Posts for category: Foot Issues
Diabetic feet need special care because of decreased circulation, neuropathy, joint deterioration, and more. While your primary care physician may guide you on blood sugar control, medications, a healthy diet, and active lifestyle, your podiatrist assesses and treats how your feet and ankles function everyday and for the long term. Enlist their help in the health maintenance of your diabetic feet.
Keeping ahead of neuropathy and avoiding amputation
Those are two key goals of diabetic foot care. Your podiatrist will want to see you regularly to assess the color, temperature, sensation, function, and shape of your feet and ankles, noting any developing problems. Early detection of circulation issues, nerve degeneration (neuropathy), and deformities, such as hammertoes, bunions, and Charcot Foot, are key.
Your podiatric foot examination will include an eye-on inspection of your skin (color, temperature, texture, and integrity). Your foot doctor also may perform gait analysis to watch for changes in how you walk. Sometimes a podiatrist orders X-ray imaging or an MRI to view the internal structure of the foot and/or ankle.
Remember, that foot ulcers are the primary threat to the overall health and well-being of the diabetic, says the National Center for Biotechnology Information (NCBI). Untreated, they may lead to complications so severe amputation is the only option.
What can you do to treat your diabetic feet?
- Be proactive. Inspect your feet daily, looking redness or skin breakdown.
- Wash and dry your feet daily.
- Trim your toenails carefully using a clean clippers. Trim straight across and not too short to avoid ingrown toenails.
- Wear shoes at all times--even indoors--to avoid injury.
- Wear clean, well-fitting, moisture-wicking socks.
- Keep your weight and blood sugars within normal range.
- Get in-office treatment of calluses and corns, says the American College of Foot and Ankle Surgeons.
- Avoid all forms of tobacco.
- Report any changes to your foot doctor as soon as possible.
- See your podiatrist every six months or as he or she directs.
Healthy feet and a healthy you
Podiatric health is so important, but especially to the diabetic. So stay in touch with your foot doctor, and be routinized in your foot care for better long-term health.
Are you dealing with pain, burning, tingling or numbness between your toes or in the ball of the foot? If you said “yes” then you could be dealing with a neuroma, a pinched nerve or benign tumor of the nerve that is often found between the third and fourth toes.
The classic symptom of a neuroma is pain, particularly when walking—a factor that leads many people to liken the condition to feeling like a pebble is in their shoe. You may find that the pain eases up whenever you aren’t walking or when you rub the pained area with your hands. While neuromas can happen to anyone, they are most commonly found in women.
While the causes of a neuroma are still not clear, there are factors that can increase the likelihood of developing one, such as:
- Extremely high arches
- Flat feet
- Trauma that leads to nerve damage in the feet
- Improper footwear (high heels over two-inches tall; pointed toes)
- Repeated stress placed on the foot
Treating a Neuroma
A neuroma will not go away on its own, so it’s important to see a podiatrist if you are experiencing any of the condition's symptoms. The type of treatment or treatments recommended to you will depend on the severity of the neuroma.
Those with minor neuromas may be able to lessen symptoms by wearing shoes that provide ample room for the toes and offer thick soles that provide more support and cushioning for the toes and balls of the feet. Sometimes a podiatrist may recommend custom orthotics to place inside the shoes, as well.
Your podiatrist may also recommend padding or taping the ball of the foot to improve faulty biomechanics and reduce discomfort. While medication will not eliminate the problem, it can temporarily alleviate symptoms. Over-the-counter anti-inflammatories can often briefly reduce pain and swelling, but for those dealing with more severe pain, steroid injections may be necessary to ease symptoms.
Surgery for a Neuroma
Surgery only becomes necessary when conservative treatment options have failed to provide relief, or when the neuroma has progressed enough that conservative care won’t be enough. During surgery, the inflamed nerve is removed through a simple outpatient procedure. Afterward, there is a short recovery period of a couple of weeks before patients are able to move about pain-free once again!
Give us a Call!
If you are dealing with new or worsening foot pain it’s important that you turn to a podiatrist that can help give you the answers you need. Schedule an appointment today.
An unexpected fall or twist can result in an injury of the foot or ankle, such as a sprain or strain. Immediate first aid can help prevent complications, reduce pain and improve recovery.
