advanced-foot-ankle-center

5 Ways to Treat Achilles Tendon Injuries

Wed, 04 Nov 2026 21:36:26 GMT

Achilles tendon injuries affect the strong band connecting your calf muscles to your heel. They may cause pain, stiffness, swelling, or a sudden “pop” after overuse or trauma. Early evaluation helps identify Achilles tendonitis, a partial tear, or a rupture so treatment can begin before the condition worsens.

What causes Achilles tendon injuries?

The Achilles tendon absorbs significant force whenever you walk, run, jump, or climb stairs. An injury can develop gradually from repeated stress or happen suddenly during sports and other activities.

Common risk factors include:

Increasing exercise intensity too quickly
Running or jumping on hard surfaces
Tight calf muscles or limited ankle flexibility
Wearing unsupportive or inappropriate footwear
Age-related tendon weakening

Conditions such as flat feet, obesity, diabetes, and previous tendon problems may also increase strain. Athletes are especially vulnerable, but Achilles tendon injuries can affect anyone.

What are the symptoms of Achilles tendonitis or a tear?

Symptoms vary based on the type and severity of injury. Achilles tendonitis often causes pain and stiffness that develop gradually, while a rupture typically causes sudden, severe symptoms.

Watch for:

Pain above the heel, especially during activity
Morning stiffness or tenderness along the tendon
Swelling or thickening of the tendon
A sudden snap or popping sensation
Difficulty walking, pushing off, or standing on your toes
Bruising near the ankle or heel

Severe pain, a visible gap in the tendon, or an inability to push off the foot may indicate a rupture. Seek prompt medical attention rather than trying to “walk it off.”

How are Achilles tendon injuries diagnosed?

A podiatrist will review your symptoms, activity level, medical history, and the event that caused the pain. During an examination, the provider may assess tenderness, swelling, strength, ankle movement, and your ability to walk or rise onto your toes.

Imaging can help clarify the diagnosis. Ultrasound may show tendon thickening or a tear in real time, while MRI can provide detailed images of the tendon and surrounding structures. X-rays do not show the tendon itself, but they may identify bone spurs or other conditions contributing to symptoms.

Accurate diagnosis matters because treatment for mild Achilles tendonitis differs from treatment for a partial tear or complete rupture.

What are the best treatments for Achilles tendon injuries?

Treatment depends on the injury’s location, severity, duration, and your goals. Conservative care is often effective for tendonitis and less severe tears.

1. Activity modification

Temporarily reducing running, jumping, hills, and other painful activities can decrease tendon stress. Low-impact options such as swimming or cycling may be appropriate, depending on your symptoms.

2. Physical therapy and stretching

A guided rehabilitation plan may include calf stretching, strengthening, balance exercises, and progressive eccentric loading. Exercises should be introduced gradually because advancing too quickly can delay healing.

3. Supportive footwear and orthotics

Shoes with appropriate cushioning and support may reduce pressure on the tendon. Custom orthotics can help improve foot mechanics when overpronation or another alignment issue contributes to strain.

4. Shockwave therapy and other advanced care

For persistent tendon pain, your podiatrist may discuss extracorporeal pulse activation technology, also called EPAT or shock wave therapy . This non-invasive option uses acoustic energy to support circulation and the body’s healing response.

5. Surgical evaluation for major tears

A complete rupture or severe tear may require immobilization, specialist referral, or surgery. The best approach depends on factors such as age, activity level, tendon separation, and overall health. Early evaluation helps you understand your options.

How can South Texas Podiatry help?

South Texas Podiatry provides individualized foot and ankle care for patients in San Antonio and surrounding communities. Dr. Ed Davis and Dr. Silas Espino evaluate the underlying cause of pain and create a treatment plan based on your condition and lifestyle.

Care may include:

Physical examination and diagnostic imaging
Activity and footwear recommendations
Conservative treatment planning
Orthotic guidance
Rehabilitation or referral when appropriate
Advanced non-invasive options for persistent tendon pain

If Achilles pain is affecting your walking, work, exercise, or sleep, explore our Achilles Tendonitis care page or contact the practice to request an evaluation. Related ankle symptoms may also benefit from our information on ankle pain and sports injuries .

When should you see a podiatrist?

Schedule an appointment for pain that persists, returns with activity, or gradually worsens. Prompt care is especially important if you notice swelling, bruising, weakness, or difficulty pushing off the foot.

Seek urgent evaluation after a sudden pop, severe pain, or inability to walk normally. A rupture can become more difficult to treat if diagnosis is delayed.

Until you are evaluated, avoid painful exercise and do not aggressively stretch an acutely injured tendon. Rest, elevation, and a wrapped cold pack may help with discomfort. Avoid placing ice directly on the skin.

Frequently asked questions

Can Achilles tendon injuries heal without surgery?

Many cases of Achilles tendonitis and some partial tears improve with activity modification, rehabilitation, supportive footwear, and medical supervision. Complete ruptures and severe tears require prompt evaluation to determine whether surgery or another treatment is appropriate.

How long does Achilles tendonitis take to heal?

Mild symptoms may improve within several weeks, while chronic or more severe tendon problems can require months of gradual rehabilitation. Recovery depends on the extent of injury, consistency with treatment, and whether contributing factors are addressed.

Is it safe to keep exercising with Achilles pain?

Do not continue an activity that causes sharp or worsening pain. Your provider may recommend temporary low-impact exercise, but returning to running or jumping should be gradual and guided by symptoms and strength.

What is the difference between tendonitis and an Achilles rupture?

Tendonitis usually develops through irritation and overuse, causing gradual pain and stiffness. A rupture is a partial or complete tear that may cause a sudden pop, bruising, weakness, and difficulty pushing off the foot.

Take the next step toward recovery

Achilles tendon injuries are easier to manage when they are evaluated early and treated according to their severity. Persistent pain may respond to activity changes, rehabilitation, footwear support, orthotics, or advanced non-invasive therapy, while sudden weakness or a popping sensation requires prompt assessment. If Achilles pain is limiting your everyday movement or exercise, schedule an evaluation with South Texas Podiatry. The next step is to identify the cause, compare appropriate treatment options, and follow a gradual plan that supports safe recovery.

5 Ways to Handle Pediatric Foot Injuries

Wed, 21 Oct 2026 13:49:02 GMT

Pediatric foot injuries are common because children are active, growing, and still developing balance and coordination. Most minor injuries improve with rest, ice, compression, and elevation, but severe pain, swelling, deformity, numbness, inability to walk, or symptoms that persist require prompt evaluation by a podiatrist.

What Are the Most Common Pediatric Foot Injuries?

Pediatric foot injuries can affect the toes, arch, heel, ankle, or lower leg. They may happen during sports, playground activities, running, jumping, or ordinary daily movement. Common examples include:

Ankle sprains caused by a twist, trip, or awkward landing
Bruises and soft-tissue strains from impact or overuse
Toe injuries, including jammed, stubbed, or fractured toes
Stress injuries caused by repetitive activity
Heel and arch pain related to growth, overuse, or footwear

A child may describe pain differently from an adult. Some children limp, avoid activities, remove a shoe, or become unusually irritable rather than clearly identifying the painful area. Watch how your child walks and moves, not only what they say.

For additional information, review our resources on ankle sprains , ankle pain , and sports injuries .

How Can You Tell If a Child’s Foot Injury Is Serious?

Some symptoms suggest that a child should be evaluated quickly. Contact a podiatrist or seek urgent medical care if your child has:

Severe or worsening pain
Significant swelling or bruising
A visibly crooked or deformed foot, toe, or ankle
Inability to stand or take four steps
Numbness, tingling, unusual coldness, or pale or blue skin
An open wound, exposed bone, or uncontrolled bleeding
Pain directly over a bone after an accident
Symptoms that do not improve after 24 to 48 hours of home care

Children have growth plates near the ends of their bones. An injury involving a growth plate may not look dramatic but can affect normal development if it is missed. Persistent tenderness, swelling, or limping deserves professional assessment, especially after a fall or sports collision.

What Should You Do Immediately After a Foot Injury?

The first priority is to stop the activity and prevent additional stress. Do not encourage a child to “walk it off” when walking is painful.

