Preventing and Managing Diabetic Foot Ulcers
A diabetic ulcer is an open sore on the skin of someone with diabetes. The wounds are partial or full losses of skin that often occur on the feet. Diabetics are at higher risk of foot abnormalities, including foot ulcers, because they often have peripheral neuropathy or nerve damage in the feet and constricted blood flow caused by peripheral arterial disease. It would seem as if these ulcers would be painful, however, those with diabetes often have decreased sensations in their feet, so they might not feel them. Among a variety of ways diabetics can prevent such ulcers include managing blood sugar levels, trying to exercise regularly, losing weight, stopping smoking if applicable, and practicing good routine foot care. The important thing is to detect such sores as soon as possible and have them treated to halt complications, such as infection, amputation, and worse. Recurrence of these sores is common. If you are a diabetic, it is strongly suggested that you include a podiatrist among your healthcare providers to have regular foot exams and treatment of anything suspicious, such as foot wounds.
Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with one of our podiatrists from Sayville Foot Care. Our doctors will assess your condition and provide you with quality foot and ankle treatment.
What Is Wound Care?
Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic.
What Is the Importance of Wound Care?
While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.
How to Care for Wounds
The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.
If you have any questions, please feel free to contact our office located in Sayville, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Wound Care
Diabetics must be wary of all wounds, regardless of depth or size. Diabetes, a chronic disease in which the body cannot properly use glucose the way it normally would, causes various complications that make wounds difficult to heal. Nerve damage or neuropathy will cause diabetics to have trouble feeling the pain of a blister or cut until the condition has significantly worsened or become infected. A diabetic’s weakened immune system can make even the most minor of wounds easily susceptible to infection. Diabetics are also more prone to developing narrow, clogged arteries, and are therefore more likely to develop wounds.
Wounds should be taken care of immediately after discovery, as even the smallest of wounds can become infected if enough bacteria build up within the wound. To remove dirt, wounds should be first rinsed under running water only. Soap, hydrogen peroxide, or iodine can irritate the injury and should be avoided. To prevent infection, apply antibiotic ointment to the wound and cover it with a bandage. The bandage should be changed daily. The skin around the wound may be cleaned with soap.
To prevent further exacerbation, see a doctor—especially if you have diabetes. Minor skin conditions can become larger problems if not properly inspected. As the wound heals, make sure to avoid applying pressure to the affected area.
What Can Be Done About Ugly Bunions?
Bunions are bony deformities of the big toe joint. They are unattractive, are a common affliction, and can affect people of all ages. Medically, bunions are referred to as hallux valgus. The metatarsal bones in the foot fan out from the base near the ankle to each toe and the distance between them increases as they approach the toes. With bunions, the distance and angle at the base, between the first and second metatarsals, increases over time and a bump develops on a big toe joint. The foot widens and the deformed big toe joint presses uncomfortably against shoes. Pressure from shoes pushes the big toe towards the smaller toes, which emphasizes the bulge on the side of the foot. As time passes, the second toe can lie on top of the big toe and calluses and corns can develop on the toes, leading to further distortion and pain. Walking can also become problematic. If bunions are not tended to, arthritis can develop. It is not just shoes that contribute to bunion formation. Genes, gait, and being female can add to a propensity toward bunions. Wearing narrow-toed shoes or high heels for a prolonged time should be avoided because these types of shoes force the weight down to the ball of the feet and push the toes together. Insoles or orthotics can help and surgery for permanent removal may be an option. If you have a bunion or notice that one may be forming, it is suggested that you consult with a podiatrist who can give you advice and offer treatment options.
If you are suffering from bunions, contact one of our podiatrists of Sayville Foot Care. Our doctors can provide the care you need to keep you pain-free and on your feet.
What Is a Bunion?
A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.
Why Do Bunions Form?
Genetics – Susceptibility to bunions are often hereditary
Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions
How Are Bunions Diagnosed?
Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.
How Are Bunions Treated?
- Refrain from wearing heels or similar shoes that cause discomfort
- Select wider shoes that can provide more comfort and reduce pain
- Anti-inflammatory and pain management drugs
- Orthotics or foot inserts
- Surgery
If you have any questions, please feel free to contact our office located in Sayville, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Bunions
A bunion is a bump that forms at the base of the big toe. Bunions form when the big toe pushes against the next toe, which forces the big toe joint to get bigger and stick out. As a result, the skin over the bunion may start to appear red and it may feel sore.
