Diabetes is a chronic condition that affects how the body processes blood sugar, also known as glucose. When blood sugar levels remain elevated over time, it can damage blood vessels and nerves throughout the body. One of the most common complications is diabetic nerve pain, also called diabetic neuropathy. This condition often affects the feet and can interfere with normal sensation, making early detection and care essential for long term foot health.

Diabetic nerve pain develops when prolonged high blood sugar damages the nerves, especially in the lower extremities. This damage disrupts communication between the nerves and the brain, leading to abnormal sensations. Common symptoms include numbness, burning, and a pins and needles sensation in the feet. Some individuals may also experience sharp pain or increased sensitivity, while others may lose sensation entirely, increasing the risk of unnoticed injuries.

The causes of diabetes include insulin resistance, genetic factors, and lifestyle influences such as poor diet and lack of physical activity. Over time, uncontrolled blood sugar contributes directly to nerve damage. Diabetic neuropathy is more likely to develop in individuals who have had diabetes for many years or who struggle to maintain stable glucose levels. This makes consistent management a critical part of prevention.

Risk factors for diabetic nerve pain include long-term diabetes, high blood sugar levels, and poor circulation. Smoking and inactivity may further increase the risk. Proper foot care, regular checkups, and blood sugar control are essential to reducing complications. If you have diabetes and have developed foot neuropathy, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this serious 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 Richard P. Jacoby, DPM from Extremity Health Centers. 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 one of our offices located in Scottsdale and Buckeye, AZ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A toddler’s flat feet can worry parents, especially when their footprints show little or no arch. In many cases, a toddler’s feet still contain soft tissue that hides the arch while the bones, muscles, and ligaments continue to develop. Ligaments are strong bands of tissue that support the joints. As children grow, the arch becomes easier to see. Even so, some toddlers develop symptoms that deserve professional attention. Warning signs include foot pain, frequent tripping, or difficulty keeping up with other children. Some toddlers also show uneven shoe wear or seem tired after short periods of play. A podiatrist can determine whether flat feet are part of normal development or whether another condition is affecting the way the feet function.

A podiatrist begins with a thorough medical history and a careful examination while the child is sitting, standing, and walking. Watching a toddler walk helps reveal whether the foot remains flexible or appears stiff. The podiatrist also checks foot alignment, ankle movement, and the position of the heel. Parents can describe pain, changes in activity, or repeated ankle sprains that help guide the evaluation. Imaging, like an X-ray, is not necessary for every child. It is used when pain is unusual, movement is limited, or the podiatrist suspects an underlying bone problem. This careful approach helps identify toddlers who need closer monitoring and those who could benefit from further treatment.

Most toddlers with flexible flat feet do not require surgery. However, children with ongoing pain, reduced function, or a rigid foot shape benefit from prompt evaluation. A podiatrist can recommend supportive shoes or inserts, monitor changes in foot development, and determine whether additional testing is needed. If surgery becomes necessary, it is reserved for carefully selected cases after a thorough examination and accompanying imaging studies. The goal is to improve foot function, relieve pain, and support healthy growth. If your child has problems related to flat feet, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Richard P. Jacoby, DPM from Extremity Health Centers. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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

Plantar warts are rough skin growths that develop on the bottom of the foot. They are caused by the human papillomavirus, also called HPV. This virus enters through small openings in the skin and affects its outer layer. Plantar warts usually form on weight-bearing areas, causing pressure that pushes them inward instead of outward. As a result, they can become painful while walking or standing. Many plantar warts have tiny black dots, which are small blood vessels inside the wart. A plantar wart is often mistaken for a corn or callus because they develop beneath thickened skin. But because plantar warts interrupt the natural lines of the skin, a podiatrist can more easily identify them during a careful foot examination.

