Understanding and Caring for Diabetic Foot Wounds

Diabetic foot wounds are common complications resulting from a combination of poor circulation and neuropathy, which reduces sensation in the feet. Risk factors can include prolonged high blood sugar levels, which damage blood vessels and nerves, and wearing ill-fitting shoes, which can cause blisters and sores. People with diabetes are more prone to infections due to a weakened immune response. Proper foot care is essential to prevent these wounds. Daily inspections for cuts, blisters, or any changes in skin color are vital. Keeping feet clean and dry, moisturizing to prevent cracking, and wearing comfortable, protective shoes are essential steps. Regular visits to a podiatrist for foot examinations and managing blood sugar levels effectively can also reduce the risk of severe complications. If you have diabetes, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this condition.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact one of our podiatrists from Greater Boston Foot Care, PLLC. Our doctors can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

  • Routinely inspect your feet for bruises or sores.
  • Wear socks that fit your feet comfortably.
  • Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

If you have any questions please feel free to contact our office located in Plymouth, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Causes of Peripheral Neuropathy

Peripheral neuropathy is a condition resulting from damage to the peripheral nerves, which connect the brain and spinal cord to the rest of the body. It often occurs due to diabetes, infections, injuries, or exposure to toxins. Diagnosis involves a thorough medical history review, physical examination, and tests like nerve conduction studies, electromyography, or EMGs, and blood tests to determine underlying causes. Symptoms can include numbness, tingling, burning sensations, and pain, usually starting in the hands and feet. Muscle weakness and sensitivity to touch are also common. These symptoms can lead to complications like balance problems, foot ulcers, and infections due to unnoticed injuries. Treatment focuses on managing the underlying cause, relieving symptoms, and preventing complications. This may include medications, gentle exercises, and lifestyle changes such as improving diet and controlling blood sugar levels. If you have peripheral neuropathy, it is suggested that you visit  a podiatrist for a proper diagnosis and management.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with one of our podiatrists from Greater Boston Foot Care, PLLC. Our doctors will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

  • Numbness
  • Sensation loss
  • Prickling and tingling sensations
  • Throbbing, freezing, burning pains
  • Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

If you have any questions, please feel free to contact our office located in Plymouth, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Types of Ankle Surgery for Arthritis

Ankle arthritis, marked by the deterioration of the cartilage in the ankle joint, can cause significant pain and hinder movement. When conservative treatments like braces, cortisone injections, and physical therapy fail to alleviate symptoms, ankle surgery may become necessary. For mild to moderate arthritis, minimally invasive surgeries can help by  cleaning out inflamed tissue and removing bone spurs to restore range of motion and reduce pain. In more severe cases, ankle fusion or ankle replacement might be required. Fusing the bones of the ankle can help to eliminate pain, though it reduces flexibility. In contrast, replacement of the damaged joint with an artificial one offers better movement but with a longer recovery period. Cartilage repair techniques can help regenerate damaged cartilage. Another option involves using an external device to stretch the joint, which allows space for cartilage repair. Each surgical method has its benefits and considerations, making it essential to discuss with a podiatrist which option is best suited to your condition. If ankle arthritis is impacting your life, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment options.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with one of our podiatrists from Greater Boston Foot Care, PLLC. Our doctors 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 Plymouth, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

 

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What to Do if Your Child Breaks a Toe

Broken toes in kids are common due to their active lifestyles and frequent participation in sports and play. These fractures often occur from stubbing the toe, dropping heavy objects on the foot, or direct impacts during activities. Symptoms of a broken toe include severe pain, swelling, bruising, and difficulty walking or bearing weight on the affected foot. The pain from a broken toe is usually immediate and intense, with visible deformity or misalignment in severe cases. If a child complains of persistent pain and shows signs of swelling or discoloration, a fracture is likely. Treatment for broken toes in children typically involves rest, compression, and elevation to reduce swelling and alleviate pain. Immobilizing the toe with a splint or buddy-taping it to an adjacent toe can help maintain alignment and promote healing. Pain relievers may be used to manage discomfort. If you suspect your child has broken a toe, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and appropriate treatment. 

A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact one of our podiatrists from Greater Boston Foot Care, PLLC. Our doctors will treat your foot and ankle needs.

What to Know About a Broken Toe

Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).

Symptoms of a Broken Toe

  • Throbbing pain
  • Swelling
  • Bruising on the skin and toenail
  • The inability to move the toe
  • Toe appears crooked or disfigured
  • Tingling or numbness in the toe

Generally, it is best to stay off of the injured toe with the affected foot elevated.

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.

If you have any questions please feel free to contact our office located in Plymouth, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Are You Suffering From Ingrown Toenails?

If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!

Foot Swelling Caused by Psoriatic Arthritis

Psoriatic arthritis can cause swelling in the feet, making daily activities such as walking and wearing shoes very uncomfortable. This condition is a type of inflammatory arthritis that can cause inflammation in the joints and tissues of the feet that results in swelling and stiffness. The swelling may also be accompanied by pain, tenderness, and redness further impacting mobility and quality of life. When individuals with psoriatic arthritis experience flare-ups of symptoms, the swelling and discomfort in the feet can become worse. Managing psoriatic arthritis involves a thorough approach that can include medication, physical therapy, and lifestyle adjustments. Podiatrists, or foot doctors, can offer specialized care for foot-related symptoms of psoriatic arthritis. Some recommendations are supportive footwear, orthotic inserts, and exercises to improve mobility and reduce discomfort. If you have psoriatic arthritis and are experiencing swelling in your feet, it is suggested that you schedule an appointment with a podiatrist for treatment.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact one of our podiatrists of Greater Boston Foot Care, PLLC. Our doctors can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

  • Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
  • Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
  • Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
  • Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
  • Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

If you have any questions please feel free to contact our office located in Plymouth, MA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.


