December 2019

Stress fractures are hairline fractures in the foot that are caused by repetitive activity, such as running on hard surfaces. These tiny cracks, that can affect various foot bones, often cause pain and further complications if left untreated. Calcaneal stress fractures affect the heel bone, and are common among soldiers and runners. Symptoms include gradual heel pain worsened by weight-bearing activities. Calcaneal stress fractures often require bone scans or an MRI for diagnosis. Navicular stress fractures are more prevalent in sprinters and jumpers. They cause a midfoot ache that worsens with exercise and is accompanied by tenderness over the navicular bone. Metatarsal stress fractures, particularly in the second metatarsal, arise from overuse and poor biomechanics. Symptoms include gradual foot pain and swelling but they are difficult to identify, necessitating advanced imaging for diagnosis. Jones fractures, occurring in the fifth metatarsal after sudden trauma or ankle twisting, cause acute pain, tenderness, and weight-bearing difficulty. If you have foot pain that may be caused by repetitive activities, it is suggested that you schedule an appointment with a podiatrist who can conduct a thorough examination and suggest correct treatment options.

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.

Pregnancy brings about numerous changes in a woman's body, and one area that often transforms is the feet. As the body prepares for childbirth, hormonal fluctuations, particularly the hormone relaxin, contribute to increased flexibility in ligaments and tendons. This heightened flexibility can lead to changes in the arch of the foot, causing it to flatten or develop a more pronounced arch, depending on the individual. Additionally, the added weight and pressure on the feet can result in swelling and a potential increase in shoe size. These changes are not uniform, and each woman may experience variations in foot structure during pregnancy. As a result, expectant mothers need to prioritize comfortable footwear, adequate support, and regular foot care to alleviate any discomfort. If you have foot pain during your pregnancy or would like additional information on how your foot structure may change, it is suggested that you consult a podiatrist.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Dr. Robert Graser from Graser Podiatry and Bunion Surgery Institute. Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

• Wearing orthotics can provide extra support for the feet and help distribute weight evenly
• Minimize the amount of time spent walking barefoot
• Wear shoes with good arch support
• Wear shoes that allow for good circulation to the feet
• Elevate feet if you experience swelling
• Massage your feet
• Get regular, light exercise, such as walking, to promote blood circulation to the feet

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.

In the quest for overall health and vitality, the incredible benefits that come from incorporating foot and toe stretching into our daily routine is often overlooked. Stretching not only improves flexibility but also plays a vital role in enhancing the strength and mobility of the feet. These simple yet effective exercises promote better blood circulation, alleviating tension and reducing the risk of common foot issues. Regular stretching can contribute to improved posture, balance, and stability, benefiting not only the feet but the entire musculoskeletal system. Additionally, toe stretching exercises can prevent and alleviate discomfort associated with conditions like plantar fasciitis and toe deformities. Embracing a consistent routine of gentle stretches not only revitalizes tired feet but also fosters a sense of relaxation and well-being. If you are interested in learning about what type of foot and toe stretches to perform, it is suggested that you consult a podiatrist. 

Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet 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.

Stretching the Feet

Being the backbone of the body, the feet carry your entire weight and can easily become overexerted, causing cramps and pain. As with any body part, stretching your feet can serve many benefits. From increasing flexibility to even providing some pain relief, be sure to give your feet a stretch from time to time. This is especially important for athletes or anyone performing aerobic exercises, but anyone experiencing foot pain or is on their feet constantly should also engage in this practice.

Great ways to stretch your feet:

• Crossing one leg over the others and carefully pull your toes back. Do 10-20 repetitions and repeat the process for each foot
• Face a wall with your arms out and hands flat against the wall. Step back with one foot and keep it flat on the floor while moving the other leg forward. Lean towards the wall until you feel a stretch. Hold for 30 seconds and perform 10 repetitions for each foot
• Be sure not to overextend or push your limbs too hard or you could risk pulling or straining your muscle

Individuals who tend to their feet by regular stretching every day should be able to minimize foot pain and prevent new problems from arising.

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.

Engaging in the exhilarating sport of football comes with its share of risks, and one of the most prevalent concerns is the susceptibility to ankle injuries. The dynamic nature of the game, involving sudden stops, sharp turns, and high-impact collisions, puts players at an increased risk of sprains and strains. Ankle sprains, resulting from the ligaments being stretched beyond their limits, are a common injury, causing pain, swelling, and instability. Fractures also may occur during forceful tackles or awkward landings, demanding immediate attention for proper healing. Achilles tendon injuries, though less frequent, can sideline players with intense pain along the back of the ankle. Preventive measures, such as proper warm-ups, strengthening exercises, and wearing supportive footwear, are critical in decreasing the risk of ankle injuries. Football enthusiasts must prioritize their ankle health, and it is suggested that you consult a podiatrist who can guide you to developing and maintaining strong feet and ankles.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, 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.

Common Injuries

The most common injuries that occur in sporting activities include:

• Achilles Tendonitis
• Achilles Tendon Rupture
• Ankle Sprains
• Broken Foot
• Plantar Fasciitis
• Stress Fractures
• Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

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.

Sever's disease, a common but often misunderstood condition, is not truly a disease, but rather a growth-related heel pain that affects active children and adolescents. This condition, also known as calcaneal apophysitis, occurs when the growth plate at the back of the heel becomes inflamed due to repetitive stress and tension. Children between the ages of 8 and 15 are most susceptible to Sever's disease, as this is typically when their bones are rapidly growing. This growth spurt places extra stress on the heel's growth plate, especially in active children who participate in sports or activities that involve running and jumping. The hallmark symptom of Sever's disease is heel pain, often exacerbated by physical activity. This pain can be particularly bothersome during or after exercise. Understanding Sever's disease is essential for parents and young athletes, as it enables early recognition and appropriate management. If your active child has heel pain, it is suggested that you consult a podiatrist who can effectively diagnose and treat Sever’s disease.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Dr. Robert Graser from Graser Podiatry and Bunion Surgery Institute. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

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 injuries.