August 2023

Flat feet, also known as fallen arches, can cause discomfort and impact your overall foot mechanics. While nonsurgical treatments such as wearing orthotics, can provide moderate relief, some cases may require surgical intervention. Surgical procedures aim to correct the structure of the foot and restore its natural arch. One common approach involves realigning the bones to improve arch height. Another technique focuses on repairing or transferring tendons that can enhance arch support. The decision to undergo flat feet surgery should be well considered by taking into account the severity of the condition, lifestyle, and medical history. Recovery and rehabilitation are crucial for optimal results. Consulting a podiatrist is vital in determining whether surgical intervention is the best path to help you regain comfort and mobility. If you have flat feet, it is strongly suggested that you contact this type of doctor who can guide you toward the treatment that is right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Robert Graser of Graser Podiatry and Bunion Surgery Institute. 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 Boerne, . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Much of the body's weight is supported by the metatarsals, the long bones of the foot. When these bones become inflamed or irritated, it results in a condition known as metatarsalgia, or more commonly, pain in the ball of the foot. This causes varying degrees of discomfort that can disrupt daily activities. Metatarsalgia is often seen in active individuals, as a result of overuse and high-impact activities like running and jumping. Constrictive footwear and high heels that create pressure around the metatarsals can also contribute to ball of foot pain. Being overweight increases the risk of developing metatarsalgia. Symptoms include pain between the toes and the arch, which can intensify during movement and ease when resting. Numbness around the toes, especially the big toe and second toe, is common. Stretching and strengthening foot muscles, as well as the Achilles tendon, are essential for recovery from metatarsalgia. Proper footwear with arch support can aid in cushioning the foot's arch and providing relief. Surgical options might be considered if other pain management remedies prove inadequate. If you are experiencing pain in the ball of the foot on a continual basis, it is suggested that you make an appointment with a podiatrist for a full examination and discussion of treatment options.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot 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.

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 Boerne, . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Flat feet, also known as fallen arches, are a prevalent condition that affects adults worldwide. Understanding the facts surrounding adult flat feet is crucial for proper management and maintaining foot health. Flat feet occur when the arches of the feet collapse, leading to the entire sole making contact with the ground. While some individuals are born with flat feet, others may develop the condition over time due to factors such as aging, injury, or excessive strain on the feet. Contrary to popular belief, flat feet are not always symptomatic. Many people with flat feet experience no discomfort or limitations in daily activities. However, some individuals may encounter pain, swelling, or a feeling of tiredness in the feet. Fortunately, conservative measures such as wearing supportive footwear, orthotic inserts, and performing foot strengthening exercises can alleviate symptoms and enhance foot function. In more severe cases, medical interventions may be necessary. By dispelling myths and knowing the facts, adults with flat feet can proactively care for their feet and maintain an active, pain-free lifestyle. If you have flat feet, it is suggested that you are under the care of a podiatrist who can help you to manage this condition.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Dr. Robert Graser from Graser Podiatry and Bunion Surgery Institute. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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.

A condition known as foot drop is characterized by the inability to clear the ground while taking a step. Instead, the toe drags along the ground when you walk, causing the need to lift the foot in a march-like stance. Foot drop is caused by a weakness or paralysis of the muscles that lift the foot. It can be the result of injury or damage to the nerves in the leg. It also can be the result of a neurological condition, such as multiple sclerosis. Other conditions linked to foot drop include stroke and peripheral neuropathy. In some cases, foot drop can be managed if not cured. Certain exercises can help to strengthen muscles in the feet and lower legs. Removing loose rugs in the home that can cause tripping or falling is another measure that can reduce the effects of foot drop. An ankle-foot orthosis on the lower part of the leg can help to direct control of the foot and ankle. A change in footwear to shoes with adjustable straps and lower heels may also be needed. To find out more about ways of dealing with foot drop, it is suggested that you make an appointment with a podiatrist.

If you have any concerns about your feet, 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.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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.

A bunion is an unsightly and often painful deformity of the big toe, termed hallux valgus. This deformity starts in the bottom joint of the big toe, causing the bone to jut out sideways and push the top part of the toe toward the second toe. This can result not only in foot alignment issues but also problems with gait and weight bearing. A bunion is often very painful as the misshapen big toe rubs against the inside of the shoe and places more pressure on the ball of the foot. The major cause of bunions is believed to be genetic, but ill-fitting footwear and high-heeled shoes are other possible causes. In some cases, a bunion may be caused by rheumatoid arthritis. The first and simplest way of dealing with a bunion is changing footwear to accommodate the width of the foot and provide more cushioning. Bunion pads and toe spacers also may relieve some of the pain and pressure. In the worst cases, some form of surgery is an option to correct the deformity. The type of operation will be based on the severity of the bunion, along with other factors. For more information on treating a bunion, it is suggested that you make an appointment with a podiatrist.

If you are suffering from bunion pain, 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.

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 Boerne, . We offer the newest diagnostic and treatment technologies for all your foot care needs.