December 2019

Tuesday, 17 October 2023 00:00

Common Basketball Injuries

With the physical demands of basketball, players are constantly at risk of injuries. Among these, ankle injuries are the most common for basketball players. Others basketball-related injuries include sprains, fractures, impingement, and Achilles tendon problems. Basketball demands repetitive jumping, rapid changes in motion, and explosive movements, all of which make a player prone to musculoskeletal injuries. Ankle injuries alone account for nearly a quarter of all basketball-related injuries. Sprained ankles occur when the ligaments that support the ankle are stretched or torn, often due to sudden changes in direction or landing improperly from a jump. Fractured ankles happen when the bones in the ankle, such as the tibia, fibula, or talus, break. They are often a result of high-impact collisions or awkward landings. Ankle impingement occurs when soft tissues, such as tendons or ligaments, become compressed within the ankle joint. This can lead to pain and a limited range of motion. The Achilles tendon, which connects the calf muscles to the heel bone, can be especially vulnerable in basketball. Overuse, sudden acceleration, or deceleration can lead to such injuries as tendonitis or ruptures. If you or your child regularly plays basketball and ankle problems have developed, it is suggested that you make an appointment with a podiatrist.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, 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.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

Plantar Fasciitis
Plantar Fasciosis
Achilles Tendinitis
Achilles Tendon Rupture
Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains 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 and ankle needs.

Published in Blog

Wednesday, 11 October 2023 00:00

Why Live with Pain and Numbness in Your Feet?

Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.

Published in Blog

Tuesday, 10 October 2023 00:00

The Importance of Biomechanics in Podiatry

Biomechanics and its related study deal with the forces that act against the body and affect things like our movement. In podiatry, biomechanics are studied to determine the movement of the ankle, toes, and the foot, as well as the forces that impact them. Podiatrists who train in this specialty are able to effectively diagnose and treat conditions that affect people’s everyday movement.

Regardless of your lifestyle, age, or any other factors, many people experience foot problems throughout their lives. Twists and turns, improper balance, and added weight are just a few of the things that can add stress to the feet. These issues can also limit our bodies’ mobility that we often take for granted. Pain in the feet and ankles can also trickle up towards the lower legs, knees, hip, and even back area. This affects the way you move around on a daily basis.

Biomechanics and its related study deal with forces that act against the body and affect things like our movement. In podiatry, biomechanics are studied to determine the movement of the ankle, toes, and the foot, as well as the forces that impact them. Podiatrists who train in this specialty are able to effectively diagnose and treat conditions that affect people’s everyday movement.

The history of studying biomechanics dates back to ancient Egypt at around 3000 B.C., where evidence of professional foot care has been recorded. Throughout the centuries, advances in technology, science, and an understanding of the human body led to more accurate diagnosis of conditions such as corns for example. In 1974, biomechanics garnered a large audience when Merton Root founded Root Lab to make custom orthotics. He proposed that corrections of certain conditions could be implemented to gain strength and coordination in the area. Due to his research, we still use his basic principle of foot orthotics to this day.

As technology has improved, so have the therapeutic processes that allow us to correct deficiencies in our natural biomechanics. Computers can now provide accurate readings of the forces, movements, and patterns of the foot and lower leg. Critical treatment options can be provided to patients now who suffer from problems that cause their biomechanics to not function naturally. The best results are now possible thanks to 3D modeling and computing technologies that can take readings and also map out what treatment will do to the affected areas.

These advanced corrective methods were able to come to light thanks to an increase in both the technologies surrounding biomechanics and also the knowledge of how they work naturally. For example, shoe orthotics are able to treat walking inabilities by realigning the posture deviations in patients caused by hip or back problems. Understanding foot biomechanics can help improve movement and eliminate pain, stopping further stress to the foot. Speak with your podiatrist if you have any of these problems.

Published in Featured

Tuesday, 10 October 2023 00:00

How Foot and Ankle Bones Harmonize for Stability

The human body is a marvel of engineering. This is evident in the biomechanics of the feet working together to maintain balance. Our feet consist of 26 bones and numerous ligaments and tendons that form a dynamic structure. At the foundation of this balance are the arches of the feet, formed by the interaction of these bones. The longitudinal arch runs along the length of the foot, while the transverse arch spans its width. These arches act like springs, absorbing shock and adapting to various surfaces. The ankle joint serves as a stabilizing pivot point. When we stand, walk, or run, our foot and ankle bones function as a cohesive unit, distributing our body weight evenly and absorbing the impact of each step. This can help us to adjust our posture and movements continuously. This intricate interplay of bones and joints allows us to navigate a wide range of terrains with grace and stability. It underscores the importance of caring for our feet and ankles, ensuring they remain in optimal condition for a lifetime of balanced mobility. If you would like more information about the interaction between foot and ankle bones, it is suggested that you consult 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.