1. Rest the injured area

Have your child sit or lie down. Limit running, jumping, and sports until pain and swelling have improved. If walking is difficult, provide support and arrange an evaluation rather than forcing normal movement.

2. Apply cold therapy

Use a cold pack wrapped in a thin towel for about 15 to 20 minutes at a time. Repeat every few hours during the first day or two. Never place ice directly on the skin, and stop if the skin becomes numb, very pale, or painful.

3. Elevate the foot

Raise the foot above heart level when your child is resting. Elevation may reduce swelling and throbbing, particularly after an ankle or midfoot injury.

4. Use gentle support

A comfortable elastic wrap may provide light support for some soft-tissue injuries. It should never be tight enough to cause tingling, color change, increased pain, or cold toes. Do not wrap a visibly deformed area before medical evaluation.

5. Monitor symptoms

Check pain, swelling, skin color, sensation, and walking ability. Write down when the injury happened and what your child was doing. This information can help a clinician determine whether imaging or other testing is needed.

When Should a Child See a Podiatrist?

Schedule a podiatry visit when pain continues, returns with activity, or interferes with school, sleep, play, or sports. A child should also be evaluated after a significant twist, fall, collision, or direct blow—even if swelling seems modest.

A podiatrist can examine the bones, joints, tendons, ligaments, gait, and growth-related structures. Depending on the findings, the evaluation may include diagnostic imaging. Treatment may involve activity modification, footwear changes, a brace, physical therapy, custom orthotics , or another conservative approach.

Early care can help a child return to activity safely and reduce the risk of compensating with an abnormal gait. It may also identify an underlying concern, such as flat feet, instability, or recurring alignment problems.

How Are Pediatric Foot Injuries Diagnosed and Treated?

Diagnosis begins with a detailed history and physical examination. The clinician may ask:

How and when did the injury occur?
Did the foot twist, bend, or receive a direct impact?
Could your child walk immediately afterward?
Has the child had previous injuries or foot pain?
What activities, shoes, or training changes occurred recently?

The clinician may gently test tenderness, range of motion, strength, circulation, and sensation. Imaging can help identify a fracture or other structural problem when the examination suggests one.

Treatment depends on the injury and the child’s age. Minor injuries may improve with rest, support, and a gradual return to activity. More involved injuries may require a walking boot, crutches, rehabilitation, or referral for additional care. Follow the recommended plan closely and do not restart sports simply because swelling has decreased.

Helping Children Return to Sports Safely

A gradual return is safer than an immediate return to full competition. In general, a child should be able to walk without a limp, move the foot comfortably, and perform sport-specific movements without pain before resuming normal play.

Consider this progression:

Normal walking without increased pain or swelling
Gentle range-of-motion exercises
Light jogging on a level surface
Practice drills without contact
Full practice, followed by competition if symptoms remain absent

If pain returns at any stage, stop and move back to the previous comfortable level. Coaches and caregivers should know about the injury and any restrictions. Supportive, properly fitting shoes can also reduce unnecessary stress.

How Can Parents Prevent Foot Injuries?

Not every injury can be prevented, but practical habits can lower risk:

Choose shoes that fit comfortably, provide support, and match the activity.
Replace worn-out athletic shoes and avoid hand-me-downs that no longer fit.
Encourage warmups, stretching, hydration, and rest days during sports seasons.
Increase training time and intensity gradually rather than suddenly.
Teach children to report pain early instead of hiding symptoms.

Regular observation is especially important during growth spurts. A shoe that fit recently may become too small, while a child’s coordination and movement patterns may change quickly. Ask about discomfort after new activities, tournaments, camps, or changes in footwear.

Common Questions About Pediatric Foot Injuries

Should I use ice or heat for a child’s foot injury?

Cold therapy is generally more appropriate during the first 24 to 48 hours when swelling is present. Heat may increase blood flow and swelling soon after an acute injury. Ask a healthcare professional before using heat, especially when the diagnosis is uncertain.

Can a child walk on a sprained foot?

A child may walk on a mild sprain if doing so is comfortable, but painful walking should not be forced. Limping, inability to bear weight, or worsening pain are reasons to seek an evaluation.

How long do pediatric foot injuries take to heal?

Recovery varies by injury, location, age, and treatment. A mild bruise may improve within several days, while a sprain or fracture can require weeks. Symptoms that are not steadily improving should be reassessed.

Are growing pains a normal explanation for foot pain?

Foot pain should not automatically be attributed to growing pains. Recurrent pain, swelling, a limp, night waking, or pain limited to one foot deserves evaluation to identify the cause.

Where can families find pediatric foot care in San Antonio?

South Texas Podiatry provides comprehensive foot and ankle care for children and adults. Families can learn more about pediatric care , new patient visits , or contact the practice to discuss an appropriate appointment.

Key Takeaways for Parents

Pediatric foot injuries are often minor, but children need careful observation because growth-related structures can be affected. Stop activity, use wrapped cold therapy, elevate the foot, and monitor walking ability after an injury. Seek prompt care for deformity, severe pain, numbness, inability to bear weight, or persistent symptoms. When pain continues or returns with sports, schedule a podiatry evaluation. The next step is to compare your child’s symptoms with these warning signs and arrange professional care when the injury is not steadily improving.

How Sports Medicine in Podiatry Helps You Recover

Thu, 08 Oct 2026 12:44:39 GMT

Sports medicine in podiatry focuses on diagnosing, treating, and preventing foot and ankle injuries in athletes and active people. A podiatrist can manage sprains, fractures, heel pain, tendon problems, and stress injuries while creating a practical recovery plan that helps you return to activity safely and confidently.

What Does Sports Medicine in Podiatry Treat?

Sports medicine podiatry covers problems affecting the feet, ankles, and lower legs. These areas absorb significant force during running, jumping, cutting, and quick changes in direction, so even a small issue can affect your entire movement pattern.

Common conditions include:

Ankle sprains and ankle instability
Stress fractures and other foot fractures
Heel pain and plantar fasciitis
Achilles tendonitis and other tendon injuries
Overuse injuries, blisters, and painful calluses

Podiatrists also evaluate injuries related to training errors, worn-out shoes, poor mechanics, uneven surfaces, or sudden increases in activity. The goal is not simply to make pain disappear. It is to identify why the injury happened and reduce the chance of it returning.

If you are dealing with a recent twist, persistent soreness, or pain that changes how you walk or run, explore guidance on sports injuries and ankle pain .

Why Should Athletes See a Podiatrist?

Athletes often try to “walk it off,” which is admirable in movies and questionable in real life. Foot and ankle pain can signal a condition that needs attention, especially when symptoms persist, worsen, or keep returning.

A podiatrist brings specialized knowledge of lower-extremity structure, gait, balance, and load management. During an evaluation, they may consider:

Where the pain began and what movements trigger it
Whether swelling, bruising, weakness, or instability is present
How you walk, run, jump, or distribute pressure
Your footwear, training surface, and recent activity changes
Previous injuries and relevant health conditions

This information helps distinguish a mild strain from a more serious injury. It can also reveal contributing factors such as flat feet, limited ankle mobility, muscle imbalance, or footwear that does not provide enough support.

How Is a Sports Injury Diagnosed?

Diagnosis begins with a conversation and physical examination. Your podiatrist may check range of motion, strength, tenderness, swelling, skin changes, balance, and the way your foot and ankle respond to specific movements.

When appropriate, diagnostic imaging can provide a closer look at bones and soft tissues. Depending on the suspected problem, this may include X-rays or other imaging studies. Imaging is especially important when a fracture, significant tendon injury, or injury that is not improving needs to be ruled out.

Bring useful details to your appointment, including:

When symptoms started
The activity that caused or worsened them
Any swelling, bruising, numbness, or popping
Shoes or equipment used during the activity
Treatments you have already tried

A clear timeline gives your clinician better information and can make the treatment plan more targeted.

Treatment Options for Active Feet and Ankles

Treatment depends on the diagnosis, severity, sport, goals, and overall health. Many injuries improve with conservative care, while more complex problems may require additional intervention or referral.

Rest and Activity Modification

Rest does not always mean doing absolutely nothing. Your podiatrist may recommend temporarily avoiding painful movements while maintaining safe, low-impact activity. Swimming, cycling, or upper-body training may be appropriate for some people, but only if they do not aggravate symptoms.

