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A vascular exam allows a podiatrist to assess how well blood is flowing to the feet and ankles. The exam often begins with observation of skin color, temperature, swelling, and changes in hair or nail growth that may signal reduced circulation. Pulses on the top of the foot and near the ankle are gently felt to evaluate arterial flow. The podiatrist gently presses on the skin of the toes to observe how quickly normal color returns, which reflects small vessel function. In some cases, a handheld device is used to listen to blood flow more clearly. These findings help identify circulation concerns that may affect healing, nerve health, or skin integrity. Vascular assessment is especially important for individuals with diabetes, wounds, leg pain, or slow-healing sores. If changes in foot color, temperature, or healing are noticed, it is suggested that you see a podiatrist for further evaluation and appropriate care.

Vascular testing plays an important part in diagnosing disease like peripheral artery disease. If you have symptoms of peripheral artery disease, or diabetes, consult with Dr. Thomas Madden from Advanced Foot Care Center. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Vascular Testing?

Vascular testing checks for how well blood circulation is in the veins and arteries. This is most often done to determine and treat a patient for peripheral artery disease (PAD), stroke, and aneurysms. Podiatrists utilize vascular testing when a patient has symptoms of PAD or if they believe they might. If a patient has diabetes, a podiatrist may determine a vascular test to be prudent to check for poor blood circulation.

How Is it Conducted?

Most forms of vascular testing are non-invasive. Podiatrists will first conduct a visual inspection for any wounds, discoloration, and any abnormal signs prior to a vascular test.

 The most common tests include:

• Ankle-Brachial Index (ABI) examination
• Doppler examination
• Pedal pulses

These tests are safe, painless, and easy to do. Once finished, the podiatrist can then provide a diagnosis and the best course for treatment.

If you have any questions please contact our office located in Killeen, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Plantar fasciitis is a common cause of heel pain that occurs when the thick band of tissue along the bottom of the foot becomes inflamed or irritated. It is often caused by overuse, high-impact activity, or wearing improper footwear that places strain on the plantar fascia. Symptoms include sharp or aching pain in the heel, particularly with the first steps in the morning or after sitting for long periods. The foot may look normal, though mild swelling or tenderness can appear along the arch, and it can feel stiff, sore, or sensitive while walking or standing. A podiatrist can help by starting with a thorough examination and sometimes imaging tests to confirm the diagnosis and rule out other conditions. Treatment may include footwear adjustments, custom orthotics, targeted exercises to stretch and strengthen the fascia, and anti-inflammatory care. If you have plantar fasciitis, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. Thomas Madden from Advanced Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

• Excessive running
• Having high arches in your feet
• Other foot issues such as flat feet
• Pregnancy (due to the sudden weight gain)
• Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

• Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
• Maintain a healthy weight
• If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

If you have any questions, please feel free to contact our office located in Killeen, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Pickleball has become a favorite pastime in recent years, especially among adults looking for a social and active sport. Despite its friendly image, the game places repeated stress on the feet and ankles. Quick lateral movements, sudden stops, and short bursts of speed can strain tendons and joints. Studies and clinical experience show that injuries are seen more often in older players, particularly men. Severe tendon damage near the heel is frequently diagnosed, along with ankle sprains, plantar fascia strain, and stress injuries. Wearing court-specific shoes, warming up properly, and allowing time for recovery can help reduce injury risk. Listening to early pain signals is also important, since playing through discomfort often leads to longer setbacks. If foot or ankle pain develops during pickleball play, it is suggested that you seek evaluation by a podiatrist to help you identify the cause and guide treatment.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Dr. Thomas Madden of Advanced Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

• Plantar Fasciitis
• Achilles Tendinitis
• Achilles Tendon Rupture
• Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

If you have any questions please contact our office located in Killeen, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Blisters on the feet develop when repeated friction, pressure, or moisture damages the outer layers of skin. Common risk factors include poorly fitting shoes, stiff seams, increased walking or running volume, and sudden changes in activity. Excess moisture from sweating can soften skin, making it vulnerable to breakdown, while dry skin may crack and shear. Foot shape concerns like bunions, hammertoes, or prominent bones can increase pressure points, and gait issues can cause uneven rubbing in specific areas. Medical factors also play a role, including diabetes, circulation concerns, and reduced sensation, which can allow skin damage to progress unnoticed. A podiatrist can evaluate footwear fit, foot structure, and walking mechanics, address underlying deformities, and manage skin health. For help dealing with foot blisters, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment.

Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, contact Dr. Thomas Madden of Advanced Foot Care Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.

What Are Foot Blisters?

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

How Do Blisters Form?

Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.

Prevention & Treatment

It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.

If you have any questions, please feel free to contact our office located in Killeen, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.