Published in Blog

Tuesday, 03 October 2023 00:00

Plantar Fasciitis

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is the thick band of tissue that connects the heel bone to the toes. When this band of connective tissue becomes inflamed, plantar fasciitis occurs. Fortunately, this condition is treatable.

There are several factors that may put you at a greater risk for developing plantar fasciitis. One of the biggest factors is age; plantar fasciitis is common in those between the ages of 40 to 60. People who have jobs that require them to be on their feet are also likely to develop plantar fasciitis. This includes factory workers, teachers, and others who spend a large portion of their day walking around on hard surfaces. Another risk factor is obesity because excess weight can result in extra stress being placed on the plantar fascia.

People with plantar fasciitis often experience a stabbing pain in the heel area. This pain is usually at its worst in the morning, but can also be triggered by periods of standing or sitting. Plantar fasciitis may make it hard to run and walk. It may also make the foot feel stiff and sensitive, which consequently makes walking barefoot difficult.

Treatment for plantar fasciitis depends on the severity of the specific case of the condition. Ice massage applications may be used to reduce pain and inflammation. Physical therapy is often used to treat plantar fasciitis, and this may include stretching exercises. Another treatment option is anti-inflammatory medication, such as ibuprofen.

If you suspect that you have plantar fasciitis, meet with your podiatrist immediately. If left untreated, symptoms may lead to tearing and overstretching of the plantar fascia. The solution is early detection and treatment. Be sure to speak with your podiatrist if you are experiencing heel pain.

Published in Featured

Tuesday, 03 October 2023 00:00

Effective Foot Exercises for Plantar Fasciitis

Plantar fasciitis can be an agonizing condition, characterized by inflammation of the plantar fascia, a thick band of tissue that runs along the bottom of your foot. While rest, wearing proper footwear, and professional guidance are key to recovery, certain foot exercises may also help provide relief. Toe curls are an effective stretch, and are done while sitting in a chair and placing a towel on the floor. Scrunch the towel toward you using your toes, then release, and repeat several times. Many patients feel the benefits of performing the ankle alphabet. This is accomplished by writing the alphabet in the air with the big toe while seated. Heel raises are done by standing, and raising the heels off the ground, then lowering them slowly. Repeat to strengthen calf muscles. The towel stretch is performed while sitting with your legs extended. Place a towel around your toes and gently pull it toward you to stretch the plantar fascia. These exercises can help to improve flexibility, strength, and blood circulation in the foot, which can aid in plantar fasciitis recovery. If you have plantar fasciitis, it is strongly suggested that you are under the care of a podiatrist who can help you find relief by recommending other specific stretches.

Plantar fasciitis can be very painful and inconvenient. 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 the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

Excessive running
Non-supportive shoes
Overpronation
Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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.

Tuesday, 26 September 2023 00:00

Heel Pain

Have you ever gotten up from a chair or out of bed in the morning, and upon taking that first step, feel like your heel has stepped on a tack? Many people experience a feeling of sharp pain which radiates into their arch from their heel and which does not allow them to put their heel on the floor. Sometimes they need to sit back down, stand only on their toes and use the wall for balance. If you can take a few steps, it seems to go away and lessen, allowing you to then resume your activity. Later, throughout your day and after a period of rest, it can happen again. If this sounds familiar you may be suffering from your first attack of heel pain.

Heel pain is a debilitating condition that affects day to day activities. Running and walking both causes stress on the heel because the heel is the part of the foot that hits the ground first. This means that the heel is taking on your entire weight. Diagnosis and treatments for heel pain can be easily found through your podiatrist.

Plantar Fasciitis

One of the main causes of heel pain is a condition known as plantar fasciitis. The plantar fascia is a band of tissue that extends along the bottom of the foot, from the toe to the bottom of the heel. A rip or tear in this ligament can cause inflammation of these tissues, resulting in heel pain. People who do not wear proper fitting shoes are often at risk of developing problems such as plantar fasciitis. Unnecessary stress from ill-fitting shoes, weight change, excessive running, and wearing non-supportive shoes on hard surfaces are all causes of plantar fasciitis.

Achilles Tendonitis

Achilles tendonitis is another cause of heel pain. Similar to plantar fasciitis, inflammation of the Achilles tendon will cause heel pain due to stress fractures and muscle tearing. A lack of flexibility of the ankle and heel is an indicator of Achilles tendonitis. If left untreated, this condition can lead to plantar fasciitis and cause even more pain on your heel.

Heel Spur

A third cause of heel pain is a heel spur. A heel spur occurs when the tissues of the plantar fascia undergo a great deal of stress, leading to a separation of the ligament from the heel bone entirely. This results in a pointed fragment of bone on the ball of the foot, known as a heel spur.

