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Prevention and Treatment of Diabetic Foot Ulcers
Diabetic foot ulcers are a significant risk for people with diabetes, often leading to severe complications if not properly managed. These ulcers are open sores or wounds that usually occur on the bottom of the feet, caused by a combination of poor circulation and nerve damage, common in diabetic patients. Prevention is key in managing this risk. Daily foot inspections, maintaining proper foot hygiene, and wearing well-fitted shoes can help prevent ulcers. Managing blood sugar levels also plays a vital role in prevention. For those who develop foot ulcers, early treatment is critical. This includes cleaning and dressing the wound, controlling infection, and using custom orthotics or special footwear to alleviate pressure on the affected area. In more severe cases, surgical interventions may be necessary. If you have diabetes, and develop a foot ulcer, it is strongly suggested that you include a podiatrist on your health care team for routine care of your feet.
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 Steven Spivak, DPM from Mount Holly Family Footcare. Our doctor 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 Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Complications of Untreated Hammertoes
Hammertoes are a deformity where one or more toes become bent at the middle joint, resembling a hammer. This condition often affects the second, third, or fourth toes and can lead to pain, stiffness, and difficulty wearing shoes. Common symptoms include visible toe bending, discomfort, corns or calluses from friction with footwear, and limited range of motion in the affected toes. Hammertoes develop due to muscle imbalances in the foot, often caused by wearing tight or ill-fitting shoes, injury, or conditions like arthritis or diabetes. Left untreated, hammertoes can worsen, leading to complications such as open sores, infections, or permanent joint damage. Treatment options vary depending on severity, from conservative approaches such as wearing roomier shoes to surgical correction in more advanced cases. If you have a hammertoe, it is suggested that you visit a podiatrist as early intervention can alleviate discomfort and prevent further deformity.
Hammertoe
Hammertoes can be a painful condition to live with. For more information, contact Steven Spivak, DPM from Mount Holly Family Footcare. Our doctor will answer any of your foot- and ankle-related questions.
Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.
Symptoms
- Pain in the affected toes
- Development of corns or calluses due to friction
- Inflammation
- Redness
- Contracture of the toes
Causes
Genetics – People who are genetically predisposed to hammertoe are often more susceptible
Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur
Trauma – Direct trauma to the toes could potentially lead to hammertoe
Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe
Treatment
Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it
Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used
Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option
If you have any questions please contact our office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Reminder: When Was the Last Time...?
Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!
Foot Pain From Standing All Day at Work
Foot pain from standing at work all day is a common issue, especially for those in jobs requiring prolonged periods of standing or walking. This discomfort is often caused by pressure on the feet, leading to conditions like plantar fasciitis, heel spurs, or arch strain. Wearing unsupportive shoes or standing on hard surfaces can worsen the problem, leading to foot fatigue, swelling, and even long-term damage. Symptoms may include aching, burning, or sharp pain in the arches, heels, or balls of the feet. Over time, the pain can spread to the ankles, knees, or lower back. To manage foot pain, it is important to wear supportive footwear with proper arch support and cushioning. If you have foot pain for any reason, it is suggested that you consult a podiatrist for a tailored treatment plan.
While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Steven Spivak, DPM from Mount Holly Family Footcare. Our doctor will treat your foot and ankle needs.
Working on Your Feet
Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.
Positive Changes
Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.
Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.
Eliminate Pain
Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.
Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen.
With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.
If you have any questions please feel free to contact our office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Diagnosing Gout
Gout is a form of arthritis characterized by sudden, severe pain in the joints often beginning in the big toe. An excess of uric acid in the blood leads to the formation of sharp crystals in the joints. Symptoms include intense pain, swelling, redness, and warmth in the affected area, which can occur suddenly, often at night. The joint may also feel tender and stiff. A podiatrist will typically review your medical history and perform a physical examination to diagnose gout. Diagnosis is confirmed through tests like joint fluid analysis, where a sample of fluid from the affected joint is examined for uric acid crystals or blood tests to measure uric acid levels. If you have pain in your big toe, it is suggested that you visit a podiatrist who can diagnose and treat gout.
Gout is a painful condition that can be treated. If you are seeking treatment, contact Steven Spivak, DPM from Mount Holly Family Footcare. Our doctor will treat your foot and ankle needs.
What Is Gout?
Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.
Symptoms
- Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
- Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
- Inflammation and Redness -Affected joints may become swollen, tender, warm and red
- Limited Range of Motion - May experience a decrease in joint mobility
Risk Factors
- Genetics - If family members have gout, you’re more likely to have it
- Medications - Diuretic medications can raise uric acid levels
- Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
- Diet - Eating red meat and shellfish increases your risk
- Alcohol - Having more than two alcoholic drinks per day increases your risk
- Obesity - Obese people are at a higher risk for gout
Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.
