It can be hard to know where to turn for reliable information about diagnosing and treating common foot and ankle problems. You can trust our podiatrists to provide the most up-to-date information available when answering Frequently Asked Questions. If the answers you need are not here, please give us a call.

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  • What are the symptoms of PAD, and how does a podiatrist treat it?

    According to the Centers for Disease Control and Prevention (CDC), over six million people in the U.S., age 40 and older, suffer from peripheral artery disease (PAD), also sometimes called peripheral vascular disease (PVD). This condition develops when the arteries narrow, often due to fatty plaque and calcium buildup. This leads to decreased circulation from the heart to other parts of the body. Symptoms and treatments for PAD

    The skilled podiatrists at Austin Foot and Ankle Specialists have treated many patients suffering from PAD. Often considered a “silent threat,” PAD can affect people without their knowing about it because there isn’t always pain or obvious symptoms. Because our podiatrists understand what to look for and how to diagnose this condition, it’s especially important to schedule an appointment if you are at an increased risk of this disease.

    Risk Factors of PAD

    There are certain medical conditions and many factors that increase your risk of developing PAD. These include high blood pressure, high cholesterol, and a history of smoking. Other factors include the following:

    • You have a family history of PAD
    • You have diabetes
    • You’re overweight
    • You don’t eat a healthy diet
    • You have chronic kidney disease
    • You smoke or have a history of smoking
    • You have a personal history of heart disease, heart attack, or stroke
    • You don’t exercise regularly of exercise
    • You’re over the age of 50 with any of the listed medical conditions or risk factors
    • You’re over the age of 65 regardless of medical history

    Symptoms of PAD

    PAD is a potentially painful condition that can impact the extremities, especially the legs. The patients we treat at Austin Foot and Ankle Specialists for PAD often notice the following symptoms:

    • Burning or aching pain in your toes and feet while at rest
    • Sores on your toes and feet that don’t heal
    • Cold feet and/or toes
    • Prickling, numbness, and/or weakness in the foot or leg
    • Muscle pain and cramping
    • Hair loss or thinning on the affected limb
    • Feet and/or legs that appear pale or blue

    The muscle cramping a person with PAD sometimes feels while lying down or exercising is their body’s way of signaling that blood flow is insufficient and they’re not getting enough blood, oxygen, or nutrients in their limbs. They may not feel this pain when upright and stationary because less blood flow is needed then.

    Up to half of people with PAD have no symptoms or mistake their symptoms for other conditions. Many people dismiss PAD pain as a sign of aging, arthritis, or sciatica. People with diabetes often attribute their PAD symptoms to neuropathy. Thus, it’s important to see a podiatrist right away if you start to see any type of change in your legs and feet.

    Other Potential Conditions Related to PAD

    Blood circulation is critical for supplying the organs in the body with the needed nutrients and oxygen to function properly. If a person’s blood flow is limited, it increases their risk for other medical problems, including the following:

    • Gangrene
    • Coronary artery disease/heart disease
    • Heart attack
    • Stroke
    • Amputations

    How an Austin Podiatrist Can Help

    Many people who are familiar with PAD assume that only cardiologists and vascular specialists are involved in treating it. Because of the impact PAD can have on feet, podiatrists are also able to provide care for this condition. To diagnose and treat PAD, the foot doctors in our central Texas office will:

    • Obtain a personal and family medical history
    • Complete a physical examination
    • Complete painless PADnet diagnostic testing
    • Coordinate with other members of your medical team
    • Order further testing
    • Identify additional specialists who could be of assistance

    Our award-winning podiatrists at Austin Foot and Ankle Specialists can also treat other foot and ankle issues that have developed as a result of PAD and recommend other ways to help you reduce your risk of developing other medical conditions that can result from decreased blood flow:

    • Smoking cessation
    • Heart-healthy diet
    • Routine exercise
    • Diabetic footgear
    • Medication

    Surgery for PAD

    In the most severe cases, surgery may be required for PAD; however, we generally prefer to use less invasive treatments, which typically carry a lower risk of complications and are generally more convenient for our patients.

  • Should I consider MLS laser therapy for my foot or ankle condition?

    Our Skilled Podiatrists Discuss Foot and Ankle Conditions Treated by Laser Therapy

    Multiwave locked system (MLS) laser therapy is a highly effective medical intervention that uses cutting-edge technology. We are proud to offer this innovative therapy option in our practice to treat a number of acute and chronic foot and ankle conditions. For many people, MLS laser therapy prevents the need for more invasive treatments such as surgery, which we always consider to be a last resort. If you have a condition that laser therapy can address, you should definitely discuss the pros and cons of this treatment option with one of our award-winning podiatrists at Austin Foot and Ankle Specialists. Some of the medical issues that can benefit from laser therapy include: Foot conditions that MLS can treat

    Benefits of Laser Therapy

    There are many things that make laser therapy a preferred option for patients at our podiatry office. These include:

    Non-Invasive

    Patients undergoing laser therapy don’t need anesthesia or pain medication to handle the process. Additionally, their bodies aren’t exposed to infection risks or other complications like they can be with surgery.

    Painless

    Some people associate lasers with cutting or burning. Lasers can do those things at other frequencies and concentrations, but the lasers we use for laser therapy are not set up in this way. Laser therapy patients feel little to no sensation from the treatment, and most experience very little pain. Patients who do report feeling any sensation say it is a gentle warming sensation, which some even describe as relaxing.

    Fast

    One thing our patients love about laser therapy is how quickly they can complete a session and then move on with the rest of their busy day. A typical session is less than half an hour long, and many are only 10-15 minutes. The size of the area to be treated determines just how much time is needed for a session. We outline a customized treatment plan with each patient on a case-by-case basis to explain what you can expect.

    Convenient

    The sessions are completed right in our office, so there is no need to visit a hospital to receive treatment. There is also no recovery time needed after a session.

    Effective

    Around 85-90 percent of patients who have a condition that can be treated with laser therapy report that it is effective for them. This means their pain and swelling are either significantly reduced or eliminated by the time they complete their full course of treatment.