Support, Bracing, and Orthotics

Taping, ankle braces, supportive footwear, or custom orthotics can reduce stress on irritated tissues and improve alignment. Orthotics are not a universal fix, but they may be useful when foot mechanics contribute to pain or repeated injury.

Rehabilitation and Gradual Return

A recovery plan may include stretching, strengthening, balance work, mobility exercises, or physical therapy. Progress should be based on function rather than impatience. Being able to walk comfortably is not always the same as being ready to sprint, cut, or compete.

Advanced Non-Invasive Therapies

Some patients may benefit from treatments such as shock wave therapy, depending on the condition and clinical evaluation. Learn more about EPAT and shock wave therapy , an option sometimes used for persistent soft-tissue pain.

How Can You Prevent Foot and Ankle Injuries?

You cannot prevent every injury, but consistent habits can lower risk and help you notice problems earlier.

Increase training volume gradually instead of making sudden jumps.
Warm up with dynamic movements before intense activity.
Strengthen the calves, feet, ankles, hips, and core.
Replace worn athletic shoes and choose footwear suited to your activity.
Stop or modify activity when pain changes your movement.

Recovery days matter, too. Muscles and connective tissues need time to adapt to training. Repeatedly pushing through sharp, worsening, or localized pain can turn a manageable problem into a longer interruption.

When Is It Safe to Return to Sports?

Return-to-sport decisions should be gradual and based on symptoms, strength, movement, and sport-specific demands. A useful progression may look like this:

Normal walking without significant pain or limping
Gentle range-of-motion and strength exercises
Low-impact cardio without symptom flare-up
Easy jogging, then controlled changes of direction
Practice drills before full competition

Your clinician may also assess whether you can hop, land, balance, and accelerate without pain or compensation. If swelling or soreness returns after activity, that is useful feedback—not a personal failure. Reduce the intensity and discuss the next step with your care team.

Warning Signs That Need Prompt Attention

Seek prompt medical evaluation for severe pain, obvious deformity, inability to bear weight, rapidly increasing swelling, significant bruising, numbness, or a cold or discolored foot. An audible pop followed by weakness can also require urgent assessment.

Persistent pain deserves attention even when it is not dramatic. A stress injury, tendon problem, or instability may worsen if activity continues without a diagnosis. People with diabetes, poor circulation, or a history of foot problems should be especially careful and can review diabetic foot care for additional guidance.

Frequently Asked Questions

Is sports medicine in podiatry only for professional athletes?

No. Sports medicine podiatry can help anyone who walks, runs, trains, works on their feet, or participates in recreational activity. Treatment is tailored to your goals, whether that means returning to a league, finishing a 5K, or walking comfortably again.

Should I see a podiatrist for a sprained ankle?

Consider an evaluation if you cannot bear weight, have substantial swelling or bruising, feel unstable, heard a pop, or are not improving after a few days of appropriate care. Repeated sprains can contribute to chronic ankle instability .

Can I keep exercising with foot pain?

It depends on the cause and severity. Avoid activities that increase pain, cause limping, or produce swelling afterward. A podiatrist can help identify safe alternatives and determine when impact can be added back.

Are custom orthotics useful for athletes?

They may help some athletes when alignment, pressure distribution, or foot mechanics contribute to symptoms. An evaluation is important because an orthotic should support a specific clinical goal rather than serve as a one-size-fits-all accessory.

How long does recovery take?

Recovery varies widely. A mild sprain may improve in days or weeks, while a stress fracture or tendon injury can require a longer progression. The diagnosis, severity, treatment plan, and consistency with rehabilitation all influence timing.

Key Takeaways

Sports medicine in podiatry helps active people understand, treat, and prevent foot and ankle injuries. A podiatrist can evaluate pain, identify contributing mechanics, recommend conservative treatment, and guide a measured return to activity. Do not wait for a minor problem to become a season-ending one: schedule an evaluation if pain persists, affects your movement, or keeps returning. In the meantime, reduce aggravating activity, wear supportive shoes, and follow a gradual recovery plan. The smartest next step is to compare your symptoms with the warning signs above and seek professional care when your foot or ankle is not behaving normally.

6 Foot Exercises to Help Runners Stay Strong and Comfortable

Thu, 01 Oct 2026 15:34:10 GMT

Ru nning is a great way to stay active, but every step places pressure on your feet and ankles. Whether you are preparing for a race or enjoying a casual jog, strengthening and stretching your feet can help support your stride and reduce strain.

The Mayo Clinic recommends including strength training, an active warm-up, supportive running shoes, and adequate recovery in a well-rounded running routine.

1. Towel Curls

Place a small towel flat on the floor. While seated, use your toes to grab the towel and slowly pull it toward you.

Towel curls strengthen the small muscles that help support the arches of your feet. The Mayo Clinic includes this exercise among its recommendations for helping prevent plantar fasciitis.

2. Toe Raises

Stand with both feet flat on the floor. Keep your smaller toes down while lifting your big toes. Then reverse the movement by pressing your big toes down and lifting the other toes.

This exercise helps improve toe control and strengthen the muscles that support balance and stability while running.

3. Calf Raises

Stand near a wall or chair for support. Slowly rise onto the balls of your feet, pause briefly, and lower your heels back to the floor. Begin with both feet before progressing to one leg at a time.

Calf raises strengthen the muscles that support your feet, ankles, and Achilles tendons.

4. Calf Stretch

Stand facing a wall and place one foot behind the other. Keep your back leg straight and your heel on the floor as you gently move your hips forward. Hold the stretch for 30 seconds before switching sides.

The Mayo Clinic recommends calf stretching to improve flexibility and help protect the plantar fascia and Achilles tendon. Avoid bouncing while holding the stretch.

5. Plantar Fascia Stretch

Sit down and cross one foot over the opposite knee. Gently pull your toes back toward your shin until you feel a stretch along the bottom of your foot. Hold for approximately 30 seconds and repeat on the other side.

This stretch can be especially helpful for runners who experience tightness or discomfort in the arch or heel.

6. Single-Leg Balance

Stand on one foot for 20 to 30 seconds, using a wall or chair for support if needed. As your balance improves, try performing the exercise without support or while standing on a folded towel.

Single-leg balance exercises help strengthen the muscles that stabilize the feet and ankles while running.

Don’t Forget to Warm Up

Before running, begin with five to 10 minutes of walking or light jogging. Dynamic movements such as leg swings, walking lunges, and ankle circles can also help prepare your muscles and joints for activity. Save longer, stationary stretches for after your run, when your muscles are warm.

Listen to Your Feet

These exercises should not cause sharp or worsening pain. Stop if an exercise hurts, and do not continue running through persistent foot or ankle pain. Heel pain, swelling, numbness, or discomfort that does not improve may indicate an injury requiring professional care.

The podiatrists at South Texas Podiatry can evaluate your symptoms, identify the cause of your discomfort, and recommend a personalized treatment plan to help you return to activity safely.

If foot or ankle pain is slowing you down, contact South Texas Podiatry today to schedule an appointment.

How to Get TRICARE Podiatry Care in San Antonio

Tue, 22 Sep 2026 21:37:00 GMT

TRICARE podiatry care in San Antonio may be covered when a foot or ankle evaluation or treatment is medically necessary and meets your specific TRICARE plan’s rules. Benefits, network requirements, referrals, authorizations, and cost-sharing can vary, so confirm your coverage and care requirements before scheduling an appointment.

Does TRICARE Cover Podiatry Services?

TRICARE may cover podiatry services when the care is medically necessary and included under your plan. Podiatry is the medical specialty focused on diagnosing and treating conditions affecting the feet, ankles, and related lower-extremity structures.

Coverage can depend on several factors, including:

Your TRICARE plan and beneficiary category
Whether the podiatrist participates in your plan’s network
The medical reason for the visit
Whether a referral or prior authorization is required
The treatment, diagnostic test, or device being recommended

A routine foot evaluation for pain, an injury, a diabetic foot concern, or another medical condition may be handled differently from elective or non-covered care. Your plan administrator can explain your benefits, while the podiatry team can help you understand the clinical reason for a recommended service.