There are risk factors that can increase your chances of developing bunions. People who wear high heels or ill-fitting shoes are more likely to develop them, in addition to those who have a genetic history of bunions or have rheumatoid arthritis.
The most obvious way to tell if you have a bunion is to look for the big toe pushing up against the toe next to it. Bunions produce a large protrusion at the base of the big toe and may or may not cause pain. Other symptoms are redness, swelling, and restricted movement of the big toe if you have arthritis.
Nonsurgical methods are frequently used to treat bunions that aren’t severe. Some methods of nonsurgical treatment are orthotics, icing and resting the foot, taping the foot, and pain medication. Surgery is usually only required in extreme cases. However, if surgery is needed, some procedures may involve removing the swollen tissue from around the big toe joint, straightening the big toe by removing part of the bone, or joining the bones of your affected joint permanently.
Your podiatrist will diagnose your bunion by doing a thorough examination of your foot. He or she may also conduct an x-ray to determine the cause of the bunion and its severity.
Ganglion Cysts on the Feet
A ganglion cyst on the foot develops near joints or tendons, of which there are many in the foot. It is like a soft pebble filled with a gel-like fluid and is noncancerous. In many cases, a ganglion cyst will disappear or gradually diminish in size, despite the fact it can be quite painful and tender to the touch. Symptoms of a ganglion cyst are a noticeable lump, a tingling or burning pain if it touches a nerve, and irritation that can happen while wearing shoes. A ganglion cyst forms when synovial fluid leaks from a joint or tendon and collects in a sac under the skin. If it is particularly painful and interferes with the completion of your daily activities, a podiatrist can drain the cyst of its fluid and inject it with medication. It is very dangerous to try to pop a ganglion cyst yourself, as this may cause further damage and increase the risk of infection. In severe cases, surgery can be an option. For help with a ganglion cyst on the foot, it is suggested that you make an appointment with a podiatrist who can determine the best options to treat a ganglion cyst.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with one of our podiatrists from Sayville Foot Care. Our doctors will assess your condition and provide you with quality foot and ankle treatment.
Causes
Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:
- Bunions
- Hammertoes
- Plantar Fasciitis
- Bone Spurs
- Corns
- Tarsal Tunnel Syndrome
- Ingrown Toenails
- Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
- Flat Feet
- Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
- And more
Diagnosis
To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.
Treatment
Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.
If you have any questions, please feel free to contact our office located in Sayville, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Foot Pain
Our feet are arguably the most important parts of our bodies because they are responsible for getting us from place to place. However, we often don’t think about our feet until they begin to hurt. If you have pain in your feet, you need to first determine where on the foot you are experiencing it to get to the root of the problem. The most common areas to feel pain on the foot are the heel and the ankle.
Heel pain is most commonly attributed to a condition called plantar fasciitis. Plantar fasciitis occurs when the plantar fascia, which is the band of tough tissue connecting the heel bone to the toes becomes inflamed. Plantar fasciitis pain is usually worse in the morning, and it tends to go away throughout the day. If you have plantar fasciitis, you should rest your foot and do heel and foot muscles stretches. Wearing shoes with proper arch support and a cushioned sole has also been proven to be beneficial.
Some common symptoms of foot pain are redness, swelling, and stiffness. Foot pain can be dull or sharp depending on its underlying cause. Toe pain can also occur, and it is usually caused by gout, bunions, hammertoes, ingrown toenails, sprains, fractures, and corns.
If you have severe pain in your feet, you should immediately seek assistance from your podiatrist for treatment. Depending on the cause of your pain, your podiatrist may give you a variety of treatment options.
How Is a Broken Ankle Diagnosed?
Ankle pain is most commonly caused by a sprained ligament or strained tendon in the complex ankle joint. However, in many cases it actually may be a sign that you have fractured an ankle bone. Signs of a fractured, or broken, ankle can include pain, an inability to bear weight, and swelling. If a bone is protruding from the skin, it is important to get immediate medical attention. To determine if the ankle pain is from a sprain or a fracture, a podiatrist will order an X-ray to be taken. If a bone is simply misaligned, this type of doctor may put it back in place. Anesthesia and pain medication is likely to be administered. In severe cases, surgery may be required, and plates, screws and wires may be used to keep the bones together. The ankle is generally placed in a cast, and recovery may take up to three months, depending on the severity of the fracture. If you believe you have a fractured ankle, it is suggested that you see a podiatrist for a diagnosis as quickly as possible.
