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Older Women Are More at Risk for Bunions

Hallux valgus, commonly known as a bunion, is a prevalent foot condition that affects many individuals, especially as they age. A bunion is characterized by the big toe bending towards the smaller toes, accompanied by a painful bony protrusion at the inside of the foot. Recent research shows the prevalence and factors associated with hallux valgus in an older adult population, and women in particular. The study revealed that the prevalence of bunion deformity was higher in women and increased with age. Family history, wearing high-heeled or narrow shoes, and having flat feet were identified as contributing factors. The severity of hallux valgus also significantly affected participants' quality of life. Additionally, participants reporting foot pain in the previous 12 months showed higher scores in both pain and decreased function, highlighting the substantial impact of bunions on daily activities. This research emphasizes the importance of proactive foot care, especially for older women who are more susceptible to the formation of bunions. Regular check-ups with a podiatrist, appropriate footwear choices, and early intervention can play an important role in preventing and managing this foot deformity. For help in managing the pain and side effects of bunions, it is suggested that you schedule an appointment with a podiatrist for the appropriate treatment option.
If you are suffering from bunions, 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.
What Is a Bunion?
A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.
Why Do Bunions Form?
Genetics – Susceptibility to bunions are often hereditary
Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions
How Are Bunions Diagnosed?
Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.
How Are Bunions Treated?
- Refrain from wearing heels or similar shoes that cause discomfort
- Select wider shoes that can provide more comfort and reduce pain
- Anti-inflammatory and pain management drugs
- Orthotics or foot inserts
- Surgery
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.
Bunions
A bunion is a bump that forms at the base of the big toe. Bunions form when the big toe pushes against the next toe, which forces the big toe joint to get bigger and stick out. As a result, the skin over the bunion may start to appear red and it may feel sore.
There are risk factors that can increase your chances of developing bunions. People who wear high heels or ill-fitting shoes are more likely to develop them, in addition to those who have a genetic history of bunions or have rheumatoid arthritis.
The most obvious way to tell if you have a bunion is to look for the big toe pushing up against the toe next to it. Bunions produce a large protrusion at the base of the big toe and may or may not cause pain. Other symptoms are redness, swelling, and restricted movement of the big toe if you have arthritis.
Nonsurgical methods are frequently used to treat bunions that aren’t severe. Some methods of nonsurgical treatment are orthotics, icing and resting the foot, taping the foot, and pain medication. Surgery is usually only required in extreme cases. However, if surgery is needed, some procedures may involve removing the swollen tissue from around the big toe joint, straightening the big toe by removing part of the bone, or joining the bones of your affected joint permanently.
Your podiatrist will diagnose your bunion by doing a thorough examination of your foot. He or she may also conduct an x-ray to determine the cause of the bunion and its severity.
Foot Injury From Playing Baseball

Baseball is a dynamic sport that requires players to engage in varied physical activities such as sprinting to bases, batting, throwing, and pitching. Players often experience rapid changes in movement, from running in straight sprints to shifting side to side while taking leads or fielding. Stability is vital, particularly in the lower body, to manage the force from these movements. The right foot is especially important due to its frequent contact with the base corners while running. Sliding injuries are common, with feet-first slides presenting a higher injury rate than head-first ones. Most injuries from sliding are minor, although some can sideline players for over a week. The introduction of breakaway bases has helped reduce such injuries. Pitchers need shoes with rigid soles for effective push-off, while catchers require flexibility in the forefoot due to their crouched position. All foot types, whether arched or flat, can adapt to the sport. Baseball injuries can vary, but a comprehensive approach to treatment includes a full history and physical exam, including an assessment of the player's shoes and gait. If you have endured a baseball foot injury, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and treatment plan.
Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, 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.
Common Injuries
The most common injuries that occur in sporting activities include:
- Achilles Tendonitis
- Achilles Tendon Rupture
- Ankle Sprains
- Broken Foot
- Plantar Fasciitis
- Stress Fractures
- Turf Toe
Symptoms
Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.
Treatment
Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.
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.
Risk Factors and Symptoms of Ankle Gout

Gout is a painful form of inflammatory arthritis that can affect various joints in the body, usually the big toe. When it strikes the ankle, it's referred to as ankle gout. This condition can be identified by sudden and intense pain, swelling, and redness in the affected joint. The root cause of gout in the ankle is a buildup of uric acid. This waste product is produced during the breakdown of purines, which are found in certain foods, like red meat and seafood. Normally, your body transports uric acid to the kidneys for elimination in urine. But if not properly flushed out, excessive uric acid remains in the bloodstream, termed hyperuricemia. Eventually, uric acid crystals can accumulate in certain joints, including the ankle joint, and cause the classic symptoms of pain, swelling, and redness. Gout flares usually peak within 12 to 24 hours of onset and gradually improve over one to two weeks, with or without treatment. Some individuals may experience only one gout flare in their lifetime, while others suffer from recurring flares. In cases of recurring gout flares, symptoms can become more severe and prolonged, potentially leading to joint damage. If you suspect you have ankle gout, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and more advanced treatment options.
Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Thomas Madden from Advanced Foot Care Center. Our doctor will treat your foot and ankle needs.
What Is Gout?
Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.
Symptoms
- Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
- Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
- Inflammation and Redness -Affected joints may become swollen, tender, warm and red
- Limited Range of Motion - May experience a decrease in joint mobility
Risk Factors
- Genetics - If family members have gout, you’re more likely to have it
- Medications - Diuretic medications can raise uric acid levels
- Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
- Diet - Eating red meat and shellfish increases your risk
- Alcohol - Having more than two alcoholic drinks per day increases your risk
- Obesity - Obese people are at a higher risk for gout
Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment 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.
Causes of Burning Feet After a Run

