September 2021

Tendonitis is a common cause of foot and ankle pain. It occurs when there is inflammation or irritation to the tendons that run along the feet and ankles, helping them move properly. When these tendons are injured through a sudden impact, repetitive overuse, or from biomechanical or medical conditions, the result is tendonitis, which can cause foot pain, swelling, stiffness, and changes in the shape of the feet. There are several different types of tendonitis, including Achilles tendonitis, peroneal tendonitis, posterior tibial tendonitis, extensor tendonitis, and anterior tibial tendonitis. If you are suffering from foot or ankle pain, it is strongly suggested that you seek the care of a podiatrist. 

Foot and ankle trauma is common among athletes and the elderly. If you have concerns that you may have experienced trauma to the foot and ankle, 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.

Foot and ankle trauma cover a range of injuries all over the foot; common injuries include:

• Broken bones
• Muscle strains
• Injuries to the tendons and ligaments
• Stress fractures

Symptoms

Symptoms of foot and ankle injuries vary depending on the injury, but more common ones include:

• Bruising
• Inflammation/ Swelling
• Pain

Diagnosis

To properly diagnose the exact type of injury, podiatrists will conduct a number of different tests. Some of these include sensation and visual tests, X-rays, and MRIs. Medical and family histories will also be taken into account.

Treatment

Once the injury has been diagnosed, the podiatrist can than offer the best treatment options for you. In less severe cases, rest and keeping pressure off the foot may be all that’s necessary. Orthotics, such as a specially made shoes, or immobilization devices, like splints or casts, may be deemed necessary. Finally, if the injury is severe enough, surgery may be necessary.

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.

Blisters are fluid-filled bubbles of skin that can form anywhere on the body.  Most blisters on the feet and toes are caused by friction from shoes or socks rubbing repeatedly over a concentrated area of skin. The top layer of skin separates from the layers of skin underneath it and the empty space fills with a fluid called serum or plasma. The fluid cushions and protects the raw skin underneath the blister.  Most blisters are clear and filled with serum. Sometimes, a blister can appear red or black. This is indicative of blood vessel damage, in addition to skin damage. Infected blisters may have a white or yellow tinge due to pus forming and collecting beneath the blister. Most blisters heal on their own, but if you have a blister that appears to be infected, it is strongly suggested that you see a podiatrist for treatment.  

Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, 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.

Foot Blisters

Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

How Do Blisters Form?

Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.

Prevention & Treatment

It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.

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.

Falls are the leading cause of injury and disability among older adults. As people age, they are more likely to fall. This is mainly because of changes in the body’s muscles, nerves, and joints. For example, older adults are more likely to suffer from chronic illnesses such as diabetes, peripheral neuropathy, and poor circulation. These conditions can all impact the health of the feet and ankles, which serve as the foundations of the body and carry a person’s entire weight throughout the day. When foot and ankle health are compromised, falls become more likely. You can prevent falls by ensuring that the home is safe and free of tripping hazards, wearing well-fitted shoes, and visiting a podiatrist regularly to make sure that your feet are in good shape.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Dr. Robert Graser from Graser Podiatry and Bunion Surgery Institute. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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.

Uric acid is a by-product of the body breaking down purines—which are present in chemical compounds in the body as well as in certain foods we consume. Most uric acid is excreted, but when too much of it remains (hyperuricemia), it can crystalize on joints. One of the most painful arthritic conditions is known as gout. Some believe lower temperatures in the toes makes a more conducive environment for crystals to form, and so the big toe is often where gout occurs. Gout flare-ups can typically last for days or weeks before going into remission. During a flare-up, you may experience severe pain and swelling, along with heat and redness at the site. Gout with no single cause is known as primary gout. Secondary gout is due to kidney disease or medications affecting the kidney’s ability to expel urate. A podiatrist may make a diagnosis of gout after an examination, blood tests, imaging tests, and fluid aspiration from the affected joint.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Robert Graser from Graser Podiatry and Bunion Surgery Institute. 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 Boerne, . We offer the newest diagnostic and treatment technologies for all your foot care needs.

We all deal with foot sweat from time to time, but if you find that your feet are wet, clammy, or leaving soggy footprints on the floor, you may have plantar hyperhidrosis. Hyperhidrosis is a medical condition that causes excessive sweating. It can affect various parts of the body, but is particularly common in feet. Other than being annoying and possibly embarrassing, untreated plantar hyperhidrosis can have health consequences. Excessive sweating can make the feet perpetually moist, increasing the risk of fungal (athlete’s foot, toenail fungus), bacterial (folliculitis), and viral (warts caused by HPV) infections and skin breakdown. A heat rash, which causes itching, redness, and stinging, may also develop. If you are suffering from plantar hyperhidrosis, a podiatrist can help find the most effective treatment for you.

If you are suffering from hyperhidrosis contact Dr. Robert Graser of Graser Podiatry and Bunion Surgery Institute. Our doctor can provide the care you need to attend to all of your foot and ankle needs.

Hyperhidrosis of the Feet

Hyperhidrosis is a rare disorder that can cause people to have excessive sweating of their feet. This can usually occur all on its own without rigorous activity involved. People who suffer from hyperhidrosis may also experience sweaty palms.

Although it is said that sweating is a healthy process meant to cool down the body temperature and to maintain a proper internal temperature, hyperhidrosis may prove to be a huge hindrance on a person’s everyday life.

Plantar hyperhidrosis is considered to be the main form of hyperhidrosis. Secondary hyperhidrosis can refer to sweating that occurs in areas other than the feet or hands and armpits. Often this may be a sign of it being related to another medical condition such as menopause, hyperthyroidism and even Parkinson’s disease.

In order to alleviate this condition, it is important to see your doctor so that they may prescribe the necessary medications so that you can begin to live a normal life again. If this is left untreated, it is said that it will persist throughout an individual’s life.

A last resort approach would be surgery, but it is best to speak with your doctor to find out what may be the best treatment for you.

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 and ankle needs.