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Dallas (214) 340-8885
Athens (903) 677-9090
Gun Barrel City (903) 887-4341

Leave Google Review for podiatrist Jonathan M. Kletz, DPM of Texas Foot Works
Texas Foot Works
Podiatry of Dallas, Athens, & Gun Barrel City, TX Main Menu

December 2017

Saturday, 20 February 2016 14:27

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Published in Uncategorised
Saturday, 20 February 2016 14:26

Patient Education

Dr. Kletz is available to treat foot and ankle ailments such as diabetic foot care, ingrown toenails, fungal toenails, warts and painful calluses. Our practice specializes in general foot care. Please call our office in Dallas (214) 340-8885, Athens (903) 677-9090 and Gun Barrel City (903) 887-4341 for an appointment.

patient education

Ankle Sprains
Ankle sprains are very common injuries with more than 3 million suffered each year in the US. They occur when the ligaments in the ankle are severely stretched or torn. Medical attention will be necessary to rule out a fracture, as often it is difficult to tell the full extent of the injury.

Bunions
A bunion is a bone deformity usually occurring at the base of the big toe. This is a progressive condition that is made worse by inward pressure from tight shoes. Bunions can be very painful, and in some instances surgery may be necessary to remove them.

Flat Feet
Flat feet is a condition where the entire, or nearly entire, bottom of the foot meets the ground when standing. Depending on the severity, symptoms of flat feet can range from severe pain to non-existent.

Hammertoes
Hammertoe is a characterized by one or more of the toes having a bend in the middle joint. This occurs because of weakening of the muscle due to poorly fitted shoes or a genetically inherited trait.

Diabetes and Your Feet
Diabetes is a systemic illness that can affect many different parts of the body. This is especially true for the feet. Proper foot screening is incredibly important for diabetic patients and any kind of cut or sore should be taken very seriously.

Heel Spurs
A heel spur is a bony protrusion that occurs on the heel. It is often confused with plantar fasciitis, which is inflammation of the plantar fascia ligament. When a heel spur is painful it can make it quite difficult to walk.

Corns
Corns and calluses are hard layers of skin that usually form due to friction. Generally, they will be in areas of the foot that are bearing weight, or areas that frequently rub against the shoe. Soft corns are typically found between the toes.

Athlete's Foot
Athlete’s foot is a very common fungal infection that affects countless people around the world. It will manifest itself on the skin of the foot, in many cases in between the toes. Because fungi proliferate in warm, damp environments, keeping the feet clean and dry is of utmost importance in avoiding athlete’s foot.

Published in Uncategorised
Saturday, 20 February 2016 14:26

New Patients

During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor.  We accept most insurances.

  • Patient's insurance card
  • List of current prescriptions and/or over-the-counter medication, including dose and frequency
  • Information about patient's medical and surgical history
  • Recent test results, x-rays, or relevant records

Insurance and Payment Information

You are responsible for co-payments or charges that are not covered by your insurance. If you have questions regarding billing or which insurance plans we accept, please call our office in Dallas (214) 340-8885, Athens (903) 677-9090 or Gun Barrel City (903) 887-4341. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

Published in Uncategorised

 A Simple Look into Jump-related Foot Injuries

Jumping injuries occur when the foot is subjected to abuse due to repeated trauma from high-impact activities. The feet are designed to absorb the shock of our body’s weight impact on the ground. The force of this pressure is multiplied a couple of times when jumping.

Pain is an early sign of jumping-related foot injury, but it can also be caused by other foot disorders. Consult a podiatrist for proper diagnosis of a foot injury. Dr. Jonathan Kletz is a podiatrist who specializes in foot care and treating foot injuries.

  • Jumping injuries are usually caused by:
  • a sudden increase in the intensity of training
  • incorrect footwear
  • surface of the training location
  • technique or routines used during training

In this blog, we will tackle one of the most common tendon injuries caused by the jumping.  

Achilles Tendonitis/Tendinitis

Generally, it is the term used to refer to the inflammation of a person's Achilles tendon. This is usually due to the repetitive movements of jumping which causes the tendon to be overused and injured.

Signs and Symptoms:

  • pain and stiffness on the impacted area
  • loss of strength
  • crunchy sound when using your Achilles tendon
  • inflamed area is red, warm and swollen

Diagnosis of a jump-related foot injuries

Physical exam. This may include letting you stand on the balls of your foot while doing some flexibility and range of motion movements.

Imaging tests. These may not be necessary but some doctors will order this to know the extent of the damage of the injury. These imaging tests may include x-rays, MRI scans and ultrasounds.

