Understanding Webbed Toes - The Texas Foot Specialists

Webbed toes is a medical condition described as the fusing of two or more toes that is seen at birth. It is not acquired or developed but can be traced to developmental factors during pregnancy. Cases of syndactyly (webbed toes and fingers) happen in one out of 2,500 to 3,000 births. And commonly occurs in the second and third toes.

What Causes Webbed Toes?

Webbed toes is normal and can be seen during the early stages of pregnancy. But as the fetus develops, an enzyme dissolves tissues connecting the digits to give toes and fingers its normal appearance. In cases of webbed toes, this does not happen and the fetus develops without the toes being completely separated.

The exact cause of webbed toes remains unknown. Some studies have shown that people with a family history of webbed feet have a higher tendency to develop the condition but this remains inconclusive. Webbed toes can also be related to genetic defects or symptoms of an underlying disease.

Classification/ Types of Syndactyly

• Webbed toes or fingers could be classified according to how the digits are fused together.
• Simple – this refers to toes joined by soft tissue
• Simple incomplete – a soft tissue that does not run the complete length of the toes
• Simple complete – the toes are joined by soft tissue running the complete length of the toes
• Complex – these are fused toes connected by bones or cartilage
• The most severe case of webbed toes are toes fused together by bones and cartilages with no clear pattern. This may also include the appearance of extra digits.

Symptoms and how it affects you

Webbed toes do not usually cause pain and does not have an adverse effect on the foot’s normal functioning. In some cases however, it can make wearing shoes difficult. It can also affect a person’s self-esteem because of the toe deformity.

Treating Webbed Toes

Surgery remains to be the only treatment option for those born with webbed toes. This is usually performed at 6 month to 2 years. The type of surgery performed depends on the severity of the condition. Simple syndactyly or toes connected by soft tissues only require minor surgery to separate the toes. However, webbed toes classified as complex require highly specialized surgery that can run for multiple sessions.  Dr. Bruce Miller and Dr. Gregory Mangum are Podiatrists who specialize in treating toe deformities.

The Texas Foot Specialists located in Sugar Land, Pasadena and Houston we specialize in helping people with webbed toes and other foot disorders.   To schedule an appointment call Sugar Land (281) 242-4448, Pasadena (281) 991-0600 and Houston (713) 664-6677.

Foot and Ankle Swelling in Pregnancy - The Texas Foot Specialists

A woman’s body undergoes many changes during pregnancy, one of which is swelling of the feet and ankle. Swelling also known as edema is caused by fluid buildup in the tissues. Fluid retention is caused by increased pressure in veins located in your legs and weight of the growing baby.

 Half of all pregnant women suffer swelling in the feet and ankles, especially during the last months of pregnancy. Swelling can be seen in any part of the body. Swelling however is more common in the feet and ankles because it’s the lowest point in the body. Which logically makes it an ideal area for fluid buildup. 

When should you call a doctor? 

Swelling in the feet and ankles is common among women. But swelling can also be caused by other factors outside of pregnancy. This is a very sensitive period in a woman’s life and we must ensure the health of both mother and baby. Consult a podiatrist for anything unusual in the feet. Dr. Gregory Mangum and Dr. Bruce Miller are podiatrists who specializes in foot care and treating foot disorders.

When swelling is noticed on one leg or is visibly larger, this may not be caused by pregnancy but a blood clot (thrombosis).

Severe edema. Checking for this can be done by pinching the swollen area. If the skin does not go back to its normal shape after a second or leaves an indent then this can be considered severe. It can be an indication of pre-eclampsia. 

Keeping your feet healthy

Swelling in the feet and ankles is common among women but this does not necessarily mean that it could not be avoided. Keeping our feet is a must, with or without pregnancy. Here are simple steps to prevent feet and ankle swelling during pregnancy. 

Minimize the pressure on your feet by minimizing time spent standing or avoid weight bearing activities

• Wear shoes that provide good support
• Ask your doctor for orthotics that helps distribute weight
• Elevate your feet to decrease swelling
• Massage your feet regularly to promote better circulation
• Light feet exercises such as walking improve blood circulation 

The Texas Foot Specialists located in Sugar Land, Pasadena and Houston we specialize in helping pregnant women with swollen feet and ankles.   To schedule an appointment call Sugar Land (281) 242-4448, Pasadena (281) 991-0600 and Houston (713) 664-6677.

