A bruised heel can occur from the force of striking the ground repeatedly while running or jumping. This repeated trauma to the heel can damage blood vessels in the soft tissue and muscles in and around the heel. Even though the skin does not break, a bruised heel, or heel contusion, can result in bleeding under the skin. The pain caused by a bruised heel may respond to heat, ice, or both, and may also be alleviated with rest and elevation. Severely bruised heels may require the care of a podiatrist who can prescribe custom orthotics and shoes, physical therapy, and even prescription-strength medications. It is also important to have a podiatrist examine your injury in order to rule out other possible causes of pain in the heel, such as a fracture or plantar fasciitis. 

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
• Plantar Fasciosis
• 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 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.

Having an ingrown toenail is annoying and painful, but it can be preventable. When the side of a toenail becomes engulfed by the skin around it, pressure can build up and cause pain. Typical signs of an ingrown toenail include redness and swelling, pain when touched, or hardened skin next to the nail. If the area gets infected, it may become filled with pus and cause bleeding. Causes of ingrown toenails include tight fitting shoes, toenails cut incorrectly or not at all, and poor foot hygiene. Home prevention techniques include cutting toenails straight across, keeping your feet clean and dried, and wearing shoes that fit properly. Anyone who has diabetes, poor peripheral circulation, or other systemic conditions that affect the feet should seek the care of a podiatrist regularly. In cases of a badly ingrown toenail, it is strongly suggested that you consult a podiatrist. Possible treatment may call for partial or complete removal of the nail to prevent further complications. 

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, 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.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

• Bacterial infections
• Improper nail cutting such as cutting it too short or not straight across
• Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
• Ill-fitting shoes that bunch the toes too close together
• Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right 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 and ankle needs.

Sever’s disease is related to swelling and irritation of the growth plate in the heel of the foot during puberty (typically 9 to 14 years of age). The growth plate, an area of the foot that is weaker and more apt to sustain injury than the rest of the bone, is a layer of cartilage in the foot near the end of a bone where most of bone growth occurs. During a growth spurt, muscles and tendons can become tight and pull on the growth plate. Activities like sports or prolonged standing can aggravate this condition. A child who has Sever’s disease might complain about tenderness or pain in one or both of their heels, experience stiffness in their feet upon awakening, start limping or walking on their tiptoes, or feel pain when their heels are squeezed from both sides. If your child is experiencing heel or foot pain of any sort, a visit to a podiatrist is suggested for proper diagnosis of the problem and appropriate treatment. If properly treated (with rest, ice packs, over-the-counter pain relievers, shoe inserts, or more), Sever’s disease is usually not long-lasting or chronic.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, 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.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

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.

Seniors are particularly susceptible to poor blood circulation that can often affect the feet. Symptoms to look for in checking your feet for poor circulation are numbness, tenderness, cramping, swelling, coldness, and discoloration (paleness, white patches on skin and toenails), particularly after physical activity or prolonged standing. It should be considered a critical situation if your feet turn blue as this usually means they are not receiving enough oxygen due to poor circulation. If you have wounds on your feet that are slow to heal, this can also be a sign that blood circulation to your feet is problematic. As one ages, and foot problems become more common, it is a good idea to visit a podiatrist regularly to have your feet examined and tended to. It is particularly important to seek treatment if you suspect poor blood circulation in the feet because, if left untreated, serious problems such as varicose veins and amputation can result.

While poor circulation itself isn’t a condition; it is a symptom of another underlying health condition you may have. If you have any concerns with poor circulation in your feet contact Dr. Thomas Madden of Advanced Foot Care Center. Our doctor will treat your foot and ankle needs.

Poor Circulation in the Feet

Peripheral artery disease (PAD) can potentially lead to poor circulation in the lower extremities. PAD is a condition that causes the blood vessels and arteries to narrow. In a linked condition called atherosclerosis, the arteries stiffen up due to a buildup of plaque in the arteries and blood vessels. These two conditions can cause a decrease in the amount of blood that flows to your extremities, therefore resulting in pain.

