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Podiatrist - Houston
1140 Business Center Drive Suite 510
Houston, TX 77043
713-467-8886



 





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By Dr. Jeffrey N. Bowman
April 17, 2014
Category: Heel Pain


Plantar fasciitis is a very common problem and can become very debilitating.  As discussed in previous blogs, the majority of cases can be adequately and effectively treated by conservative measures.  These conservative measures as you might remember are:Footwear for heel pain

The key to conservative measurement is all dependent on the 3 D’s:  Dedication, Determination, and Deliberation.  Unlike the 4 D’s of dodge ball (Dodge, Duck, Dive, and Dodge), these require a bit more fortitude and self-motivation.

Dedication – in order for the conservative measures to truly be effective, you need to be completely dedicated to the requirements.  You need to truly believe what your physician is telling you and give yourself over to the plan.

Determination – you may become discouraged because you may not be improving as fast as you would like.  Please do not give up.  These methods have tested and tried and have documented proof of their reliability. 

Deliberation – for these treatment measures to be truly helpful, you must be deliberate in performing them.  Half-hearted attempts OR occasional practice can prolong the treatment or render it useless.  The power is truly in your hands.

Unfortunately, there is a small percentage when these methods alone are not 100% effective and more aggressive therapy is required.

If you have any need of a foot/ankle specialist please contact Dr. Bowman at 713-467-8886 or visit www.houstonfootspecialists.com.

By Dr. Jeffrey N. Bowman
April 14, 2014
Category: Footwear
Tags: shoes   Golf   Footpain  


Bubba Watson just won his 2nd Masters in 3 years.  Although it was a disappointment not to see Tiger Woods out in the field, it was an amazing competition with some truly awe inspiring golf shots.  Jordan Spieth made a great run for the title, but Watson was not to be deterred.  My biggest question is how are their feet not killing them by the third day?  I play golf one day and by day's end my dogs are begging me to sit and prop my feet up.  So will the right shoes help?  What should I look for in a golf shoe?

  • Proper fit.  It is okay to wear a half size too big in regular shoe gear, but not for golf. If the shoes are too big they will slide during your swing and can increase your risk of injury, not to mention blisters.  Shoes that are too small will be just as tortuous.  Exact size is the way to go.
     
  • Flexibility is a must.  Flexibility will help your mobility as well as the life expectancy of the shoe itself.
     
  • Comfort is of course a main requirement.  There are many types of ways shoe makers are increasing comfort.  For instance, some products offer foam in the midsole while others are tinkering more with the sole and tread patterns.  In the end, it is what you find comfortable so try them on and take your feet on an adventure.
     
  • Breathable materials will help keep the sweat down and reduce friction.
     
  • Some shoes even offer waterproof uppers.
     

Now I’m not telling to go and buy the top of the line product, but if you are going to play on a regular basis then I would recommend spending time finding a proper shoe.  Some of the best brands on the market are: Foot Joy, Nike, Adidas, Ecco, and Puma. 

If you are in need of foot or ankle care, please contact Dr. Bowman at 713-467-8886 or visit www.houstonfootspecialists.com.

Photo Credit: Gualberto107 via freedigitalphotos.net

By Dr. Jeffrey N. Bowman
April 10, 2014
Tags: Children Foot Care   Walk   Gait  

There are countless objects and events in this world that can officially carry the classification of cute/precious.  However, in my humble opinion, there is nothing more precious/cute than watching a child learn to walk and then progress.  We will look at the differences in the gait pattern of a 1 yr old to a 3 year old.  Before we get started it is important to note that most children begin to walk independently at about 12 months of age.  Another thing of note is that there are 3 stages of gait:  heel contact, stance, and toe off.

1 Year Old:

  • The biggest difference at this age is that there is NO heel strike.  Initial contact is with the foot firmly planted.
  • To maintain balance, the elbows are nearly fully extended with the arms out.
  • There is NO arm swing during gait.
  • Their walk almost as if they are high stepping because they don’t have the dorsiflexion power at the ankle to clear the foot for the next step.  In fact, their foot is actually in a more plantarflexed position.
  • They have a broad based gait with feet typically pointing out.
     