If you have any questions, please feel free to contact our office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Symptoms of Heel Spurs
Heel spurs can cause significant discomfort and disrupt your daily routine. A common symptom is a sharp, knife-like pain in the heel when you first stand up in the morning, which can make getting out of bed challenging. Throughout the day, this pain often transforms into a dull ache, while inflammation and swelling at the front of the heel become noticeable. You might also feel heat radiating from the affected area and observe a small, visible bone-like protrusion under the heel. The heel's bottom may be tender to touch, making walking barefoot particularly uncomfortable. If you are experiencing these symptoms, it is important to seek professional help. A podiatrist can provide a precise diagnosis and effective treatment options tailored to your needs. Do not let heel spurs keep you from your daily activities. It is suggested you schedule an appointment with a podiatrist to get back on your feet comfortably.
Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Steven Spivak, DPM from Mount Holly Family Footcare. Our doctor will do everything possible to treat your condition.
Heels Spurs
Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.
Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.
Pain
The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.
Treatments
There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.
If you have any questions feel free to contact our office located in Lumberton, NJ . We offer the latest in diagnostic and treatment technology to meet your needs.
Foot Care For the Elderly
Elderly foot care is essential for maintaining mobility and preventing complications as people age. Older adults often face issues, such as reduced circulation, weakened muscles, and diminished sensation. These can lead to problems like bunions, hammertoes, and painful calluses. Additionally, diabetes can worsen foot issues, increasing the risk of ulcers, infections, and falls. Proper foot care includes regular inspection for cuts, sores, or changes in skin color, as well as maintaining good hygiene and nail care. Wearing supportive, well-fitting shoes can help prevent pressure sores and provide stability. Regular foot exercises and maintaining a healthy weight can also alleviate discomfort and enhance mobility. To address foot problems effectively and prevent serious complications, it’s suggested you make an appointment with a podiatrist. Their expertise in elderly foot care ensures a comprehensive approach to keeping your feet healthy and functional.
Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Steven Spivak, DPM from Mount Holly Family Footcare. Our doctor can provide the care you need to keep you pain-free and on your feet.
The Elderly and Their Feet
As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.
Common Conditions
- Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
- Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
- Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
- Gouging toenails affecting nearby toe
- Shoes that don’t fit properly
- Pressure sores
- Loss of circulation in legs & feet
- Edema & swelling of feet and ankles
Susceptible Infections
Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.
If you have any questions please feel free to contact our office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Definition and Signs of a Bunion
Bunions are bony protrusions that develop at the base of the big toe, where the toe meets the foot. This condition occurs when the big toe angles towards the second toe, causing a misalignment. Over time, this misalignment can lead to swelling, pain, and a noticeable bump on the outside of the foot. The skin over the bunion may become red and irritated due to friction from footwear. Bunions can also cause difficulty in finding comfortable shoes and may lead to issues with walking or standing for extended periods. Common reasons that bunions develop include genetics or from wearing shoes that are too tight. If you notice signs of a bunion forming, it is suggested that you consult a podiatrist who can offer you treatment solutions.
If you are suffering from bunion pain, contact Steven Spivak, DPM of Mount Holly Family Footcare. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is a Bunion?
Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.
Causes
- Genetics – some people inherit feet that are more prone to bunion development
- Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development
Symptoms
- Redness and inflammation
- Pain and tenderness
- Callus or corns on the bump
- Restricted motion in the big toe
In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.
If you have any questions, please feel free to contact our office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Plantar Warts Can Be Treated!
Plantar warts are small growths that develop on parts of the feet that bear weight. They're typically found on the bottom of the foot. Don't live with plantar warts, and call us today!
All About Ankle Pain
Ankle pain can stem from various issues affecting the complex structure of the ankle, which includes bones, ligaments, tendons, and muscles. The ankle joint comprises the tibia and fibula bones of the lower leg, which connect to the talus bone in the foot. Ligaments stabilize the joint, while tendons enable movement. Common causes of ankle pain can include sprains, arthritis, and fractures. Sprains occur when ligaments are stretched or torn, often due to twisting injuries. Strains involve overstretching or tearing of tendons or muscles. Arthritis can lead to inflammation and stiffness, while fractures result from trauma or severe impact. To alleviate ankle pain, consider resting the ankle to reduce swelling and discomfort. Mild pain relievers like ibuprofen may also help to provide temporary relief. For persistent or severe pain, it is suggested you contact a podiatrist for professional medical advice, as more advanced treatments may be necessary to address the underlying issue and restore function.
Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Steven Spivak, DPM from Mount Holly Family Footcare. 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 Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
