December 2022

The feet carry and support the weight of one’s entire body. Each foot has 28 bones as well as numerous joints, ligaments, and tendons, which all work together to provide support, mobility, and balance. The feet are very complex structures, and each foot has three arches. The medial longitudinal arch is supported by the plantar fascia, and the muscles of the foot guide this arch while walking or standing on tiptoes. The arch that is located on the outside of the foot is called the lateral longitudinal arch and is dependent on the cuboid bone. This bone is often out of alignment, and it must be stable for this arch to function properly. The third arch is called the metatarsal arch and it connects the tarsal bones to the metatarsal heads. Poor functioning of this arch may result in irritation of the nerve that is located between the third and fourth toes, possibly leading to the development of Morton’s neuroma. The foot is an interesting part of the body and if you would like to know more about your foot structure, please consult a podiatrist.

If you have any concerns about your feet, 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.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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 pain is a common occurrence, which shouldn’t be surprising because the ankle is involved in every step you take. Ankle injuries are usually caused by tripping on a step or curb or twisting the ankle during a sports activity. This can result in a ligament sprain. With an ankle sprain, the foot rolls inward and the ankle outward, thereby stretching a ligament beyond its normal range. Symptoms include pain, swelling, redness, and warm when touched. Some stiffness may follow. Ankle sprains often interfere with bearing weight on the affected foot. If you are in extreme pain from an ankle injury and cannot put weight on that foot, please seek medical help immediately. The first thing to do is stay off the affected ankle, keep it elevated, and put ice on it to help reduce the swelling. Seeing a podiatrist as soon as possible is suggested to determine the severity and extent of the injury. Healing from an ankle injury can take weeks or even months. Braces or other walking devices may be prescribed to allow the ankle to move while keeping it stable. Allowing the ankle to fully heal is imperative for avoiding re-injury or chronic ankle problems in the future. For more information, please contact a podiatrist.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, 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 Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

• Pain at the sight of the tear
• Bruising/Swelling
• Ankle area is tender to touch
• In severe cases, may hear/feel something tear
• Skin discoloration

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

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.

One of the most painful foot conditions is known as an Achilles tendon injury. It happens when the tendon that is located in the back of the ankle partially or completely tears. This may be more common in middle-aged people. This type of injury can be caused in people who have poor flexibility, or who engage in occasional sporting activities without properly warming up. The symptoms that often accompany an Achilles tendon injury can include hearing a pop at the time of the injury, and the affected foot may be red, swollen, and bruised. Patients have found mild relief when the foot is elevated, and this can help to diminish some of the swelling. The approximate healing time is several weeks, and this depends on how severe the injury is. Additional relief techniques can consist of wearing a boot or cast that can provide stability as the healing process occurs, and specific stretches and exercises are performed. If you have endured this type of injury, please schedule an appointment with a podiatrist who can guide you toward proper treatment methods, which may include surgery in severe cases.

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.

People who get frequent gout attacks often look for ways that can help to prevent them. The pain can be debilitating from gout, and completing daily activities may be difficult to do. It is a condition that affects the joints in the big toe, and common symptoms can include redness and swelling, in addition to severe pain and discomfort. Gout is a condition that is caused by excess uric acid in the blood, and may happen from the foods that are eaten. Foods that contain a high level of purines often need to be reduced, which may help to control episodes of gout. These foods include shellfish, red meat, and drinks made with large amounts of sugar. High-purine foods may be substituted for foods that have a lower purine level, such as chicken, pork, and ham. It is beneficial to lose extra weight if applicable, and incorporating a gentle exercise regime into the daily routine may help to reduce gout attacks. If you are afflicted with gout, please confer with a podiatrist who can guide you toward effective treatment and prevention methods. 

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Dr. Jonathan Kletz from Texas Foot Works. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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.