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Podiatrist Blog
By Foot & Ankle Surgery of New Braunfels
May 23, 2018
Category: Foot Care
Tags: Diabetic Foot Care  

What your podiatrists in New Braunfels want you to knowDiabetic Foot care

If you suffer from diabetes, chances are you’ve noticed a few changes in your feet. Unfortunately, diabetes often affects your extremities, causing pain and potential lack of mobility. That’s why it’s so important to take care of your feet when you have diabetes. Drs. Brandon and Sarah James at Foot & Ankle Surgery of New Braunfels in New Braunfels, TX, want to share how to take care of your feet when you have diabetes.

According to the American Diabetes Association, there are over 29 million people suffering from diabetes in the United States. Diabetes affects every body system including your nervous, immune, and circulatory systems.

Nervous system complications can mean that you may lose sensation in your feet. You can injure your feet and not even know it. Immune system problems mean that even a small cut or blister may not heal and can grow into a painful diabetic ulcer. Circulatory system issues can mean not enough blood flow gets to your feet and toes. Insufficient blood flow can result in soft tissue death, leading to amputations.

You can do a lot to protect your feet by avoiding hot surfaces or hot water, and not going barefoot. Also, remove any objects on the floor which can lead to tripping or injuring your feet. In addition to protecting your feet, daily foot care is vitally important. Make sure your daily routine includes:

  • Washing and thoroughly drying your feet
  • Examining your feet for cuts, blisters, or injuries
  • Applying thick moisturizing lotion or cream
  • Trimming toenails straight across
  • Stretching your toes and ankles several times each day
  • Wearing comfortable footwear

It’s also important to visit your podiatrist regularly for professional foot care if you are diabetic. Regular visits to your podiatrist can help guard against future problems and keep your feet in top shape. For more information about diabetic foot care and other podiatry services, call Drs. Brandon and Sarah James at Foot & Ankle Surgery of New Braunfels in New Braunfels, TX. Call today and protect your feet!

By Foot & Ankle Surgery of New Braunfels
May 08, 2018
Category: Foot Care
Tags: Foot Fracture  

You're a strong and active person. You wear proper footwear and warm up before you run or play tennis. However, even healthy peoplefoot fracture like you can break a foot. In fact, about one million foot fractures occur each year in the United States, say physicians at the Cleveland Clinic. If you sustain a foot fracture in New Braunfels, would you know what to do? First, contact your podiatrist at Foot & Ankle Surgery of New Braunfels. Dr. Brandon James and Dr. Sarah James see foot fractures frequently and deliver premiere treatments to get you moving comfortably again.

The signs of a foot fracture

There are 52 bones in each foot. That's right--52! Any or all of them are prone to acute (sudden) fracture from a fall, twisting of the ankle or foot or trauma from an auto accident, sports or mishap at work. Stress fractures of the foot can also occur--tiny cracks caused by repetitive motion. For instance, runners often suffer from stress fractures of the foot.

The American College of Foot and Ankle Surgeons cites these signs as typical of foot fractures:

  • Either sharp or dull pain
  • Difficulty walking and bearing weight on the foot
  • Swelling
  • Bruising
  • Redness and tenderness

Also, when Dr. James X-rays your foot, he or she will discover if the fracture is a general break, in which the bone ends have not separated. Some foot fractures are called closed (the bone does not intrude through the skin) or open (the bone does pierce the skin).

Treating a foot fracture

Your podiatrist will determine a course of treatment specific to your fracture. Crutches keep weight off the foot, and some breaks might need a cast.

Jones fractures which involve the long bone at the very outside of the foot (the fifth metatarsal bone) frequently require surgery to realign the bone and provide stability for proper healing. A Jones fracture needs precise treatment and careful follow-up because it often compromises the circulation in the foot.

Don't wait

If you think you've broken your foot, please contact Foot & Ankle Surgery of New Braunfels. You'll receive the right care right away. We have same-day appointments as needed. Call (830) 387-4427.

By Foot & Ankle Surgery of New Braunfels
January 23, 2018
Category: Foot Care
Tags: Bunion  

Do you suffer from bunion pain? Our New Braunfels, TX, podiatrists, Drs. Brandon and Sarah James of Foot & Ankle Surgery of New bunionsBraunfels, explain how a visit to the foot doctor can help ease your painful symptoms.

Why are bunions so painful?

A bunion forms when the bone in the joint at the base of your big toe moves out of position, causing a prominent bump. If you have a bunion, walking or putting even the slightest amount of pressure on the bump can cause pain. Due to the joint misalignment, a bunion may cause your big toe to lean toward your second toe. Eventually, you may develop a painful callus or corn on the toe due to the constant friction. Pain can also occur if constant friction between bones wears away protective cartilage.

What can I do about bunion pain?

There are a few steps you can take to reduce your pain, including:

  • Go Shoe Shopping: Look for roomy shoes that don't rub against your bunion or your overlapping toes.
  • Control Your Pain: Both ice and over-the-counter anti-inflammatory medication will help ease swelling and pain.
  • Pad Your Foot: Applying adhesive pads to your bunion and your toes will reduce rubbing from shoes.
  • Avoid Long Periods on Your Feet: Now may not be the best time to wait in line for hours for concert tickets or run in a 5K race. Avoiding or modifying activities that aggravate your bunion can help you reduce pain.

