November 2021

When someone engages in regular physical activity, such as running, jumping, or other repetitive movements, this can stress the bones in the feet and lower legs. Over time, these repetitive movements and stress can lead to the development of tiny hairline cracks in the bones. These stress fractures can also develop when the type, duration, intensity, or frequency of physical activity occurs. Unlike more severe breaks due to acute trauma, which can cause immediate and intense pain, the pain from stress fractures can be duller and develop more gradually. Ballet dancers and athletes engaging in high impact sports such as basketball, tennis, track and field, soccer, and hockey are at greater risk of developing these microscopic fissures in their foot or lower leg bones. Along with a dull pain which intensifies during physical activity, there may be swelling, tenderness and bruising in the affected area. A podiatrist should be consulted if there is any pain in the feet or lower legs. They will perform an exam, test sensitivity to pressure in the affected area, and may use X-rays or bone scans to properly diagnose the issue. This professional assessment and care will not only help heal the stress fracture, but also prevent it from becoming a more severe break.

Stress fractures occur when there is a tiny crack within a bone. To learn more, 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.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

• Gender – They are more commonly found in women compared to men.
• Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
• Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
• Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
• Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

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.

A wart on the sole of your foot, also known as a plantar wart, is a benign, fleshy growth that is caused by the human papillomavirus (HPV). Plantar warts are often painless and can go away on their own, however, this is not always the case. Warts can cause pain or discomfort if they are in areas that bear a lot of weight, grow inward due to pressure, or rub against your shoes and socks. Without treatment, plantar warts can also take years to disappear. One potential treatment option is cryotherapy. This is a fairly simple procedure in which the doctor applies a liquid nitrogen solution on the wart, freezing it. A blister then forms around the wart within 24 hours and can be removed after about one week. Two cryotherapy sessions may be needed to fully remove the wart. For more information about this and other treatments for plantar warts, please consult with a podiatrist. 

Plantar warts can be very uncomfortable. If you need your feet checked, contact Dr. Jonathan Kletz from Texas Foot Works. Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

• Lesions on the bottom of your feet, usually rough and grainy
• Hard or thick callused spots
• Wart seeds, which are small clotted blood vessels that look like little black spots
• Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

• Freezing
• Electric tool removal
• Laser Treatment
• Topical Creams (prescription only)
• Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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.

Ankle discomfort can manifest as pain, stiffness, swelling, bruising, redness, tingling, or an inability to put weight on the ankle. There are several possible causes of ankle pain with the most common being sprains and strains of the ankle’s ligaments, and fractures of one or more bones in the ankle. Achilles tendon ruptures are another possible cause of ankle pain. They can occur when the Achilles tendon tears away from the heel bone which can cause swelling, bruising, and pain in the ankle. Rheumatoid arthritis, where the body’s immune system attacks the lining on the inside of the joint capsule, can occur in the ankle joint and be quite painful. Another form of arthritis—gout—causes a painful buildup of hardened uric acid crystals to deposit on joints, which can occur not only in the big toe, but the ankle joint as well. A bacterial infection (sometimes referred to as septic arthritis) may also set in the ankle joint, causing cartilage and bone damage, and pain. It is highly suggested that you seek the care of a podiatrist to determine the source and receive treatment for any ankle pain or discomfort you may be experiencing.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Dr. Jonathan Kletz from Texas Foot Works. 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 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.

Corns are rough, round, hardened masses of dead skin that develop on your feet from repeated pressure and friction. They can form on different parts of the foot and cause pain when irritated or rubbed against. There are three varieties of corns: hard, soft, and seed. Hard corns are just that—hard—and typically develop on the toes, while soft corns are often found between the toes and have a rubbery texture. Seed corns are smaller than hard or soft corns and usually form on the soles of the feet. Ill-fitting footwear often causes corns to develop. However, other conditions and circumstances that precipitate gait abnormalities, or activities that concentrate pressure in a given area, may also be to blame. Some of these contributing factors include genetic foot deformities (or acquired ones like bunions), bad posture, and certain physical activities such as running and walking. Changing footwear, wearing corn pads, and trimming your nails may help you manage the pain, but for long term solutions and advanced treatment, consult with a podiatrist.

If you have any concerns regarding your feet and ankles, contact Dr. Jonathan Kletz of Texas Foot Works. 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 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.

Morton’s Neuroma is a non-cancerous enlargement commonly found in the nerve between the 3rd and 4th toes, however it may also occur between the 2nd and 3rd toes. Morton’s Neuroma is a leading cause of burning pain and inflammation in the ball of the foot (metatarsalgia). People with Morton’s neuroma often feel like they are walking on a pebble and can even experience shooting pain or tingling in the affected toes. Wearing high heels/tight shoes is often associated with Morton’s neuroma, as well as participating in high-impact sports which can stress the nerves between toes repeatedly. Having certain foot deformities such as bunions, hammertoes, flat feet, or high arches may also put you at risk for developing Morton’s neuroma as these conditions may pressurize and compress nerves between toes. If you have any pain in the ball of your foot, make an appointment with a podiatrist who will be able to make a proper diagnosis and offer appropriate treatment methods.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Dr. Jonathan Kletz of Texas Foot Works. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

• Ill-fitting high heels or shoes that add pressure to the toe or foot
• Jogging, running or any sport that involves constant impact to the foot
• Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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.