December 2021

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.

One foot condition parents may encounter in their child’s feet is known as metatarsus adductus, recognizable when a child's foot looks like it's forming a C shape. Known by other names, such as metatarsus varus or pes adductus, it is a condition your child might have from birth. The front part of the foot, or the forefoot, points inward toward the back part of the foot. This makes the inside edge of the foot look curved and the outside edge look more rounded. Metatarsus adductus can be confused with other foot problems like skewfoot, which has a bump on the outside edge, or clubfoot, where the whole foot is turned inwards and down. Sometimes, this condition fixes itself as your child grows, but regular check-ups with a podiatrist are essential for monitoring progress. This medically trained foot doctor can suggest simple stretching exercises to help the foot align correctly. In addition, your podiatrist can prescribe custom shoe inserts for extra support and help correct the foot's shape. In more severe cases, your child's foot might be gently cast to guide it into the right position. Surgery may be suggested in extreme cases. With the right care and guidance, your child can have happy, healthy feet. If your child exhibits intoeing, it is suggested that you make an appointment with a podiatrist for a complete examination and a treatment plan.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, 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.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

• Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
• Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
• Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
• Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
• Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
• Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

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

Flat feet, also known as fallen arches, can be a source of persistent discomfort. Fortunately, orthotics can offer a valuable solution for many individuals suffering from flat foot pain. These custom-made shoe inserts are designed to provide support and correct foot alignment, ultimately alleviating pain and enhancing overall foot function. Orthotics work by helping distribute the weight-bearing load more evenly across the foot, which reduces stress on the arch and related structures. They can aid in controlling overpronation, a common issue where the foot rolls excessively inward upon impact. By stabilizing the foot and optimizing alignment, orthotics can enhance shock absorption and reduce pain associated with flat feet. They also offer increased comfort and may prevent further complications, such as shin splints or stress fractures. When you choose custom orthotics tailored to your specific foot structure, these inserts can make a significant difference in your comfort and mobility. If you experience flat foot pain, it is suggested that you consult a podiatrist to determine the best orthotic solution for your needs.  

If you are having discomfort in your feet and would like to try orthotics, 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 Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

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.

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.