If you have ever experienced the uncomfortable sensation of burning feet after a run, you know how it can quickly put a damper on your exercise routine. The good news is that there are both immediate treatment options and preventive measures you can take to keep your feet cool and comfortable during and after your runs. Take a break after running and elevate your feet to reduce swelling and ease discomfort. Suggestions for preventing burning feet after running include selecting the right pair of shoes. Ensure they fit well, provide adequate arch support, and are designed for your specific activity. Keep your feet dry with moisture-wicking socks designed to pull sweat away from your skin. These socks are especially useful in hot weather or during intense exercise. Stretching your feet and legs before exercise can improve circulation and prevent burning sensations. If you continue to experience burning feet after running, it is suggested that you make an appointment with a podiatrist for helpful treatment and prevention tips.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, 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.
Causes
Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:
- Bunions
- Hammertoes
- Plantar Fasciitis
- Bone Spurs
- Corns
- Tarsal Tunnel Syndrome
- Ingrown Toenails
- Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
- Flat Feet
- Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
- And more
Diagnosis
To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.
Treatment
Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.
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.
Essential Tips for Diabetic Foot Health

For individuals living with diabetes, proper foot care is more than just a routine, it is a necessary aspect of managing their overall health. Diabetes can lead to a range of foot complications, making preventive measures and vigilant care essential. This can start with inspecting the feet daily. Check for any cuts, blisters, sores, or changes in skin color or temperature. Since diabetes can lead to neuropathy, which is nerve damage, you may not feel minor injuries. It is important to keep feet clean and dry, making sure to gently wash them with lukewarm water and mild soap. Avoid hot water, as it can lead to burns or injuries you may not notice. Moisturize the feet regularly, but avoid applying lotion between the toes to prevent fungal infections. Choose comfortable, well-fitting shoes with adequate support and cushioning. Inspect the inside of your shoes for foreign objects or rough seams. By following these diabetic foot care tips diligently, you can reduce the risk of complications. If you have diabetes, it is suggested that you are under the care of a podiatrist who can help you to manage this condition.
Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, 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.
Diabetic Foot Care
Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.
The Importance of Caring for Your Feet
- Routinely inspect your feet for bruises or sores.
- Wear socks that fit your feet comfortably.
- Wear comfortable shoes that provide adequate support.
Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.
It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.
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.
Diabetic Foot Conditions
Diabetes is the condition in which the body does not properly process food for use as energy. People with Type 1 diabetes cannot produce insulin, which is required for glucose to feed your body’s cells. It is typically caused by the immune system mistaking healthy cells for foreign invaders and destroying the insulin-producing cells in the pancreas. On the other hand, people with Type 2 diabetes cannot respond to insulin properly, and eventually cannot produce enough. The Centers for Disease Control and Prevention reports that over 30 million people in the United States have diabetes, with 1 in 4 having no idea they have it. Surprisingly, diabetes is the seventh leading cause of death in the US. The symptoms of diabetes include frequent urination, fatigue, hunger, and even blurry vision.
Diabetes can also affect the feet as well. Over time, diabetes can cause nerve damage to your feet, which could then lead to symptoms such as tingling, pain and numbness in the feet. Neuropathy can be very dangerous to a person with diabetes, since it prevents them from feeling injuries such as cuts or blisters in the feet, and if not detected early enough, may lead to infection. Neuropathy can also lead changes in the shape of your feet and toes. The best way for people with diabetes to prevent or delay neuropathy is keeping their blood glucose levels in their target range. This consists of eating right, having the correct amount of exercise, and taking medications.
Diabetes can also create calluses and foot ulcers as well. Calluses build up faster and occur more frequently with those affected by diabetes. If there are too many calluses, therapeutic shoes and inserts may be required. It is important to have calluses trimmed by a health professional, as doing it yourself may lead to infections. If these calluses continue to develop and thicken, they can lead to foot ulcers. Foot ulcers are open sores, that appear on the ball of the foot or on the bottom of the big toe. These ulcers can lead to future infections if not treated and may possibly result in losing a limb. It is important to report any ulcers to your podiatrist right away. Your doctor may take x-rays to examine the foot and clean out any dead and infected tissue.
Lastly, diabetes can also lead to poor circulation and peripheral arterial disease (PAD). The poor circulation in the feet and leg area is a result of diabetes narrowing and hardening, eventually slowing down the blood flow in that area. The best way to prevent this is to keep away from smoking and follow your doctor’s advice for maintaining blood pressure and cholesterol. PAD is similar to this complication. PAD is when blood vessels narrow or are blocked by fatty deposits. PAD also increases your risk of heart attacks and strokes and is a common condition to those affected by diabetes. The combination of both PAD and neuropathy may lead to infections and can result in amputation of certain limbs. PAD can be prevented with wearing the proper foot wear and regularly taking care of your feet.
If you want to take care of your feet, you should wash and dry them carefully and perform daily inspections to check for cuts, blisters, or swelling. Any physical activity you partake in should be approved by your health care provider. You should also be sure to wear special shoes if advised to do so by your doctor.
Bearing Weight After a Broken Ankle

