running, or standing on hard surfaces. Other factors include poorly fitted or unsupportive shoes, obesity, and biomechanical issues like flat feet or high arches. Heel spurs often form alongside plantar fasciitis, a condition where the thick band of tissue (the plantar fascia) that runs along the bottom of the foot becomes inflamed. The two conditions are related but not the same; while heel spurs are a physical growth, plantar fasciitis involves tissue inflammation.

Symptoms:

Interestingly, many people with heel spurs don’t experience any symptoms. However, when symptoms do appear, they usually include sharp pain in the heel, particularly when standing up after rest or walking first thing in the morning. This pain results from irritation of the surrounding soft tissues rather than the spur itself.

Diagnosis and Treatment:

Heel spurs are diagnosed through physical examination and X-rays, which can show the bony outgrowth. In most cases, heel spurs can be managed with conservative treatments, including rest, stretching exercises, custom orthotics, and properly fitted shoes with good arch support. Anti-inflammatory medications or physical therapy can also help alleviate symptoms. In rare cases where pain persists despite these treatments, surgery to remove the spur may be considered.

By addressing the underlying causes and making adjustments to footwear or activity levels, most patients can manage heel spur symptoms effectively without the need for invasive procedures.

Here at The Texas Foot Specialists, Dr. Bruce Miller and Dr. Gregory Mangum provide expert and specialized care to address all of your foot and ankle needs. From conservative to advanced surgical treatments, you can always count on us for quality and compassionate care. Contact us online to make an appointment at one of our conveniently located offices in Sugar Land, Pasadena or Houston.

Do I Have a Wart?

We often treat patients with foot warts, also known as plantar warts. These warts are caused by the human papillomavirus (HPV), which enters the skin through tiny cuts or abrasions, typically on the soles of the feet. Knowing the signs of a wart can help you seek treatment early and avoid potential discomfort. Here’s how to tell if you have a wart on your foot.

1. Raised, Rough Bump: Plantar warts usually appear as small, rough, grainy growths on the bottom of the foot. They can vary in size and may have a hard, callused surface. Sometimes, they are mistaken for corns or calluses, but warts are generally softer in texture.

2. Black Dots: One telltale sign of a wart is the presence of tiny black dots within the lesion. These black dots are actually small, clotted blood vessels and are often called “wart seeds.”

3. Pain When Walking or Standing: Unlike corns or calluses, plantar warts can cause significant discomfort, especially when pressure is applied to them. You may feel a sharp, stabbing pain when standing, walking, or pressing on the affected area.

4. Flat Growths: Because of the pressure on the soles of your feet, plantar warts tend to grow inward rather than outward, forming a flat appearance. This makes them different from warts found on other parts of the body.

5. Location: Plantar warts commonly develop on weight-bearing areas of the foot, such as the heel or ball of the foot, where pressure causes the virus to take hold.

If you notice any of these signs, it’s important to seek professional treatment. Over-the-counter treatments can be effective in some cases, but if the wart persists, a podiatrist can offer stronger solutions such as cryotherapy or prescription medications to remove the wart and prevent it from spreading.

Here at The Texas Foot Specialists, Dr. Bruce Miller and Dr. Gregory Mangum provide expert and specialized care to address all of your foot and ankle needs. From conservative to advanced surgical treatments, you can always count on us for quality and compassionate care. Contact us online to make an appointment at one of our conveniently located offices in Sugar Land, Pasadena or Houston.

Why Should a Diabetic Person See a Podiatrist?

For people with diabetes, regular visits to a podiatrist are an essential part of managing overall health. Diabetes can lead to complications that affect the feet, sometimes with serious consequences. Here’s why it’s crucial for diabetic individuals to see a podiatrist regularly.

1. Prevent Foot Complications: Diabetes can damage the nerves and blood vessels in your feet, leading to conditions like peripheral neuropathy and poor circulation. These issues reduce your ability to feel pain or temperature changes, making it harder to detect injuries or infections. A podiatrist can help prevent minor issues from escalating into more serious problems, such as foot ulcers or infections, which could lead to amputation if left untreated.