Management and Treatments

  • Rest your tendon from weight bearing activities.
  • Apply ice packs for 20-30 minutes every 2-4 hours to lessen the pain and the swelling.
  • Elevate your affected foot to reduce swelling.
  • Anti-inflammatory drugs can be given but it is advisable to take it only after the first 48-72 hours from the injury as these medications usually result to further bleeding.
  • Immobilize your foot or restrict movement using a brace or any compressive elastic bandages.
  • Go to a physical therapist. The therapist will have the proper regimen and plan to ensure that the right amount of activities are given to the impacted part of the body -- not too heavy yet not too light.

These activities will help strengthen calf muscles and ensure that the tendon will be healed.

At Texas Foot Works located in Dallas, Athens and Gun Barrell City, TX, we specialize in helping people with Achilles Tendonitis.  To schedule an appointment, call 214-340-8885.

Published in Blog

Acquired adult flatfoot deformity is the progressive and painful collapse of the foot’s arches giving it a flat appearance. AAFD usually happens when the nerves, tendons or ligaments are damaged which causes partial dislocation of the joints.

If you notice any changes in your feet’s appearance or flatfoot, then a visit to a podiatrist is recommended to ensure proper treatments are made and prevent it from progressing even further. Dr. Jonathan Kletz is a podiatrist who specializes in helping people with foot disorders.

Acquired adult flatfoot deformity has four stages. It is during the second stage when the symptoms become pronounced that most patients visit a podiatrist. This is because visible changes to the foot’s appearance are easily identified.

Diagnosis of Acquired Acute Foot Deformity

Consult a podiatrist if you suspect AAFD. Tests are performed to ensure correct diagnosis of AAFD.

X-rays exams may  be used for diagnosis although this may not be conclusive especially during the early stages of AAFD. X-ray images of the feet are compared to determine if there are any discernable changes. Ultrasounds could also be used to confirm x-ray findings and determine the extent of tendon injuries. Magnetic Resonance Imaging (MRI). This is the definitive test for checking the condition of the posterior tibial tendon.

Conventional or non-surgical treatments are available for AAFD when diagnosed early. Treatment for AAFD includes:

  • Using comfortable shoes, orthotics and braces
  • Keeping your weight within recommended limits
  • Reduce or avoid weight bearing activities
  • Using pain relievers
  • Exercise program that promotes strength and flexibility in the foot

As with any disorder, early detection of Acquired Adult Flatfoot Deformity gives patients the best chance of full recovery. This also makes treatment much easier, avoiding the costs and complications of surgical procedures. At  Texas Foot Works located in Dallas, Athens and Gun Barrell City, TX, we specialize in helping people with AAFD.  To schedule an appointment, call 214-340-8885.  

Published in Blog
Monday, 01 February 2016 00:00

Possible Causes of Claw Toes

Claw toes is a foot disorder described as a claw-like foot deformity which resembles that of a bird. Some are born with this condition while other acquire this later in life. It can be caused by several factors. An underlying disease or an injury that affects foot muscles and nerves. It is advised that you consult a podiatrist when the first signs of a claw toe is observed.

People suffering from claw toes may experience pain especially when wearing tight-fitting shoes. This foot deformity make wearing shoes painful. Claw toes are sometimes mistaken for hammertoes another foot deformity. But at closer look hammertoes and claw toes are visibly different.

Visit a podiatrist when possible signs of claw feet are observed.  If you find moving toes difficult then this could be a symptom of muscle or nerve injury. A podiatrist may recommend a series of tests to determine the underlying cause of your claw toes. This can include muscle or nerve damage and even be caused by a disease Dr. Jonathan Kletz is a podiatrist who specializes in helping people with claw toes.

What can cause claw toes?

Claw toes can be a possible symptom of a disease or injury. Wearing tight shoes can also be a factor in the development of claw toes. Although wearing tight shoes does not directly lead to the development of claw toes, side effects such as muscle and joint injury can cause claw toes. Below are medical conditions that may increase your risk for claw toes.

  • Alcoholism
  • Arthritis
  • Cerebral palsy
  • Charcot-Marie-Tooth disease
  • Polio
  • Spinal cord disease
  • Stroke

Claw toes make it difficult if not painful for us to wear shoes. This toe deformity gives our foot an unusual shape which is unable to fit comfortable with the shoes’ normal contour. It can also cause corns and calluses because the skin constantly rubs against the shoes. Calluses and corns can be treated by over-the-counter products to soften the skin.

