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.  

Quarterback Suffered Lisfranc Injury - Texas Foot Works

Ben Roethlisberger, commonly known as Big Ben is a quarterback for the Pittsburgh Steelers who suffered a Lisfranc injury during a game. He was carted off because of his serious foot injury that will compromise his mobility and scramble ability.

Lisfranc injury is a result of broken bones in the mid-foot that varies from simple to complex involving joints and bones in the mid-foot. Injuries to Lisfranc joints usually occur in victims of an automobile accident, military personnel, runners, football players, horseback riders, and participants of other contact sport. Consult a podiatrist for any signs of serious foot pain. Dr. Jonathan Kletz is a podiatrist who specializes in helping people with foot injuries.

There are three types of Lisfranc injury and these are:

  • Dislocations - the bones of Lisfranc joint are forced from their normal position
  • Fractures - a break in a bone in the Lisfranc joint
  • Sprains - the ligaments are stretched that causes instability of the joint

For you to determine whether you have a Lisfranc injury, you need to understand and know what its signs and symptoms are. These signs and symptoms include the following:

  • Swelling of the foot
  • Abnormal widening of the foot
  • Pain in the mid-foot when standing or when pressure is applied
  • Bruising or blistering on the arch and
  • Inability to bear weight

The treatment of Lisfranc injury is according to its severity.

Non-surgical treatment:

  • Rest, ice, compression, and elevation, commonly called RICE.
  • Immobilization - the foot is placed in the cast or walking boot.
  • Physical therapy - final phase of recovery wherein you are slowly introduced to normal activities.

Surgical treatment:

  • Internal fixation - the bones are held into place with plates, screws, or other hardware that will be removed between 3 to 5 months.
  • Fusion - the bones will be welded into place, the fusing material will be left in the foot permanently.


How can Lisfranc Injury be avoided?

To prevent Lisfranc injury, individuals should be careful and aware while performing any physical activities that could lead to accidents.

  • Individuals who participate in high-risk sports should wear proper padding and appropriate shoes. 
  • Consume foods rich in calcium to help build bone strength.
  • Perform weight bearing exercises to strengthen the bones.

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

Common Foot Conditions in Women - Texas Foot Works

Pain is one of the earliest sign of foot injury. And if you find yourself constantly feeling pain or discomfort when wearing high heels then this can be an early indication of a foot injury. If you’re one of the millions of women that find themselves obliged to wear high heels or formal shoes to the office, then this is an article you definitely shouldn’t miss.

Men may never understand the relationship between women and high heels. It may look ungainly serving no purpose in supporting the feet or keeping it healthy. This after all was designed for one purpose and it was to complement and enhance a woman’s wardrobe.

Proper foot care does not require you to ditch those high heels. When done conservatively, wearing high heels can be harmless. The problem occurs when the early signs of foot injury is ignored and the condition is allowed to progress. A quick visit to the podiatrist can help identify if you are suffering from an injury which can be caused by the type of shoes you wear. Dr. Jonathan Kletz is a podiatrist who specializes in helping people with foot disorders.

Stress Fractures

High heels interferes with normal weight distribution in our feet. It shifts your center of gravity forward increasing the risk for developing stress fractures especially those located at the forefoot. The bones have limits in terms of how much weight it can carry. Stress fractures are hard to detect since it is impossible to detect through the naked eyes. It may not cause pain until the bone totally fractures.  


A bunion is an abnormal bone formation at the side of your big toe. It starts as a small swelling that eventually hardens with time. Wearing high heels displaces your center of gravity forward increasing pressure on the forefoot. This can cause compression resulting to pain and inflammation. Swelling can injure the joints and when this hardens interferes with the joint’s flexibility.

Morton’s Neuroma

Morton’s neuroma is caused by the irritation of a nerve in the ball of your foot. The compression of tissues and joints in this area can irritate the nerve. Pain in the area is a clear indication of Morton’s neuroma. Immediate relief can be felt when the feet is rested.

Pain the forefoot or ball of the joint can be an early symptom of a foot disorder. This should be consulted with a podiatrist for proper diagnosis. Texas Foot Works located in Dallas, Athens and Gun Barrell City, TX, we specialize in helping women with foot disorders.  To schedule an appointment, call 214-340-8885.   

