Plantar warts are skin growths that develop on the soles of the feet. They are caused by certain types of human papillomavirus, or HPV. The virus enters through tiny cuts or weakened areas in the skin. Plantar warts, also known as verrucas, can appear alone or in a cluster, called a mosaic wart. Because pressure from standing pushes the growth inward, it usually looks flat rather than raised. Signs include a rough patch, tiny black dots, and thickened skin. The black dots are small blood vessels, not dirt. A wart on a weight-bearing area can cause sharp pain or tenderness when walking.

Plantar warts spread through direct contact with HPV or surfaces carrying the virus. Damp floors in locker rooms, public showers, and pool areas create settings where exposure can occur. Infection is more likely when the skin is wet, cracked, or scraped. The virus can also move to another part of the foot when a wart is scratched or picked. Not every rough spot is a wart. Corns, calluses, and other skin growths can look similar. A podiatrist can examine the area, trim away a small amount of thick skin, and check for signs that confirm the diagnosis. This evaluation is especially important if the growth bleeds, changes appearance, or causes persistent pain.

Treatment depends on the wart’s size, depth, and location. The podiatrist also considers how it affects daily activity. Office care includes carefully applied chemical treatments or cryotherapy, which freezes affected tissue. Stubborn warts can require repeated visits because the virus can remain in nearby skin. A podiatrist can reduce thick skin, ease pressure, and protect painful areas with padding or off-loading devices. Treatment requires extra care for patients with diabetes, poor circulation, or reduced feeling in the feet. Follow-up visits help track healing and address returning growths. If you have developed a planter wart, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Plantar warts can be very uncomfortable. If you need your feet checked, contact Neeta Hasmukh, DPM from Total Podiatry. Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

• Lesions on the bottom of your feet, usually rough and grainy
• Hard or thick callused spots
• Wart seeds, which are small clotted blood vessels that look like little black spots
• Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

• Freezing
• Electric tool removal
• Laser Treatment
• Topical Creams (prescription only)
• Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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.

Big toe pain can interfere with walking, balance, and daily activities. The big toe joint, also known as the first metatarsophalangeal joint, plays a major role in movement because body weight is transferred through this area with each step. This constant pressure makes the joint more vulnerable to strain and injury. Once damaged, the big toe can take a long time to heal due to its frequent use and limited ability to rest during normal activity.

Symptoms of big toe pain may include stiffness, swelling, and tenderness surrounding the joint. Some individuals experience sharp pain during movement, while others notice a dull ache that worsens with walking or standing. Reduced range of motion can make it difficult to bend the toe, and in some cases, visible deformities may develop. Pain may be mild at first, but can progress if the underlying cause is not addressed. Early attention to symptoms can help prevent long term complications.

There are several common causes of big toe pain. Arthritis can lead to joint inflammation and cartilage breakdown, resulting in stiffness and discomfort. Bunions, which are bony bumps that form at the base of the big toe, can shift the joint out of alignment and create pressure. Ingrown toenails can also cause localized pain, especially when the nail grows into the surrounding skin. Injuries, repetitive stress, and wearing improper footwear may further contribute to irritation in this area.

Risk factors for big toe pain include aging, excess body weight, and activities that place repeated stress on the foot. Wearing tight or ill-fitting shoes can increase pressure on the joint and worsen symptoms. Certain foot structures, such as flat feet or high arches, may also affect how weight is distributed. Managing these factors can support joint health and reduce discomfort. If you have big toe pain, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

Toe pain can disrupt your daily activities. If you have any concerns, contact Neeta Hasmukh, DPM of Total Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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

Gout in the ankle is a joint condition that develops when uric acid crystals accumulate and cause inflammation. Although it is less commonly discussed than gout in the big toe, ankle involvement can be just as painful and limiting. The condition may take time to develop, but often presents as a sudden and intense flare-up. This type of arthritis can affect mobility and make routine activities more challenging if not addressed early.

Common symptoms of ankle gout include swelling, tenderness, and stiffness surrounding the joint. The ankle may feel warm and appear red, with discomfort that worsens during movement or weight bearing. Limited range of motion can make it difficult to walk or complete everyday tasks. Some individuals report sudden pain that begins at night and intensifies quickly. These symptoms can interfere with sleep and overall quality of life.

The causes of gout in the ankle are linked to elevated uric acid levels in the body. Consuming high purine foods, drinking excess alcohol, and having reduced kidney function can contribute to this buildup. Gout is more frequently seen in men, while women may develop it after menopause due to hormonal changes. Other risk factors include obesity, metabolic conditions, and a family history of gout. These can increase the likelihood of crystal formation and joint inflammation.

Diagnosis often involves clinical evaluation along with imaging scans to rule out fractures or other joint disorders. Managing ankle gout includes controlling uric acid levels and reducing inflammation through lifestyle adjustments and medical treatment. A podiatrist can provide guidance on symptom management and long-term prevention. If you have signs of gout in the ankle, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this painful condition. 

Gout is a painful condition that can be treated. If you are seeking treatment, contact Neeta Hasmukh, DPM from Total Podiatry. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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.

Heel pain can make every step uncomfortable and interfere with work, exercise, and daily activities. The discomfort sometimes begins gradually, but it can also start after an injury. Pain near the bottom of the heel frequently points to plantar fasciitis. This results from repetitive stress of the strong band of tissue that supports the arch. Pain at the back of the heel can result from Achilles tendonitis or bursitis. A sudden injury with severe pain, swelling, or a popping sound can signal a heel fracture or a torn Achilles tendon. Because several conditions produce similar symptoms, an exam by a podiatrist is important before treatment begins.

This foot doctor starts by reviewing symptoms, daily activities, and recent injuries. The foot and ankle are examined to identify any swelling, tenderness, or changes in movement. Imaging tests, like X-rays or ultrasound, help confirm certain conditions and rule out a fracture or other serious injury. Once the cause is identified, treatment includes custom orthotics to improve foot support and reduce strain on painful areas. It also includes padding that reduces pressure and recommendations for shoes that provide proper support. When symptoms do not improve with conservative care, surgery is considered for selected conditions.

Ignoring heel pain can limit normal movement and allow the problem to become more difficult to manage. Prompt care also helps patients return to comfortable walking with greater confidence. Heel pain linked to a fracture, severe tendon injury, or another serious condition benefits from early diagnosis. Long-lasting discomfort benefits from a professional evaluation, because it can indicate a serious problem. A podiatrist develops a treatment plan based on the specific cause of the pain and follows your progress to improve comfort and foot function. Early evaluation also helps address worsening symptoms before they disrupt mobility. If you have heel pain, it is suggested that you schedule an appointment with a podiatrist for an accurate diagnosis and appropriate treatment.

Many people suffer from bouts of heel pain. For more information, contact Neeta Hasmukh, DPM of Total Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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.