Gabriel Lazar, DPM
Foot and Ankle SpecialistApril 2023
Is Midfoot Surgery Right for Me?

Patients may feel stiffness in the middle of their feet. This may be indicative of midfoot arthritis and can be caused by degeneration. Osteoarthritis and rheumatoid arthritis often fall into this category and may cause extreme pain and discomfort. It may occur from a previous foot fracture, or possibly from an abnormal foot structure. The pain can be chronic, and lifestyle changes may be made that may help to provide temporary relief. Some people opt to have midfoot fusion surgery performed, with the goal of having improved function and decreased pain. This type of surgery can be successful in restoring normal walking and may be helpful in providing stability to the arch. The majority of people who suffer from midfoot arthritis may be eligible to have a midfoot fusion operation. However, there may be existing medical conditions, such as an active infection or overall poor health, that prevent people from undergoing this type of surgery. If you have midfoot pain, it is strongly suggested that you are under the care of a podiatrist who can determine if surgery is the right decision for you.
Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Gabriel Lazar of Advanced Foot Care. 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 office located in El Paso, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Why Live with Pain and Numbness in Your Feet?
Plantar Fasciitis Stretches

Stretching the feet can provide physical as well as mental health benefits. These can include coping with pain management, achieving inner peace, and managing stress levels. It is beneficial to perform foot stretches with existing foot pain. The condition that is known as plantar fasciitis may be helped when the heel is held in one hand while grasping the toes with the other. A gentle stretch can be felt in the sole of the foot where the plantar fascia is located as the toes and heel are pulled in opposite directions. Some patients find it helps to roll the affected foot on a tennis ball or frozen water bottle, and this can help to stretch the plantar fascia. Performing a heel raise can be an effective stretch that benefits the bottom of the foot. This is done by standing on a step, and gently lowering the heels one at a time until a gentle stretch is felt. If you would like additional information about how to stretch your feet, it is suggested that you confer with a podiatrist who can help you with proper stretching techniques.
Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with Dr. Gabriel Lazar from Advanced Foot Care. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Stretching the Feet
Stretching the muscles in the foot is an important part in any physical activity. Feet that are tight can lead to less flexibility and make you more prone to injury. One of the most common forms of foot pain, plantar fasciitis, can be stretched out to help ease the pain. Stretching can not only ease pain from plantar fasciitis but also prevent it as well. However, it is important to see a podiatrist first if stretching is right for you. Podiatrists can also recommend other ways to stretch your feet. Once you know whether stretching is right for you, here are some excellent stretches you can do.
- Using a foam roller or any cylindrical object (a water bottle or soda can will do), roll the object under your foot back and forth. You should also exert pressure on the object. Be sure to do this to both feet for a minute. Do this exercise three times each.
- Similar to the previous one, take a ball, such as a tennis ball, and roll it under your foot while seated and exert pressure on it.
- Grab a resistance band or towel and take a seat. If you are using a towel, fold it length wise. Next put either one between the ball of your foot and heel and pull with both hands on each side towards you. Hold this for 15 seconds and then switch feet. Do this three times for each foot.
- Finally hold your big toe while crossing one leg over the other. Pull the toe towards you and hold for 15 seconds. Once again do this three times per foot.
It is best to go easy when first stretching your foot and work your way up. If your foot starts hurting, stop exercising and ice and rest the foot. It is advised to then see a podiatrist for help.
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.
Do Your Child's Feet Hurt?
Stress Fractures and Extensor Tendonitis Cause Forefoot Pain

The feet are the main instrument in a runner’s orchestra. Because they take a pounding with every step taken, injuries are apt to occur. Two common causes of forefoot foot pain in runners, stress fractures and extensor tendonitis, can be difficult to tell apart. A stress fracture is a tiny hairline crack that often occurs in the metatarsals. Stress fractures may be caused by increasing speed and distance of a run too rapidly. Over time, the metatarsal bones weaken ever so slowly until they crack. Extensor tendonitis is an inflammation of the network of tendons that run across the top of the foot. They affect the same part of the forefoot, but can be differentiated by a simple test of moving the toes against a bit of force. If that movement causes pain, then you probably do not have a stress fracture. The most common causes of extensor tendonitis can be traced to improper footwear, tight Achilles tendons, or tight calf muscles. For an expert diagnosis of the cause of forefoot pain, it is suggested that you make an appointment with a podiatrist, who is medically trained in dealing with problems of the feet.
Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Dr. Gabriel Lazar from Advanced Foot Care. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Common Injuries
The most common injuries that occur in sporting activities include:
- Achilles Tendonitis
- Achilles Tendon Rupture
- Ankle Sprains
- Broken Foot
- Plantar Fasciitis
- Stress Fractures
- Turf Toe
Symptoms
Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.
Treatment
Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.
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.
Wounds That Don't Heal Need to Be Checked
Various Causes of Ankle Pain

The ankle joint is a complex structure involving bones, muscles, ligaments, tendons, and nerves that work together to help you walk, stand, run, and jump. When any one of these elements becomes injured, you may experience mild, moderate, or severe ankle pain, depending on the cause. When the ankle becomes stiff, making it difficult to walk, the pain usually involves a sprain, a strain, or an inflamed tendon. Such stiffness may also be caused by arthritis, especially rheumatoid arthritis. A swollen ankle can be caused by several conditions, including arthritis, blood clots, or pregnancy. Heart and kidney disease can also result in a buildup of fluid in the ankles. A crunching or grinding sound in the ankle, termed crepitus, is most commonly caused by a bone spur or by hardened or brittle ligaments. This is often the result of arthritis and is more common among seniors. General weakness or instability in the ankles may be caused by overuse or from a previous injury. If you are experiencing ankle pain, it is suggested that you make an appointment with a podiatrist who can determine the cause and offer treatment options.
Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Dr. Gabriel Lazar from Advanced Foot Care. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.
Causes
The most common causes of ankle pain include:
- Types of arthritis (rheumatoid, osteoarthritis, and gout)
- Ankle sprains
- Broken ankles
- Achilles tendinitis
- Achilles tendon rupture
- Stress fractures
- Tarsal tunnel syndrome
- Plantar fasciitis
Symptoms
Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.
Diagnosis
Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.
Treatment
Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.
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.