December 2019

Most babies do not wear shoes until they begin to walk comfortably. As the toes grip the floor, the bones, tendons, muscles and ligaments in each foot can become stronger. It is important that the toes have enough room in the socks to move freely, and are not stretched too tight over the foot. Many people choose to have their child’s feet properly measured when purchasing their child's first pair of shoes. This is done by measuring the length and the width of each foot, which can help to determine the exact size shoe your child should wear. Shoes that fit properly have adequate room for the toes, and the heel should fit securely. If your child’s foot slips out of the shoe while walking, the next size smaller may be considered. Children’s feet grow fast, and it is beneficial to have them measured every four to six weeks. The rate the feet grow will slow down at approximately four years of age, and then generally increase one size per year until age twenty. If you would like additional information about what to look for before purchasing your child’s shoes, please confer with a podiatrist.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, 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.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

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.

One of the most common sources of foot pain is a condition known as plantar fasciitis. This foot affliction usually results in heel pain and affects the plantar fascia, or the band of tissue that runs between the heel and the toes. Many people who suffer from plantar fasciitis will experience sharp heel pain. Runners are one group of individuals that are at risk of developing plantar fasciitis, which can make running significantly more difficult and painful. There are several steps that runners can take to essentially decrease their risk of developing plantar fasciitis from running. First, runners can be intentional about choosing what surfaces they run on. Specifically, runners can choose to run on soft, rather than hard surfaces to ultimately reduce the impact and pressure felt on their heels. Also, to reduce the strain felt on feet, runners can be careful not to increase the distance of their runs by anything more than 10 percent each week. If a runner wants to be particularly proactive, they may choose to also perform a gait analysis with a professional. The purpose of performing this kind of analysis is to try to detect any potentially problematic qualities of the runner’s stride before it leads to issues like plantar fasciitis. If you are a runner and want to learn more about how you can reduce your risk of developing plantar fasciitis, reach out to a podiatrist. 

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, 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.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

• Excessive running
• Having high arches in your feet
• Other foot issues such as flat feet
• Pregnancy (due to the sudden weight gain)
• Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

• Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
• Maintain a healthy weight
• If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best 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.

The medical term for the foot condition known as Morton’s neuroma is Morton’s metatarsalgia or interdigital neuroma. It is an ailment that affects the area between the third and fourth toes, and is quite painful. The pain is often felt in the ball of the foot and between the toes. It occurs as a result of a nerve that thickens between the toes, and can happen from wearing shoes that do not have adequate room for the toes to move freely in. High heels generally fit into this category. Additionally,  people who participate in high-impact physical activities that consist of running and jumping may be affected. Many patients with Morton's neuroma experience severe pain and find it difficult to walk. It may begin with a tingling or numbing sensation, and may gradually develop into a shooting pain. It can be likened to walking with a pebble or marble in the shoe. In mild cases, relief may come from implementing simple lifestyle changes, such as wearing comfortable shoes and refraining from running and jumping. Surgery that can reset the nerve may be an option in severe cases. If you have this type of foot pain, please consult with a podiatrist who can properly diagnose and treat Morton’s neuroma. 

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 relatively rare foot condition known as erythromelalgia (EM) can cause severe burning and redness on the feet. It generally affects women more than men, and approximately one out of 100,000 Americans are affected annually. Some of the symptoms associated with this condition include swelling, a shooting pain sensation in the feet, and severe achiness. Some of these symptoms can be debilitating and can affect both feet. This condition may start with itchy feet and gradually advance to burning pain. Some of these attacks may be triggered by physical exercise, sweating, and excessive heat. Research has indicated that erythromelalgia is more common among children, teenagers, and patients who have autoimmune disorders, who may be at an increased risk for developing this rare ailment. In many cases, there is no actual cure, and podiatrists will concentrate on relieving the symptoms, which may include prescription medicines. If you have any sign of erythromelalgia, please speak with a podiatrist as quickly as possible for help in managing this condition. 

Some foot conditions may require additional professional care. 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.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

• Freiberg’s disease
• Kohler’s disease
• Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

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.