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The peripheral nervous system transmits signals between the central nervous system (brain and spinal cord) and organs and limbs. For example, peripheral nerves would send a signal to the central nervous system regarding pain in the foot and the brain would direct the body to respond accordingly—that is, when this messaging system works correctly. In peripheral neuropathy there is damage to the peripheral nerves, which impedes this messaging system. Peripheral neuropathy is commonly caused by diabetes, but may also be present due to heredity, side effects of chemotherapy, drug or alcohol abuse, and other illnesses. Peripheral neuropathy can trigger symptoms in the feet such as numbness or an inability to perceive pain or temperature, cramping, muscle weakness, or tingling. Diabetic neuropathy can be particularly problematic as even minor cuts or abrasions can go undetected and turn into wounds or ulcers. If you are experiencing any of the symptoms listed, contact a podiatrist for a full examination and evaluation to determine if you may have peripheral neuropathy.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with one of our podiatrists from McKinney Podiatric Associates, PA. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

If you have any questions, please feel free to contact one of our offices located in Pasadena, Baytown, League City, Houston, and Pearland,TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Happy feet start with shoes that are comfortable and fit well. When purchasing shoes, do your shopping in the afternoon when your feet are usually their largest. Have your feet measured every time to make sure your size has not changed, as can happen over time. If you are like most people, one foot will be slightly larger than the other; choose the size that accommodates the larger foot. Ensure that the ball of your foot fits the widest part of the shoe comfortably. Check the length of the shoe to make sure there is ample room for your toes, and choose shoes that are shaped similarly to your feet. Remember that shoe sizes can fluctuate based on brand and other factors, so always try them on. While standing, check to make sure the width of your finger fits comfortably between the top of your toes and the tip of the shoe. Walk around the store to make sure they feel good and do not slip or rub you uncomfortably. If the shoes do not feel great in the store, don’t rely on them stretching out with wear. A podiatrist can make other specific recommendations based on your foot structure and needs, and also provide custom orthotics for additional support, or to correct any gait issues you may have.

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 one of our podiatrists from McKinney Podiatric Associates, PA. Our doctors 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 feel free to contact one of our offices located in Pasadena, Baytown, League City, Houston, and Pearland,TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Tarsal tunnel syndrome can occur when the posterior tibial nerve that runs along the back of the ankle is pinched due to swelling or trauma. This can lead to symptoms that may include tingling, numbness, burning, or shooting pain in the affected leg. While anybody can get tarsal tunnel syndrome, it most frequently affects adults, and particularly those who have arthritis and other systemic diseases or previous injuries to the ankle area. To diagnose this condition, a podiatrist may take your medical history, conduct a physical examination, and perform a nerve conduction study or EMG. Imaging studies, like MRIs, may be used to rule out other causes for your symptoms. If you are experiencing any lower limb pain, it is suggested that you see a podiatrist. 

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact one of our podiatrists of McKinney Podiatric Associates, PA. Our doctors can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please feel free to contact one of our offices located in Pasadena, Baytown, League City, Houston, and Pearland,TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Gout, a condition which commonly affects the feet is often accompanied by intense pain and discomfort. The joints in the big toe are typically the most affected by gout. Common symptoms can include debilitating pain which can often make walking difficult or even impossible. Gout is caused by an excess of purines in the blood and can develop as a result of different factors like genetics and frequently eating foods that have high purine levels. These types of foods can include shellfish, alcohol, red meat, or drinks that have large amounts of sugar. Some patients have found mild relief from gout attacks by minimizing the pressure that is put on the affected foot. Additionally, it may be beneficial to elevate the foot as this may help to reduce a portion of the existing swelling. If you are affected by gout, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our podiatrists from McKinney Podiatric Associates, PA. Our doctors 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 one of our offices located in Pasadena, Baytown, League City, Houston, and Pearland,TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.