December 2019

Foot and ankle trauma is a prevalent issue, especially ankle injuries, which can significantly affect mobility. Among the common types of ankle fractures are isolated fibular fractures and Danis-Weber fractures, classified into types A, B, and C. An isolated fibular fracture involves the fibula and is typically less severe. Danis-Weber type A fractures occur below the ligament complex, a group of ligaments that connect the tibia, or shinbone, and the fibula, the smaller bone next to the tibia, just above the ankle joint. A type B fracture is at the level of the ligament complex, and a type C  fracture is above the ligament complex, often accompanied by an injury in this area. Treatment for these fractures ranges from immobilization with a cast or brace for less severe cases to surgical intervention for more complex fractures. Potential complications can include chronic pain, instability, and post-traumatic arthritis, which can impede recovery and long-term function. Given the complexities and potential for complications, if you have an ankle fracture, it is suggested that you schedule an appointment with a podiatrist for an accurate diagnosis, effective treatment, and optimal recovery.

Broken ankles need immediate treatment. If you are seeking treatment, 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. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

• Excessive pain when the area is touched or when any pressure is placed on the ankle
•  Swelling around the area
•  Bruising of the area
• Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

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.

Chronic foot pain is more than just a nuisance, It can significantly impact your daily life and mobility. Trauma, whether from a sudden injury or repetitive strain, can lead to a variety of foot issues including sprains, strains, and stress fractures. Overuse injuries, common among athletes and those with physically demanding jobs, can result in conditions like Achilles tendonitis and plantar fasciitis. Biomechanical factors, such as improper footwear or structural misalignment, can also contribute to chronic foot pain by causing conditions like bunions, corns, and neuromas. Underlying medical conditions, such as diabetes, gout, and peripheral neuropathy, can result in foot pain and increase the risk of complications. Additionally, infections like athlete's foot or ingrown toenails can cause persistent discomfort if not properly treated. If chronic foot pain is limiting your mobility and interfering with daily activities, it is suggested that you make an appointment with a podiatrist for an exam and treatment.

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.

As babies and children explore their surroundings, falls are an inevitable part of their journey to independence. However, implementing precautionary measures can significantly reduce the risk of accidents and injuries. Start by creating a safe environment with secured gates at staircases and window guards to prevent falls from elevated surfaces. Ensure furniture is anchored to the wall to prevent tipping and keep floors clutter-free to minimize tripping hazards. When it comes to infants, always supervise them during diaper changes and avoid leaving them unattended on elevated surfaces such as changing tables or sofas. For toddlers and older children, teach them the importance of using handrails when climbing stairs and encourage safe play practices, such as not running indoors or jumping from high places. Additionally, provide age-appropriate toys and equipment and supervise them during activities such as climbing, swinging, or riding bikes. Many children’s feet can be affected from falling, which can hinder enjoying daily activities. If your child has fallen and has foot pain, it is suggested that you consult a podiatrist who can offer treatment solutions, and guide you on more effective fall prevention techniques for your children.

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.

A plantar fibroma, a benign tumor that develops in the plantar fascia, can cause discomfort and mobility issues for those affected. This condition manifests as a firm nodule or lump in the arch or sole of the foot, typically located along the middle portion of the plantar fascia. Plantar fibromas grow slowly over time, gradually enlarging and potentially causing pain or tenderness with pressure or movement. As the fibroma increases in size, it may interfere with walking, standing, or wearing shoes comfortably. While the exact cause of plantar fibromas remains unclear, factors such as genetics, trauma, or inflammation of the plantar fascia may contribute to their development. Individuals with plantar fibromas may also notice changes in foot structure or gait abnormalities. If you have a lump in the arch of your foot, it is suggested that you consult a podiatrist who can offer you proper diagnosis, as well as relief and treatment methods.

A plantar fibroma may disrupt your daily activities. If you have any concerns, 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.

Plantar Fibroma

A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.

What Causes a Plantar Fibroma?

While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.

What Are the Symptoms of a Plantar Fibroma?

There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.

Treatment and Prevention

A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:

• Steroid injections
• Orthotics
• Physical therapy to help apply anti-inflammatory creams on the bump 

Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.

If you have any questions please feel free to contact our office located in Boerne, . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

High heels, while often a fashionable choice, can lead to a variety of foot problems and discomfort. Prolonged wearing of high heels forces the feet into an unnatural position, which can cause deformities such as hammertoes and bunions. These shoes also increase the risk of developing neuromas, which are painful nerve growths often felt between the toes. Beyond the feet, high heels can place excessive stress on the back and lower extremities due to the altered distribution of body weight. This shift not only affects posture but also disrupts the natural gait and balance, leading to potential injuries and chronic pain in the legs and spine. To mitigate these issues, it is advisable to limit the time spent in high heels, choose shoes with a lower heel height and more supportive structure, and alternate with more comfortable footwear. Stretching exercises and proper foot care can also alleviate symptoms. If you have persistent pain or deformities from wearing high heels, it is suggested that you speak to a podiatrist for professional advice and treatment options.

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

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