2 Year Old:

  • It is during this age that a true, clear heel contact develops.
  • The beginnings of reciprocal arm swing appear.
  • Stride length increases while the base of gait itself decreases.
     

3 Year Old:

  • Not much different from that of a 2 year old.
  • Stride length continues to increase as their legs lengthen.
     

With continued aging and growing, the gait will quickly resemble that of an adult.

NOTE:  Toe walking is never considered normal.  So if you notice your child, especially as they age, has a toe walking gait, please consult your family practitioner or podiatrist.  Early walking may appear to be toe walking due to the fact there is not heel strike in a 1 year old.  If you have any questions or concerns, please see your local Podiatrist.

If you have a child, or you yourself are in need of someone to care for your feet, please contact Dr. Bowman at 713-467-8886 or visit www.houstonfootspecialists.com.

Photo Credit: Daniel St.Pierre via FreeDigitalPhotos.net

By Dr. Jeffrey Bowman | Cutaneous Larva Migrans | Houston, TX
April 07, 2014
Category: Uncategorized
 

There are very few things concerning the foot and ankle that might truly “creep” you out.  It may give you the “heebie-jeebies”, the “creepy-crawlies”, or that spine tingly sensation that makes you quiver from head to toe.  One of the truly creepy things that can affect the foot is a condition called Cutaneous Larva Migrans.  I know, I know…….What?!

Cutaneous Larva Migrans

  • Rare parasitic infection caused by the larval form of the dog hookworm, Ancylostoma brazilienses.
  • It is commonly contracted in warm, tropical environments such as the Southeastern United States OR from tropical beach environments.
  • The majority of cases present on the feet/legs having come into contact with sand housing the parasite.

Clinical presentation

  • Extremely itchy and red skin lesion that has a snake like appearance.
  • This lesion will progress through the foot/leg tracing the track the organism forges under the skin.
  • The parasite itself is usually 1-2cm ahead of the visible track.
  • The larva are deposited in the soil from either a dog or cat in egg form where they will then mature and find their way into a human host.

Treatment

  • Condition is actually self-limiting as the parasite will eventually die.
  • Topical Thiobendazole can help speed the recovery.

Please remember this is a rare infective process so please don’t cancel your next tropical vacation.  Enjoy the fun in the sun and know that if you begin to experience something similar, you have knowledge to arm you.

If you have any foot/ankle related concern, please contact Dr. Bowman at 713-467-8886 or visit www.houstonfootspecialists.com.

 

By Dr. Jeffrey N. Bowman
April 03, 2014
Category: Surgery

How often have we heard that “length” matters?  For instance, if you want to put your hair in a ponytail, it needs to be a certain length to adequately achieve the desired look.  Length matters in sports.  Long jumpers are obviously aiming to jump the farthest length.  The length of a runway matters to safely support air traffic.  You wouldn’t want to attempt to land a 747 on your local county airfield.  For those of you who simply cannot keep your mind out of the gutter, length matters in other areas of life as well.  If I need to go into detail, your heart and mind are pure and I will not dream of tarnishing that.  Now, having cleared the air on that, length matters in the bones of your foot.

In some instances you may have a bone, more often than not a metatarsal (bone in foot), which is much shorter than it should be.  This condition is medically termed Brachymetatarsal.  This condition most commonly affects the 4th metatarsal and either caused from congenital (inherited) reasons OR acquired.  It is typically not a painful deformity, but because of the effects it may cause on the adjacent metatarsals, it can become a problem.

The most amazing treatment option is possible……..Lengthen the metatarsal.  With the help of a device called an external fixator, the bone can be lengthened to the desired amount over a course of a specified time.  It is a surgical procedure in which the surgeon makes a cut in the in the bone and then applies an external fixation device.  This device has pins that are rotated a certain amount daily, which internally creates a distraction force on the ends of the bone.  Before the full healing of the bone has begun the pins are twisted again.  This process is continued until the desired and appropriate length is obtained.

If you are in need of a foot specialist, please contact Dr. Bowman at 713-467-8886 or contact us online.

Photo Credit: Alexis via Pixabay.com





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1140 Business Center Drive
Houston, TX 77043

Podiatrist - Houston, Houston Foot Specialists, 1140 Business Center Drive, Houston TX, 77043 713-467-8886