Items filtered by date: June 2023

A foot ulcer is a serious wound. It is said to look like a crater in the skin and is generally found on the bottom of the foot or tip of a toe. Thick skin can gradually surround it and may act like a border. A foot ulcer can be common among diabetic patients, and immediate wound care is often sought for treatment and relief. A foot ulcer can range between being a surface wound to a deep wound, and both types can become infected if not treated. Diabetic patients can suffer from neuropathy, which is the inability to feel sensations on the feet. This may also be coupled with poor circulation, which may slow down the healing process. A foot ulcer that develops in people who have good circulation may heal in approximately six weeks, but it may take considerably longer in patients who have poor circulation. Treatment can begin with a podiatrist performing a debridement, which is trimming away diseased tissue. This can be followed by applying an appropriate dressing and recommending specialized footwear. If you have a foot ulcer, it is strongly suggested that you are under the care of a podiatrist who can successfully treat this foot condition.

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 Richard P. Jacoby, DPM from Extremity Health Centers. 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 one of our offices located in Scottsdale and Buckeye, AZ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Flat feet, also termed pes planus, is a condition where the arch of the foot collapses and the bottom of the foot lies flat on the ground. Three common types of flat feet are flexible, rigid, and adult-onset. Flexible flat feet are the most common, where the arch is visible while sitting, but disappears when weight is taken off of the foot. It affects both feet and gradually worsens with age. With rigid flat feet, the foot arch is missing in all conditions. The feet may become painful and it may be difficult to flex the foot or even move it from side to side. This may affect one or both feet. Adult-acquired, or fallen arches, occurs when the arch suddenly collapses. This problem commonly affects only one foot, and is frequently the result of an injury to the tendon that supports the arch. Certain conditions can bring on the occurrence of flat feet, including Achilles tendon injuries, broken bones, obesity, and pregnancy. To manage flat feet, it is suggested that you consult a podiatrist who can determine the cause and offer treatment options.     

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 and ankle needs.

Cuboid syndrome involves lateral foot and ankle pain and is a disruption of the calcaneocuboid part of the midtarsal joint, which irritates the surrounding areas. The foot is made up of 26 bones, and the cuboid bone provides stability to the foot. This syndrome is thought to be from overuse, plantar flexion difficulties, and inversion ankle sprains. Athletes with foot injuries, particularly ballet dancers, can develop cuboid syndrome. Orthotics that are not constructed properly and heel spur surgery can also trigger the symptoms of this syndrome  Because radiographic imaging does not detect this syndrome, it can be difficult to recognize, and can easily be misdiagnosed and mistreated. A diagnosis is based on history and symptoms. However, once properly diagnosed, it can respond well to conservative treatment that involves manipulation of the cuboid bone, exercises, and taping. If you have lateral foot and ankle pain that is persistent, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, 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.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

• Injury – The most common cause of this ailment is an ankle sprain.
• Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
• Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

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.

Limb salvage can be done to preserve function when diabetics have chronic ulceration. Chronic ulcerations of the feet can occur due to an abnormal gait, surgical incisions that do not heal or take a long time to heal, and from wounds on the feet that have not been treated. Sometimes joint immobility in a person with diabetes can lead to bony prominences on the sole of the foot, which will often cause ulcerations. A stiff foot can cause pressure to be applied in a diabetic foot which will also lead to ulcerations. If you have diabetes and problems with your feet or ankles, it is strongly suggested that you have a podiatrist on your roster of doctors. This medical professional can examine your feet regularly and help you to prevent and treat chronic and serious issues, such as ulcerations requiring limb salvage that may occur as the result of diabetes.

Limb salvage can be an effective way in preventing the need for limb amputation. If you have diabetes, cancer, or any other condition that could lead to foot amputation if left unchecked, 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.

What Is Limb Salvage?

Limb salvage is the attempt of saving a limb, such as the foot from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Diabetes is the number one cause of non-traumatic amputations in the United States. 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.

However, there are other causes as well, such as cancer and traumatic injury. Links between higher mortality rates and amputation have been found. 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 Scottsdale and Buckeye, AZ . We offer the newest diagnostic and treatment technologies for all your foot care needs.