Foot pain is sometimes an early sign of rheumatoid arthritis, an autoimmune condition that causes inflammation in the joints. Unlike wear and tear osteoarthritis, rheumatoid arthritis often affects both feet and can involve the toes, midfoot, ankles, and surrounding soft tissues. People may notice stiffness that is worse in the morning, swelling, warmth, or pain that improves slowly with movement. Over time, inflammation can lead to joint deformities, changes in walking patterns, and increased pressure on certain areas of the foot. Early recognition is important because rheumatoid arthritis can progress and affect daily mobility. Wearing supportive footwear, custom orthotics, and activity modifications may help reduce strain on painful joints. When foot pain, swelling, or stiffness persists, it is suggested that you see a podiatrist for an evaluation, diagnosis, and appropriate treatment. Coordinated care with a rheumatologist is often part of long-term management. 

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact Jack A. Sasiene, DPM of Texas. Our doctor will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

• Swelling and pain in the feet
• Stiffness in the feet
• Pain on the ball or sole of feet
• Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

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

Fungal toenails develop gradually and affect the appearance and health of nails. Symptoms include thickened nails, discoloration ranging from yellow to brown, brittle edges, and changes in nail shape. Some people notice lifting of the nail from the nail bed, surface debris, or an unpleasant odor. Discomfort can occur when pressure is applied. Causes are linked to fungal organisms that thrive in warm, moist environments and enter through small breaks in the nail or surrounding skin. Risk factors include nail trauma, reduced circulation, and advancing age. Certain medical conditions and prolonged exposure to damp footwear or communal surfaces are other factors. A podiatrist can confirm the diagnosis through examination and testing and rule out other nail disorders. Medical treatment is aimed at clearing infection and protecting nail growth. If you have symptoms of toenail fungus, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment.

For more information about treatment, contact Jack A. Sasiene, DPM of Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

If you have any questions please contact our office located in Lake Jackson, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Morton’s neuroma is a painful condition that most often affects a nerve between the third and fourth toes, and it develops from repeated pressure or irritation. It may not always be visible, but the area can appear slightly swollen, and patients often describe a burning, tingling, or stabbing sensation and feeling like they are walking on a pebble. Causes include tight footwear, high heels, foot deformities, or activities that place stress on the forefoot. Symptoms may worsen with standing or walking and ease when shoes are removed. A podiatrist begins with a thorough exam and orders imaging if needed to confirm the diagnosis and rule out other problems. Treatment may include footwear changes, custom orthotics to reduce pressure, and targeted therapies, such as injections or exercises. Early care can prevent progression and improve comfort. If you suspect you have Morton’s neuroma, it is suggested that you make an appointment with a podiatrist.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Jack A. Sasiene, DPM of Texas. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

• Ill-fitting high heels or shoes that add pressure to the toe or foot
• Jogging, running or any sport that involves constant impact to the foot
• Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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

Wearing high heels regularly can have a significant negative impact on foot health. The unnatural angle and pressure on the forefoot can contribute to the development of bunions, hammertoes, and neuromas, which can affect balance and alter natural gait. Over time, this added strain may lead to chronic pain, calluses, and difficulty walking comfortably. Risk factors include prolonged use of high heels with a narrow toe box, previous foot deformities, and high activity levels while wearing heels. A podiatrist can assess foot structure, recommend supportive footwear, provide custom orthotics, and offer treatment to relieve pain and prevent further damage. If you have foot pain from frequently wearing high heels, it is suggested that you consult a podiatrist who can offer effective relief tips, and guide you on appropriate shoes to wear.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Jack A. Sasiene, DPM from Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

• Ankle Joints
• Achilles Tendon – May shorten and stiffen with prolonged wear
• Balls of the Feet
• Knees – Heels cause the knees to bend constantly, creating stress on them
• Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

• Corns
• Calluses
• Hammertoe
• Bunions
• Morton’s Neuroma
• Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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