Bunions are a common ailment for women - Texas Foot Specialists

Bunions are a common ailment, especially for women. Hallus vaxus, or bunions are a bump atthe base of your big toe caused a combination of genetics and poor shoes.

Wife of famous soccer star David Beckham, Victoria Beckham suffers from severe bunions caused by many years of wearing high heels, both on and off the red carpet. In October of 2013, Beckham had a bunionectomy to remove the bunions and realign her toes. 

How do I get bunions?

Although experts debate the causes, it seems that there are several ways that bunions can develop. It has been proved that wearing pointy-toed shoes is possibly a factor in the inflammation of the joint. Recently, certain studies have shown that the affliction might hold some genetic roots in it, since girls whose mothers had bunions seem to be more likely to develop the disorder. Dr. Bruce Miller and Dr. Gregory Mangum are Podiatrists who specializes in helping people suffering from bunions.

What can I do to treat my bunions?

A simple examination by the doctor is usually enough to diagnose bunions, but most often, there will be an X-Ray to confirm the diagnosis.

There are several remedies that are available to those who have bunions. Depending on the severity of the condition, there are both surgical and non-surgical remedies available. For select patients, orthotics that help distribute pressure evenly across your feet and elevate your arches might be beneficial.

Avoiding uncomfortable shoes can prevent unnecessary confinement that can further irritate bunions. If you apply ice to the bunion, it can provide a temporary sense of relief by reducing inflammation and soreness.

For patients suffering from more severe bunions, a bunionectomy might be the best course of treatment. There are a few different options when looking at surgery to treat bunions, a few of which include:

• Cutting the swollen tissue from around your big toe
• Removing part of the big toe bone to straighten the alignment
• Joining the bones of the affected joints

The Texas Foot Specialists located in Sugar Land, Pasadena and Houston we specialize in helping people with Bunions. To schedule an appointment call Sugar Land (281) 242-4448, Pasadena (281) 991-0600 and Houston (713) 664-6677.

Understanding Achilles Tendonitis - The Texas Foot Specialists

Some of us may have experienced having an inflamed Achilles tendon or Achilles tendonitis. This condition makes it difficult for us to walk or even lift our foot. This is common especially for athletes because the Achilles tendon is responsible for supporting almost every heavy foot movement.

The Achilles tendon is located at the back of your foot and connect your calf to your heel. It is used while walking or running, making it constantly exposed to being overused or abused. But this is not only caused by constant use of the Achilles tendon, it can also be due to arthritis which is often seen in middle-aged people or the elderly.

Symptoms of an Achilles tendon includes pain when walking or running. There could also be visible bruising and swelling at the back of your heels. Although this might cause a slight discomfort, visiting a podiatrist is a good way of preventing further injury.

Dr. Gregory Mangum and Dr. Bruce Miller are Podiatrists is a podiatrist who specializes in helping people suffering from Achilles tendonitis and other foot disorders.

Treatment:

The goal of treatment for Achilles tendonitis is to lessen the pressure on the tendon and reduce inflammation. Below are a few tips on how to manage the pain and prevent further injury if you suspect an Achilles tendon injury.

1. Stay away from activities that can aggravate your Achilles tendonitis
2. Make use of shoe inserts to free your tendon from pressure while it heals.
3. Ice application for 20 minutes per hour when the stage is at its acute phase.
4. Non-steroidal anti-inflammatory drugs can be taken to help reduce pain and inflammation.
5. Casting the foot or wearing a restrictive ankle-boot will minimise your movement and giving your tendon more time to heal.
6. Steroid injections may be used, however, this procedure must only be done by a specialized doctor.

Surgery:

Surgery is considered as the last option when treating Achilles tendonitis. This is only performed when conservative treatment fail. A period of 6 months is given for non-surgical treatments before surgery is recommended. Damaged structures may be removed or re-attached.

Prevention:

1. Maintain your normal and healthy weight.
2. Avoid sudden increases in difficulty when sports training, do this gradually.
3. Stretch during warm ups and cool downs.
4. Rest your foot once pain is felt. 

The Texas Foot Specialists located in Sugar Land, Pasadena and Houston we specialize in helping people with Achilles tendonitis. To schedule an appointment call Sugar Land (281) 242-4448, Pasadena (281) 991-0600 and Houston (713) 664-6677.

