Diabetic Foot Care - Texas Foot Works

Diabetes can the loss of sensation in the feet. This can result to foot injuries caused by cuts or bruises due to the loss of feedback and sensation. Diabetes can reduce the blood flow to your feet. This is because of the high levels of blood sugar. Without normal blood flow to your feet, injuries heal slower due to the loss of nutrients.

Proper foot care is essential, especially for people suffering from diabetes. Consult a podiatrist for more information on proper foot care for diabetics. Dr. Jonathan Kletz is a podiatrist who specializes in helping people with foot disorders.

  • Inspect your feet every day.
  • Check your feet for any cuts or swellings. You may have a foot problem but you can’t feel any pain in your feet.
  • When you take your shoes off every night, check your feet. Use a mirror if you are having trouble inspecting your feet.
  • Clean your feet every day.
  • Wash your feet in lukewarm water. Avoid soaking your feet because it will get dry.
  • After washing your feet, use talcum powder to keep the skin between your toes dry.
  • Keep the skin smooth and soft.
  • Use lotion, cream, or petroleum jelly on top and bottom of your feet.
  • Avoid putting lotion in between your toes that might lead to an infection.
  • Gently smooth corns and calluses.
  • If you have corns and calluses, ask your foot doctor the best way to care for them.
  • Rub the pumice stone gently only in one direction to avoid any tearing of the skin.
  • Cutting the corns and calluses is not allowed because it can damage your skin and might lead to an infection.
  • Trim your toenails regularly.
  • After you wash and dry your feet, trim your toenails using a nail clipper.
  • Do not cut into the corners of the toenails.
  • Wear socks and shoes all the time.
  • Avoid walking barefoot when inside or outside.
  • Wear socks with your shoes to prevent blisters and sores.
  • Choose socks that have no seams, are clean, lightly padded, and fit well.
  • Before you put your shoes on, check the inside and make sure that there are no foreign objects in your shoes.
  • Wear a shoe that protects your feet and fits well.
  • Things to remember
  • Set a time to check your feet every day.
  • Always wear socks and shoes.
  • Stop smoking.
  • Have a regular appointment with your doctor.
  • Schedule a date for taking care of your feet.
  • Prevent foot problems by managing your diabetes.

Texas Foot Works located in Dallas, Athens and Gun Barrell City, TX, we specialize in helping people with foot disorders. To schedule an appointment, call 214-340-8885.   

What are Achilles Tendon Injuries? Texas Foot Works

Did you know that the strongest tendon in the body is the Achilles tendon? This tendon connects your lower leg muscles and calf to the heel of your foot. It is also responsible for facilitating movements such as walking and running. The Achilles tendon gives the body provides mobility for major leg and foot movements. And any injury should be treated as soon as possible to prevent serious and complicated problems.

Most common symptoms of the Achilles tendon disorder

Achilles tendinitis. This is the milder injury of the Achilles tendon and manifests the following signs and symptoms:

  • Pain that ranges from dull to severe
  • Inflammation
  • Increased blood flow to the tendon
  • Slower movement
  • Thickening tendon

Tendinitis can be diagnosed by an MRI or the Magnetic Resonance Imaging and it can also be treated using several methods.

Achilles tendon rupture. When your Achilles tendon ruptures, you feel the most intense of pain. And it is also harder to heal compared to tendinitis. A rupture occurs when a tendon completely snaps or rips. The result of the rupture will occur immediately and can make you immobile. However, be assured that when rupture occurs, there are operative and non-operative treatments available. The recovery time will depend on the severity of the injury but usually takes up a year after treatment begins.

Consult a podiatrist for chronic foot pain which can be an indication of an injury. Dr. Jonathan Kletz is a podiatrist who specializes in helping people with foot disorders.

You can do simple preventive measures to avoid both of the above injuries. Here are some of the helpful tips that you can do to prevent Achilles tendon injuries (always check with your doctor first):

  • Before doing any movement, do some stretching of the tendons to help stimulate the tissue for a few minutes. The following exercises will help strengthen your lower legs and promote good health for your Achilles tendon:
  • Calf raises
  • Leg curls
  • Squats
  • Lunges
  • Leg extensions
  • Leg raises
  • Leg presses
  • Do not over exert while exercising and do proper warm-up before any physical activities that might stress your Achilles tendon.
  • Wear proper and comfortable shoes that correctly fits to reduce tendon injuries
  • When exercising, ensure that your activity area is cushioned or has a mat as it will help relieve pressure on your heels.
  • Have a healthy diet.