Charcot Foot Simplified - Texas Foot Works

Charcot foot is a foot condition that is caused by neuropathy or the loss of sensation in the feet. Nerve damage leads to the loss of sensation which increases the risk for foot injuries. Repeated injuries to the bones and joints can lead to long term damage to the structures of the feet. This is often noticed when symptoms have become so severe. Without proper treatment, this may require serious medical intervention such as amputation.

Symptoms of Charcot Foot

A Charcot foot may remain relatively unnoticed because of the loss of sensation in the feet. Swelling and redness are the first noticeable symptoms. This is because it can be detected visually. The loss of sensation makes it impossible to experience pain when injury has occurred. If untreated, this can lead to foot deformities, fallen arch or ankle instability.

Because of its nature, diabetics are advised to visit a podiatrist regularly. This is to enable early detection and treatment. Dr. Jonathan Kletz is a podiatrist who specializes in helping people suffering from Charcot foot.

Possible Causes of Charcot Foot

Diabetics are at high risk for developing Charcot foot. This is because diabetes can lead to peripheral neuropathy or nerve damage in the feet. Other conditions that can cause Charcot foot are leprosy, alcoholism, syphilis and smoking.

Repeated trauma and injury to the feet when left untreated can cause dislocation and fractures. Problems with circulation can interfere with the flow of nutrients to the feet which can lead to bone weakening. This makes the bones more susceptible to dislocation and fractures.


Signs and symptoms of Charcot feet may remain undetectable for weeks or months. Charcot foot may only be suspected when the first visible signs are evident or when the patient experiences difficulty in moving the feet. Redness, tenderness and warmth in the foot are the earliest signs of the foot condition. Pain is also expressed by patients with less severe peripheral neuropathy. It only becomes evident with the development of a foot deformity.

Non-surgical treatments are available for treating Charcot foot. This includes the use of splints, walking braces and even a cast. Patients who are undergoing treatment are discouraged from any weight bearing activities until the foot is healed. After the foot has been stabilized, a podiatrist recommends the use of protective foot ware and therapeutic shoes.

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


Different Types of Arthritis in the Feet – Texas Foot Works

Arthritis is a medical condition that affects the joints. It can happen anywhere in the body but occurs more frequently in the joints of the feet. Our feet contains more than 30 joints each responsible for normal foot movement. These are constantly exposed to wear and abuse not only from running or jumping but also from the constant pressure of carrying our body weight. 

Cartilage acts as a natural bone cushion. It gives joints that extra level of flexibility. Arthritis is a degenerative disease that eats away at our cartilage. And when this is lost, bones rub causing a great degree of pain.

 There are different types of arthritis affecting the joints of the feet and toes. Visit a podiatrist to understand the different types of arthritis and how it affects your feet. Dr. Jonathan Kletz is a podiatrist who specializes in helping people with foot disorders.


Osteoarthritis is a type of arthritis that affects the hyaline cartilage which is responsible for keeping the joints moving freely. It can also cause bony spur formation at the base of the big toe. Osteoarthritis can lead to the development of bunions a painful foot deformity. People suffering from osteoarthritis in the feet can feel pain and discomfort when walking.  

Rheumatoid Arthritis

Rheumatoid arthritis is a debilitating joint disease that can cause foot deformities. Severe cases can lead to hammertoes, bunions and claw toes. This type of arthritis causes joint inflammation at the ball of the foot. Affected bones can push against the kin. This causes wounds and ulcerations at the ball of the foot. Ulcerations at the bottom of the feet makes standing or walking a painful experience.


 Gout is the result of uric acid crystal deposits around the joints.  Deposits are commonly found at the base of the big toe. Gout occurs more frequently among men than women. A bony protrusion can develop due to continued crystal deposits. This can cause bruises and ulcerations as the toe rub against the shoe.

 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.    

How Can I Prevent Heel Pain? Texas Foot Works

A relatively common affliction that affects many people is heel pain.  As with most other ailments, celebrities are no exception. Victoria Beckham, former Spice Girl and wife to international football star David Beckham, suffers from bunions and chronic heel pain as a result of her disdain for flat shoes and refusal to wear any other shoes apart from high heels.

High heels are one likely cause for heel pain, but there are many reasons why people might experience discomfort in the heel area.

Dr. Jonathan Kletz is a podiatrist who specializes in helping people with chronic heel pain and other types of foot conditions.

What Causes Heel Pain?

One of the primary reasons for heel pain is Plantar fasciitis, which can often be caused by inflammation of a thick band of tissue that connects your heel bone to your toe, clinically called the plantar fascia. This tissue runs across the bottom of your foot to create the arch.