What if I'm still in pain or my condition worsens?

If your pain doesn't decrease, or you notice that your bunion is getting worse, make an appointment to visit our New Braunfels office. We can offer several devices and treatments that will improve your comfort level, such as:

  • Orthotics: These custom-made shoe inserts help keep your joint stable and ensure that your foot is properly aligned.
  • Night Splints: Wearing splints at night will also promote proper alignment.
  • Physical Therapy: Physical therapy exercises may be recommended to prevent stiffness in the joint.
  • Surgery: Although orthotics, night splints and physical therapy help reduce pain, they won't reverse your condition. Surgery is the only way to restore the normal function and appearance of your joint. Thanks to minimally invasive surgical techniques, you'll spend less time off your feet than in years past.

Ease your pain with bunion treatment! Call our New Braunfels, TX, podiatrists, Drs. Brandon and Sarah James of Foot & Ankle Surgery of New Braunfels, at (830) 387-4427 to schedule your appointment.

By Foot & Ankle Surgery of New Braunfels
November 27, 2017
Category: Foot Care
Tags: Sports Injuries  

Sports are a great mean of exercise and fun! That is until someone gets hurt. Here at New Braunfels, TX, your podiatrists care aboutsports injuries making sure you have the care you need in case someone is injured.

According to the American Podiatric Medical Association, your foot has an elaborate network of 33 joints, and more than 100 tendons, muscles, and ligaments. It is susceptible to trauma from external forces.

Here are the most common sports injuries:

  • Plantar Fasciitis: The pain you're feeling may be caused by the inflammation of a connective tissue known as plantar fasciitis. This connective tissue isn't just in your heel though, it extends past the arch of your foot, reaching your toes. This fibrous band becomes inflamed and irritated when too much stress from jumping or running is placed on it.

  • Morton's Neuroma: Runners characterize the pain caused by Morton's neuroma as a burning, stinging pain in the in the third and fourth toes. Other symptoms include pain in the ball of the foot and numbness in the toes. A true neuroma, however, is a benign tumor of the nerve.

  • Achilles Tendonitis: This ailment is an irritation or inflammation of the large tendon in the back of the lower calf that is attached to the heel. The condition is often caused by lack of flexibility.

  • Stress Fracture: It's a fracture in your lower limbs is quite common among athletes. You may suffer from a stress fracture due repetitive forces and symptoms include localized pain and swelling that worsens over time. The fractures may occur over a period of days, weeks, or even months.


There are non-invasive treatments that can help you before visiting your New Braunfels podiatrist:

  • Proper stretches before working out or playing a sport
  • Anti-inflammatory medication, but make sure to speak to your doctor first
  • Wearing properly padded and loose footwear
  • Placing ice on the inflamed area

For more information, questions or concerns about the different sports injuries, call your New Braunfels, TX, podiatrist today!

By Foot & Ankle Surgery of New Braunfels
September 27, 2017
Category: Foot Care
Tags: heel pain  

What your doctors in New Braunfels want you to knowheel pain

If you’ve ever suffered from heel pain, you know how debilitating it can be. Heel pain can make walking difficult, and it can keep you on the couch. Fortunately, there are effective treatments for heel pain. Your podiatrists at Foot & Ankle Surgery of New Braunfels, in New Braunfels, TX want to help.

You are more likely to experience heel pain if you:

  • Are diabetic
  • Are flat footed
  • Carry excess weight
  • Wear tight, poorly-fitting shoes
  • Wear high-heels
  • Regularly perform high-impact activities or sports

There are a few things that can cause heel pain. You can get heel pain from walking on sharp objects, causing a heel bruise. You may also have a bone spur due to excess calcium deposits on your heel. One of the most common causes of heel pain is from plantar fasciitis. Plantar fasciitis is a condition involving inflammation of the large band of tissue running across your heel, called the plantar fascia. When the plantar fascia becomes inflamed, it can swell, causing pressure and pain in your heel.

There are some easy ways to prevent heel pain, including:

  • Wearing comfortable, supportive shoes, and avoiding high heels
  • Wearing appropriate footwear for your activity
  • Doing arch stretches several times daily
  • If you suffer from heel pain, you can try these simple home remedies:
  • Taking over-the-counter pain or anti-inflammatory medications
  • Elevating your foot and resting
  • Placing ice packs on your heel several times during the day

If you have stubborn heel pain that doesn’t respond to home therapy, it’s time to see your podiatrists in New Braunfels. They may recommend:

  • Prescription strength medications to reduce inflammation
  • Custom-made orthotics to cushion your heel
  • Supports or wedges to protect your heel
  • Physical therapy to promote flexibility
  • Extracorporeal Shock Wave Treatment (ESWT)

Next time you suffer from heel pain, call the experts, your podiatrists at Foot & Ankle Surgery of New Braunfels, in New Braunfels, TX. Don’t wait for the pain to get worse, call today!

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