It can be hard to know where to turn for reliable information about diagnosing and treating common foot and ankle problems. You can trust our podiatrists to provide the most up-to-date information available when answering Frequently Asked Questions. If the answers you need are not here, please give us a call.

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  • Is it safe to get a pedicure with a fungal nail infection?

    You absolutely can get a pedicure with a fungal infection, but it is important to honestly address the situation with the salon ahead of time. When doing so, find out if the salon has the proper sterilization practices and necessary tools to handle fungal nails. Keep in mind that you may be asked to bring in your own polishes and tools.

    If you find yourself wondering whether it is safe to get a pedicure while having fungal nails, it might be time to look into treatment options to eradicate the fungus and restore your nails to their natural, healthy condition. Our practice offers laser therapy using the HyperBlue 1530, which is an FDA-approved machine, to eliminate toenail fungus at the source. This is a safe, effective, and painless procedure to clear up your nails. We also offer other treatment methods for dealing with this embarrassing condition.

    Are You Looking for a Toenail Fungus Specialist in Austin, TX?

    If you are looking for toenail fungus care, you should reach out to an experienced podiatristAustin Foot and Ankle Specialists can help. Our office provides a wide variety of advanced, effective treatment options for all kinds of painful conditions. Ready to schedule an appointment? Contact us online or call our Austin office at 512.328.8900.

  • How long do ankle fractures take to heal?

    Ankle fracture recovery time depends on your individual health and the seriousness of your injury. A simple fracture where the bones stay aligned will heal more quickly than a complex one that requires surgery. In general, you can expect six or more weeks to recover. Even after that, you may need to take it easy for a time. The doctors will check your healing progress by taking regular X-rays and using them to determine when it is safe for you to return to your activities.

    Are You Looking for a Stress Fracture Expert in Austin, TX?

    If you are looking for stress fracture care, you should reach out to an experienced podiatristAustin Foot and Ankle Specialists can help. Our office provides a wide variety of advanced, effective treatment options for all kinds of painful conditions. Ready to schedule an appointment? Contact us online or call our Austin office at 512.328.8900.

  • How Do You Treat Post-Static Dyskinesia?

    We treat post-static dyskinesia (meaning impaired movement after being at rest) in various ways, once we have determined what is causing your discomfort. Early morning heel pain when you first step out of bed is most often due to plantar fasciitis—inflammation of or damage to the ligament under your arch.

    RICE therapy (rest, icing, compression, elevation) can help bring down swelling and soreness, and stretching exercises can help recondition the ligament and reduce the damage to the heel from the ligament pulling on it too tightly. For persistent pain, we can try injection therapy using medication, extracorporeal shockwave therapy using energy waves, or cryotherapy using low temperatures. Once the pain has subsided, we will evaluate the biomechanical issues causing your plantar fasciitis and design custom orthotics to correct them.

    Are You Looking for a Plantar Fasciitis Specialist in Austin, TX?

    If you are looking for plantar fasciitis care, you should reach out to an experienced podiatristAustin Foot and Ankle Specialists can help. Our office provides a wide variety of advanced, effective treatment options for all kinds of painful conditions. Ready to schedule an appointment? Contact us online or call our Austin office at 512.328.8900.

  • Can I have my bunions on both feet operated on at the same time?

    We discourage this.  We explain it this way to our patients.  Your feet are the only parts of your body that touch the ground, if we perform surgery of both bunions at the same time it prevents you from having one good foot to stabilize yourself with, drive, perform your day to day activities.  This practice may also compromise your surgical outcome because you may not allow the procedures to heal uneventfully.  However when this is preformed we require our patients to sign a wheelchair non-weightbearing contract with our doctors so that we can insure are positive experience prevent a poor result.

    Are You Looking for a Bunion Specialist in Austin, TX?

    If you are looking for bunion care, you should reach out to an experienced podiatristAustin Foot and Ankle Specialists can help. Our office provides a wide variety of advanced, effective treatment options for all kinds of painful conditions. Ready to schedule an appointment? Contact us online or call our Austin office at 512.328.8900.

  • What is the difference between a fracture and a sprain?

    Essentially, the difference between a fracture and a sprain is what type of tissue the injury affects. Fractures happen to bone tissue, often as the result of a traumatic incident. Sprains involve damage to soft, connective tissue (ligaments) which are extended beyond their intended range from excessive motion.

