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Common Diagnostic Tests for Foot and Ankle Pain

Common diagnostic tests for foot and ankle pain encompass a variety of methods aimed at identifying the underlying cause of discomfort and informing appropriate treatment strategies. X-rays are often the initial imaging choice, providing detailed views of bones to detect fractures, arthritis, or bone abnormalities. Magnetic Resonance Imaging, or MRI, offers more comprehensive images, particularly useful for soft tissue injuries, such as ligament tears or tendon damage. Ultrasound scans provide real-time imaging and are effective for assessing soft tissue structures like tendons and ligaments. CT scans may be used to visualize complex fractures or detailed bone structures. Additionally, diagnostic procedures like electromyography, EMG, and nerve conduction studies, NCS, help assess nerve function, aiding in the diagnosis of conditions like peripheral neuropathy or nerve compression syndromes. Physical examination techniques, including range of motion tests and palpation, complement these diagnostic tests, providing valuable insights into the source of foot and ankle pain. If you have foot or ankle pain, it is suggested that you make an appointment with a podiatrist who can examine you and conduct tests necessary to properly diagnose and treat you.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with one of our podiatrists from Graff Foot, Ankle and Wound Care. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

If you have any questions, please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Treating Chronic Diabetic Foot Ulcers

Chronic foot ulcers are a challenging complication of diabetes. Diabetic ulcers may arise from a variety of factors, including impaired blood circulation, nerve damage, and high blood sugar levels. These factors collectively compromise the body's ability to heal and fight infection. There are many therapies that podiatrists may use to combat foot ulcers, such as advanced wound care techniques, infection control measures, and strategies to enhance circulation. One key treatment is debridement, which involves the careful removal of dead or infected tissue to promote healing. A podiatrist may apply specialized dressings and topical agents that foster a moist healing environment and support tissue regeneration. Another treatment, called offloading, involves reducing pressure on the ulcer through custom footwear or casts. These are not the only treatments that podiatrists may employ. If you are suffering from chronic foot ulcers due to diabetes, it is suggested you schedule regular appointments with a podiatrist to monitor and treat the condition. 

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact one of our podiatrists from Graff Foot, Ankle and Wound Care. Our doctors can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

  • Routinely inspect your feet for bruises or sores.
  • Wear socks that fit your feet comfortably.
  • Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

If you have any questions please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Heel Pain in the Morning?

Heel pain can negatively affect your day-to-day life. Simple activities like walking can become incredibly uncomfortable or painful due to heel pain.

Don’t live with heel pain and get treated.

Surgical Fungal Toenail Removal

Dealing with stubborn fungal toenails? Surgical toenail removal might be the solution. This procedure is typically done in a podiatrist's office under local anesthesia to ensure comfort. The toenail removal process involves loosening the skin around the toenail and removing either the entire nail or just the affected portion, depending on the severity of the infection. To prevent regrowth and future fungal toenail infections, the nail matrix can be destroyed using a chemical solution after removal. Post-surgery, proper wound care includes gentle washing with clean water and avoiding harsh substances like hydrogen peroxide or alcohol. Healing usually takes a few weeks, with toenails growing back within a year to 18 months. Surgical toenail removal is reserved for cases where a significant portion of the nail is diseased or causing severe pain. If fungal toenails are impacting your life, it is suggested that you make an appointment with a podiatrist to explore treatment options, including surgical intervention if necessary. 

For more information about treatment, contact one of our podiatrists of Graff Foot, Ankle and Wound Care. Our doctors can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

If you have any questions please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Ankle Joint Replacement Surgery

Total ankle replacement is a surgical procedure that can be performed by podiatrists to address ankle arthritis, whether it stems from aging or injury. This intervention involves replacing the damaged ankle joint with a synthetic implant made of metal and plastic, with the goal of relieving pain and restoring mobility. Unlike ankle fusion surgery, total ankle joint replacement aims to preserve joint motion. Candidates for this procedure typically include patients who have tried and failed non-surgical treatments and continue to experience persistent ankle pain and functional limitations. However, certain factors, such as severe deformity or compromised bone integrity, may influence treatment decisions. Recovery from total ankle replacement involves a period of non-weight bearing, followed by gradual rehabilitation. The ankle replacement procedure carries risks like infection and implant failure, that a podiatrist can help manage. If you are suffering from ankle arthritis and exploring treatment options, it is suggested that you consult with a podiatrist to discuss whether total ankle replacement may be the right choice for you.

In certain cases, in which the patient suffers from extreme pain or damage in a joint, joint replacement surgery may be deemed useful. If you have constant pain in a foot joint, consult with one of our podiatrists from Graff Foot, Ankle and Wound Care. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

What Is Joint Replacement Surgery?

Over time, joints wear down; this can be exacerbated by diseases and conditions. Joint replacement surgery, also known as arthroplasty, is when a damaged joint is surgically removed and replaced with a prosthesis. Prostheses, which can be made of ceramic, plastic, or metal, act as joints in lieu of an actual joint. One of the most prevalent causes for joint replacement is arthritis.

Arthritis in the Foot

Arthritis can occur in any joint in the body, including in the feet. Common types of arthritis in the foot are osteoarthritis, rheumatoid arthritis, and gout. The big toe is usually where arthritis occurs in the foot; this is known as hallux rigidus.

Joint Replacement Surgery in the Foot

The most common form of joint replacement in the foot is a first metatarsophalangeal (MTP) joint placement. MTP joint replacement surgery is designed to treat hallux rigidus. Surgery is not intensive, and recovery occurs within one to two months after the procedure has been done. Overall, joint replacement surgery is a safe and effective way to treat pain in the joint of the foot.

