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Why Foot Wounds May Not Heal

Foot wounds that do not heal properly are often a sign of underlying health issues that require medical attention. Poor circulation, commonly seen in conditions like diabetes or peripheral artery disease, can limit the flow of oxygen and nutrients necessary for healing. Infections can also delay recovery by causing ongoing inflammation and tissue damage. Other factors, such as repeated pressure, wearing improper footwear, or unrecognized trauma, can keep wounds from closing. Symptoms that indicate a wound is not healing include persistent redness, swelling, drainage, foul odor, or increasing pain. The appearance of black or dead tissue around the wound edges is another serious warning sign. If you have developed a foot wound that is not healing as it should, it is strongly suggested that you promptly contact a podiatrist who can diagnose the cause, and effectively treat cuts and wounds on the feet.
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.
Treating Problematic Ingrown Toenails

When ingrown toenails do not respond to basic care or become painful and infected, a podiatrist can provide effective medical treatment. In less severe cases, the ingrown section of the toenail can be carefully removed during a minor procedure called partial nail avulsion, which reduces pressure and allows the area to heal. For patients with recurring ingrown toenails, a podiatrist may recommend a matrixectomy, a surgical technique that removes the nail root in the affected area to prevent regrowth. If infection is present, antibiotics may also be prescribed to reduce swelling and stop the spread of bacteria. In some situations, total nail removal may be required, particularly when the toenail is deeply curved or repeatedly causes pain. Such ingrown toenail procedures are typically performed using local anesthesia to ensure patient comfort. After surgery, patients are advised to keep the area clean and dry and avoid wearing tight footwear to support healing. If you have problematic ingrown toenails, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.
Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Richard P. Jacoby, DPM of Extremity Health Centers. Our doctor can provide the care you need to keep you pain-free and on your feet.
Ingrown Toenails
Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.
Causes
- Improper toenail trimming
- Genetics
- Improper shoe fitting
- Injury from pedicures or nail picking
- Abnormal gait
- Poor hygiene
You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.
Symptoms
Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.
Treatment
Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.
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.
Do Your Child's Feet Hurt?
Importance of Wearing Proper Cycling Shoes

Foot pain from cycling can stem from a variety of causes, many of which are preventable. Repeated pressure on the feet, improper pedal alignment, and poor circulation often lead to discomfort such as numbness, burning sensations, or soreness. Conditions like plantar fasciitis or metatarsalgia can also be triggered or worsened by long rides. One of the most effective ways to prevent cycle-related foot pain is by wearing well-designed cycling shoes. These shoes offer necessary arch support, evenly distribute pressure, and improve pedal efficiency. Shoes that fit properly and match your riding style help maintain comfort and prevent injury. Investing in quality cycling footwear and ensuring a good bike fit are essential steps in promoting healthy, pain-free rides for cyclists of all levels. If you have persistent foot pain from cycling, it is suggested that you contact a podiatrist who can treat various foot conditions, and guide you on the correct cycling shoes to wear.
Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Richard P. Jacoby, DPM of Extremity Health Centers. Our doctor can provide the care you need to keep you pain-free and on your feet.
Sports Related Foot and Ankle Injuries
Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:
- Plantar Fasciitis
- Plantar Fasciosis
- Achilles Tendinitis
- Achilles Tendon Rupture
- Ankle Sprains
Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.
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.
When Heel Pain Has a Hidden Cause

A calcaneal spur, often called a heel spur, is a bony growth that can quietly develop on the underside of the heel bone. While it may go unnoticed at first, it can lead to persistent or stabbing pain, especially with the first steps in the morning or after sitting for long periods. This condition is frequently associated with strain on the plantar fascia and is more common in individuals who spend long hours standing, have abnormal foot mechanics, or wear unsupportive shoes. The pain may worsen over time, eventually interfering with your ability to walk comfortably or maintain regular activity. In some cases, the discomfort leads to changes in posture or gait that cause further strain on other joints. Early attention can help prevent progression and reduce long-term impact. If you are experiencing ongoing heel pain, it is suggested that you see a podiatrist for a proper diagnosis and appropriate treatment.
Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Richard P. Jacoby, DPM from Extremity Health Centers. Our doctor will do everything possible to treat your condition.
Heels Spurs
Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.
Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.
Pain
The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.
Treatments
There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.
If you have any questions feel free to contact one of our offices located in Scottsdale and Buckeye, AZ . We offer the latest in diagnostic and treatment technology to meet your needs.
Effective Stretches for Arch Pain Relief

