June 2025

Peripheral artery disease, or PAD, is a condition in which narrowed arteries reduce blood flow to the lower limbs, particularly the feet and toes. This can cause pain while walking, slower healing of foot wounds, skin discoloration, and a sensation of cold feet. Testing for PAD typically begins with a podiatrist examining the feet for poor circulation, weak pulses, or changes in skin texture. One common diagnostic tool is the ankle-brachial index, which compares blood pressure at the ankle and the arm to assess blood flow. Additional testing, such as Doppler ultrasound, may be used to detect blocked or narrowed arteries in the lower legs. Identifying PAD early is important to help avoid more serious complications, such as infected ulcers or the need for surgery. People with diabetes, high cholesterol, or a history of smoking may be more likely to develop this condition. If you have symptoms of peripheral artery disease, it is suggested that you schedule an appointment with a podiatrist for a diagnostic testing and suggested treatment.

Vascular testing plays an important part in diagnosing disease like peripheral artery disease. If you have symptoms of peripheral artery disease, or diabetes, consult with Dr. Sybil J. Fisher from Texas. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Vascular Testing?

Vascular testing checks for how well blood circulation is in the veins and arteries. This is most often done to determine and treat a patient for peripheral artery disease (PAD), stroke, and aneurysms. Podiatrists utilize vascular testing when a patient has symptoms of PAD or if they believe they might. If a patient has diabetes, a podiatrist may determine a vascular test to be prudent to check for poor blood circulation.

How Is it Conducted?

Most forms of vascular testing are non-invasive. Podiatrists will first conduct a visual inspection for any wounds, discoloration, and any abnormal signs prior to a vascular test.

 The most common tests include:

• Ankle-Brachial Index (ABI) examination
• Doppler examination
• Pedal pulses

These tests are safe, painless, and easy to do. Once finished, the podiatrist can then provide a diagnosis and the best course for treatment.

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

Persistent toe discomfort can make even simple movements difficult. Wearing tight shoes, repetitive pressure, or underlying joint issues often lead to pain, swelling, or stiffness in the toes. Gently stretching the feet and choosing footwear with enough room for your toes can reduce irritation. Padding or silicone toe separators may ease friction and support natural alignment. Conditions such as hammertoes, arthritis, or nerve irritation may also be involved and require more specific care. Early attention helps prevent worsening of symptoms. If pain does not improve or begins to affect how you walk, it is suggested that you see a podiatrist for a complete evaluation and personalized treatment.

Toe pain can disrupt your daily activities. If you have any concerns, contact Dr. Sybil J. Fisher of Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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

Swollen feet are a common concern during pregnancy, usually caused by increased fluid retention and pressure on blood vessels from the growing uterus , which slows circulation. Hormonal changes can also affect blood flow and contribute to swelling. Risk factors include standing for long periods of time, hot weather, poor circulation, and excessive weight gain. Symptoms include puffiness in the feet and ankles, a heavy sensation, and discomfort when walking. While swelling is usually harmless, it can interfere with daily activities. A podiatrist can evaluate foot health, recommend supportive footwear, suggest gentle exercises, and offer treatment to improve circulation. If your feet have become swollen during your pregnancy, it is suggested that you consult a podiatrist who can offer you effective relief tips.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact Dr. Sybil J. Fisher of Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

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

Achilles tendonitis is inflammation of the tendon that connects the calf muscles to the heel. It can occur at the insertion point on the heel, known as insertional tendonitis, or along the middle portion of the tendon, called mid portion tendonitis. Both types may cause pain, stiffness, and difficulty walking. Gentle foot exercises such as calf stretches, heel raises, and eccentric loading, forcing a muscle to produce force while lengthening,  can help reduce strain and improve flexibility. A podiatrist can evaluate the severity and type of tendonitis, recommend appropriate exercises, and provide custom orthotics or footwear advice. Early care prevents long term damage. If you are experiencing Achilles pain, it is suggested that you consult a podiatrist for expert guidance and a personalized treatment plan to support your recovery and mobility.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Dr. Sybil J. Fisher of Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

• Inflammation
• Dull to severe pain
• Increased blood flow to the tendon
• Thickening of the tendon

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

• Thorough stretching of the tendon before and after exercise
• Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

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