Baytown, TX (281) 837-8371
December 2020
Causes and Effects of Drop Foot

Drop foot is caused by an inability to lift the foot enough to clear the ground as you take a step. It results in a shuffling or dragging type of gait. To counteract that, a person tends to over-lift the knees on each step, resembling a marching gait. Experts find that drop foot is usually a sign that something else is wrong. Causes may be anatomical, muscular, or neurological. Nerve injury, such as damage to the peroneal nerve, is a common cause of drop foot. Symptoms are pain and numbness. It may be brought on by a sports injury, childbirth, or sitting with your legs crossed for a long time. Certain muscle disorders like muscular dystrophy may also be the cause. Electronic imaging tests can be used to detect the underlying cause behind drop foot and treatment options depend on the source of the problem. Many find that custom orthotics, light braces, nerve stimulation, and possible surgery can be helpful. For more information on drop foot and how it may be treated, please consult a podiatrist.
If you have any concerns about your feet, contact Abeer M. Foteh, DPM from Greater Houston Foot Centers. Our doctor can provide the care you need to keep you pain-free and on your feet.
Biomechanics in Podiatry
Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.
A History of Biomechanics
- Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
- In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.
Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.
Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.
If you have any questions please feel free to contact our office located in Baytown, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Working on Your Feet
Foot care is important regardless of your profession, but those who work on their feet must pay special attention. Bunions, calluses, blisters, and plantar warts are just a few of the many conditions that can arise after standing all day. While painful at their worst, these conditions can easily be avoided with the right foot care. This includes both appropriate footwear and proper posture—important elements that affect the health of your feet.
Choosing appropriate footwear means choosing a shoe that has a negative heel. This means that the heel is slightly lower than the ball of your foot, which places less of a strain. If you have a profession that requires you to be on your feet all day, investing in a pair of high-quality shoes is pertinent. High-quality shoes can be purchased from a respected manufacturer that emphasizes foot care and foot health.
Despite the regularity of wearing shoes, the feet are naturally not designed to be enclosed. Regular “barefoot” time for your feet can be beneficial for foot health. Among other methods, allowing your feet to breathe can help alleviate the pain and pressure your feet may be experiencing from being on your feet all day.
Simple foot exercises and yoga positions can help improve both the health and function of your feet. Active foot exercises that create movement will stimulate your foot’s blood flow and circulation, and yoga positions that place your feet flat onto the floor will stretch out their muscles. Yoga is particularly beneficial for your Achilles tendon and calf muscles, which are areas that can become especially problematic if not taken care of. Foot exercises and yoga positions can be easily performed every day at virtually any location and any time; whether it is at the office, at the gym, or at home right before you go to bed. Simple stretching can increase your foot health by miles.
The foot pain you experience after lengthy hours working on your feet may seem inevitable and unavoidable; in reality, however, that is not the case. Wearing proper footwear and performing simple foot exercises and stretches can help ease foot pain and allow you to truly avoid frustrating foot problems.
Your feet can easily be kept healthy with some education and a little effort. Pain that begins at the feet can eventually affect the whole body. Begin taking care of your feet now!
Do You Work on Your Feet?

Many people who work on their feet for most of the day understand the importance of resting their feet briefly during a scheduled break before returning to their duties at work. This can include many professions including the restaurant industry, medical personnel, and retail workers. There are several foot conditions that can result from standing all day. Plantar fasciitis, poor circulation, bunions, and foot arthritis are a few examples. It is extremely beneficial to wear shoes that fit correctly and are comfortable. It is essential to choose shoes that have a good support system and avoid shoes that are flat like flip-flops or ballet shoes. Additionally, it is suggested to refrain from wearing shoes that will push the toes forward which can move the center of gravity. Many people wear compression socks as this can be helpful in controlling circulation. When the workday is over, many people understand the pleasure of soaking their feet in warm water since this is helpful in reducing pain and inflammation. If you would like more information about how to protect the feet while working or standing all day, please consult with a podiatrist who can answer any questions you may have.
While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Abeer M. Foteh, DPM from Greater Houston Foot Centers. Our doctor will treat your foot and ankle needs.
Working on Your Feet
Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.
Positive Changes
Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.
Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.
Eliminate Pain
Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.
Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen.
With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.
If you have any questions please feel free to contact our office located in Baytown, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Laser Treatment for Fungal Nails
A new treatment for fungal nails, or onychomycosis, which has grown in popularity in recent years, is laser treatment. Laser treatment involves the use of a laser that kills fungus in the toenail with heat. Laser therapy causes no side effects and does not affect nearby healthy tissue.
Toenail fungus afflicts almost 10 percent of the U.S. population and is more common among the elderly. The most common symptom of toenail fungus is the discoloration and thickening of the nail. The nail can also become brittle and a foul smell may be produced. In rare cases, pain might be present. While it is not a serious condition, it can lead to a perception of disgust amongst those it affects. There are several different fungi that cause fungal infections. These include dermatophyte, yeast, and mold. The most common of these is dermatophyte.
Diagnosis for fungal nails involves a podiatrist utilizing microscopy and fungal cultures. This will allow the doctor to determine whether it is a fungus or another condition, such as lichen planus, psoriasis, nail damage, and onychogryphosis.
Fungus in the nails can be hard to get rid of with over-the-counter drugs. This is due to the nail being hard and protective, with fungus able to slip between the nail bed and plate. Furthermore the slow growth of the nail increases the difficulty of fungus going away. Laser treatment seeks to get around this by directly penetrating through the nail and killing the fungus. The laser is used on each infected nail for a couple of minutes. Patients then typically return several weeks or months later for another laser treatment. During this time the podiatrist will routinely observe the foot and infection. It is also recommended to wear clean socks and shoes and allow the feet to dry and breathe to prevent toenail fungus.
Laser treatment is still a relatively new treatment and not all podiatrists have laser machines. Ask your podiatrist if they do laser treatment for toenail fungus and if it is right for you.
Laser Treatment May Help Toenail Fungus

