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If you are a runner, then you are undoubtedly familiar with the importance of selecting the right kind of running shoes. The shoes that you select for runs can have a significant impact on your gait and running form. Selecting shoes that are ill-fitting may lead to injuries or foot complications. One important consideration to keep in mind when shopping for a pair of running shoes is what kind of terrain you will be running on. For example, if you run on roads or sidewalks, you can select road-running shoes. These shoes can be used to run on pavement, and they are built with cushioning that keeps the feet balanced when repeatedly striking hard surfaces. It is important to note that this type of shoe is made for running on mostly even surfaces. On the other hand, if you run on trails, then you might consider purchasing trail-running shoes. This kind of shoe is made to traverse uneven terrain and it has cleats on the outsole for gripping purposes. The midsoles on this kind of shoe tend to be stiffer to help navigate these uneven surfaces. If you are a runner, contact a podiatrist for tips on selecting the best pair of running shoes. 

If you are a runner, wearing the right running shoe is essential. For more information, contact Terri Quebedeaux, DPM from Agave Podiatry . Our doctor can provide the care you need to keep you pain-free and on your feet.

Choosing the Right Running Shoe for Your Foot Type

To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.

• Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
• Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
• Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.

If you have any questions please feel free to contact our offices located in Seguin, LaVernia, Gonzales, and Lockhart, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

There is a narrow passageway called the tarsal tunnel, which is located on the inside of the ankle. The tibial nerve, starting at the back of the leg, runs down through the tarsal tunnel, along with veins, arteries, and tendons. Because so many structures pass through the tarsal tunnel, the interior space is very confined. This space becomes even more constricted if an ankle injury occurs that causes inflammation or a swollen vein or tendon, or if a cyst develops within the tunnel. This can cause the tibial tendon to become squeezed, or compressed, and result in pain, burning, tingling, or numbness along the nerve’s path. This condition is known as tarsal tunnel syndrome. Flat feet, and inflammation due to arthritis and diabetes may also contribute to this condition developing. It is important to have tarsal tunnel syndrome diagnosed and treated as early as possible, not only to relieve pain and inflammation, but to avoid permanent nerve damage. A podiatrist can assess your condition and devise an appropriate treatment plan to get you on the road to recovery as soon as possible.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Terri Quebedeaux, DPM of Agave Podiatry . 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 offices located in Seguin, LaVernia, Gonzales, and Lockhart, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

The plantar fascia tissue attaches to the heel bone and stretches out to connect with the toes. When this band of tissue gets excessively and repeatedly stretched, it can stress the heel bone and tear its lining. This type of wear and tear on the heel bone can prompt a response in the body where calcium deposits build up over time creating spurs on the bone that can grow up to half an inch. Heel spurs may or may not be painful. They may go undiagnosed or overlooked because they can occur in tandem with the inflammatory condition known as plantar fasciitis. If your heel spurs are symptomatic, they may create sharp pain, heat, tenderness, and inflammation in the heel. People who are obese or who have osteoarthritis are more prone to developing heel spurs. Older adults and those who wear improper footwear are also more at risk. If you are experiencing heel pain or believe you may have heel spurs, make an appointment with a podiatrist who may need an X-ray to diagnose your heel spurs. Once diagnosed, your heel spur may be treated with rest, cold compresses, anti-inflammatory injections, pain medication, physical therapy, stretching, and more.

Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Terri Quebedeaux, DPM from Agave Podiatry . Our doctor will do everything possible to treat your condition.

Heels Spurs

Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.

Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.

Pain

The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.

Treatments

There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.

If you have any questions feel free to contact our offices located in Seguin, LaVernia, Gonzales, and Lockhart, TX . We offer the latest in diagnostic and treatment technology to meet your needs.

