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Tuesday, 20 February 2024 00:00

One of the most concerning complications of diabetes is the risk of foot amputation. However, with proper management and proactive measures, many cases of foot amputation can be prevented entirely. A few significant ways to prevent amputation are effectively managing blood sugar levels, diligent foot care, and exercise. Adopting a healthy diet, performing daily foot inspections, and including regular exercise in your daily routine is essential for diabetic patients. Daily foot inspections can identify any abnormalities such as redness, wounds, bruising, blisters, or discoloration before they escalate into ulcers. For those with limited mobility or visibility, using a magnifying mirror or enlisting the help of a caregiver for foot checks is imperative. Regularly assessing foot sensation and temperature sensitivity is also vital in detecting neuropathy, a common complication of diabetes. Other simple measures such as wearing clean, dry socks without elastic bands, wiggling toes, and moving ankles frequently can improve blood circulation in the feet. Any signs of foot problems or neuropathy symptoms, such as numbness, burning, or tingling should be promptly reported to your podiatrist. It is suggested that diabetic individuals schedule regular visits with type of doctor for help in preventing the loss of a limb. 

Diabetic Limb Salvage

Diabetic limb salvage can be an effective way in preventing the need for limb amputation. If you have a foot ulcer and diabetes, consult with Barry P. Weinstein, DPM from Bellaire Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Diabetic Limb Salvage?

Diabetic limb salvage is the attempt of saving a limb, such as the foot, that has an infected ulcer, from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.

Diabetes is the number one cause of non-traumatic amputations in the United States. Amputation has been found to lead to higher mortality rates. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.

Diagnosis and Treatment

Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated. 

If you have any questions, please feel free to contact one of our offices located in Bellaire and Houston, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 13 February 2024 00:00

Hammertoe, a deformity characterized by curled or flexed toes, may necessitate surgical intervention when conservative treatments fail to provide relief. Surgical hammertoe options include bone resection to remove portions of toe bones, tendon procedures involving manipulation or transplantation to correct the imbalance, and joint fusion to stabilize the toe. Following surgery, pins or wires may be used temporarily to maintain alignment during healing, with patients transitioning to supportive footwear to aid recovery. Surgical considerations are driven by functional impairment and pain, with persistent symptoms such as pain, irritation, and skin complications warranting consideration for intervention. However, surgery may not be recommended if conservative measures suffice or if the risks outweigh the benefits. It is important to explore all treatment plans before deciding on whether to have surgery. For this reason, if you have a hammertoe that is impeding your daily activities, it is suggested that you schedule an appointment with a podiatrist.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Barry P. Weinstein, DPM from Bellaire Podiatry. 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 one of our offices located in Bellaire and Houston, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 06 February 2024 00:00

Understanding the causes of swollen feet, also known as edema, is important as this condition can signal other more serious ailments. Swelling of the feet is often accompanied by tenderness, pain, redness or warmth. In more severe cases, a decreased range of motion, difficulty breathing, and changes in skin color may occur. Injuries such as sprains and bruises frequently trigger swelling, as do infections like cellulitis. Chronic conditions like heart failure and kidney disease can lead to persistent edema, while pregnancy often causes swelling in the feet and ankles due to hormonal changes and increased blood volume. Allergic reactions and certain medications, like NSAIDs and steroids, can also induce swelling in the feet as a side effect. Treatment may include rest, elevation, compression therapy, medication adjustments, or medical interventions, such as drainage procedures or specialized footwear. If you are experiencing persistent swelling in the feet, it is suggested that you seek guidance from a podiatrist who can conduct an exam, identify the underlying cause, and recommend appropriate treatment.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact Barry P. Weinstein, DPM of Bellaire Podiatry. Our doctor 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 one of our offices located in Bellaire and Houston, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.


 

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Friday, 02 February 2024 00:00

Painful deformities, such as hammertoes, can be treated. Stop living with foot pain, and have beautiful feet again!

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