    Safe for Children and Adults

    Unlike many treatment options that can only be used on patients of specific ages, laser therapy can be safely used without regard to age. This is great news for our pediatric patients.

    Long-Lasting Relief

    Laser therapy does not just temporarily relieve or mask symptoms as many medications do, but it also helps the foot to heal from the underlying causes of pain and swelling. This means the problem does not typically come back once therapy is complete unless the person is injured again or is being treated for a degenerative condition such as arthritis.

    How MLS Laser Therapy Works

    When our central Texas podiatrists provide MLS, they use highly concentrated light of adjustable wavelengths to penetrate the skin and stimulate the cells inside the damaged area of the foot. This helps the body to heal itself without the use of pharmaceuticals or suffering potentially dangerous side effects and drug interactions they can sometimes create. MLS laser therapy is a type of regenerative medicine that is especially effective for soft tissue, such as muscles, tendons, and ligaments. Specifically, laser therapy can help in the following ways:

    • Accelerate cell growth
    • Improve blood circulation
    • Help wounds to close more quickly
    • Reduce scar tissue
    • Decrease risk of infection
    • Lessen inflammation and pain
    • Improve immune system functioning
    • Lead to increased mobility
    • Reduce overall recovery time

    Number of Laser Therapy Sessions Needed

    Patients with an acute condition typically see long-lasting results in as little as one to three sessions. For chronic conditions, six or more sessions may be needed before there is considerable improvement, and the patient may need more sessions for maximum results. These treatments generally take place over the course of several months. For certain chronic conditions, such as arthritis, regular maintenance sessions may be recommended.

    Combining Treatment Options

    One of the benefits of laser therapy is that it can be used in combination with a variety of other treatment options to enhance your overall results without creating unpleasant interactions between the therapies. Other treatment options we might recommend for our patients include:

    • Physical therapy
    • Massage
    • Pain relieving medications
    • Topical creams or ointments
    • Injections
    • Orthotics
    • Lifestyle changes

    Does Insurance Cover Laser Therapy?

    Although MLS laser therapy has been cleared by the FDA as a safe and effective treatment,  many insurance policies still do not cover it. In spite of this, many people do find that it is still an affordable option for them, even if they are paying out of pocket. For that reason, we would encourage you to have a conversation with your podiatrist, even if you know or suspect that your insurance provider won’t cover laser therapy.

    Laser Therapy Is Not for Everyone

    As with any other medical treatment, laser therapy is a great fit for many people, but there may be reasons why it isn’t the best option for your specific situation. When you meet with one of our podiatrists at Austin Foot and Ankle Specialists, we will be happy to explain the full range of services we can offer for your condition, review the pros and cons of each option, and develop a personalized treatment plan that meets your unique needs.

  • Do diabetic patients really need custom orthotics?

    Patients with diabetes often suffer with a condition called neuropathy. This is nerve damage leading to numbness, pain, tingling, and decreased blood flow in the feet. Neuropathy can make it difficult for diabetic foot injuries to heal quickly and properly. This condition also makes it more likely that any issues a diabetic patient develops with their feet could go undetected and become worse unless they are performing regular foot checks. Diabetic foot injuries can easily turn from minor to dangerous. Custom orthotics for diabetic patients

    Orthotics can help prevent and treat numerous diabetic foot problems by reducing pressure, friction, and moisture. Orthotics can also be used in combination with other treatments for enhanced results. For these reasons, the podiatrists at Austin Foot and Ankle Specialists strongly recommend that anyone with diabetes consider wearing orthotics every day.

    Orthotics Can Help Prevent and Treat Diabetic Foot Conditions

    There are many foot conditions that orthotics can help address, including some that are more common in people with diabetes:

    • Ingrown toenails
    • Cuts
    • Bruises
    • Blisters
    • Foot ulcers
    • Corns
    • Calluses
    • Fungal infections
    • Bunions
    • Sepsis
    • Amputation

    Custom Versus Over-the-Counter Orthotics

    There is no denying that over-the-counter orthotics are conveniently available in many stores and are less expensive than the custom-made option. However, you often get what you pay for, and these mass-produced options are not always a bargain.

    Fit

    If you wear the same size shoe as another person, that does not mean you have the same medical condition or that your feet have the exact same structure or shape. When a company is manufacturing a product intended for a large number of people, there is a limit to how much variety it can offer and how many problems it can address. This means you may not get the level of relief you need from a product that was not designed with you in mind. A custom-produced orthotic is molded to your unique foot and tailored to your precise needs, which may include:

    • Correcting your posture
    • Evenly distributing your weight
    • Adding cushion to protect your feet
    • Reducing pressure
    • Alleviating pain
    • Addressing gait issues
    • Improving stability in the feet and ankles
    • Reducing the risk of injury
    • Treating structural issues like supination

    Custom orthotics can also be adjusted periodically by your podiatrist to ensure that if your body and feet have changed, you still have a tool that works perfectly for your needs.

    Durability

    Mass-produced orthotics tend to fall apart fairly quickly. They are designed to be thrown away and replaced, which is not great for the environment. Custom orthotics are created from materials that are both flexible and durable. They are more likely to last a long time, and if they are damaged, they can generally be repaired with a quick visit to the podiatrist.

    Long-Term Cost

    Because custom orthotics may be covered by insurance, typically last so much longer than over-the-counter options (a year to five years typically), and are more likely to help prevent costly diabetic foot issues, they could end up being the less expensive option by a significant margin.

    How a Texas Podiatrist Can Help

    If you’re not sure if you need orthotics or which type you need, a podiatrist can examine your feet, provide an accurate diagnosis, answer your questions, and help you make informed decisions. If you are in the Austin, Texas area, the award-winning doctors at Austin Foot and Ankle Specialists can help you build a plan for keeping your feet and the rest of your body healthy. They are knowledgeable about diabetic foot care and can assist you in finding the treatments that will meet your needs in the least invasive manner possible. They can also help ensure that your orthotics are holding up, comfortable, and preventing problems as intended. They can even teach you how to tell when it is time for new ones.