If you suspect or if you already know that what you are having is an Achilles tendon injury, it is best and very important to consult your podiatrist immediately. This will help you prevent the injury from getting more complicated. Keep in mind that severe complications can lead to difficulty in movement.

Texas Foot Works located in Dallas, Athens and Gun Barrell City, TX, we specialize in helping people with foot disorders.  To schedule an appointment, call 214-340-8885.   

Arthritic Foot Care - Texas Foot Works

Our feet is a complex machine composed of many bones, joints, tendons, and ligaments all working together. But as we grow older, our feet will lose flexibility and strength. And having arthritis will only make matters worse. If left untreated, pain steadily grows worse that simple activities such as walking become difficult. But with proper treatment, you can slow the development of arthritis.

Arthritis is an inflammation of the joint where they become, swollen, stiff, and painful. Consult a podiatrist to learn more about arthritis Dr. Jonathan Kletz is a podiatrist who specializes in helping people with foot disorders.

Caring for your arthritic foot

Maintain a healthy lifestyle.

  • For people with arthritis, regular physical activity reduces joint pain and stiffness, increases flexibility and endurance, and strengthens the muscles around the joints.
  • Daily exercise also promotes overall health and fitness that provides more energy, weight control, and facilitates good sleep.
  • Preventive foot health and footwear.
  • Visit a foot health professional for regular examination and preventive foot care.
  • Look for shoes with a round toe box to give your toes enough space to roam around.
  • Choose a shoe that provides good heel and arch support with extra cushioning in the mid or outer soles.
  • Make sure that your feet are comfortable in your shoes.
  • Wear properly selected and fitted socks recommended by a doctor or health care professional. Wearing clinically tested socks can prevent injuries to the skin and reduces pressure and foot pain in people with arthritis.

Foot self-care

  1. Always inspect your feet using a mirror if you cannot reach them or see the bottoms of your feet.
  2. Wash your feet every day with lukewarm water. After washing, dry your feet thoroughly and keep them supple.
  3. If you have neuropathy, joint deformation or other foot problems, avoid cutting your toenails. For toenail care and examination, visit your foot health care regularly.
  4. To help improve function and overall well-being, maintain circulation in your feet and the rest of your body by staying active.
  5. Be extra cautious if you have neuropathy or compromised blood flow in your leg. Check for foreign objects that may enter or embedded in your shoes while you are doing an activity.
  6. Avoid walking barefoot and exposing your feet to the extremes especially if you have neuropathy.
  7. Never attempt to cut corns, calluses, or other protrusions on your feet.
  8. Do not use wart remover and other harsh chemicals on your feet.

Texas Foot Works located in Dallas, Athens and Gun Barrell City, TX, we specialize in helping people with foot disorders.  To schedule an appointment, call 214-340-8885

All About Plantar Warts - Texas Foot Works

What are plantar warts?

Plantar wart is a wart that is found on the feet. Plantar warts are hard and grainy bumps on the foot that are usually found on the heel or ball of the foot. Plantar warts are caused by the human papillomavirus or HPV and occur when the virus enters the body through cuts, break, or weak spots on the bottom of the feet.

Plantar warts are considered nonmalignant and may not require treatment. However, plantar warts can cause discomfort and pain and the best way to treat them is to remove them. Consult a podiatrist to learn more about plantar warts. Dr. Jonathan Kletz is a podiatrist who specializes in helping people with foot disorders.

What are some of the signs and symptoms of plantar warts?

  • A small, rough, fleshy, and grainy growth on the bottom of the feet
  • A hard, thick skin or callus on the skin
  • Black pinpoints or small clotted blood vessels
  • Presence of lesion in the skin of your foot
  • Pain or tenderness while standing or walking
  • When to see a doctor?
  • If the discomfort interferes with your activities
  • If there is an excessive amount of pain
  • If the lesion changes in appearance or color
  • You have a weak immune system
  • You have diabetes or poor sensation in your feet
  • You tried treating the wart but it multiplies or recurs
  • You are not sure if the lesion is a wart

What are some ofthe treatments for plantar warts?

