April 2022

The metatarsals are long bones in the foot that link the toes with the heel and arch. When these metatarsal bones are repeatedly stressed over time (as opposed to a sudden or acute injury), a stress fracture can occur. The second and third metatarsals are the most commonly injured, and can occur more frequently in military recruits, athletes and dancers who run and jump regularly. Metatarsal stress fractures can be caused by overtraining, long-distance running, having poor body mechanics or running form, pushing your body beyond your fitness level, or training with improper footwear or on hard surfaces. Having diabetes or certain forms of arthritis can also increase your risk factors, as can vitamin D or calcium deficiencies. Signs of a metatarsal fracture include pain in the metatarsal(s), as well as tenderness, or swelling in the area. If you have symptoms like these, it is suggested that you stop participating in physical activity until you can be examined and evaluated by a podiatrist. If you do have a metatarsal fracture, your podiatrist may treat it with rest, stretching and/or muscle strengthening exercises, icing, immobilization, casting, prescription footwear, and more.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact Abeer M. Foteh, DPM from Greater Houston Foot Centers. 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 our office located in Baytown, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

While complications of diabetes, such as poor circulation and neuropathy, can make a wound easier to develop and harder to detect and heal, there are many preventative measures you and your podiatrist can take to reduce your risk of amputation. On your end, make foot care a priority. Wear shoes and socks that fit well and don’t rub against any part of your feet or cut off circulation. Avoid walking barefoot. Elevate your feet and wiggle your toes frequently to keep the blood flowing. Eat a balanced diet and exercise to help manage your sugar levels and maintain a healthy body weight. Don’t smoke. Inspect your feet twice a day, using a mirror if needed, to see the bottom of your feet. Get to your podiatrist right away if you spot anything unusual. Early recognition/treatment of a problem can greatly reduce your risk of amputation. Some wounds may be avoided by getting regular foot screenings and having a podiatrist trim your toenails and treat any corns or calluses. They may also prescribe diabetic shoes and create custom orthotics to prevent foot injuries. If a wound does develop, your podiatrist can dress your wound appropriately, remove dead skin and tissue (debridement), reduce pressure and friction on the wound, and help restore adequate blood flow. They can also advise you on how to properly care for your wound at home. In cases where a higher level of wound care is necessary, your podiatrist may be able to use skin or bone grafts, or perform reconstructive surgery to replace or rebuild infected or necrotic bones, tendons and tissue.

Limb salvage can be an effective way in preventing the need for limb amputation. If you have diabetes, cancer, or any other condition that could lead to foot amputation if left unchecked, consult with Abeer M. Foteh, DPM from Greater Houston Foot Centers. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Limb Salvage?

Limb salvage is the attempt of saving a limb, such as the foot from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Diabetes is the number one cause of non-traumatic amputations in the United States. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.

However, there are other causes as well, such as cancer and traumatic injury. Links between higher mortality rates and amputation have been found. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.

Diagnosis and Treatment

Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated. 

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

There are a number of causes for pain in the ball of the foot, known medically as metatarsalgia.  Common causes of metatarsalgia include wearing shoes that are too tight, wearing high heels, and overexercising. Deformities that may cause this condition include high arches, hammertoes, or stress fractures. Different symptoms also may indicate other causes.  For example, pain, swelling and bruising after activity may be from a sprained metatarsal (a long bone that connects the toe to the heel).  A sharp pain between the toes and the ball of the foot may be the result of Morton’s neuroma.  Arthritis can be indicated by a dull aching pain, and a hard bony lump on the big toe may be caused by a bunion. If you are experiencing pain in the ball of the foot that interferes with daily activities, it is suggested that you see a podiatrist as soon as possible for a diagnosis of the problem and options for treatment.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Abeer M. Foteh, DPM from Greater Houston Foot Centers. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This 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

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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

Swelling in the extremities, such as the lower legs, ankles and feet, is called peripheral edema. This buildup of fluids becomes more common as you get older, partially because of gravity, but also from reduced circulation or a more sedentary lifestyle. It also may be the result of standing or walking for long periods of time, or being overweight. Further, certain medications, such as anti inflammatories, antidepressants, and steroids, may cause water retention. Sometimes, just by keeping your legs elevated when lying down, increasing exercise and other activity, losing weight and reducing salt intake, the swelling can be reduced. However, edema may also be a signal of other, more serious conditions, including blood clots, injury, or infection. If swelling in the feet and ankles continues or worsens, it is a good idea to make an appointment with a podiatrist who can properly diagnose the problem and suggest treatment options.

Everyday foot care is very important to prevent infection and other foot ailments. If you need your feet checked, contact Abeer M. Foteh, DPM from Greater Houston Foot Centers. Our doctor can provide the care you need to keep you pain-free and on your feet.

Everyday Foot Care

Often, people take care of their bodies, face and hair more so than they do for their feet. But the feet are a very important aspect of our bodies, and one that we should pay more attention to. Without our feet, we would not be able to perform most daily tasks.

It is best to check your feet regularly to make sure there are no new bruises or cuts that you may not have noticed before. For dry feet, moisturizer can easily be a remedy and can be applied as often as necessary to the affected areas. Wearing shoes that fit well can also help you maintain good foot health, as well as making it easier to walk and do daily activities without the stress or pain of ill-fitting shoes, high heels, or even flip flops. Wearing clean socks with closed shoes is important to ensure that sweat and bacteria do not accumulate within the shoe. Clean socks help to prevent Athlete’s foot, fungi problems, bad odors, and can absorb sweat.

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