Research has shown toenail fungus may be prevalent among the elderly population. There are several methods that can be implemented to treat toenail fungus, including laser treatment. This is a procedure that has been approved by the FDA and is said that it may be effective in killing the fungus as laser beams penetrate the nail bed. It is a painless procedure and many patients have had good results, but they could vary. Toenail fungus can be unsightly, and the symptoms generally consist of yellowed, thickened nails that often become brittle with the possibility of falling off. Patients who have toenail fungus are often embarrassed by their toenails and tend to hide their feet. If you have this condition and would like more information about the pros and cons of laser treatment, it is strongly advised that you schedule an appointment with a podiatrist who can answer any questions you may have.
Laser treatment can be an effective way to get rid of toenail fungus. If you have any questions about laser treatment, consult with Abeer M. Foteh, DPM from Greater Houston Foot Centers. Our doctor will assess your condition and provide you with quality treatment for fungal nails.
What Are Toenail Fungal Infections?
Onychomycosis, or fungal infection of the nail, is a relatively common and non-serious condition. Around 10 percent of U.S. citizens are afflicted with fungal nails. Common forms of fungus that infect the nail include dermatophytes, yeasts, and molds.
Symptoms of Toenail Fungal Infections Include:
- Nail thickening
- Brittleness of the nail
- Discoloration of the nail
Diagnosis for Fungal Nails
Fungal infections are diagnosed by fungal culture and microscopy. This will rule out any other conditions such as nail trauma, psoriasis, lichen planus, and onychogryphosis.
What Is Laser Treatment?
Laser treatment is a non-invasive, safe, quick, and painless procedure that uses the heat from a laser to kill fungus in the nail. Each infected nail is targeted with a laser for several minutes. The treatment is usually utilized several different times over a select period. During this time, a podiatrist will keep an eye on the infection.
If you have any questions, please feel free to contact our office located in Baytown, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Reminder: When Was the Last Time...?
What are Achilles Tendon Injuries
The Achilles tendon is the strongest tendon in the human body. Its purpose is to connect the lower leg muscles and calf to the heel of the foot. This tendon is responsible for facilitating all types of movement, like walking and running. This tendon provides an enormous amount of mobility for the body. Any injuries inflicted to this tissue should be immediately brought up with a physician to prevent further damage.
The most common injuries that can trouble the Achilles tendon are tendon ruptures and Achilles tendinitis. Achilles tendinitis is the milder of the two injuries. It can be recognized by the following symptoms: inflammation, dull-to-severe pain, increased blood flow to the tendon, thickening of the tendon, and slower movement time. Tendinitis can be treated via several methods and is often diagnosed by an MRI.
An Achilles tendon rupture is trickier to heal, and is by far the most painful injury. It is caused by the tendon ripping or completely snapping. The results are immediate and absolutely devastating, and will render the patient immobile. If a rupture or tear occurs, operative and non-operative methods are available. Once the treatment begins, depending on the severity of the injury, recovery time for these types of issues can take up to a year.
Simple preventative measures can be taken as a means to avoid both injuries. Prior to any movement, taking a few minutes to stretch out the tendon is a great way to stimulate the tissue. Calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses are all suggested ways to help strengthen the lower legs and promote Achilles tendon health.
Many problems arise among athletes and people who overexert themselves while exercising. Problems can also happen among those who do not warm up properly before beginning an activity. Proper, comfortable shoes that fit correctly can also decrease tendon injuries. Some professionals also suggest that when exercising, you should make sure that the floor you are on is cushioned or has a mat. This will relieve pressure on the heels. A healthy diet will also increase tendon health.
It is very important to seek out a podiatrist if you believe you have an injury in the Achilles region. Further damage could result in severe complications that would make being mobile difficult, if not impossible.
Causes of Achilles Tendon Pain

