October 2023

The elderly are more prone to foot problems due to a combination of age-related physical changes, accumulated wear and tear, and other health factors. As people age, the skin becomes thinner, less elastic, and loses its natural oils, making it more susceptible to dryness, cracking, and infections. The fat pads on the bottom of the feet, which provide cushioning, tend to thin out, leading to decreased shock absorption and increased sensitivity to pressure points. Additionally, circulation can diminish, slowing down the healing process and increasing the risk of infections. Over time, joints can become stiff and lose their range of motion due to conditions such as arthritis. Chronic diseases including diabetes can also have significant effects on foot health, increasing vulnerability to nerve damage and poor circulation. Years of bearing body weight and wearing various types of footwear can result in structural changes like bunions, hammertoes, and collapsed arches. If you are elderly or taking care of an older person, it is suggested that you routinely schedule appointments with a podiatrist for examinations and regular foot care.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Dr. Jonathan Kletz from Texas Foot Works. Our doctor can provide the care you need to keep you pain-free and on your feet.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

• Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
• Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
• Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
• Gouging toenails affecting nearby toe
• Shoes that don’t fit properly
• Pressure sores
• Loss of circulation in legs & feet
• Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

If you have any questions please feel free to contact one of our our offices located in Dallas, Athens, and Gun Barrel City, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Determining the root cause of heel pain can be challenging, especially when other conditions like arthritis or tarsal tunnel syndrome come into play. Plantar fasciitis is a leading culprit behind heel pain. It is characterized by sharp pain, inflammation, and tenderness in the sole of the foot, particularly near the heel. Notably, the pain is most pronounced during the first few steps in the morning or after prolonged periods of sitting. Unlike osteoarthritis, which tends to worsen with movement, plantar fasciitis pain often improves as you walk around but worsens later in the day. The condition arises when the plantar fascia, the ligament connecting the heel to the ball of the foot, loses its elasticity and develops tiny tears. These tears lead to painful swelling in the ligament. Diagnosis by a podiatrist may involve a thorough medical history, a physical examination, including range-of-motion tests, and sometimes an X-ray. The good news is that most people with plantar fasciitis find relief through non-invasive, non-surgical treatments. If you suspect you may have developed plantar fasciitis, it is suggested that you make an appointment with a podiatrist for an exam, a diagnosis, and suggested treatment options.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. Jonathan Kletz from Texas Foot Works. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

• Excessive running
• Having high arches in your feet
• Other foot issues such as flat feet
• Pregnancy (due to the sudden weight gain)
• Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

• Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
• Maintain a healthy weight
• If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

If you have any questions, please feel free to contact one of our our offices located in Dallas, Athens, and Gun Barrel City, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Athlete's foot, scientifically known as tinea pedis, is a fungal infection that can affect anyone. It is notorious for causing discomfort, itching, and unsightly skin changes. Athlete’s foot tends to be more prevalent among older adults, especially males. The primary cause is dermatophytes, a type of fungus that thrive in warm and humid environments. You can contract athlete's foot by walking barefoot on wet and contaminated floors, especially in public areas like locker rooms, showers, and pools. It also can be transmitted by sharing towels, clothing, or shoes with someone who has the infection. Prolonged use of sweaty, tight shoes that create a moist environment for fungi to flourish also increases the risk of infection. Symptoms of athlete's foot can include red and inflamed skin, persistent itchiness, flaky and scaly skin, thickened skin, and dry feet. In severe cases, tiny red blisters may develop between the toes or on the soles of the feet. The good news is that athlete's foot is generally easy to treat with prescribed antifungal creams or oral medications. If you suspect you have a particularly troublesome case of athlete's foot, it is suggested that you make an appointment with a podiatrist for help managing this fungal infection.

Athlete’s foot is an inconvenient condition that can be easily reduced with the proper treatment. If you have any concerns about your feet and ankles, contact Dr. Jonathan Kletz from Texas Foot Works.  Our doctor will treat your foot and ankle needs.

Athlete’s Foot: The Sole Story

Athlete's foot, also known as tinea pedis, can be an extremely contagious foot infection. It is commonly contracted in public changing areas and bathrooms, dormitory style living quarters, around locker rooms and public swimming pools, or anywhere your feet often come into contact with other people.

Solutions to Combat Athlete’s Foot

• Hydrate your feet by using lotion
• Exfoliate
• Buff off nails
• Use of anti-fungal products
• Examine your feet and visit your doctor if any suspicious blisters or cuts develop

Athlete’s foot can cause many irritating symptoms such as dry and flaking skin, itching, and redness. Some more severe symptoms can include bleeding and cracked skin, intense itching and burning, and even pain when walking. In the worst cases, Athlete’s foot can cause blistering as well. Speak to your podiatrist for a better understanding of the different causes of Athlete’s foot, as well as help in determining which treatment options are best for you.

If you have any questions please feel free to contact one of our our offices located in Dallas, Athens, and Gun Barrel City, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

The Achilles tendon is the largest tendon in the body and connects the calf muscles to the heel bone, allowing us to walk, run, and jump. An Achilles tendon injury occurs when the tendon is strained, stretched, or torn. Typically, injuries manifest through pain and stiffness along the back of the leg, near the heel or calf area. Individuals with an Achilles tendon injury may experience localized swelling, tenderness, or warmth around the affected area. In some cases, a noticeable snapping sound may accompany the injury, indicating a severe tear. Pain can worsen during physical activity, particularly when pushing off the foot or standing on tiptoes. Understanding these symptoms is vital for timely medical intervention and appropriate rehabilitation to ensure a swift recovery and regain the functionality of the Achilles tendon. If you have endured an Achilles tendon injury, it is suggested that you are under the care of a podiatrist who can effectively treat this condition.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Dr. Jonathan Kletz of Texas Foot Works. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

• Inflammation
• Dull to severe pain
• Increased blood flow to the tendon
• Thickening of the tendon

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

• Thorough stretching of the tendon before and after exercise
• Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact one of our our offices located in Dallas, Athens, and Gun Barrel City, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Ingrown toenails can be excruciatingly painful and disrupt your daily activities. Fortunately, there are steps that can be taken which may help to prevent this common foot woe. Trimming the toenails properly is important, and this is done by trimming them straight across. It is helpful to avoid cutting the nails too short or rounded, which may help to prevent ingrowth. It is also helpful to invest in good quality nail clippers that can make the process easier. Choose comfortable, well-fitted shoes that can provide adequate toe room, and refrain from wearing tight footwear that can exert pressure on the toenails, increasing the risk of incurring an ingrown toenail. Maintaining good foot hygiene is also essential. Wash your feet daily, drying them thoroughly, and keep the area around the nails clean. Applying a moisturizer to the skin surrounding the toes may also help to prevent ingrown toenails. A podiatrist can provide expert guidance and, if necessary, perform minor procedures to alleviate the issue. If you have developed an ingrown toenail, it is suggested that you speak with this type of doctor who can help you with additional prevention techniques.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Dr. Jonathan Kletz of Texas Foot Works. Our doctor 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 one of our our offices located in Dallas, Athens, and Gun Barrel City, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.