  • Acid. Mild acid is applied to burn warts off. To remove your warts successfully, you have to apply acid several times over the week. Salicylic acid and dichloroacetic acid are the two best examples of acid that you can use to burn warts.
  • Laser treatment. Lasers are used to destroy warts and are likely to result in some scarring.
  • Cryotherapy. Uses liquid nitrogen to freeze warts and causes warts to turn black and fall off eventually.
  • Oral medication. There is no known oral medication used to treat warts.
  • Immunotherapy. If warts are resistant to treatment, the person will be referred to a dermatologist. The injection of Candida skin test into warts is effective.

How to prevent plantar warts?

  • Avoid walking barefoot and use thongs or sandals in public shower rooms.
  • Keep feet clean and dry.
  • Avoid direct or close contact with warts from other people.
  • Avoid sharing shoes and socks or shower facilities.
  • Change shoes and socks daily.
  • Always check children’s feet.
  • Do not ignore growth or changes in the skin.
  • Wash feet regularly and protect it from injury. 

Texas Foot Works located in Dallas, Athens and Gun Barrell City, TX, we specialize in helping people with foot disorders.  To schedule an appointment, call 214-340-8885.

Morton’s Neuroma Hits Patrick Duffy - Texas Foot Works

Patrick Duffy is best known for his role in Dallas as Bobby Ewing. He is an accomplished American actor who is rumored to be suffering from Morton’s Neuroma. According to National Enquirer, Patrick Duffy is suffering from a very painful foot condition.

Morton’s Neuroma is a kind of condition that affects the nerves of the feet, mainly the area between the third and fourth toes. This condition causes the nerves around the feet to swell, causing the feet to feel pain. Dr. Jonathan Kletz  is a podiatrist who specializes in helping people with chronic foot pain and other types of foot conditions.

What are some of the causes of Morton’s Neuroma?

  • If one of the nerves of the foot is injured, pressure or irritated, Morton’s Neuroma happen.
  • Wearing ill-fitting and high heeled, and tight shoes cause extra pressure on the toes and the area around the ball of your foot.
  • Participating in high impact exercises and sports such as jumping, running, or hiking will cause the feet a repetitive trauma.
  • People who have foot problems such as bunions, hammertoes, and other foot deformities are prone to develop Morton’s Neuroma.

What are some ofthe signs and symptoms of Morton’s Neuroma?

  • You can feel a burning sharp pain and numbness on the bottom of your foot
  • The pain gradually increases while walking and decreases when at rest
  • Tingling sensation in between your toes

Wearing high-heeled shoes and standing for a long period of time contributes to the development of Morton’s Neuroma too. If the signs and symptoms persist, visit a podiatrist right away so he can suggest a procedure to reduce the symptoms or recommended ways on how to treat it.

How to treat Morton’s Neuroma?

The treatment will depend on the duration of the condition and its severity. If your Morton’s Neuroma becomes severely painful, your podiatrist will start treating you using a conservative and non-surgical methods. Always check with your Podiatrist before any treatment plan. Here are some of the non-surgical ways on how to treat Morton’s Neuroma at home:

  • Avoid using high-heeled and tight shoes. Wear something comfortable to allow your foot to breathe.
  • Wear orthotic pads and metatarsal pads to provide a good arch support.
  • Exercising and losing weight will help reduce the strain on the feet.
  • Use anti-inflammatory drugs to relieve the pain
  • A steroid injection medication can relieve the pain instantly.

How to prevent Morton’s Neuroma?

Preventing Morton’s Neuroma is not always possible but wearing and using low-heeled shoes can reduce the risk. Symptoms will go away eventually and it has the possibility not to return again. 

At Texas Foot Works located in Dallas, Athens and Gun Barrell City, TX, we specialize in helping people suffering from chronic foot pain.  To schedule an appointment, call 214-340-8885.    


Foot Disorders in the Small Toes - Texas Foot Works

Your feet carry the most of your weight and the pressure it takes may be too great for it to handle. Of all the structures in your feet, one of the most affected are your small toes. Because it is constantly pushed against the big toe. These are also being pressed against the sides of the shoes.

Deformities and conditions of the small toes are because of human improper use of their foot and foot wears. However, there are two conditions of the small toes that are considered perfectly normal and part of a person’s development, particularly the child. Though, if they reach a certain age and these conditions are still there, then appropriate treatment might be needed.