Symptoms

Some of the most common symptoms of poor circulation are:

• Numbness
• Tingling
• Throbbing or stinging pain in limbs
• Pain
• Muscle Cramps

Treatment for poor circulation often depends on the underlying condition that causes it. Methods for treatment may include insulin for diabetes, special exercise programs, surgery for varicose veins, or compression socks for swollen legs.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

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.

The plantar fascia is a strong supportive tissue that runs under the arch of the foot, connecting the heel to the base of the toes. It helps distribute weight evenly across the foot which enables us to walk and run with ease. If the plantar fascia gets stretched or stressed excessively, it can become painful and inflamed. This condition is known as plantar fasciitis. Certain factors that contribute to this condition include wearing shoes that don’t support or cushion the feet properly, having low or high arches, being obese, increasing the intensity of workouts abruptly or exercising on a hard surface, standing for prolonged periods of time, and old age. In addition to creating heel pain which usually is at its worst in the morning or after periods of rest, plantar fasciitis can increase the likelihood of calcium deposits forming on the heel bone (heel spurs). Podiatrists have a great deal of experience treating plantar fasciitis as it is the most common form of heel pain. Reach out to a podiatrist if you believe you have plantar fasciitis to get on the road to recovery.

Plantar fasciitis can be very painful and inconvenient. 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 the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

• Excessive running
• Non-supportive shoes
• Overpronation
• Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

• Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
• Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
• Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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.

The ankle is composed of a variety of bones, ligaments, and tendons and is designed to allow the movement for the foot and support the body. Pain in the ankle can have a variety of causes that include sprained ankles, stress fractures, tarsal tunnel syndrome, arthritis, and Achilles tendonitis. Patients who are experiencing ankle pain should look for a few signs to determine if the care of a podiatrist is necessary. These signs include severe swelling, an open wound or deformity, signs of an infection, or the inability to bear weight. Less severe injuries may still need to be looked at by a podiatrist, if the swelling has been there for 2 to 5 days or the pain has not subsided after several weeks. A podiatrist will be able to properly diagnose the source of the pain as well as suggest the best course of treatment for the condition.  

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle 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.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendinitis
• Achilles tendon rupture
• Stress fractures
• Bursitis
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and 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.

Sometimes children experience foot problems but either don’t know it, or don’t know how to explain them. Here are a few ways parents can be aware of actual, or potential, foot concerns. If your child seems unusually tired while running or playing, it may be a sign of flat feet. Sometimes children, especially between the ages of 8 and 14, will opt out of an activity because of heel pain due to inflammation or muscle strain from repetitive stress. Check your child’s toes for ingrown toenails, redness, swelling, blisters, or discoloration on a regular basis. If your child trips or falls a lot, it may indicate a neuromuscular or balance problem. Because children may not bring these conditions to your attention, it is a good idea to schedule an appointment with a podiatrist as a regular part of your child’s health regime. 

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, 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.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

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.

Most people have heard of shin splints, which affect the lower leg bone as the result of hard pounding while running. But this same activity can also affect the metatarsals of the foot, resulting in stress fractures. Metatarsals are the five long bones in the foot that connect the heel and arch to the toes. The second and third metatarsals are those most likely to develop stress fractures, which are tiny cracks in the bones. This makes sense because this is the area of the foot that takes the brunt of pounding during activity. Stress fractures are thought to be more common in women and older people. Participating in certain activities – including running, playing basketball, dancing, and marching – also increases the likelihood of developing stress fractures. In addition, osteoporosis, arthritis, diabetes, and calcium deficiency can be contributing factors. It may be hard to tell if you have stress fractures, because often the pain subsides after you stop the activity. However, if you begin to feel the pain even when you are not exercising, it is suggested that you seek the care of a podiatrist, who can properly diagnose your condition and suggest an appropriate treatment plan.

Stress fractures occur when there is a tiny crack within a bone. To learn more, 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.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

• Gender – They are more commonly found in women compared to men.
• Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
• Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
• Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
• Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

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.