  • How can you prevent overuse foot injuries?

    Your feet bear the weight of your entire body and keep you steady and moving through your daily activities. This constant demand can put stress on different parts of the body and lead to overuse injuries that can limit your range of motion and affect your ability to move comfortably. While not every foot injury can be prevented, our Austin sports injury podiatrist can recommend tips to follow that can reduce your risk of having one. Tips for preventing overuse injuries

    Types of Overuse Foot Injuries

    Overuse injuries occur when repetitive stress on the feet exceeds the body's ability to repair and recover. Here are some common types of overuse foot injuries:

    • Plantar fasciitis. Plantar fasciitis is the inflammation of the plantar fascia, the thick band of tissue that connects the heel bone to your toes. It often causes heel pain and stiffness, especially when taking your first steps in the morning or after prolonged periods of rest.
    • Achilles tendinitis. The Achilles tendon is located at the back of the ankle and can become inflamed due to overuse. Achilles tendinitis typically causes pain and stiffness along the back of your leg near the heel.
    • Stress fractures. Repetitive impact on the feet, common in activities such as running, can lead to stress fractures. These tiny cracks in the bone can cause pain, swelling, and discomfort.
    • Metatarsalgia. Metatarsalgia causes pain and inflammation in the ball of your foot. It is often caused by excessive pressure or overuse and can make walking and standing uncomfortable.

    Overuse Prevention Tips

    Taking proactive measures to prevent overuse injuries is essential for maintaining foot health. You may want to consider the following helpful tips:

    • Choose the right footwear. Invest in shoes that provide proper arch support, cushioning, and stability. Avoid wearing worn-out shoes, as they may not offer adequate support. Choose shoes that are designed for the activity you plan to participate in.
    • Progress exercises gradually. Whether you're starting a new exercise routine or increasing intensity, progress gradually. Sudden spikes in activity levels can contribute to overuse injuries.
    • Be sure to cross-train. Mix up your exercise routine to decrease the amount of stress placed on specific muscles and joints. Incorporating different activities can help distribute the load more evenly.
    • Perform stretching and strengthening exercises. Include regular stretching and strengthening exercises in your fitness routine to reduce the risk of injury. Focus on areas such as the muscles in your feet and calves, Achilles tendon, and plantar fascia.
    • Listen to your body. Pay attention to any signs of discomfort or pain. If you experience persistent pain, it's crucial to modify your activities and allow time for recovery. If the pain is worsening or becomes severe, see a podiatrist as soon as possible.
    • Be sure to rest and recover. Getting adequate rest is essential for preventing overuse injuries. Allow your feet to recover between intense activities, and consider adding rest days to your workout schedule.

    When to See a Podiatrist

    Despite taking preventive measures, it is still possible to experience foot discomfort or pain from an overuse injury. Knowing when to seek professional help from our skilled Austin podiatrist, Dr. Craig Thomajan, is critical to addressing potential issues early on.

    Some reasons to seek advice for an overuse injury include the following:

    • Persistent pain. If you're experiencing persistent pain that doesn't improve with rest or over-the-counter remedies, it's time to consult a podiatrist. Ignoring chronic pain can lead to more severe issues.
    • Changes in foot structure. Any noticeable changes in the structure of your feet, such as deformities or abnormalities, should prompt a visit to a podiatrist. They can assess your condition and recommend appropriate interventions.
    • Difficulty walking. If you're having difficulty walking or participating in regular activities due to foot pain, a podiatrist can conduct a thorough examination to identify the cause of the pain and provide tailored treatment options.

    A podiatrist can conduct a comprehensive examination, including imaging tests if necessary, to accurately diagnose the specific overuse injury and its underlying causes. Based on the diagnosis, your podiatrist can design an individualized treatment plan that may include a combination of physical therapy, custom orthotics, and lifestyle modifications. Treatment for an overuse injury depends on the type of injury and your daily activities. Podiatrists can provide guidance on preventive measures to help you understand how to avoid future overuse injuries and maintain optimal foot health.

  • What causes heel pain in children?

    Heel pain in children is not uncommon but can be concerning for parents. While children are generally resilient, persistent heel pain can interfere with their daily activities and overall well-being. If your child complains about heel pain or has changes in their gait, our skilled Austin podiatrist can help diagnose the cause and recommend treatment options so your child can get back to living pain-free. Heel pain in children

    Common Causes of Heel Pain in Children

    Many children, especially those involved in sports, will complain of heel pain at least once as they’re growing up. There are a variety of factors that can cause heel pain in children, including the following:

    Sever's Disease

    One of the primary causes of heel pain in children is Sever's disease, also known as calcaneal apophysitis. This condition occurs when the growth plate in the heel becomes inflamed due to the rapid growth experienced during adolescence. Sever’s disease is particularly common in physically active children, especially those involved in sports that require running and jumping.

    Plantar Fasciitis

    Plantar fasciitis is another medical condition that causes heel pain in children. This condition involves inflammation of the band of tissue that connects the heel bone to the toes. While it is more commonly associated with adults, children who are involved in activities that place stress on the heel may also experience plantar fasciitis.

    Pediatric Flatfoot

    Children with flat feet, a condition where the arch of the foot is flattened, may experience heel pain. Pediatric flatfoot can alter the distribution of weight and impact the biomechanics of the foot, leading to discomfort and pain in the heel area.

    Achilles Tendinitis

    Achilles tendinitis, characterized by inflammation of the Achilles tendon, often results from sudden activity spikes, such as starting a new sport.

    Foot or Heel Fractures

    Fractures in the heel or foot may develop from acute injuries or repetitive stress, especially prevalent in children engaged in high-impact sports.

    Treating Heel Pain in Children

    If your child complains about heel pain or you notice changes in their gait, it is essential to take prompt action and see a pediatric podiatrist. A podiatrist will conduct a comprehensive evaluation to determine the root cause of the heel pain. This may include a physical examination, analysis of gait, and, if necessary, imaging studies such as X-rays.

