A Lisfranc injury affects the middle of the foot, where bones and ligaments connect the forefoot with the midfoot. This injury can range from a stretched ligament to a fracture or joint displacement. Symptoms include midfoot pain, swelling, and difficulty putting weight on the foot. Bruising on the bottom of the foot can be a warning sign. Because Lisfranc injuries can resemble a sprain, evaluation is important after injury.

A Lisfranc injury may occur when the foot twists while the body moves in another direction. Falls, car crashes, and sports injuries can create enough force to damage the Lisfranc joint complex. Risk increases with activities or trauma. Injuries are subtle and may seem manageable. Without treatment, an injury can lead to chronic pain, arthritis, or foot deformity. A podiatrist may use an examination and X-rays to evaluate for alignment. An MRI or CT scan may be recommended when the injury is difficult to see.

Lisfranc surgery may be needed when the joint is unstable, bones are displaced, or the injury cannot be maintained in proper alignment without fixation. During surgery, the podiatrist or foot and ankle surgeon realigns the bones. Screws, plates, or fixation devices may be used to hold the joints in position while they heal. The approach depends on the fracture pattern and joint damage. Some patients may require fusion when joints are damaged or cannot be restored reliably.

After treatment, protecting the foot is important for healing. Your podiatrist may recommend immobilization and restricted weight-bearing during recovery. Follow-up appointments and imaging tests can help confirm that the bones and joints remain aligned. As healing progresses, your podiatrist can guide a return to activities and footwear. Treatment can help protect foot function and reduce complications. If you have sustained a Lisfranc fracture, it is suggested that you consult a podiatrist who can determine if this type of foot surgery is right for you. 

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact one of our podiatrists of Advanced Foot & Ankle Associates, PLLC. Our doctors will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions, please feel free to contact one of our offices located in Lake Worth and Aledo/Willow Park, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Diabetes is a metabolic disorder that affects how the body uses blood sugar for energy. When blood sugar remains too high, it can gradually affect nerves and blood vessels throughout the body. The feet can be especially vulnerable because reduced sensation and poor circulation may make injuries harder to notice and heal. A small blister, cut, or sore can become a serious foot problem when it goes untreated. Learning how diabetes affects the feet can help you protect your comfort, mobility, and overall foot health.

Diabetes may damage nerves, a condition called diabetic neuropathy. This can cause numbness, tingling, or reduced feeling in the feet. High blood sugar can also affect blood vessels and reduce blood flow. When circulation is poor, the feet may not receive enough oxygen and nutrients needed for healing. Risk factors include uncontrolled blood sugar, smoking, and a history of foot problems. Regular medical care and good blood sugar management can help lower the risk of complications.

Daily foot care is an important part of living with diabetes. Check both feet every day for cuts, blisters, or changes in the skin. Wash your feet with warm water and mild soap, then dry them carefully. Choose comfortable shoes that fit well, and avoid walking barefoot. Regular exercise can support healthy blood flow to the feet, while avoiding smoking can further protect circulation. If you notice a wound or unusual change, do not ignore it or wait for it to improve.

A podiatrist can help prevent and manage diabetes-related foot problems. During an examination, the podiatrist may check sensation, circulation, and areas of pressure. If a wound is present, treatment by a podiatrist may include cleaning, debridement, and infection management. The podiatrist may also recommend diabetic footwear or other protective measures. If you have diabetes and have developed foot problems,  it is strongly suggested that you are under the care of a podiatrist who can help you to manage this serious condition.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact one of our podiatrists from Advanced Foot & Ankle Associates, PLLC. Our doctors can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

If you have any questions, please feel free to contact one of our offices located in Lake Worth and Aledo/Willow Park, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A foot stress fracture is a small crack in a bone caused by repeated stress. It is often called a hairline fracture because the crack can be narrow. Stress fractures often affect the long bones of the feet, called metatarsals. Symptoms include pain, swelling, and bruising. Pain often becomes worse during walking or exercise, and may improve with rest. As the injury progresses, discomfort can occur during activities.

Several factors can increase the risk of developing a foot stress fracture. Running, jumping, and repetitive activities place repeated force on bones. Suddenly increasing exercise intensity can give bones too little time to adapt. Wearing poorly supportive footwear may add stress to the feet. Low bone density, nutritional deficiencies, and previous stress fractures can further increase risk. Changes in foot structure may also create uneven pressure while walking.

A podiatrist will examine the foot and ask when the pain started and what activities make it worse. The examination may include checking for tenderness, swelling, and pain over a specific bone. X-rays may be used, although early stress fractures do not always appear on initial images. Additional imaging tests may be recommended when needed. Treatment focuses on protecting the bone and limiting activities that increase pain. A walking boot or other type of support may be recommended while healing occurs. The podiatrist will monitor progress and guide return to normal activity.

Ignoring a foot stress fracture can allow the crack to become larger and harder to heal. Continuing high-impact activity may prolong recovery. Rest and following your podiatrist's recommendations can help protect the injured bone. Seek care if foot pain persists, especially when swelling, tenderness, or bruising develops without a clear injury. If you have developed a foot stress fracture, it is suggested that you promptly consult a podiatrist who can accurately diagnose and effectively treat this condition.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact one of our podiatrists from Advanced Foot & Ankle Associates, PLLC. Our doctors can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

• Runners                                
• People affected with Osteoporosis
• Tennis or basketball players
• Gymnasts
• High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

If you have any questions please contact one of our offices located in Lake Worth and Aledo/Willow Park, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Cracked heels develop when the skin surrounding the heel becomes dry and begins to split. Shallow cracks can affect only the outer layer of skin and cause little discomfort. Deeper cracks can become painful and sometimes bleed. Dry skin is an important factor because skin that lacks moisture is less flexible and more likely to split under pressure. Aging can contribute because the skin loses moisture more easily as people get older. Athlete’s foot and eczema can also cause dry or irritated skin that increases the chance of heel cracking.

Certain vitamin deficiencies have also been linked with dry, cracked skin. Vitamin E helps protect skin cells and supports healthy skin. Vitamin B-3, also called niacin, helps the body turn food into energy and supports skin health. Severe vitamin B-3 deficiency can cause dry, scaly skin. Vitamin C supports collagen production, which helps give skin structure and strength. A serious vitamin C deficiency can contribute to dry skin and slow wound healing. However, deficiencies of these vitamins are considered rare in developed countries, so cracked heels do not necessarily indicate a nutritional problem.

A podiatrist can examine cracked heels and determine whether another foot or skin problem is contributing to the condition. An evaluation is especially important when cracks are deep, painful, or bleeding. Patients with diabetes or nerve damage should also have cracked heels evaluated because foot wounds can become more serious. A podiatrist can remove thickened skin safely and recommend treatment to protect damaged areas. Care can also address fungal infections or other conditions affecting the skin. Proper treatment can reduce discomfort and help protect the heels from further damage. If you have developed cracked heels, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment, which may include prescribed medication.

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact one of our podiatrists from Advanced Foot & Ankle Associates, PLLC. Our doctors can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin. 

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed. 

If you have any questions, please feel free to contact one of our offices located in Lake Worth and Aledo/Willow Park, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.