Blog
Blog
Why Diabetic Foot Ulcers Are Problematic
Millions of Americans suffer every day with complications due to diabetes such as poor circulation, nerve damage, chronic wounds and foot ulcers. Preventing and properly treating foot ulcers and wounds is vital to the health of the diabetic patient, and will help avoid the rare occurrence of lower-extremity amputation due to diabetic complications. However, nerve damage prevents many patients from detecting a diabetic ulcer as they commonly occur on the bottom of the feet, and poor circulation reduces the body’s ability to heal them. Along with trying to manage their condition through diet, exercise, and monitoring blood sugar levels, diabetics should examine their feet daily. If they spot a wound, they should wash it, apply antibiotic ointment and cover it immediately to prevent bacteria from developing. They should also place themselves under the professional care of a podiatrist who will help manage the ulcer through a variety of non-invasive methods, and surgical intervention (if necessary).
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 Steven Spivak, DPM from Mount Holly Family Footcare. 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 Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Wounds That Don't Heal Need to Be Checked
Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.
What Do the Numbers on an ABI Test Mean?
If you are a person who is at risk of peripheral artery disease (PAD), a condition that is characterized by poor blood flow to the lower limbs, then you may need to undergo an Ankle-Brachial Index (ABI) test. The ABI is a screening measure that many podiatrists use to identify PAD in their patients. To do this test, the doctor measures your blood pressure at your arms and at your ankles and then compares the two numbers to calculate a ratio. If the resulting ratio is between 1.0 and 1.4, you likely do not have PAD. If the number is between 0.91 and 0.99, then you may have borderline PAD. If the ratio is below 0.90, then you likely do have PAD. To learn more about the ABI test and other tools used to assess circulation in your lower limbs, please see a podiatrist.
Vascular testing plays an important part in diagnosing disease like peripheral artery disease. If you have symptoms of peripheral artery disease, or diabetes, consult with Steven Spivak, DPM from Mount Holly Family Footcare. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
What Is Vascular Testing?
Vascular testing checks for how well blood circulation is in the veins and arteries. This is most often done to determine and treat a patient for peripheral artery disease (PAD), stroke, and aneurysms. Podiatrists utilize vascular testing when a patient has symptoms of PAD or if they believe they might. If a patient has diabetes, a podiatrist may determine a vascular test to be prudent to check for poor blood circulation.
How Is it Conducted?
Most forms of vascular testing are non-invasive. Podiatrists will first conduct a visual inspection for any wounds, discoloration, and any abnormal signs prior to a vascular test.
The most common tests include:
- Ankle-Brachial Index (ABI) examination
- Doppler examination
- Pedal pulses
These tests are safe, painless, and easy to do. Once finished, the podiatrist can then provide a diagnosis and the best course for treatment.
If you have any questions, please feel free to contact our office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Foot Care and Footwear During Pregnancy
Pregnancy causes many changes in your body, including your feet. Swelling in the feet or ankles (edema) may occur, especially at the end of the day or after spending time on your feet. You can help alleviate this discomfort by elevating your feet whenever you get the chance, keeping yourself hydrated, wearing comfortable shoes with low heels, exercising your feet by rotating them and flexing them up and down, and sleeping on your left side to help circulation. While edema will normally subside after pregnancy, an increase in your foot’s size may not. A hormone called relaxin is released during pregnancy to prepare your body for birth, which can also relax the ligaments in your feet, causing them to lengthen and widen. To keep your feet as comfortable as possible during pregnancy, wear flat or low-heeled shoes with good arch support. As you advance in your pregnancy, you may want to avoid laces and opt for slip-on shoes, and always check your foot size before buying new shoes. For more information on how to properly care for and dress your feet during pregnancy, consult with a podiatrist.
Getting the right shoe size is an important part of proper foot health. Seek the assistance of Steven Spivak, DPM from Mount Holly Family Footcare. Our doctor will provide the care you need to keep you pain-free and on your feet.
Getting the Right Shoe Size
There are many people who wear shoes that are the incorrect size, negatively affecting their feet and posture. Selecting the right shoes is not a difficult process, so long as you keep several things in mind when it comes to choosing the right pair.
- When visiting the shoe store, use the tools available to measure your foot.
- Be sure there is ‘wiggle room’. There should be about an inch between your toes and the tip of your shoes.
- Do not always assume you are the same size, as manufacturers run differently.
- Purchase shoes later in the day, as your feet swell as the day progresses.
- If a shoe is not comfortable, it is not suitable. Most shoes can’t be ‘broken in’, and comfort should be the ultimate goal when it comes to choosing the right pair of shoes
As our feet hold our body weight and keep us moving, it is important to treat them right. Picking the right pair of shoes can provide your feet comfort and mobility without pain.
If you have any questions, please feel free to contact our office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
What Does Cuboid Syndrome Feel Like?
Cuboid syndrome is a condition in which the cuboid bone, located in the middle of the foot, becomes misaligned due to injury. This can cause sharp pain on the outer side of the foot, as well as underneath the foot. The pain can come on suddenly and gradually worsen while you walk or stand, but can be relieved by taking weight off of the affected foot. You may also notice mild swelling along the outside of the foot. The symptoms of cuboid syndrome can make it difficult or impossible to walk, and pain can persist for days or even weeks. If you are experiencing foot pain, it is strongly suggested that you seek the care of a podiatrist, who can diagnose and treat your condition.