 

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How to Manage Plantar Fasciitis

Heel pain is a frequent concern, often associated with conditions such as plantar fasciitis. Plantar fasciitis is a painful condition that occurs when the thick band of tissue under your foot, known as the plantar fascia, becomes inflamed. This commonly results from daily activities like running, standing for long periods, or wearing improper shoes. Podiatrists, or foot doctors, can help treat plantar fasciitis and relieve pain in multiple ways. Podiatrists may recommend specific stretching exercises to release tightness in the plantar fascia or they may customize orthotic inserts to support the foot. In some cases, they may suggest anti-inflammatory medications or corticosteroid injections aiming to reduce pain and inflammation. With proper guidance from a podiatrist, heel pain caused by plantar fasciitis can become more controlled. If you are suffering with heel pain or conditions such as plantar fasciitis, it is suggested that you consult a podiatrist to find a treatment best fit for your specific condition.

Many people suffer from bouts of heel pain. For more information, contact one of our podiatrists of Greater Boston Foot Care, PLLC. Our doctors can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

  • Wearing ill-fitting shoes                  
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions please contact our office located in Plymouth, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Gout Management Techniques

Gout is a form of arthritis characterized by sudden, severe attacks of pain, swelling, and redness in the joints. These symptoms often occur in the big toe. Treatment focuses on relieving pain during attacks and preventing future episodes. A podiatrist, or foot doctor, may recommend medications like nonsteroidal anti-inflammatory drugs, colchicine, or corticosteroids to reduce inflammation and pain during acute flare-ups. To manage gout long-term, changes in diet and lifestyle, such as reducing intake of high-purine foods, like red meat and seafood, increasing hydration, and maintaining a healthy weight, are important. A podiatrist can also suggest footwear designed to alleviate pressure on the affected joints, which may involve the use of orthotic devices for extra cushioning and support. Longer-term management techniques may involve the prescription of urate-lowering medications to decrease levels of uric acid in the blood. This helps to prevent the formation of urate crystals that cause gout symptoms. Regular follow-ups with a podiatrist are important to monitor gout symptoms and adjust treatment plans as needed. If you have gout, it is suggested that you consult with a podiatrist for targeted treatment. 

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact one of our podiatrists from Greater Boston Foot Care, PLLC. Our doctors will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

If you have any questions please feel free to contact our office located in Plymouth, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Causes of Poor Circulation in the Feet

Poor circulation in the feet and lower legs can be caused by several common health issues that impact blood flow. One of these health issues is peripheral artery disease, or PAD, where arteries narrow due to plaque buildup. This reduces blood supply to the lower limbs and feet. Diabetes can also contribute to circulation problems because changing blood sugar levels damages blood vessels, reducing their ability to transport blood efficiently. Obesity can also contribute by putting strain on the circulatory system, and sedentary lifestyles further hinder blood flow. Smoking is another major risk factor for poor circulation in the feet, as it causes constriction and hardening of the arteries. Symptoms of poor circulation include cold feet, numbness, tingling, swelling, and in severe cases, pain and skin color changes. Regular check-ups with a podiatrist, or foot doctor, can help you manage and mitigate the effects of poor circulation. If you have any symptoms of poor circulation in the feet, it is suggested that you consult with a podiatrist for care. 

Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact one of our podiatrists of Greater Boston Foot Care, PLLC. Our doctors will treat your foot and ankle needs.

Poor Circulation in the Feet

Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.

Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.

Causes

Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development. It can also cause:

  • Muscle pain, stiffness, or weakness   
  • Numbness or cramping in the legs 
  • Skin discoloration
  • Slower nail & hair growth
  • Erectile dysfunction

Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

If you have any questions please feel free to contact our office located in Plymouth, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Symptoms and Facts About Toe Arthritis

Arthritis affecting the toes is a common yet often overlooked condition that can significantly impact daily life. One of the primary types is osteoarthritis, characterized by the gradual breakdown of cartilage in the joints, leading to pain, stiffness, and swelling. Rheumatoid arthritis, an autoimmune disorder, can also affect the toes, causing inflammation, deformities, and joint damage over time. Symptoms of toe arthritis may include pain, tenderness, stiffness, and reduced range of motion, making activities like walking, standing, and wearing shoes uncomfortable. As the condition progresses, individuals may experience visible changes in toe appearance, such as swelling or deformities like bunions or hammertoes. While arthritis in the toes can be challenging to manage, various treatment options, including medication, orthotics, and lifestyle modifications, can help alleviate symptoms and improve function. If you have any of the above symptoms, it is strongly suggested that you visit a podiatrist who can diagnose toe arthritis, and offer you effective treatment options for this condition.

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact one of our podiatrists from Greater Boston Foot Care, PLLC. Our doctors can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a term that is commonly used to describe joint pain.  The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it.  Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.

Symptoms

  • Swelling
  • Pain
  • Stiffness
  • Decreased Range of Motion

Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.

Risk Factors

  • Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
  • Obesity – Excess weight can contribute to osteoarthritis development
  • Infection – Microbial agents can infect the joints and trigger arthritis
  • Joint Injuries – Damage to joints may lead to osteoarthritis
  • Age – Risk increases with age
  • Gender –Most types are more common in women
  • Genetics – Arthritis can be hereditary

If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method is best for you.

If you have any questions, please feel free to contact our office located in Plymouth, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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