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When the Wound on Your Foot Becomes an Ulcer
Wounds can occur on the feet from an injury, poor circulation, prolonged pressure from improperly fitted shoes, or complications from diseases like diabetes, neuropathy, and vascular disease. Over time, if these wounds do not close and the underlying tissue becomes affected, they are considered ulcers. These types of wounds are potentially dangerous – particularly in people with diabetes. Ulcers can lead to infections in the bone and skin. You can sometimes tell if the wound on your foot has become an ulcer if it is draining, emits a foul odor, or the tissue has become thickened, inflamed, or red. It is important to seek the professional wound care that a podiatrist can provide to help heal the wound and prevent more serious complications from developing. Podiatrists typically begin by cleaning the wound and removing any unhealthy tissue, termed debridement. Antibiotics may be prescribed if an infection is present. They may also suggest certain shoes and orthotics that will keep pressure off the wound and, in severe cases, perform surgery and other methods of wound care.
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 Elliot T. Udell, DPM from New York. 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 Hicksville, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Who Is Most at Risk for Age-Related Foot Problems?
Aging is a natural risk factor for many foot problems, including bunions, corns, calluses, hammertoes, ingrown toenails, fungal infections, diabetic foot problems, arthritis, heel pain, tarsal tunnel syndrome, and more. This is because as you age, your feet tend to spread and lose the fatty padding that cushions them. People with certain underlying medical conditions such as diabetes, arthritis, neuropathy, and congenital foot deformities may be more likely to develop foot problems. Specific lifestyle factors like wearing ill-fitting shoes, standing for prolonged periods of time, walking on hard surfaces, and being overweight can all contribute to the risk of foot problems. While medical risk factors are often outside of one’s control, lifestyle factors can usually be modified to prevent potential foot issues. For more information about aging and foot health, it is suggested that you consult with a podiatrist.
If you need your feet checked, contact Elliot T. Udell, DPM of New York. Our doctor will attend to all of your foot and ankle needs and provide you with quality treatment.
Geriatrics and Podiatry
When people age, some common issues that may occur are bone density loss, dry skin, poor circulation, and rough brittle nails. These issues may also affect your foot health if the necessary steps are not taken to alleviate the problems.
It is important to take care of your feet because feet that are injured or diseased can affect your overall health. Having painful feet hinders your ability to do daily activities or may decrease your willingness to do the things that you need to do.
Visiting Your Geriatrician
As we age, health problems become more likely, so it is essential to visit your doctor for check-ups to ensure that you are doing the best you can to take care of your health. It is recommended to check your feet frequently for any possible cuts, bruises, swelling, corns or any other irregularities.
Taking Care of Elderly Feet
Cracked or dry feet can be treated by applying moisturizer often. It is also important not to wear old socks because the older the sock is, the higher the possibility there will be that there is bacteria there. Wear fresh socks and make sure they fit properly.
Proper foot health means that you can have a more active lifestyle and you will not be bogged down by pain. Foot health also leads to good circulation, which is paramount for overall health.
If you have any questions, please feel free to contact our office located in Hicksville, NY . We offer the newest diagnostic tools and technology to treat 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!
Should I Treat My Bunions?
A bunion is a bony outgrowth that can develop at the base of the big toe joint. This is a type of foot deformity and can be painful. The skin around the bunion may become red, inflamed, thickened, and callused. Your big toe may begin to push on your second toe and point towards the little toes instead of straight ahead. Your big toe joint can even become stiff and difficult to move. Since bunions tend to worsen with time, seeking treatment is strongly suggested. In its early stages, a bunion can be treated by wearing wider, padded shoes or orthotic devices. Bunions that have progressed may need to be treated surgically. If you have painful bunions, please seek the care of a podiatrist.
If you are suffering from bunion pain, contact Elliot T. Udell, DPM of New York. 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 Hicksville, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Simple Ways to Prevent Falls at Home
Older adults, or people with extreme medical problems, are frequently the victim of falls, causing broken bones or sprains in the feet and ankles as well as other injuries. Two ways that you can help prevent falls are setting up a safe home and exercising to build strength and improve balance. To make your surroundings safer, make sure your feet can touch the floor when you sit at the side of the bed, and hold onto something sturdy when you stand up; remove loose wires from areas where you frequently walk; fix uneven flooring in doorways; and remove throw rugs. Avoid climbing stairs, if possible. Keep passageways well-lit, especially at night. Go slowly when you get up or walk. Don’t stand on chairs to reach something. You may need the aid of a walker or cane to improve balance. Wear shoes with low heels and rubber soles to provide extra stability. For exercises to increase strength in the lower extremities and other information regarding falls prevention, please consult with a podiatrist.
Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Elliot T. Udell, DPM from New York. Our doctor will assess your condition and provide you with quality advice and care.
Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.
How to Prevent Falls
Some effective methods that older persons can do to prevent falls include:
- Enrolling in strength and balance exercise program to increase balance and strength
- Periodically having your sight and hearing checked
- Discuss any medications you have with a doctor to see if it increases the risk of falling
- Clearing the house of falling hazards and installing devices like grab bars and railings
- Utilizing a walker or cane
- Wearing shoes that provide good support and cushioning
- Talking to family members about falling and increasing awareness
Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.
If you have any questions, please feel free to contact our office located in Hicksville, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Why Is My Child Complaining of Heel Pain?
If your child is complaining of heel pain they may be suffering from Sever’s Disease. When children are growing and bones have not fully developed, the growth plate at the back of the heel (the apophysis) can become irritated, stressed, and painful—especially when the child is physically active in sporting activities. This condition is known as Sever’s Disease and typically occurs in growing children between the ages of 9 and 14. It can take place in both sexes, however, it is more common among males. This ailment is said to improve as the child matures and the growth plate hardens into bone. In the meantime, pain and discomfort can be difficult for an active child to deal with. A podiatrist can help ease your child’s pain by prescribing icing, stretching, resting, orthotics, and more.
Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Elliot T. Udell, DPM from New York. Our doctor can treat your child’s foot and ankle needs.
Sever’s Disease
Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.
Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.
Symptoms
Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.
Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.
If you have any questions, please feel free to contact our office located in Hicksville, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.
Tips for Dealing With Hammertoes
Hammertoes typically occur in the smaller toes of the foot. They can also be referred to as “Mallet Toe” or “Claw Toe,” depending on how the foot is affected. These conditions often occur when the soft tissues of the foot become too tight or get injured. Tight shoes are the most common cause of hammertoe, and of the variations can be the easiest to fix by wearing open-toed shoes and sandals, or roomy, softer closed-toe shoes. Shoe inserts, wrapping the toes after exercise, and maintaining a healthy body weight can help prevent excess pressure on the feet and toes. If discomfort persists, see a podiatrist who can recommend exercises and offer other solutions.
Hammertoes can be a painful condition to live with. For more information, contact Elliot T. Udell, DPM of New York. Our doctor will answer any of your foot- and ankle-related questions.
Hammertoe
Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.
Symptoms
- Painful and/or difficult toe movement
- Swelling
- Joint stiffness
- Calluses/Corns
- Physical deformity
Risk Factors
- Age – The risk of hammertoe increases with age
- Sex – Women are more likely to have hammertoe compared to men
- Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
- Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe
Treatment
If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.
If you have any questions, please feel free to contact our office located in Hicksville, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Why You Should Never Ignore Any Fracture in Your Toe
Fractures in the toes and metatarsals (long bones in the midfoot that connect to the toe bones) can be quite painful and should not be taken lightly. Breaks can either be traumatic (acute) that occur instantly due to an injury, or can be stress fractures which develop over time. Traumatic fractures can cause a bone to become misaligned in certain cases. You may hear a snap at the moment of impact and you may even notice that the toe is crooked or misshapen in some way. Pain may be felt at the site of the injury, and bruising and swelling may occur the following day. With a stress fracture, any pain felt while using the affected foot may subside when you rest, and although you may notice swelling there should be no apparent bruising. It is important to see a podiatrist for any broken bone in your toe or metatarsal, even if you have been treated initially at an emergency room. Proper treatment and rehabilitation will help avoid future complications like an improperly healed bone, mobility issues, difficulty wearing shoes, deformities, chronic pain, or arthritis in the joint.
Broken toes may cause a lot of pain and should be treated as soon as possible. If you have any concerns about your feet, contact Elliot T. Udell, DPM from New York. Our doctor will treat your foot and ankle needs.
What Is a Broken Toe?
A broken toe occurs when one or more of the toe bones of the foot are broken after an injury. Injuries such as stubbing your toe or dropping a heavy object on it may cause a toe fracture.
Symptoms of a Broken Toe
- Swelling
- Pain (with/without wearing shoes)
- Stiffness
- Nail Injury
Although the injured toe should be monitored daily, it is especially important to have a podiatrist look at your toe if you have severe symptoms. Some of these symptoms include worsening or new pain that is not relieved with medication, sores, redness, or open wounds near the toe.
