Hansen's disease, commonly known as leprosy, is a bacterial infection caused by Mycobacterium leprae. One of its hallmark symptoms is the loss of sensation in various parts of the body, including the feet. This sensory loss occurs due to the bacteria's damaging effects on peripheral nerves. As the disease progresses, it can lead to nerve damage and the loss of the ability to feel pain, temperature changes, and touch in the affected areas, including the feet. This sensory impairment can result in injuries and wounds going unnoticed, which may lead to secondary infections and complications. The loss of sensation in the feet is particularly concerning because it can hinder mobility and self-care, making early detection and treatment crucial in preventing severe deformities and disabilities associated with Hansen's disease. Creating orthotics for individuals without sensation requires extra care as they cannot provide feedback on fit and comfort. Frequent skin inspections are necessary to prevent irritation and skin breakdown. Custom orthotics can be made by molding the material directly to the patient's foot. Contours may be added for pressure relief, and localized relief can be achieved with various tools. Monitoring foot health closely with new shoes and orthotics is vital, looking for signs of redness, temperature changes, calluses, swelling, pre-ulceration, or recurrent ulcers. Prompt attention to pressure signs helps prevent ulcers. Orthotic selection depends on the degree of sensation loss, deformity, ulceration, and callus development. If you have Hansen’s disease and you have a loss of sensation in your feet, it is suggested that you make an appointment with a podiatrist to discuss whether orthotics can help you.

If you are having discomfort in your feet and would like to try orthotics, contact Pete O’Donald, DPM from Texas. 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 Nederland, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Ankle arthroscopy is a minimally invasive surgical procedure designed to diagnose and treat various ankle joint conditions. This specialized technique involves the use of a small camera, known as an arthroscope, which is inserted into the ankle joint through tiny incisions. The arthroscope transmits high-quality images to a monitor, allowing the podiatric surgeon to visualize the internal structures of the ankle in detail. This procedure is particularly beneficial for addressing issues such as joint inflammation, cartilage damage, and ligament injuries. During ankle arthroscopy, the surgeon can also perform corrective measures by utilizing additional small instruments, minimizing the need for larger incisions. The advantage of ankle arthroscopy lies in its reduced invasiveness, resulting in shorter recovery times, less postoperative pain, and a quicker return to regular activities. If you have chronic ankle pain or have endured an ankle injury, it is strongly suggested that you consult a podiatrist who can determine if this type of foot surgery is appropriate for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Pete O’Donald, DPM of Texas. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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

Hammertoe, a common foot deformity characterized by an abnormal bending of one or more toes at the middle joint, can develop due to various factors. First, genetics can play a significant role, as individuals with an inherited foot structure that predisposes them to hammertoes may be more susceptible. The choice of footwear is another critical factor, as tight, narrow, or ill-fitting shoes can force the toes into unnatural positions, subjecting the toe joints to excessive pressure. High-heeled shoes, in particular, can push the toes forward into a bent position, contributing to hammertoe development. Additionally, a toe length discrepancy, where one toe is longer than the others, can increase the risk, especially if it consistently rubs against the inside of the shoe. Conditions like arthritis can also lead to joint inflammation and deformities, including hammertoes. Past toe injuries or trauma can disrupt toe joint alignment, and muscle imbalances affecting toe movement can also play a role. If you have developed a hammertoe, it is suggested that you schedule an appointment with a podiatrist for early intervention and treatment to help manage the condition and prevent it from worsening.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Pete O’Donald, DPM from Texas. 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 office located in Nederland, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Fitting shoes properly is an important aspect of foot health and overall comfort. The Brannock device, a ubiquitous foot-measuring tool found in shoe stores, is a valuable tool for ensuring the right fit. Using the Brannock device is a straightforward process. Start by removing your current footwear and placing one foot onto the device's base, ensuring your heel is snug against the heel cup. Then, adjust the slider to reach the tip of your longest toe, typically the big toe. The device provides three key measurements, which are the heel-to-toe length, arch length, and width. Pay attention to all three as they contribute to a well-fitted shoe. The Brannock device takes the guesswork out of shoe sizing, enabling you to find the ideal fit. Remember that feet can vary in size, and it is essential to measure both feet. When trying on shoes, use the larger foot's measurements as a guide for the best overall fit. Properly fitted shoes can prevent discomfort, reduce the risk of foot problems, and provide a foundation for healthy, happy feet. A podiatrist can assist you in how to use the Brannock device to obtain your proper shoe size, and it is suggested that you confer with this type of doctor for any questions you may have.

Finding a properly-fitting shoe is important in reducing injuries and preventing foot problems. For more information about treatment, contact Pete O’Donald, DPM from Texas. Our doctor will treat your foot and ankle needs.

Proper Shoe Fitting

A common concern when it comes to foot health, having properly fitted shoes can help prevent injuries to the foot. Out feet affect our posture and gait, which in turn affects the biomechanics and overall bodily structure. With 33 joints, 26 bones, and over 100 ligaments, the potential for serious injury is much greater than one realizes. Although the feet cease growth in adulthood, they still change shape as they mature. Here are some factors to consider when it comes to investing in proper fitting shoes:

• Be sure the shoes fit correctly right away
• Ensure the ball of your foot fits comfortably in the widest portion of the shoes
• Even though they may look fashionable, improper fitting shoes can either create adverse conditions or exacerbate existing ones you may already have
• Walk along a carpeted surface to ensure the shoes comfortably fit during normal activity

Keeping in mind how shoes fit the biomechanics of your body, properly-fitting shoes are vitally important. Fortunately, it is not difficult to acquire footwear that fits correctly. Be sure to wear shoes that support the overall structure of your body. Do your feet a favor and invest in several pairs of well-fitted shoes today.

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

In the realm of footwear, the quest for the perfect fit begins with precision in measurement, and the venerable Brannock device stands as an iconic ally in this pursuit. It has been known to accurately measure foot size, which is vital to buying shoes that fit correctly. Wearing shoes that are either too snug or excessively loose can result in discomfort as well as various foot issues. Prolonged use of ill-fitting shoes can contribute to the development of toe deformities, corns, and calluses. Plus, with age, your feet undergo slight alterations in both length and width. Therefore, it becomes necessary to regularly measure your feet, especially if your once-comfortable shoes are now causing foot problems. Developed in the early 20th century, the Brannock device provides a comprehensive assessment of your foot’s dimensions. Start by placing the heel snugly against the back of the device and spreading the toes naturally along its width. This is how accurate foot measurements are taken. If you are having trouble determining your shoe size, or are experiencing foot pain caused by your shoes, it is suggested that you make an appointment with a podiatrist.

Getting the right shoe size is an important part of proper foot health. Seek the assistance of Pete O’Donald, DPM from Texas. Our doctor 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 office located in Nederland, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.