December 2021
Restless Leg Syndrome and Foot Pain

Restless leg syndrome, referred to as RLS and also known as Willis-Ekbom disease, is a condition where an individual experiences tingling sensations and an urge to move the legs. It can also include a desire to move the feet and can be quite uncomfortable. Symptoms of this ailment typically worsen at night and interfere with sleep. While there is no cure for this syndrome, there may be help to relieve symptoms and increase sleep quality. It is beneficial to find the root cause of restless leg syndrome so that treatment can be more effective. Things that can lead to RLS include sleep deprivation, a sedentary lifestyle, diabetes, certain medications, or renal insufficiency. Movement, such as exercise and stretching, consuming healthy foods, and getting massages may help. If you have restless leg syndrome and it is interfering with the quality of your life, it is suggested that you visit a podiatrist for an evaluation and treatment methods that are tailored to you.
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.
Flipping Out About Flip Flops
Although it may be tempting to wear flip-flops in warm weather, they are not the best choice of footwear for your feet. Flip-flops may be ideal for the beach, pool, spa, and shared showers, but you should avoid wearing them unless it is completely necessary.
Flip-flops only have a small strip of fabric holding your foot in place, but your toes need a better grip to keep your foot in place. The repetitive gripping can lead to an overuse of your muscles, which could result in tendinitis. This is only one of the many problems that stem from wearing flip-flops too often.
Flip flops aren’t good for extensive walking because they fail to offer arch support, heel cushioning, or shock absorption. As a result, people who wear flip flops are at a higher risk of experiencing an ankle sprain. Additionally, these shoes offer little protection for your feet, putting those who wear them at a greater risk for stubbed toes, glass cuts, and puncture wounds.
Although flip flops aren’t recommended for everyday use by anyone, it is especially important for diabetics to avoid them. A diabetic foot injury can easily become very serious, and it may even lead to amputation.
If you are experiencing pain from wearing flip-flops, you shouldn’t be hesitant to replace them with a more comfortable shoe that offers more support. If your flip-flop foot pain doesn’t go away, you should seek assistance from a podiatrist right away. It is possible that you may have a more serious foot problem such as a stress fracture or arthritis.
What Can I Wear Besides Flip Flops?