    These two injuries are often confused because they have similar symptoms and causes. Both are frequently the result of participation in athletic competition or practice, but they can also happen due to tripping on uneven ground.

    Pain, bruising, and swelling are common symptoms for both fractures and sprains, as is difficulty walking on the affected foot or ankle. First aid procedures, like the RICE method (rest, ice, compression, elevation) can help to alleviate the symptoms of either injury, but you need a professional diagnosis and treatment plan for best healing.

    Are You Looking for an Ankle Sprains Specialist in Austin, TX?

    If you are looking for ankle sprain care, you should reach out to an experienced podiatrist. Austin Foot and Ankle Specialists can help. Our office provides a wide variety of advanced, effective treatment options for all kinds of painful conditions. Ready to schedule an appointment? Contact us online or call our Austin office at 512.328.8900.

  • Why does the ball of my foot hurt?

    Metatarsalgia is most likely the cause of your ball of the foot pain, and there are a variety of reasons that you might be suffering from it. Whether the problem is attributed to poor shoe choices, an increase in weight, a stress fracture, arthritis, a deformity (such as a bunion or hammertoes), or a high arch, something has changed the way that your feet work. The result is excessive stress on the ball of the foot.

    Are You Looking for a Ball of Foot Pain Specialist in Austin, TX?

    If you are looking for ball of foot care, you should reach out to an experienced podiatristAustin Foot and Ankle Specialists can help. Our office provides a wide variety of advanced, effective treatment options for all kinds of painful conditions. Ready to schedule an appointment? Contact us online or call our Austin office at 512.328.8900.

  • I have a question regarding a prescription?

    Dr. Thomajan is faxing or calling in my first prescription; when can I pick it up?

    All prescriptions and refill requests will be filled by the end of the business day. If you are seen for a 9 am appointment time your prescription will be available no later than 5:30 pm with your chosen pharmacy. Dr. Thomajan is always as accommodating as possible and most times prescriptions are sent right away. Please call ahead to your pharmacy to see if the prescription has arrived prior to visiting.

    Dr. Thomajan wrote me a pain prescription; how do I get a refill?

    Please have your pharmacy fax a prescription refill request to (512) 328-8903. We do not call in prescription refills. A total of 3 pain prescriptions will be filled (one initial prescription and up to two additional refills). If you are still experiencing pain after we have prescribed three rounds of pain prescriptions you are required to schedule a follow-up visit to assess for any changes in your diagnosis. At this time consideration will be taken to find you a pain management specialist should there be no significant changes to your diagnosis.

    Can I drive while on pain medication?

    No, we recommend that you have a responsible adult drive you while you are taking pain medication(s). You should never attempt to operate any machinery while on pain medication. If you should ever have any questions regarding your prescription please contact our office at (512) 328-8900 or consult your pharmacist.

    Can my surgeon call in my prescription for surgery?

    Should Dr. Thomajan prescribe pain medication he will write the prescription on the day of your surgery and this will be in the possession of the post-operative nurse at the facility that will be charged with your care. You will receive a paper copy of your prescription to deliver to any pharmacy of your choice. We do not call in or prescribe any medications prior to your surgical procedure.

    When do I take my medication? How do I take my medication?

    Dr. Thomajan will touch upon this on your visit. However, we do recommend upon receipt of your prescription from the pharmacy that you speak to your pharmacist regarding any additional questions. Please speak with your pharmacist regarding how often to take your medication and how you should take your medication. Your pharmacist has a plethora of information and their purpose is to supply you with as much information regarding your specific prescription. As well, medication directions are always printed on the medication bottle. Should you require any additional information please contact our office at (512) 328-8900.

    Do I stop taking my other medications?

    Please contact your prescribing physician or PCP to check if you should stop any other medications. As always, we welcome any additional questions you might have as well (512) 328-8900.

    You prescribed a medication a friend of mine has; can I just take that?

    Unfortunately, no. We are not in the practice of sharing medications. Please fill the prescription that Dr. Thomajan has prescribed for you as this quantity, dosage, and shelf-life were specifically formulated for you. Should you have any additional questions please do not hesitate to ask.

    Dr. Thomajan prescribed me a medication a year ago; can I refill it?

    Please contact our office at (512) 328-8900 to schedule an appointment. We do not refill prescriptions over 60 days without another consultation to facilitate any changes in your diagnosis.

    Is my prescription covered by insurance?