    Once a podiatrist confirms a diagnosis, they can recommend options to help treat heel pain. Treatment options may include:

    Rest and Ice

    Encourage your child to rest and avoid activities that may worsen the pain. Applying ice to the affected heel for 15-20 minutes at a time can help reduce inflammation.

    Supportive Footwear

    Ensure your child wears supportive and properly fitting footwear. This can provide the necessary cushioning and arch support to alleviate heel pain.

    Stretching Exercises

    Incorporate gentle stretching exercises into your child's routine, focusing on the calf muscles and the plantar fascia. Stretching can help improve flexibility and reduce tension in the affected area.

    Custom Orthotics

    Based on the diagnosis, a pediatric podiatrist may recommend custom orthotics. These are shoe inserts designed to provide additional support, cushioning, and alignment, addressing the specific needs of your child's feet.

    Physical Therapy

    In some cases, a podiatrist may prescribe physical therapy to strengthen the muscles and improve the overall biomechanics of the feet. Targeted exercises can be beneficial in reducing heel pain and preventing its recurrence.

    Preventing Heel Pain in Children

    As a parent, you can help your child prevent heel pain by taking proactive measures to ensure their foot health. You can do this by taking the following steps:

    • Ensure your child wears supportive, well-fitted shoes suitable for their activities.
    • Check for signs of worn-out or outgrown footwear.
    • Ensure a gradual increase in activity levels, avoiding sudden spikes in intensity to prevent conditions such as Severs disease and Achilles tendinitis.
    • Encourage your child to stretch the calf muscles to enhance flexibility and reduce strain on your child’s heels.
    • Ensure your child maintains a healthy weight to minimize stress on developing bones.
    • Schedule regular foot checks by our skilled podiatrist at Austin Foot & Ankle Specialists.

  • Do I need surgery if I have plantar fasciitis?

    Plantar fasciitis is a common foot condition that causes symptoms such as severe heel pain when first stepping out of bed or after a period of rest. It occurs when the plantar fascia, a thick band of tissue that connects the heel bone to the toes, becomes inflamed. While plantar fasciitis can often be effectively treated with non-surgical methods, there are situations where surgery may be necessary. Our skilled podiatrist at Austin Foot and Ankle Specialists can determine whether surgery is needed for your condition and what other treatment options you may want to consider. Surgery for plantar fasciitis

    When Surgery Is Necessary for Plantar Fasciitis

    Surgery for plantar fasciitis is typically considered when conservative, non-surgical treatments have failed to provide relief over an extended period. Some reasons why surgery might be recommended include:

    Severe or Chronic Pain

    If the pain from plantar fasciitis is severe and persistent, affecting your daily activities and quality of life, surgery may be considered as a last resort. This could be especially true for individuals who have tried various non-invasive treatments without success.

    Structural Issues

    In some cases, plantar fasciitis may be related to structural issues in the foot, such as bone spurs or a tight Achilles tendon. Surgery may be necessary to correct these underlying problems and relieve the pressure on the plantar fascia.

    Tissue Damage

    If the plantar fascia is severely damaged, torn, or scarred, surgical intervention may be required to repair or release the damaged tissue. This is typically done through a procedure called plantar fascia release.

    Sports Recovery

    Athletes who rely on their feet for their livelihood may opt for surgery to expedite their return to peak performance. Surgery can be a viable option for athletes who cannot afford an extended recovery period and have access to advanced medical care.

    Conservative Treatment Options for Plantar Fasciitis

    Before considering surgery, individuals with plantar fasciitis should explore various non-invasive treatment options. These methods can often alleviate symptoms and promote healing. Some of the most common non-surgical treatments for plantar fasciitis include:

    Rest and Activity Modification

    Reducing or modifying activities that exacerbate the condition can provide relief. Rest allows the damaged tissue to heal and helps alleviate strain on the plantar fascia.

    Physical Therapy

    Physical therapists can recommend exercises to strengthen the muscles in the foot and calf, improving flexibility and reducing strain on the plantar fascia.

    Custom Orthotics

    Your podiatrist may recommend wearing custom orthotics inside your shoes to minimize heel pain. By providing arch support and cushioning, orthotics can help reduce pressure on the plantar fascia.

    Night Splints

    Wearing night splints can help keep the plantar fascia stretched overnight, reducing morning heel pain.

    Anti-Inflammatory Medications

    Non-prescription anti-inflammatory drugs such as ibuprofen can help reduce pain and inflammation, but they are usually recommended for short-term use.

    Perinatal Tissue Injections

    Perinatal tissue injections, in contrast to cortisone injections that primarily ease pain and swelling, actively promote expedited tissue healing. These injections address both the symptoms and the underlying cause of the issue, all without relying on medications or surgical intervention.

    MLS Laser Therapy

    MLS laser therapy is a non-invasive procedure that can be done by Austin Foot and Ankle Specialists. This therapy uses light waves to stimulate healing of the plantar fascia.

    Lifestyle Modifications

    Lifestyle modifications, such as maintaining a healthy weight, avoiding prolonged standing or walking on hard surfaces, and not wearing high-heeled shoes, can help prevent and manage plantar fasciitis.

    Recovering From Plantar Fasciitis Surgery

    If you need surgery for plantar fasciitis, the recovery process can vary depending on the specific procedure and individual factors. However, here is a general overview of what to expect:

    Post-Operative Pain

    It's common to experience some pain and discomfort immediately after surgery. Your surgeon may prescribe pain medication to help manage this pain.

    Immobilization

    In some cases, a cast or a walking boot may be used to immobilize the foot and protect the surgical site during the initial phase of recovery.

    Physical Therapy

    After the initial healing period, physical therapy is often recommended to help regain strength and flexibility in the foot and ankle. Your physical therapist will guide you through exercises and stretches to aid in your recovery.

    Gradual Return to Activity

    It's crucial to follow your podiatrist's advice and gradually ease back into activities. Rushing the recovery process can lead to complications or a recurrence of plantar fasciitis.

    Monitoring Progress

    Your Austin podiatrist will schedule follow-up appointments to assess your progress and make necessary adjustments to your treatment plan.