Another reason why you might experience pain in the heel area is Achilles tendinitis, which can be diagnosed by your doctor via an MRI or an ultrasound. If you experience discomfort alongside the back of your help, that is a common symptom of Achilles tendinitis, but if the pain is on the bottom of your heel, you’re more likely to have Plantar fasciitis.

How can I prevent heel pain?

The foot contains 26 bones, the largest bone of which being your heel. However, if you take proper precautions in your day to day lifestyle, you can avoid discomfort and pain.

  • Make sure your shoes provide support for your feet and fit correctly
  • Stretch before you exercise
  • Maintain a healthy diet- obesity can trigger various issues with the feet, so by maintaining a healthy diet, you avoid putting that extra stain on your feet.
  • Wear proper shoes- while you may enjoy living on the more stylish side of life, high heels can lead to deformities that in turn, cause pain.

How is heel pain treated?

  • Orthotic devices can provide cushioning to aching heels and elevate your arches
  • If several months of treatment don’t work, or your tendon has torn, your podiatrist may suggest surgery to repair your Achilles tendon
  • Doctors can prescribe strong pain medication and anti-inflammatory medications 

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

Ballet and Trigger Toes - Texas Foot Works

Trigger toes is a foot condition commonly found in dancers. This happens when the big toe becomes permanently flexed due to an injury to the tendon controlling the toes movement. A ballerina’s big toe is constantly under pressure to support the body’s weight. Load bearing is normally distributed over the structures of the feet. But when a ballerina performs the “en pointe” or a position where the ballerina stands or pivots only using the big toe, the likelihood of suffering from a big toe injury is almost certain.

Symptoms of a Trigger Toe

 Not being a ballet dancers does not make immune from trigger toes. The mechanisms that trigger the development of the foot condition can be easily replicated in our daily activities. Pain when performing the en pointe or when standing on your toes can be an early indication of trigger toes. 

The severity of pain increases as the condition progresses. Other symptoms include a “clicking” sensation in the big toes. It’s like the toes are locked that we are unable to move it from that position.  When this happens, a visit to the podiatrist is advised. Dr. Jonathan Kletz is a podiatrist who specializes in helping people with trigger toes. 

Treatment and Management

There are a variety of non-surgical treatments available for managing trigger toes. Conservative treatments such as the application of ice or taking NSAIDS for reducing pain and swelling. Foot strengthening exercises are advised especially for beginners. Training exercises to prepare the feet and toes for the difficult movements required in ballet is essential in avoiding any foot injury. Another simple way of reducing pain episodes and preventing further injury to the feet is to lose weight. A simple weight management program is a great way of reducing the pressure being passed to your toes. If conventional treatment proves ineffective, surgery is advised. 

Ballet is a dance that requires strength and elegance. And performing the en pointe is one movement that embodies both these qualities. But sadly, this is also the leading cause of trigger toes which makes it almost impossible for ballerinas to avoid trigger toes. 

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

Ben Roethlisberger Falls to Lisfranc injury - Texas Foot Works

The quarterback of Pittsburgh Steelers was carted off the field because of a serious foot injury. Ben Roethlisberger is known for playing tough and after an MRI, it was confirmed that Roethlisberger has a Lisfranc Injury.

Lisfranc injury is a disruption of dislocation of bones in the midfoot. It is a serious injury that requires care and rehabilitation. Lisfranc injury usually occurs after an automobile accident and participants of contact sports. The severity of the injury depends on how many ligaments or bones are affected. Consult a podiatrist for any type of foot injury. Dr. Jonathan Kletz is a podiatrist who specializes in helping people with chronic foot pain and other types of foot conditions.

The most common symptoms of Lisfranc injury includes: 

  • Pain that gets worse when standing or walking. Pain can be severe that may require crutches
  • Bruising on top and bottom of the foot
  • The top of the foot is swollen and painful
  • Widening of the foot
  • Inability to bear weight
  • You are experiencing coldness, numbness, and pain in the foot. Colors like blue, grey, and black are appearing on your toenails.

