If you need a more accessible version of this website, click this button on the right. Switch to Accessible Site

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

November 2023

Tuesday, 28 November 2023 00:00

How to Handle a Long Work Day on Your Feet

In 2014, the American Podiatric Medical Association surveyed 1,000 American adults and found that half of all respondents lived with foot pain. Fortunately, there are ways to avoid foot problems such as following a daily footcare routine and wearing proper footwear at work.

If you have a job that requires you to be on your feet, it is best that you do not wear flat sole shoes. Your heel should be slightly elevated (less than 2 inches, but at least ¼-inch) if you are going to be standing for a prolonged period. You should also make sure that the shoes you wear are not too small. Tight shoes may cut off circulation to your feet, which will result in pain and blisters. It is always best to purchase fitted shoes later in the day, because the feet tend to swell as the day progresses. It may also be helpful to buy shoes a half size larger if you plan on wearing custom orthotics or arch supports.

Your muscles may become stiff when you are constantly standing up. It is important to take breaks every hour to stretch and relax. One tip is to perform calf raises, because this exercise will help improve your circulation. To perform this stretch, you first need to stand on the edge of a step with your abdominal muscles pulled inward. You then need to grip the step with the balls of your feet with your heels hanging over the edge. Next, try to raise your heels above the step by a few inches while standing on your tiptoes; hold this pose for a second. You should then lower your heels back even to the platform. These calf raises should be done ten times for full effectiveness.

You should also take care of your feet while you are at home. One of the best ways to prepare your feet for a long day of work is to soak them in ice water. Doing so for 20 minutes will help fight the swelling and inflammation that results from being on your feet at work.

Nevertheless, if you are experiencing pain in your feet, you should seek help from your podiatrist. Your doctor will help treat any ailments you may have in addition to helping you prevent any other ailments from developing in the future.

Published in Featured
Tuesday, 28 November 2023 00:00

The Right Shoes for Restaurant Employees

In the bustling world of restaurant service, the right choice of footwear is not a style statement, it is a vital component of safety and comfort for employees who work on their feet for extended periods. Non-slip shoes top the list of essentials, offering stability on potentially slippery kitchen floors. These shoes, designed with slip-resistant soles, reduce the risk of accidents in fast-paced environments where spills are common. Comfort is equally important, considering the long hours spent standing and moving swiftly. Opting for shoes with adequate arch support and cushioning can alleviate foot fatigue and contribute to overall well-being. Additionally, shoes with closed toes provide an extra layer of protection against spills and falling objects. Prioritizing functionality over fashion ensures that restaurant employees can navigate their demanding work environments with confidence, focusing on delivering excellent service rather than wrestling with uncomfortable or unsafe footwear. If you are a restaurant employee and are seeking information about what type of shoes to wear, it is suggested that you speak with a podiatrist.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Dr. Jonathan Kletz from Texas Foot Works. Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

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.

Read more about How to Handle a Long Work Day on Your Feet
Published in Blog
Tuesday, 21 November 2023 00:00

Wound Care

Diabetics must be wary of all wounds, regardless of depth or size. Diabetes, a chronic disease in which the body cannot properly use glucose the way it normally would, causes various complications that make wounds difficult to heal. Nerve damage or neuropathy will cause diabetics to have trouble feeling the pain of a blister or cut until the condition has significantly worsened or become infected. A diabetic’s weakened immune system can make even the most minor of wounds easily susceptible to infection. Diabetics are also more prone to developing narrow, clogged arteries, and are therefore more likely to develop wounds.

Wounds should be taken care of immediately after discovery, as even the smallest of wounds can become infected if enough bacteria build up within the wound.  To remove dirt, wounds should be first rinsed under running water only. Soap, hydrogen peroxide, or iodine can irritate the injury and should be avoided. To prevent infection, apply antibiotic ointment to the wound and cover it with a bandage. The bandage should be changed daily. The skin around the wound may be cleaned with soap.

To prevent further exacerbation, see a doctor—especially if you have diabetes. Minor skin conditions can become larger problems if not properly inspected. As the wound heals, make sure to avoid applying pressure to the affected area.

Published in Featured
Tuesday, 21 November 2023 00:00

Managing Chronic Wounds

Chronic wounds on the lower legs, feet, and toes demand a specialized approach from podiatrists to ensure optimal healing. The process begins with cleaning of the wound and removing any debris. In cases of traumatic injury, a podiatrist may recommend a tetanus vaccination to prioritize your safety. This foot doctor may surgically remove dead skin and close wounds with stitches or staples. Dressing choices for chronic wounds are critical, often leaning toward moist dressings tailored to specific wound characteristics. Vigilant monitoring for signs of infection is a key responsibility, with prescribed antibiotics and antimicrobial dressings essential for effective control. A thorough review of patient medications and adjusting as needed, is essential for patient safety. Specific wounds like ulcers may require specialized treatments, including antibiotics or skin grafts. In cases where poor blood supply hampers healing, a podiatrist may recommend vascular surgery to improve circulation. If you are experiencing chronic foot wounds, it is suggested that you schedule an appointment with a podiatrist for a comprehensive treatment plan.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Dr. Jonathan Kletz from Texas Foot Works. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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.

Read more about Wound Care
Published in Blog
Tuesday, 14 November 2023 00:00

Neuropathy

Neuropathy is a condition in which the nerves in the body become damaged from a number of different illnesses. Nerves from any part of the body, including the foot, can be damaged. There are several forms of neuropathy including peripheral neuropathy, cranial neuropathy, focal neuropathy, and autonomic neuropathy. Furthermore there is also mononeuropathy and polyneuropathy. Mononeuropathies affect one nerve while polyneuropathies affect several nerves. Causes of neuropathy include physical injury, diseases, cancers, infections, diabetes, toxic substances, and disorders. It is peripheral neuropathy that affects the feet.