    Possible Complications

    Like any surgery, there can be risks of complications with plantar fasciitis surgery, such as:

    • Infection at the surgical site
    • Nerve damage
    • Delayed wound healing
    • Development of scar tissue
    • Persistent pain or stiffness

  • How do I know if I need custom orthotics?

    Walking, running, and standing are everyday activities that people often take for granted. However, for some, these simple actions can become a source of discomfort and pain due to various foot-related problems. Custom orthotics are a solution that can offer relief and improve overall foot health. Consulting our experienced Austin podiatrist is the first step in finding the right orthotic for your unique needs, ensuring that you can walk, run, and stand with comfort and confidence. The benefits of custom orthotics

    Custom Orthotics Can Help With a Variety of Conditions

    When you invest in the proper footwear, it could mean the difference between foot health and an injury or ongoing pain. It’s possible the foot pain you’re experiencing could be caused by your insoles, and custom orthotics can often provide the extra support you need to protect your feet.

    Custom orthotics can help provide relief for many foot, ankle, and leg conditions, including the following:

    Flat Feet

    People with flat feet often experience pain and discomfort because the arch of their foot does not adequately support their body weight. Custom orthotics can provide the necessary arch support, reducing pain and fatigue.

    Plantar Fasciitis

    Plantar fasciitis develops when the thick band of tissue that connects the heel bone to the toes becomes inflamed. Custom orthotics can help distribute pressure more evenly, alleviating pain and discomfort.

    Bunions

    A bunion is a painful bony bump that forms on the inside of the foot at the base of the big toe. Because custom orthotics can keep your feet aligned property and help redistribute weight, they provide relief from pain and may stop the condition from worsening.

    Morton's Neuroma

    Morton’s neuroma is the thickening of the tissue around the nerves that lead to the toes, causing pain and numbness. This condition usually affects the ball of your foot between your third and fourth toes. Orthotics can provide cushioning and relieve pressure on the affected area.

    Shin Splints

    A shin splint is an overuse injury that causes pain along the large front bone in the lower leg.  Custom orthotics can help prevent shin splints by providing better arch support and shock absorption during physical activities.

    Benefits of Custom Orthotics

    Whenever you suffer foot or ankle pain, you are often sidelined from enjoying the activities you love most. Custom orthotics offer a wide range of benefits to get you back on your feet, including:

    Pain Relief

    One of the primary benefits of custom orthotics is pain relief. Whether you have foot, knee, or lower back pain, custom orthotics can be used to help reduce discomfort by providing proper support and alignment.

    Improved Posture

    Proper foot alignment through orthotics can help improve your overall posture. When your feet are properly supported, it can have a positive effect on the rest of your body.

    Enhanced Athletic Performance

    Athletes often use orthotics to enhance their performance by reducing the risk of injuries and improving their gait. Custom orthotics can be tailored to your biomechanics to ensure optimal function.

    Preventative Care

    Even if you do not currently have foot issues, custom orthotics can be used as a preventative tool to maintain good foot health and reduce the risk of future problems.

    Reasons to Choose Custom Orthotics

    While over-the-counter orthotics may seem like a convenient solution, custom orthotics from a podiatrist offer several advantages, including:

    Personalized Fit

    Custom orthotics are specifically designed for your feet, taking into account your unique biomechanics, gait, and any existing conditions. This ensures a precise fit that provides optimal support. At Austin Foot and Ankle Specialists, our Fitstation orthotics are created by using Go-4D technology to offer a personalized fit for your specific foot and needs.

    Targeted Support

    Over-the-counter orthotics are generic and may not address your specific needs. Custom orthotics are crafted to target the exact areas that require support or correction.

    Longevity

    Custom orthotics are typically made from higher-quality materials and tend to last longer than over-the-counter orthotics. They are a worthwhile investment in your foot health.

    Professional Guidance

    When you opt for custom orthotics, you will work closely with a podiatrist who can diagnose your condition accurately and provide ongoing guidance for your foot health.

    How Our Austin Podiatrist Can Help

    If you are considering custom orthotics, consult our skilled Austin podiatrist who can assess your specific needs and guide you through the process of getting the right fit. At Austin Foot and Ankle Specialists, we will do the following to ensure you get the right orthotic to address your specific condition and biomechanics:

    • Perform a comprehensive evaluation of your feet and analyze your gait
    • Customize an orthotic for your unique requirements
    • Provide a professional fitting and make any necessary adjustments
    • Offer ongoing care and support to monitor your progress

  • What foot conditions can be treated with MLS laser therapy?

    When foot pain becomes chronic and affects your daily life, finding a safe and effective treatment for relief becomes crucial for maintaining a healthy and active lifestyle. A technological breakthrough that has shown promising results is Multiwave Locked System (MLS) laser therapy. MLS has been successful in treating various foot conditions. At Austin Foot and Ankle Specialists, our skilled podiatrists can treat a range of foot conditions with MLS laser therapy, so their patients can return to the activities they enjoy. Laser therapy for feet and ankles

    How MLS Laser Therapy Works to Treat Foot Pain

    MLS laser therapy is a non-invasive medical technology that uses low-level laser energy to promote cellular repair and reduce pain and inflammation. MLS lasers emit two synchronized pulses of light at multiple wavelengths, penetrating deep into the tissues, including muscles, tendons, ligaments, and nerves. MLS laser therapy treats foot pain in the following ways:

    Cellular Healing

    Laser energy stimulates the mitochondria within cells, enhancing their ability to produce energy. This increased energy production accelerates cellular repair and regeneration, aiding in tissue healing.

    Anti-Inflammatory Effects

    MLS lasers reduce inflammation, and this can help minimize pain and reduce swelling in the affected area.

    Pain Reduction

    Laser therapy stimulates the release of endorphins—natural painkillers produced by the body. This helps provide immediate pain relief and improves overall comfort.

    Improved Blood Circulation

    MLS lasers dilate blood vessels, leading to improved circulation in the treated area. Enhanced blood flow brings oxygen and nutrients to damaged tissues, further supporting the healing process.