In toeing

Also called “pigeon toes”, in toeing is the condition of your foot where it points inward. Most parents, especially the first time parents, often worry once they see in toeing on their child. However, please be assured that it is perfectly normal and correct itself without intervention before your child reaches 8 years old. Consult a podiatrist for proper treatment. Dr. Jonathan Kletz is a podiatrist who specializes in helping people foot deformities.

Metatarsus adductus – a curve on your child’s foot. This straightens as the child grows up in 9 out of 10 children. If this does not go away, your doctor might cast or brace the affected foot to straighten it normally at age 4-6 months to correct the problem before your child starts to walk.

Internal tibial torsion – a twist in the tibia and usually noticed when the child starts walking. This is treated by using a bar with shoes. However, most children do not want to wear them while some opt for surgery to cut the bones and rotate the foot outward.

Excess femoral anteversion – an inward twist of the femur and usually seen around 2-4 years of age. The foot normally straightens naturally by age 6-8 years old. Surgery is only done when the anteversion is very severe and cause problems with the child’s walking ability.

Out toeing

This condition is the opposite of intoeing where the foot is pointing away and facing outwards. Though it is not as common as intoeing, your child may walk with toes pointing outward when they reach a couple years old.

Flatfeet – absence of arch on a foot, hence, it looks as if it’s pointing outward. This does not require any treatment at all.

External tibial torsion – an outward twisting of the leg bone and often accompanied by pain. This usually happens in adolescence and not with kids.

Femoral retroversion – an outward twist of the femur and may predispose a child to juvenile arthritis or slipped capital femoral epiphysis.

Hip contracture – infants are born with hips in external rotation. The externally rotated hip will naturally heal on its own hence no treatment are usually required.

Treatment: Normally, treatments are not done for out toeing as the cases are rare and resolve by itself. However, if the case is quite severe, a surgical procedure might be done to cut the bone and position the foot correctly.

At Texas Foot Works located in Dallas, Athens and Gun Barrell City, TX, we specialize in helping people suffering from foot conditions.    To schedule an appointment, call 214-340-8885.   

Celebrity Foot Conditions - Lindsay Lohan - Texas Foot Works

Even Hollywood stars get stinky feet and Lindsay Lohan is no exception. Friends of the actress revealed Lindsay Lohan’s might have athlete’s foot. Athlete’s foot can be smelly, itchy, and really embarrassing.

Athlete’s foot is a fungal eruption in the foot that is common in athletes and non-athletes. It is a skin inflammation that can quickly spread to the toenails and surrounding areas. Athlete’s foot is not a serious disease but it is hard to cure especially if you have diabetes or a weak immune system.

What causes athlete’s foot?

Athletes foot is caused by the very same fungus that causes ringworm and jock itch. These organisms grow in a damp, warm, and humid environment such as showers, swimming pools, and locker rooms. You can catch the fungus through direct contact with an infected person or touch contaminated surfaces.

Dr. Jonathan Kletz is a podiatrist who specializes in helping people with athlete’s foot and other types of foot conditions.

What are the symptoms of athlete’s foot?

  • Here are the following signs and symptoms of athlete’s foot:
  • Scaly, red rash that begins in between the toes and on the soles of the feet
  • Burning, stinging and itching between the toes
  • Blisters or ulcers on the feet that itch
  • Chronic dryness on the feet especially between the soles and the toes
  • Raw skin on the feet
  • Discolored, crumbly, and thick toenails
  • The infection can affect both your feet and can spread most especially if you scratch the infected parts.

How to treat athlete’s foot?

Using over the counter medications can help treat athlete’s foot. If using these medications are not successful, your doctor may prescribe a topical antifungal medication to clear up the infection.

There is no need for you to stay away from school or work if you have athlete’s foot. Just keep your feet covered until the rash is gone and try not to scratch the affected skin to avoid it from spreading.

How to prevent athlete's foot?

The following are simple tips on how to help prevent athlete’s foot infection:

  • Always wash your feet with soap and water thoroughly and dry them
  • Avoid sharing socks, shoes, or towels
  • Wear socks made of breathable fiber
  • Go barefoot and let your feet breathe when you are at home
  • Alternate wearing two shoes
  • Put anti-fungal powder every day
  • Wear sandals in public places
  • Change your socks when your feet get sweaty
  • Wear shoes made of breathable materials

At Texas Foot Works located in Dallas, Athens and Gun Barrell City, TX, we specialize in helping people suffering from athlete’s foot. To schedule an appointment, call 214-340-8885.    

