December 2021
Dealing With Your Child’s Gait Disorder

The gait, which is the way we walk, starts to develop as soon as a child stands up. As they age children go through different stages of gait development, and it is a good idea for parents to monitor these patterns and take note of abnormalities. Three recognizable gait disorders in children are in-toeing, out-toeing, and toe-walking. While in-toeing, also termed pigeon toe, is typical in many children under the age of 3, it also can be caused by a condition where the front of the foot curves inward instead of remaining straight. This can result in a child falling more often than normal. Out-toeing refers to walking with the toes pointed outward instead of straight ahead. It can be the result of flat feet, lower leg misalignment, or hip joint abnormalities. Toe walking is just what it sounds like the child walks on its toes. This can produce tight or shortened calf muscles and may affect balance and cause muscle soreness. If your child displays these or other gait abnormalities, it is suggested that you make an appointment with a podiatrist who can assess the situation and provide guidance on how to handle it.
The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, 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.
Tips for Keeping Children's Feet Healthy
- Make sure their shoes fit properly
- Look for any signs of in-toeing or out-toeing
- Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
- Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
- Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
- Cut toenails straight across to avoid ingrown toenails
- Keep your child’s foot clean and dry
- Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.
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.
Sports Related Foot and Ankle Injuries
Foot and ankle injuries are common among athletes and those who exercise frequently. Most of these injuries are non-life-threatening and can heal in weeks with proper treatment and care. Serious injuries, however, require urgent medical treatment.
Common minor injuries include ankle sprains, ankle strains, Achilles tendonitis, plantar fasciitis, stress fractures, and turf toe. An ankle sprain is when the ligaments in the ankle have either become stretched or torn. When the muscle or tendon is stretched or torn, it is an ankle strain. When the big toe is sprained, it is known as turf toe. Achilles tendonitis is the overuse and inflammation of the Achilles tendon. Plantar fasciitis is the inflammation of the plantar fascia and generally occurs from overuse in athletics. Stress fractures are also caused from overuse and are small cracks in the bone.
Achilles tendon ruptures are common, but more serious. This injury occurs when the Achilles tendon, the largest tendon in the body, ruptures. In most cases, this causes severe pain and difficulty walking; some who have experienced this injury have reported, however, no signs or symptoms. A laceration is a deep cut that can occur anywhere on the body. Lacerations on the foot are rarer, but can occur from things like metal cleats landing on the foot.
Treatment options cover a wide range of methods based upon the injury and its severity. Conditions like plantar fasciitis, stress fractures, Achilles tendonitis, turf toe and ankle sprains/ strains can heal on their own without immediate medical care, but seeing a podiatrist to monitor the injury is always recommended. Following the RICE (Rest, Icing, Compression, and Elevation) protocol is generally enough to treat minor injuries. This means resting the foot by either keeping pressure off the foot or not walking at all. Icing the injury will help reduce swelling and pain. Compressing the wound with a wrap will immobilize and help promote healing. Finally, keeping the wound elevated will also reduce swelling and also help the healing process.
It is important to note that even minor injuries can vary in severity, with grade one being a minor injury and grade three requiring urgent care by a podiatrist. Achilles tendon ruptures and lacerations on the foot generally require urgent medical care and treatment options that need a podiatrist. These could include imaging tests, stitches for cuts, rehabilitation, and casts or braces. Every case is different, however, so it is always recommended to see a podiatrist when pain in the foot does not disappear.
Pickleball Can Be Good for Your Feet

Pickleball is a cross between tennis, badminton, and ping-pong in that it consists of players moving across a court and hitting a ball over a net. Such movement has overall health benefits, specifically for the feet. Pickleball is a low-impact aerobic exercise and competitors are at less risk for blood clots, especially those who are overweight. Pickleball is also a weight-bearing activity in that the movement necessary to play the game requires the feet to support the body. It can help strengthen muscles in the ankles and legs. Additionally, pickleball can help improve circulation because a higher heart rate causes blood to circulate throughout the body faster. Like any sport, there is a risk of injury while playing pickleball. However, it is a relatively slow game, and the court is smaller so there is less risk of injury from lunging after the ball. The muscle strengthening benefits can help keep the joints flexible, which also helps in reducing injury while playing the game and outside of the game. If you are considering playing pickleball, or if you have sustained an injury to your feet and ankles in this sport, it is suggested that you consult with a podiatrist for suggestions or treatment.
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.
Are Bunions Affecting Your Everyday Life?
How to Treat Heel Spurs
Heel spurs are calcium deposits that cause bone protrusions on the heel bone. Heel spurs are usually associated with plantar fasciitis, which occurs when the plantar fasciitis in the foot becomes inflamed. Typically, heel spurs don’t cause any symptoms. However, they can produce chronic or intermittent heel pain. Those who have had the condition often describe the irritation as a stabbing pain.
There are risk factors that may make you more likely to develop heel spurs. People who have abnormal walking gaits, run and jog on hard surfaces, are obese, or wear poorly fitting shoes are more likely to develop heel spurs.
Fortunately, there are precautions you can take to avoid developing heel spurs. One of the best ways to do this is by wearing well-fitting shoes with shock-absorbent soles. Another preventative technique is to choose running shoes if you plan on running, and walking shoes if you plan on walking. Shoes are made for different activities and it is important to research a shoe before you purchase a pair.
The pain associated with heel spurs often decreases the more you walk. However, a recurrence of pain after an extended period of rest or walking is likely to occur with this condition. Those with severe heel spur pain may opt to go the surgical route for treatment. However, more than 90% of those with the condition get better without surgical treatment. If you have a heel spur and want to know if surgery is right for you, you should go to your podiatrist and he or she will be able to conduct a pre-surgical test or exam to determine if you are an optimal candidate for surgery.
Risk Factors for Developing Heel Spurs

