Peripheral neuropathy occurs when nerves outside the brain and spinal cord become damaged. In the feet, it can change how a person feels touch, pain, and temperature. Symptoms include numbness, tingling, and burning pain. Some patients also notice unusual sensitivity or a feeling that they are walking on a pebble or bunched-up sock. Weak foot muscles can affect balance and increase the risk of falling. Because numbness can hide a cut or blister, a small injury may worsen before the patient notices it.

Diabetes is a leading cause of peripheral neuropathy, especially when blood sugar is not well controlled. Other causes include vitamin deficiencies, nerve pressure, and certain illnesses. Injury and heavy alcohol use can also damage nerves. A podiatrist can review the patient's health history and perform a careful foot examination. Testing can check sensation, muscle strength, and reflexes. The podiatrist can also examine circulation and check for skin damage. Further testing may be needed to identify why the nerves are not working properly. This helps guide care and protect the feet from injury.

Podiatric care focuses on protecting the feet, improving stability, and preventing serious problems. A podiatrist can treat corns, calluses, or wounds that place the skin at risk. Regular nail and skin care can reduce the chance of injury, especially when patients cannot feel their feet clearly. Custom orthotics can improve pressure distribution and make the feet more stable while walking. The podiatrist can also recommend properly-fitted shoes with enough depth and cushioning. When a wound is present, care includes pressure relief, infection control, and close monitoring. Severe infections can threaten the health of the foot, and, in advanced cases, may lead to limb loss. Routine examinations allow the podiatrist to track changes in sensation and spot problems before they become more serious. If you have symptoms of peripheral neuropathy, it is suggested that you schedule an appointment with a podiatrist for effective relief and management tips. 

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 Neeta Hasmukh, DPM from Total Podiatry. 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 our offices located in San Antonio and Uvalde, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Foot and ankle trauma can happen in a fall, sports mishap, or auto accident. During a crash, most people tense and brace for impact. The feet and ankles can absorb force from the collision and body weight. Each foot has 26 bones, plus joints, muscles, and soft tissues that support balance and movement. Damage to these structures can make standing or walking painful. Warning signs include pain, swelling, and changes in the foot’s shape. Numbness, weakness, or skin-color changes deserve attention because some injuries can worsen quickly.

Serious trauma can affect several areas of the foot. For instance, the force of an auto accident can injure the toes, middle foot, or heel when loose objects strike or crush the foot. The damage can involve puncture wounds, soft-tissue injuries, or broken and dislocated bones. A Lisfranc injury affects bones or joints in the middle of the foot and can cause lasting pain or poor balance when untreated. A heel bone fracture can happen when a strong impact crushes or breaks the heel. These problems can limit mobility and raise the risk of arthritis, infection, or an abnormal walking pattern.

A podiatrist can examine the injured area and check circulation and nerve function. X-rays and other imaging is ordered to find the type and severity of damage. Treatment options include a cast, a special boot, or supportive shoes. Some fractures, crushed bones, and severe joint injuries require surgery to restore alignment and stability. Early care can help protect movement and reduce the chance of long-term pain. Do not delay an evaluation because swelling or pain seems manageable at first. If you have foot or ankle trauma from a fall or accident, it is suggested that you promptly schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Foot and ankle trauma is common among athletes and the elderly. If you have concerns that you may have experienced trauma to the foot and ankle, consult with Neeta Hasmukh, DPM from Total Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Foot and ankle trauma cover a range of injuries all over the foot; common injuries include:

• Broken bones
• Muscle strains
• Injuries to the tendons and ligaments
• Stress fractures

Symptoms

Symptoms of foot and ankle injuries vary depending on the injury, but more common ones include:

• Bruising
• Inflammation/ Swelling
• Pain

Diagnosis

To properly diagnose the exact type of injury, podiatrists will conduct a number of different tests. Some of these include sensation and visual tests, X-rays, and MRIs. Medical and family histories will also be taken into account.