    We make every effort to supply you with as much coverage information as possible regarding your specific insurance plan. However, we do not have access to coverage in terms of prescription drug plans. Please contact customer service with your insurance company to check for coverage of your specific prescription.

    Dr. Thomajan referred me to pain management; what is this?

    Pain management is a branch of medicine employing an interdisciplinary approach for easing suffering and improving the quality of life of those living with pain. We will refer you to a preferred pain management specialist that is in-network with your insurance company. We will provide you with their contact information and provide all of your medical records as a courtesy.
     

    Are You Looking for a Foot Care Doctor in Austin, TX?

    If you are looking for foot care, you should reach out to an experienced podiatristAustin Foot and Ankle Specialists can help. Our office provides a wide variety of advanced, effective treatment options for all kinds of painful conditions. Ready to schedule an appointment? Contact us online or call our Austin office at 512.328.8900.

  • I'm having a MRI performed; what should I know?

    What is an MRI?

    MRI (Magnetic Resonance Imaging) is a noninvasive diagnostic tool used to identify and treat various medical conditions. These exams provide unparalleled views of internal body structures including the organs, soft tissues, and bone, which cannot be seen using conventional X-rays or CT scans.

    How does an MRI work?

    MRI technology uses a magnetic field and radio waves to produce detailed pictures of the human body. As the radio waves pass through the body, images are created on a computer screen for radiologists to analyze. These precise images allow radiologists to view soft tissue (muscles, fat, internal organs, blood vessels, and tendons) and bones without the use of X-rays or surgery.

    Is an MRI safe?

    The MRI imaging technique does not involve exposure to radiation.  However, women should always inform their technologist if there is a chance they could be pregnant. Medical and electronic devices may interfere with MRI exams and pose a potential risk. Patients with any kind of metallic implant should not have an MRI unless their physician is aware of the device and has approved the procedure. Patients with pacemakers should not undergo an MRI.

    Can children receive an MRI?

    Yes, children can receive an MRI. Typically, the facility will have a specialty radiologist perform the procedure.  

    Who do I contact to schedule my MRI?

    Dr. Thomajan will select the facility that is best required for your MRI. You will leave with your MRI prescription order; all orders have the contact information provided. We utilize the following:

    • River Ranch Radiology: (512) 454-9597
    • Austin Radiological Association: (512) 453-6100
    • Austin Health Imaging: (512) 451-8595

    I do not live in Austin; can I go anywhere else to receive my MRI?

    Although we prefer to use whom Dr. Thomajan has referred you to you do have the right to visit any facility for your MRI procedure. You can always take the referral we have already written to any facility or please just contact our office to write a generic MRI referral.

    When should I arrive for my MRI?

    Patients typically are asked to arrive 30 minutes prior to their scheduled appointment. This allows time to complete any necessary paperwork, answer any medical history questions, change clothes for the scan if necessary and ask any questions for the technologist.

    What do I bring with me to my MRI?

    Please bring your insurance card, identification card, and your MRI order.

    How should I dress for my MRI?

    Patients should dress in loose-fitting, comfortable clothing (i.e. sweatshirt and pants without metal snaps or zippers). All valuables will be removed so we recommend leaving them at home. We also recommend not wearing cosmetics as many brands contain metal.

    What happens during my MRI?

    When you are ready for your scan, a technologist will bring you into the MRI scan room and help you get comfortable on the padded examination table. The table will then move slowly into the opening of a large cylinder-shaped tube that houses the MRI magnet. You will hear a continual knocking noise while the machine takes pictures. Earplugs are provided and significantly reduce the amount of noise during the scan. It is important to lie completely still while the images are being taken because motion will affect the sharpness of the image. The technologist will talk with you throughout your scan and keep you informed of what you can expect. You can expect your MRI to last somewhere between 20-60 minutes.

    What happens after my MRI?

    Patients may leave immediately following their MRI scan and go about normal activities. If you have requested the use of a mild sedative you will be required to have a responsible adult drive you home.

    When can I expect my results?

    Results are usually available and submitted to our office within 24-48 hours. Our staff will contact you as soon as they are available and interpreted by Dr. Thomajan. You will be required to schedule an office visit to receive your results. An office visit is required to discuss findings and develop a plan of action for your recovery.

    I scheduled my results visit; do I have to pay a copay?

    Yes, all visits are considered with your contract with your insurance company as an office visit. Any time you are seen and treated by Dr. Thomajan and his staff your insurance is billed. Part of your billed service is your copay; which is due on each date of service. 