Heel Pain in Athletes - The Texas Foot Specialists

Joining a sports activity places people at a higher risk for foot injuries. This is because it exposes the foot to constant pressure from the different high-impact foot movements required. Running and jumping for example exposes the feet to tremendous stress that often exceeds it structural limits. When this happens, foot injuries are just around the corner.

 What is a Bruised Heel? 

A bruised heel can be very painful and can be caused by repeated abuse such as high impact foot movements. The foot and its numerous structures are responsible for absorbing the shock from running, jumping or walking. The calcaneus bone or heel bone is responsible for the feet’s load bearing function. 

 The heels are at high risk for injuries. A person’s weight is transferred from the legs directly to the heels. This is the feet’s first point of contact with the ground before the pressure is transferred to other foot structures. The heel bone or calcaneus bone is surrounded by a layer of fatty tissue. This helps absorb some of the pressure away from the heel bones.   

Bruised Heel Management

If you suspect a bruised heel, rest the foot immediately. Continued foot activities may only worsen the condition. Resting buys your body precious time to heal. Consult a podiatrist if pain persists even with rest. A podiatrist can identify if this is a simple case of a bruised heel or a symptom of a serious foot injury. Dr. Bruce Miller and Dr. Gregory Mangum are Podiatrists specialize in treating bruised heels and other foot injuries. 

To prevent future injuries, wear shoes with adequate heel support or heel cushioning. This should be used when the heels are tender or if you are suffering from a bruised heel. This should be worn on both heels. Wearing a foot insert on one shoe may cause an imbalance which can cause an accident or another foot injury. 

Replace your running shoes regularly. Running shoes on average are designed to last around 400 miles. Constant abuse from running or jumping can destroy the shoes’ integrity leaving its structures weak. 

Bruised heel recovery time

A bruised heel if caught early and gets adequate rest can recover pretty quickly. Symptoms could disappear in as little as a few days. If the early symptoms are ignored and a person continuous with their regular activity, this can aggravate the injury. 

Consult a podiatrist for any signs of foot injury. If diagnosed early, treatment is easier and recovery time can be quicker.  The Texas Foot Specialists located in Sugar Land, Pasadena and Houston we specialize in helping people suffering from a bruised heel and other foot injuries.  To schedule an appointment call Sugar Land (281) 242-4448, Pasadena (281) 991-0600 and Houston (713) 664-6677.

Diabetes and Charcot Foot - The Texas Foot Specialists

Charcot foot is a serious complication of peripheral neuropathy. This is a long term complication caused by the loss of sensation in the feet. People suffering from Charcot foot can experience a sudden bone softening in the foot. The bones gradually weakens and eventually fracture. Because peripheral neuropathy causes loss of sensation in the feet, fractures remain unnoticed until it causes deformity. 

Preventive Care
Prevention remains the best treatment. Because of its nature, signs and symptoms are difficult to detect until the condition has become severe. Proper foot care is essential especially for those with diabetes. Preventing the development of peripheral neuropathy is high on the list for stopping Charcot foot.

Maintenance of blood sugar levels is essential for diabetics. High blood sugar levels can destroy delicate foot nerves. Proper foot care for diabetics include regular visits to a doctor or podiatrist for specialized foot care. Dr. Bruce Miller and Dr. Gregory Mangum are Podiatrists is a podiatrist who specializes in helping diabetics suffering from Charcot foot.

Diabetics should avoid foot injuries such bumping the feet or placing too much stress on their feet. This is to avoid possible fractures which is hard to detect because of the loss of sensation in the feet.

Possible Causes of Charcot Foot

Repeated injury and trauma to the foot can cause fractures. This can also lead to dislocation which is hard to detect especially for those with severe peripheral neuropathy. If left untreated, fractures and dislocations can cause foot deformity. Other possible causes of Charcot foot includes leprosy, weak bones, alcoholism, syphilis and smoking.

Diagnosis of Charcot Foot

Early detection of Charcot foot can be difficult. The foot condition only becomes evident when it has progressed to a point where a foot deformity has formed or the patient loses their foot’s normal functioning. Symptoms of Charcot foot are tenderness, swelling and pain. This is due to the trauma caused by a fractured bone.

Conservative treatments are available especially if Charcot foot is detected in its early stages. Treatment options incudes splints, casts, walking braces and therapeutic shoes. Patients under treatment are advised to rest their feet and discouraged from any weight bearing activities.