Flip-flops are certainly a popular shoe style. However, they are not a completely healthy option due to the lack of support that they provide. Many patients often wonder what they can wear besides flip-flops. The answer is that there are a variety of different summer shoes that a person might consider wearing. For example, a person might wear a supportive pair of sandals that have a strap around the back of the foot. A person also might consider wearing espadrilles instead of flip-flops. These are essentially canvas shoes. The benefit is that, unlike flip flops, the feet need not scrunch up to keep the shoe on the foot. Also, it can be important to select shoes that provide adequate support. If you are someone that is looking for an alternative to flip flops, it is suggested that you contact a podiatrist today for more information.
Flip-flops are not always the best choice of footwear. If you have any concerns about your feet or ankles, contact Dr. Thomas Madden from Advanced Foot Care Center. Our doctor will assist you with all of your foot and ankle needs.
Flip-Flops and Feet
When the weather starts warming up, people enjoy wearing flip-flops. Flip-flops are comfortable, stylish, and easy to slip on and off; they're perfect for any summer beach goer. However, these shoes can cause harm to the feet.
How Can Flip-Flops Affect Me Long-Term?
- Ankle problems
- Hip problems
- Lower back problems
- Pain in the balls of the feet
- Problems with foot arches
- Changes in the way you walk
Are There Injuries Associated with Flip-Flops?
Yes. Since flip-flops are relatively weak and do not provide the same amount of support as sneakers, people who wear flip-flops regularly are more susceptible to injuries. On top of that, the open nature of the shoe makes your feet more prone to other problems, such as cuts and even infections. Common injuries and ailments include:
- Sprained ankles
- Blisters
- Infections
- Cuts and Scrapes
I like Wearing Flip-Flops. Are There Safe Alternatives?
When buying flip-flops, try to find ones that have sturdy soles and that are made of high-quality materials that will support for your feet. These flip-flops will cost more but will also last longer as a result.
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.
Arthritis Can Cause Pain in the Feet and Ankles
Causes, Symptoms, and Treatment of Poor Blood Circulation in the Feet
Poor blood circulation in the feet and legs is often caused by peripheral artery disease (PAD), which is usually the result of a buildup of plaque in the arteries. Plaque buildup, or atherosclerosis, can be the result of excess calcium and cholesterol in the bloodstream. This restricts how much blood can flow through arteries. Reduced blood flow to a certain area of the body severely limits the amount of oxygen and nutrients that part of the body receives. This leads to degeneration in the muscles and other tissues. Sometimes, poor blood circulation in the feet and legs can be caused by other conditions, such as the damaging or inflammation of blood vessels, known as vasculitis.
The lack of oxygen and nutrients caused by poor blood circulation can restrict muscle growth and development, as well as cause muscle pain and cramps, weakness, and stiffness. Other common symptoms include numbness in the legs and feet, skin discoloration in the affected limbs, slower nail and hair growth, and erectile dysfunction in men. In more severe cases of PAD, pain can be present even when a person isn't exercising, and may range from mildly uncomfortable to completely debilitating.
Poor blood circulation in the feet and legs is more common in those who are overweight or obese, have diabetes, high blood pressure, high cholesterol, who smoke, or who have a family history of PAD or related conditions such as a heart attack, stroke, etc. Diabetes and smoking place a person at greatest risk for developing poor blood circulation, although advanced age, over 50, can also increase risk.
If you are experiencing poor blood circulation in the feet and legs caused by PAD, it is important to make changes to your lifestyle in order to reduce your risk of experiencing a heart attack or stroke caused by this condition. If you smoke, quit completely. This will increase the amount of oxygen in your bloodstream. Exercising and reducing the saturated fats in your diet. Saturated fats come from fatty meats, fried foods, whole milk, etc., can make a difference in improving blood circulation in feet. It is also important to avoid developing influenza and to carefully control your blood sugar if you have diabetes.
Your doctor may recommend combining lifestyle changes with a prescription medication regimen to improve blood circulation. The most commonly-used medications for PAD are called statins and work by blocking the amount of enzymes in your body that produce cholesterol. They are known by the brand names Zocor, Lipitor, Crestor, and others.
Poor Circulation of the Feet

Poor blood circulation can cause the feet to feel cold, numb, or tingly. It can also cause dry skin on the feet and brittle toenails. This happens because there is an interference with blood delivery of vital oxygen and nutrients to the feet. Poor circulation can make wounds heal slower and increase the risk of infection. Lifestyle changes may help some patients, and others may have to take medicine to widen blood vessels. Though vitamins and supplements cannot cure circulation problems, they may provide relief from symptoms. If you have signs of poor circulation in your feet, it is strongly suggested that you visit a podiatrist as quickly as possible who can determine what the cause is, and offer advice on treatment.
Poor circulation is a serious condition and needs immediate medical attention. 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
Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.
Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.
Causes
Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development. It can also cause:
- Muscle pain, stiffness, or weakness
- Numbness or cramping in the legs
- Skin discoloration
- Slower nail & hair growth
- Erectile dysfunction
Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.
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 and ankle needs.
What Are Bunions?
Bunions are large bony bumps at the base of the big toe. Medically known as hallux valgus, a bunion is a misalignment of the metatarsophalangeal joint, or big toe joint. The misalignment will generally worsen with time if left untreated.
The exact cause of bunions is unknown, with genetics seen as a potential cause. High heels and poorly-fitted footwear, rheumatoid arthritis, and heredity all seem to be potential factors behind the exacerbation of bunions. Women have been found to be more likely to develop bunions in comparison to men.
Bunions do not always produce symptoms. The best way to tell is if the big toe is pushing up against the next toe and there is a large protrusion at the base of the big toe. You may or may not feel pain. Redness, swelling, and restricted movement of the big toe may be present as well.
Podiatrists use a variety of methods to diagnose bunions. If there are symptoms present, podiatrists will first consider that it is a bunion. If not, a physical examination will be conducted to check function of the big toe. Finally, an X-ray may be taken to view the extent of the bunion and confirm it is a bunion.
Typically, nonsurgical methods are used to treat bunions, unless the bunion has become too misaligned. Orthotics, icing and resting the foot, roomier and better fitted shoes, taping the foot, and pain medication are usually utilized first. If the bunion doesn’t go away or causes extreme pain, surgery may be required. Surgeons will either remove part of the swollen tissue or bone to straighten the toe out.
If you have a bunion, it is recommended to see a podiatrist. The longer it is left untreated, the worse it may get. Podiatrists can properly diagnose and treat a bunion before it gets worse.
What Can Be Done About Bunions