    Do I need to bring my results or copies of the MRI to my visit?

    We do not require that you provide results. We will have access to your results. Should we require to see the physical scans we can access River Ranch Radiology and Austin Radiological Association online. Any other facility that does not provide scans online we will request the hard copy as a courtesy.
     

    Are You Looking for a Foot Care Specialist in Austin, TX?

    If you are looking for foot care, you should reach out to an experienced podiatristAustin Foot and Ankle Specialists can help. Our office provides a wide variety of advanced, effective treatment options for all kinds of painful conditions. Ready to schedule an appointment? Contact us online or call our Austin office at 512.328.8900.

  • What can I do for a corn on the end of my toe?

    These corns are more accurately described as a distal clavus. These are formed when the deformity of the digit turns the end of the digit towards the ground.  The repetitive trauma of walking on this skin causes the body to try and protect itself, thereby building up space-occupying lesions. When these become very thick and hard they may become painful when walking.

    Are You Looking for a Skin and Nails Expert in Austin, TX?

    If you are looking for skin and nail care, you should reach out to an experienced podiatristAustin Foot and Ankle Specialists can help. Our office provides a wide variety of advanced, effective treatment options for all kinds of painful conditions. Ready to schedule an appointment? Contact us online or call our Austin office at 512.328.8900.

  • Is Bare Footwear Safe?

    From aqua shoes to FiveFingers styles to minimalist varieties, bare footwear is becoming a popular fad. There are opposing opinions, however, as to the safety of wearing these trendy types of running shoes. The theory behind them is that people have been running for millions of years, historically barefoot or in simple shoes like moccasins or sandals. Some feel that modern-day running shoes provide too much control and cushioning, reducing the ability of foot muscles and tendons to strengthen naturally. Opposing views suggest that foot and ankle injuries can be prevented by choosing running shoes with strong stability and support. As of today, the jury is still out on what’s best for the health of your feet.

    Are You Looking for a Sports Injuries Expert in Austin, TX?

    If you are looking for sports injury care, you should reach out to an experienced podiatristAustin Foot and Ankle Specialists can help. Our office provides a wide variety of advanced, effective treatment options for all kinds of painful conditions. Ready to schedule an appointment? Contact us online or call our Austin office at 512.328.8900.

  • What Is PRP?

    Platelet-rich plasma is an autologous, biological, blood-derived product, which one can exogenously apply to a variety of tissues.  The PRP releases high concentrations of platelet-derived growth factors that enhance wound, bone, and tendon healing. Growth factors release when the platelets become activated, subsequently initiating the body's natural healing response.  Platelet-rich therapy is safe and the technique does not impair the biomechanical function of the foot.

    The doctors at Austin Foot and Ankle Specialists utilize PRP injections as a second-line treatment of more chronic and thickened fascial, ligamentous, and tendon conditions.

    Call to make an appointment at (512) 328-8900 if you believe that you may benefit from this advanced treatment protocol.

  • Can wearing a motion control running shoe take the place of an orthotic?

    In a small percentage of the population who has a rather stable foot structure, a good motion control running shoe can reduce the tendency to pronate or collapse the arch during activity and as a result, experience relief from some mild symptoms in their feet, knees, or even backs.  But factually speaking, very few people who suffer from any significant structural problems or who have any significant pathology can go without an orthotic in combination with a good motion control running shoe. 

    We highly recommend that our patients get a good, solid and well constructed motion control shoe or sneaker when we dispense their orthotics.  The orthotic and shoe work together to provide maximum stability and corrective position which allows and encourages optimal and non-pathologic function of the foot and ankle during activity. 

    Lastly, the "supportive insoles, arch supports or arch cookies" that are promoted to be in these types of shoes and sneakers are obviously generically placed into the shoe or sneaker which simply does not support every individual's arch or foot structure the same way.  This can be an issue for many people.  Any significant degree of asymmetry or difference in foot structure from one foot to the other generally necessitates a custom-made orthotic that will fit and work in conjunction with a well supportive shoe or sneaker.

    Are You Considering Custom Orthotics  in Austin, TX?

    If you are considering custom orthotics, you should reach out to an experienced podiatristAustin Foot and Ankle Specialists can help. Our office provides a wide variety of advanced, effective treatment options for all kinds of painful conditions. Ready to schedule an appointment? Contact us online or call our Austin office at 512.328.8900.