Treatment and management of claw toes

  • Use therapeutic shoes with large and soft toe box
  • Toe strengthening and flexion exercises
  • Gentle toe massages to increase blood flow and improve flexibility
  • Callus and corn management

At Texas Foot Works located in Dallas, Athens and Gun Barrell City, TX, we specialize in helping people with claw toes.  To schedule an appointment, call 214-340-8885.    

Published in Blog
Monday, 01 February 2016 00:00

Treatment Options for Webbed Toes

A Quick Look into Webbed Toes

Webbed toes is an unusual condition where the toes are fused together. This toe abnormality is not acquired but is something present at birth. Webbed toes and fingers can be seen during the early stages of pregnancy. However, this normally disappears as the fetus matures in the womb. An enzyme is responsible for dissolving the tissue connecting the digits giving us separate toes and fingers at birth. 

Webbed toes usually occurs in the second and third toes. These are commonly connected by tissues but complex webbed toes have fused bones connecting it. Rare conditions even have an extra digit connected to the toes. 

Webbed toes are a mere cosmetic abnormality and do not pose a threat to our health.  People could still go about their normal daily activities. Although, having webbed toes can be a cause of embarrassment. Surgical removal is the option for separating webbed toes.  A podiatrist can help explain what happens during surgery and alleviate some of the fears associated with treatment. Dr. Jonathan Kletz is a podiatrist who specializes in treating people with web toes. 

Possible causes of Webbed Toes 

The exact mechanism for the development of web toes is still unknown. Medical professionals propose that this can be an inherited condition that can be passed among relatives. However, this remains to be a question since people with no previous family history of webbed toes also show this condition. Factors that influence the development of the fetus are more likely to be the cause of this foot abnormality. 

Webbed toes do not cause physical disabilities. People with this condition are still able to perform activities without pain or difficulty. However, this foot abnormality can have a negative effect on a person’s self-esteem. Webbed toe treatments are designed to restore “normalcy” in the person’s appearance. 

Surgery remains to be the only treatment option for webbed toes. Surgery is usually performed on children aged 6 months up to 2 years. Simple cases of webbed toes or those whose toes are connected by skin are separated by cutting the skin. Complex cases such as those whose webbed toes are connected by fused bones require specialized surgery.   

At Texas Foot Works located in Dallas, Athens and Gun Barrell City, TX, we specialize in helping people with webbed toes and other foot disorders.  To schedule an appointment, call 214-340-8885.   

Published in Blog
Friday, 29 January 2016 00:00

Possible Causes of Metatarsalgia

Are you experiencing pain in your forefoot that gets worse with walking or running? Metatarsalgia is a foot condition that is described as pain felt at the ball of the foot or forefoot. This pain is triggered by walking, running, jumping or any activity that places pressure on the forefoot. People suffering from metatarsalgia may also experience pain when walking barefoot on hard surfaces like concrete, tiles and hardwood. Classic symptoms also include burning pain in the ball of the feet.

The foot condition develops gradually as a result of changes in foot mechanics. Injury to the bones of the forefoot can be caused by repeated abuse from high impact foot movements. Without adequate periods of rest between sports activities or prior foot strengthening exercise, repeated excessive stress on the ball of the feet can lead to injury.

Pain at the ball of the feet can be an indication of metatarsalgia. If pain is continuously experienced when walking or running, consult a podiatrist Dr. Jonathan Kletz is a podiatrist who specializes in helping people suffering from metatarsalgia.

What Can Causes Metatarsalgia

Choosing the proper footwear for the sports activity is a simple way of preventing foot injuries. Wearing shoes that do not fit properly especially those with tight toe boxes can place added stress to the forefoot and ball of the foot. High heels may also cause metatarsalgia. This is because wearing high heels displaces load bearing to the forefoot. Continued use of these types of footwear gradually causes injury to the ball of the foot.

Arthritic conditions and gout can lead to weak toes that can increase the stress on the ball of the foot. Inflammation of the tissues surrounding the joints can damage bones on the forefoot. Pain associated with arthritis can cause a change in gait. A patient may change his stride accordingly and place added pressure on the forefoot to minimize pain. 

Certain foot conditions such as a high-arched foot or a foot with an above-average metatarsal bone can place pressure on the forefoot. Because of this condition, the foot is unable to displace load bearing evenly in the foot. This gradually damages the bones leading to pain and inflammation on the forefoot.

Metatarsalgia is considered a symptom and not a disease which can be far worse than the condition itself. Texas Foot Works located in Dallas, Athens and Gun Barrell City, TX, we specialize in helping people with foot metatarsalgia.  To schedule an appointment, call 214-340-8885.    

