Items filtered by date: September 2025

Foot wounds can be challenging, especially when they do not heal as expected. The reconstructive ladder is a step-by-step approach that podiatrists use to manage these wounds, starting with the simplest treatments and progressing to more advanced techniques if necessary. The goal is to restore both function and appearance of the foot. Initial treatments may include basic wound care, such as dressings and reducing pressure on the area. If healing slows or stops, options like skin grafts or flap surgery may be recommended. Each step on the ladder involves careful decisions to promote proper healing while maintaining mobility. Foot wounds caused by diabetes, injury, or other conditions require early and expert care. If you have a foot wound that is not improving, it is suggested that you make an appointment with a podiatrist to receive an accurate diagnosis and effective treatment.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Neeta Hasmukh, DPM from Total Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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

When shoes fit correctly, it can be easier to complete daily activities. Wearing the right shoes may be helpful in protecting the body from injury, and the feet will generally feel comfortable. This is a result of proper support and adequate cushioning in the shoes. Research has indicated that it is beneficial to purchase shoes in the afternoon, when the feet are typically at their largest. It is important to ensure the toes have ample room to move freely, in addition to making sure your heels do not slip in the shoe. The type of shoes that are worn can influence the way you walk, and may affect the arches, joints, and foot muscles. If you would like to know more information about how to purchase properly fitted shoes, it is suggested that you consult with a podiatrist. 

It is important to find shoes that fit you properly in order to avoid a variety of different foot problems. For more information about treatment, contact Neeta Hasmukh, DPM from Total Podiatry. Our doctor will treat your foot and ankle needs.

Proper Shoe Fitting

Shoes have many different functions. They cushion our body weight, protect our feet, and allow us to safely play sports. You should always make sure that the shoes you wear fit you properly in order to avoid injuries and deformities such as: bunions, corns, calluses, hammertoes, plantar fasciitis, stress fractures, and more. It is important to note that although a certain pair of shoes might be a great fit for someone else, that doesn’t mean they will be a great fit for you. This is why you should always try on shoes before buying them to make sure they are worth the investment. Typically, shoes need to be replaced ever six months to one year of regular use.

Tips for Proper Shoe Fitting

• Select a shoe that is shaped like your foot
• Don’t buy shoes that fit too tight, expecting them to stretch to fit
• Make sure there is enough space (3/8” to ½”) for your longest toe at the end of each shoe when you are standing up
• Walk in the shoes to make sure they fit and feel right
• Don’t select shoes by the size marked inside the shoe, but by how the shoe fits your foot

The shoes you buy should always feel as good as they look. Shoes that fit properly will last longer, feel better, and improve your way of life each day.

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

Proper foot care is vital for seniors to maintain mobility and prevent complications. Checking feet daily helps identify issues early, including cuts, sores, or infections, especially for those with diabetes or thinning skin. Wearing shoes that fit properly and that provide adequate support can prevent blisters, calluses, and joint pain. Maintaining clean, dry feet and trimming toenails correctly reduces the risk of infections. A podiatrist can evaluate foot health, treat existing conditions, recommend appropriate footwear, and provide guidance on exercises to strengthen the feet. If you have painful or problematic foot conditions, it is suggested that you are under the care of a podiatrist for treatment and guidance on more effective elderly foot care tips. 

If you need your feet checked, contact Neeta Hasmukh, DPM of Total Podiatry. Our doctor will attend to all of your foot and ankle needs and provide you with quality treatment.

Geriatrics and Podiatry
When people age, some common issues that may occur are bone density loss, dry skin, poor circulation, and rough brittle nails. These issues may also affect your foot health if the necessary steps are not taken to alleviate the problems.

It is important to take care of your feet because feet that are injured or diseased can affect your overall health. Having painful feet hinders your ability to do daily activities or may decrease your willingness to do the things that you need to do.

Visiting Your Geriatrician
As we age, health problems become more likely, so it is essential to visit your doctor for check-ups to ensure that you are doing the best you can to take care of your health. It is recommended to check your feet frequently for any possible cuts, bruises, swelling, corns or any other irregularities. 

Taking Care of Elderly Feet
Cracked or dry feet can be treated by applying moisturizer often. It is also important not to wear old socks because the older the sock is, the higher the possibility there will be that there is bacteria there. Wear fresh socks and make sure they fit properly.

Proper foot health means that you can have a more active lifestyle and you will not be bogged down by pain. Foot health also leads to good circulation, which is paramount for overall health.

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

Swollen feet and ankles can be uncomfortable and may signal underlying health concerns. Common causes include poor circulation, sprains, injuries, cardiac insufficiency, and pregnancy. The swelling often results from fluid buildup in the tissues, making movement difficult and sometimes painful. While occasional swelling may improve with rest and elevation, persistent or severe swelling should not be ignored. A podiatrist can help identify the root cause, whether it is related to injury, circulation, or another condition, and create a treatment plan to relieve discomfort and protect your overall health. If you are struggling with swollen feet or ankles, it is suggested that you consult a podiatrist who can accurately diagnose and offer effective relief and treatment solutions.

Swollen feet can be a sign of an underlying condition. 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.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

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

Plantar fibromatosis is a condition where benign fibrous nodules develop within the plantar fascia, the thick band of tissue along the bottom of the foot. These growths can cause discomfort, pain when walking, or difficulty fitting into shoes. Symptoms often include firm lumps in the arch of the foot that may slowly increase in size. Causes are not fully understood but may involve genetic factors, repetitive stress, or injury. Risk factors include middle age, male gender, and a family history of the condition. A podiatrist can provide treatments, such as orthotics, or, in severe cases, surgical options. If you notice painful lumps in your foot arch, it is suggested that you consult a podiatrist who can accurately diagnose and offer relief and treatment solutions. 

A plantar fibroma may 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.

Plantar Fibroma

A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.

What Causes a Plantar Fibroma?

While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.

What Are the Symptoms of a Plantar Fibroma?

There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.

Treatment and Prevention

A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:

• Steroid injections
• Orthotics
• Physical therapy to help apply anti-inflammatory creams on the bump 

Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.

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