If you have any questions, please feel free to contact our office located in Hicksville, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Why Live with Pain and Numbness in Your Feet?
Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.
The Do’s of Diabetic Foot Care
People with diabetes are at an increased risk for developing foot ulcers and a variety of other foot problems. This is because diabetes can cause poor circulation, nerve damage, and immune insufficiency. Without an adequate blood supply, innervation, and a strong immune response, even small injuries on the feet can go undetected in their initial stages, heal poorly, and become infected. Taking very good care of your feet is essential if you are diabetic. At home, check your feet daily for any cuts, scrapes, sores, bruises, or other abnormalities and treat them as soon as possible. Take any excess pressure off your feet, especially if you have a foot wound, by resting or wearing an orthotic or off-loading device. You should also be under the care of a podiatrist who can monitor your foot health and treat any problems as soon as they occur.
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 Elliot T. Udell, DPM from New York. 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
- 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 Hicksville, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
More...
Numb and Tingling Feet
If your feet are numb, tingling, or sensitive to the touch, you may have peripheral neuropathy. The term “neuropathy” refers to nerve damage. This condition affects one to two percent of Americans and can significantly impact your lower limbs. In addition to the altered sensations mentioned above, people with neuropathy may also experience pain, cramping, muscle weakness, a loss of reflexes, and difficulty walking. Neuropathy is often associated with preexisting medical conditions, such as diabetes. If you have symptoms of nerve damage in your feet or ankles, it is strongly suggested that you are under the care of a podiatrist who can help you manage this condition and maintain the health of your lower limbs.
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 Elliot T. Udell, DPM from New York. Our doctor 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 Hicksville, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Arthroscopy: A Technological Marvel
In arthroscopic surgery, a small incision in the skin is made to allow a narrow instrument (arthroscope)—with a light and video camera attached—to be inserted into the ankle. The video from the camera transmits a signal to a large screen which the surgeon views to see and diagnose damage inside the ankle. The surgeon can look at this video to guide them during arthroscopic surgery, using tiny surgical instruments inserted through other small incisions. Arthroscopic ankle surgery can be used to restore damage to cartilage, remove bone spurs, scar tissue and debris, and treat certain conditions in the small area at the back of the ankle. Arthroscopic surgery offers shorter hospital stays and recovery time, and it has a lower risk of infection due to small incisions being made—as opposed to larger incisions associated with open surgeries. Make an appointment with your podiatrist to see if arthroscopic surgery is appropriate for your ankle condition.
Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Elliot T. Udell, DPM of New York. Our doctor will assist you with all of your foot and ankle needs.
When Is Surgery Necessary?
Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:
- Removing foot deformities like bunions and bone spurs
- Severe arthritis that has caused bone issues
- Cosmetic reconstruction
What Types of Surgery Are There?
The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:
- Bunionectomy for painful bunions
- Surgical fusion for realignment of bones
- Neuropathy decompression surgery to treat nerve damage
Benefits of Surgery
Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.
Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.
If you have any questions please feel free to contact our office located in Hicksville, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Plantar Fasciitis May Be Causing Your Heel Pain
If you have heel pain and inflammation that is severe in the morning and gets better as your body warms up, you may have a condition known as plantar fasciitis. This occurs when the fibrous plantar ligament on the bottom of the foot is overly stressed or otherwise damaged. This damage may be due to injuries, obesity, regularly wearing improper footwear or high heels, intensifying physical activities too rapidly, or foot structure anomalies. If the cause of plantar fasciitis is not discovered and treated properly, the condition may worsen and become chronic. Since plantar fasciitis affects millions of people each year, it's the most common cause of heel pain. Podiatrists have extensive experience in diagnosing the condition and treating it using a wide variety of methods and therapies. There is no need to continue living with heel pain; make an appointment with a podiatrist to begin your recovery.
Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Elliot T. Udell, DPM from New York. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is Plantar Fasciitis?
Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.
What Causes Plantar Fasciitis?
- Excessive running
- Having high arches in your feet
- Other foot issues such as flat feet
- Pregnancy (due to the sudden weight gain)
- Being on your feet very often
There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.
Prevention
- Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
- Maintain a healthy weight
- If you are a runner, alternate running with other sports that won’t cause heel pain
There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.
If you have any questions, please feel free to contact our office located in Hicksville, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Do Your Child's Feet Hurt?
Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.
