The Ankle-Brachial Index, or ABI, is a simple, non-invasive test that measures blood flow in the legs compared to the arms. In podiatry, it helps detect peripheral artery disease, or PAD, a condition where narrowed arteries reduce circulation to the feet and ankles. Poor circulation can lead to slow-healing wounds, infections, and an increased risk of ulcers or even limb loss. The test involves taking blood pressure readings at the arm and ankle using a Doppler device. A lower than normal ABI score suggests reduced blood flow, which could mean blocked or narrowed arteries. People with diabetes, a history of smoking, or chronic foot wounds often undergo this test to assess their vascular health. Early detection of circulation issues allows for better management, including lifestyle changes or medical treatment. If you have persistent foot pain, wounds that do not heal well, or cold feet, it is suggested that you see a podiatrist who may recommend an ABI test.

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

Morton’s neuroma is a condition that causes pain in the ball of the foot, typically between the third and fourth toes. It occurs when the tissue around a nerve becomes thickened, leading to irritation and discomfort. The exact cause of Morton’s neuroma is not always clear, but it is commonly linked to repetitive stress or pressure on the foot, such as from wearing tight shoes or engaging in high-impact activities. Symptoms often include sharp, burning pain, a feeling of something being stuck in the shoe, and numbness in the affected toes. The pain may worsen when walking or standing for long periods. If you have pain in this part of your foot, it is suggested that you consult a podiatrist who can accurately diagnose and treat what may be going on. 

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Dr. Thomas Madden of Advanced Foot Care Center. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

• Ill-fitting high heels or shoes that add pressure to the toe or foot
• Jogging, running or any sport that involves constant impact to the foot
• Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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.

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

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Dr. Thomas Madden from Advanced Foot Care Center. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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

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

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Thomas Madden of Advanced Foot Care Center. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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