After one breaks an ankle, weight bearing restrictions can be imposed to facilitate proper healing. These restrictions encompass non weight bearing, where no weight can be placed on the leg. Toe touch weight bearing, which involves minimal toe contact with the ground can be effective for balancing. Partial weight bearing allows for a specific percentage of weight to be placed on the leg, and is generally managed by using crutches. Compliance with these restrictions is vital to promote the healing process. Disregarding them can lead to complications or delayed recovery. Signs of non compliance can include increased pain, swelling, or redness in the leg. If you have a broken ankle, it is suggested that you make an appointment with a podiatrist who can recommend the weight bearing protocols that will best help you.
Broken ankles need immediate treatment. If you are seeking treatment, 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.
Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.
When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.
Symptoms of a Fractured Ankle
- Excessive pain when the area is touched or when any pressure is placed on the ankle
- Swelling around the area
- Bruising of the area
- Area appears to be deformed
If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.
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.
Broken Ankle Causes, Differences, Symptoms and Treatments
The ankle is a hinged synovial joint made up of three bones: the tibia (shin bone), the fibula (outer ankle bone), and the talus (between the heel and leg). These three bones are bound, supported, and stabilized by strong, fibrous bands of tissue called ligaments.
A break in an ankle bone can be either traumatic or stress related. This injury may be referred to as a break or fracture. A traumatic fracture can result from tripping, twisting or rolling the ankle, falling, or by blunt impact to the ankle. These traumatic ankle breaks usually occur during sporting activities or accidents. Stress fractures, however, occur over time and are the result of repetitive stress to the ankle. These fractures sometimes occur when a new activity that engages the ankle is introduced, or when the level of activity is abruptly increased or intensified.
There are various symptoms that accompany an ankle break. The most significant symptoms are pain and swelling that occurs in the ankle and sometimes spreads up from the foot to below the knee. Bruising or discoloration may develop eventually. It will be difficult or even impossible to put weight on the affected foot, and in severe cases there may be a visible deformity or even exposed bone.
It is very important to seek immediate treatment when an ankle break occurs or is suspected to have occurred, in order to allow the bone to properly heal and to avoid future complications such as stiff joints, limited range of motion, and osteoarthritis.
To diagnose a broken ankle, your podiatrist will first ask you to explain how the injury occurred and what your symptoms are. They will perform a thorough examination, checking for damage to nerves, blood vessels, and other structures around the injury site. They will also test your range of motion. An X-ray will need to be reviewed and, in some cases, an MRI or CT scan may be necessary.
Proper treatment of a broken ankle will depend on where and how severe the break is, how stable the ankle is, and whether the bone is displaced (misaligned or separated) or non-displaced (broken yet still aligned properly).
Mild fractures (where the bone is non-displaced) may be treated by resting, icing, and elevating the ankle at first, followed by immobilization with a cast or walking boot. Pain and inflammation may be treated with acetaminophen. More severe or complicated fractures where bones or joints are displaced may require surgery.
Recovery time will also vary, and it may take 4-6 weeks or longer for a broken ankle to heal. Your podiatrist will most likely order progressive X-rays or stress tests to be taken in order to monitor the healing process.
Specific Foods Can Be Linked to Gout Attacks

Gout is defined as a foot condition that can cause severe pain and discomfort. It often targets the joints in the big toe and is caused by an excess level of uric acid. Eating foods that have high levels of purines may cause uric acid levels to rise and convert to crystals that lodge in the joints of the toes. There are trigger foods that can be avoided in patients who have gout, and this may reduce the number of painful gout attacks. Red meat can fall into this category, and frequently eating this food can increase the chances of getting gout. Many people think honey is an alternative to processed sugar, however, it also contains a large amount of uric acid. There are certain types of seafood that have high levels of purines. These can consist of shellfish, sardines, anchovies, and scallops, and gout patients are advised to eat infrequent or small amounts of these types of seafood. If you would like more information about what type of foods can trigger gout attacks, it is suggested that you confer with a podiatrist who can provide you with healthy food choices to choose from.
Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Dr. Thomas Madden from Advanced Foot Care Center. Our doctor will treat your foot and ankle needs.
What Is Gout?
Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.
People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.
Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.
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.