Exploring the Bones and Muscles Within Our Feet

Exploring the Bones and Muscles Within Our Feet

The human foot is a remarkable structure, consisting of a complex interplay of bones and muscles that enable us to walk, run, and maintain our balance. Understanding the intricate anatomy of our feet is essential to appreciate their vital role in our daily lives. At the core of the foot's structure are 26 bones, accounting for approximately one-quarter of the bones in the body. These bones are categorized into three groups that are known as the tarsal bones in the rearfoot, the metatarsal bones in the midfoot, and the phalanges in the toes. They work in harmony, forming arches and joints that provide flexibility and support. Complementing this skeletal framework are over 100 muscles, tendons, and ligaments. These intricate networks of tissues are responsible for the precise movements of our feet, enabling us to shift our weight, maintain balance, and perform various tasks with finesse. From the powerful calf muscles that control plantarflexion to the intrinsic muscles of the feet that fine-tune our movements, this symphony of bones and muscles ensures that our feet are not just sturdy and resilient but also incredibly versatile. It is enlightening to pause for a moment as a step is taken, which may help to appreciate the intricate biomechanics at play within your feet, allowing you to navigate the world with grace and ease. It is suggested that you consult a podiatrist who can provide you with interesting facts about foot structure.

If you have any concerns about your feet, contact Frank Henry, DPM from Marble Falls, TX. 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 our office located in Marble Falls, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Morton's Neuroma

A neuroma is a thickening of nerve tissue and can develop throughout the body.  In the foot, the most common neuroma is a Morton’s neuroma; this typically forms between the third and fourth toes.  The thickening of the nerve is typically caused by compression and irritation of the nerve; this thickening can in turn cause enlargement and, in some cases, nerve damage.

Neuromas can be caused by anything that causes compression or irritation of the nerve.  A common cause is wearing shoes with tapered toe boxes or high heels that force the toes into the toe boxes.  Physical activities that involve repeated pressure to the foot, such as running or basketball, can also create neuromas.  Those with foot deformities, such as bunions, hammertoes, or flatfeet, are more likely to develop the condition.

Symptoms of Morton’s neuroma include tingling, burning, numbness, pain, and the feeling that either something is inside the ball of the foot or that something in one’s shoe or sock is bunched up.  Symptoms typically begin gradually and can even go away temporarily by removing one’s shoes or massaging the foot.  An increase in the intensity of symptoms correlates with the increasing growth of the neuroma.

Treatment for Morton’s neuroma can vary between patients and the severity of the condition.  For mild to moderate cases, padding, icing, orthotics, activity modifications, shoe modifications, medications, and injection therapy may be suggested or prescribed.  Patients who have not responded successfully to less invasive treatments may require surgery to properly treat their condition.  The severity of your condition will determine the procedure performed and the length of recovery afterwards.

Surgery for Morton’s Neuroma

Surgery for Morton’s Neuroma

Morton's neuroma is a condition affecting the plantar digital nerve and is common in middle-aged women. Surgical excision is recommended when conservative treatments fail. Various surgical approaches exist, with dorsal and plantar accesses being the most common. Regenerative surgery uses platelet-rich plasma, or PRP, for complications arising from Morton's neuroma surgery. PRP is derived from the patient's own blood. It contains growth factors that aid in tissue healing. Hyaluronic acid acts as a platform for PRP, promoting tissue regeneration and reducing healing time. The combinations of these things offer a valuable technique that promotes complete wound healing, with satisfactory aesthetic and functional outcomes. If you have a Morton’s neuroma that requires surgical intervention, it is suggested that you make an appointment with a podiatrist to discuss whether PRP and HA can be used in the surgery to help with recovery.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Frank Henry, DPM of Marble Falls, TX. 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 our office located in Marble Falls, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Reminder: When Was the Last Time...?

Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Foot Orthotics

Orthotics are shoe inserts that are meant to correct an irregular walking gait or provide cushioning to the feet.  Orthotics come in a variety of different models and sizes, including over-the-counter and customizable variants. Customizable orthotics can be shaped and contoured to fit inside a specific shoe and are typically prescribed through a podiatrist who specializes in customized footwear and orthotics design and management.

Orthotics are beneficial because they can help prevent injuries from occurring and provide cushioning to keep pain levels down to a minimum. They also allow for the correct positioning of the feet. Orthotics can act as shock absorbers to help remove pressure from the foot and ankle. Therefore, orthotics can make bodily movements, such as walking and running, become more comfortable as well as help prevent the development of certain foot conditions.

