Posts for category: Foot Health
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.
If your child has ever complained of not being able to sleep at night due to leg pain, he or she may be experiencing what many people refer to as growing pains. They are common for kids during their growth and development years.
Growing pains are often characterized by a sharp, throbbing pain in the leg muscles, usually occurring during the night and sometimes late afternoon without an apparent cause. While there is no evidence that a child's growth is painful, these pains often occur during an active day of running, jumping or swimming.
Whenever a child is afflicted by episodes of recurrent leg pain, it is always best to have them evaluated. Other more serious foot and leg conditions should be ruled out before a diagnosis of growing pains is made.
Consult with a physician or a podiatrist if aching legs are a chronic complaint, or if the pain is so severe it interferes with the child's daily activities. Persistent pain and other unusual symptoms may indicate a more serious problem. The following symptoms are not due to growing pains and should be evaluated by a doctor:
- Persistent pain
- Swelling or redness in one specific area or joint
- Loss of Appetite
- Abnormal behavior
There are no treatments or medications available for growing pains, but parents can help ease the pain with simple home remedies.
- Massage and rub the child's ache until the pain passes
- Stretch your child's legs throughout the day and before bed
- Heating pads or warm baths can help soothe sore muscles
- Over-the-counter pain relievers (always consult with physician first)
While growing pains are commonly seen in young children during the growth and development years, lower extremity pain can also be caused by mechanical misalignments and structural imperfections. A thorough evaluation is crucial in order to determine the exact cause of your child's leg pain. If growing pains are the cause of your child's discomfort, rest assured that the pain is only temporary and will pass with time.
Corns and calluses are thick, hardened areas of skin that develop in response to your body's natural defense to repeated pressure or friction. While neither condition presents a long-term or serious health risk, they can be painful, irritating and unattractive.
Identifying a Corn or Callus
Corns and calluses are similar in nature, but differ in size and location. Corns are smaller than calluses and usually have a hard, thickened center surrounded by red, inflamed skin. They typically develop on the tops and sides of your toes and can be painful when touched. Calluses generally develop on your heels and balls of your feet. They vary in size and shape, although almost always larger than corns.
For most people who develop calluses or corns, eliminating the source of pressure is usually enough to make the thickened skin disappear. We recommend the following for treating corns and calluses:
- Wear comfortable shoes and socks. When footwear fits properly, there is less opportunity for friction and rubbing to occur.
- Soak your feet in warm, soapy water to help remove corns and calluses. Rub the thickened skin with a pumice stone to remove toughened layers more easily.
- Keeping your feet moisturized with foot cream or lotion will help improve the quality of your skin and rid your feet from calluses or corns.
When to Seek Care
When corns and calluses don't respond to conservative care, contact our office for a careful evaluation. We can investigate the possible causes of your corn or callus, safely remove the thick, hardened area of skin, and recommend appropriate footwear and treatment, including padding and inserts. Never attempt to cut away a corn or callus on your own, especially if you have diabetes or poor circulation. Instead, seek advice for careful removal and proper care.
A bunion is an abnormal, bony prominence that develops on the joint at the base of your big toe. As the big toe joint becomes enlarged, it forces the toe to crowd against your other toes, and the pressure exerted on your big toe joint results in inflammation and pain. Early treatment is necessary to decrease the risk of developing joint deformities.
Bunions develop due to prolonged abnormal pressure or motion on your big toe joint, most often caused by inherited structural defects, poor-fitting shoes, foot injuries, or congenital deformities. Women are generally more prone to bunions because of the shoe types typically worn, such as high-heels and narrow-toed shoes.
Bunion pain can range from mild to severe, often making it difficult to wear shoes and perform normal activities. You should contact our office if you notice the following symptoms:
- An enlarged, visible bulge on your big toe joint
- Restricted movement of your big toe or foot that prevents you from performing normal activities
- Irritation, corns or calluses caused by the overlap of the first and second toes
- Frequent pain, swelling or redness around your big toe joint
Treatment For a Bunion
Treatment for a bunion will vary depending on its severity. Identifying the condition in its early stages is important to avoid surgery, with the main objective of early treatment being to relieve pressure and stop the progression of the deformity. Many times conservative treatments, such as padding, modified footwear or orthotic devices can be highly effective for preventing further growth and reducing the pressure and pain.
We recommend the following for reducing pressure and pain caused by bunions:
- Wear comfortable shoes that don't cramp or irritate your toes and avoid high-heeled shoes
- Apply ice to reduce inflammation and pain
- Our podiatrists can show you how to apply padding to your foot to place it in its normal position and reduce stress on the bunion
When early treatments fail or the persistent pain associated with your bunion is interfering with your daily activities, a surgical procedure may be recommended as a last resort to realign the toe joint and alleviate the pressure. We can advise you on the best treatment options available to relieve pressure on the bunion and slow the progression of the joint deformity.