Arch pain can result from tight muscles, overuse, or conditions like plantar fasciitis. Stretching the feet helps improve flexibility, reduce tension, and promote better foot function. A simple stretch involves sitting and pulling the toes back toward the shin to lengthen the arch. Rolling a ball or frozen water bottle under the foot massages the area and eases tightness. Standing calf stretches also benefit the arch by loosening the Achilles tendon and lower leg muscles. Using a towel to gently pull the toes upward provides additional relief. Strengthening exercises, such as toe curls and picking up small objects with the toes, improve stability and support. Arch pain can cause difficulty in completing daily activities. If you have this foot condition, it is suggested that you consult a podiatrist who can determine what the cause is and offer treatment, which might include additional stretches for relief.
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
Stretching the muscles in the foot is an important part in any physical activity. Feet that are tight can lead to less flexibility and make you more prone to injury. One of the most common forms of foot pain, plantar fasciitis, can be stretched out to help ease the pain. Stretching can not only ease pain from plantar fasciitis but also prevent it as well. However, it is important to see a podiatrist first if stretching is right for you. Podiatrists can also recommend other ways to stretch your feet. Once you know whether stretching is right for you, here are some excellent stretches you can do.
- Using a foam roller or any cylindrical object (a water bottle or soda can will do), roll the object under your foot back and forth. You should also exert pressure on the object. Be sure to do this to both feet for a minute. Do this exercise three times each.
- Similar to the previous one, take a ball, such as a tennis ball, and roll it under your foot while seated and exert pressure on it.
- Grab a resistance band or towel and take a seat. If you are using a towel, fold it length wise. Next put either one between the ball of your foot and heel and pull with both hands on each side towards you. Hold this for 15 seconds and then switch feet. Do this three times for each foot.
- Finally hold your big toe while crossing one leg over the other. Pull the toe towards you and hold for 15 seconds. Once again do this three times per foot.
It is best to go easy when first stretching your foot and work your way up. If your foot starts hurting, stop exercising and ice and rest the foot. It is advised to then see a podiatrist for help.
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.
Preventing Athlete’s Foot

Athlete's foot is a fungal infection that affects the skin on the feet, typically between the toes. It causes itching, burning, redness, and peeling or cracking skin. In severe cases, blisters may form, leading to pain and discomfort. Athlete’s foot is caused by fungi thriving in warm, damp environments like locker rooms, around swimming pools, or sweaty shoes. To prevent athlete’s foot, it is important to keep your feet clean and dry, especially between the toes. Change socks regularly, wear breathable shoes, and avoid walking barefoot in public places. Antifungal powders or sprays can help keep the feet dry and reduce the risk of infection. A podiatrist can treat athlete's foot with prescription antifungal medications and provide guidance on proper foot hygiene. They can also offer advice on footwear and recommend lifestyle changes to reduce the risk of recurrence. If you are continuously dealing with athlete’s foot, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment methods, which may include prescribed medication.
Athlete’s Foot
Athlete’s foot is often an uncomfortable condition to experience. Thankfully, podiatrists specialize in treating athlete’s foot and offer the best treatment options. If you have any questions about athlete’s foot, consult with Richard P. Jacoby, DPM from Extremity Health Centers. Our doctor will assess your condition and provide you with quality treatment.
What Is Athlete’s Foot?
Tinea pedis, more commonly known as athlete’s foot, is a non-serious and common fungal infection of the foot. Athlete’s foot is contagious and can be contracted by touching someone who has it or infected surfaces. The most common places contaminated by it are public showers, locker rooms, and swimming pools. Once contracted, it grows on feet that are left inside moist, dark, and warm shoes and socks.
Prevention
The most effective ways to prevent athlete’s foot include:
- Thoroughly washing and drying feet
- Avoid going barefoot in locker rooms and public showers
- Using shower shoes in public showers
- Wearing socks that allow the feet to breathe
- Changing socks and shoes frequently if you sweat a lot
Symptoms
Athlete’s foot initially occurs as a rash between the toes. However, if left undiagnosed, it can spread to the sides and bottom of the feet, toenails, and if touched by hand, the hands themselves. Symptoms include:
- Redness
- Burning
- Itching
- Scaly and peeling skin
Diagnosis and Treatment
Diagnosis is quick and easy. Skin samples will be taken and either viewed under a microscope or sent to a lab for testing. Sometimes, a podiatrist can diagnose it based on simply looking at it. Once confirmed, treatment options include oral and topical antifungal medications.
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.
Foot Care Hints for Dancers

Dancers place significant stress on their feet, toes, and ankles, making proper foot care essential for preventing injuries and maintaining mobility. Keeping toenails short and cutting them straight across helps reduce the risk of ingrown toenails, which can be painful and interfere with movement. Calluses act as a protective barrier against friction, but should be carefully maintained to prevent thickening that can cause discomfort. Corns, which often develop between the toes due to pressure from wearing tight-fitting shoes, may require adjustments in footwear or evaluation by a podiatrist. Pointe dancers are especially prone to bruised toenails, which may turn black and eventually fall off, leading to temporary discomfort and limitations in performance. Persistent pain, swelling, or structural concerns like bunions or stress fractures should not be ignored. A podiatrist can assess foot health, recommend supportive footwear, and provide treatment, including orthotics or surgery, if necessary. If you have foot, toe, or ankle pain caused by dancing, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment options.
Everyday foot care is very important to prevent infection and other foot ailments. If you need your feet checked, 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.
Everyday Foot Care
Often, people take care of their bodies, face and hair more so than they do for their feet. But the feet are a very important aspect of our bodies, and one that we should pay more attention to. Without our feet, we would not be able to perform most daily tasks.
It is best to check your feet regularly to make sure there are no new bruises or cuts that you may not have noticed before. For dry feet, moisturizer can easily be a remedy and can be applied as often as necessary to the affected areas. Wearing shoes that fit well can also help you maintain good foot health, as well as making it easier to walk and do daily activities without the stress or pain of ill-fitting shoes, high heels, or even flip flops. Wearing clean socks with closed shoes is important to ensure that sweat and bacteria do not accumulate within the shoe. Clean socks help to prevent Athlete’s foot, fungi problems, bad odors, and can absorb sweat.
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.
Wounds That Don't Heal Need to Be Checked
Dealing With Painful Ingrown Toenails