Sound wave technology that is similar to Shockwave Lithotripsy—which has been used to break up kidney stones for decades—can also be very effective in treating plantar fasciitis. Plantar fasciitis is a painful inflammation of the plantar fascia tissue which spans the entire sole connecting the heel with the base of the toes. It is the most common cause of chronic heel pain. When the plantar fascia tissue becomes damaged from overuse the high-energy acoustic sound waves from Extracorporeal shock wave therapy (ESWT) can stimulate healing in the tissue, while reducing inflammation and pain. If you have been suffering from heel pain, make an appointment with a podiatrist for an examination. If you are diagnosed with chronic plantar fasciitis, ask if you are a good candidate for Extracorporeal shock wave therapy. 

Shockwave therapy is a treatment commonly used to treat various injuries and conditions, particularly plantar fasciitis in the feet. To learn more, consult with Terri Quebedeaux, DPM from Agave Podiatry . Our doctor can provide the care you need to keep you pain-free and on your feet.

Shockwave Therapy

Shockwave therapy is a new treatment option designed to treat bone conditions such as tennis elbow, shoulder pain, and others. Shockwave therapy uses high intensity sound waves that are directed to the affected tissues of the body with pinpoint accuracy. The effects are very beneficial, leading to a production of collagen fibers, eliminating inflammation.

Who Benefits from Shockwave?

Shockwave is recommended for patients suffering from heel pain and associated problems. Heel pain is a common condition which can be caused by obesity, overexertion, and spending a substantial amount of time on hard floors with your feet exposed and unsupported.

Fast and Easy

The therapy is actually a simple process that can leave patients feeling better the very next day. Shockwave therapy is not as dramatic as it sounds. It enables more blood flow to effected areas, addressing the source of the problem and allowing treatment to last for a long time.

Treatment & Recovery Time

Shockwave treatment will enable your feet to recover quickly. This is especially important since surgery is not required. It is cost effective and does not require the use of anesthesia. This treatment is a better option to surgery, since it is proven safe.

If you have any questions, please feel free to contact our offices located in Seguin, LaVernia, Gonzales, and Lockhart, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Flat feet is a somewhat self-explanatory foot affliction that can affect a wide variety of individuals. This condition occurs when someone has no visible arch in their foot, or it may partially or completely disappear when the foot is on the ground. In other words, people with flat feet have no gap between the ground and the middle point of the soles of their feet. When standing, people with flat feet will be able to press their entire foot flush against the ground. While this condition can occur in children, adults may also be susceptible to flat feet. There are two main kinds of flat feet that you ought to be aware of. The first kind is known as flexible flat foot. This typically occurs in children when the arch of their feet disappears when standing, but it reappears when the child is sitting down. In some cases, children with flexible flat foot will also exhibit arches in their feet when walking on their tip toes. The second kind is known as rigid flat foot. This kind of flat foot is seen in both children and adults who never exhibit any kind of arch in their feet, whether they are walking normally, walking on their tip toes, or sitting down. If you believe you might have flat feet, consider contacting a podiatrist who can provide guidance and assistance.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Terri Quebedeaux, DPM from Agave Podiatry . Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

If you have any questions please feel free to contact our offices located in Seguin, LaVernia, Gonzales, and Lockhart, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

There are several troublesome rare diseases that can negatively impact the health of your feet. Although these conditions can be extremely rare, it is important for you to familiarize yourself with these afflictions in case you ever have to identify one of these conditions in yourself or a loved one. One rare condition that negatively impacts the feet is known as Maffucci syndrome, which has only impacted a total of 200 reported patients since its discovery. This syndrome produces a number of abnormalities in the skeleton that can manifest themselves in the feet. For example, people with Maffucci syndrome can experience enchondromas, which are cartilage tumors throughout the bones in their feet. Endochromas caused by Maffucci syndrome can also appear in the hands, ribs, and skull. Individuals suffering from Maffucci syndrome usually also experience some kind of abnormality in the skin. Namely, it is common for individuals to see hemangiomas, or clumps of blood vessels, throughout the skin and possibly on the feet. Maffucci syndrome undoubtedly is a rare condition, but you should be on the lookout for these symptoms. If you are experiencing the above symptoms, or would like to gather more information, it is suggested to speak to a podiatrist.