The Texas Foot Specialists located in Sugar Land, Pasadena and Houston we specialize in helping people with Charcot foot.  To schedule an appointment call Sugar Land (281) 242-4448, Pasadena (281) 991-0600 and Houston (713) 664-6677.

How to Keep our Feet Healthy in our Senior Years - The Texas Foot Specialists

Aging brings many physical changes in our body. A weakened immune system, decreased physical strength and longer injury recovery times makes every medical condition a potential health threat. The feet are essential for our daily activities. And any feet condition that can affect a senior’s daily routine should be taken seriously.

 Proper foot care is important for any age group.  It starts during our development years ensuring our feet matures without deformities and during our senior years when maintaining foot health is crucial. Recovering from an injury or infection becomes more difficult as we age. And preventing foot disorders is a wiser alternative to treating foot disorders. 

Early signs of a foot injury

• Pain when walking that goes when the feet is rested
• Tenderness
• Pain felt when pressing on the big toes (ingrown toenail)
• Swelling
• Bluish skin color (bruising)
• Yellowish toenails (fungal infection)
• Deformities (hammertoe)

 If you notice of these signs consulting a podiatrist is advised. Dr. Gregory Mangum and Dr. Bruce Miller are Podiatrists who specialize in foot care and treating foot disorders in the elderly. 

Senior Foot Care Tips

Decreased visual and sensory perception makes the task of inspecting the feet difficult for seniors. This is why those who are tasked with taking care of seniors are advised to visually inspect the feet. Seniors may find bending to inspect their feet regularly a burden. Which makes regular self-assessment highly unlikely.

 Wearing properly fitting shoes. Our shoes provide additional support and strength in our feet. It compliments different foot structures protecting it against injury. Our meet may lose some of its fat stores or muscles and can also suffer from weakened bones. Wearing the proper type of shoe for a certain activity minimizes the risk for foot injury.

Promote proper blood circulation to the feet by elevating it when lying. Avoid crossing the feet when sitting. This prevents compressing the blood vessels that supply nutrients to the feet. 

Wash the feet regularly to prevent infection and ensure that this are properly dried after. Fungal infections could quickly set in in moist conditions. Sweat and dirt could quickly collect especially between the toes giving fungus the ideal environment for growth. 

Arthritis can make simple activities such as walking difficult or impossible for seniors. This can leave them confined to a wheelchair or seriously affect their quality of life.  

 The Texas Foot Specialists located in Sugar Land, Pasadena and Houston we specialize in helping seniors with foot disorders. To schedule an appointment call Sugar Land (281) 242-4448, Pasadena (281) 991-0600 and Houston (713) 664-6677.

Heel Pain - Texas Foot Specialists

Heel pain is a relatively common affliction that affects many people, and celebrities are no exceptions. Victoria Beckham, former Spice Girl and wife to international football star David Beckham, suffers from bunions and chronic heel pain as a result of her disdain for flats and refusal to wear any other shoes apart from high heels.

High heels are one possible cause for heel pain, but there are many reasons why one might experience discomfort in the heel area.

Dr. Gregory Mangum and Dr. Bruce Miller are podiatrists who specializes in helping people with heel pain and plantar fasciitis.

What Causes Heel Pain?

One of the leading causes of heel pain is Plantar fasciitis, which is often caused by inflammation of a thick band of tissue that connects your heel bone to your toe, clinically called the plantar fascia. This tissue runs across the bottom of your foot to create the arch.

Another reason why you might experience pain in the heel area is Achilles tendinitis, which can be diagnosed by your doctor via an MRI or an ultrasound. If you experience discomfort alongside the back of your help, that is a common symptom of Achilles tendinitis, but if the pain is on the bottom of your heel, you’re more likely to have Plantar fasciitis.

How can I prevent heel pain?

The foot contains 26 bones, the largest bone of which being your heel. If you take proper precautions, you can avoid discomfort and pain.

• Make sure your shoes provide support for your feet and fit correctly
• Stretch before you exercise
• Maintain a healthy diet- obesity can trigger various issues with the feet, so by maintaining a healthy diet, you avoid putting that extra stain on your feet.

Wear proper shoes- while you may enjoy living on the more fashionable side of life, high heels can cause deformities that in turn, trigger pain.

How is heel pain treated?