Rest, ice, compression and elevation--commonly referred to as R.I.C.E.--is the first and best treatment for minor injuries. The following tips can aid in the early treatment of common foot and ankle injuries to help reduce swelling and control the inflammatory process during the initial phase of injury.
Rest: Whether you have a strain or a sprain, rest from any physical activity is essential to protecting your injured ligaments, tendons or muscles from further damage while your body starts the repair process. Avoid putting weight on the injured foot or ankle as much as possible. In some cases, complete immobilization may be required.
Ice: Gently ice your foot or ankle with ice wrapped in a towel in a 20-minute-on, 40-minute-off cycle for the first few days post-injury. Ice is excellent at reducing inflammation and pain.
Compression: Applying some type of compressive wrap or bandage to an injured area can greatly reduce the amount of initial swelling.
Elevation: Prop your foot up while lying down or sitting so that it is higher than or equal to the level of the heart.
After a few days of R.I.C.E., many acute injuries will begin to heal. If pain or swelling does not subside after a few days, or if you are unsure of the severity of your injury, make an appointment with your podiatrist. A skilled podiatrist can properly diagnose your injury and recommend the best course of treatment.
Athlete's foot is one of the most common fungal infections of the skin and is frequently seen in our office. Whether you've had it or not, it's important to understand how you can avoid and treat this highly contagious infection if you do contract it.
The fungus that causes athlete's foot thrives in damp, moist environments and often grows in warm, humid climates, such as locker rooms, showers and public pools; hence the name "athlete's foot. " This infection can itch and burn causing the skin on your feet and between your toes to crack and peel.
Tips For avoiding Athlete's Foot:
- Keep your feet dry, allowing them to air out as much as possible
- Wear socks that draw moisture away from your feet and change them frequently if you perspire heavily
- Wear light, well-ventilated shoes
- Alternate pairs of shoes, allowing time for your shoes to dry each day
- Always wear waterproof shoes in public areas, such as pools, locker rooms, or communal showers
- Never borrow shoes due to the risk of spreading a fungal infection
A mild case of athlete's foot will generally clear up on its own with over-the-counter antifungal creams and sprays. But since re-infection is common due to its contagious nature, many people require prescribed anti-fungal medication to effectively treat the infection. Generally, it's always best to consult with your podiatrist before choosing a treatment.
Mild cases of athlete's foot can turn severe and even cause a serious bacterial infection. If you notice your rash has become increasingly red, swollen and painful or you develop blisters and sores, call our office right away. Athlete's foot left untreated could eventually spread to other body parts and infect other people around you.
With the right treatment, you'll be cured of your athlete's foot in no time, which means the sooner you can enjoy the activities you love without pain and irritation!
What is Sesamoiditis?
Sesamoids are small bones that are only connected to tendons or surrounded in muscle. This only appears in a few places in the body, one of which is the foot. Two very tiny sesamoids are found in the underside of the foot near the big toe. One is on the outer side of the foot and the other bone is close to the middle of the foot. This structure provides a smooth surface for the tendons to slide over, which helps the tendons move muscles. They help with weight bearing and also help to elevate the bones of the big toe. So now that you know what sesamoids are, you might be wondering what sesamoiditis is and what its symptoms are.
Just like any other bone, sesamoids can unfortunately fracture. The tendons surrounding the sesamoids may also become irritated or inflamed and this is what sesamoiditis is. Sesamoiditis is also a form of tendonitis and is a common condition among ballerinas, runners, and baseball catchers due to the pressure that is constantly placed on their feet.
Symptoms of Sesamoiditis
Symptoms of Sesamoiditis may include:
- Pain under the big toe or ball of the foot
- Swelling and/or bruising
- Difficulty in bending and straightening the big toe
- Resting and stopping any activity that could be causing pain and inflammation
- Anti-inflammatories, such as ibuprofen and aspirin only after consulting your physician
- Icing the sole of the foot
- Wearing soft-soled and low-heeled shoes
- Cushioning inserts in the shoes
If symptoms persist after treatments, you may need to wear a removable brace for 4-6 weeks to help the bones heal. Call your podiatrist today to ask any questions about sesamoiditis and get on your way to pain-free feet once again!