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 Steven Spivak, DPM from Mount Holly Family Footcare. 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 our office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Toenail Fungus Prevention
Millions of people in America will have at least one bout with nail fungus in their lifetime. Infections are said to occur more in adults over 40 due to structural changes in toenails, and athletes whose feet spend a lot of time confined in damp socks and shoes. If a family member has toenail fungus, that can increase your chance of infection as well. At best, toenail fungus is unsightly and embarrassing. At worst, it may lead to bacterial infections in people with circulatory issues, diabetes, or immune system disorders. You can lower your risk of contracting toenail fungus by wearing flip-flops in locker rooms and communal showers, keeping your toenails trimmed and injury-free, letting your feet air out after being in stuffy athletic shoes, and never sharing toenail clippers or other foot care instruments with anyone. To help clear up your toenail fungus as quickly as possible, make an appointment with a podiatrist who can utilize a variety of treatments to rid your toenails from those pesky keratin-eating fungi.
If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Steven Spivak, DPM of Mount Holly Family Footcare. Our doctor can provide the care you need to keep you pain-free and on your feet.
Symptoms
- Warped or oddly shaped nails
- Yellowish nails
- Loose/separated nail
- Buildup of bits and pieces of nail fragments under the nail
- Brittle, broken, thickened nail
Treatment
If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.
Prevention
In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.
In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.
If you have any questions, please feel free to contact our office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Handling Bunions
Bunions are bony bumps that grow on the outer edges of the big toe, at the base of the big toe joint. Bunions can deform the toes, causing them to become misaligned and painful. Fortunately, there are steps that you can take at home to reduce bunion pain. Wearing the right shoes is of the utmost importance when it comes to managing bunions. Look for shoes that have a wide toe box, low or no high heels, and are comfortable, well-fitting, and supportive. Additionally, wearing a splint at night can help keep your big toes in alignment and reduce discomfort. Strengthen your toes by stretching them regularly. Taking over-the-counter pain medications can help reduce pain and inflammation around the bunion. If you have bunions, it is suggested that you see a podiatrist for treatment.
If you are suffering from bunions, contact Steven Spivak, DPM of Mount Holly Family Footcare. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is a Bunion?
A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.
Why Do Bunions Form?
Genetics – Susceptibility to bunions are often hereditary
Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions
How Are Bunions Diagnosed?
Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.
How Are Bunions Treated?
- Refrain from wearing heels or similar shoes that cause discomfort
- Select wider shoes that can provide more comfort and reduce pain
- Anti-inflammatory and pain management drugs
- Orthotics or foot inserts
- Surgery
If you have any questions, please feel free to contact our office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
It's Time for Beautiful Feet
You don't need an excuse to have beautiful nails. Step outside without worrying about the appearance of your feet.
What Is Athlete’s Foot?
A rash on the foot may be athlete’s foot. It is an uncomfortable foot condition that is caused by a fungus. Common symptoms many patients experience can include severe itchiness on the bottom of the foot and between the toes, a burning sensation, and possible blisters. The type of fungus that causes this ailment lives in warm and moist environments, and is considered to be contagious. Common places the fungi may spread include public swimming pools, shower room floors, and locker rooms. It is advisable to wear appropriate shoes while in these areas, in addition to refraining from sharing towels, shoes, and socks. Mild relief may be attained when an antifungal powder is used, as this may help to alleviate a portion of the itching. If you are afflicted with athlete’s foot, please consult with a podiatrist who can offer you proper treatment solutions.
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 Steven Spivak, DPM from Mount Holly Family Footcare. 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 our office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Toe Lifts to Strengthen the Feet
Doing exercises that strengthen your feet is an important part of good foot care, especially if you are an athlete. Weaker feet are more prone to injuries such as plantar fasciitis, bunions, neuromas, and stress fractures. Fortunately, incorporating foot strengthening exercises into your daily routine can be fairly easy. One simple exercise that you can do is the toe lift. To do this, stand with your feet flat on the floor. Slowly raise the big toe of one foot while keeping the other toes on the floor. Then switch, raising your little toes while keeping your big toe on the floor. Repeat on the opposite foot. This exercise helps strengthen the muscles that stabilize your foot and maintain and support your arches. To learn more about foot exercises, please speak with a podiatrist.
Exercising your feet regularly with the proper foot wear is a great way to prevent injuries and build strength. If you have any concerns about your feet, contact Steven Spivak, DPM from Mount Holly Family Footcare. Our doctor can provide the care you need to keep you pain-free and on your feet.
Exercise for Your Feet
Exercise for your feet can help you gain strength, mobility and flexibility in your feet. They say that strengthening your feet can be just as rewarding as strengthening another part of the body. Your feet are very important, and we often forget about them in our daily tasks. But it is because of our feet that are we able to get going and do what we need to. For those of us fortunate enough to not have any foot problems, it is an important gesture to take care of them to ensure good health in the long run.
Some foot health exercises can include ankle pumps, tip-toeing, toe rises, lifting off the floor doing reps and sets, and flexing the toes. It is best to speak with Our doctor to determine an appropriate regimen for your needs. Everyone’s needs and bodies are different, and the activities required to maintain strength in the feet vary from individual to individual.
Once you get into a routine of doing regular exercise, you may notice a difference in your feet and how strong they may become.
If you have any questions please feel free to contact our office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