If you have any questions, please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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The Importance of Wearing Properly Fitting Shoes

In our modern world dominated by concrete and cement, the demise of shoes seems unlikely. This reliance, however, has led to chronic back and foot pain. Podiatrists play an important role in addressing these issues. Wearing improper or ill-fitting shoes can lead to various problems, from bunions to muscle tension and even plantar fasciitis. Choosing the right shoes involves considering factors like foot swelling throughout the day and ensuring proper fit and support. Additionally, rotating shoes to engage different muscles and replacing worn out ones are important practices. A podiatrist can offer personalized advice and treatments to alleviate foot pain and prevent future issues, emphasizing the importance of footwear in maintaining healthy and pain-free feet. If you would like guidance in making sure you get the right sized shoes that fit your feet well, it is suggested that you schedule an appointment with a podiatrist for a consultation.

Getting the right shoe size is an important part of proper foot health. Seek the assistance of one of our podiatrists from Graff Foot, Ankle and Wound Care. Our doctors will provide the care you need to keep you pain-free and on your feet.

Getting the Right Shoe Size

There are many people who wear shoes that are the incorrect size, negatively affecting their feet and posture. Selecting the right shoes is not a difficult process, so long as you keep several things in mind when it comes to choosing the right pair.

  • When visiting the shoe store, use the tools available to measure your foot.
  • Be sure there is ‘wiggle room’. There should be about an inch between your toes and the tip of your shoes.
  • Do not always assume you are the same size, as manufacturers run differently.
  • Purchase shoes later in the day, as your feet swell as the day progresses.
  • If a shoe is not comfortable, it is not suitable. Most shoes can’t be ‘broken in’, and comfort should be the ultimate goal when it comes to choosing the right pair of shoes

As our feet hold our body weight and keep us moving, it is important to treat them right. Picking the right pair of shoes can provide your feet comfort and mobility without pain.

If you have any questions, please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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How to Spot the Early Signs of Ingrown Toenails

Recognizing the early signs of an ingrown toenail can help you to avoid more serious complications by getting quicker treatment. One of the first signs is tenderness or pain along the edge of the toenail. You may feel it most when you walk or apply pressure to the area. As the condition progresses, redness and swelling may develop around the affected toenail, indicating inflammation and potential infection. The skin along the edge of the nail may become irritated or appear puffy. If there is pus or discharge appearing at the edge of the nail, the ingrown toenail has likely become infected. If you have an ingrown toenail, or struggle with recurrent ingrown toenails, it is suggested you consult a podiatrist who can effectively treat the condition and prevent complications from arising. 

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact one of our podiatrists of Graff Foot, Ankle and Wound Care. Our doctors can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

  • Bacterial infections
  • Improper nail cutting such as cutting it too short or not straight across
  • Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
  • Ill-fitting shoes that bunch the toes too close together
  • Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

If you have any questions please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Biomechanical Impact of Wearing High Heels

High heels significantly impact walking, with notable effects on gait, biomechanics, and control. Wearing high heels can alter the way people walk in several ways, presenting valuable insights for both designers and podiatrists. The primary changes observed in high-heel walking encompass alterations in the foot's rollover function, modifications in ankle and knee joint dynamics, and shifts in lower back posture, accompanied by compromised step length and balance. The heightened heel height forces the foot into an increased plantar flexion, which, in turn, augments knee flexion and causes an increased curvature of the lower back. Understanding the biomechanical adjustments associated with high heel-wearing is vital for designing more comfortable and less detrimental footwear, in addition to addressing potential musculoskeletal issues arising from prolonged use. If you enjoy wearing high heels and want to continue wearing them while paying attention to your feet and body, it is suggested that you schedule an appointment with a podiatrist to discuss this topic further.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact one of our podiatrists from Graff Foot, Ankle and Wound Care. Our doctors can provide the care you need to keep you pain-free and on your feet.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

  • Ankle Joints
  • Achilles Tendon – May shorten and stiffen with prolonged wear
  • Balls of the Feet
  • Knees – Heels cause the knees to bend constantly, creating stress on them
  • Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

  • Corns
  • Calluses
  • Hammertoe
  • Bunions
  • Morton’s Neuroma
  • Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

If you have any questions please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Keep Your Feet Healthy So You Can Stay Active

Have your feet inspected by a professional before starting a new sport or physical activity. Taking charge of your foot health will keep you in good physical condition and can help you avoid a potential injury, such as a fracture or sprained ankle.

Prevent injuries and see a foot specialist.

Connecting Gout and Diet

Gout, a form of arthritis notorious for its agonizing pain, stems from the accumulation of uric acid crystals in the joints. While predominantly striking the big toe due to its anatomical distance from the heart, gout can also affect other joints throughout the body. Managing gout often involves navigating dietary choices, particularly purine-rich foods. Organ meats and certain cuts of meat, as well as acidic fare, can worsen symptoms. Lentils, beans, and some plant-based proteins also contain purines, though their impact on gout development remains debated. While gout cannot be cured, its frequency and severity can be managed through a combination of medication and changes to the types of foods you eat. By understanding the intricate interplay between diet and gout, individuals can proactively manage this debilitating condition, enhancing their quality of life and minimizing its disruptive effects. For additional help in reducing the effects of gout, it is suggested that you consult a podiatrist who is trained to treat and manage this condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our podiatrists from Graff Foot, Ankle and Wound Care. Our doctors 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 offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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