- Warts
- Arthritis
- Plantar FasciitisPlantar fasciitis. As the foot rolls inward excessively when walking, it flattens the foot, lengthens the arch, and puts added tension on the plantar fascia. Over time, this causes inflammation.
- Diabetic Foot CareDr. Kletz is available to treat foot and ankle ailments such as diabetic foot care, ingrown toenails, fungal toenails, warts and painful calluses. Our practice specializes in general foot care. Please call our office in Dallas (214) 340-8885, Athens (903) 677-9090 and Gun Barrel City (903) 887-4341 for an appointment.
- Diabetes Care
- MRITo figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.
- X-Rays
- Wound CareA puncture wound can be a small hole in the foot that can be caused by stepping on a sharp, pointed object. It often produces discomfort, and the foot can also become bruised and swollen. Additionally, some patients have difficulty moving the affected area, and it is beneficial to seek medical attention. An animal bite also may cause a puncture wound, and an X-ray may be taken that can determine the depth of the wound. It is important that the wound is properly cleaned, and this can begin with removing existing dirt and debris. This can be followed by applying medicine to the wound, which may help to prevent a bacterial infection. Symptoms may be managed by frequently elevating the foot and keeping it above heart level. This is often effective in reducing swelling and pain that may be present. If you have additional questions about how to perform proper wound care for the foot, it is suggested that you ask a podiatrist who can help you with useful information.
- Ankle SurgeryDr. Kletz received his undergraduate education at The University of Maryland and attended medical school at the Pennsylvania College of Podiatric Medicine. After graduating in 1989, he completed two years as a surgical resident in Dallas, Texas. Dr. Kletz is board certified as a foot and ankle surgeon by the American Board of Foot and Ankle Surgery. He is also a fellow of the American College of Foot & Ankle Surgeons. Dr. Kletz specializes in the medical and surgical treatment of foot and ankle conditions and has been in practice since 1991.
- BunionsA bunion is a bony, painful swelling that is often formed on the first joint of the big toe. Bunions can be extremely painful due to the weight of all your body resting on it each time you take a step. Everyday activities, such as walking and wearing shoes, can cause you extreme discomfort if you have a bunion.
- GangreneOn a daily basis, diabetic feet must be checked. If you are ever concerned about something, contact your health care professional. You never want to wait until a wound gets too bad to treat. If left untreated, gangrene may develop. Gangrene is a serious infection that can cause in diabetics that can lead to sepsis or amputation. It is also important for diabetics to be on the lookout for ulcers. Ulcers are sores that develop from tissue loss on the skin. They can be quite painful and require intensive treatment. Early treatment and everyday inspection are imperative to staying healthy.
- Ingrown ToenailsThere are many ways to maintain healthy foot care when dealing with diabetes. Most importantly, you want to ensure that you’re managing your blood glucose levels, otherwise known as your blood sugar. You also want to ensure that you’re checking your feet daily. As mentioned before, it’s important to recognize if your feet have cuts, sores, blisters, plantar warts, ingrown toenails, or other troubling foot conditions to stay ahead of the issue and prevent yourself from further harm. Along with foot checks, you should also wash and dry your feet daily using lukewarm water. It may also be useful in certain cases to moisturize your feet a few times a week, especially if you’re prone to dryness. Please be advised, however, to avoid moisturizing between the toes as they will not dry properly. Another rule you may want to follow is to ensure you’re cutting your toenails straight across. You should also refrain from digging into the sides of the toes; this will help prevent the development of an ingrown toenail. If you do happen to develop a corn or callus, never treat them yourself; seek the help of a professional. It may also be beneficial to look into socks made specifically for those with diabetes to help provide yourself with extra cushion. You may also want to refrain from walking barefoot, as well as avoid smoking, as it restricts the blood flow to your feet.
- CornsCorns and calluses are hard layers of skin that usually form due to friction. Generally, they will be in areas of the foot that are bearing weight, or areas that frequently rub against the shoe. Soft corns are typically found between the toes.
- UlcerWhile it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.
- CallusesA person can take care of their feet at home by following the instructions of their physician. Using creams on one’s feet is also an effective way to heal dryness. When using tools to remove calluses, use caution, as severe diabetics may not be able to feel pain on their feet. If any complications arise do not hesitate to call a podiatrist.
- FungusThe area of the toes is generally warm and damp, unfortunately making it a great area for fungus to grow. If left untreated, the fungal infection can spread, which is why it’s so important to get professional help early on and look into your treatment options.
- Physical TherapyPossible conditions that may arise due to injury of the Achilles tendon include tears, ruptures, tendinitis, peritendinitis, tendinosis, tendinopathy, and bursitis. When trying to diagnose if one has issues with their Achilles tendon, a podiatrist will commonly check for any pain, swelling, or discoloration around the heel or lower leg area. Different treatments for issues concerning the Achilles tendon vary, but may include over-the-counter or prescribed pain relievers for intense discomfort, alternating ice and heat therapy, custom-made orthotics, physical therapy, and in severe cases, surgery. To help prevent injury to the Achilles tendon, it’s recommended to regularly perform stretches involving the muscles of the lower leg.