Sharp pain in the heels is often mistaken for plantar fasciitis, the most common complaint of heel pain. However, in some cases, the pain may be caused by a heel spur which is a buildup of calcium that forms a protrusion on the heel bone. A heel spur may take months to form and is often the result of too much pressure on muscles and ligaments. Runners and athletes who do a great deal of jumping may be at higher risk for heel spurs. Ironically, a heel spur may also be caused by plantar fasciitis, which makes it even more difficult to diagnose. An X-ray will show whether you have a heel spur. Treatment for a heel spur includes anti-inflammatory medication, cortisone injections, and custom orthotics. If your heel pain continues or worsens, it is suggested that you consult a podiatrist who can confirm the diagnosis and offer appropriate treatment solutions.
Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Dr. Thomas Madden from Advanced Foot Care Center. Our doctor will do everything possible to treat your condition.
Heels Spurs
Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.
Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.
Pain
The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.
Treatments
There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.
If you have any questions feel free to contact our office located in Killeen, TX . We offer the latest in diagnostic and treatment technology to meet your needs.
Foot Pain
The feet, being the foundation of the body, carry all of the body’s weight and are therefore prone to experiencing pain and discomfort. If you are experiencing foot pain, it is important to determine where in the foot you are experiencing this pain to help discover the cause of it. While pain can be experienced virtually anywhere in the foot, the most common sites of foot pain are in the heel and ankle.
Heel pain can be due to a multitude of conditions including plantar fasciitis, Achilles tendinitis, and heel spurs. Pain experienced in the ankle can be a sign of an ankle sprain, arthritis, gout, ankle instability, ankle fracture, or nerve compression. In more serious cases, pain in the foot can be a sign of improper alignment or an infection.
Foot pain can be accompanied by symptoms including redness, swelling, stiffness and warmth in the affected area. Whether the pain can be described as sharp or dull depends on the foot condition behind it. It is important to visit your local podiatrist if your foot pain and its accompanying symptoms persist and do not improve over time.
Depending on the location and condition of your foot pain, your podiatrist may prescribe certain treatments. These treatments can include but are not limited to prescription or over-the-counter drugs and medications, certain therapies, cortisone injections, or surgery.
If you are experiencing persistent foot pain, it is important to consult with your foot and ankle doctor to determine the cause and location. He or she will then prescribe the best treatment for you. While milder cases of foot pain may respond well to rest and at-home treatments, more serious cases may take some time to fully recover.
Causes of Pain in the Ball of the Foot

Pain in the ball of the foot is known as metatarsalgia. This type of pain is often the result of over-exercising, wearing shoes that are too tight or having arthritis. Some individuals might also have a natural foot shape that places more pressure on the ball of the foot. Other common conditions that lead to pain in the ball of the foot include sprains, Morton’s neuroma, and bunions. A Morton’s neuroma involves a compression of nerves in this area of the foot, and one might feel like they have a small pebble underfoot. A bunion is a hard, bony lump on the joint of the big toe. If you have pain in or near the ball of the foot, it is suggested that you contact a podiatrist for a proper diagnosis and recommended treatment.
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.
How to Treat Your Toenail Fungus
While not a serious issue, toenail fungus, or onychomycosis, can be an embarrassing and uncomfortable condition to experience. Toenail fungus is often caused from public areas that harbor fungi and improper cleaning/drying of the foot. Once infected, the fungus grows deeper into the nail and can be very hard to get rid of.
There are different types of fungus that cause toenail fungus. Dermatophytes, yeasts, and molds are the most frequent forms of fungus to infect the toenail. Dermatophytes are the most common among the three. Symptoms associated with fungal nails include the discoloration of the toenail, brittleness, and in some circumstances, a smell. Pain is rarely a symptom caused by toenail fungus.
Diagnosis of fungal nails is generally a rather quick process. However podiatrists will make sure that the cause is not another condition such as lichen planus, psoriasis, onychogryphosis, or nail damage. Podiatrists will make use of fungal cultures and microscopy to verify that it is fungus.
While over-the-counter ointments are readily available, most are ineffective. This is due to the fact that the nail is very protective and that the fungus slips in between the nail plate and bed. Podiatrists can offer oral medication which currently provides the best results.
Ultimately, prevention is the best line of defense against toenail fungus. Avoid unsanitary public showers. If you do use a public shower, use shower shoes to provide your foot with protection. Once you are finished showering, make sure to thoroughly dry your feet. Fungi thrive in warm, dark, and moist places like sweaty, warm feet that are left dark in shoes all day.
Do I Have Toenail Fungus?

Thickened and discolored toenails could be caused by toenail fungus, but other conditions can cause the same symptoms. These signs might also be the result of bruises, warts, or some type of skin cancer. With toenail fungus, beyond discoloration of the nail, there may be debris under the nail, nail thickening, and an irregularity to the white part of the nail. A discolored spot under the toenail may be a sign of melanoma, a possibly fatal form of skin cancer. This usually presents as a brown or black streak that might look like a bruise. Darier disease is a genetic disorder that typically causes yellowish, wartlike blemishes on the body and red and white streaks on toenails. If you notice changes to your toenails and you do not know the cause, it is suggested that you see a podiatrist as soon as possible to treat whatever might be causing the condition.
For more information about treatment, 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.
Toenail Fungus Treatment
Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.
Antifungals & Deterrence
Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.
Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.
Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.
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.