Understanding the Impact of PAD on Foot Health

Peripheral artery disease, or PAD, is a prevalent vascular condition characterized by narrowed arteries that limits blood flow to the extremities (including the feet). The restricted blood flow deprives the feet of oxygen and vital nutrients, leading to a range of symptoms. Individuals with PAD may experience intermittent claudication, a condition marked by pain or cramping in the legs or feet during physical activity but subsides with rest. Other symptoms can include numbness, tingling, or weakness in the feet, particularly while at rest or during nighttime. As PAD progresses, individuals may develop non-healing wounds or ulcers on the feet, which pose a risk of infection and tissue damage. Recognizing the symptoms of PAD and seeking timely medical intervention is essential in managing the condition and preserving foot health. Regular exercise, smoking cessation, and medication management are among the strategies employed to lessen PAD's effects and improve overall vascular health. If you have tingling or numbness in your feet, it is suggested that you visit a podiatrist who can diagnose and help you to manage PAD.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Terri Quebedeaux, DPM from Agave Podiatry . Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

  • Claudication (leg pain from walking)
  • Numbness in legs
  • Decrease in growth of leg hair and toenails
  • Paleness of the skin
  • Erectile dysfunction
  • Sores and wounds on legs and feet that won’t heal
  • Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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.

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Diagnosis and Symptoms of Foot Puncture Wounds

Foot puncture wounds are injuries where a sharp object pierces the skin and underlying tissues of the foot. These wounds can occur from stepping on nails, glass, or other sharp objects. Proper diagnosis involves a physical examination by a podiatrist, often accompanied by imaging tests like X-rays to assess the depth and presence of foreign objects. Symptoms of a foot puncture wound include pain, swelling, redness, and bleeding at the site of injury. If the wound becomes infected, additional symptoms such as warmth, pus, and increased pain may develop. Timely medical attention is vital to clean the wound thoroughly, prevent infection, and ensure proper healing. If you have stepped on a sharp object and have developed a foot wound, it is suggested that you seek prompt medical treatment from a podiatrist who can effectively manage this condition.

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.

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Causes and Symptoms of Acquired Adult Flat Feet

Acquired adult flat feet, also known as progressive collapsing foot deformity, is a condition where the arches of the feet gradually flatten over time. This can lead to pain, swelling, and difficulty walking. The condition is often caused by posterior tibial tendon dysfunction, where the tendon that supports the arch weakens or tears. Other contributing factors include obesity, high blood pressure, diabetes, and injuries. Symptoms typically start with pain along the inner foot and ankle, followed by visible flattening of the arch and outward rolling of the ankle. If left untreated, the condition can lead to severe deformity and arthritis.  Relief options can include orthotic devices, and in advanced cases, surgery to repair or reconstruct the affected tendons and bones. If you have flat feet, it is suggested that you are under the care of a podiatrist who can help you to manage this condition.

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.

Read more about What is Flexible Flat Foot?

Wounds That Don't Heal Need to Be Checked

Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

Divers Can Develop Fin Foot

Divers should be wary of  a condition known as fin foot, causing swollen and tender feet after diving, often exacerbated in cold or rough waters. The discomfort of fin foot stems from reduced blood flow to the feet, due to factors like improper fin techniques or ill-fitting gear. Symptoms of fin foot can include swelling, redness, bruising to the toes, and pain while walking. Experts suggest that a diver experiencing these symptoms immediately cease diving, elevate their feet, and apply a warm compress for relief. Symptoms that persist beyond 48 hours warrant consultation with a podiatrist. Collaborating with a podiatrist ensures proper gear fit, including booties and fin straps. Adjustments, such as using larger booties or spring straps, can reduce the risk of recurrence. While edema in fin foot does not necessarily signify decompression sickness, divers are wise to remain vigilant to its effects. If you are experiencing post-dive foot problems, it is suggested that you schedule an appointment with a podiatrist. 

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Terri Quebedeaux, DPM from Agave Podiatry . Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

  • Achilles Tendonitis
  • Achilles Tendon Rupture
  • Ankle Sprains
  • Broken Foot
  • Plantar Fasciitis
  • Stress Fractures
  • Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

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.

