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.

Tuesday, 19 December 2023 00:00

Diabetic Foot Ulcers

The main cause of foot ulcers in diabetic patients is often minor injuries happening when they cannot feel their feet properly. This happens due to a condition called peripheral sensory neuropathy. In simpler terms, it means their nerves do not work well, making them less sensitive to pain or injuries. Along with this, deformities in the foot shape and occasional trauma can play a role in causing foot ulcers. Additional factors in foot ulcer formation include calluses, swelling, and problems with blood circulation to the lower legs and feet. Neuropathy seems to involve various chemical processes and high blood sugar levels. Controlling blood sugar is vital in preventing neuropathy and foot ulcers. If you have diabetes and are experiencing foot ulcers, it is strongly suggested that you visit a podiatrist for immediate 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 Kimberly Woodard, DPM from Pinnacle Foot and Ankle Centers, LLC . 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 Port St. Lucie, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Wound Care
Tuesday, 19 December 2023 00:00

Wound Care

Diabetics must be wary of all wounds, regardless of depth or size. Diabetes, a chronic disease in which the body cannot properly use glucose the way it normally would, causes various complications that make wounds difficult to heal. Nerve damage or neuropathy will cause diabetics to have trouble feeling the pain of a blister or cut until the condition has significantly worsened or become infected. A diabetic’s weakened immune system can make even the most minor of wounds easily susceptible to infection. Diabetics are also more prone to developing narrow, clogged arteries, and are therefore more likely to develop wounds.

Wounds should be taken care of immediately after discovery, as even the smallest of wounds can become infected if enough bacteria build up within the wound.  To remove dirt, wounds should be first rinsed under running water only. Soap, hydrogen peroxide, or iodine can irritate the injury and should be avoided. To prevent infection, apply antibiotic ointment to the wound and cover it with a bandage. The bandage should be changed daily. The skin around the wound may be cleaned with soap.

To prevent further exacerbation, see a doctor—especially if you have diabetes. Minor skin conditions can become larger problems if not properly inspected. As the wound heals, make sure to avoid applying pressure to the affected area.

Tuesday, 12 December 2023 00:00

Causes and Symptoms of Gout

Gout, a form of inflammatory arthritis, arises from an excess of uric acid in the bloodstream, resulting in the formation of urate crystals within the body's tissues. These crystals, mainly concentrated in joints, trigger inflammation and lead to pain, redness, heat, and swelling. Gout symptoms occur suddenly and primarily affect a single joint, such as the big toe. The pain is intense, with heightened sensitivity to touch. Many factors can contribute to heightened uric acid levels, including genetics, obesity, and specific medications like diuretics. High blood pressure, surgery, trauma, dehydration, and kidney disease may also elevate the risk of developing gout. Surprisingly, even medications aimed at lowering uric acid levels may initiate gout flares. Tophi, hard nodules of uric acid beneath the skin, signify prolonged elevated uric acid levels. The presence of tophi demands immediate attention from a podiatrist. Left untreated, gout can result in joint damage, physical deformities, and kidney stones. If you suspect gout, it is suggested that you consult a podiatrist for an examination and a personalized treatment plan.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Kimberly Woodard, DPM from Pinnacle Foot and Ankle Centers, LLC . Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

  • Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
  • Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
  • Inflammation and Redness -Affected joints may become swollen, tender, warm and red
  • Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

  • Genetics - If family members have gout, you’re more likely to have it
  • Medications - Diuretic medications can raise uric acid levels
  • Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
  • Diet - Eating red meat and shellfish increases your risk
  • Alcohol - Having more than two alcoholic drinks per day increases your risk
  • Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

If you have any questions, please feel free to contact our office located in Port St. Lucie, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Gout
Tuesday, 12 December 2023 00:00

Gout

Gout is a form of arthritis that is caused by a buildup of uric acid crystals in the joints. This considered to be one of the most frequently recorded medical illnesses throughout history. Gout occurrences in the US have risen within the past twenty years and the condition now affects 8.3 million people which is 4% of all Americans. Researchers have found that gout affects men more than women and African-American men more than white men. 