    Foot Conditions Treated With MLS Laser Therapy

    MLS laser therapy has been an effective option for treating a wide range of foot conditions, including the following:

    Plantar Fasciitis

    Plantar fasciitis, a painful yet common foot condition, involves inflammation of the plantar fascia, the thick band of tissue that connects your heel to your toes. It causes heel pain that is often worse after resting. MLS laser therapy reduces inflammation, relieves pain, and promotes tissue repair.

    Achilles Tendinitis

    Achilles tendinitis is inflammation of the Achilles tendon that can lead to pain and limited mobility. Laser therapy helps decrease inflammation and speed the healing process.

    Neuropathy

    MLS lasers can be used to manage the pain and discomfort associated with peripheral neuropathy, a type of nerve damage in the feet common for those with diabetes. In some cases, MLS laser therapy can help damaged nerves recover.

    Arthritis

    Laser therapy can help reduce pain and inflammation associated with various types of arthritis, including osteoarthritis and rheumatoid arthritis.

    Sports Injuries

    MLS laser therapy is increasingly used by athletes to expedite recovery from sports injuries such as sprained ankles, strained muscles, and ligament tears.

    Bunions

    Laser therapy can provide pain relief for individuals with bunions by reducing inflammation and promoting healing.

    Postoperative Recovery

    After foot surgery, MLS laser therapy can aid in reducing pain and swelling, accelerating the healing process, and improving overall recovery outcomes.

    Advantages of MLS Laser Therapy

    MLS laser therapy offers several advantages over traditional treatment methods for foot conditions. These advantages include:

    Non-Invasive

    Unlike surgery or injections, MLS laser therapy is non-invasive and does not require incisions, needles, or anesthesia. This reduces the risk of complications and downtime.

    Pain Relief Without Medications

    MLS laser therapy provides pain relief without needing medications, eliminating concerns about potential side effects or drug interactions.

    Quick and Convenient

    MLS laser sessions are relatively quick, typically lasting 10 to 15 minutes per treatment. This makes it a convenient option for individuals with busy schedules.

    Minimal Side Effects

    MLS laser therapy has minimal side effects, such as mild warmth or tingling sensations during treatment. There is no risk of scarring or infection.

    Targeted Treatment

    Laser therapy can precisely target the affected area, delivering therapeutic energy directly to the problem site without affecting surrounding tissues.

    Speedy Recovery

    Many patients experience significant pain reduction and improved mobility after just a few MLS laser therapy sessions, leading to a faster recovery and a quicker return to normal activities.

    Long-lasting Benefits

    MLS laser therapy helps alleviate symptoms and promote tissue healing and regeneration. This can lead to long-lasting relief from foot conditions.

    Suitable for Various Age Groups

    MLS laser therapy can treat foot pain in individuals of all age groups, from young athletes to elderly individuals with chronic foot problems.

  • Is Lapiplasty an effective treatment for bunions?

    Bunions are a common foot condition that can cause pain, discomfort, and aesthetic concerns. Traditionally, bunion treatment options ranged from conservative measures such as orthotics and physical therapy to more invasive surgical procedures. However, there has been a significant breakthrough in bunion treatment with the emergence of Lapiplasty 3D Bunion Correction. This innovative technique offered by our Texas podiatrist is an effective treatment option that addresses the root cause of bunions and reduces the risk of reoccurrence. Lapiplasty for bunions

    Understanding Bunion Treatment Options

    Bunions are characterized by a bony bump that forms on the side of the foot at the base of the big toe, leading to the misalignment of the big toe.

    Symptoms of Bunions

    While conservative approaches such as wearing wider shoes, using orthotics, and performing foot exercises can help alleviate symptoms, they often do not address the root cause of the problem. A bunion will not go away on its own, even with conservative treatment.

    How Lapiplasty Can Help

    Lapiplasty is a revolutionary surgical technique designed to not only address the symptoms but also correct the underlying cause of bunions. Unlike traditional types of bunion surgeries that primarily focus on removing the bony bump, Lapiplasty involves a more comprehensive approach. This procedure corrects the three-dimensional misalignment of the metatarsal bone, the long bone connected to the toes, and the phalanx bone, the bone of the big toe. By realigning these bones, Lapiplasty restores the natural anatomy of the foot and prevents the reoccurrence of the bunion.

    Advantages of Lapiplasty Over Traditional Bunion Treatment

    • Less downtime. Lapiplasty allows for a quicker return to weight-bearing activities compared to other techniques that may require longer periods of foot immobilization. This faster recovery can significantly enhance your overall experience and satisfaction, making it possible to return to normal activities in about two weeks compared to nine weeks with traditional surgery.
    • Minimally invasive. The procedure is minimally invasive, resulting in smaller incisions and potentially less post-operative pain and scarring. You can often resume your normal activities sooner, which is a substantial improvement over the prolonged recovery times associated with other types of surgical methods.
    • Safe and effective. Lapiplasty has demonstrated its safety and effectiveness through various clinical studies and real-world experiences. Research has shown that this technique not only provides better correction of the deformity but also reduces the risk of reoccurrence compared to traditional surgeries.
    • Less pain. Those who undergo Lapiplasty tend to experience less pain, have fewer complications, and be more satisfied with the results than with other types of bunion surgeries. Pain from traditional bunion surgery can last for weeks following surgery.

    While this surgery has many advantages, it’s important to know that the procedure may take longer because the three-dimensional correction is a more complex operation. Also, this procedure requires a doctor who has special training and experience in this type of surgery.

    Understanding the Procedure

    Lapiplasty involves several steps to correct the bunion deformity. Before the procedure, your doctor will examine your foot, order imaging studies, assess the extent of the deformity, and plan the correction.

    The procedure itself involves making small incisions around the affected area to access the bones. The metatarsal bone is repositioned and secured using specialized instrumentation. This corrects the bone misalignment. Tiny screws or plates are inserted to stabilize the bones in their corrected position, allowing for proper healing.

    Once the procedure is completed, the incisions are closed using sutures, and the foot is typically immobilized using a boot during the initial healing phase. You will need to follow a rehabilitation protocol, which may include physical therapy, to gradually regain strength and mobility in the treated foot.