Read more about Sports Related Foot and Ankle Injuries

How Gout Affects Feet

Gout is a type of arthritis that causes sudden, severe attacks of pain, redness, and tenderness in joints, often affecting the feet. It occurs when urate crystals accumulate in the joints, causing inflammation and intense pain. These crystals form when there are high levels of uric acid in the blood. The body produces uric acid when it breaks down purines, substances found naturally in the body, and certain foods. Gout can affect anyone, but it is more common in men, postmenopausal women, and individuals with kidney disease or a family history of gout. In the feet, gout typically impacts the big toe, but it can also affect other parts like the ankles and heels. The pain can be excruciating, described as a burning or stabbing sensation, often waking individuals from sleep. Swelling, redness, and warmth in the affected area are common symptoms. To manage gout, lifestyle changes such as diet modification, weight loss, and avoiding alcohol are recommended. Medications to reduce uric acid levels and inflammation may also be prescribed. If you experience severe foot pain due to gout, it is suggested that you schedule an appointment with a podiatrist for targeted treatment and management strategies.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Terri Quebedeaux, DPM from Agave Podiatry . Our doctor 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 Seguin, LaVernia, Gonzales, and Lockhart, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Gout

Managing Toenail Fungus Infections

Fungal toenail infections, or onychomycosis, account for approximately 50 percent of all nail diseases, particularly affecting toenails. Laboratory diagnosis through microscopy and culture of nail clippings is recommended before starting treatment to confirm the infection type. For patients requiring treatment of fungal toenails, oral antifungal medications are typically used for severe infections, while topical antifungals are suitable for superficial or minor cases and for those unable to take oral medications. The duration of treatment varies, with systemic medications typically requiring a few months and topical treatments possibly extending up to two years. Patients should be aware that treatment success rates vary, and nails may not return to a completely normal appearance even after successful therapy. Additionally, there is a risk of treatment failure or relapse, necessitating further diagnosis and possibly alternative treatment strategies. Ultimately, the decision to treat fungal nails should be individualized, considering the patient's overall health, risk factors such as diabetes or vascular disease, and the severity of the infection. If you have developed a fungal toenail infection, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment suggestions.

For more information about treatment, contact Terri Quebedeaux, DPM of Agave Podiatry . Our doctor 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 Seguin, LaVernia, Gonzales, and Lockhart, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about How to Treat Your Toenail Fungus

Ankle Pain Caused by Arthritis

Ankle pain from arthritis can impact your daily life substantially. Ankle arthritis occurs when the joints in your ankles become inflamed. This can lead to pain, stiffness, and restricted movement. The three types of arthritis that can affect the ankles are osteoarthritis, rheumatoid arthritis, and gout. Osteoarthritis is caused by the gradual wearing away of cartilage in the joints, causing the bones to rub against other bones. Rheumatoid arthritis is a type of arthritis where the body's immune system attacks the joints by mistake and causes inflammation. Gout is a type of arthritis that causes pain, redness, and tenderness in your joints for a week or two, then returns to normal. No matter what the type is, ankle arthritis can make daily activities like walking or standing painful and challenging. If you are experiencing ankle pain, especially in the joints, it is suggested that you consult a podiatrist, or foot doctor, to find the best treatment options. 

Ankle pain can have many different causes and the pain may potentially be 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 tendinitis
  • Achilles tendon rupture
  • Stress fractures
  • 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.

 

Read more about Various Causes of Ankle Pain

Choosing Walking Versus Running Shoes

When it comes to walking versus running, the distinction goes beyond just pace and intensity. As experts note, the mechanics of each activity necessitate specific footwear for walking and running. For walkers, shoes with soft, flexible soles are recommended to absorb the impact of each step and facilitate the rolling motion from heel to toe. Runners require thicker-soled shoes for ample shock absorption, given the varied striking points on the foot during a run. It is important to remember that while running shoes can serve for walking, the reverse is not recommended by experts. Footwear plays a critical role in preventing foot injuries like plantar fasciitis and Achilles tendonitis, but shoes alone cannot resolve existing issues. Seeking guidance from a podiatrist is essential if foot discomfort persists. To ensure the right shoe fit, have your arch and gait evaluated. For advice with foot pain related to either walking or running, it is suggested that you schedule an appointment with a podiatrist for a full exam and diagnosis. The appropriate treatment options will follow, including suggestions on the right type footwear for the activity. 

For more information about walking shoes versus running shoes, consult with Terri Quebedeaux, DPM from Agave Podiatry . Our doctor can measure your feet to determine what your needs are and help you find an appropriate pair of footwear.

Foot Health: The Differences between Walking & Running Shoes

There are great ways to stay in shape: running and walking are two great exercises to a healthy lifestyle. It is important to know that running shoes and walking shoes are not interchangeable. There is a key difference on how the feet hit the ground when someone is running or walking. This is why one should be aware that a shoe is designed differently for each activity.

You may be asking yourself what the real differences are between walking and running shoes and the answers may shock you.

Differences

Walking doesn’t involve as much stress or impact on the feet as running does. However, this doesn’t mean that you should be any less prepared. When you’re walking, you land on your heels and have your foot roll forward. This rolling motion requires additional support to the feet.

Flexibility – Walking shoes are designed to have soft, flexible soles. This allows the walker to push off easily with each step.

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.

Read more about Differences between Walking and Running Shoes

See Your Podiatrist Regularly If You Work On Your Feet

Do you work on your feet all day and find your feet in pain? Don't go to work in pain each day. Your foot pain can be treated, and we can help.

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