Published in Blog
Friday, 29 January 2016 00:00

Getting the Sting Out of Smelly Feet

Sometimes we are the last person to know we have smelly feet. We don’t recognize that we are suffering from smelly feet because we might have become accustomed to the smell and regard it as something normal. But smelly feet are far from normal and a quick glance on your friend’s face could give you an idea on how disturbing this can be. So, before you suffer the humiliation of having someone point this out to you, let us take a look into what causes smelly feet and how to prevent it.

What causes smelly feet?

Our feet contain sweat glands. Sweat is not only a simple byproduct. It helps in regulating temperature. Hence, sweating is enhanced during hot sunny days which is usually the time when most people suddenly discover they have smelly feet. Sweat does not produce the foul odor in smelly feet. This is caused by bacteria breaking down the sweat.

A bacterial infection or any type of infection is a major concern for diabetics. Consult a podiatrist if smelly feet persists. Dr. Jonathan Kletz is a podiatrist who specializes in helping people with foot skin disorders.

People who are prone to suffering from smelly feet

Some people are more likely to suffer from smelly feet due to personal hygiene habits and some physiological factors.

  • Constantly wearing tight-fitting and poor ventilated shoes
  • Not thoroughly drying your feet after washing. This leaves extra moisture that bacteria could feed on when you’re wearing shoes
  • Not regularly changing your shoes. Buying an extra pair gives you a chance to switch and clean your shoes
  • People suffering from hyperhidrosis or excessive sweating
  • Teenagers or those undergoing hormonal changes

How to stop smelly feet from coming back

Poor health habits are responsible for most cases of smelly feet. And the only way to stop smelly feet from returning is to practice good personal hygiene.

  • Regularly changing socks and shoes
  • Washing your feet regularly and thoroughly drying it afterwards
  • Using foot antiperspirants and foot powder
  • Medicated insoles with antibacterial properties
  • Using sandals and giving your feet a break from closed shoes

Visit a podiatrist if smelly feet remains to be a problem. Texas Foot Works located in Dallas, Athens and Gun Barrell City, TX, we specialize in helping people with foot skin problems.  To schedule an appointment, call 214-340-8885.    

Published in Blog
Friday, 29 January 2016 00:00

Sports Related Foot and Ankle Injuries

Our feet and ankles are responsible for the unenviable task of supporting our body weight and all our major movements. Even simple movements such as walking or standing in place exert great pressure on the feet and all its structures. This is why activities such as sports which place additional stress on the feet increase the chance for foot and ankle injuries.

Athletes are constantly at risks for injuries especially because of the amount of stress they place on their body compared to a non-athletes. As a matter of fact, the American Academy of Orthopaedic Surgeons (AAOS) said that 25% of all athletic injuries are foot and ankle-related. Soccer, basketball, running, and football are just some of the contact sports that constantly expose the feet and ankles to injury.

At the first signs of a foot or ankle injury, visiting a podiatrist is advised. This is for proper diagnosis and immediate treatment. Dr. Jonathan Kletz  is a podiatrist who specializes in helping athletes suffering from foot and ankle injuries.

  • Hammertoe. When your toes show signs of bending toward your big toe, this could be an early indication of a hammerhead. Athletes especially runners can develop this condition when there is a tear on the ligaments underneath their toes. If left untreated, a hammertoe can become a permanent deformity. It can remain fixed and can become painful every time friction occurs.
  • Neuroma. A neuroma is a condition of the nerves that can cause pain (forefoot) and numbness (toes). Treatments include rest and refraining from any strenuous activities for some time. If symptoms persist, consulting a podiatrist is advised.
  • Sesamoiditis. Pain in your big toe specially when walking barefoot can be an early indication of this foot condition. Symptoms include the feeling of walking on a pebble. This can require early and aggressive treatment.
  • Stress fracture. A stress fracture is most commonly found on the foot or lower leg of athletes who frequently perform jumps and runs. A bone break occurs after the structure has significantly weakened or exposed to repetitive injuries.

These are just some of the common foot injuries seen in athletes. Athletes might always be at constant risk for injuries however, this can still be prevented with these simple tips:

  • Warming up before any sports activities will help stretch and condition your muscles.
  • Have the correct athletic shoes that are suited to your foot type.
  • Replace athletic shoes if it's already worn out.
  • Keep away from running or walking on uneven surfaces. 

Texas Foot Works located in Dallas, Athens and Gun Barrell City, TX, in helping athletes suffering from foot and ankle injuries.  To schedule an appointment, call 214-340-8885. 

Published in Blog
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