Items filtered by date: November 2025

Many people wear the wrong shoe size without realizing it, often because feet change over time. Weight fluctuations, pregnancy, aging, and medical conditions can cause the feet to spread or flatten, altering both length and width. Wearing shoes that are too small can lead to blisters, bunions, corns, and chronic pain, while shoes that are too large may cause instability or friction that leads to calluses and nail problems. Manufacturers’ sizing also varies, meaning your size can differ between brands or styles. It is helpful to have your feet measured regularly, especially if you notice discomfort, shifting toenails, or uneven wear on your shoes. If your shoes no longer feel supportive or you are developing foot pain, it is suggested that you see a podiatrist to assess your foot structure and ensure proper fit and comfort of shoes.

Finding a properly-fitting shoe is important in reducing injuries and preventing foot problems. For more information about treatment, contact Patrick Bruton, DPM from Big Country foot and Ankle. Our doctor will treat your foot and ankle needs.

Proper Shoe Fitting

A common concern when it comes to foot health, having properly fitted shoes can help prevent injuries to the foot. Out feet affect our posture and gait, which in turn affects the biomechanics and overall bodily structure. With 33 joints, 26 bones, and over 100 ligaments, the potential for serious injury is much greater than one realizes. Although the feet cease growth in adulthood, they still change shape as they mature. Here are some factors to consider when it comes to investing in proper fitting shoes:

• Be sure the shoes fit correctly right away
• Ensure the ball of your foot fits comfortably in the widest portion of the shoes
• Even though they may look fashionable, improper fitting shoes can either create adverse conditions or exacerbate existing ones you may already have
• Walk along a carpeted surface to ensure the shoes comfortably fit during normal activity

Keeping in mind how shoes fit the biomechanics of your body, properly-fitting shoes are vitally important. Fortunately, it is not difficult to acquire footwear that fits correctly. Be sure to wear shoes that support the overall structure of your body. Do your feet a favor and invest in several pairs of well-fitted shoes today.

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.

Ankle popping can occur for several reasons, including crepitus, which is the grinding or crackling sound from joint surfaces, or the harmless release of gas bubbles within joint fluid. It may also result from tendons moving over bone or past injuries that have weakened the joint. Strengthening exercises such as calf raises, resistance band stretches, and balance training can improve stability and reduce popping. A podiatrist can assess whether ankle popping is normal or a sign of an underlying condition, provide targeted exercise plans, and recommend treatments, if necessary. If ankle popping is accompanied by pain or instability, it is suggested that you schedule a visit with a podiatrist  to restore strength, improve mobility, and protect your ankle health.

Ankle pain can be caused by a number of problems and may be potentially 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 tendonitis
• Achilles tendon rupture
• Stress fractures
• Bursitis
• 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.

Bunions are bony bumps that form at the base of the big toe when the joint shifts out of alignment. They can be caused by a variety of factors, including genetics, wearing tight or narrow shoes, and arthritis. Other factors are foot injuries or abnormal foot mechanics, such as flat feet or overpronation. Symptoms include a visible bump on the side of the foot, redness, swelling, pain, and difficulty finding in comfortable footwear. The affected area may feel tender or stiff, and walking can become increasingly uncomfortable as the bunion worsens. A podiatrist can diagnose bunions through a physical examination and imaging tests like X-rays to assess the severity of the deformity. Treatment options range from conservative measures, such as padding, orthotics, and shoe modifications, to minimally invasive or traditional surgery, in more severe cases. Early care can help reduce pain and prevent progression. If you have the beginning signs of a bunion, it is suggested that you schedule an appointment with a podiatrist to discuss symptoms and develop an effective treatment plan.

If you are suffering from bunions, 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.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Podiatrists often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your provider.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• Surgery

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.

Raynaud’s syndrome is a condition which causes smaller arteries that supply blood to areas such as the skin of the toes to constrict in response to cold weather or stress. The constriction results in a temporary loss of blood flow to the affected areas, which may become cold, numb, or discolored. If you have Raynaud’s syndrome, it can be managed. Since cold temperatures are a known trigger of Raynaud’s, it is recommended that you protect your feet from the cold by wearing warm socks and shoes. Avoid wearing socks and shoes that are too tight, as these can further restrict your circulation. Regular exercise may improve circulation as well. For more information about managing Raynaud’s syndrome when it affects your feet, please consult with a podiatrist. 

Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact Patrick Bruton, DPM of Big Country foot and Ankle. Our doctor will treat your foot and ankle needs.

Poor Circulation in the Feet

Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.

Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.

Causes

Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development. It can also cause:

• Muscle pain, stiffness, or weakness 
• Numbness or cramping in the legs
• Skin discoloration
• Slower nail & hair growth
• Erectile dysfunction

Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

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.