    Potential Risks and Complications

    Like any surgical procedure, Lapiplasty is not without risks. It is crucial to have a thorough discussion with your podiatrist to weigh the benefits against the potential risks and make an informed decision. Potential complications may include:

    • Infection
    • Nerve damage
    • Delayed bone healing

  • What foot conditions could make me feel like I’m stepping on a pebble?

    The sensation of stepping on a pebble, even when there is nothing on the ground or in your shoe, can be due to several conditions, including Morton's Neuroma or metatarsalgia. If you are experiencing this symptom in the ball of your foot, it is crucial to seek medical attention from a podiatrist as soon as possible for proper diagnosis and treatment. Foot conditions that feel like you're stepping on a pebble

    Foot Conditions That Cause a Pebble-in-Your-Shoe Sensation

    If you have the sensation that you’re walking on a pebble or there’s a stone in your shoe, you may have Morton's Neuroma. This condition affects the nerves between the toes—most commonly the third and fourth toes. It occurs when the tissue surrounding the nerve thickens, causing pain, burning, tingling, and the feeling of a foreign object, like a pebble, under the foot. A neuroma is a common foot problem for women and is often associated with wearing tight, narrow shoes that squeeze the toes together, increasing pressure on the nerves. High-impact activities or repetitive trauma to the feet can also contribute to the development of Morton's Neuroma.

    Metatarsalgia is another condition that can cause a sensation similar to stepping on a pebble and cause pain in the ball of your foot. It is characterized by pain and inflammation in the ball of the foot, specifically around the metatarsal heads, which are the bones that connect the toes to the rest of the foot. Metatarsalgia typically occurs gradually, with pain intensifying over time. Resting the foot may provide temporary relief, while standing, walking, or exercising can exacerbate the discomfort.

    Possible Causes of Metatarsalgia

    • Putting excessive pressure on the forefoot
    • Wearing improper footwear that lacks support and cushioning
    • Participating in high-impact activities such as running or jumping
    • Having a foot deformity such as hammer toe or flat feet
    • Having certain medical conditions such as arthritis of the foot or diabetes
    • Aging and natural wear and tear on the foot

    How a Podiatrist Can Help

    While the sensation of stepping on a pebble may seem minor, it can often indicate an underlying condition that may worsen if left untreated. To diagnose the cause of your symptoms, a podiatrist will perform a thorough exam of your feet and review your medical history. They may also order diagnostic imaging tests such as X-rays or MRI scans to get a more detailed view of your foot's structure and to help identify any abnormalities.

    Once the cause of the symptoms is determined, your podiatrist can recommend appropriate treatment options based on your specific condition and needs.

    Possible Non-Invasive Treatments for Morton's Neuroma

    • Changing your footwear to shoes that provide more room for the toes
    • Avoiding walking barefoot
    • Soaking your foot and removing calluses with a pumice stone—however, anyone with diabetes should discuss this treatment with their doctor first
    • Wearing supportive orthotic inserts to reduce pressure on the affected area
    • Using padding or cushions on the ball of your foot to relieve discomfort
    • Having corticosteroid injections to reduce inflammation and alleviate pain in the ball of your foot

    If conservative measures fail to provide relief, surgical intervention may be necessary to remove the affected nerve or release the pressure on it.

    Possible Non-Invasive Treatments for Metatarsalgia

    • Avoid high-impact activities. Making sure you avoid activities that put excessive pressure on your foot can be helpful. For example, tennis, football, basketball, and soccer can exacerbate your symptoms and pain.
    • Footwear changes. Changing your footwear to shoes with a wider toe box and good arch support can help alleviate symptoms.
    • Ice. Applying ice to the affected foot and gently massaging the area can help.
    • Custom orthotics. Using custom orthotics inside your shoes can help redistribute pressure and provide cushioning.
    • Physical therapy. Engaging in physical therapy exercises can stretch and strengthen the foot muscles and improve stability.

    In more severe cases, when conservative treatments are ineffective, surgical intervention may be considered to correct any underlying structural issues contributing to metatarsalgia.

  • What is the difference between hammer toe and claw toe?

    Hammer toe and claw toe are two types of foot deformities that affect the toes, causing them to bend in abnormal positions. Although both conditions share similarities, such as causing discomfort and pain, there are distinct differences between the two, including toe bending patterns and the specific muscles and tendons involved. An experienced podiatrist can help you understand the differences and provide an accurate diagnosis and effective treatment. Hammer and claw toe

    Differences Between Hammer Toe and Claw Toe

    Hammer toe is a condition characterized by an abnormal bending of one or more toes, typically the second, third, or fourth toes. This deformity causes the affected toe to resemble a hammer, with the middle joint bent downward and the end joint pointing upward. The primary cause of hammer toe is an imbalance in the muscles and tendons that control the toe's movement.

    Causes of Hammer Toe Muscle and Tendon Imbalance

    • Genetics
    • Wearing ill-fitting shoes
    • Foot structure abnormalities
    • Medical conditions, such as arthritis

    Over time, the condition may become more severe, leading to stiffness and restricted movement in the affected toe.

    Like hammer toe, claw toe is a toe deformity. A primary difference from hammer toe is the joint that is affected. Claw toe involves all three joints and causes the toe to bend in a claw-like shape. Unlike hammer toe, which primarily affects the middle joint, claw toe involves the bending of the middle and end joints simultaneously. This gives the toe a claw-like appearance, with the joints bent upward.

    Possible Causes of Claw Toe

    • Muscle imbalances
    • Nerve damage
    • Medical conditions, such as peripheral neuropathy or Charcot-Marie-Tooth disease
    • Wearing shoes that are too tight or narrow, forcing the toes into an unnatural position over time

    Similarities Between Hammer Toe and Claw Toe

    • Pain
    • Discomfort
    • Difficulties walking and wearing shoes

    Both conditions can also lead to problems, such as corns, calluses, and the development of open sores or ulcers, particularly in those with poor circulation or a loss of sensation in their feet.

