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Cracked heels, or heel fissures, can develop when skin on the heel dries out and becomes callused. This dried out skin can then crack when weight placed on the heel causes the fat pad under the heel to spread out. If these cracks are left untreated, they can deepen to the point where they bleed or even become infected. This is not only painful, but can be very dangerous—especially for individuals with diabetes. Certain factors—along with having dry, thickened skin—can contribute to the formation of cracked heels, such as standing for prolonged periods of time, going barefoot, wearing open-backed shoes, and carrying extra weight. Also, diabetes, hypothyroidism, atopic dermatitis, psoriasis, and other conditions that can cause dry skin can be associated with cracked heels. Sometimes, cracked heels can be lessened by using topical water-retaining creams. If your cracked heels do not improve with regular moisturizing, if they are deep or bloody, or if you have diabetes, it is suggested that you seek professional treatment from a podiatrist.

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 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

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 offices located in Seguin, LaVernia, Gonzales, and Lockhart, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Your child’s feet will grow very quickly in the first 5 years of their life. Proper footwear during this time is very important in order to allow the bones in the feet to grow straight. When your child is just a baby, the bones in the toes are very soft, and shoes and socks that are too tight can restrict these bones from growing properly. In fact, shoes are not necessary for children until they are walking on their own, and even then, they are only needed for walking outside. It is important to also make sure that your child’s shoes are fastened with either laces or Velcro in order to keep the heel from slipping out of the shoe. Parents who have further questions about what shoes their child should be wearing as they grow can consult with a podiatrist for further advice and recommendations.  

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Terri Quebedeaux, DPM of Agave Podiatry . Our doctor can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

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.

Ankle pain can sometimes be caused by rheumatoid arthritis (RA). This autoimmune disease which attacks healthy tissue can often start in the joints of the feet and ankles. When RA attacks the lining in the ankle joint, it becomes inflamed and damaged, along with ligaments and cartilage surrounding the joint. Over time, this deterioration weakens the bones of the ankle, causing them to rub together. This can cause pain in the ankle (which worsens as the disease progresses), stiffness, inflammation, difficulty standing, tenderness, redness and warmth, lack of balance, and more. People with RA in their ankles may also develop corns and bunions, hammertoes, bursitis, pain in the ball of their foot, a collapsed arch, and the shape of their foot may change. Symptoms outside of the feet include a loss of appetite and weight, low grade fever, fatigue, and weakness in the muscles. Genetics, obesity, and smoking can increase your risk of getting RA. If you are experiencing ankle pain, make an appointment with a podiatrist as soon as possible. Along with a physical examination and review of your medical history, your podiatrist may need blood tests, X-rays, ultrasounds, and MRIs to properly diagnose RA and begin a course of treatment to slow its progression and help manage its symptoms.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact Terri Quebedeaux, DPM of Agave Podiatry . Our doctor will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

• Swelling and pain in the feet
• Stiffness in the feet
• Pain on the ball or sole of feet
• Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

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.

When one or more ligaments in the ankle are overstretched or torn, an ankle sprain occurs. Ankle sprains can range from mild to severe. Podiatrists use a system of grading, or classification, to describe the severity of the sprain. A Grade 1 sprain is mild and characterized by mild pain, swelling, joint instability and stiffness, and difficulty jogging or jumping. A Grade 2 sprain is moderate and involves moderate pain, significant swelling, bruising, some loss of motion in the ankle, and trouble walking. A Grade 3 sprain, the most severe, is associated with severe pain, swelling, instability, loss of motion, and extreme difficulty walking. If you suspect that you may have sprained your ankle, please seek the care of a podiatrist. 

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact Terri Quebedeaux, DPM from Agave Podiatry . Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

• Pain at the sight of the tear
• Bruising/Swelling
• Ankle area is tender to touch
• In severe cases, may hear/feel something tear
• Skin discoloration

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

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.

