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Tuesday, 03 January 2023 00:00

Why Diabetics Have to Care for Their Feet

Individuals who suffer from diabetes often have to take extra special care of different parts of their body. This is because diabetes makes the human body suffer from nerve damage, among many different things. However, nerve damage in the feet is often one of the most serious effects of having diabetes. Due to the nerve damage in the feet, many diabetics might experience some loss of feeling in the feet. As a result, diabetics ought to take extra special care of their feet because this lack of feeling may result in unnoticed afflictions of the foot if not closely monitored. Diabetics can make a point of examining their feet to ensure that they are not missing any signs of a foot condition. For example, performing a simple foot examination can improve the extent to which an individual is monitoring and checking for signs of damage to their feet. If you suffer from diabetes, contact a podiatrist for help today. 

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 one of our podiatrists from New England Foot and Ankle. Our doctors 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 Chelmsford and Newburyport, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Diabetic Foot Conditions
Tuesday, 03 January 2023 00:00

Diabetic Foot Conditions

Diabetes is the condition in which the body does not properly process food for use as energy. People with Type 1 diabetes cannot produce insulin, which is required for glucose to feed your body’s cells. It is typically caused by the immune system mistaking healthy cells for foreign invaders and destroying the insulin-producing cells in the pancreas. On the other hand, people with Type 2 diabetes cannot respond to insulin properly, and eventually cannot produce enough.  The Centers for Disease Control and Prevention reports that over 30 million people in the United States have diabetes, with 1 in 4 having no idea they have it. Surprisingly, diabetes is the seventh leading cause of death in the US. The symptoms of diabetes include frequent urination, fatigue, hunger, and even blurry vision.

Diabetes can also affect the feet as well. Over time, diabetes can cause nerve damage to your feet, which could then lead to symptoms such as tingling, pain and numbness in the feet. Neuropathy can be very dangerous to a person with diabetes, since it prevents them from feeling injuries such as cuts or blisters in the feet, and if not detected early enough, may lead to infection. Neuropathy can also lead changes in the shape of your feet and toes. The best way for people with diabetes to prevent or delay neuropathy is keeping their blood glucose levels in their target range. This consists of eating right, having the correct amount of exercise, and taking medications.

Diabetes can also create calluses and foot ulcers as well. Calluses build up faster and occur more frequently with those affected by diabetes. If there are too many calluses, therapeutic shoes and inserts may be required. It is important to have calluses trimmed by a health professional, as doing it yourself may lead to infections. If these calluses continue to develop and thicken, they can lead to foot ulcers. Foot ulcers are open sores, that appear on the ball of the foot or on the bottom of the big toe. These ulcers can lead to future infections if not treated and may possibly result in losing a limb. It is important to report any ulcers to your podiatrist right away. Your doctor may take x-rays to examine the foot and clean out any dead and infected tissue.

Lastly, diabetes can also lead to poor circulation and peripheral arterial disease (PAD). The poor circulation in the feet and leg area is a result of diabetes narrowing and hardening, eventually slowing down the blood flow in that area. The best way to prevent this is to keep away from smoking and follow your doctor’s advice for maintaining blood pressure and cholesterol. PAD is similar to this complication. PAD is when blood vessels narrow or are blocked by fatty deposits. PAD also increases your risk of heart attacks and strokes and is a common condition to those affected by diabetes. The combination of both PAD and neuropathy may lead to infections and can result in amputation of certain limbs. PAD can be prevented with wearing the proper foot wear and regularly taking care of your feet.

If you want to take care of your feet, you should wash and dry them carefully and perform daily inspections to check for cuts, blisters, or swelling. Any physical activity you partake in should be approved by your health care provider. You should also be sure to wear special shoes if advised to do so by your doctor.

Tuesday, 27 December 2022 00:00

Conditions Causing Ankle Pain

The ankle is one of the most important parts of the lower legs, forming the intersection point with the feet. The ankle enables the foot to move in different directions and serves important mobility functions for walking, running, and jumping. Sometimes, the ankle may cause pain when an individual is walking. There are several different possible explanations for this phenomenon. Namely, there are many different foot conditions and afflictions that might be contributing to or causing your ankle pain. Gout is the first potential culprit. Gout is essentially a kind of arthritis that accumulates in the joints and causes pain. This can be particularly pesky in the ankles. Additionally, ankle pain might result from peripheral neuropathy. This condition is associated with some kind of nerve damage, which can ultimately cause pain in the ankles when walking. Regardless of the cause of ankle pain when walking, the pain can be annoying and severe depending on the case and patient. Contact a podiatrist today if you are experiencing ankle pain. 

