January 2024

Engaging in the exhilarating sport of football comes with its share of risks, and one of the most prevalent concerns is the susceptibility to ankle injuries. The dynamic nature of the game, involving sudden stops, sharp turns, and high-impact collisions, puts players at an increased risk of sprains and strains. Ankle sprains, resulting from the ligaments being stretched beyond their limits, are a common injury, causing pain, swelling, and instability. Fractures also may occur during forceful tackles or awkward landings, demanding immediate attention for proper healing. Achilles tendon injuries, though less frequent, can sideline players with intense pain along the back of the ankle. Preventive measures, such as proper warm-ups, strengthening exercises, and wearing supportive footwear, are critical in decreasing the risk of ankle injuries. Football enthusiasts must prioritize their ankle health, and it is suggested that you consult a podiatrist who can guide you to developing and maintaining strong feet and ankles.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Dr. Robert Graser from Graser Podiatry and Bunion Surgery Institute. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

• Achilles Tendonitis
• Achilles Tendon Rupture
• Ankle Sprains
• Broken Foot
• Plantar Fasciitis
• Stress Fractures
• Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

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

Sever's disease, a common but often misunderstood condition, is not truly a disease, but rather a growth-related heel pain that affects active children and adolescents. This condition, also known as calcaneal apophysitis, occurs when the growth plate at the back of the heel becomes inflamed due to repetitive stress and tension. Children between the ages of 8 and 15 are most susceptible to Sever's disease, as this is typically when their bones are rapidly growing. This growth spurt places extra stress on the heel's growth plate, especially in active children who participate in sports or activities that involve running and jumping. The hallmark symptom of Sever's disease is heel pain, often exacerbated by physical activity. This pain can be particularly bothersome during or after exercise. Understanding Sever's disease is essential for parents and young athletes, as it enables early recognition and appropriate management. If your active child has heel pain, it is suggested that you consult a podiatrist who can effectively diagnose and treat Sever’s disease.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Dr. Robert Graser from Graser Podiatry and Bunion Surgery Institute. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

If you have any questions, please feel free to contact our office located in Boerne, . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

As we explore the realm of podiatry, the disparities between adult and children's feet unfold like chapters in an evolutionary narrative. Adults, with fully developed skeletal structures, boast arches that have endured the test of time, providing stability and balance. In contrast, children's feet can be likened to blank canvases, each step imprinting a unique pattern of growth. The arches are pliable and unfixed, mirroring the malleability of childhood itself. Ligaments and tendons, gradually gaining resilience, transform these delicate feet into the robust foundation required for a lifetime of mobility. The bones, still in the process of ossification, reflect the ongoing saga of physical development. If you notice that your child exhibits foot development problems, it is suggested that you consult a podiatrist for a thorough exam and diagnosis.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact Dr. Robert Graser of Graser Podiatry and Bunion Surgery Institute. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

• Make sure their shoes fit properly
• Look for any signs of in-toeing or out-toeing
• Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
• Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
• Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
• Cut toenails straight across to avoid ingrown toenails
• Keep your child’s foot clean and dry
• Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

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

Prediabetes, a precursor to type two diabetes, often presents subtle yet important symptoms, and the feet can provide valuable insights into one's health. Individuals experiencing prediabetes may notice changes in their feet, such as tingling sensations or numbness, indicative of nerve damage associated with elevated blood sugar levels. Reduced blood flow to the feet is another symptom, leading to slower healing of wounds or infections. Additionally, individuals with prediabetes may encounter skin issues like dryness or discoloration on their feet. These symptoms underscore the importance of paying attention to foot health as an early indicator of potential metabolic imbalances. Recognizing these subtle signs allows for timely intervention, including lifestyle adjustments and monitoring blood sugar levels, to mitigate the progression to diabetes. If you have symptoms of prediabetes, it is suggested that you visit a podiatrist who can conduct regular foot exams, in addition to monitoring this serious condition. 

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Dr. Robert Graser from Graser Podiatry and Bunion Surgery Institute. Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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

Turf toe is a common injury that often strikes athletes such as football players, dancers and gymnasts, with a sudden and traumatic onset. Most recall the precise moment it occurred. Turf toe results in pain around the ball of the foot, particularly on the bottom of the metatarsophalangeal, or MTP, joint, just  below the big toe. Those experiencing turf toe may note pain with or without movement. It can be felt when the toe is flexed to the extreme or during the toe-off phase of walking. Swelling of the MTP joint may accompany the pain, along with a decrease in strength and range of motion. The affected joint also may become warm and tender to the touch. Turf toe can cause a noticeable lump or gap, and what is described as a crunchy feeling due to inflammation. Difficulty walking and maintaining balance can result from the pain and loss of function in the affected joints and surrounding tissues.  If you suspect a  turf toe injury, it is suggested that you schedule an appointment with a podiatrist for an exam and accurate diagnosis. A tailored treatment plan can help you get back in the game.

Toe pain can disrupt your daily activities. If you have any concerns, contact Dr. Robert Graser of Graser Podiatry and Bunion Surgery Institute. 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 feel free to contact our office located in Boerne, . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.