Because coverage rules can change and individual plans differ, avoid assuming that a service is covered based only on your diagnosis. Confirm the details before treatment whenever possible.

What Podiatry Conditions Can TRICARE Patients Treat?

A podiatrist can evaluate many common and complex foot and ankle problems. At South Texas Podiatry, care may include assessment and treatment for:

Heel pain and plantar fasciitis
Bunions , corns, and calluses
Ankle pain , sprains, and instability
Sports injuries and overuse conditions
Diabetic foot concerns, wounds, and preventive examinations
Ingrown toenails, warts, and fungal or skin conditions
Flat feet, neuromas, and painful changes in foot structure
Achilles tendon problems and other tendon injuries

Podiatry care may include a physical examination, gait assessment, imaging, bracing, custom orthotics, wound care, medication recommendations, therapy, or minimally invasive procedures. The appropriate plan depends on your symptoms, medical history, activity level, and examination findings.

If you have diabetes, reduced sensation, circulation concerns, or a history of foot wounds, prompt evaluation is especially important. Small problems can become more serious when they are not noticed or treated early. Learn more about diabetic foot care and ways to protect your feet between visits.

Do TRICARE Patients Need a Referral for a Podiatrist?

Whether you need a referral depends on your TRICARE plan, assigned primary care process, location, and the type of care you need. Some plans allow beneficiaries to schedule directly with an in-network specialist, while others may require a referral or authorization from a primary care manager.

Before your visit, check:

Your plan type: Review whether you have TRICARE Prime, Select, or another eligible option.
Your network rules: Confirm whether South Texas Podiatry is participating for your plan and location.
Referral requirements: Ask whether a primary care referral is needed for an initial podiatry visit.
Authorization requirements: Verify whether imaging, procedures, orthotics, or other services require approval.
Appointment details: Ask what documentation the office needs when you schedule.

A referral does not always guarantee payment. It is one part of the coverage process. Eligibility, medical necessity, network status, coding, and authorization may also affect your responsibility.

For current information, use the official TRICARE resources or contact the member services number on your insurance card. You can also contact the podiatry office with questions about the appointment process.

Which TRICARE Foot and Ankle Services May Be Covered?

Covered services vary by plan and medical necessity, but a podiatry visit may involve several types of care. Your provider can explain why a service is recommended and whether additional review may be needed.

Potentially covered categories may include:

Evaluation of new or ongoing foot and ankle pain
Treatment for injuries, infections, wounds, and painful deformities
Diabetic foot examinations and medically necessary wound care
Diagnostic imaging when needed to evaluate an injury or condition
Conservative treatment such as padding, bracing, stretching, or medication guidance
Custom orthotics when specific coverage criteria are met
Treatment for heel pain, plantar fasciitis, tendon conditions, and sports injuries

Some advanced or specialized treatments may have additional requirements. For example, shock wave therapy, certain procedures, durable medical equipment, and custom devices may require documentation, authorization, or plan-specific approval. Ask what alternatives are available if a recommended service is not covered.

What Should You Bring to a TRICARE Podiatry Appointment?

Bringing the right information can make check-in and coverage discussions easier. Prepare the following before your visit:

Your TRICARE insurance card and photo identification
Referral or authorization information, if applicable
A list of medications, allergies, and relevant medical conditions
Previous imaging, treatment records, or operative reports
A description of when symptoms began and what makes them better or worse
The shoes, braces, or orthotics you commonly use, if they relate to your concern

Wear comfortable clothing and shoes that allow the provider to examine your foot, ankle, and walking pattern. If you have diabetes, bring information about recent blood sugar management when relevant to your care.

Be ready to explain your goals. You may want to return to sports, walk without pain, prevent a wound from worsening, or find a non-surgical treatment option. Clear information helps your podiatrist create a more useful plan.

How Can You Confirm Your TRICARE Benefits?

The most reliable way to confirm benefits is to contact TRICARE before receiving a service. Ask specific questions rather than simply asking whether “podiatry” is covered.

Useful questions include:

Is this podiatry office in-network for my exact plan?
Do I need a referral for the first appointment?
Does the referral need to identify a specific provider or service?
Is prior authorization required for imaging, orthotics, injections, or procedures?
What deductible, copayment, coinsurance, or other cost may apply?
Are there limits or medical-necessity criteria for this treatment?
Will the service be billed as a specialist visit, procedure, device, or therapy?

Write down the date, representative’s name, reference number, and summary of the conversation. Benefits information is not always a guarantee of payment, but keeping a record can help if questions arise later.

If the office requests a referral or authorization, submit it as early as possible. Delays may occur when records, diagnosis details, or supporting documentation are missing.

Care Options at South Texas Podiatry

South Texas Podiatry provides comprehensive evaluation and treatment for patients in San Antonio and surrounding communities. The practice focuses on personalized care, conservative treatment when appropriate, and minimally invasive options when clinically suitable.

Depending on your condition, your evaluation may include:

A detailed medical and symptom history
Examination of the foot, ankle, skin, nerves, circulation, and gait
Diagnostic imaging when indicated
Discussion of home care, footwear, stretching, bracing, or orthotics
Treatment planning for injuries, painful conditions, diabetic concerns, or skin and nail problems

Explore the full range of podiatry services , or review information for new patients before your appointment. You can also learn more about custom orthotics , sports injuries , heel pain , and ankle sprains .

Frequently Asked Questions

Can I see a podiatrist with TRICARE without a referral?

Possibly. Referral rules depend on your plan and the service. Confirm requirements with TRICARE and the office before scheduling.

Does TRICARE cover custom orthotics?

Custom orthotics may be covered in some circumstances when medical-necessity and plan requirements are met. Ask whether authorization, documentation, or specific eligibility criteria apply.

Does TRICARE cover diabetic foot care?

Medically necessary diabetic foot evaluations and treatment may be covered, subject to plan rules. Prompt care can help identify wounds, pressure points, infection, or circulation concerns early.

What if my TRICARE claim is denied?

Review the explanation of benefits, contact TRICARE for the reason, and ask the podiatry office whether additional records or an appeal may be appropriate. Keep copies of all correspondence.

Key Takeaways

TRICARE podiatry care in San Antonio may be available for medically necessary foot and ankle services, but coverage is plan-specific. Confirm network status, referrals, authorization, and expected costs before treatment. Bring your insurance information and relevant medical records to the appointment, and do not delay care for severe pain, a wound, infection, or diabetic foot concern. South Texas Podiatry can evaluate your condition, explain treatment options, and help you take the next step toward appropriate care. Start by reviewing your TRICARE information and contacting the office with your coverage questions.

5 Ways to Choose Heel Pain Treatment in San Antonio

Tue, 15 Sep 2026 13:35:19 GMT

Heel pain treatment depends on the cause, severity, and how long symptoms have lasted. Common options include activity changes, supportive footwear, stretching, custom orthotics, medication, physical therapy, and targeted podiatric care. A San Antonio podiatrist can examine your foot, identify the source, and create a safe plan for lasting relief.

What causes heel pain?

Heel pain is a symptom rather than a diagnosis. It may develop gradually from repeated stress or appear suddenly after an injury. The location and timing of your pain can provide useful clues.

Common causes include:

Plantar fasciitis: Irritation of the thick band of tissue supporting the arch, often causing pain with the first steps in the morning.
Achilles tendonitis: Inflammation or irritation near the back of the heel, frequently linked to sports, overuse, or tight calf muscles.
Heel spurs: Calcium deposits that may develop after long-term strain. The spur itself is not always the source of pain.
Stress injuries: Small cracks or bone irritation caused by repetitive impact.
Nerve irritation or bursitis: Less common causes that may create burning, tingling, swelling, or pain at rest.

Learn more about specific conditions on our Heel Pain and Plantar Fasciitis pages.

When should you see a podiatrist for heel pain?

Schedule an evaluation if pain lasts more than a few days, keeps returning, limits walking, or does not improve with simple home care. Earlier care may help prevent a minor problem from becoming a long-term condition.

Seek prompt medical attention when heel pain follows a significant injury or occurs with severe swelling, bruising, numbness, redness, warmth, fever, or an inability to put weight on the foot. People with diabetes should not ignore new foot pain, blisters, wounds, or skin changes. Visit our Diabetic Foot Care page for additional guidance.

