As people age, natural changes in foot biomechanics can significantly impact mobility and overall quality of life. The feet may lose padding and elasticity in the soft tissues, which can make walking uncomfortable due to the decreased cushioning. The arches of the feet may also flatten, a condition known as adult-acquired flatfoot. Flat feet can lead to changes in gait and increased strain on the ankles, knees, and hips. Additionally, conditions like arthritis may lead joints in the feet to stiffen and become less flexible, further limiting motion and causing pain during movement. These biomechanical changes can increase the risk of falls, reduce independence, and limit activities in older adults. Podiatrists play a key role in addressing these age-related changes by suggesting targeted treatment strategies. Included are prescribing orthotic devices to support weakened arches, recommending appropriate footwear to enhance stability and cushioning, and offering exercises to strengthen foot muscles and maintain joint flexibility. Regular check-ups with a podiatrist help manage these changes effectively, ensuring better mobility and reducing the risk of injury as one ages. If you are experiencing changes in your feet and mobility, it is suggested that you make an appointment 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.

Early onset gout, a form of inflammatory arthritis, can afflict individuals before the age of 40 typically manifesting as sudden and intense joint pain, commonly in the big toe. This condition arises due to the buildup of uric acid crystals in the joints, leading to inflammation and debilitating discomfort. Several risk factors contribute to the development of early onset gout, including genetics, a diet rich in purines found in red meat and seafood, alcohol consumption, and certain medical conditions like hypertension and hyperlipidemia. Elevated body mass index, or BMI also exacerbates the risk, as obesity often correlates with higher uric acid levels. If you are under 40 and believe you may be suffering from gout, it is strongly suggested that you include a podiatrist on your care team. This foot specialist can offer a range of interventions to alleviate pain and prevent future gout flare-ups.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Robert Graser from Graser Podiatry and Bunion Surgery Institute. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment 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.

An ankle fracture occurs when one or more bones in the ankle break due to excessive force or trauma. Understanding its causes and symptoms is essential for prompt diagnosis and effective treatment. These types of fractures often result from sudden twists, falls, or direct impacts during activities like sports or accidents. Symptoms typically include severe pain, swelling, bruising, and difficulty bearing weight on the affected ankle. You may also notice deformity or instability in the joint. These signs indicate the need for immediate medical attention to prevent further damage and complications. Ankle fractures can vary in severity, ranging from hairline cracks to complete breaks, requiring different treatment approaches such as immobilization, casting, or surgery. Ignoring or neglecting these injuries can lead to long-term issues such as chronic pain, arthritis, and reduced mobility. If you have any of the above symptoms, it is suggested that you promptly visit a podiatrist who can accurately diagnose and treat broken ankles.

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.

Orthotics play an essential role in alleviating various foot and lower limb conditions. When prescribing orthotics, several factors are considered, including biomechanical alignment, patient aesthetics, compliance, and joint stability. Biomechanical assessments evaluate gait patterns, foot structure, and joint range of motion to determine the most effective orthotic design. Aesthetics consideration involves ensuring that orthotics fit comfortably into the patient's shoes and lifestyle. Patient compliance is vital for long-term success, as orthotics must be worn consistently to achieve desired outcomes. Custom-made orthotics are preferred for their tailored fit and targeted support. They address specific biomechanical issues, providing support, stability, and alignment correction as needed. These orthotics are crafted based on precise measurements and molds of the patient's feet, ensuring optimal functionality and comfort. If you would like to learn how custom-made orthotics can improve your mobility and quality of life, it is suggested that you schedule an appointment with a podiatrist for an evaluation and further discussion.

If you are having discomfort in your feet and would like to try orthotics, 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 Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

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.

Pregnancy brings about a multitude of changes in a woman's body, including the feet. As the body undergoes hormonal shifts and weight gain, it is not uncommon for expectant mothers to experience foot pain and discomfort. One common area of foot pain during pregnancy is the arches, as the added weight can cause the arches to flatten, leading to strain and discomfort. Additionally, swelling of the feet and ankles, known as edema, is a prevalent issue, particularly in the later stages of pregnancy. This swelling can cause tightness and discomfort in various areas of the feet. Another common source of foot pain during pregnancy is the heels, as the increased weight and changes in posture can place extra pressure on the heel area, resulting in pain and tenderness. If you have foot pain during your pregnancy, it is suggested that you consult a podiatrist who can offer you relief tips during this transformative time.

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.