Symptoms of gout are warmth, swelling, discoloration, and tenderness in the affected joint area. The small joint on the big toe is the most common place for a gout attack to occur.

People who are obese, gain weight excessively, drink alcohol heavily, have high blood pressure, or have abnormal kidney function are more likely to develop gout. Furthermore, certain drugs and diseases are likely to increase levels of uric acid in the joints which eventually leads to gout. You are also more likely to develop gout if you eat a lot of meat and fish.

Many who experience gout attacks will experience repeated attacks over the years. Some people who have gout symptoms, may never have them again, but others may experience them several times a year. If you have gout symptoms throughout the year, you may have recurrent gout. Those who have gout should also be careful about their urate crystals collecting in their urinary tract, because this may lead to kidney stones.

Diagnosis for gout is done by checking the level of uric acid in the joints and blood. Your podiatrist may also prescribe medicine to reduce uric acid buildup in the blood, which will help prevent any gout attacks.

To treat gout, your podiatrist may also prescribe you Anti-inflammatory medication (NSAIDs) which will relieve the pain and swelling of a gout episode and it can also shorten a gout attack. Maintaining a healthy diet is also a proven method to prevent gout attacks. 

Tuesday, 05 December 2023 00:00

Causes and Treatment of Black Toenail

A toenail turning black could be more than just a cosmetic concern. Discoloration, particularly a black toenail, is often a sign of an underlying issue that may require attention. One of the primary reasons for a black toenail is a bruise beneath the nail caused by trauma or pressure, also called a subungual hematoma. This common occurrence can result from stubbing your toe or dropping a heavy object on it. It also is common among runners as a result of the repetitive impact of the toenail against the front of the shoe. Shoes that are too tight or poorly fitting may create friction, causing damage to the nail and leading to subungual hematomas. Further, fungal nail infections, particularly in individuals with compromised immune systems, diabetes, or vascular disease, can cause toenail discoloration. These infections thrive in moist environments, making sweaty feet more susceptible. Ingrown toenails, a painful condition where the nail grows into the surrounding skin, can also cause discoloration. This may lead to bacterial infections, contributing to the darkening of the nail. In rare cases, a black toenail may be a sign of subungual melanoma, a type of skin cancer. Although uncommon, it is essential to seek medical attention if you notice persistent discoloration that is not linked to trauma or fungal infections. Certain medications can lead to toenail discoloration, including cancer drugs, antibiotics, retinoids, and drugs used to treat autoimmune conditions. If you have noticed your toenail changing in color, it is suggested that you make an appointment with a podiatrist who can determine the cause, and offer treatment options.

Toe pain can disrupt your daily activities. If you have any concerns, contact Kimberly Woodard, DPM of Pinnacle Foot and Ankle Centers, LLC . Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

  • Trauma
  • Sports injury
  • Wearing shoes that are too tight
  • Arthritis
  • Gout
  • Corns and calluses
  • Hammertoe
  • Bunions
  • Blisters
  • Ingrown toenails
  • Sprains
  • Fractures (broken bones)
  • Dislocations

When to See a Podiatrist

  • Severe pain
  • Persistent pain that lasts more than a week
  • Signs of infection
  • Continued swelling
  • Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please feel free to contact our office located in Port St. Lucie, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Toe Pain
Tuesday, 05 December 2023 00:00