A podiatrist can review your symptoms, observe how you walk, check your range of motion, and perform imaging when appropriate. This evaluation helps distinguish plantar fasciitis from tendon, bone, nerve, or joint problems.

Five ways to support recovery

1. Reduce aggravating activity

Temporarily decrease running, jumping, long walks, or other activities that sharply increase pain. You do not necessarily need complete rest. Low-impact movement may be appropriate, depending on the cause.

2. Choose supportive shoes

Wear comfortable shoes with cushioning, a stable sole, and enough room for your toes. Avoid worn-out footwear, thin flats, and extended barefoot walking on hard floors. Replace athletic shoes when their support and cushioning have noticeably deteriorated.

3. Use gentle stretching

Calf and plantar fascia stretches may reduce tension around the heel. Stretch slowly and consistently, without bouncing or forcing painful movement. A clinician or physical therapist can show you which exercises fit your condition.

4. Consider orthotic support

Over-the-counter inserts may help some people, while others benefit from custom devices designed around their foot structure and activity level. Explore Orthotics to learn how support may improve pressure distribution and comfort.

5. Follow a personalized treatment plan

If symptoms persist, professional treatment may include physical therapy, bracing, medication guidance, shock wave therapy, or other conservative options. The right combination depends on your examination and diagnosis.

Which heel pain treatment is right for you?

There is no single best treatment for every case. A practical approach is to match care to the pattern of symptoms:

Morning heel pain: Stretching, supportive footwear, activity adjustments, and evaluation for plantar fasciitis may help.
Pain after sports: Rest from aggravating activity, gradual return-to-play planning, and assessment for a sports injury are important. See our Sports Injuries resources.
Back-of-heel pain: Evaluation for Achilles tendon irritation can guide exercise, footwear, and load-management recommendations. Read about Achilles Tendonitis .
Persistent or severe pain: A podiatric examination may be needed to rule out a stress injury, nerve problem, or another condition.

Avoid copying someone else’s treatment plan. A shoe insert, stretch, or exercise that helps one person may worsen another person’s symptoms if the underlying cause is different.

Can shock wave therapy help heel pain?

Shock wave therapy, also called extracorporeal pulse activation technology or EPAT, uses targeted sound waves to stimulate the treatment area. It may be considered for some persistent soft-tissue conditions after a thorough evaluation and when conservative care has not provided enough improvement.

It is not appropriate for every patient or every diagnosis. Your podiatrist can explain expected benefits, possible limitations, and alternatives. Read more about EPAT and Shock Wave .

What happens at a heel pain appointment?

At South Texas Podiatry, your visit may include a discussion of when symptoms began, what activities affect them, your footwear, prior injuries, and previous treatment. The doctors may examine your foot and ankle, assess flexibility and strength, and recommend diagnostic imaging if needed.

Your plan may begin with conservative care and clear instructions for home treatment. Follow-up helps determine whether symptoms are improving and whether the plan should be adjusted. The goal is not merely to reduce pain temporarily, but to address contributing factors and help you return to normal activity safely.

How can you prepare for your visit?

Bring a short symptom history and note:

Where the pain is located and when it is worst
Whether it began after a new activity, injury, or change in shoes
What makes it better or worse
Any swelling, numbness, tingling, or skin changes
Treatments, medications, inserts, or exercises you have already tried

Wearing the shoes you use most often can also help your provider understand how footwear may affect your symptoms.

Find heel pain care in San Antonio

Heel pain that keeps slowing you down deserves more than guesswork. At South Texas Podiatry, Dr. Ed Davis and Dr. Silas Espino evaluate the cause of your discomfort and recommend personalized, conservative, or minimally invasive care when appropriate. Same-day appointments and walk-ins are welcome at 109 Gallery Circle, Suite 119, San Antonio, TX 78258. Call (210) 490-3668 or schedule online .

Key takeaways

Heel pain can come from plantar fasciitis, tendon irritation, injury, nerve problems, or other conditions.
Supportive shoes, activity changes, stretching, and orthotics may help mild symptoms.
Persistent, severe, or diabetes-related foot pain should be evaluated promptly.
The best heel pain treatment depends on an accurate diagnosis and personalized plan.
Contact South Texas Podiatry when pain is limiting your walking or daily activities.

How to Start the School Year on the Right Foot

Fri, 28 Aug 2026 19:36:16 GMT

Starting the new school year on the right foot means focusing on proper footwear, early detection of issues like flat feet, and preventing sports injuries. A successful academic year begins with ensuring your child's feet are supported, pain-free, and ready for increased activity in the classroom and on the field.

Why is foot health important for the school year?

As the summer heat begins to wane and the school buses return to the streets of San Antonio, parents often focus on school supplies and new clothes. However, one of the most critical aspects of back-to-school preparation is ensuring your child has healthy, pain-free feet. Foot health is the literal foundation of a child's physical well-being. When a child experiences foot discomfort, it doesn't just stay in the feet; it can affect their posture, their ability to concentrate in class, and their willingness to participate in physical education or recess. At South Texas Podiatry, we see a significant increase in pediatric foot care visits during this season because the shift from summer sandals to structured school shoes can reveal underlying issues.

A child's foot is not just a smaller version of an adult foot. It is a complex structure of growing bones, ligaments, and tendons that are particularly susceptible to strain. During the school year, children are more active than they might have been during the summer months. Between walking through long hallways, participating in PE, and joining after-school sports, their feet are under constant pressure. If a child has an undiagnosed condition like flat feet or high arches, this increased activity can lead to chronic fatigue and pain. By prioritizing foot health now, you are setting your child up for a year of physical success and comfort.

What are the best shoes for school?

Selecting the right footwear is perhaps the most important decision a parent can make regarding their child’s foot health. While trendy designs and popular brands are often at the top of a student's wish list, the priority should always be support and fit. The best shoes for school are those that provide a stable platform for the foot while allowing for natural movement. When you go shoe shopping, it is best to do so in the late afternoon. This is because feet naturally swell throughout the day, and you want to ensure the shoes remain comfortable even at their largest size. Always have your child’s feet professionally measured, as sizes can vary significantly between different brands.

When evaluating a potential pair of school shoes, consider the following:

Ensure there is a thumb’s width of space between the longest toe and the end of the shoe.
Look for a firm heel counter that provides stability and prevents the foot from sliding.
Check for a flexible forefoot that allows the shoe to bend where the foot naturally bends.
Opt for breathable materials like leather or high-quality mesh to prevent moisture buildup.
Avoid completely flat shoes like ballet flats or flimsy flip-flops for daily wear.

Properly fitting shoes help prevent a variety of issues, from simple blisters to more complex problems like ingrown toenails and calluses . If your child is complaining of discomfort even in new shoes, it may be time to consult with Dr. Ed Davis or Dr. Silas Espino to check for structural issues that require more than just a new pair of sneakers.

Essential Features of Quality Footwear

Quality footwear for students must balance durability with orthopedic support. A common mistake is buying shoes that are slightly too large, hoping the child will "grow into them." However, oversized shoes cause the foot to slide, which leads to friction, blisters, and instability. Conversely, shoes that are too tight can compress the toes, potentially leading to bunions or neuromas later in life. The construction of the shoe should offer arch support that matches the child's foot type. For children with very flat feet, a shoe with a rigid midsole is often necessary to prevent the foot from collapsing inward during the gait cycle.

Beyond fit, the lacing system is vital. Laces allow for a customized fit that can be adjusted based on the thickness of the child’s socks or any minor swelling. Velcro is a great alternative for younger children, provided it can be tightened sufficiently to secure the foot. The outsole of the shoe should provide adequate traction to prevent slips and falls on polished school floors or playground equipment. By investing in high-quality footwear at the start of the year, you reduce the risk of sports injuries and ensure that your child can move confidently through their daily schedule without the distraction of aching feet.

How do I know if my child has growing pains?