Recovering from a Talus Fracture - Texas Foot Works

Bones are some of the hardest and most resilient structures in the body. However, even this has its limits and injury can occur anytime. A talus fracture in particular is one which occurs when there is a bone breakage in the ankle.

Bone healing can be a lengthy process especially for bones that have suffered a severe fracture. This is often caused by high impact accidents such as vehicular accidents or direct application of force to the ankle. Surgical treatments can be very difficult and recovery even more complicated. This is why recovering from a talus fracture should not be taken lightly.

Visit a podiatrist if you suspect a talus fracture has occurred. This is for proper diagnosis and treatment of your foot condition. Dr. Jonathan Kletz is a podiatrist who specializes in helping people with Talus fractures.

Immediate treatment

Rest the foot if you suspect an injury. This is to prevent further injury to the ankle. Applying ice over the area could help reduce swelling. Pain medications such as Non-steroidal anti-inflammatory drugs or NSAIDs stops swelling while giving immediate pain relief. Immobilize the feet to prevent further injury.

Simple exercises to strengthen the foot and ankles. Always check with your podiatrist first before any exercise or treatment

  • Prolonged inactivity weakens the muscles and only makes the recovery period longer. Try moving your feet as soon as your podiatrist has cleared you. Below are a few foot exercises to help you strengthen those foot muscles.
  • Moving your foot and ankle up and down. Do this exercise for about 10 to 20 times repeatedly. Stop the exercise when pain is felt.
  • Moving your foot and ankle in an in and out motion. Again, do this 10 to 20 times repeatedly and stop if pain is felt.
  • Move your foot and ankle in a circular motion and repeat 10 times in a clockwise motion. Repeat this 10 times in a counter clockwise motion.

Consult a podiatrist for proper diagnosis and treatment.  At Texas Foot Works located in Dallas, Athens and Gun Barrell City, TX, we specialize in helping people with Talus fractures.  To schedule an appointment, call 214-340-8885.  


MORTON’S NEUROMA: A runner’s dilemma - Texas Foot Works

Athletes are prone to injuries because they lived in a very physical world that entails them to give a lot of effort and energy. Their injuries usually depend on the muscles they use and the nature of the sports they are active into. For example, runners are usually prone to foot and leg injuries because that is the body part that are greatly involved in their sport.

Any type of foot injury can have a negative effect on a runner’s performance. Dr. Jonathan Kletz is a podiatrist who specializes in helping people suffering from sports related foot injuries.

With this, we want to discuss one of the foot injuries that a runner experiences and that is what we call the Morton’s Neuroma. It causes pain on the ball of your foot behind the 3rd and 4th toes. This pain radiates towards the toes and sometimes numbness can be felt instead of pain.

Signs and symptoms:

  • Pain on weight bearing
  • Burning pain in the ball of your foot that sometimes radiates in your toes
  • Numbness
  • Paresthesia or a tingling, burning sensation is felt


Tests and diagnosis:

  • Mulder’s Test – the doctor will put pressure on the affected site to see if there is pain. The pain may sometimes be accompanied by a “Mulder’s click”, a click that can be felt suggesting the presence of a Morton’s neuroma.
  • Digital Nerve Stretch Test – both ankles are in their full dorsiflexion while the toes on both sides of the neuroma are manually extended.
  • Foot x-ray
  • Ultrasound
  • Magnetic resonance imaging (MRI)

Treatments and drugs:

  • Use arch supports and foot pads that will help reduce the pressure on the nerves.
  • Have a personalized shoe insert that is made specifically to fit the contours of your foot.
  • Drink anti-inflammatory medications such as the non-steroidal anti-inflammatory drugs to reduce pain level.
  • Use proper footwear. Avoid or limit the use of high-heeled shoes as well as tight closed shoes.
  • Ice application to help reduce the pain.
  • Reduce activities such as jogging and running for a few weeks.
  • Steroid injections can also be done.
  • Decompression surgery – this is done to relieve the pressure on the nerve by cutting structures such as ligaments surrounding the affected area.
  • Nerve removal – removing the neuroma in a surgery may be necessary if all treatments fail. 

Texas Foot Works located in Dallas, Athens and Gun Barrell City, TX, we specialize in helping athletes with foot injuries.  To schedule an appointment, call 214-340-8885.