Toe Pain

Toe pain can originate from corns, calluses, hammertoes, and bunions, as well as ingrown toenails, sprains, fractures, and dislocations. Corns develop as the toe rubs against the inside of a shoe which causes the skin to thicken as a form of protection. A corn is typically cone-shaped and has a small, hardened spot that points inward. When a corn is pressed into the skin, the toe becomes painful. Corns usually form on the top or side of the toe. A callus is also a thickened patch of skin that generally forms on the bottom of the foot. Calluses are the result of friction from the toe rubbing against the inside of a shoe. They may also occur by walking barefoot or having flat feet. A hammertoe is a bump on the knuckle of the second toe that is produced by wearing shoes that are too short for your feet. The bony protrusion rubs against the top of the shoe causing pain and irritation. A bunion is a malformation of the big toe. The base of the big toe pushes away from the smaller toes, forcing the top of the big toe to press toward the other toes. Bunions can be hereditary, or they can result from injury to the toe joint or from wearing high heels with a narrow toe box. The toe becomes inflamed, and a bump may develop at the end of the misplaced bone. Ingrown toenails typically affect the big toe and its surrounding skin. The nail will dig into the skin and become painful. Wearing tight or narrow shoes that compress the big toe causes the nail to grow into the fleshy part of the toe. Cutting toenails incorrectly can also add to the development of an ingrown toenail. A toe sprain originates from a torn or stretched ligament. Strapping the injured toe to the toe next to it for stabilization is common. A broken or fractured toe usually occurs from trauma like dropping a heavy object on it or bumping into something extremely hard and rigid. Osteoporosis, a thinning of the bones, can also bring about toe fractures. 

Any of the conditions mentioned can lead to pain and irritation. While some are more serious than others, seeking an examination and diagnosis from a podiatrist is a good idea. A podiatrist can treat each ailment and get you back on your feet again without pain.


 

Tuesday, 28 November 2023 00:00

Definition and Causes of Plantar Warts

Plantar warts, often stealthy intruders on our feet, warrant a closer look to understand their nuances and origins. These warts, caused by the human papillomavirus, or HPV, appear on the soles of the feet. The HPV virus infiltrates the skin through tiny cuts or abrasions, thriving in warm, moist environments, such as communal showers or swimming pools. Plantar warts are characterized by their flat appearance and may have small black dots, often dubbed wart seeds, indicative of clotted blood vessels. The pressure applied to the soles while standing or walking makes these warts grow inward, causing discomfort. While plantar warts are generally harmless, they can be painful and stubborn. Understanding their definition and recognizing the causes including frequenting humid environments, compromised skin, or direct contact with the virus equips individuals to take proactive measures in preventing and addressing these pesky growths on their feet. If you have developed a plantar wart, it is suggested that you consult a podiatrist who can offer effective relief and treatment methods.

Plantar warts can be very uncomfortable. If you need your feet checked, contact Kimberly Woodard, DPM from Pinnacle Foot and Ankle Centers, LLC . 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 our office located in Port St. Lucie, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Plantar Warts
Tuesday, 28 November 2023 00:00

Plantar Warts

Plantar warts are growths that typically appear on the heels or other weight-bearing areas of the feet. These warts are caused by the human papillomavirus (HPV). The virus enters the body through breaks in the skin, such as cuts, that are on the bottom of the feet. Plantar warts are more likely to affect children and teenagers, people with weakened immune systems, people who have a history with plantar warts, and people who walk barefoot in environments exposed to a wart-causing virus.

If you suspect you have plantar warts, you may have the following symptoms: pain or tenderness while walking, a lesion that interrupts the ridges in the skin of your foot, small fleshy lesions on the bottom of the foot, or a callus where a wart has grown inward over a well-defined spot on the skin.

HPV causes plantar warts to form and is very common. There are more than 100 kinds of the virus in existence. However, only a few of them cause warts on the feet. The other types of HPV are likely to cause warts on other parts of the body.

If you have plantar warts, your podiatrist may try different treatment methods depending on your specific case. Some treatments for plantar warts are peeling medicines (salicylic acid), freezing medicines (cryotherapy), or surgical procedures. Laser treatments and vaccines are also used to treat plantar warts.

Wednesday, 22 November 2023 00:00

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.

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