The term "growing pains" is frequently used by parents to describe any leg or foot discomfort a child feels, but it is often a misnomer. While children do experience genuine growth-related sensations, persistent pain is never normal and should not be dismissed. True growing pains typically occur in the evening or night and affect both legs, usually in the thighs or calves. If your child is experiencing pain specifically in the heel, the arch, or only in one foot, it is likely not growing pains but an underlying mechanical issue. One common condition we treat at South Texas Podiatry is Sever’s disease, which causes significant heel pain in active children between the ages of 8 and 14.

If you notice any of the following signs, it is time to schedule a professional evaluation:

Your child is lagging behind during physical activities or sports.
They are frequently asking to be carried or wanting to sit down during walks.
There is visible swelling or redness around the joints or heels.
Your child is walking on their toes or limping in the morning.
They are complaining of pain that wakes them up from sleep consistently.

Addressing these issues early can prevent them from becoming chronic problems. Dr. Silas Espino specializes in identifying the difference between developmental changes and clinical conditions, ensuring that your child receives the appropriate conservative treatment, such as stretching exercises or physical therapy, to keep them moving comfortably.

Preventing Sports Injuries in School Athletics

Fall sports like soccer, football, and cross-country are a highlight of the school year for many students. However, the sudden transition from summer relaxation to intense daily practice can be a recipe for sports injuries . Overuse injuries are particularly common in young athletes whose bones and tendons are still maturing. Stress fractures, tendonitis, and ankle sprains are frequent visitors to our clinic during the first few months of school. Prevention starts with a gradual increase in activity rather than jumping into full-intensity training on day one. Ensuring that the child is using sport-specific footwear is also essential; a running shoe does not provide the lateral support needed for basketball or tennis.

Proper warm-up and cool-down routines are non-negotiable for student-athletes. Stretching the Achilles tendon and calf muscles can significantly reduce the risk of Achilles tendonitis and other strain-related injuries. Furthermore, if your child has a history of ankle instability , using supportive bracing or tape during games can provide the extra security needed to prevent a re-injury. At our San Antonio location , we provide comprehensive sports injury management, utilizing advanced diagnostic imaging to get to the root of the pain and creating personalized recovery plans that prioritize a safe return to play.

Is it time for custom orthotics?

For many children, standard off-the-shelf shoes do not provide enough support for their unique foot structure. This is where custom orthotics become a game-changer. Orthotics are medical devices designed to support and comfort the feet by correcting biomechanical imbalances. Unlike mass-produced inserts found in drugstores, custom orthotics are crafted from a precise mold of your child’s foot. They can help redistribute pressure, align the ankles, and support the arches, which is especially beneficial for children dealing with flat feet or persistent heel pain .

Orthotics can help with several school-related issues:

Reducing fatigue during long school days spent standing or walking.
Improving balance and coordination in physical education classes.
Alleviating pain caused by structural abnormalities like high arches.
Preventing the progression of deformities in growing feet.
Enhancing the fit and function of athletic footwear.

If you notice that your child’s shoes are wearing out unevenly—for example, the inner edge of the sole is significantly more worn than the outer edge—this is a strong indicator that their gait is misaligned. A consultation with Dr. Ed Davis can determine if custom orthotics are the right solution to provide your child with the stability they need to navigate the school year pain-free.

Managing Foot Hygiene in School Environments

School environments, especially locker rooms and gym floors, are breeding grounds for fungi and bacteria. Two of the most common issues students face are athlete’s foot and plantar warts . Athlete’s foot is a fungal infection that thrives in warm, damp environments and causes itching, redness, and peeling skin. Plantar warts are caused by the Human Papillomavirus (HPV) and often appear as small, grainy growths on the soles of the feet. Both conditions are highly contagious and can spread easily if children walk barefoot in communal areas. Encouraging your child to wear shower shoes or sandals in the locker room is a simple but effective preventive measure.

Daily foot hygiene should be a part of every student's routine. This includes washing the feet thoroughly with soap and water and, most importantly, drying them completely—especially between the toes—before putting on socks and shoes. Encourage your child to wear moisture-wicking socks made of synthetic blends or wool rather than 100% cotton, which tends to hold moisture against the skin. If your child does develop a stubborn wart, we offer advanced Swift Microwave Therapy , a highly effective and minimally invasive treatment that targets the root of the wart without the need for messy acids or painful freezing.

Back-to-School Foot Health Summary

Preparing for the school year involves more than just buying the right books and backpacks; it requires a proactive approach to your child's physical health. By selecting supportive footwear, monitoring for signs of pain beyond typical growth, and maintaining proper hygiene, you can prevent most common school-related foot issues. Remember that foot pain is not a normal part of childhood and should always be evaluated by a professional. Ensuring your child's feet are healthy will improve their focus, athletic performance, and overall happiness throughout the academic year.

To ensure your child is ready for the challenges ahead, keep these key takeaways in mind:

Shop for shoes in the afternoon and prioritize fit and support over style.
Distinguish between nighttime growing pains and persistent localized foot pain.
Transition into sports gradually to avoid overuse injuries like stress fractures.
Maintain strict foot hygiene in locker rooms to prevent fungal infections and warts.
Consult a specialist if you notice abnormal wear patterns on your child's shoes.

If you have concerns about your child's gait, recurring pain, or need expert guidance on footwear, the team at South Texas Podiatry is here to help. Our commitment to conservative and minimally invasive care ensures that your child gets back on their feet as quickly and safely as possible. Contact us today to schedule a back-to-school foot check-up and start the year off right!

Custom Orthotics: 5 Life-Changing Benefits in 2026

Tue, 21 Jul 2026 17:51:30 GMT

Custom orthotics are medical shoe inserts designed specifically for your feet to correct biomechanical imbalances, provide superior support, and alleviate pain from conditions like plantar fasciitis. Unlike store-bought inserts, they are precision-crafted to match your unique foot structure, improving overall mobility, comfort, and long-term joint health.

What Are Custom Orthotics and How Do They Work?

When you hear the word "orthotics," you might think of those squishy gel pads you see hanging in the pharmacy aisle. While those might provide a temporary cushion, true custom orthotics are in a completely different league. They are prescription medical devices tailored to the exact contours of your feet. Think of them like prescription glasses for your feet; while a generic pair of magnifying glasses might help a little, only a specific prescription allows you to see clearly and comfortably all day long.

Custom orthotics work by correcting the way your foot interacts with the ground. At South Texas Podiatry, we analyze your gait (the way you walk) and your foot’s structure to identify where the pressure points or alignment issues lie. By redistributing weight and supporting the arches, these inserts can stop the chain reaction of pain that often travels from the feet up to the ankles, knees, hips, and even the lower back.

How Do Custom Orthotics Improve Foot Health?

Improving your foot health starts with stabilization. Many people suffer from foot fatigue simply because their feet are working too hard to compensate for structural issues. Custom orthotics provide the necessary foundation to let your muscles and tendons relax. By placing the foot in its optimal neutral position, we can significantly reduce the strain on the plantar fasciitis ligament, which is a primary cause of morning foot pain.

Furthermore, orthotics help in:

Reducing localized inflammation in the heel and ball of the foot.
Preventing the progression of deformities like bunions .
Improving balance by providing a more stable base of support.
Alleviating pressure on sensitive areas caused by calluses or corns.
Enhancing the efficiency of your stride during daily activities.

By addressing these issues early, you aren't just treating a symptom; you are protecting the integrity of your skeletal system for years to come. Whether you are dealing with flat feet or high arches, the goal is to make every step as efficient and painless as possible.

The Difference Between Custom and Over-the-Counter Inserts

It is tempting to grab a pair of mass-produced inserts at the grocery store, but it’s important to understand what you’re actually buying. Over-the-counter (OTC) inserts are made for a "general" foot shape, which doesn't really exist. Every foot has its own unique nuances—one foot might even be slightly different from the other! OTC options are primarily for cushioning, not for correction.

Custom orthotics are crafted after a thorough examination by specialists like Dr. Davis or Dr. Espino . We use advanced diagnostic tools to create a 3D map of your foot. This ensures that the support is exactly where you need it and nowhere that you don't. While the upfront cost of custom orthotics is higher, their durability is far superior. A pair of custom inserts can last several years, whereas most drugstore brands need to be replaced every few months because the foam compresses and loses its efficacy.

Who Needs Custom Orthotics for Daily Relief?