Pain in the back of the heel is very common in sports, usually signals overuse, and mostly concerns the Achilles tendon. Most common is Achilles tendonitis, which usually starts with a mild ache, but with increased and prolonged activity can develop into severe pain. This injury, an inflammation of the Achilles tendon which connects the calf muscles to the heel bone, is common among runners. Another cause of Achilles tendon pain is Sever’s disease, which occurs in adolescent children who are active in sports. It is the result of an imbalance in the growth rate of the calf muscle and the heel bone, but usually self-corrects with time. Achilles bursitis, also known as retrocalcaneal bursitis, is an inflammation of a small sac of fluid in the back of the heel called a bursa. Another overuse injury, it will cause pain, swelling, and tenderness. An Achilles tendon rupture indicates a complete tear, and most commonly occurs in men over the age of 40. A loud snapping noise accompanies this injury, which is often described as being struck on the back of the heel. Immediate attention to this injury is suggested. If you experience any of the above injuries, it is wise to visit a podiatrist for an exam and diagnosis.
Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Abeer M. Foteh, DPM of Greater Houston Foot Centers. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is the Achilles Tendon?
The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.
What Are the Symptoms of an Achilles Tendon Injury?
There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.
Achilles Tendinitis Symptoms
- Inflammation
- Dull to severe pain
- Increased blood flow to the tendon
- Thickening of the tendon
Rupture Symptoms
- Extreme pain and swelling in the foot
- Total immobility
Treatment and Prevention
Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:
- Thorough stretching of the tendon before and after exercise
- Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses
If you have any questions please feel free to contact our office located in Baytown, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
How to Treat Heel Spurs
Heel spurs are calcium deposits that cause bone protrusions on the heel bone. Heel spurs are usually associated with plantar fasciitis, which occurs when the plantar fasciitis in the foot becomes inflamed. Typically, heel spurs don’t cause any symptoms. However, they can produce chronic or intermittent heel pain. Those who have had the condition often describe the irritation as a stabbing pain.
There are risk factors that may make you more likely to develop heel spurs. People who have abnormal walking gaits, run and jog on hard surfaces, are obese, or wear poorly fitting shoes are more likely to develop heel spurs.
Fortunately, there are precautions you can take to avoid developing heel spurs. One of the best ways to do this is by wearing well-fitting shoes with shock-absorbent soles. Another preventative technique is to choose running shoes if you plan on running, and walking shoes if you plan on walking. Shoes are made for different activities and it is important to research a shoe before you purchase a pair.
The pain associated with heel spurs often decreases the more you walk. However, a recurrence of pain after an extended period of rest or walking is likely to occur with this condition. Those with severe heel spur pain may opt to go the surgical route for treatment. However, more than 90% of those with the condition get better without surgical treatment. If you have a heel spur and want to know if surgery is right for you, you should go to your podiatrist and he or she will be able to conduct a pre-surgical test or exam to determine if you are an optimal candidate for surgery.
Heel Spurs and Orthotics

Heel spurs can be quite a nuisance to the health of your feet. Formed by calcium deposits in the feet, heel spurs are essentially bony outgrowths that can form at the front of the heel bone. These outgrowths will typically grow inward, pointing towards the toes of the feet. Although some individuals who suffer from heel spurs do feel some pain, other individuals do not. Heel spurs can be treated in a variety of different ways. Besides undergoing a surgical procedure to treat the heel spurs, an individual might be able to treat the condition with less severe methods. Namely, you might be able to address your heel spurs with orthotics. Orthotics are shoe inserts that are made to help correct foot or gait deformities. They also can provide extra foot support. By wearing orthotics, you might be able to help provide your feet with the extra cushioning and support that is needed to reduce any pain from heel spurs. In the same vein, splints for the feet may also be worn at night. These objects can keep your feet in a stretched position throughout the night. Not only could this keep your plantar fascia in a relaxed position, but it might also help mitigate your heel spurs. If you have heel spurs, contact a podiatrist to see if orthotics or night splints are right for you.
Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Abeer M. Foteh, DPM from Greater Houston Foot Centers. Our doctor will do everything possible to treat your condition.
Heels Spurs
Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.
Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.
Pain
The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.
Treatments
There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.
If you have any questions feel free to contact our office located in Baytown, TX . We offer the latest in diagnostic and treatment technology to meet your needs.