Ankle instability refers to a recurring sense of weakness that makes the ankle feel unreliable during walking or activity. One cause of ankle instability is previous ankle sprains that damaged ligaments on the outer or inner side of the ankle. High arches or flat feet can also alter weight distribution and place added strain on stabilizing tissues. Muscle weakness, poor coordination, or nerve-related conditions may interfere with the body’s ability to respond quickly to uneven surfaces. In some cases, arthritis, scar tissue, or loose joint structures contribute to ongoing instability. A podiatrist can evaluate ankle alignment, ligament integrity, and gait mechanics to determine the underlying cause. Treatment may involve bracing, targeted exercises, footwear guidance, or advanced care to restore stability and reduce the risk of further injury. If it feels like your ankle is "giving way," it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Patrick Bruton, DPM from Big Country foot and Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendinitis
• Achilles tendon rupture
• Stress fractures
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

If you have any questions please feel free to contact our offices located in Abilene, and Brownwood, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Midfoot arthritis causes pain and stiffness where the long bones of the foot meet the arch joints. This condition often develops after an injury, overuse, or years of uneven pressure during walking. Treatment begins with reducing stress on the affected joints. Wearing supportive shoes with stiff soles can limit painful motion. Custom orthotics help redistribute pressure and improve alignment. Activity modification and targeted exercises may improve strength and flexibility. Additionally, anti inflammatory medications or injections are sometimes used to calm joint irritation. When conservative care does not provide relief, surgical options may be considered. Procedures focus on stabilizing or fusing damaged joints to reduce pain and restore function and early evaluation is important because untreated arthritis can gradually worsen. Proper treatment helps many people remain active and comfortable. If midfoot pain or stiffness limits movement, it is suggested that you see a podiatrist.

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Patrick Bruton, DPM from Big Country foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a term that is commonly used to describe joint pain.  The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it.  Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.

Symptoms

• Swelling
• Pain
• Stiffness
• Decreased Range of Motion

Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.

Risk Factors

• Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
• Obesity – Excess weight can contribute to osteoarthritis development
• Infection – Microbial agents can infect the joints and trigger arthritis
• Joint Injuries – Damage to joints may lead to osteoarthritis
• Age – Risk increases with age
• Gender –Most types are more common in women
• Genetics – Arthritis can be hereditary

If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method is best for you.

If you have any questions please feel free to contact our offices located in Abilene, and Brownwood, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Tarsal tunnel syndrome is a condition that occurs when the posterior tibial nerve becomes compressed as it passes through the tarsal tunnel near the inner ankle. This nerve compression can cause pain that radiates along the arch, heel, or toes. Common symptoms include burning sensations, tingling, numbness, sharp pain, or aching that worsens with walking or prolonged standing. Causes may include flat feet, swelling, injury, cysts, varicose veins, or inflammation that increases pressure within the tarsal tunnel. A podiatrist can perform a thorough evaluation to identify the source of nerve irritation and confirm the diagnosis. Treatment may include wearing supportive footwear, custom orthotics, activity modification, and targeted therapies to relieve pressure on the nerve. Early care helps reduce discomfort and prevent long-term nerve damage. If you have pain near the inner ankle, it is suggested that you consult a podiatrist who can accurately diagnose and treat what may be going on.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Patrick Bruton, DPM of Big Country foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please contact our offices located in Abilene, and Brownwood, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Cracked heels are splits or fissures in the skin along the edge of the heel that develop when dry, thickened skin loses elasticity and splits under pressure. This condition often begins with roughness and callus formation and can progress to painful cracks that may bleed. Common causes include prolonged standing, open-back footwear, obesity, dry climates, and poor skin hydration. Risk factors also include diabetes, eczema, and other conditions that affect circulation or skin health. Symptoms may involve itching, flaking, discomfort while walking, and visible deep fissures. A podiatrist can safely remove thickened skin, recommend medical grade moisturizers, and address underlying causes. If you have cracked heels, it is suggested that you consult a podiatrist who can offer effective relief and treatment solutions, which may include prescribed medication. 

If the skin on your feet starts to crack, you may want to see a podiatrist to find treatment. If you have any concerns, contact Patrick Bruton, DPM from Big Country foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

It is important to moisturize your cracked heels in order to prevent pain, bleeding, and infection. The reason cracked heels form is because the skin on the foot is too dry to support the immense pressure placed on them. When the foot expands, the dry skin on the foot begins to split.

Ways to Help Heal Them

• Invest in a good foot cream
• Try Using Petroleum Jelly
• Ease up on Soaps
• Drink Plenty of Water

Ways to Prevent Cracked Heels

• Moisturize After Showering
• Skip a Shower
• Keep Shower Water Lukewarm
• Don’t Scrub Your Feet

If you are unsure how to proceed in treating cracked heels, seek guidance from a podiatrist. Your doctor will help you with any questions or information you may need. 

If you have any questions, please feel free to contact our offices located in Abilene, and Brownwood, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Morton's neuroma is a painful condition involving thickening of the tissue surrounding a nerve, most commonly between the third and fourth toes. It is often caused by repetitive pressure, wearing improper footwear, high-impact activities, or abnormal foot mechanics that compress the nerve. Symptoms include burning pain in the ball of the foot, tingling, numbness, and the sensation of standing on a small pebble. When conservative treatments do not relieve discomfort, surgery may be recommended to remove the affected nerve tissue and reduce persistent pain. A podiatrist can diagnose the condition, provide conservative care, and determine whether surgery is appropriate. If you have pain in this part of your foot, it is suggested that you consult a podiatrist who can provide a diagnosis and treatment.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Patrick Bruton, DPM of Big Country foot and Ankle. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions, please feel free to contact our offices located in Abilene, and Brownwood, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.