If you find yourself dreading the walk from your car to your office, or if you feel like you need to sit down after only twenty minutes of standing, you are a prime candidate for custom support. Foot pain is never "normal," even as we age. It is usually a sign that something is mechanically wrong.

We often recommend custom orthotics for:

Patients suffering from chronic heel pain or arch strain.
Individuals with diabetic foot care needs who require pressure redistribution.
People with jobs that require long hours of standing on hard surfaces.
Seniors looking for better stability in our geriatric foot care program.
Children dealing with growing pains related to pediatric foot issues.

Key Advantages of Choosing Custom Orthotics

One of the biggest advantages of custom orthotics is their versatility. They aren't just for orthopedic shoes anymore. Modern materials allow us to create slim-profile orthotics that fit into dress shoes, high heels, and even narrow athletic cleats. This means you don't have to sacrifice style for comfort.

Another key advantage is injury prevention. When your feet are properly aligned, the rest of your body follows suit. This reduces the risk of ankle sprains and issues with ankle instability . For many of our patients, the greatest advantage is simply getting their lives back—being able to go on that hike, chase after grandkids, or finish a shift at work without agonizing pain.

Can Custom Orthotics Help With Sports Injuries?

Athletes put an incredible amount of stress on their lower extremities. Every time your foot hits the ground during a run, it absorbs several times your body weight in force. If your foot is slightly misaligned, that force isn't absorbed correctly, leading to sports injuries like Achilles tendonitis or stress fractures.

Custom orthotics for athletes are designed to handle these high-impact forces. They help control the motion of the foot, preventing excessive rolling inward (pronation) or outward (supination). This control is vital for maintaining proper form and avoiding overuse injuries. Whether you are a marathon runner or a weekend pickleball player, having the right support can mean the difference between staying on the court or being stuck on the sidelines.

Long-Term Impact on Body Alignment and Mobility

Your feet are the foundation of your entire body. When the foundation is tilted or unstable, the "building" above it (your knees, hips, and spine) has to shift to stay upright. Over time, this compensation leads to wear and tear on the joints. Many people find that their chronic lower back pain actually clears up once their feet are properly supported by custom orthotics.

By investing in your alignment today, you are preventing the need for more invasive treatments later. At South Texas Podiatry, we focus on conservative care first. Orthotics are one of the most effective non-invasive tools we have to keep you mobile. When combined with other therapies like EPAT / Shock Wave , custom orthotics can accelerate healing and provide a long-term solution for mobility.

Start Your Journey to Pain-Free Living

If you’ve been living with discomfort, it’s time to take the next step. Custom orthotics are a proven, medical-grade solution that can transform your daily experience. At South Texas Podiatry, we pride ourselves on a personalized approach that addresses your specific lifestyle and goals. Whether you’re looking to heal from an injury or prevent a new one, we’re here to help you walk with confidence.

Key Takeaways for Better Foot Health:

Precision Fit: Custom orthotics are molded to your unique foot structure for maximum corrective benefit.
Injury Prevention: Proper alignment reduces the risk of sports injuries, sprains, and chronic inflammation.
Full-Body Relief: Correcting foot mechanics often alleviates pain in the knees, hips, and lower back.
Durability: While an investment, custom orthotics last years longer than over-the-counter alternatives.
Versatility: They can be designed to fit almost any type of footwear, from athletic shoes to dress flats.

Ready to find out if custom orthotics are right for you? Contact us today to schedule an evaluation or learn more about our location and how we serve the San Antonio community. Your feet carry you through life—give them the support they deserve!

Step Into Comfort: The Benefits of Custom Orthotics

info@vivabove.com (VIV Builder) — Thu, 17 Jul 2025 20:41:15 GMT

Your feet are the foundation of your entire body — when they’re not properly supported, it can lead to pain not just in your feet, but in your ankles, knees, hips, and back, too. That’s where custom orthotics come in!

What Are Custom Orthotics?

Custom orthotics are medical-grade shoe inserts that are specifically designed for your unique feet, gait, and needs. Unlike over-the-counter insoles, custom orthotics are crafted based on a detailed assessment by your podiatrist, ensuring the perfect fit and support for your lifestyle.

Who Can Benefit from Custom Orthotics?

Custom orthotics can help people with:
✅ Flat feet or high arches
✅ Plantar fasciitis or heel pain
✅ Bunions or hammertoes
✅ Arthritis
✅ Sports injuries
✅ Foot, ankle, knee, hip, or lower back pain caused by poor alignment

How Do They Work?

Custom orthotics work by redistributing pressure and correcting misalignments, which helps your feet function properly and comfortably. They can also help prevent future problems by providing the support you need with every step.

Ready to Feel the Difference?

If you’re experiencing foot or lower body pain, custom orthotics may be the solution you’ve been looking for. Schedule an appointment today and let our foot specialists help you step into lasting comfort and support!

April is National Foot Health Awareness Month: Celebrating the Foundation of Your Well-being

info@vivabove.com (VIV Builder) — Thu, 10 Apr 2025 18:43:00 GMT

Your feet are the foundation of your body, supporting you with every step you take. We understand that maintaining foot health is crucial to your overall well-being and mobility. In honor of April being National Foot Health Awareness Month, this blog explores why foot health should never be overlooked and provides tips for keeping your feet healthy.

Why Foot Health Matters

The human foot is a complex structure of 26 bones, 33 joints, and over 100 muscles, tendons, and ligaments. This intricate design allows for movements such as walking, running, and jumping. However, it also means that many things can go wrong if not cared for properly.
Poor foot health can lead to a range of issues from simple aches and pains to more severe conditions like plantar fasciitis or diabetic neuropathy. Moreover, problems in your feet can affect other parts of your body, including your knees, hips, and back.

Tips for Maintaining Healthy Feet

Regular Check-ups: Just like regular dentist visits, regular check-ups with a podiatrist, especially during National Foot Health Awareness Month, can help catch foot problems before they become serious.
Proper Footwear: Wear shoes that fit well and provide good support. Different activities require different types of shoes – what you wear for running is not suitable for a day at work.
Foot Hygiene: Wash your feet daily, dry them thoroughly to prevent infections, and change socks daily.
Stay Active: Regular exercise helps keep your feet and body healthy. Remember to stretch your feet and ankles before and after workouts.
Manage Your Weight: Extra weight puts additional pressure on your feet, increasing the risk of foot disorders.

Common Foot Conditions and Treatments

Plantar Fasciitis: Often felt as heel pain, treated with exercises, proper footwear, and sometimes orthotics.
Bunions: Misaligned big toe joints that can become swollen and tender. Treatment options include wearing comfortable shoes, pads, and in severe cases, surgery.
Diabetic Foot Care: People with diabetes need to take extra care of their feet as poor blood circulation and nerve damage can lead to serious foot problems.

We believe in a proactive approach to foot health. Whether you're an athlete, a busy professional, or enjoying retirement, taking good care of your feet is a step toward a healthier life. Celebrate National Foot Health Awareness Month with us and schedule an appointment today to learn how you can better care for your feet and enhance your overall wellness.

What are Hammertoes?

info@vivabove.com (VIV Builder) — Wed, 25 Apr 2018 15:48:00 GMT

Here's the rewritten blog with all specific names and locations removed:

A hammertoe is a deformity of the toe that causes the middle joint to bend, resembling the shape of a hammer. If you have hammertoes, you should seek medical attention. The sooner you seek treatment, the likelier it is that the problem won't get worse. The podiatrists at our foot and ankle center are here to help with the treatment of hammertoes.

About Hammertoes

Hammertoes are painful deformities of the toes, and often affect the middle three toes. Initially, hammertoes may be flexible, but over time, they may become rigid and require surgery to straighten the toes. Because hammertoes are progressive, they should receive early medical attention, as they won't get better without some kind of intervention.

Causes of Hammertoes

Some causes of hammertoe are poorly fitting shoes, high heels, foot injuries, and medical conditions that affect the nerves and muscles, such as diabetes and arthritis. Women are more likely to develop hammertoes than men. The risk of developing a hammertoe increases with age. Genetics can also play a role in hammertoes, as they may run in families. Hammertoes can be a serious problem for diabetics and people with poor circulation.