A bunion is medically referred to as a hallux valgus. It is a deformity of the metatarsophalangeal joint at the base of the big toe. This type of malformation can develop when the first metatarsal bone in the foot turns out, and the big toe shifts toward the other toes. Eventually, the fluid-filled sac that surrounds and cushions the joint may become inflamed, and the entire joint can become stiff and painful. A bunion can interfere with walking or exercising. Additionally, it can be difficult to find shoes that accommodate this protrusion, and if shoes do not fit properly, extra pressure may be put on this misaligned joint. Bunions are more common in women. Perhaps this is because women are more apt to wear narrow, pointed, or high-heeled shoes. Bunions can also be genetic, or may develop from an underlying illness, such as arthritis, or an abnormal foot structure. Some foot problems, such as high arches or flat feet, can predispose one to getting a bunion. A podiatrist can determine the severity of a bunion and recommend the appropriate treatment for it. If you have a bunion, it is suggested that you make an appointment with this type of doctor for an examination and relief options.
If you are suffering from bunion pain, 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?
Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.
Causes
- Genetics – some people inherit feet that are more prone to bunion development
- Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development
Symptoms
- Redness and inflammation
- Pain and tenderness
- Callus or corns on the bump
- Restricted motion in the big toe
In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.
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.
How to Care for Your Child's Feet
It is never normal for a child to experience pain in his or her feet. Foot pain that lasts more than a few days and limits a child’s ability to walk should be examined by a podiatrist. Many adult foot ailments originate in childhood and may be present at birth. Common foot issues that are experienced by children are pediatric flat foot, Sever’s disease, ingrown toenails, and plantar warts.
A child’s foot grows rapidly during the first year, allowing it to reach almost half of their adult foot size. Consequently, foot specialists consider the first year to be the most crucial point in the foot development process. There are ways you can help ensure that your child’s foot develops properly. One way is to carefully look at your baby’s feet. If you notice any deformities, you should immediately seek professional care. You should also loosely cover your child’s foot, since tight coverings may prevent movement and inhibit normal development. Another tip is to change the baby’s positioning throughout the day. If your baby lies down in one spot for too long, it may put an excess amount of strain on the feet and legs.
It is best that you try not to force a child to start walking. Children will begin to walk when they are both physically and emotionally capable to do so. You should also avoid comparing your child’s walking progress with other children because the age range for independent walking may range. When your child’s feet begin to develop, you may need to change both their shoe and sock size every few months to allow room for their feet to grow.
Kids are sometimes prone to splinters, cuts, and severe injuries because they tend to walk around barefoot. This also makes them more susceptible to developing plantar warts which is a condition caused by a virus that invades the sole of the foot through breaks in the skin. These ailments can be avoided by making sure your child wears shoes in unsanitary environments. You should also wash any minor cuts or scrapes on your child’s feet. It is a myth that exposure to fresh air will heal injuries; fresh air will only expose your child’s cuts to germs.
As a parent, you should ensure that your child’s feet are developing properly and are being properly maintained. Consequently, it is important that you perform routine inspections on his or her feet to detect any injuries or deformities in their early stages. Early detection and treatment will help to ensure that your child does not develop any serious foot conditions.
Feet Growth in Children

Many new parents often ask podiatrists how frequently they should be buying their children new shoes. The answer to this question is closely related to the speed at which a child’s feet are supposed to grow. It is important to note that the first three years of a baby’s life witness the fastest growth of their feet. Due to this quick rate of growth, a parent might purchase a new, slightly larger pair of shoes for their baby every three to four weeks. However, the frequency with which new shoes are purchased will slowly decrease as the child ages. Importantly, once a child reaches the age of fourteen, it is generally thought that their feet will more or less stop growing. At this point, a parent need not continue purchasing larger shoes. If you are a parent and seek advice on taking care of your children’s feet, it is suggested that you contact a podiatrist for an appointment.
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.