Pain where the Achilles tendon attaches to the heel bone is called Achilles insertional tendinopathy. This condition often develops gradually and can be stubborn to resolve. Treatment usually begins with reducing strain on the tendon. Activity modification is important, especially avoiding hills, stairs, and sudden increases in exercise. Wearing supportive shoes with a slightly elevated heel can decrease tension at the site. Stretching should be approached carefully, since aggressive stretching may worsen symptoms in this area. Targeted exercises often focus on strengthening the lower leg muscles and improving ankle motion in a controlled way. Anti-inflammatory measures may help calm pain and swelling. In some cases, orthotics or heel lifts are used to improve foot mechanics and reduce stress on the tendon. Advanced options may be considered if pain persists. When heel pain limits walking or daily activity, it is suggested that you see a podiatrist for a proper diagnosis and appropriate treatment.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Jack A. Sasiene, DPM of Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

• Inflammation
• Dull to severe pain
• Increased blood flow to the tendon
• Thickening of the tendon

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

• Thorough stretching of the tendon before and after exercise
• Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact our office located in Lake Jackson, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

An ankle ulcer is an open sore that forms when the skin and deeper tissue break down and cannot repair themselves, often due to circulation problems, diabetes, or long-term pressure on the area. These wounds usually appear on the inner or outer ankle, and may start as a small patch of irritated skin before slowly opening into a moist or dry sore. The edges can look red, dark, or swollen, and some ulcers may drain or feel tender when touched or rubbed by shoes. Because the ankle has limited soft tissue and is exposed to constant movement, healing can be slow without proper care. A podiatrist can evaluate blood flow, clean and protect the wound, select dressings that support healing, and identify any factors that delay recovery. If your ankle wound is not improving or begins to cause more discomfort, it is suggested you see a podiatrist for effective treatment solutions.

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 Jack A. Sasiene, DPM from Texas. 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 office located in Lake Jackson, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Toe fractures are breaks or cracks in one or more of the small bones of the toes, often resulting from trauma, stubbing, dropping a heavy object on it, or sports injuries. Symptoms typically include pain, swelling, bruising, difficulty walking, and sometimes visible deformity of the toe. Risk factors that increase the likelihood of toe fractures include participating in high-impact activities, having weak bones, or wearing improper footwear that does not protect the toes. Untreated fractures can lead to chronic pain, joint stiffness, or improper healing. A podiatrist can accurately diagnose toe fractures, provide proper immobilization, recommend pain management, and create a treatment plan to ensure correct healing. If you think you have broken your toe, it is suggested that you promptly consult a podiatrist who can offer effective treatment solutions that are right for you.

A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact Jack A. Sasiene, DPM from Texas. Our doctor will treat your foot and ankle needs.

What to Know About a Broken Toe

Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).

Symptoms of a Broken Toe

• Throbbing pain
• Swelling
• Bruising on the skin and toenail
• The inability to move the toe
• Toe appears crooked or disfigured
• Tingling or numbness in the toe

Generally, it is best to stay off of the injured toe with the affected foot elevated.

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.

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

Foot pain can arise from a variety of medical conditions that affect circulation, metabolism, or joint health. Vascular disease may reduce blood flow, causing cold or painful feet. Diabetes can lead to neuropathy, resulting in numbness, tingling, or slow-healing wounds. Thyroid disorders may cause swelling, stiffness, or changes in foot structure. Gout produces sudden, intense joint pain and redness, often in the big toe. Bunions create a visible bump, discomfort, and difficulty walking. Recognizing symptoms early is essential for preventing complications. A podiatrist can evaluate underlying causes, provide customized treatment plans, and offer interventions like orthotics, footwear recommendations, or specialized care to manage pain and improve mobility. If you have any type of foot problem, it is suggested that you promptly consult a podiatrist who can accurately diagnose and treat various foot and ankle conditions.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Jack A. Sasiene, DPM from Texas. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This 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

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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