Orthotic devices can elevate your arches and provide cushioning to aching heels
If several months of treatment don’t work, or your tendon has torn, doctors may suggest surgery to repair your Achilles tendon

• Doctors can prescribe strong anti-inflammatory and pain medication 

The Texas Foot Specialists located in Sugar Land, Pasadena and Houston we specialize in helping people suffering with foot conditions.  To schedule an appointment call Sugar Land (281) 242-4448, Pasadena (281) 991-0600 and Houston (713) 664-6677.

The Joys and Pain of Ballet Dancing, Trigger Toes Explained

Dancing and ballet in particular is an activity that demands great physical strength in the feet and toes. Ballet dancers often have to support their weight only using their toes for long periods of time.  When you’ve got the whole force of your body pressing against a single point then toe injury is just around the corner.

“En pointe” or standing on your toes is a discipline required by ballet dancers. When pressure is concentrated on the big toe, it can injure the flexor hallucis longus muscle which is responsible for flexing the big toe.

Do you have trigger toe?

Although trigger toe is a foot condition commonly found among ballet dancers, it is also a condition found in non-ballet dancers. As long as the conditions for developing a trigger toe is met, almost anyone can suffer from the condition.

Symptoms of trigger toe include pain that is usually mild at first and steadily worsens as the condition progresses. For ballet dancers, pain is triggered when performing the en pointe position and is immediately relieved through rest or when weight is taken off the feet.

People suffering from a trigger toe may experience a clicking sensation when moving the toes. Sometimes it may be necessary for you to use your hands to move or flex the big toe.  

A visit to a podiatrist is recommended when the first signs of a trigger toe is observed. Dr. Bruce Miller and Dr. Gregory Mangum are Podiatrists who specializes in helping people with trigger toes.

Treatment and Management

Treatment options may differ according to the severity of the condition. An ice pack can be used to reduce pain and swelling.

Conservative treatments can include non-steroidal anti-inflammatory drugs (NSAIDS) for immediate relief of inflammation.

Foot strengthening exercises can also be used before a dancer proceeds into more complex steps such as the en pointe position. This is to strengthen the arch and decrease the pressure on the big toe.

Sometimes a weight management program is advised to reduce the weight load on the feet.

For severe cases, surgery is recommended for releasing the tendon and restore normal functioning. 

Cases of trigger toes are rare especially for those who don’t engage in ballet. However, trigger toes will always be a huge concern for ballet dancers. The chances for a full recovery is high and ballet dancers with a history of trigger toes can resume their career.

At The Texas Foot Specialists located in Sugar Land, Pasadena and Houston we specialize in helping people with trigger toes.  To schedule an appointment call Sugar Land (281) 242-4448, Pasadena (281) 991-0600 and Houston (713) 664-6677.

Proper Care for Keeping your Toes Healthy

Toes are usually hidden from sight by shoes. But for those times when it does come into view, keeping them clean and healthy is a must. Pedicures is a simple way of keeping our toes looking great. But if this is done to hide an imperfection then it is detrimental to your toe’s health.

Keeping the toes healthy is an essential part of foot care. Without it, it increases our risks for toenail conditions. Consult a podiatrist if you notice any toe deformity. Dr. Bruce Miller and Dr. Gregory Mangum are Podiatrists who specializes in helping people with foot conditions.

Here are a few tips for keeping your toenails healthy.

Eat a well-balanced diet. Eating healthy does not only work wonders on your figure. It too can help your toenails looking great and healthy. A well-balanced diet is important for maintaining the recommended levels of keratin. Low levels of this protein can cause your nails to become brittle and ugly. Eat foods that are rich in Keratin which includes green leafy vegetables, beans and nuts among others.

Trim your toenails regularly. Toenails should be trimmed straight across. Don’t go overboard by cutting into the sides of the toenails. This is to prevent the development of ingrown toenails. Apply a mild antiseptic foot powder after every trimming and give it a gentle massage. This helps limit bacterial growth. Massaging your feet will also help promote proper blood circulation to your toes.

Use correct fitting socks and shoes. This is important especially in children whose nails and feet are still developing. Use socks made from natural fiber such as cotton and make sure that the shoes you are wearing fit correctly. The Texas Foot Specialists located in Sugar Land, Pasadena and Houston we specialize in helping people with foot disorders.To schedule an appointment call Sugar Land (281) 242-4448, Pasadena (281) 991-0600 and Houston (713) 664-6677.