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with one of our podiatrists from New England Foot and Ankle. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

  • Types of arthritis (rheumatoid, osteoarthritis, and gout)
  • Ankle sprains
  • Broken ankles
  • Achilles tendinitis
  • Achilles tendon rupture
  • Stress fractures
  • Tarsal tunnel syndrome
  • Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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

 

Read more about Various Causes of Ankle Pain
Monday, 30 October 2017 00:00

How to Alleviate Symptoms of Gout

Gout results from sharp crystals being formed when there is an abundance of uric acid in the blood. The big toe is usually the first place for this to happen, although, if not treated, it may spread to other joint areas like the knee or elbow. If there is tenderness or stiffness in the joint, this could potentially be a sign of gout. Using ice on the affected joint and drinking plenty of water can help to reduce symptoms. If you think that you might have gout, a podiatrist will be able to properly diagnose you and lead you on the path to recovery and future prevention.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact one of our podiatrists from New England Foot and Ankle. Our doctors will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

If you have any questions please feel free to contact one of our offices located in Chelmsford and Newburyport, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Everything You Need to Know About Gout
Tuesday, 13 December 2022 00:00

Dealing With Hammertoe

Hammertoe is a deformity that is usually found in the second toe. It is caused by an imbalance of the muscles, tendons, and ligaments that work together to make the toe straight. The result is that the middle joint of the toe raises up to form a peak, while the tip of the toe curls under. The type of shoes you wear, foot structure, and genetics all can contribute to the formation of a hammertoe. Women who wear high heels with pointy toes and children who wear shoes that are too short for their feet are more at risk of developing a hammertoe. Some people are simply born that way. Pain from a hammertoe occurs when the raised joint rubs against the inside of the top of the shoe. A corn or callus can develop, which may affect the gait and can increase pain in other parts of the foot and the body.  A podiatrist can give you options for treating a hammertoe. Devices called hammertoe regulators can be custom fitted to help straighten the toe. Gentle exercises, such as picking up a towel with your toes can stretch and straighten the small muscles of the feet. In severe cases, surgery can be performed to permanently straighten the toe. For details on treatment options, please consult a podiatrist. 

Hammertoes can be a painful condition to live with. For more information, contact one of our podiatrists of New England Foot and Ankle. Our doctors will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

  • Painful and/or difficult toe movement
  • Swelling
  • Joint stiffness
  • Calluses/Corns
  • Physical deformity

Risk Factors

  • Age – The risk of hammertoe increases with age
  • Sex – Women are more likely to have hammertoe compared to men
  • Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
  • Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.

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

Read more about Hammertoe
Tuesday, 29 November 2022 00:00

Stretches That May Help Plantar Fasciitis

Plantar fasciitis is a foot condition many people are unaware they may have until it becomes painful. The plantar fascia is defined as the band of tissue that lies on the sole of the foot and connects the heels to the toes. An injury can cause plantar fasciitis to occur, which is a result of an inflamed plantar fascia. The pain is felt in the heel and may radiate to the calf, affecting the Achilles tendon. This condition can happen from wearing shoes that do not fit correctly, or from standing on hard surfaces for most of the day. Pregnant women may temporarily experience plantar fasciitis from the extra weight the heels must endure. Some people may be prone to getting this condition if they have tight foot or calf muscles. This may be prevented when specific stretches are frequently performed, such as heel raises and calf stretches. The heel raises are done by standing on a step while lowering one heel at a time until a gentle stretch is felt. A foam roller is used to effectively stretch the calves. This is done while sitting in a chair and rolling the affected foot back and forth. Some people use a water bottle or a tennis ball, which can yield the same results. Plantar fasciitis can cause severe pain and can interfere with completing daily activities. If you are afflicted with this condition, please confer with a podiatrist as quickly as possible who can offer you the correct treatment options.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our podiatrists from New England Foot and Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

  • Excessive running
  • Having high arches in your feet
  • Other foot issues such as flat feet
  • Pregnancy (due to the sudden weight gain)
  • Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

  • Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
  • Maintain a healthy weight
  • If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.

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

 

Read more about Plantar Fasciitis
Tuesday, 22 November 2022 00:00

Club Foot Is Treatable

Club foot is a condition that begins when the baby is inside the womb. It is considered to be a rare foot condition and is noticeable as the feet turn in and point down. It happens as a result of a short Achilles tendon and can affect one or both feet. Club foot is generally not painful to babies despite the difficulty in walking if it is not treated. An ultrasound can be performed during the pregnancy, and it can give the parents the opportunity to speak with their doctor about specific treatment methods. A common treatment is referred to as the Ponseti method, and this provides gentle manipulation that stretches the feet into a better position. This is followed by having the baby wear a cast, and the method is repeated approximately every eight weeks. Minor surgery may be necessary to perform on the Achilles tendon when the feet have straightened out, and this can be helpful in loosening this tendon. If you have questions about club foot, it is strongly advised that you seek the counsel of a podiatrist who can perform the necessary treatment options that can benefit your child. 