Treatment

Once the injury has been diagnosed, the podiatrist can than offer the best treatment options for you. In less severe cases, rest and keeping pressure off the foot may be all that’s necessary. Orthotics, such as a specially made shoes, or immobilization devices, like splints or casts, may be deemed necessary. Finally, if the injury is severe enough, surgery may be necessary.

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

Cracked heels develop when the skin around the heel becomes very dry, thick, and less flexible. As the skin loses moisture, it can split and form painful cracks. These cracks can become deeper when pressure is placed on the heel while walking or standing. Dry weather can contribute to cracked skin, but other factors can also play a role. Open-heeled shoes, shoes that do not fit properly, and certain health conditions can increase the risk. Severe cracks can become sore and allow germs to enter the skin. A podiatrist can examine the heels and determine why the skin is cracking.

A podiatrist can evaluate the condition of the skin and look for signs that the cracks are deeper or becoming irritated. Professional care can include removing thickened skin from the heel and recommending appropriate products to improve the skin’s condition. A podiatrist can also assess how pressure is placed on the heel when walking and determine whether foot structure or footwear is contributing to the problem. If cracked heels are linked to an underlying health condition, the podiatrist can consider that factor when developing a treatment plan. Severe or persistent cracks deserve professional attention because damaged skin can be more vulnerable to infection.

Cracked heels can cause pain, tenderness, and difficulty walking when the splits become deep. A podiatrist can monitor the affected skin and help manage problems that interfere with normal foot function. Professional treatment can also focus on protecting the heel while the skin heals and addressing factors that contribute to repeated cracking. Patients with severe cracks or symptoms that do not improve should have the area evaluated. A podiatrist can determine whether additional treatment is appropriate and check for signs of infection or another condition affecting the skin. If you have symptoms of cracked heels, it is suggested that you make an appointment with a podiatrist for diagnosis and treatment.

If the skin on your feet starts to crack, you may want to see a podiatrist to find treatment. If you have any concerns, contact Neeta Hasmukh, DPM from Total Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

It is important to moisturize your cracked heels in order to prevent pain, bleeding, and infection. The reason cracked heels form is because the skin on the foot is too dry to support the immense pressure placed on them. When the foot expands, the dry skin on the foot begins to split.

Ways to Help Heal Them

• Invest in a good foot cream
• Try Using Petroleum Jelly
• Ease up on Soaps
• Drink Plenty of Water

Ways to Prevent Cracked Heels

• Moisturize After Showering
• Skip a Shower
• Keep Shower Water Lukewarm
• Don’t Scrub Your Feet

If you are unsure how to proceed in treating cracked heels, seek guidance from a podiatrist. Your doctor will help you with any questions or information you may need. 

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

Hammertoe is a toe deformity that causes one of the smaller toes to remain bent instead of lying flat. It usually affects the second, third, or fourth toe. The abnormal bend can create pressure where the toe rubs against a shoe. Corns can form on top of the toe, while calluses can develop near its tip. Pain while walking can become more noticeable as the deformity progresses. Some patients also have other foot changes, including high arches or a bunion.

Several factors can contribute to hammertoe.  wearing shoes that are too tight in the toe box can squeeze the toes into a bent position. High-heeled shoes can also increase pressure on the front of the foot. In some patients, the structure of the foot or an imbalance in the muscles and tendons contributes to the deformity. A hammertoe can remain flexible in its early stages, meaning the toe can still be straightened. As the condition progresses, the joint can become stiff and remain fixed in a bent position.

A podiatrist can examine the affected toe and determine whether the deformity is flexible or rigid. X-rays can show which joints are involved and whether other changes are present. Treatment for a flexible hammertoe can include padding, splints, or prescription orthotics. A podiatrist can also recommend properly-fitting shoes with enough room in the toe box to reduce pressure. When the toe becomes rigid and painful, surgery can be considered to straighten it and improve function. Treatment depends on the severity of the bend, the amount of stiffness, and other foot problems. Early evaluation can help address painful pressure points before they become more difficult to manage. If you have developed a hammertoe,  it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Neeta Hasmukh, DPM from Total Podiatry. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

• Pain in the affected toes
• Development of corns or calluses due to friction
• Inflammation
• Redness
• Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

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