Bruised Heel – Foot Abuse and Overuse in Athletes

Any physical activity that requires extensive footwork exposes people to foot injuries. Repeated high impact activities such as running or jumping places great pressure on the foot and its structures. The feet are very durable but they too has their limitations.   

Bruised Heel

A bruised heel happens when the heels are exposed to repeated physical abuse. The heels are responsible for supporting the body’s weight even during walking or standing, the possibility of injury is a constant.

The calcaneus bone or heel bone acts like a shock absorber. The body’s weight is transferred to the legs and ultimately the foot. The heel aside from absorbing the body weight is also the body’s first point of contact with the ground before the stress is dispersed to other foot and body structures.

The heels are naturally surrounded by fatty tissue. This helps in absorbing the shock and limits the stress on the heels. However, this is lost with age increasing the risk for bruised heels and other injuries.

Treatment and Management

Rest the foot immediately if a bruised heel is suspected. Continuing your normal activities or engaging in foot-heavy activities can only aggravate the situation. A bruised heel may heal faster if given time to rest. However, if pain persists even after resting the foot then consulting a podiatrist is advised. Dr. Gregory Mangum and Dr. Bruce Miller are Podiatrists who specializes in treating bruised heels and other foot injuries.

Prevention

Preventing bruised heels in the future can be done by practicing proper foot care. This can be done by using custom orthotics. Shoe inserts should be used on both feet and not only on the affected foot. This is because wearing one insert causes a slight imbalance which in turn can cause more injuries.

Just like your car’s wheels, shoes should be replaced over time. Wear and tear happens due to direct contact with the ground. Shoes are designed on average to last around 400 miles.

Recovering from a bruised heel

You may recover quickly from bruised heels  if detected early and given ample time to heal. The injury could disappear in a matter of days.  Visit a podiatrist if a bruised heel persists even after rested or pain intensifies.   The Texas Foot Specialists located in Sugar Land, Pasadena and Houston we specialize in helping people suffering from a bruised knee and other foot injuries. To schedule an appointment call Sugar Land (281) 242-4448, Pasadena (281) 991-0600 and Houston (713) 664-6677.

Diabetic Foot Care, Treating Cracked Heels Naturally

Cracked heels are more than a cosmetic nuisance.  Cracked heels can be a medical concern especially for those suffering from diabetes. Diabetic patients may have a weak immune system that makes them susceptible to serious infections.

Cracked heels can be a convenient portal for an infection. In some extreme cases could require amputation. Diabetic foot care is essential for maintaining overall health and more importantly, keeping diabetic patients away from serious complications.

Common Foot Problems for People Suffering from Diabetes

• Neuropathy – loss of sensation in the feet
• Calluses – are more common in people suffering from diabetes
• Skin changes - dry skin
• Foot ulcers – these foot wounds can provide an easy opening for infection
• Poor circulation – proper circulation does not only supply nutrients to the feet but also infection fighting agents

How to treat cracked heels naturally

Check your heels daily for thick skin, cracks, wounds and infection. Early detection makes for easier treatment. Infection is a serious threat and more so for those suffering from diabetes. If you notice any signs of infection consult a podiatrist. Dr. Gregory Mangum and Dr. Bruce Miller are podiatrists who specializes in foot care and treating foot disorders in diabetics.

Wash your feet regularly. This also is a good time to check for any cuts or heel cracks. Avoid soaking your feet for long periods of time to prevent the skin from drying up further. Dry your feet thoroughly especially areas between the toes.

Make moisturizing a habit. Properly moisturized feet reduces skin dryness and keeps natural moisture locked in. Nerve damage due to diabetes can decrease sweat production. Moisturizing also prevent skin sores and reduces friction in sensitive skin surfaces.

Avoid the trouble of dealing with deep, thick cracked heels by treating your feet early. Use a pumice stone to gently file away at the excessive skin growth. Never use a blade or nail cutter to chip away heel cracks. This can result to cuts and infection.

Over the counter ointments are available for treating cracked heels but consulting a podiatrist remains the safest choice for treating cracked heels in diabetics. The Texas Foot Specialists located in Sugar Land, Pasadena and Houston specialize in helping diabetics with foot disorders.  To schedule an appointment call Sugar Land (281) 242-4448, Pasadena (281) 991-0600 and Houston (713) 664-6677.

Plantar Warts: Treatment and Prevention - Texas Foot Specialists

Many skin conditions may appear similar to the untrained eye. Plantar warts for example may be mistaken for simple corns and calluses. But plantar warts are more than thick skin growths. It is caused by a viral infection which has gained entry through breaks in the skin such as wounds, cuts or blisters.