Ingrown toenails occur when the edges of a toenail grow into the surrounding skin, causing pain, redness, and swelling. This often happens on the big toe and can be incredibly uncomfortable. Symptoms include tenderness, visible inflammation, and sometimes an infection with pus if left untreated. The main causes of ingrown toenails include improper nail trimming, wearing tight shoes that put pressure on the toes, or injury to the nail. People with conditions like diabetes or poor circulation are also more prone to developing ingrown toenails due to their feet being more vulnerable to infection. A podiatrist can help by properly diagnosing the condition and offering treatments, such as topical antibiotics, or in some cases, surgically removing part of the toenail. Podiatrists can also offer advice on proper nail care and footwear to prevent future occurrences. If you have a painful ingrown toenail, it is suggested that you make an appointment with a podiatrist.
Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Richard P. Jacoby, DPM of Extremity Health Centers. Our doctor can provide the care you need to keep you pain-free and on your feet.
Ingrown Toenails
Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.
Causes
- Bacterial infections
- Improper nail cutting such as cutting it too short or not straight across
- Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
- Ill-fitting shoes that bunch the toes too close together
- Genetic predisposition
Prevention
Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.
Treatment
Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.
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.
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Diseases That Can Cause Swollen Feet

Swollen feet can be a sign of underlying health conditions that affect circulation, fluid balance, or inflammation. Heart disease can lead to fluid retention in the lower extremities due to poor circulation and weakened heart function. Kidney disease affects the body’s ability to remove excess fluids, resulting in swelling in the feet and ankles. Liver disease can cause fluid buildup when the liver fails to produce enough proteins to regulate circulation. Additionally, diabetes may lead to swelling due to poor circulation and nerve damage. Severe infections can cause localized swelling as the body responds to inflammation. Arthritis often results in joint swelling and stiffness, making movement painful. If your feet have become swollen, it is strongly suggested that you consult a podiatrist who can determine what the cause is, and offer appropriate treatment and relief solutions.
Swollen feet can be a sign of an underlying condition. If you have any concerns, contact Richard P. Jacoby, DPM of Extremity Health Centers. 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 Scottsdale and Buckeye, AZ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
How the Arches of the Foot Work

The arches of the foot play a significant role in movement, stability, and shock absorption. The foot has three arches, the medial longitudinal arch, the lateral longitudinal arch, and the transverse arch. These structures are formed by the tarsal and metatarsal bones and are supported by ligaments and tendons. The medial arch, which is the highest and most flexible, distributes weight and adapts to changes in terrain. The lateral arch is lower and provides stability, while the transverse arch helps maintain foot shape and balance. A well-functioning arch system allows efficient weight distribution and reduces strain on the joints. However, arch abnormalities can lead to pain and dysfunction. A low arch, or flat foot, often results in excessive foot pronation, which increases the risk of heel pain and arch discomfort. A high arch may reduce shock absorption, placing excessive pressure on the forefoot and heel. A podiatrist can evaluate your foot’s arch structure, diagnose potential issues, and provide treatment options like custom orthotics, or, in severe cases, surgery. If you are experiencing pain in the arch of your foot, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment options.
If you have any 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.
Biomechanics in Podiatry
Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.
A History of Biomechanics
- Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
- In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.
Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.
Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.
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.
Managing a Broken Toe

A broken toe often occurs from stubbing the toe, dropping something heavy on it, or during sports activities. It typically affects the small toe but can occur in any of the toes. Symptoms include pain, swelling, bruising, and difficulty walking. The toe may also appear crooked or misaligned, especially in more severe fractures. Treating a broken toe often involves buddy taping, where the injured toe is taped to the neighboring toe for support. In less severe cases, this method can stabilize the toe and allow it to heal. For more serious fractures, a podiatrist may recommend a splint, or, in rare cases, surgery to realign the bones. This type of doctor can assess the extent of the injury, provide pain management, and guide you through the recovery process. They will also monitor for complications, such as infection or improper healing. If you think you have broken a toe, it is suggested that you promptly schedule an appointment with a podiatrist for a proper diagnosis and appropriate treatment.
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 Richard P. Jacoby, DPM from Extremity Health Centers. 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 one of our offices located in Scottsdale and Buckeye, AZ . We offer the newest diagnostic and treatment technologies for all your foot care needs.