February 2020

Stress fractures in the feet generally occur as a result of overuse. This typically happens to runners, or to people who stand for extended periods of time for the majority of the day. It is defined as a small fracture in the bone, and can cause severe pain and discomfort. Common symptoms of this condition can include increasing pain while performing daily activities, and the affected area may be bruised or swollen. After a proper diagnosis is performed, which typically consists of having an MRI taken, the healing process can begin. This can include wearing shoes that have additional cushioning while exercising, avoiding running on hard surfaces, and taking ibuprofen which may help in reducing pain. Additionally, if the stress fracture is severe, a boot or brace may be worn for additional support. If you have endured a stress fracture, it is advised that you seek the counsel of a podiatrist who can guide you toward the correct treatment method for you.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact Dr. Robert Graser from Graser Podiatry and Bunion Surgery Institute. 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 Boerne, . We offer the newest diagnostic and treatment technologies for all your foot care needs.

The ankle has the ability to move the foot in two directions that consist of moving away from the body, and toward the body. The bony portions on the side of the ankle are referred to as the malleoli, and these provide stability while walking and standing. If an injury occurs to the ankle, it may be difficult to walk, in addition to generally causing severe pain and discomfort. Ankle sprains are known to be the most common type of ankle injury. This can happen when suddenly stepping off of a curb, or if it is twisted in a sporting activity. Common symptoms that are associated with this type of injury can include immediate swelling surrounding the affected area, bruising, and it may feel warm. After a proper diagnosis is performed which typically consists of having an X-ray taken, treatment can begin. If you have sprained your ankle, it is strongly advised that you speak to a podiatrist who can offer correct treatment options for you.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with Dr. Robert Graser from Graser Podiatry and Bunion Surgery Institute. 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 Boerne, . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Morton’s Neuroma is a common foot problem that takes place when the nerve that carries sensation to the webspace between the toes is trapped. Once swelling begins, the nearby bones and ligaments put pressure on the nerve, causing inflammation and irritation. This ailment typically occurs between the third and fourth toes but can also occur between the second and third toes. When left untreated, the already thickened nerve can enlarge even further, symptoms will persist longer and become more intense, and may cause permanent damage. The most common symptom is pain in the ball of the foot extending to the affected toes. Some patients say this condition may make it feel like they’re walking with a marble or stone inside their shoes, while others experience tingling and burning sensations in their toes. If you are experiencing any of the symptoms mentioned, it is suggested that you speak with a podiatrist who can properly diagnose and treat this condition.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Dr. Robert Graser of Graser Podiatry and Bunion Surgery Institute. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

• Ill-fitting high heels or shoes that add pressure to the toe or foot
• Jogging, running or any sport that involves constant impact to the foot
• Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

If you have any questions, please feel free to contact our office located in Boerne, . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A common ailment that can affect the toenails is known as toenail fungus. It generally develops gradually, and can occur as a result of being exposed to a certain type of fungus. The environments where this type of fungus lives and thrives may include public swimming pools, locker rooms, and shower room floors. It generally grows in warm and moist areas, and it is advised that appropriate shoes are worn while in these particular places. Additional reasons why patients may develop this ailment can consist of using artificial nails, wearing closed shoes for the majority of the time, or medical conditions such as diabetes or a weakened immune system. There are different treatment options available for toenail fungus, and it is suggested that you seek the counsel of a podiatrist who can determine what the best remedy is for you.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Dr. Robert Graser of Graser Podiatry and Bunion Surgery Institute. Our doctor can provide the care you need to keep you pain-free and on your feet.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

If you have any questions, please feel free to contact our office located in Boerne, . We offer the newest diagnostic and treatment technologies for all your foot care needs.