Foot pain can often be managed with conservative care, but certain conditions may eventually require surgical treatment. Problems such as severe bunions, advanced arthritis, chronic tendon tears, and persistent nerve compression can cause ongoing pain and limit mobility, despite nonsurgical efforts. Recurrent ankle instability, fractures that do not heal properly, and deformities that interfere with walking may also lead to surgical discussion. In some cases, long-standing plantar fasciitis or painful hammertoes may warrant intervention when daily activities are consistently affected. Surgery is usually considered only after more conservative treatments like orthotics, targeted exercise, footwear changes, and activity modification have failed to provide relief. The goal is to reduce pain, restore function, and improve alignment so walking becomes more comfortable. Each condition requires careful evaluation to determine the most appropriate approach. When foot pain continues to interfere with daily life, it is suggested that you see a podiatrist for a proper diagnosis and treatment options, which may include foot surgery.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Gary J. Kaiserman, DPM of Achilles Footcare Center. 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 Forest Lane and West Kiest Boulevard Dallas, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Osteoarthritis and rheumatoid arthritis both affect joints, but they develop in very different ways. Osteoarthritis is a wear-related condition that occurs when joint cartilage gradually breaks down over time. In the feet, it often causes stiffness, aching, and pain that worsens with activity and improves with rest. Rheumatoid arthritis is an autoimmune disease in which the immune system attacks joint lining. This leads to inflammation, swelling, warmth, and pain that may affect both feet symmetrically. Symptoms often feel worse in the morning or after periods of rest. Rheumatoid arthritis can also cause joint deformity if left untreated. Treatment approaches differ. Osteoarthritis care focuses on reducing stress on joints and improving movement, while rheumatoid arthritis requires medical management to control inflammation and protect joints. If foot pain, stiffness, or swelling persists, it is suggested that you see a podiatrist for an evaluation and treatment guidance.

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Gary J. Kaiserman, DPM from Achilles Footcare Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a joint disorder that involves the inflammation of different joints in your body, such as those in your feet. Arthritis is often caused by a degenerative joint disease and causes mild to severe pain in all affected areas. In addition to this, swelling and stiffness in the affected joints can also be a common symptom of arthritis.

In many cases, wearing ill-fitting shoes can worsen the effects and pain of arthritis. Wearing shoes that have a lower heel and extra room can help your feet feel more comfortable. In cases of rheumatoid arthritis, the arch in your foot may become problematic. Buying shoes with proper arch support that contour to your feet can help immensely.

Alleviating Arthritic Pain

• Exercises that stretch the foot can prevent further pain and injury and increase mobility
• Most of the pain can be alleviated with anti-inflammatory drugs, heat, and topical medications
• Massages can help temporarily alleviate pain.

It is best to see your doctor for the treatment that is right for your needs and symptoms. Conditions vary, and a podiatrist can help you determine the right method of care for your feet.

If you have any questions please feel free to contact our offices located in Forest Lane and West Kiest Boulevard Dallas, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Bunions often develop gradually, starting as a small bump at the base of the big toe and slowly changing the shape of the foot. The bunion looks like a bony prominence forming as the toe pushes inward, and it may appear red or swollen. It can feel tender, stiff, or painful, especially when wearing tight shoes or walking long distances. Common causes include inherited foot structure, arthritis, and footwear that crowds the toes. A podiatrist begins with a careful exam and imaging when needed to confirm the diagnosis and assess joint alignment. Treatment may involve custom orthotics to improve support, padding, or shoe modifications to reduce pressure, and targeted exercises to maintain flexibility. In more advanced cases, surgical options may be discussed. Early care can slow progression and improve comfort. If you have a bunion, it is suggested that you make an appointment with a podiatrist.

If you are suffering from bunions, contact Gary J. Kaiserman, DPM of Achilles Footcare Center. 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 Forest Lane and West Kiest Boulevard Dallas, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Cuboid syndrome is a condition that occurs when the cuboid bone in the midfoot becomes partially dislocated or irritated, often leading to pain and discomfort. It commonly develops due to stress fractures, sudden increases in activity, or changes in training conditions, such as running on uneven surfaces or wearing improper footwear. Symptoms include pain in the outer midfoot or near the ankle that worsens with weight bearing, walking, or activity. Risk factors include high-impact sports, overpronation, and previous foot injuries. A podiatrist can accurately diagnose cuboid syndrome, provide joint mobilization, recommend supportive orthotics, and guide rehabilitation to restore function. If you have pain in this part of your foot, it is suggested that you consult a podiatrist who can offer effective relief and treatment solutions.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Gary J. Kaiserman, DPM from Achilles Footcare Center. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

• Injury – The most common cause of this ailment is an ankle sprain.
• Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
• Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

If you have any questions, please feel free to contact our offices located in Forest Lane and West Kiest Boulevard Dallas, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.