Identifying a Plantar Wart

Plantar warts are commonly found in the heels or balls of the feet. They have clearly defined borders compared to calluses which merely appear as thick skin areas on the feet. One clear indicator of a plantar wart are  pin point black spots. Plantar warts are also commonly appear grayish. Plantar warts can be single or appear in clusters.  In some cases they can even grow to more than an inch in diameter.

Dr. Gregory Mangum and Dr. Bruce Miller are podiatrists who specialize in treating plantar warts.

Prevention:

•  Regularly check your feet for any skin changes (discoloration, unusual growths)
• Protect your feet from direct contact with wet floor surfaces in public areas such as common baths by wearing sandals or slippers
• Immediately treat wounds, cuts or blisters to prevent infection
• Plantar warts can be spread through direct contact with infected skin. Prevent infection or its spread by washing your hands regularly and avoid sharing personal items such as shoes or socks.

Treatment:

A podiatrist may recommend a variety of treatment options for plantar warts. .

Curettage and desiccation – a local anesthetic is used to desensitize the area before treatment. A doctor then surgically removes the plantar wart and closes the wound.

Laser treatment – this utilizes laser technology to destroy the wart. This is considered an out-patient procedure and can be performed in the doctor’s clinic.

Acid – the simplest and most effective method for treating plantar warts. It is applied directly over the plantar wart.  Treatment can take a few weeks.

Plantar warts are commonly seen in children. These are usually asymptomatic and does not cause any pain or discomfort. But the real danger is when skin cancer or melanoma is mistaken for a plantar wart. So, be sure to have any suspicious growths or changes in the skin examined by your podiatrist.

The Texas Foot Specialists located in Sugar Land, Pasadena and Houston we specialize in helping people with plantar warts.  To schedule an appointment call Sugar Land (281) 242-4448, Pasadena (281) 991-0600 and Houston (713) 664-6677.

Fungal Nails Explained - Texas Foot Specialists

A common type of fungal infection can be found in our toenails. This condition is medically referred to as Onchomycosis or Tinea Unguium.

Dr. Gregory Mangum and Dr. Bruce Miller are podiatrists who specialize in treating fungal nail infections.

Who can get fungal nail infections?

• Smokers are at greater risk for developing fungal nail infection
• Immunosuppressed people (i.e. diabetic, cancer patients, and people who has psoriasis or AIDS)
• Elderly people
• People with bad hygiene
• People who frequently use communal showers increase their risks of acquiring fungal nail infection
• People who wear tight-fitting, uncomfortable shoes
• People diagnosed with peripheral vascular disease
• Anyone that comes in contact with the fungus

What causes fungal nail infections?

• Fungal nails may develop if a person washes his feet more than necessary. Excessive foot washing may cause the protective skin at the base of the nail to get damaged. This can be an entry point for fungi.
• Those suffering from fungal skin infection can transfer this infection to the toenails.
• Damaged nails exposes the sensitive skin underneath to fungi.

What are the symptoms of having fungal nail infections?

• Nail discoloration can be tell-tale sign of fungal nail infection. The nail can turn white, black, yellow or green.
• Thickening of the nail may not be observed easily but if left unattended, the nail may start to crumble and become disfigured.
• Long-term fungal nail infection may cause pain even while walking.

How do we treat a person who has fungal nail infection?

• Topical medication can help prevent the spread and reduce the fungal infection.
• Oral medications are often used for treating fungal nail infections. These medications can clear fungal nail infections along with fungal skin infection.
• Laser treatment is are treatment of choice.  The procedure is performed right in our office, is painless and requires no anesthesia.

The Texas Foot Specialists located in Sugar Land, Pasadena and Houston we specialize in helping people find relief from acute and chronic heel pain.  To schedule an appointment call Sugar Land (281) 242-4448, Pasadena (281) 991-0600 and Houston (713) 664-6677.

Foot Health for Diabetics - Texas Foot Specialists

One major concern for diabetic is proper foot care. A compromised immune system and poor blood circulation could turn wounds and blisters into serious life threatening conditions. If left untreated, this could spread to other areas making amputation the only option for treatment.  Managing your blood sugar levels and monitoring your blood pressure is just part of the diabetic health regimen.

