July 2023

As we age, our physical abilities naturally decline, making us more susceptible to falls. This vulnerability is amplified in the elderly population due to age-related factors such as loss of skeletal muscle mass and strength, as well as the prevalence of various medical conditions. However, it is important to note that obesity further exacerbates the issue, as individuals carrying excess weight often struggle with balance and face a higher risk of falling. This risk is particularly pronounced among elderly individuals who are obese. The combination of obesity and age-related factors creates a perfect storm for increased fall risk, as it leads to compromised balance, decreased lower limb strength, and impaired postural stability. If you are elderly and carry excess weight, it is suggested that you make an appointment with a podiatrist for guidance on fall prevention strategies.

Obesity has become very problematic at this point in time and can have extremely negative effects on the feet. If you’re an obese individual and are concerned 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.

Obesity and Your Feet

Since your feet are what support your entire weight when standing, any additional weight can result in pain and swelling. Being overweight is one of the main contributors to foot complications.

Problems & Complications

Extra Weight – Even putting on just a few extra pounds could create serious complications for your feet. As your weight increases, your balance and body will shift, creating new stresses on your feet. This uneven weight distribution can cause pain, even while doing the simplest tasks, such as walking.

Diabetes – People who are overweight are at serious risk of developing type-2 diabetes, which has a drastic impact on the health of your feet. As you get older, your diabetes might worsen, which could lead to loss of feeling in your feet, sores, and bruises. You could also become more prone to various infections.

Plantar fasciitis – Pressure and stress that is placed on muscles, joints, and tendons can trigger plantar fasciitis, which is an inflammation of tissue that forms along the bottom of 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.

An ingrown toenail can be a potentially dangerous foot condition if medical attention is not promptly received. An ingrown toenail occurs when the nail grows into the skin instead of over it. It is a generally painful ailment, and severely ingrown toenails may bleed and become infected. This condition can be divided into three stages of development. The first stage causes mild inflammation, and it is often uncomfortable. A granuloma may form in the second stage, which can become more painful, and produce pus. This granuloma can grow over the nail in the third stage, and the entire toe may become inflamed. The most common cause of developing an ingrown toenail is improper foot care. This can range from wearing shoes that do not fit correctly to trimming the toenails in a curved fashion instead of straight across. If you have an ingrown toenail, it is suggested that you seek counsel from a podiatrist as quickly as possible who can perform minor surgery for permanent relief.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, 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.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

• Improper toenail trimming
• Genetics
• Improper shoe fitting
• Injury from pedicures or nail picking
• Abnormal gait
• Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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.

Cracked heels, which are a common foot condition, are usually non-threatening but can become potentially serious. It is best to try to prevent cracked heels from developing in the first place. It is a good idea to examine your heels and if they begin to feel dry, apply moisturizer regularly. Also, if you gain weight, the pressure on the heels increases and calluses may form. Extra weight, quite common among pregnant women, expands the heel skin while walking and standing and can cause cracks to widen. Wearing sling-back shoes, sandals, or flip flops also may cause the heels to dry out. Dried and cracked heels also can be a problem for those with diabetes, which can diminish the moisture supply to the feet. If the cracked skin on the heels does not improve with daily foot care precautions, they may deepen into fissures or begin to bleed. This opening of the skin can invite bacterial or fungal infections. An antiseptic lotion may help to keep the area clean. If cracked heels become an ongoing problem, it is suggested that you make an appointment with a podiatrist who can examine the area, and determine the best course of treatment.

If the skin on your feet starts to crack, you may want to see a podiatrist to find treatment. If you have any concerns, 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.

Cracked Heels

It is important to moisturize your cracked heels in order to prevent pain, bleeding, and infection. The reason cracked heels form is because the skin on the foot is too dry to support the immense pressure placed on them. When the foot expands, the dry skin on the foot begins to split.

Ways to Help Heal Them

• Invest in a good foot cream
• Try Using Petroleum Jelly
• Ease up on Soaps
• Drink Plenty of Water

Ways to Prevent Cracked Heels

• Moisturize After Showering
• Skip a Shower
• Keep Shower Water Lukewarm
• Don’t Scrub Your Feet

If you are unsure how to proceed in treating cracked heels, seek guidance from a podiatrist. Your doctor will help you with any questions or information you may need. 

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.

Research has shown that approximately 25 percent of adults fall every year. Many of these people can experience consequences that can range from breaking a bone to the inability to complete daily activities as a result of having a fear of falling. Falling can happen from having an unsafe living environment, existing medical conditions, or a change in eyesight. There are simple methods that can be implemented which can help to reduce the number of falls. Installing grab bars in the toilet and shower area and using a non-skid bathmat are effective fall prevention techniques. Additionally, removing worn rugs and improving lighting in the household can make the home safer. Many elderly people choose to stretch and exercise daily, which is helpful in keeping the body strong, and possibly helping to prevent falling. If you would like additional knowledge about how falling can affect the feet and how to avoid this, it is suggested that you confer with a podiatrist who can offer you useful tips.

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.