Ankle impingement occurs when either soft tissue or bone fragments get compressed, or trapped, if you bend your ankle. This impingement is usually a result of an acute injury, or prolonged stress from repetitive activities. Ankle impingement can either be anterior (affecting the front part of the ankle) or posterior (affecting the back part of the ankle). Anterior ankle impingement usually causes pain on the front/outside of the ankle when the ankle is bent upward (dorsiflexion). Posterior ankle impingement can produce pain in the back of the heel when the ankle is pointed downward (plantarflexion). Ankle impingement is often diagnosed in athletes who play soccer and football, as well as in dancers, gymnasts, and runners. If you have this type of ankle pain, a podiatrist can help you restore ankle stability with certain strengthening exercises, while treating pain and inflammation with rest, icing, anti-inflammatory medication, steroid injections, or even surgery in some cases.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with Terri Quebedeaux, DPM from Agave Podiatry . Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendonitis
• Achilles tendon rupture
• Stress fractures
• Bursitis
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and 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 care needs.

When the outer layers of the skin on the feet are damaged and expose deeper tissues, it is known as a foot wound or ulcer. These wounds can occur from issues such as wearing shoes that don’t fit correctly, as well as an injury or trauma to the feet. If these wounds are left untreated, they may become infected which could lead to other issues including amputation. Common indicators of an infection include inflammation, redness, an odor, or thickened tissues. Patients who are at a higher risk for foot wounds (such as diabetics, who may have trouble feeling the wounds) or who notice that their foot wound is not healing, should have the wound looked at by a podiatrist. Upon examination, a podiatrist will likely remove the unhealthy skin and then help determine the best treatment method for the particular wound, including shoe padding, antibiotics, or even surgery.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Terri Quebedeaux, DPM from Agave Podiatry . Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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.

If you wear tight shoes that squeeze your toes together, you may be putting yourself at risk for developing a hammertoe. Hammertoes occur when there is an imbalance in the muscles, tendons, or ligaments which normally work together to hold the toe straight. This imbalance causes an abnormal bend in the toe’s middle joint, making it stick up, therefore the entire toe looks like the head of a hammer. Because the toe joint sticks up abnormally, it can rub against your shoes and cause a painful corn to develop at the site. It is important to seek treatment from a podiatrist as early as possible—before the hammertoe becomes rigid, and when the hammertoe is still flexible enough to be fixed. Your podiatrist may try taping the hammertoe to gently guide it back to its normal position or use toe pads or custom orthotics to cushion it. Some hammertoes may require corrective surgery to straighten it out. Make an appointment with a podiatrist as soon as you believe a hammertoe is forming on your foot, so you have a better chance of correcting the deformity.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Terri Quebedeaux, DPM from Agave Podiatry . Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

• Pain in the affected toes
• Development of corns or calluses due to friction
• Inflammation
• Redness
• Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

If you have any questions please 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.

A corn is a hard, yellowed bump or lump just under the skin of the toe or foot. It often develops when the toe rubs against the inside of your shoe, causing pain. People with diabetes or poor circulation may be more apt to develop corns. There are several treatments that can remove or eliminate corns, but if the underlying cause is not corrected, they are likely to recur. Pressure and repetitive friction are the main causes of corns and calluses on the feet. Wearing shoes that are not too tight, or too loose, can help reduce the pressure on the toes. When shoes are too tight or heels too high they can compress the foot; when they are too loose, the foot may slide and rub against them. A seam or stitching on the shoe also can cause repetitive friction. The best way to avoid corns is to wear shoes with room in the toe box, and socks that absorb moisture. Soaking the feet periodically helps soften the corns. For removal of a corn, it is suggested that you make an appointment with a podiatrist for safe treatment and prevention planning.

If you have any concerns regarding your feet and ankles, contact Terri Quebedeaux, DPM of Agave Podiatry . Our doctor will treat your foot and ankle needs.

Corns: What Are They? and How Do You Get Rid of Them?
Corns can be described as areas of the skin that have thickened to the point of becoming painful or irritating. They are often layers and layers of the skin that have become dry and rough, and are normally smaller than calluses.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as wearing:

• Well-fitting socks
• Comfortable shoes that are not tight around your foot
• Shoes that offer support

Treating Corns
Treatment of corns involves removing the dead skin that has built up in the specific area of the foot. Consult with Our doctor to determine the best treatment option for your case of corns.

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.