The symptoms of neuropathy vary greatly and can be minor such as numbness, sensation loss, prickling, and tingling sensations. More painful symptoms include throbbing, burning, freezing, and sharp pains. The most severe symptoms can be muscle weakness/paralysis, problems with coordination, and falling.

Podiatrists rely upon a full medical history and a neurological examination to diagnose peripheral neuropathy in the foot. More tests that may be used include nerve function tests to test nerve damage, blood tests to detect diabetes or vitamin deficiencies. Imaging tests, such as CT or MRI scans, might be used to look for abnormalities, and finally nerve or skin biopsies could also be taken.

Treatment depends upon the causes of neuropathy. If the neuropathy was caused by vitamin deficiency, diabetes, infection, or toxic substances, addressing those conditions can lead to the nerve healing and sensation returning to the area. However if the nerve has died, then sensation may never come back to the area. Pain medication may be prescribed for less serious symptoms. Topical creams may also be tried to bring back sensation. Electrical nerve stimulation may be used for a period of time to stimulate nerves. Physical therapy can strengthen muscle and improve movement. Finally surgery might be necessary if pressure on the nerve is causing the neuropathy.

If you are experiencing sensation loss, numbness, tingling, or burning sensations in your feet, you may be experiencing neuropathy. Be sure to talk to a podiatrist to be diagnosed right away.

Published in Featured
Tuesday, 14 November 2023 00:00

Causes of Nerve Pain in the Feet

When too much pressure is applied to a nerve in the foot, it can lead to a pinched nerve. This disrupts the nerve's normal function and causes a range of symptoms, including weakness, numbness, tingling sensations, and pain. Tarsal tunnel syndrome is a common condition that can result in a pinched nerve in the foot. The tarsal tunnel is a narrow passage in the ankle through which the tibial nerve runs, providing sensation to the bottom of the foot. When this nerve becomes compressed, it leads to tarsal tunnel syndrome and may cause a pinched nerve in the foot. Morton's neuroma is another condition that can lead to a pinched nerve in the foot. This condition involves the growth of a benign tumor on a nerve, often occurring between the third and fourth toes, just before the arch. Morton's neuroma results from the thickening of nerve tissue leading to the toes. It results in pain radiating from the ball of the foot to the ankle or toes and can cause numbness, cramping, or tingling sensations. People with Morton’s neuroma may feel a sensation of standing on a fold in a sock or having a pebble in the shoe. If you experience symptoms such as numbness, tingling, pain, or discomfort in your feet, it is suggested that you make an appointment with a podiatrist for an exam and a diagnosis.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Dr. Jonathan Kletz from Texas Foot Works. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

  • Numbness
  • Sensation loss
  • Prickling and tingling sensations
  • Throbbing, freezing, burning pains
  • Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

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.

Read more about Neuropathy
Published in Blog
Friday, 10 November 2023 00:00

Plantar Warts Can Be Treated!

Plantar warts are small growths that develop on parts of the feet that bear weight. They're typically found on the bottom of the foot. Don't live with plantar warts, and call us today!

Published in Blog
Tuesday, 07 November 2023 00:00

Flat Feet

Flatfoot is a condition that occurs when the arches on the foot are flattened, which allows the soles of the feet to touch the floor. Flatfoot is a common condition and it is usually painless.

Throughout childhood, most people begin to develop arches in their feet, however, some do not. Those who do not develop arches are left with flatfoot. The pain associated with flat feet is usually at its worse when engaging in activity. Another symptom that may occur with those who have this condition is swelling along the inside of the ankle.

It is also possible to have flexible flatfoot. Flexible flatfoot occurs when the arch is visible while sitting or standing on the tiptoes, but it disappears when standing. People who have flexible flatfoot are often children and most outgrow it without any problems.

There are some risk factors that may make you more likely to develop flatfoot. Those who have diabetes and rheumatoid arthritis have an increased risk of flatfoot development. Other factors include aging and obesity.

Diagnosis for flat feet is usually done by a series of tests by your podiatrist. Your podiatrist will typically try an x-ray, CT scan, ultrasound, or MRI on the feet. Treatment is usually not necessary for flat foot unless it causes pain. However, therapy is often used for those who experience pain in their flat feet. Some other suggested treatment options are arch supports, stretching exercises, and supportive shoes. 

Published in Featured
Tuesday, 07 November 2023 00:00

Types of Flat Feet

Flatfoot is characterized by the loss of the foot's arch, leading to an abducted forefoot and a hindfoot deformity. The two types of flat feet are flexible and rigid flatfoot. In flexible flatfoot, the arch appears when not bearing weight, but disappears when weight is applied. Conversely, in rigid flatfoot, the arch is consistently absent. Flexible flatfoot often appears in young children and may self-resolve. Its frequency in adults is unclear, due to frequent misdiagnosis. The disorder can be either congenital or developed over time. Flexible flatfoot results from ligament laxity, while adult-acquired flatfoot is attributed to posterior tibial tendon insufficiency, potentially caused by factors like obesity, neuropathy, or trauma. Rigid flatfoot results from bone irregularities or arthritis. A missing foot arch and deformities are noticeable upon examination. If you have flatfoot and it is causing you discomfort, it is suggested that you make an appointment with a podiatrist who can determine which type of flat foot you have, in addition to providing appropriate relief and treatment options.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Dr. Jonathan Kletz from Texas Foot Works. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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.

Read more about Flat Feet
Published in Blog
Connect with us
Leave Google Review for podiatrist Jonathan M. Kletz, DPM of Texas Foot Works

Podiatrist Jonathan M. Kletz, DPM of Facebook Foot Doctor Jonathan M. Kletz, DPM on Twitter Podiatry Bog of Texas