Foot problems are a common complication of diabetes, primarily stemming from a loss of protective sensation, or LOPS, and peripheral artery disease, or PAD. The loss of feeling in the feet results from nerve damage, which can make a patient unaware of injuries. Undetected blisters or sores increase the risk of infections and complications, and may lead to ulcers. Regular foot examinations by a podiatrist are essential for a diabetic experiencing either LOPS or PAD. Prevention strategies include wearing well-fitting shoes, checking for foreign objects in shoes, and being cautious of extreme temperatures. It is important to note that peripheral artery disease decreases blood flow to the feet, which results in pain, slow wound healing, and an elevated risk of foot ulcers and amputation. A podiatrist can assess blood flow to the feet to detect PAD early, which allows for prompt management. If you are diabetic and experience numbness and slow-healing wounds, it is suggested that you make regular visits to a podiatrist.
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 Barry P. Weinstein, DPM from Bellaire Podiatry. Our doctor 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
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 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.
According to the American Diabetes Association (ADA), diabetes is a condition that affects approximately 23.6 million Americans. Around 750,000 new cases are diagnosed each year, and the disease’s most common form, Type 2 diabetes, makes up for 90 to 95 percent of these cases. Type 2 diabetes is especially prevalent among older Americans, those who are obese, and those who lead sedentary lifestyles.
Complications of the disease may lead to several foot and ankle-related conditions. The loss of nerve sensation, or neuropathy, can cause diabetics to lose feeling at the bottom of the feet and therefore leave them unaware of pain, pressure, and heat. Decreased circulation is another complication of diabetes that can slow down the healing of wounds and injuries; this can lead to the development of foot ulcers.
To prevent foot ulcers from forming, diabetics should examine their feet every day for small cuts and wear shoes that curtail pressure. Constant monitoring for the risk factors associated with ulcer formation can allow for early detection and therefore lessen the possibility of ulcers or, even worse, amputation. The removal of calluses and ingrown toenails should be left to the podiatrist to avoid improper removal and possible infection.
Diabetic patients may also experience foot deformities due to complications in their feet, such as limited joint mobility, muscle atrophy, and decreased fat padding. These complications can increase pressure in certain areas of the foot, which in turn can cause certain deformities, such as hammertoe, to form. Another deformity, Charcot foot, develops due to the collapsing of microfractures in the bones of the feet. The resulting deformity is a foot that is flattened and wider in appearance.
To help minimize pressure and prevent the development of these diabetes-related foot and ankle conditions, your podiatrist may consider using orthotics or special shoes. Charcot foot may be treated using walkers, custom orthotic insoles, or non-weight-bearing or rigid weight-bearing casts or braces. In more serious cases, surgery may be considered to treat more developed deformities. Ulcers can be further cared for with the help of proper diet, medication to control glucose, intensive wound care, and infection treatment.
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.
Limb salvage is a procedure that involves saving a lower extremity from amputation. In podiatry, limb amputation often occurs as a result of diabetes. The fundamental goal of limb salvage is to restore and maintain stability and movement of the affected lower extremity.
The procedure typically involves removing the diseased tissue and a small portion of the surrounding healthy tissue, as well as the removal of any affected bone if necessary. If bone is removed it is then replaced with prostheses, or synthetic metal rods or plates, or grafts from either the patient’s body or a donor. Limb salvage is typically the preferred choice of procedure over amputation, as the procedure preserves both the patient’s appearance and allows for the greatest possible degree of function in the affected limb.
Upon diagnosis and determining that limb salvage is the appropriate treatment, the podiatrist may enlist the help of a physical and/or occupational therapist to prepare the patient for surgery by introducing various muscle-strengthening, walking, and range of motion exercises. Such exercises may be continued as rehabilitation post-procedure.
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
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.
Hammertoe is a foot deformity that occurs due to an imbalance in the tendons, muscles, or ligaments that are responsible for holding the toes in their normal position. This condition may be caused by poor footwear, foot structure, trauma, and disease. The most common solution for hammertoe is to relieve the pain by changing your footwear and wearing orthotics. In severe cases, surgery may be required.
The shoes that are most likely to cause hammertoe are high heeled shoes or shoes that are too tight in the toe box. Tight shoes will force your toes to crowd together in a curled position. This position will likely continue when you take your shoes off. Another cause is trauma. When you stub your toe, you are increasing the chance that you will develop hammertoe.
There are risk factors that may make you more likely to develop this condition. Women are more likely to have the condition compared to men, and it is also more likely to appear in those who are older in age.
Many different foot problems can be avoided by wearing shoes that have adjustability, adequate toe room, and low heels. Furthermore, if you want to buy new shoes, you should look to purchase them at the end of the day and make sure you know your correct size. The importance of buying shoes at the end of the day is that your feet swell as the day progresses. You should also ensure that you are wearing your correct size because your shoe size may change as you grow older.
To diagnose someone with hammertoe, your podiatrist will need to conduct a thorough examination of your foot. Your doctor may even order an x-ray to evaluate the bones and joints of your feet and toes.
If you have hammertoe, your podiatrist may recommend that you wear shoes that fit you better along with inserts to place inside them. Additionally, he or she may suggest special exercises for you to perform to stretch your toes. One helpful exercise it to pick up marbles with your feet or crumple a towel with your toes.
Prior to meeting with your podiatrist, it will be helpful to make a list of all the symptoms you are experiencing. You should also make a note of medications you are taking and important personal information about your medical history.
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:
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.
There are many reasons why patients experience swelling of the feet. It is rather common and may be a side effect of pregnancy or from sitting and standing for most of the day. Gravity could also play a role in the development of swollen feet. It is known that the weight of blood volume in our bodies is exerted on the veins in the legs and feet. The veins may not work as efficiently during the aging process, and this could make the blood flow backward causing swollen feet. Relief may be found when obese patients lose weight, and it may help to engage in compression therapy by wearing compression socks, stockings, or athletic sleeves. This method can release pressure on the feet and ankles which may help to reduce existing swelling. There are patients who have controlled their swollen feet by implementing healthy lifestyle changes. These can consist of reducing salt intake, incorporating a gentle exercise regime into the daily routine, and drinking plenty of fresh water. Swollen feet may be a temporary condition that affects people who travel via airplane or automobile, so it is beneficial to walk as frequently as possible even though it can be difficult. Swelling of the feet can also be indicative of other health issues so it is important to pay attention to any type of chest pain, mental confusion, dizziness, or fever. If you consistently have swollen feet, it is strongly suggested that you consult with a podiatrist who can help determine the cause and how to effectively treat it.
Painful deformities, such as hammertoes, can be treated. Stop living with foot pain, and have beautiful feet again!
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