2. Foot Care and Maintenance: Even simple foot care tasks like trimming toenails or removing calluses can be risky for someone with diabetes due to the potential for cuts or infections. Podiatrists are trained to provide safe foot care and ensure that any signs of infection or injury are addressed immediately.

3. Early Detection of Problems: A podiatrist can identify early signs of diabetes-related foot issues, such as changes in skin color, temperature, or the presence of wounds that aren’t healing properly. Early detection allows for prompt treatment, which can prevent complications from worsening.

4. Personalized Advice: Diabetic patients benefit from specialized advice on proper footwear, socks, and daily foot care routines. A podiatrist can recommend orthotic devices, custom shoes, or other measures to prevent pressure sores and improve comfort.

5. Regular Monitoring: Routine checkups with a podiatrist are important for monitoring changes in your feet over time. This ongoing care helps manage and prevent complications before they become critical.

In short, a podiatrist plays a vital role in helping diabetic patients maintain foot health, avoid complications, and ensure overall well-being. Regular visits can make a significant difference in preventing serious issues related to diabetes.

Here at The Texas Foot Specialists, Dr. Bruce Miller and Dr. Gregory Mangum provide expert and specialized care to address all of your foot and ankle needs. From conservative to advanced surgical treatments, you can always count on us for quality and compassionate care. Contact us online to make an appointment at one of our conveniently located offices in Sugar Land, Pasadena or Houston.

Foot problems related to pregnancy

Pregnancy brings many changes to a woman’s body, including the feet. Hormonal shifts, weight gain, and fluid retention can all lead to a range of foot-related problems. Understanding these issues can help expectant mothers find relief and prevent further discomfort.

One of the most common foot problems during pregnancy is **swelling, or edema**. As the body retains more fluid and blood volume increases, swelling in the feet and ankles is common, especially in the third trimester. Elevating the feet, staying hydrated, and avoiding prolonged standing can help reduce swelling.

**Flat feet** or fallen arches may also develop during pregnancy due to the extra weight and a hormone called relaxin, which loosens ligaments in preparation for childbirth. This can lead to overpronation, where the foot rolls inward excessively while walking, causing discomfort in the feet, ankles, and even knees. Wearing supportive shoes with proper arch support and using orthotics can alleviate some of the pain associated with flat feet.

Another issue is **plantar fasciitis**, which is inflammation of the tissue that runs along the bottom of the foot. The added weight during pregnancy can put pressure on this area, leading to heel pain. Stretching, using arch supports, and applying ice to the affected area can help relieve discomfort.

**Leg cramps**, often felt in the calves and feet, are common during pregnancy, especially at night. While the exact cause is unknown, it may be linked to decreased circulation, muscle fatigue, or imbalances in minerals like calcium and magnesium. Gentle stretching and staying active can help reduce the frequency of these cramps.

To manage foot problems during pregnancy, it’s important to wear comfortable, supportive footwear, elevate your feet when resting, and maintain a healthy weight. Consulting a podiatrist can provide personalized care and recommendations to keep your feet healthy throughout pregnancy.

Here at The Texas Foot Specialists, Dr. Bruce Miller and Dr. Gregory Mangum provide expert and specialized care to address all of your foot and ankle needs. From conservative to advanced surgical treatments, you can always count on us for quality and compassionate care. Contact us online to make an appointment at one of our conveniently located offices in Sugar Land, Pasadena or Houston.

Prevent Dry, Cracked Heels

Preventing dry, cracked heels involves consistent care and attention to keeping the skin moisturized and protected. Here are some key steps to maintain smooth, healthy heels:

1. **Moisturize Regularly**: Use a thick, emollient-rich cream or ointment daily, particularly after showering or before bed. Products containing ingredients like urea, glycerin, or shea butter are especially effective for locking in moisture and softening the skin.

2. **Exfoliate Gently**: Regularly remove dead skin cells by gently exfoliating with a pumice stone or foot file after soaking your feet in warm water. Avoid over-scrubbing, as it can worsen dryness or cause injury. Doing this once or twice a week helps keep heels smooth.

3. **Wear Supportive Footwear**: Shoes that provide proper support help reduce pressure on your heels, preventing skin from cracking. Opt for shoes with closed backs, as open-back sandals or flip-flops often contribute to dry heels by leaving them exposed to friction and dryness.

