November 2022

There are reasons that pain in the big toe can occur. It may happen suddenly from an injury or it can gradually occur. Pain in this toe may be a symptom indicating an existing medical condition and a podiatrist can determine what that condition is. Gout is a condition that develops suddenly and affects the joints in the big toe. It can produce excruciating pain and discomfort and may be controlled by the types of foods that are eaten. Additionally, a bunion is another condition that gradually occurs. Bunions are characterized by a bony protrusion that forms on the side of the big toe. Severe bunions may cause pain and larger shoes may need to be purchased to accommodate the bunion. Some people develop ingrown toenails which generally affects the big toe. When left untreated, an infection may occur and medical attention is often sought. A sudden injury can produce a broken toe and relief and stability may be found when the affected toe is taped to the toe next to it. If you have pain in your big toe, it is strongly advised that you consult with a podiatrist who can determine what the cause is followed by implementing effective treatment strategies.

Toe pain can disrupt your daily activities. 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 Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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.

If you have tarsal tunnel syndrome, then you might feel a particular kind of pain in the sole, or bottom, of the foot. This pain might be most pronounced during weight-bearing activities. Anyone with this condition ought to see a podiatrist to receive immediate medical attention and treatment. However, to relieve this pain, there are a number of different exercises that one might perform. First, you might consider performing ankle rotations. While in a seated position, lift one leg and rotate the ankle slowly. It is important to perform this exercise on the affected foot. Additionally, to relieve pain from tarsal tunnel syndrome, consider performing pencil lifts. This exercise can be performed by picking up a pencil with the toes, holding it, and then releasing it. This strengthens muscles in the feet. Tarsal tunnel syndrome is nothing to joke about.  Contact a podiatrist today for more information on easing the pain through exercises.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, 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.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require 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 and ankle needs.

Plantar fasciitis is easily the most common cause of heel pain complaints and is characterized by stabbing pain under the heel.  It is the result of inflammation of a band of tissue that runs along the sole of the foot. This tissue, known as the plantar fascia, connects the toes to the heel and supports the arch. Plantar fasciitis is generally thought to be a repetitive use injury that causes tiny tears in the tissue that then become inflamed, and ultimately painful. It is common in runners, athletes, and people who are obese. Teachers, restaurant servers, or anyone who spends a long time standing are often at risk. In addition, athletes who repeatedly run or walk on hard surfaces often develop plantar fasciitis. Symptoms include extreme pain upon arising in the morning, which gradually wears off as activity increases, only to re-emerge at the end of the day. A number of stretches and exercises, along with better cushioning in footwear, often reduce the symptoms of plantar fasciitis. For more information on treatment opportunities, please consult a podiatrist.

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.

Most people misunderstand the seriousness of an ingrown toenail unless they experience one. Ingrown toenails frequently affect the big toe and result from the nail growing into the skin, instead of over it. Pain and discomfort are often the beginning signs that an ingrown toenail has developed. When left untreated, it may become infected, bleed, and there may be discharge or pus. An ingrown toenail can be caused by trimming the toenails incorrectly, wearing shoes that are too tight, and genetic reasons. Occasionally, the toe will feel better when soaked in warm water and a cotton swab can be used to gently push the skin away from the nail. This is a temporary fix for mild relief. A permanent solution can be found at a podiatrist's office. People who have recurring ingrown toenails often seek the expertise of this type of doctor, who can effectively treat it. An infected ingrown toenail may qualify for surgery, and it is suggested that you contact a podiatrist to determine the best course of treatment for you. 

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.

One of the things many pregnant women complain about is foot pain. Foot pain often worsens as the pregnancy progresses, but this is quite common and normal. Swollen ankles are prevalent during pregnancy due to the extra fluid the body carries to support the baby. The blood becomes thicker, and the growing fetus will cause the glands to produce more hormones. The feet endure extra pressure as the mother’s weight increases, so it is suggested to elevate the legs as frequently as possible. This may help provide mild relief from foot pain. The arch may flatten as the feet endure the additional weight, which may put pressure on the plantar fascia. This is the band of tissue that connects the toes to the heels and when it becomes inflamed, plantar fasciitis could result. If you have foot pain and would like to learn more about various relief methods, please consult a podiatrist who can help you during your pregnancy.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Dr. Jonathan Kletz from Texas Foot Works. Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

• Wearing orthotics can provide extra support for the feet and help distribute weight evenly
• Minimize the amount of time spent walking barefoot
• Wear shoes with good arch support
• Wear shoes that allow for good circulation to the feet
• Elevate feet if you experience swelling
• Massage your feet
• Get regular, light exercise, such as walking, to promote blood circulation to the feet

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.