Broken ankles need immediate treatment. If you are seeking treatment, contact one of our podiatrists from Sayville Foot Care. Our doctors can provide the care you need to keep you pain-free and on your feet.
Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.
When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.
Symptoms of a Fractured Ankle
- Excessive pain when the area is touched or when any pressure is placed on the ankle
- Swelling around the area
- Bruising of the area
- Area appears to be deformed
If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.
If you have any questions, please feel free to contact our office located in Sayville, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Broken Ankle Causes, Differences, Symptoms and Treatments
The ankle is a hinged synovial joint made up of three bones: the tibia (shin bone), the fibula (outer ankle bone), and the talus (between the heel and leg). These three bones are bound, supported, and stabilized by strong, fibrous bands of tissue called ligaments.
A break in an ankle bone can be either traumatic or stress related. This injury may be referred to as a break or fracture. A traumatic fracture can result from tripping, twisting or rolling the ankle, falling, or by blunt impact to the ankle. These traumatic ankle breaks usually occur during sporting activities or accidents. Stress fractures, however, occur over time and are the result of repetitive stress to the ankle. These fractures sometimes occur when a new activity that engages the ankle is introduced, or when the level of activity is abruptly increased or intensified.
There are various symptoms that accompany an ankle break. The most significant symptoms are pain and swelling that occurs in the ankle and sometimes spreads up from the foot to below the knee. Bruising or discoloration may develop eventually. It will be difficult or even impossible to put weight on the affected foot, and in severe cases there may be a visible deformity or even exposed bone.
It is very important to seek immediate treatment when an ankle break occurs or is suspected to have occurred, in order to allow the bone to properly heal and to avoid future complications such as stiff joints, limited range of motion, and osteoarthritis.
To diagnose a broken ankle, your podiatrist will first ask you to explain how the injury occurred and what your symptoms are. They will perform a thorough examination, checking for damage to nerves, blood vessels, and other structures around the injury site. They will also test your range of motion. An X-ray will need to be reviewed and, in some cases, an MRI or CT scan may be necessary.
Proper treatment of a broken ankle will depend on where and how severe the break is, how stable the ankle is, and whether the bone is displaced (misaligned or separated) or non-displaced (broken yet still aligned properly).
Mild fractures (where the bone is non-displaced) may be treated by resting, icing, and elevating the ankle at first, followed by immobilization with a cast or walking boot. Pain and inflammation may be treated with acetaminophen. More severe or complicated fractures where bones or joints are displaced may require surgery.
Recovery time will also vary, and it may take 4-6 weeks or longer for a broken ankle to heal. Your podiatrist will most likely order progressive X-rays or stress tests to be taken in order to monitor the healing process.
Why Live with Pain and Numbness in Your Feet?
Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.
Various Reasons for Toe Pain
Toe pain can happen for various reasons, and may develop suddenly or gradually. It is helpful to find out why the toe pain has happened, which can make it easier in choosing the appropriate treatment. Having a bunion can cause toe pain to develop. A bunion is defined as a bony lump that forms on the side of the big toe, and many cause pain and discomfort. A protective pad may be worn over the bunion for temporary relief. An ingrown toenail often requires the expertise of a podiatrist who can effectively treat it, and apply medicine that can help guard against infection. The bottom of the big toe is affected by the condition that is known as turf toe. It can happen if there is stress while flexing the toe and targets the soft tissues and ligaments. The arthritic condition known as gout can cause debilitating pain and can happen from genetic reasons, or from eating foods that are laden with purines. If you have toe pain for any reason, it is strongly suggested that you are under the care of a podiatrist who can determine the cause and offer correct treatment options.
Toe pain can disrupt your daily activities. If you have any concerns, contact one of our podiatrists of Sayville Foot Care. Our doctors can provide the care you need to keep you pain-free and on your feet.
What Causes Toe Pain?
Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.
Toe pain can be caused by one or more ailments. The most common include:
- Trauma
- Sports injury
- Wearing shoes that are too tight
- Arthritis
- Gout
- Corns and calluses
- Hammertoe
- Bunions
- Blisters
- Ingrown toenails
- Sprains
- Fractures (broken bones)
- Dislocations
When to See a Podiatrist
- Severe pain
- Persistent pain that lasts more than a week
- Signs of infection
- Continued swelling
- Pain that prevents walking
Diagnosis
In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.
Treatment
Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.
If you have any questions please feel free to contact our office located in Sayville, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