4. **Stay Hydrated**: Drink plenty of water throughout the day to keep your skin hydrated from the inside out. Dehydration can make dry skin worse, especially on areas like your heels.

5. **Avoid Harsh Soaps**: Use mild, moisturizing soaps when washing your feet, as harsh soaps can strip away natural oils, leading to dryness. After washing, make sure to thoroughly dry your feet, especially between the toes, to prevent fungal infections.

6. **Wear Socks**: Wearing socks made from breathable materials like cotton can help retain moisture and protect your heels from excessive dryness. For extra hydration, apply a thick layer of moisturizer at night and wear socks while you sleep.

By following these steps regularly, you can prevent and treat dry, cracked heels effectively.

Here at The Texas Foot Specialists, Dr. Bruce Miller and Dr. Gregory Mangum provide expert and specialized care to address all of your foot and ankle needs. From conservative to advanced surgical treatments, you can always count on us for quality and compassionate care. Contact us online to make an appointment at one of our conveniently located offices in Sugar Land, Pasadena or Houston.

Foot Arthritis

Foot arthritis, a common condition that affects the joints in the foot and ankle, can be debilitating and impact daily activities. As a podiatrist, I often see patients struggling with pain, stiffness, and swelling in their feet due to arthritis. The good news is that there are various treatments available to help manage symptoms and improve quality of life.

The first line of treatment usually involves conservative methods. Nonsteroidal anti-inflammatory drugs (NSAIDs) are often recommended to reduce pain and inflammation. In addition to medication, patients should consider using orthotics or supportive footwear. Custom-made orthotics can provide extra cushioning and arch support, which helps to redistribute weight and reduce pressure on arthritic joints.

Physical therapy is another essential treatment option. Stretching and strengthening exercises can enhance mobility, reduce stiffness, and support joint stability. For patients with severe arthritis, corticosteroid injections can offer temporary relief by reducing inflammation in the affected joint.

If conservative treatments don’t provide enough relief, surgical intervention may be considered. Surgical options range from joint fusion to joint replacement, depending on the severity of the arthritis.

In all cases, early intervention and personalized care are key to managing foot arthritis effectively. Regular check-ups with a podiatrist ensure that treatment is tailored to each patient’s needs.

Here at The Texas Foot Specialists, Dr. Bruce Miller and Dr. Gregory Mangum provide expert and specialized care to address all of your foot and ankle needs. From conservative to advanced surgical treatments, you can always count on us for quality and compassionate care. Contact us online to make an appointment at one of our conveniently located offices in Sugar Land, Pasadena or Houston.

Ankle Tears

Ankle tears, often involving ligaments or tendons, are a common injury that we frequently see in our office. These tears can range from mild to severe and usually occur due to trauma, overuse, or sudden twisting motions. Sports that involve rapid changes in direction, such as basketball, pickleball or soccer, are often linked to ankle tears, though they can happen during any activity that stresses the ankle joint. Individuals with previous ankle injuries or weak ankles are also at greater risk.

The most common type of ankle tear involves the lateral ligaments on the outside of the ankle. This typically results from an inversion injury, where the foot rolls inward, overstretching or tearing the ligaments. Tendon tears, such as the Achilles tendon, can occur from overuse, degeneration, or a sudden increase in physical activity.

Treatment for ankle tears depends on the severity. Mild tears often heal with conservative methods such as rest, ice, compression, and elevation (RICE). Ankle braces or supportive footwear may also be recommended. Physical therapy is essential for strengthening the muscles around the ankle and improving balance.

For more severe tears, immobilization through casting or booting may be required, and in some cases, surgical repair is necessary. Prompt evaluation and treatment can help prevent further damage and promote faster recovery.

Here at The Texas Foot Specialists, Dr. Bruce Miller and Dr. Gregory Mangum provide expert and specialized care to address all of your foot and ankle needs. From conservative to advanced surgical treatments, you can always count on us for quality and compassionate care. Contact us online to make an appointment at one of our conveniently located offices in Sugar Land, Pasadena or Houston.