Common causes of Lisfranc injury includes: 

  • Direct trauma to the midfoot
  • Falling when someone is standing on your foot
  • Twisting injury
  • Previous foot or ankle sprains
  • Poor strength and flexibility
  • Participation in contact sports
  • Landing on with the foot in an improper position
  • After an injury, you will experience residual pain and stiffness of the mid-foot.
  • There are three types of Lisfranc injury and they are: 
  • Sprains - the ligaments are stretched that causes instability
  • Dislocations - the bones are forced from their normal position
  • Fractures - the bones in the Lisfranc joints are broken

The treatment of Lisfranc injury is according to its severity: 

  • Medication - the use of anti-inflammatory medicines are often advised. Use only as directed and only as much as you need.
  • Ice - treatment should be applied for 10 to 15 minutes every 3 hours with the help of ice packs or ice massage.
  • Seek medical care if the pain, tenderness, or swelling gets worse.
  • If treated properly, the injury will heal within 8 to 12 weeks.

How to avoid Lisfranc Injury

  • Wear properly fitted and padded protective equipment
  • Warm up and stretch properly before activity
  • Wear cleats or spikes with appropriate length for the sports condition
  • Maintain physical fitness such as strength, flexibility and endurance, and cardiovascular fitness.
  • When participating in contact sports such as basketball of football, protect your vulnerable joints with the help of supportive devices like elastic bandages, braces, and high-top athletic shoes. 

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


How Do I Take Care Of My Feet If I Am A Diabetic? Texas Foot Works

One of the top ten diseases in United States is diabetes. Over 29 million Americans suffer from diabetes, with a few more famous diabetics being novelist Anne Rice, Supreme Court Justice Sonya Sotomayor and pop culture icon, Nick Jonas.

Diabetic foot care is of critical importance, since diabetes can cause lack of blood flow in the legs and feet, resulting in numbness and loss of feeling. Due to the numbness, cuts and sores go unnoticed, which leads to infection. This means that diabetics need to spend a little extra time paying attention to their feet so they can remain healthy.

How do I take care of my feet if I am a diabetic?

Dr. Jonathan Kletz is a podiatrist who specializes in diabeticfoot.                          

Wash and dry your feet on a daily basis

Wash your feet gently in warm water using soap and mild water, but don’t soak them, since that will dry the skin on your feet. Use lotion on the bottom of your feet to prevent cracking and for preventing infectionsbetween your toes, using talcum powder generally works well .


Keep your feet covered at all times

People with diabetes need to make sure not to go barefoot- it is important to always wear shoes and socks, since diabetics cannot necessarily feel if they step on something sharp. Make sure your shoes are empty before putting them on- look in them to ensure that no foreign objects are in there that could possibly cut you.

Trim your toenails regularly

If you can comfortably see and reach your feet, keep your toenails trimmed. However, if your toenails are thick or yellowed, if you cannot reach your feet, or if you cannot feel your feet, have your podiatrist cut your toenails for you.

Keep the blood flowing to your feet

Don’t wear socks or shoes that cut off your circulation to your feet and legs or are too tight. Do not cross your legs for extended periods of time, and keep your feet elevated when sitting down.

Check your feet every day

Make sure you examine your feet every day for infected toenails, swelling, cuts or sores. If you have difficulty seeing your feet, use a mirror or ask a family member/caregiver to help you out.

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

Foot Drop Management and Treatment - Texas Foot Works

Are you experiencing difficulty in lifting your foot? If this is the case then it might be possible that you are suffering from a medical condition known as a foot drop.

Foot drop is described as difficulty in lifting the front foot. This condition makes the person drag his foot and toes on the ground while walking. To avoid dragging the person with a foot drop condition must lift the knee higher than usual. Consult a podiatrist if you notice this change. Dr. Jonathan Kletz is a podiatrist who specializes in foot care and treating foot disorders.

Foot drop is not a disease but rather a condition that is caused by certain diseases. If you want to know what treatments are needed to be done by your podiatrist, you might find this information helpful.

Lightweight braces - these braces are used to support your leg.

Foot drop braces and splints - these are used to stabilize your ankle and foot which will be a big help to assist you in walking normally and on an even gait.

Physical therapy - therapy is essential for strong foot and leg muscles. Constant physical therapy helps in improving your ability to walk again as it includes gait training. Sometimes, therapists even use electronic devices for nerve stimulation.

Surgery - your doctor will result to surgery as the very last option in treating foot drop. A surgery is only done if all treatments fail. It helps repair the damaged nerve as well as treat those conditions that are permanent. Whenever a foot drop is permanent, your doctor might opt for a surgery that fuses foot or ankle bones or a surgery that alters a working tendon to a different position.

