Gabriel Lazar, DPM
Foot and Ankle SpecialistMarch 2023
Flat Feet in Children

Babies are born with flat feet because their bones and joints are flexible until their teenage years. Babies also have a fat pad on the inner border of their feet that hides the arch when standing. Flat feet in kids typically does not require medical treatment because arches will usually develop normally before adulthood. Even if arches do not develop, treatment is not recommended unless the foot feels stiff or causes pain. If such symptoms do occur, it is suggested that a podiatrist be seen for an evaluation and any recommended management for the problem.
The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact Dr. Gabriel Lazar of Advanced Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.
Tips for Keeping Children's Feet Healthy
- Make sure their shoes fit properly
- Look for any signs of in-toeing or out-toeing
- Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
- Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
- Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
- Cut toenails straight across to avoid ingrown toenails
- Keep your child’s foot clean and dry
- Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.
If you have any questions, please feel free to contact our office located in El Paso, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Heel Pain Can Be Treated!
Severely Cracked Heels Are Known as Fissures

Severely cracked heels are called fissures. Dry skin causes cracked heels, and fissures can bleed and become infected. There are many reasons to have dry skin on the heels. These can include wearing shoes that are backless, or from medical conditions such as a thyroid disorder or diabetes. The skin on the heels can crack as the aging process occurs, or from damaged nerves that are unable to sweat. Fissures can be painful, and medical treatment is often sought that may help to stop any infection. Many people enjoy soaking their feet in warm water for several minutes, followed by applying a good moisturizer on them. This process can be completed by wearing clean cotton socks, which can protect the heel. If you have heel fissures, it is suggested that you consult with a podiatrist who can prescribe medicated cream that can effectively treat cracked heels and fissures.
Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact Dr. Gabriel Lazar from Advanced Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.
Cracked Heels
Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.
How Do You Get Them?
Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.
Promote Healing
Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.
Wear Socks – Wearing socks with medicated creams helps lock in moisture.
Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.
Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin.
Change in Diet
Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.
Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed.
If you have any questions, please feel free to contact our office located in El Paso, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Reminder: When Was the Last Time...?
Why Do Ingrown Toenails Develop?

An ingrown toenail is easy to notice. The nail grows into the skin instead of over it, and it may appear red. Ingrown toenails may also become infected and bleed if prompt medical attention is not sought. This foot condition can happen from wearing shoes that are too tight or from improperly trimming the toenails. People who are born with naturally curved toenails may be prone to ingrown toenails. Temporary relief may be found when the foot is soaked in warm water and a small piece of cotton is used to gently pull the skin away from the nail. A more permanent solution is provided by a podiatrist in partially or fully removing the affected nail. This is a relatively fast procedure, but it is suggested to consult with a podiatrist to learn more. If you have developed an ingrown toenail, call your local podiatrist today.
Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Dr. Gabriel Lazar of Advanced Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.
Ingrown Toenails
Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.
Causes
- Improper toenail trimming
- Genetics
- Improper shoe fitting
- Injury from pedicures or nail picking
- Abnormal gait
- Poor hygiene
You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.
Symptoms
Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.
Treatment
Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.
If you have any questions, please feel free to contact our office located in El Paso, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Why Live with Pain and Numbness in Your Feet?
Causes and Symptoms of Hammertoe

A hammertoe is typically found in the second and third toe and is characterized by a raised joint in the middle of the toe. The tip of the toe curls under the foot as the middle joint raises up. In the early stages, the hammertoe may still be flexible, but later on, it may become rigid. This deformity can be caused by the long-term wearing of high heels, which often have a small and pointed-toe box. Hammertoe also can be congenital or caused by arthritis. Symptoms of a hammertoe are curling toes, raised joints, callus formation under the affected toe, and pain on the affected joint from rubbing against the top of a shoe. Wearing shoes that fit properly is one way of decreasing the development of hammertoe because once it is formed it is likely to become permanent. Avoid wearing shoes that squeeze the toes together, especially those that force the weight of the body onto the ball of the foot. Treatment for hammertoe varies, depending on the severity of the deformity. Treatment can range from wearing protective pads or strapping down the toe, to surgery on the joint and removal of bone. For more information on dealing with a hammertoe and its side effects, it is suggested that you consult with a podiatrist.
Hammertoe
Hammertoes can be a painful condition to live with. For more information, contact Dr. Gabriel Lazar from Advanced Foot Care. Our doctor will answer any of your foot- and ankle-related questions.
Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.
Symptoms
- Pain in the affected toes
- Development of corns or calluses due to friction
- Inflammation
- Redness
- Contracture of the toes
Causes
Genetics – People who are genetically predisposed to hammertoe are often more susceptible
Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur
Trauma – Direct trauma to the toes could potentially lead to hammertoe
Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe
Treatment
Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it
Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used
Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option
If you have any questions please contact our office located in El Paso, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.