Orthotics alleviate pain and make the foot more comfortable by slightly altering the angle at which the foot strikes the ground surface, therefore controlling the movement of the foot and ankle. Orthotics come in different variants and can be made of various materials. To determine what type of orthotic is most suited to your feet and your needs, it is best to consult your podiatrist. He or she will be able to recommend a type of orthotic that can help improve your foot function or prescribe a custom orthotic to best fit your feet.  

Enhance Sports Performance With Custom Orthotics

Enhance Sports Performance With Custom Orthotics

Custom orthotics provide numerous advantages for athletes, which can profoundly impact their performance and physical well-being. These specialized insoles are tailored to the individual's unique foot structure and biomechanics, offering a precise fit that cannot be achieved with off-the-shelf alternatives. One of the primary benefits of custom orthotics is foot and ankle pain reduction. They distribute weight evenly, align bones and muscles, and alleviate stress on sensitive or injured areas. Moreover, custom orthotics promote enhanced athletic performance by ensuring proper foot alignment, preventing muscle overcompensation, and absorbing shock during physical activities. This not only aids endurance but also supports the knees, hips, and back. Furthermore, these personalized inserts significantly lower the risk of sports-related injuries by addressing specific biomechanical issues and providing tailored support. If you are an athlete seeking to improve your comfort and performance, it is suggested that you make an appointment with a podiatrist to discuss whether custom orthotics can help you.

If you are having discomfort in your feet and would like to try orthotics, contact Frank Henry, DPM from Marble Falls, TX. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

If you have any questions please contact our office located in Marble Falls, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Shockwave Therapy

Extracorporeal Shockwave Therapy (ESWT) is an alternative treatment method that is used for bone and soft tissue disorders in the foot and ankle. EWST is a noninvasive option for pain relief and it was originally created to help dissolve kidney stones. This therapy works by focusing impulses to target the area in pain. This method has been proven to show a reduction in the amount of nerve fibers that transmit painful impulses, which leads to a reduction in pain. Shockwave therapy can also expedite the tissue which would, in turn, increase the amount of new blood vessels that are formed.

Conditions that can be treated with shockwave therapy include Achilles pain and heel pain. People with plantar fasciitis may opt for this therapy and the results are usually great after 18 months. Additionally, this method can also be used to treat fractures that have failed to heal correctly. Anesthesia is not required to perform this treatment. It usually is not painful, but it can be uncomfortable.

The duration of treatment sessions usually lasts 5-15 minutes each. This procedure is safe since there is no risk of infection from wound complications, if you are looking to try shockwave therapy to heal plantar fasciitis, it may take 3-4 sessions to start working. After treatment, patients typically notice a dull pain in the area which was treated. However, this pain rarely lasts more than 24 hours.

Nevertheless, there are pros and cons that come along with Shockwave Therapy. The most obvious pro is that this treatment is noninvasive, meaning surgery will not be required. Another upside is that there have been very little complications that have been found with this procedure. On the other hand, those who opt for surgery are at risk for continued pain, wound problems, and infections. The biggest con for ESWT is that it is very expensive; it typically costs around $1,000 before insurance. Another con is that the effectiveness of the treatment is questionable. Usually, if this treatment is helpful, the difference is small.

If you are curious about Shockwave Therapy, you should talk to your podiatrist to see if this treatment method is right for you. At times, patients will find that there are other treatment options that are more efficient for their individual cases.

Shockwave Therapy as an Alternative to Foot Surgery

Shockwave Therapy as an Alternative to Foot Surgery

Shockwave therapy is a potential treatment for chronic foot pain problems, including plantar fasciitis and calcific tendonitis. It uses shockwaves delivered to the body to stimulate healing in affected tissues. There are high-energy and low-energy forms of this therapy. Low-energy shockwave treatment involves a series of sessions that are not very painful. In contrast, high-energy shockwave treatment is typically done in one session and can be quite painful, often requiring anesthesia. This therapy induces microtrauma to the affected tissue, triggering a healing response, increased blood vessel formation, and nutrient delivery to the area. It can relieve pain and promote tissue repair. Shockwave therapy is noninvasive, making it an attractive option for more challenging conditions. There are studies that support its effectiveness, particularly for calcific tendonitis and plantar fasciitis, with minimal reported complications. While more conservative measures may be tried first, it is considered a safe alternative to surgery for patients with chronic plantar fasciitis who have not responded to standard treatments. If you are at a point where more traditional treatments have not relieved pain from chronic foot conditions and surgery is being considered, it is suggested that you make an appointment with a podiatrist to discuss whether shockwave therapy might be a possible alternative for you.

Shockwave therapy is a treatment commonly used to treat various injuries and conditions, particularly plantar fasciitis in the feet. To learn more, consult with Frank Henry, DPM from Marble Falls, TX. Our doctor can provide the care you need to keep you pain-free and on your feet.

