Patient Questions

Jonathan Kletz is an Expert Contributor on FindaTopDoc. Here are some of their recent answers to patient questions.

Podiatrist (Foot and Ankle Specialist)
Jonathan Kletz

Heel pain can go away. The heel spur will always be present unless of it is surgically removed. Arch supports, stretching exercises and other modalities can be beneficial in reducing pain. Jonathan M. Kletz, DPM Texas Foot WorksDallas, Athens and Gun Barrel City Texas214-340-8885

Treatment of ankle arthritis can be performed in many ways. It depends on the severity. Mild cases can be treated with oral anti-inflammatory medication. Also ankle support/brace can be beneficial as well. Other cases require injection to help reduce inflammation and pain. In more extreme cases can require surgery.

Wearing appropriate shoes and using orthotics can be beneficial to try to prevent recurrence. Jonathan M. Kletz, DPM Texas Foot WorksDallas, Athens and Gun Barrel City Texas214-340-8885

There are many treatments for heel pain and heel spurs. Conservative treatment includes orthotics, stretching exercises, oral anti-inflammatory medication, steroid injections and physical therapy. Sometimes surgery is needed to alleviate pain as well. Jonathan M. Kletz, DPM Texas Foot WorksDallas, Athens and Gun Barrel City Texas214-340-8885

It depends what causes the ankle pain. If there is structural damage then sometimes repair to the structural damage needs to be performed. Other times Physical Therapy can help. Anti-inflammatory medication, braces can be beneficial. I suggest that you see a specialist for evaluation.Jonathan M. Kletz, DPM, FACFASDallas, Athens and Gun Barrel City.214-340-8885

It depends on the type of surgery and the amount of repair that is necessary. I suggest you ask your ankle surgeon.

It depends on what type of heel surgery you're having. There are different types of procedures with some of them being more invasive which takes longer time to heal. I would speak with the physician performing the surgery to find out how long it will be they go back to working out at the gym. Jonathan M. Kletz, DPM Texas Foot WorksDallas, Athens and Gun Barrel City Texas214-340-8885

It depends on what type of ankle surgery you have in the extent of the repair. Some minor procedures do not always require a brace. I would check with the doctor performing the surgery. Jonathan M. Kletz, DPM Texas Foot WorksDallas, Athens and Gun Barrel City Texas214-340-8885

Ice can help reduce swelling. It depends on the extent of the injury. I would suggest that you get it evaluated to make sure that there is no ligament or bone injury. Jonathan M. Kletz, DPM Texas Foot WorksDallas, Athens and Gun Barrel City Texas214-340-8885

An ankle brace can be beneficial. Depending on the type of injury or damage to the ankle will depend on what type of ankle brace. This can give support, but it may not resolve condition, long-term. Would recommend x-rays and evaluation of the ankle joint. Jonathan M. Kletz, DPM Texas Foot WorksDallas, Athens and Gun Barrel City Texas214-340-8885

The white tissue surrounding the area is showing that there is some maceration/excess moisture. If the area is hurting and irritated and looks infected  I would suggest to have the foot evaluated for infection, have a obtained, start antibiotics as needed. Once this has cleared, he can consider having wart removed surgically. Jonathan M. Kletz, DPM Texas Foot WorksDallas, Athens and Gun Barrel City Texas214-340-8885

The changing thickness and coloration of toenails can come from either trauma or toenail infection. Sometimes systemic conditions such as psoriasis can affect toenails as well. I would recommend that you see a specialist, and have a biopsy/specimen of the toenail and sent to pathology to see what is the cause of the thickening of the toenail. At that time treatment plan can be started. Once causative condition is known. Jonathan M. Kletz, DPM Texas Foot WorksDallas, Athens and Gun Barrel City Texas214-340-8885

Swelling can occur for many different reasons. Sometimes it could be as simple as your diet and other timely to be due to some type systemic issues such as heart, kidney. I would suggest that you see her primary care physician for a full workup to see where the swelling may be coming from. At that time appropriate treatment can be given once the cause of the swelling has been identified. Jonathan M. Kletz, DPM Texas Foot WorksDallas, Athens and Gun Barrel City Texas214-340-8885

Stubbing a toe can cause damage to the bone and the toenail. Toenail could be loose in this could be due to the injury. There is a possibility that there is some bone injury as well. I would recommend an x-ray toe evaluate the injury. Jonathan M. Kletz, DPM Texas Foot WorksDallas, Athens and Gun Barrel City Texas214-340-8885

 It depends on what type of surgery you had. I would suggest open physician that did the surgery. Jonathan M. Kletz, DPM Texas Foot WorksDallas, Athens and Gun Barrel City Texas214-340-8885

it depends on what type of procedure that is being performed. If it's an endoscopic plantar fasciotomy usually 4 to 8 weeks should be ample time for the average surgery to heal. It was a different type of procedure than it might take longer. Jonathan M. Kletz, DPM Texas Foot WorksDallas, Athens and Gun Barrel City Texas214-340-8885

It  depends on what kind of surgery are having. For example arthroscopic surgery can heal quicker than having it open procedure that requires ligament or tendon repair. Jonathan M. Kletz, DPM Texas Foot WorksDallas, Athens and Gun Barrel City Texas214-340-8885

It depends on what structures were affected by the dislocation. Other tears, ligaments, joint capsule or even  tendons. A thorough evaluation is needed and this will determine the length  of time of the immobilization or other treatment modalities. Jonathan M. Kletz, DPM Texas Foot WorksDallas, Athens and Gun Barrel City Texas214-340-8885

Chiropractic care can be beneficial in helping all different types of musculoskeletal issues. It depends on the type of ankle injury and what the extent of the injuries/damage to the ankle and its surrounding tissue. Jonathan M. Kletz, DPM Texas Foot WorksDallas, Athens and Gun Barrel City Texas214-340-8885

There are many different types of dislocations of the ankle joint. It depends on the amount of injury/damage to soft tissue structure such as ligaments, joint capsule and tendons. This is best to be evaluated by a specialist and possible MRI to determine extent of damage. Jonathan M. Kletz, DPM Texas Foot WorksDallas, Athens and Gun Barrel City Texas214-340-8885