This foot clinic did a good job. The doctor and his assistant always made sure I was comfortable. The clinic crew what very friendly. Thank you to the clinic read more

Dr. Madden is the BEST Foot doctor in central texas. He has done so many surgeries on my feet and I'm still walking with no pain. He did an extensive surgery on my foot that I broke, he put screws in my foot, I wasn't allowed to walk on it for 6 weeks. He was really great thru that whole ordeal. I recommend dr. Madden 100% I will go back with any problems I have. Thank you Dr. Madden for all you have done for me. read more

Dr. Maddens has been my podiatrist for the past five years. Since then I have had 21 surgeries on my right foot. I have Metatarsus adductus in the adult is a very difficult foot type to manage. A high arch coupled with metatarsus adductus makes matters even worse. Clinical conditions associated with this foot type include large bunion deformities, Jones fractures, non-traumatic osteoarthritis of the second and third tarsometatarsal joints, dorsal exostoses of the tarsometatarsal joints with peroneal nerve impingement, generalized lateral column pain, ankle instability and peroneal tendon pathologies. Due to lateral column overload, the lateral half of the foot and ankle will be vulnerable to chronic stress. It is not uncommon for patients with this foot type to have lateral foot, ankle, knee and hip (iliotibial band) pain. In the pronated or flat foot, symptoms and conditions such as medial arch pain and posterior tibial tendon pathology tend to affect the medial structures of the foot and ankle. I have an EMED (Novel) pedobarograph in my office and I have studied the plantar pressures in patients with metatarsus adductus. I have submitted my data to be published in a peer-reviewed medical journal, which you will be able to read soon. Just as we have all learned that metatarsus adductus feet will overload the lateral column, it has never really been illustrated with plantar pressure measurements. I have been able to demonstrate objectively that the foot with metatarsus adductus will have higher peak pressure on the lateral heel, midfoot and forefoot in comparison to a rectus foot type. With metatarsus adductus, the common clinical condition of pain in the bases of the lateral metatarsals and cuboid region can be challenging to treat. I call this condition periostitis, which is a stress syndrome. You may call it a cuboid syndrome or synovitis of the fourth and fifth metatarsocuboid joint. These are all acceptable diagnostic terms describing the same thing. I tend to immobilize these patients in a fracture boot, implement an icing protocol and have them take a tapered dose of prednisone. If they cannot take prednisone due to diabetes or intolerance, I will use a nonsteroidal anti-inflammatory medication. Once the patient is better and returning to a shoe, I stress the importance of wearing a stiff-soled shoe and to avoid barefoot walking, sandals, slippers and flip-flops. From a biomechanical standpoint, I encourage the use of functional foot orthoses. I typically use a hard shell without a heel post and use a cork valgus wedge on the lateral side of the device. I have observed over the years that if you obtain an ankle magnetic resonance image (MRI) for older patients with a pes cavus and metatarsus adductus deformity, many will have peroneal tendinopathy. These conditions may be split tears or tendinosis. Many times, these pathologies are incidental findings. There is no need to implement any surgery on the peroneal tendons based on MRI findings. If indeed the patient has a clinical correlation with pain in the peroneal tendons, aggressive treatment and/or surgery may be necessary. Bunion surgery in patients with metatarsus adductus is also very challenging. The clinical deformity will always be worse than the radiographs suggest. There are times when a slight overcorrection of the intermetatarsal angle may be necessary. Moreover, in severe deformities, you may need to perform multiple metatarsal osteotomies in order to get a reasonable correction of the bunion deformity. Metatarsus adductus occurs in one to two per 1,000 live births. Since the adult with metatarsus adductus is a common finding in the clinical setting, perhaps there should be a better screening effort of newborns. In addition, it may be prudent to be more aggressive in the treatment of the younger population with metatarsus adductus due to the treatment challenges that face the adult with lateral column overload conditions. Dr. Madden and his entire staff are very professional. Dr. Madden takes his time to explain everything. And if you still don't understand it he will go over it again. Dr. Madden and his entire staff are amazing! I highly recommend Advanced Foot Care Center. read more

Advanced Foot Care Center: Thomas W. Madden, DPM - Podiatrists Near Me - Killeen, Texas

Dr. Madden cares about his patients. I found him to be kind, thoughtful, and funny; so he's a triple threat! I have had some serious plantar fasciitis in my left foot and Dr. Madden, in a sense "cured" it last year. This year, the right foot decided it wanted to play, so I am back to see the best podiatrist in Killeen. I have some videos of my injections on my TikTok: @macnbeans05 read more

Dr Madden is a concerned provider who inspires confidence in his ability to care for the patient and his ability to make the patient feel safe and secure. Unusual combination! read more

Staff is friendly and professional. Dr. Madden is knowledgeable, sensitive and informative.

Consistent professional care with a staff that makes you feel like family! Appointments are scheduled with safety in mind and adequate room too practice social distancing. I would recommend this staff and office to anyone I run into needing their care! Dr. Madden is the best in Central Texas by far! read more

Excellent Doctor! I have had a lifetime of foot problems and Dr. Madden took the time to explain the "how" and "whys' of it all. I had seen several doctors for my feet but never had a real answer - just a "when you are ready to fix call us and we will set up surgery". I never felt comfortable with the other Podiatrist until I met Dr. Madden. My PCP said he is one of the few doctors that she has never heard of ever needing rework or issues with and so he also came with high recommendations. He and his staff are all very caring and compassionate. Dr. Madden takes the time and is very thorough and explains everything. I have had an in office procedure and a major surgery with Dr. Madden and I am so happy that I went with him. I know my feet couldn't be in better hands. read more

I've been a patient here for about a year now. The entire staff from the front desk to the assistant to the Doctor himself are the nicest people you'll ever meet. They give every patient 100% of their time and attention while the patient is being treated. read more

Very professional foot care services... staff was helpful & kind during the duration of my appointments. I would definitely recommend Advanced Foot Care Center services to anyone that is in need of these services because they will definitely meet your needs & expectations in total foot care. You will not be disappointed... this place is awesome!!!! read more

I know Dr. Madden since 1996, has been his patient in the last 2 years, he and his staff are nicest and helpful that you will meet