Flip-flops are fun to wear when lounging out by the pool or when going to the beach. At the same time, they could be causing major stress and injury to the feet. Without any protective outer covering on your flip-flops, it can be easy for the feet to get cut or bruised. Also, due to the feet not being protected by socks in flip-flops, the skin on the feet is more prone to sunburn, as well as blisters from rubbing against the thong of the flip-flop. Flip-flops may seem easier to slip on than shoes, but this isn’t actually the case. The feet work a lot harder in order to keep the flip-flops on. This causes the toes to involuntarily curl up and the muscles on the feet to strain which can lead to bunions or hammertoes. In addition, the base of the flip-flop that is meant to support the foot isn’t doing that at all and instead is overworking the foot’s tendons and ligaments. This can cause overuse injuries such as shin splints, tendonitis and plantar fasciitis. Activities that aren’t meant to be done in flip-flops include hiking, biking, working with tools and sporting activities. Consult a podiatrist to get a better idea of when you should wear flip-flops. 

Flip-flops are not always the best choice of footwear. If you have any concerns about your feet or ankles, contact Dr. Robert Graser from Graser Podiatry and Bunion Surgery Institute. Our doctor will assist you with all of your foot and ankle needs.

Flip-Flops and Feet

When the weather starts warming up, people enjoy wearing flip-flops.  Flip-flops are comfortable, stylish, and easy to slip on and off; they're perfect for any summer beach goer.  However, these shoes can cause harm to the feet.

How Can Flip-Flops Affect Me Long-Term?

• Ankle problems
• Hip problems
• Lower back problems
• Pain in the balls of the feet
• Problems with foot arches
• Changes in the way you walk

Are There Injuries Associated with Flip-Flops?

Yes.  Since flip-flops are relatively weak and do not provide the same amount of support as sneakers, people who wear flip-flops regularly are more susceptible to injuries. On top of that, the open nature of the shoe makes your feet more prone to other problems, such as cuts and even infections.  Common injuries and ailments include:

• Sprained ankles
• Blisters
• Infections
• Cuts and Scrapes

I like Wearing Flip-Flops. Are There Safe Alternatives?

When buying flip-flops, try to find ones that have sturdy soles and that are made of high-quality materials that will support for your feet.  These flip-flops will cost more but will also last longer as a result.

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.

The tarsal tunnel is a narrow space that is on the inside of the ankle next to the ankle bones. It is covered with a thick ligament that protects structures within the tunnel such as arteries, veins, tendons and nerves. Tarsal tunnel syndrome is a compression or squeezing on the posterior tibial nerve that produces symptoms from the inside of the foot into the ankle. Some symptoms of tarsal tunnel syndrome include numbness, a shooting pain, and tingling or burning sensations that are similar to an electric shock. Some causes are diabetes which can cause swelling on the nerve, an injury like an ankle sprain that can produce swelling in or near the tunnel, and flat feet due to the outward tilting of the heel. It is important to go see your local podiatrist if you feel you exhibit any of these symptoms. 

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, 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.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require 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 and ankle needs.

Sever’s Disease describes when a child undergoing a growth spurt develops serious heel pain. It is common with boys between the ages of 10 to 15 and with girls between the ages of 8 to 13. This occurs because during a child’s growth spurt, the heel bone outgrows all of the muscles, tendons and ligaments within the leg. Since these parts of the leg are unable to catch up to the growth pace of the heel bone, they can become stretched too tightly. If this happens to a child that is very active, it can cause extra strain to the already overstretched tendons in the leg and lead to intense swelling and pain. Some symptoms of Sever’s Disease include trouble walking, running with a limp, tightness and tenderness in the backs of the heels and heel pain that increases after running or jumping. Although Sever’s disease can last up to a couple months, it presents no long term foot problems and the simplest treatment for it is rest. It is important for the child not to participate in physical activities until the heel is back to being pain-free. If your child exhibits any signs of Sever’s Disease, it is recommended that you take them to see a podiatrist. 

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.

There are seven tarsal bones in the foot, and one of them is referred to as the cuboid bone. If the joints surrounding this bone should become inflamed as a result of an injury, cuboid syndrome may develop. Pain is typically felt on the outside of the foot, near the bottom of the fourth and fifth toes. Additionally, some patients may experience discomfort in the middle of the foot. Research has shown this ailment may be more common among athletes and dancers than of the rest of the population. Overusing the foot is also a common cause of cuboid syndrome. Some of the symptoms that are associated with this condition often include swelling, difficulty in walking, and limited range of motion. Mild relief may be found when the foot is elevated, and when the activity that caused this condition is temporarily eliminated. If you have cuboid syndrome, it is suggested that you seek the counsel of a podiatrist who can assist you with the best course of treatment.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, 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.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

• Injury – The most common cause of this ailment is an ankle sprain.
• Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
• Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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 condition that is referred to as hammertoe is considered to be a deformity in the middle toes. It may develop as a result of wearing shoes that do not fit correctly, or it can occur from genetic factors. When the toes become cramped in the shoe, the middle toe bends to resemble the shape of a hammer. It can overlap onto the toe next to it, and consistent friction can cause a callus to develop. Additionally, some patients may experience pain in the ball of the foot, which is a result of chronic stress the foot endures. Mild relief may be found when soft padding is inserted in the shoe. For severe cases of hammertoe, surgery could be a viable option to consider in order to permanently straighten the toes.  If you notice you are developing hammertoe, it is advised to seek the counsel of a podiatrist who can provide you with the treatment that is best for you.

Hammertoes can be a painful condition to live with. For more information, contact Dr. Robert Graser of Graser Podiatry and Bunion Surgery Institute. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

• Painful and/or difficult toe movement
• Swelling
• Joint stiffness
• Calluses/Corns
• Physical deformity

Risk Factors

• Age – The risk of hammertoe increases with age
• Sex – Women are more likely to have hammertoe compared to men
• Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
• Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work 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.