Quick tips

• Stop smoking
• Make regular visits to your doctor
• Stay within your recommended weight range
• Start eating more fruits and vegetable

Diabetes poses serious threats to your health and feet in particular. If you're diabetic, you are like to have poor circulation to your feet and are unable to receive the recommended amounts of oxygen and nutrients making them weak and susceptible to infection. Nerve damage could also result. This makes it harder for diabetics to immediately notice wounds.  

Diabetics are susceptible to nerve damage if:

• They are 40 years old and older
• Have above normal blood sugar levels
• Are over-weight
• They have cholesterol levels that are exceptionally high
• Suffering from high blood pressure

If you are a diabetic and suffer from the symptoms shown above, consult a podiatrist for a comprehensive foot exam.  Dr. Gregory Mangum and Dr. Bruce Miller are podiatrists who specialize in helping people with diabetes take care of their feet.

Signs of possible nerve damage in the feet

Diabetes may cause peripheral nerve damage leading to decreased sensation in the feet. It can affect how early we could identify wounds and other injuries.

• If you feel a burning or tingling sensation in the feet
• You notice a change in skin color or toes become disfigured
• This condition is called diabetic peripheral neuropathy.

Proper foot care

Diabetics may experience difficulty in identifying wounds or blister development in the feet. Lack of sensation and long response times to injury gives infection more time to set in.

Regularly inspect your feet visually. This could be done after a bath or when removing your shoes when you reach home. Use a mirror for hard to see areas such as the soles of your feet. You could also ask for help when you are having difficulties inspecting it visually.

Keep your feet clean and free from inspection by washing your feet regularly. Sweat and dirt could collect in between toenails, ideal breeding grounds for infection.  Remember to use a towel and gently wipe off water to avoid blisters.

Walking and running produces friction between the shoes and skin. Wearing properly fitting shoes reduces the amount of friction generated from these activities. Wear shoes or slippers to constantly protect your foot from rough surfaces and sharp edges.

The Texas Foot Specialists located in Sugar Land, Pasadena and Houston we specialize in helping people suffering from diabetic foot conditions. To schedule an appointment, call Sugar Land (281) 242-4448, Pasadena (281) 991-0600 and Houston (713) 664-6677.

Pain Relief from Bunions - Texas Foot Specialists

Bunions make wearing shoes painful and uncomfortable. It makes simple activities such as walking and standing so difficult that it can negatively affect how we go about our normal activities.

Bunions develop when the joint located between the big toe and foot becomes inflamed. Pain, swelling and tenderness is noticed in the area. Over time, the bone becomes misaligned and the bump develops. Pain is caused by inflamed tissues pressing against the nerves. This is further aggravated when walking or standing as the foot absorbs the enormous stress of supporting our weight.

Some people are at high risk for developing bunions due to heredity. Bunions can also be caused by wearing tight fitting shoes that press the toes together. It can also be caused by shoes that interfere with normal weight distribution in the feet. High heels for example shift most of our weight to the toes which place above normal pressure in the toes.

The Goals of Bunion Treatment

A quick visit to your podiatrist gives you the best and safest treatment options for treating bunions. Dr. Gregory Mangum and Dr. Bruce Miller are podiatrists who specialize in helping people bunions and other foot disorders.

•  Immediate pain relief and reduction of future pain episodes
•  Prevent bunions from progressing
•  Treat the bunion and restore normal alignment without surgery if possible
•  Help restore normal weight distribution in the feet

Apply and ice pack over the area to reduce swelling and help calm the nerves down. This provides temporary pain relief without using pain medications. Do this several times a day for 10 to 15 minutes to gradually reduce the swelling. A small swell now makes it possible for you to wear shoes without your toes constantly being pressed by the sides of your shoes.   

Therapeutic footwear or shoes designed around your foot deformity can also episodes of pain and discomfort. A podiatrist may recommend therapeutic shoes with a wider toe area or those made from more flexible materials to relieve pressure on your toe joint.

Insoles provide additional foot support. This helps in distributing your weight more evenly and reduce pressure in your toe joint. Exercises can be employed to improve foot strength. It also keeps your joints loose.

If symptoms persist, surgery may be necessary to correct the deformity.

The Texas Foot Specialists located in Sugar Land, Pasadena and Houston we specialize in helping people with bunions.  To schedule an appointment call Sugar Land (281) 242-4448, Pasadena (281) 991-0600 and Houston (713) 664-6677.