- Flatfoot Correction
- Heel Pain
- Ankle SprainThe majority of people who have foot pain may suffer through their day, and seek relief when the pain and discomfort becomes worse. Foot pain may happen for a variety of reasons, including being overweight, having endured an injury, or wearing shoes that do not fit correctly. Additionally, the aging process can cause foot pain, and many elderly people find the need to rest their feet during the day. Foot pain can also be caused by bunions, hammertoe, or arthritis. Plantar fasciitis is a common reason to have foot pain, which affects the heel. Anyone who has suffered from a broken foot or who has had an ankle sprain may be all too familiar with foot pain. There are effective techniques that may help to prevent foot pain from developing, and it is helpful to learn about these before purchasing shoes or embarking on a new physical activity. If you have foot pain, it is strongly suggested that you visit a podiatrist who can offer you treatment options, in addition to effective prevention methods.
- Orthotics and Prosthetic Therapy
- General PodiatryTo ensure your convenience, below is the information you need about our podiatry offices, including our hours, location, appointment scheduling and insurance acceptance.
- Achilles TendonitisThere are many different causes of heel pain, including strains or sprains, tarsal tunnel syndrome, stress fractures, Achilles tendonitis, and heel bursitis. One of the most common causes of heel pain for children and teenagers specifically is Sever’s disease. Sever’s disease can develop due to overuse or repetitive microtrauma of the heel bone's growth plates. This condition is often seen among those who are active in sporting activities.
- Ankle SprainThere are many reasons that play a role in why a person may develop flat feet. For instance, certain genetic factors passed down from parents can lead to flat feet. Children may appear to have flat feet; however, their arches should develop over time. Having overall weak arches, a foot or ankle injury, arthritis, or a muscle or nervous system disease may all increase your likelihood of having flat feet. Tarsal coalition, a foot condition causing the fusion of bones in the feet, may also play a part in developing flat feet. Other common factors that are linked to flat feet include diabetes and obesity.
- Bunions ProblemsReasons that a person may develop a bunion can vary. Some patients may form bunions due to genetic factors, complications with arthritis, or a weak foot structure. General aging can also play a role in the formation of a bunion.
- Calluses
- Diabetic Foot CareMillions of people are affected with diabetes each year. Diabetes damages blood vessels in all parts of the body, especially the feet. The legs and feet may develop slow blood flow, which causes neuropathy (nerve damage). Once a diabetic patient develops neuropathy, it is important that the feet are well taken care of, or else the lower limbs may have to be amputated. This only happens in drastic cases, but it shows how seriously diabetic foot care should be taken.
- Flat FeetWhen it comes to treating flat feet or fallen arches, it’s suggested you get plenty of rest. Frequently ice the affected area to help reduce swelling. Performing daily stretches are a great way to loosen up your muscles and relieve strain. It may also be beneficial to look into orthotics or shoe inserts to help relieve the pain.
- Fungus ToenailsToenail fungus can also be treated with certain over-the-counter antifungal creams and ointments. To remove pressure from the nails, keep them cut at a short length. Oral antifungal drugs, medicated nail cream, or medicated nail polish may also be prescribed by your podiatrist if simpler treatments do not prove successful. In some cases, your podiatrist may also recommend laser treatment to eradicate toenail fungus.
- HammertoesHammertoes can be identified by an abnormal bend in the middle joint of the toe. This abnormal bending can lead to added pressure on the toe when wearing shoes. It can also cause pain or discomfort when walking or running. Because hammertoes typically worsen overtime and become increasingly more rigid, it’s recommended that you seek the help of a podiatrist for treatment options if you believe you’re experiencing the symptoms of this deformity.
- Heel SpursHeel spur syndrome, the condition is often successfully treated with conservative measures, such as the use of anti-inflammatory medications, ice packs, stretching exercises, orthotic devices, and physical therapy. Note: Please consult your physician before taking any medications.
- Heel PainHeel pain, while quite common, can be extremely uncomfortable and painful if not met with proper care or treatment. Heel pain may occur if you injure or overuse the heel. If left uncared for, the affected area may worsen, limiting your mobility and making it difficult to perform everyday activities, such as walking.
- Foot PainDepending on the location and condition of your foot pain, your podiatrist may prescribe certain treatments. These treatments can include, but are not limited to, prescription or over-the-counter medications, certain therapies, cortisone injections, or surgery.
- Ingrown ToenailsTreatment for an ingrown toenail will vary on a case by case basis. One form of treatment requires lifting the ingrown nail and placing a splint or piece of cotton underneath. Another method for a more severe case would involve partially removing the nail. For cases that need extreme care, the nail itself and tissue would have to be removed.
- Foot NeuromaSuffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.
- Plantar FasciitisEPAT (Extracorporeal Pulse Activation Technology) therapy is a highly effective technology that has been used to accelerate the body’s natural healing process. The treatment itself is painless and non-invasive. It works by using pressure waves to treat and heal internal pain due to injuries that might be slow to heal. EPAT therapy has been FDA approved and hasn’t been found to have any major side effects, other than minor discomfort that may be experienced while receiving the treatment. Some injuries that the EPAT therapy works well with are: plantar fasciitis, stress fractures, tendonitis, and stress reactions.
- Podiatric Deformities