Published in Featured

Tuesday, 26 September 2023 00:00

Causes and Effective Remedies for Heel Pain

Heel pain is a common ailment that can disrupt daily life and activities. One of the primary culprits is plantar fasciitis, which occurs when the thick band of tissue known as the plantar fascia becomes inflamed or irritated. The plantar fascia is found on the bottom of the foot, and connects the heel to the toes. Plantar fasciitis often results from overuse, wearing improper footwear, or a sudden increase in physical activity. Another common cause of heel pain is Achilles tendonitis, which affects the Achilles tendon at the back of the heel, usually as a result of excessive strain or overuse. To alleviate heel pain, it is beneficial to rest and elevate the affected foot. Wearing proper footwear with adequate arch support can significantly help, in addition to wearing custom orthotic inserts. Performing stretching exercises for the calf muscles and Achilles tendon also can aid in recovery. In severe cases, surgical intervention may be necessary. If you are experiencing heel pain, it is strongly suggested that you make an appointment with a podiatrist who can determine the cause and offer treatment options that are right for you.

Many people suffer from bouts of heel pain. For more information, 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.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

Wearing ill-fitting shoes
Wearing non-supportive shoes
Weight change
Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions please contact our office located in Boerne, . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Tuesday, 19 September 2023 00:00

Various Causes of Ankle Pain

Ankles are joints that connect bones in the feet with bones in the lower leg. They are comprised of bones, ligaments, muscles, tendons, blood vessels, and nerves. The ankle joint allows the foot to move side-to-side, as well as up-and-down.

Ankle pain can be caused by a variety of conditions, but is most commonly due to soft tissue injuries such as ankle sprains and strains.

An ankle sprain occurs when one or more of the strong ligaments that support and stabilize the ankle become overly stretched or even torn if the ankle rolls, turns, or twists awkwardly. Depending on the grade of sprain (mild-moderate-severe), there will be varying degrees of pain, swelling, and restricted range of motion, along with tenderness, bruising, and ankle instability. There may even be an audible popping noise at the moment of injury.

Ankle strains can sometimes produce similar symptoms of pain, swelling, and loss of motion, however, they are due to overly stretched muscles and tendons—not ligaments. Ankle strains may also cause muscle cramps in the feet, calves and shins.

Ankle fractures are another common source of ankle pain and occur one or more of the three bones in the ankle become fractured (broken). These breaks can be stress fractures (due to repetitive stress) or traumatic fractures (due to an acute injury). Depending on where and how severe the fracture is, symptoms can include pain and swelling that can sometimes spread up to the knee, bruising or discoloration, and an inability to bear weight. A visible deformity or exposed bone may occur in severe fractures.

Various forms of arthritis may also cause ankle pain. Rheumatoid arthritis (RA) causes the immune system to attack healthy joints, like the ankle joint, by mistake, causing stiffness and swelling in both ankles. Osteoarthritis occurs when cartilage covering the ends of bones wears down, causing the bones to rub against each other. This results in pain, stiffness, and reduced range of motion in the ankle. Gout is a form of arthritis where excess amounts of uric acid in the bloodstream crystallize and build up on joints, causing severe pain and swelling. Reactive arthritis causes joint pain and swelling in the ankle in response to an infection in another part of the body.

Other forms of ankle pain include bursitis (an inflammation of a cushioning bursa sac between tendons and bone), scleroderma (a thickening of connective tissues), chronic ankle instability (caused by improperly healed ankle sprains), Achilles tendon injuries, flat feet, or an infection in the ankle.

Published in Featured

Tuesday, 19 September 2023 00:00

Exploring the Causes of Ankle Pain

Ankle pain is a prevalent issue that can disrupt daily life and mobility and strike anyone, from athletes to sedentary individuals. To effectively manage and alleviate ankle pain, it's essential to understand the various underlying causes. Ankle sprains, strains, and fractures can often result from sports-related accidents, falls, or missteps. These injuries can damage ligaments, tendons, or bones, leading to pain and swelling. Common sources of ankle pain include osteoarthritis or rheumatoid arthritis, and may lead to chronic ankle pain due to joint inflammation and deterioration. Additionally, nerve compression syndromes, such as tarsal tunnel syndrome, can result in ankle pain, numbness, and tingling sensations. Identifying the specific cause of ankle pain is crucial in establishing effective treatment. A suitable approach for relief may include rest, medications, and in severe cases, surgical intervention. If you have ankle pain, it is suggested that you consult with a podiatrist who can effectively diagnose the cause and guide you toward the treatment that is right for you.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle 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.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

Types of arthritis (rheumatoid, osteoarthritis, and gout)
Ankle sprains
Broken ankles
Achilles tendinitis
Achilles tendon rupture
Stress fractures
Tarsal tunnel syndrome
Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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.