    Texas Treatments for Hammer Toe and Claw Toe

    If you are experiencing pain or have signs of either hammer toe or claw toe, consult a podiatrist for an evaluation. To accurately diagnose either condition, a podiatrist will conduct a physical exam and may order imaging tests such as an X-ray to confirm the diagnosis.

    Conservative Treatment Options for Hammer Toe and Claw Toe

    • Footwear modifications. Wearing shoes with a wide toe box, low heels, and ample arch support can help alleviate pressure on the toes and promote proper alignment.
    • Toe exercises and stretches. Regularly performing exercises and stretches to strengthen and stretch the muscles and tendons in the toes can help improve flexibility and reduce symptoms.
    • Custom orthotics. Wearing custom orthotics inside your shoes can provide support and relieve pressure on the affected toes.
    • Padding and taping. Using special pads or cushions and applying tape to the toes can help alleviate pain and prevent friction or rubbing against footwear. 
    • Over-the-counter pain medication. Over-the-counter pain medication can be used to help reduce pain and inflammation in the toes.

    Surgery as a Treatment for Hammer Toe and Claw Toe

    In cases where non-surgical treatments are ineffective, or the deformity is severe, surgical intervention may be necessary. The specific surgical procedure will depend on the severity and complexity of the deformity, as well as your overall health and lifestyle. Surgery for hammer toe or claw toe may involve releasing or lengthening the tight tendons and ligaments, removing or repositioning a bone, or fusing joints to correct the toe alignment. The goal of surgery is to reduce pain, rebalance the toe, and make it possible to fit back into your shoes without discomfort.

    Recovery from hammer toe or claw toe surgery typically involves a period of immobilization and the use of assistive devices, such as crutches or a walking boot. Your podiatrist may recommend physical therapy to regain strength and flexibility in the foot.

  • How does a podiatrist treat high arches?

    High arches, also known as pes cavus or cavus foot, is a foot condition characterized by an excessively high arch that doesn’t touch the ground when standing. It is the opposite of having flat feet where there is no visible arch. For some people, having high arches can lead to various foot problems and discomfort. If you think you may have high arches, it's important to seek treatment from a podiatrist right away. With proper care and treatment, you can reduce your risk for further complications and enjoy greater comfort while walking or standing for long periods. Treating high arches

    Understanding High Arches

    People with high arches may have this condition due to a neurological problem, such as cerebral palsy, Charcot-Marie-Tooth disease, or spina bifida. It can also be a genetic problem. Because your skeletal makeup and posture are impacted by the way you stand, high arches can create structural problems in your body. For some people, high arches can be very painful.

    Symptoms of High Arches

    • Calluses or corns on the ball, heel, or side of the foot
    • Instability or frequent ankle sprains
    • Difficulty finding shoes that are comfortable and fit properly
    • A heel that tilts inward
    • Numbness or tingling in the feet
    • Toes that are bent when standing, such as hammer toes or claw toes
    • Achilles tendinitis or tightness in the calf muscles

    In addition, high arches can often lead to various foot problems, such as bunions, plantar fasciitis, and stress fractures. Not everyone with high arches will experience the same symptoms or level of severity. Some people with high arches may not have any symptoms at all. If you have high arches and are experiencing discomfort or any of these complications, seek evaluation and guidance from an experienced podiatrist. A podiatrist can assist in managing symptoms effectively and provide appropriate treatments as needed.

    How a Podiatrist Can Treat High Arches

    Podiatrists experienced in foot and ankle conditions can accurately diagnose foot problems, such as high arches, through a comprehensive evaluation. A podiatrist will examine your foot to assess its structure and range of motion and identify any underlying causes that could be contributing to your condition. They may order testing to confirm the diagnosis, such as an X-ray, MRI, a nerve conduction study, or electromyography.

    Possible Treatment Options

    • Custom orthotics. Podiatrists can prescribe customized orthotics, such as arch supports or shoe inserts, to help correct foot alignment and provide additional support.
    • Footwear recommendations. High arches often require specialized footwear to accommodate the unique foot structure and prevent excessive pressure points. A skilled podiatrist can guide you in selecting appropriate shoes with proper arch support, cushioning, and stability.
    • Physical therapy. In some cases, physical therapy may be recommended to address muscle imbalances, improve flexibility, and strengthen the muscles surrounding the foot and ankle.
    • Icing. Applying ice to the arches of your feet can help reduce pain and inflammation.
    • Medication. To help ease pain and swelling, over-the-counter pain medications can be used.

    Types of Surgery for High Arches

    A podiatrist will only recommend surgery for high arches if conservative approaches have failed to relieve pain and discomfort. Surgery may be necessary if the case is severe, and surgical intervention is needed to correct an underlying structural issue or to improve the overall function of the foot.

    There are several surgical procedures that can be performed to address high arches, depending on your specific needs. These include the following:

    • Soft tissue release. Tight tendons and ligaments contributing to the high arch may be surgically lengthened or released to alleviate tension and improve foot alignment.
    • Tendon transfer. In this procedure, tendons from one part of the foot are transferred to another area to help balance the forces acting on the foot and improve stability.
    • Osteotomy. This procedure involves cutting and reshaping the bones in the foot or ankle to realign the foot structure and redistribute weight more evenly.
    • Joint fusion. This procedure involves fusing two or more bones to provide stability and correct deformities in the foot.

    Surgery does not come without risks. It is essential to discuss the risks and what to expect after surgery with your podiatrist before agreeing to a procedure. Your podiatrist will determine what procedure will be best for your specific needs.

    Austin Foot and Ankle Specialists Go the Distance for You

    When you have a foot or an ankle problem, you want a team of specialists who will give you clear answers about your condition, treat you with state-of-the-art equipment, and provide you with a treatment plan that directly addresses your specific issue. Our podiatrists understand the importance of healthy feet, and with their education and training, they provide you with the best options for a speedy recovery.

    The award-winning podiatrists at Austin Foot and Ankle Specialists are recognized across the country for their depth of knowledge, treatment options, and outstanding service. If you are experiencing foot or ankle pain, contact us at 512-328-8900, or take advantage of our online appointment scheduling.