December 2021

Hyperhidrosis of the feet, also termed plantar hyperhidrosis, is characterized by excessive sweating of the feet that can be onset by any cause, such as exercise, fever, or anxiety. Most people suffering from hyperhidrosis of the feet also experience hyperhidrosis of the hands, or palmar hyperhidrosis. Approximately 1-2% of Americans suffer from this disorder.

Sweating is a healthy process utilized by the body in order to cool itself and maintain a proper internal temperature, which is controlled by the sympathetic nervous system. In individuals with hyperhidrosis, the sympathetic nervous system works in "overdrive", producing far more sweat than is actually needed.

Plantar hyperhidrosis is considered primary hyperhidrosis. Secondary hyperhidrosis refers to excessive sweating that occurs in an area other than the feet, hands, or armpits, and this indicates that is related to another medical condition, such as menopause, hyperthyroidism, or Parkinson's disease.

Symptoms of hyperhidrosis of the feet can include foot odor, athlete's foot, infections, and blisters. Because of the continual moisture, shoes and socks can rot which creates an additional foul odor and can ruin the material, requiring shoes and socks to be replaced frequently. In addition to the physical symptoms, emotional health is often affected as this disorder can be very embarrassing.

If left untreated, hyperhidrosis will usually persist throughout an individual's life. However, there are several treatment options available. A common first approach to treating hyperhidrosis of the feet is a topical ointment. Aluminum chloride, an ingredient found in antiperspirants, can be effective at treating hyperhidrosis if used in high concentration and applied to the foot daily. Some individuals can experience relief this way, while others encounter extreme irritation and are unable to use the product. Another procedure is the use of Botulinum Toxin A, commonly referred to as Botox. This is injected directly into the foot, and is effective at minimizing the sweat glands in the injected area. These injections must be repeated every 4 to 9 months.

If these treatments are ineffective, oral prescription medications may be taken in an effort to alleviate the symptoms. Again, some will experience relief while others do not. Going barefoot reportedly provides relief for most sufferers.

A final approach to combating hyperhidrosis of the feet is through surgery. Surgery has been less successful on patients with plantar hyperhidrosis than on those with palmar hyperhidrosis. It is only recommended when sweating is severe and other treatments have failed to work. This kind of surgery usually involves going into the central nervous system, and cutting nerves to stop the transmission of signals telling the foot to sweat.

Research has indicated that foot pain women may experience may come from from wearing high heels. The balance in the body may be altered as a result of the ankles bending forward, and this is a feeling that is similar to standing on tiptoes. Additionally, the calf muscles may be shortened which may affect the Achilles tendon, and this may lead to painful injuries. It may be helpful to limit wearing high heels, or to choose a lower and wider heel. Stretching and resting the feet frequently throughout the day may be beneficial in preventing unwanted foot conditions that may be associated with wearing this type of shoe. If you would like additional information about the possible hazards associated with wearing high heels, it is suggested to consult with a podiatrist who can properly assist you.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, 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.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

• Ankle Joints
• Achilles Tendon – May shorten and stiffen with prolonged wear
• Balls of the Feet
• Knees – Heels cause the knees to bend constantly, creating stress on them
• Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

• Corns
• Calluses
• Hammertoe
• Bunions
• Morton’s Neuroma
• Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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.

If you are a diabetic patient, it is important to know how to properly care for your feet. It is important to notice if there are any cuts or scrapes, and this may be beneficial in avoiding infections. Many diabetic patients suffer from neuropathy, and this is the inability to feel any sores that may be present on the feet. There are measures that can be implemented to care for diabetic feet, and these may include washing and drying the feet daily, especially between the toes. Additionally, it may be helpful to avoid going barefoot, and to refrain from cutting the toenails. This is typically done by a podiatrist, who is practiced in trimming the toenails correctly. Additionally, wearing shoes that fit properly and wearing socks that are not too tight may be beneficial in helping to care for diabetic feet. If you are diabetic, it is advised that you speak to a podiatrist as quickly as possible who can guide you in how to properly take care of your feet.

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.

Many patients have had their various foot conditions successfully treated, but for some, foot surgery may be necessary as a possible option for relief. There are several types of foot issues that can benefit from having foot surgery performed, and these may include bunions, hammertoes, and arthritis. The surgery that may help to correct bunions is referred to as a bunionectomy. The benefits of having this type of surgery performed may include wearing shoes that are closed, and performing daily activities with ease. Arthritis may be helped by having fusion surgery performed, and this may help to join the bones of the foot together which may eliminate painful rubbing. Hammertoe can be helped by removing bones, tendons, or joints which may help to straighten out the toe. If the plantar fascia is inflamed which may lead to plantar fasciitis, heel surgery may be a viable option to consider. If you would like additional information about foot surgery, please consult with a podiatrist who can answer any questions you may have.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Thomas Madden of Advanced Foot Care Center. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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.

Many patients suffer from heel pain, and there may be several reasons why this may occur. These may include injuries to the foot that involves the heel, chronic conditions such as plantar fasciitis, bruises or stress fractures. Achilles tendonitis may develop as result of overuse, which may happen while participating in sporting activities. A heel pad bruise may occur as a result of wearing shoes that do not have adequate cushioning. It may also occur from falling from a high distance and landing on the heel. A condition that is known as haglund’s syndrome may occur if a bony protrusion develops on the back of the heel as it rubs against shoes that are stiff. Symptoms of this may include pain in the heel area of the foot, and possible swelling. If you are experiencing any type of heel pain, it is strongly suggested that you seek the counsel of a podiatrist who can properly diagnose and treat heel pain.

Many people suffer from bouts of heel pain. 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.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                  
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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.