Shockwave Therapy

Shockwave therapy is a new treatment option designed to treat bone conditions such as tennis elbow, shoulder pain, and others. Shockwave therapy uses high intensity sound waves that are directed to the affected tissues of the body with pinpoint accuracy. The effects are very beneficial, leading to a production of collagen fibers, eliminating inflammation.

Who Benefits from Shockwave?

Shockwave is recommended for patients suffering from heel pain and associated problems. Heel pain is a common condition which can be caused by obesity, overexertion, and spending a substantial amount of time on hard floors with your feet exposed and unsupported.

Fast and Easy

The therapy is actually a simple process that can leave patients feeling better the very next day. Shockwave therapy is not as dramatic as it sounds. It enables more blood flow to effected areas, addressing the source of the problem and allowing treatment to last for a long time.

Treatment & Recovery Time

Shockwave treatment will enable your feet to recover quickly. This is especially important since surgery is not required. It is cost effective and does not require the use of anesthesia. This treatment is a better option to surgery, since it is proven safe.

If you have any questions, please feel free to contact our office located in Marble Falls, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Shockwave Therapy

How Obesity Affects Your Feet

Gaining weight can happen suddenly and at any time. Usually you won’t notice the extra weight until your feet start hurting at the end of the day. This happens as your feet begin adjusting to carrying more weight. Foot swelling and pain are two of the biggest side effects of having gained weight.

Many foot-related problems can occur even after just putting on a few pounds. This includes the body ‘compensating’ by changing the way it moves. You may find yourself putting extra weight on the wrong parts of your feet and even leaning forward a bit. Your feet were designed to carry a healthy, normal body weight. Extra weight places undue stress on them.

Being overweight often causes the development of Type-2 diabetes, causing leg and foot pain. Older people who do not attempt to control their condition can even lose sensation and feeling in their legs and feet. This can lead to the development of small sores that can lead to serious infection.

Extra stress placed on the joints, tendons and muscles in the feet as a result of extra body weight may also cause heel spurs, or plantar fasciitis. Plantar fasciitis is an inflammation of the foot tissue, causing stiffness and pain when walking and climbing stairs. This can usually be relieved by foot stretches and custom made orthotic shoe-inserts.

Problems in the feet triggered by obesity can be treated by paying special attention to footwear. Proper support shoes that allow for good circulation, especially in the arch and ankle, are vital. A podiatrist can help you find what sort of shoe is most suitable for your feet. They can also measure you for special orthotics if necessary.

It could also be high time to start losing weight in order to treat and prevent diabetes as well as other life threatening diseases. Some methods include yoga and water aerobics, which benefit your entire body without placing stress on your feet. Don’t risk losing your feet by losing interest in them. Take care of your feet and your body, as they deserve the very best.

Obesity, Diabetes, and Foot Conditions

Obesity, Diabetes, and Foot Conditions

Diabetes affects many people and may cause health conditions like foot ulcers to develop. If left untreated, foot ulcers can become gangrenous and in severe cases, lead to amputation. Type 2, or adult-onset, diabetes, is often linked to obesity and lifestyle factors. Obese individuals with diabetes are more apt to find it challenging to maintain healthy lifestyles, including proper eating and exercise, and may need assistance. In addition to the psychological distress this condition causes, it can also severely impact one’s overall health. If you are obese or have diabetes, and it is affecting your feet, it is strongly suggested that you make an appointment with a podiatrist as soon as possible to get the care and support needed to maintain your health.

Obesity has become very problematic at this point in time and can have extremely negative effects on the feet. If you’re an obese individual and are concerned about your feet, contact Frank Henry, DPM from Marble Falls, TX. Our doctor can provide the care you need to keep you pain-free and on your feet.

Obesity and Your Feet

Since your feet are what support your entire weight when standing, any additional weight can result in pain and swelling. Being overweight is one of the main contributors to foot complications.

Problems & Complications

Extra Weight – Even putting on just a few extra pounds could create serious complications for your feet. As your weight increases, your balance and body will shift, creating new stresses on your feet. This uneven weight distribution can cause pain, even while doing the simplest tasks, such as walking.

Diabetes – People who are overweight are at serious risk of developing type-2 diabetes, which has a drastic impact on the health of your feet. As you get older, your diabetes might worsen, which could lead to loss of feeling in your feet, sores, and bruises. You could also become more prone to various infections.

Plantar fasciitis – Pressure and stress that is placed on muscles, joints, and tendons can trigger plantar fasciitis, which is an inflammation of tissue that forms along the bottom of the foot. 

If you have any questions please feel free to contact our office located in Marble Falls, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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