Foot and ankle problems sometimes become severe enough that surgery is considered to relieve pain or improve movement. Arthritis is one reason a person may need a surgical evaluation. As cartilage, the smooth tissue that cushions joints, wears down, the affected joint may become painful and stiff. The ankle, big toe, and joints in the middle of the foot can all be affected. Other problems, such as severe bunions or damaged tendons, may also interfere with walking and wearing shoes comfortably. Not everyone with these conditions needs an operation. The decision depends on how much the problem affects daily life, the condition of the affected tissues, and whether other treatments have provided enough relief. Understanding the purpose of foot and ankle surgery helps patients make informed decisions about their care.

Different foot and ankle conditions may require different surgical approaches. For painful arthritis, a procedure called joint fusion may be considered. This joins the bones of a damaged joint to reduce painful movement, although it also limits flexibility in that area. In selected cases, ankle replacement may be an option to preserve some joint movement. Surgery may also be considered for a bunion that causes ongoing pain or makes footwear difficult to tolerate. Symptoms that lead to a surgical evaluation often include persistent swelling, joint stiffness, and difficulty walking. Some individuals notice that their foot shape changes as the underlying problem progresses. Because surgery has potential risks and recovery requirements, an evaluation should consider both the expected benefits and the limitations of each approach. The goal is to address a specific problem rather than treat every source of foot pain in the same way.

A podiatrist assesses painful foot and ankle conditions by examining joint movement, foot alignment, and walking ability. Imaging helps to show the extent of joint damage or changes in bone position. The podiatrist reviews symptoms and previous treatment results to determine whether a surgical approach may be appropriate. When surgery is considered, the evaluation includes discussing how a procedure may affect movement and the recovery process. Podiatric care also focuses on monitoring foot function and supporting mobility throughout treatment. Individualized planning is especially important because the same diagnosis may affect people differently. If you are experiencing persistent foot or ankle pain that limits your daily activities, it is suggested that you consult a podiatrist for an evaluation and a discussion of appropriate treatment options.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Kenneth Williams, DPM of Texas. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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

A diabetic foot infection is develops in the skin or deeper tissues of the foot. Diabetes can make infections more difficult to notice and treat, because nerve damage may reduce sensation and poor circulation can slow healing. Common symptoms include redness, warmth, or a wound that does not improve. Some people may feel little pain despite a serious infection. Early attention can help protect healthy tissue and reduce the risk of complications.

Several factors can increase the chance of developing a diabetic foot infection. A small cut, blister, or puncture can provide an entry point for germs. Neuropathy may prevent someone from noticing an injury, while reduced blood flow can limit oxygen needed for healing. Other risks include poorly controlled blood sugar, previous ulcers, and wearing improperly fitting shoes. Checking the feet every day can help identify changes before they become more difficult to manage.

Caring for diabetic feet starts with keeping the skin clean and checking for problems each day. Wear supportive, properly fitted shoes and avoid walking barefoot. Keep blood sugar within the range recommended by your healthcare provider. If a wound or infection develops, a podiatrist may examine the skin, assess circulation and nerve function, and determine how deep the infection extends. Treatment may include wound cleaning, removal of damaged tissue, and prescription medication. Early treatment supports healing and repair. More serious infections may require imaging or additional medical care.

Prompt treatment can make a difference in diabetic foot health. Watch for changes that appear suddenly or do not improve, especially around an open sore. Do not try to cut away infected tissue or treat a significant wound on your own. If you have diabetes and have developed a foot infection, it is strongly suggested that you are under the care of a podiatrist who can help you to  manage this serious condition. 

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 Kenneth Williams, 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 San Antonio and Beeville, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Plantar fibromatosis is a non-cancerous condition that causes firm lumps to develop within the plantar fascia. This thick band of tissue runs along the bottom of the foot and supports the arch. The lumps are called plantar fibromas. They may develop in one foot or both feet, and can slowly increase in size. Although plantar fibromatosis is usually not dangerous, it can make walking and standing uncomfortable. Understanding the condition can help you recognize changes early and seek appropriate care.

A plantar fibroma often feels like a small, firm knot beneath the skin. Symptoms may include tenderness, pressure, or aching in the arch. Some people have no pain until the lump is pressed by shoes or while walking. The exact cause of plantar fibromatosis is not fully understood. Repeated stress on the plantar fascia may contribute to tissue changes. Genetics may also play a role. Other possible factors include foot trauma and certain medical conditions.

Risk factors can include a family history of plantar fibromatosis and repeated strain on the feet. A podiatrist will examine the lump and ask about symptoms, activities, and medical history. Imaging, such as an ultrasound or MRI scan, may be recommended when the diagnosis needs confirmation. A podiatrist may recommend supportive footwear, custom orthotics, or padding to reduce pressure on the lump.

When symptoms are persistent, a podiatrist may discuss additional treatment options. These can include injections or other approaches designed to reduce pain and irritation. Surgery may be considered when a fibroma is large or causes significant problems with daily activities. Because plantar fibromas can return after removal, careful evaluation is important before choosing surgery. Paying attention to changes in the arch can help you get treatment before discomfort becomes more limiting. If you have developed a plantar fibroma, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Kenneth Williams, DPM of Texas. 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 office located in San Antonio and Beeville, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Neuropathy develops when nerves become damaged or stop working properly. When it affects the feet, symptoms can change how a person feels pressure, temperature, and pain. Neuropathic pain comes from damaged or irritated nerves rather than an outside injury. It can feel like burning, shooting, or stabbing pain. Some patients experience tingling or numbness instead. Even a light touch can feel painful in some cases. Symptoms can become constant or appear without an obvious trigger, making normal activities like standing and walking more difficult.

Several conditions can lead to neuropathy and nerve pain. Diabetes is a major cause because high blood sugar can damage nerves. Injuries can also harm nerves and create lasting symptoms. Certain infections can affect nerve function as well. In some patients, the exact cause of neuropathic pain is not clear. Loss of feeling in the feet deserves attention because patients might not notice cuts, pressure, or other injuries. A small foot problem can become more serious when reduced sensation prevents a patient from recognizing it. Nerve problems can also affect balance and increase difficulty with walking.

A podiatrist can evaluate the feet for signs of neuropathy and determine how nerve changes are affecting foot health. The examination can include checking sensation, skin condition, and muscle strength. A podiatrist can also assess balance and the way a patient walks. Treatment depends on the cause and severity of the nerve problem. Podiatric care can focus on protecting areas with reduced sensation and addressing painful foot conditions that can become harder to detect. Regular examinations can identify wounds or pressure areas before they develop into serious complications. Care can also help patients maintain safer, more comfortable movement. If you have symptoms of neuropathy, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

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 Kenneth Williams, DPM from Texas. 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 office located in San Antonio and Beeville, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.