Some foot conditions may require additional professional care. If you have any concerns, contact Terri Quebedeaux, DPM of Agave Podiatry . Our doctor can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

• Freiberg’s disease
• Kohler’s disease
• Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

If you have any questions please feel free to contact our offices located in Seguin, LaVernia, Gonzales, and Lockhart, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
 

This is much less likely to happen in children than adults because kid’s feet are so tender and mechanical foot factors are not at play yet. However, there are situations where children can have cracked heels. Usually, a child has something abnormal going on with their immune system which impacts the functioning of their skin. Cracks can happen with disorders of nervous system regulation or hormones. Cracked heels can come on with stress, neuropsychic overstrain, or insufficient nutrition, particularly with a deficiency in vitamins B, A, and/or E. If cracks appear, it is usually during a transition period, such as adapting to going to school, the onset of adolescence, or from shock (like in the divorce of parents). Skin can become dry and flaky in response to stressors. As with adults, cracks in children’s feet need attention so as not to become infected and turn into wounds. If your child has cracked heels, protect the heel by covering it with a band-aid, and it is suggested you then take him or her to a podiatrist for appropriate treatment.

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact Terri Quebedeaux, DPM from Agave Podiatry . Our doctor can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin. 

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed. 

If you have any questions, please feel free to contact our offices located in Seguin, LaVernia, Gonzales, and Lockhart, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Tarsal coalition is a congenital condition where two bones of the foot are connected. The hindfoot is composed of the talus, calcaneus, cuboid, navicular and cuneiform bones. When two of these bones grow together, usually connected by a bridge of cartilage, it is known as a tarsal coalition. The two most common sites are between the calcaneus and navicular bones, or between the talus and calcaneus bones. Though a tarsal coalition usually begins in the womb, it often is not detected until early adolescence. At that point the child’s foot may become stiff and painful, and their daily activities may be more difficult to perform. Symptoms include stiff, painful feet and a rigid flat foot that makes it hard to walk. A limp can develop with higher levels of activity. Many people do not experience symptoms from a tarsal coalition until later in life, usually because another condition, like arthritis, makes it more apparent. A podiatrist can examine your child’s foot with X-rays and other imaging tests to detect the location and severity of the coalition. A number of non-surgical treatments are available, including orthotics, a boot or cast, and injections. In certain cases, surgery may be an option. If your child is complaining of heel pain or is exhibiting any of the above symptoms, please contact a podiatrist for an exam and a diagnosis. 

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact Terri Quebedeaux, DPM of Agave Podiatry . Our doctor can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

• Make sure their shoes fit properly
• Look for any signs of in-toeing or out-toeing
• Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
• Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
• Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
• Cut toenails straight across to avoid ingrown toenails
• Keep your child’s foot clean and dry
• Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

If you have any questions, please feel free to contact our offices located in Seguin, LaVernia, Gonzales, and Lockhart, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Wearing shoes that fit your feet and are comfortable can avoid many problems. Hammertoes are one such problem that can develop from wearing shoes that have pointy toes, are too tight, or that otherwise put pressure on your toes. The second and third toes are the most likely toes to be affected. Hammertoes get their name because the middle joint of the toe gets stuck in an upward bent position, creating a deformity resembling a hammer. This deformity is the result of an imbalance in the muscles and ligaments around the toe joint caused by either improper footwear or other factors such as genetics, overly high arches, bunions, injuries, and certain medical conditions. Shoes with uppers that are soft and flexible, as well as those that provide arch support and ample room in the toe box, can help prevent hammertoes. It is important to treat hammertoes early, before they become rigid. A podiatrist can treat your hammertoe and may also help you select footwear that will help prevent hammertoes from occurring in the future.

Hammertoes can be a painful condition to live with. For more information, contact Terri Quebedeaux, DPM of Agave Podiatry . 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 offices located in Seguin, LaVernia, Gonzales, and Lockhart, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.