Since foot drop increases your danger of tripping and falling, it is essential to make necessary arrangements and changes around the place where you are always staying like your house. You may do these certain precautions to ensure your safety:

  • Take away all the clutter on the floor and leave it clean.
  • Limit the use of throw rugs as they can cause trips.
  • Have well-lit rooms and stairways.
  • Secure electrical cords to prevent unnecessary falls.
  • Put a glowing tape at the peak and base of the stairways.
  • If there are children around the house, make sure that no toys are left unattended.
  • Clean spills immediately.
  • Always pay attention to where you are going.

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

Sever’s Disease and Heel Pain in Children - Texas Foot Works

Heel pain in children is often caused by the inflammation of the heel growth plates. This is caused by repeated abuse of the heels from sports activities. This is common in child athletes who have underdeveloped heel growth plates. This foot condition is also medically referred to as Sever’s disease or calcaneus apophysitis. 

Sever’s disease is common among adolescents who are currently undergoing growth spurts. However, this disappears as the heel becomes fully developed.

Causes of Sever’s Disease

Rapid bone growth occurs in the feet during childhood. The heel bone in particular undergoes major development which outpaces surrounding ligaments. This results to high tension in the ligaments which can easily be injured during high impact activities. Heel pain is caused by injuries resulting from repeated stress on the Achilles tendon which over time can damage the heel growth plate.

  • Activities that can lead to Heel Pain
  • Sports and physical activities that require jumping or running especially when done in hard surfaces
  • Weight bearing activities that places pressure on the foot and its structures
  • Standing for long periods of time

Wearing footwear that provide additional support for the heels can help reduce the risk of developing Sever’s disease in children. Children with previous history of heel pain or Sever’s disease are also advised to refrain from participating in sports activities. Consult a podiatrist if your child is experiencing chronic heel pain.  Dr. Jonathan Kletz is a podiatrist who specializes in helping children suffering from Sever’s disease.

Symptoms of Sever’s Disease

Pain and tenderness in one or both heels is a possible indication of the disease. Pain is usually felt at the back of the heels but can also radiate to the sides and bottom of the heels. Children with Sever’s disease can also experience these symptoms.

  • Foot stiffness especially in the morning
  • Swelling, redness and tenderness in the heels
  • Pain and discomfort when running and jumping
  • Heel pain that goes away with rest

Diagnosis of Sever’s Disease

Severe cases of Sever’s disease can cause tenderness and swelling in the heel area. But for those with milder symptoms a physical examination by a podiatrist can confirm if your child is suffering from the disease. An X-ray can also be used to rule out other foot injuries such as a broken bone or fracture. Children are also advised to wear footwear which provide additional heel support.

Consult a podiatrist if heel pain persists even after treatment. Texas Foot Works located in Dallas, Athens and Gun Barrell City, TX, we specialize in helping children with foot disorders.  To schedule an appointment, call 214-340-8885.    

Club Foot Treatments - Texas Foot Works

Talipes equinovaros or more commonly known as club foot is a type of foot deformity. Clubfoot is a birth defect that affects s 1 in every 1,000 newborns. Clubfoot a defect for small babies which makes them has smaller toes than the regular babies.

Once you notice that the calf and leg are shorter than normal and there is an inward twisting of the heel and toes, your child may probably have a clubfoot. Though painless, it is still a need to treat clubfoot because leaving it untreated will make it remain twisted for life. Once clubfoot is suspected, make sure to contact your podiatrist for help and possible treatments. Dr. Jonathan Kletz is a podiatrist who specializes in helping people with club foot and other foot deformities


A treatment for clubfoot must start as soon as possible so that the baby may have stable feet by the time she or he is ready to walk.


Casting: This is done by positioning the foot in the right position and immobilize it through casting until the next treatment. This is done every 1-2 weeks for 2-4 months.

Traditional casting - one position of the foot is being corrected by casting one at a time.

Ponseti (Iowa) method - two foot position problems are being corrected both at the same time. The front part of the baby's foot is being turned in and up to the correct position.


Surgical procedures are done to lengthen the tight soft tissue structures as well as ligaments and tendons to the right position. Most often, it involves the use of small wires to keep hold of the bone and are only removed after 4-6 weeks. Casting or splinting will also be done after the surgery to keep the position of the foot in place while recovering.


Physical therapy may be required after a surgery procedure to ensure that the function of the foot is well and maintained.

To help your child better and prevent the condition of clubfoot which makes his/her toes small, it is best to undergo these steps as soon as possible while it is still easy for the doctors to correct the damage.

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.