The virus that causes plantar warts spreads more easily in warm, damp places, like locker rooms, public showers, and swimming pool areas. Walking barefoot in these locations increases the chance of exposure. Small cuts or cracks in the skin also offer an entry point for the virus. Some patients have one wart, while others develop a cluster, called a mosaic wart. Because the virus is highly contagious, plantar warts sometimes spread to nearby areas of the foot. Pain can increase as body weight presses directly against the wart.

A podiatrist can diagnose plantar warts by examining the affected area and distinguishing them from other skin conditions. Care includes advanced freezing techniques, carefully removing thickened tissue, or other office-based treatments. The type of treatment is chosen based on the size and location of the wart. Surgery may be the best choice for stubborn plantar warts that do not respond to other treatment methods. Early care can reduce discomfort, limit spreading, and improve comfort. If you have symptoms of a plantar wart, it is suggested that you schedule an appointment with a podiatrist for effective relief and treatment solutions.

Plantar warts can be very uncomfortable. If you need your feet checked, contact Richard P. Jacoby, DPM from Extremity Health Centers. Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

• Lesions on the bottom of your feet, usually rough and grainy
• Hard or thick callused spots
• Wart seeds, which are small clotted blood vessels that look like little black spots
• Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

• Freezing
• Electric tool removal
• Laser Treatment
• Topical Creams (prescription only)
• Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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

Ankle stretches are controlled movements that improve flexibility, strength, and joint function in the ankle and surrounding structures. These exercises are essential for maintaining a full range of motion, which allows the foot and ankle to move efficiently during walking, running, and athletic activity. Proper ankle mobility helps absorb shock during impact and supports better lateral movement, which is important for balance and injury prevention. Without adequate flexibility, the ankle joint can become stiff, increasing the risk of strain and instability.

Common symptoms of limited ankle mobility include reduced movement, discomfort during activity, and a higher risk of sprains. Individuals with restricted range of motion may notice difficulty with movements like toe pointing or ankle rolling. Over time, poor mobility can affect gait patterns and place excess stress on other joints. Risk factors include a history of ankle injury, prolonged sitting, improper footwear, and lack of regular stretching. Tight calf muscles and weak stabilizing muscles can also contribute to reduced flexibility and control.

Several effective ankle stretches can improve function and stability. The cross-leg ankle stretch involves placing one ankle over the opposite knee and gently rotating the foot to increase mobility. Forward toe point and ankle rotation exercises encourage controlled movement by pointing the toes away from the body and rotating the ankle in circular motions. Seated ankle stretches allow for focused control while reducing weight bearing stress. These movements help strengthen the joint, improve circulation, and support coordinated motion.

Incorporating ankle stretches into a daily routine can enhance performance and reduce the risk of injury. Improved flexibility allows the ankle to absorb shock more effectively and adapt to uneven surfaces. Consistent practice also promotes better balance and coordination. If you have an ankle injury or pain, it is suggested that you consult a podiatrist who can offer effective treatment solutions, and additional ankle stretches tailored to your needs.

Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with Richard P. Jacoby, DPM from Extremity Health Centers. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Stretching the Feet

Being the backbone of the body, the feet carry your entire weight and can easily become overexerted, causing cramps and pain. As with any body part, stretching your feet can serve many benefits. From increasing flexibility to even providing some pain relief, be sure to give your feet a stretch from time to time. This is especially important for athletes or anyone performing aerobic exercises, but anyone experiencing foot pain or is on their feet constantly should also engage in this practice.

Great ways to stretch your feet:

• Crossing one leg over the others and carefully pull your toes back. Do 10-20 repetitions and repeat the process for each foot
• Face a wall with your arms out and hands flat against the wall. Step back with one foot and keep it flat on the floor while moving the other leg forward. Lean towards the wall until you feel a stretch. Hold for 30 seconds and perform 10 repetitions for each foot
• Be sure not to overextend or push your limbs too hard or you could risk pulling or straining your muscle

Individuals who tend to their feet by regular stretching every day should be able to minimize foot pain and prevent new problems from arising.

If you have any questions please contact one of our offices located in Scottsdale and Buckeye, AZ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.