Symptoms of Hammertoes

Deformity is usually the first symptom of hammertoe. Patients with hammertoes may have calluses or corns on the top of the middle joint of the toes or on the tips of the toes. They may feel pain in their toes and have difficulty finding footwear that is comfortable. At first, they may be able to move and straighten the deformed toes. Over time, they will no longer be able to move the deformed toes.

Hammertoe Treatments

Padding and taping is the first step in a treatment plan. Padding and taping the hammertoe prominence relieves the stress and pain and allows the patient to continue a normal, active life. Cortisone injections and anti-inflammatory medications can be prescribed to relieve pain and inflammation caused by the deformity. Custom-fitted shoe inserts called orthotics made by your foot doctor may ease your discomfort and prevent the worsening of the deformity. When the hammertoe is not resolved with the above methods, surgery may be necessary.

Don't let a hammertoe knock you off your feet. Call our office today to schedule a consultation. Our hammertoe treatments will ease your pain and help you get back to a normal, happy, and healthy life.

Signs You May Have a Stress Fracture

info@vivabove.com (VIV Builder) — Tue, 23 Jan 2018 15:54:00 GMT

Find out if the symptoms you're experiencing could be trying to tell you that you have a stress fracture. A stress fracture occurs when a tiny crack in the bone of your foot or ankle develops. More often than not, stress fractures come about over time due to overuse, which is why a lot of athletes experience this problem at some point during their lifetime. Are you wondering if your discomfort could actually be a stress fracture? Our podiatrists are here to help you figure out if it's time to schedule an evaluation.

How do stress fractures happen?

As mentioned above, this is a problem that commonly plagues athletes and runners because stress fractures often arise from overuse or from performing repetitive movements. Of course, if you suddenly change the intensity or duration of a workout you may also find yourself dealing with this problem. It's important that you are warming up and conditioning your body properly before exercising or adopting a new workout routine. Those with other health problems such as osteoporosis or arthritis may also be prone to stress fractures in the feet and ankles.

What are the symptoms of a stress fracture?

Pain is the number one indicator of a stress fracture. Of course, a lot of injuries and other problems can lead to foot and ankle pain, so you'll want to visit your foot doctor for a proper and comprehensive evaluation to determine the true source of your pain. If you have a stress fracture, pain may get worse when walking or putting weight on the foot, but the pain may subside when resting. The pain may be exacerbated throughout the day depending on your activity level. There may also be some swelling present on the top portion of the foot or around the ankle depending on the location of the stress fracture. The area may also be tender to the touch or there might be some minor bruising. If you suspect that you have a stress fracture, it's important that you schedule an appointment right away so that your condition can be diagnosed and treated as soon as possible to prevent complications.

Don't ignore changes in the health of your feet. Our team of foot care specialists is here to make sure you get the care you need to speed up recovery and get back to your daily activities. Call our office today to learn more.

Treating Your Heel Pain

info@vivabove.com (VIV Builder) — Wed, 22 Nov 2017 16:02:00 GMT

Does heel pain make walking uncomfortable? The podiatrists at our foot and ankle center share common causes of heel pain and explain what can be done to relieve it.

Haglund's Deformity

Haglund's deformity, also known as retrocalcaneal bursitis, causes a swollen red bump to develop on the back of your heel. The bursa, a small, fluid-filled sac, helps your Achilles tendon glide over the bones in your ankle joint easily. You can develop Haglund's deformity if you wear shoes that rub against your heel or exercise more intensely or longer than normal. The condition often goes away if you choose shoes that don't irritate your heel. Soaking your heel in warm water, applying ice packs, and taking over-the-counter pain medication can help reduce pain. If your symptoms continue, you may benefit from physical therapy, ultrasound treatment, corticosteroid injections, or orthotics.

Calluses

Painful calluses can develop on your heel if you wear shoes that don't fit well or if one of the metatarsal bones in your foot is longer than the other. Although you can remove shallow calluses with a pumice stone, it's a good idea to schedule an appointment with your podiatrist if your callus is thick or you have diabetes. If a difference in the length of your bones causes frequent calluses, you may benefit from surgery to lift and realign the longer bone.

Plantar Fasciitis

An inflammation of the plantar fascia, a thick band of connective tissue you can feel if you press on the sole of your foot, is a common cause of heel pain. The condition is more likely to occur if you run or are on your feet for long periods of time, are overweight, or have an arch problem. If your pain is mild, you may notice some improvement if you stay off your feet, apply ice packs, and perform a few stretching exercises. Corticosteroid injections, night splints, and heel inserts are often recommended by foot doctors to treat plantar fasciitis symptoms. In severe cases, surgery may be needed.

Are you concerned about your heel pain? Call our office today to schedule an appointment with one of our podiatrists. We are here to help you get back on your feet.

Keep Your Foot Fungus from Spreading to Your Partner

info@vivabove.com (VIV Builder) — Fri, 06 Oct 2017 15:58:00 GMT

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Have foot fungus? Fungal infections are very common. Studies show that foot infections like toenail fungus and athlete's foot do spread from person to person. The podiatrists at our foot and ankle center offer treatments for fungal infections. Here's how to keep your foot fungus from spreading to your partner.

1. See a podiatrist for treatment. If you think you may have foot fungus, book an appointment with your podiatrist right away. A podiatrist can figure out if you have foot fungus. The doctor will be able to tell by looking at the skin on your feet. The doctor may scrape off a skin sample to test for fungus. Your podiatrist may suggest using an antifungal ointment, powder, lotion, or spray.

2. Cover up your fungal infection. If you live with your partner, do this every day. Fungal infections can be spread from person to person by touching. Keep the fungal infection covered until it has been treated. Don't cover the area too tightly. It's important to keep the area dry and cool as you treat the foot fungus.

3. Practice good hygiene. By practicing good hygiene, you may be able to keep your foot fungus from spreading to your partner. Wash and dry your feet regularly. Make sure that you wash your hands any time that you may have touched your own fungal infection. Keeping your feet dry and clean is a simple way to prevent foot fungus from spreading to your partner.

4. Avoid walking barefoot. Wearing shoes is a simple way to prevent foot fungus from spreading to your partner. If you have foot fungus, walking around without shoes will increase the chance that you will spread it to your partner. Make sure your partner protects their feet at home.

5. Don't share your personal items. Don't share any personal care items such as shoes, towels, clothing, socks, nail clippers, nail files, antiperspirant, or razors with your partner. A fungal infection of the foot can be spread by indirect contact with an infected individual's personal care items.

Say hello to healthy and happy feet! Don't wait another minute -- call our office today to schedule an appointment. Get your life back on track by receiving the best foot fungus treatment available. We will help you achieve real relief with little expense or trouble.

Treatment for Bunions

info@vivabove.com (VIV Builder) — Wed, 02 Aug 2017 16:05:00 GMT

Tired of that bunion? A bunion is a bony bump that forms on the joint connecting the big toe. Bunions can be extremely painful. The podiatrists at our foot and ankle center offer a range of specialized treatments for bunions. Read on to learn about four treatment options for bunions.

1. Taping and Padding - Taping and padding can ease your symptoms. Your foot doctor can pad and tape your foot in a normal position. This will reduce pain and stress on your bunion. Taping and padding also prevent bunions from getting worse.

2. Custom Orthotics - Orthotic devices are used to treat a variety of foot problems. Orthotic devices are molded pieces of rubber, leather, or other material that are inserted into a shoe. Orthotic devices can be helpful in treating bunions. They can help take pressure off your toes and alleviate your pain. You can get custom-made orthotic devices from your podiatrist.

3. Suitable Footwear - It is recommended that you wear flat or low-heeled, wide-fitting shoes if you have a bunion. High-heel shoes can make your bunion worse by putting excessive pressure on your toes. Footwear made from soft leather is ideal because it will relieve pressure on your bunion.

4. Bunion Surgery - Surgery may be recommended for your bunion if your symptoms are severe enough to warrant such intervention. The type of surgery performed depends on the severity of the bunion and the patient's general health, age, and activity level.

Say hello to healthy and happy feet! Call our office today to schedule an appointment. We are committed to providing high-quality patient care using state-of-the-art technologies. We will provide all the relief you need.