Some foot conditions may require additional professional care. If you have any concerns, contact one of our podiatrists of New England Foot and Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

  • Freiberg’s disease
  • Kohler’s disease
  • Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

If you have any questions please feel free to contact one of our offices located in Chelmsford and Newburyport, MA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
 

Read more about Rare Foot Conditions

Improper diagnosis is common among sufferers of tarsal tunnel syndrome. Tarsal tunnel syndrome occurs when the tibial nerve, located in the tarsal tunnel experiences compression from injuries like ankle sprains or from conditions such as flat feet. Those who suffer from tarsal tunnel syndrome are often misdiagnosed with another foot injury, such as plantar fasciitis. With careful examination by a podiatrist, tarsal tunnel syndrome can be properly identified and treated.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact one of our podiatrists of New England Foot and Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

  • Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
  • Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
  • At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

  • Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
  • The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
  • If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please feel free to contact one of our offices located in Chelmsford and Newburyport, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Tarsal Tunnel Syndrome
Tuesday, 01 November 2022 00:00

Shoe Shopping Dos and Don'ts

Going shoe shopping can certainly be daunting. When one walks into a shoe store, the seemingly endless rows of boxed shoes can be intimidating even to experienced shoe shoppers. Obtaining shoes that fit the feet properly is of paramount importance, and it might be useful to make this your priority when shopping. To ensure a good fit, a shopper might bring a pair of socks to wear while trying on the shoes that they would normally wear. If an individual shops for shoes without wearing a pair of socks, it is possible that the shoes might feel tighter when worn with socks. Another thing to keep in mind is that although shopping for shoes online can be convenient, you can not try shoes on in the store when doing so. Therefore, it might be more difficult to obtain shoes that fit properly. Contact a podiatrist today to learn more about finding shoes that fit properly.

It is important to find shoes that fit you properly in order to avoid a variety of different foot problems. For more information about treatment, contact one of our podiatrists from New England Foot and Ankle. Our doctors will treat your foot and ankle needs.

Proper Shoe Fitting

Shoes have many different functions. They cushion our body weight, protect our feet, and allow us to safely play sports. You should always make sure that the shoes you wear fit you properly in order to avoid injuries and deformities such as: bunions, corns, calluses, hammertoes, plantar fasciitis, stress fractures, and more. It is important to note that although a certain pair of shoes might be a great fit for someone else, that doesn’t mean they will be a great fit for you. This is why you should always try on shoes before buying them to make sure they are worth the investment. Typically, shoes need to be replaced ever six months to one year of regular use.

Tips for Proper Shoe Fitting

  • Select a shoe that is shaped like your foot
  • Don’t buy shoes that fit too tight, expecting them to stretch to fit
  • Make sure there is enough space (3/8” to ½”) for your longest toe at the end of each shoe when you are standing up
  • Walk in the shoes to make sure they fit and feel right
  • Don’t select shoes by the size marked inside the shoe, but by how the shoe fits your foot

The shoes you buy should always feel as good as they look. Shoes that fit properly will last longer, feel better, and improve your way of life each day.

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

Read more about How to Get a Proper Shoe Fit
Tuesday, 01 November 2022 00:00

How to Get a Proper Shoe Fit

Many people suffer from foot problems because their shoes are poorly fitted. When shopping for a new pair of shoes, fashion usually triumphs over comfortability. A pair of well fitted shoes is essential in preventing foot problems and potential injuries.

Poorly fitted shoes can cause foot issues such as plantar fasciitis, bunions, hammertoes, ingrown toenails, and foot pain. Shoes such as high heels and sandals may cause problems for your feet. These shoes put the foot in an unnatural position for long periods and fail to provide good foot support. It is recommended to not wear either one for an extended period.

When you are trying on shoes, make sure they have enough space for your toes to move around. Shoes shouldn’t be cramped but also shouldn’t have too much room that your foot moves around in them. A snug shoe is a good choice. They should also provide good arch support and cushioning. Athletic shoes tend to offer both good support and cushioning. A degree of flexibility is necessary so they aren’t too stiff or too unsupportive.

If you can wear your shoes for a long period of time without experiencing any discomfort, this is a sign that your shoes fit properly. Do not be too dismayed if the shoe isn’t a perfect fit at first; many shoes take a few days to weeks to properly break in. However don’t expect an uncomfortable shoe to become fitted to your foot.

For those with foot conditions such as flat feet or pronation, orthotics may be helpful or even necessary to prevent foot pain. Orthotics are inserts that are placed in the shoe and provide support and cushioning for the foot. While there are many types of orthotics out there, custom-made orthotics may be necessary depending upon your foot and foot conditions.

Feet change in size over time. It is important to check your foot size over time so that you can make sure you have the perfect fit for your feet. A podiatrist can provide more information on proper shoe fitting and foot orthotics.

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