February 2022
Tuesday, 22 February 2022 00:00
Treatment for Infected DFUs
Diabetic foot ulcers (DFUs) unfortunately have a high chance of becoming infected. All DFUs may be treated by cleaning them, then covering them with a protective bandage. Resting the affected foot and not allowing pressure on the wound will also help the DFU heal. Further treatment for an infected DFU depends on the severity of the infection. A mild infection, which involves the upper layer of skin that can cause redness, swelling, and pain, is usually treated with a non-sticky dressing that is applied every one to two days. A moderate infection, which involves deeper layers of the skin, is typically treated with antibiotics as well. A severe infection, which can cause sepsis, often needs to be treated in the hospital. For more information about DFUs and how to treat and prevent them, consult with a podiatrist.
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 Dr. Steven Schwartz from Pennsylvania. Our doctor 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 our offices located in Chambersburg, and Mcconnellsburg, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Published in Blog
Tuesday, 22 February 2022 00:00
Diabetic Foot Conditions
According to the American Diabetes Association (ADA), diabetes is a condition that affects approximately 23.6 million Americans. Around 750,000 new cases are diagnosed each year, and the disease’s most common form, Type 2 diabetes, makes up for 90 to 95 percent of these cases. Type 2 diabetes is especially prevalent among older Americans, those who are obese, and those who lead sedentary lifestyles.
Complications of the disease may lead to several foot and ankle-related conditions. The loss of nerve sensation, or neuropathy, can cause diabetics to lose feeling at the bottom of the feet and therefore leave them unaware of pain, pressure, and heat. Decreased circulation is another complication of diabetes that can slow down the healing of wounds and injuries; this can lead to the development of foot ulcers.
To prevent foot ulcers from forming, diabetics should examine their feet every day for small cuts and wear shoes that curtail pressure. Constant monitoring for the risk factors associated with ulcer formation can allow for early detection and therefore lessen the possibility of ulcers or, even worse, amputation. The removal of calluses and ingrown toenails should be left to the podiatrist to avoid improper removal and possible infection.
Diabetic patients may also experience foot deformities due to complications in their feet, such as limited joint mobility, muscle atrophy, and decreased fat padding. These complications can increase pressure in certain areas of the foot, which in turn can cause certain deformities, such as hammertoe, to form. Another deformity, Charcot foot, develops due to the collapsing of microfractures in the bones of the feet. The resulting deformity is a foot that is flattened and wider in appearance.
To help minimize pressure and prevent the development of these diabetes-related foot and ankle conditions, your podiatrist may consider using orthotics or special shoes. Charcot foot may be treated using walkers, custom orthotic insoles, or non-weight-bearing or rigid weight-bearing casts or braces. In more serious cases, surgery may be considered to treat more developed deformities. Ulcers can be further cared for with the help of proper diet, medication to control glucose, intensive wound care, and infection treatment.
Published in Featured
Tuesday, 15 February 2022 00:00
What Is Sural Neuritis and Can It Cause Ankle Pain?
Sometimes ankle pain can be caused by an impinged or irritated sural nerve. This condition is known as sural neuritis. The sural nerve runs along the back of the leg, and around the outside of the ankle and foot, providing sensation to these areas as well as to the outer two toes. The sural nerve can become injured or irritated in a variety of ways. It can get stretched and injured during an ankle sprain or some other injury. Also, since its course around the ankle and lateral side of the foot can vary, it may inadvertently get injured during a surgical procedure in the area. Even scar tissue or swelling that occurs after an injury or surgery can affect the nerve. Sural neuritis typically causes a burning sensation, which is sometimes accompanied by tenderness and swelling along the side of the ankle and foot. If you experience this type of pain, it’s a good idea to make an appointment with a podiatrist. If you are diagnosed with sural neuritis, your podiatrist may develop a course of treatment that includes desensitizing the nerve through massage, medications, corticosteroid injections, and specific footwear to offload pressure on the nerve and reduce irritation. Surgery may be necessary if these more conservative treatments do not provide sufficient pain relief.
Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Dr. Steven Schwartz from Pennsylvania. Our doctor 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 our offices located in Chambersburg, and Mcconnellsburg, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Published in Blog
Tuesday, 15 February 2022 00:00
Ankle Pain
The ankle joint is the point at which the bones of the leg and foot join. This joint is crucial because it is responsible for the foot’s mobility. Ankle pain is typically the result of inflammation from an injury to bones, joint space, cartilage, ligaments, tendons, or muscles in the area. Commonly associated symptoms with ankle pain are bruising, redness, numbness, stiffness, weakness, and tingling.
The most common causes of ankle pain are sprains and injuries. Ankle sprains are one of the most common musculoskeletal injuries. Sprains occur when the ligaments of the ankle become partially or completely torn due to sudden stretching. Sprains can occur on either the inner or outer sides of the ankle joint. Usually, these injuries occur when the ankle is twisted in an activity by stepping off an uneven surface. More specific causes include rheumatoid arthritis, gout, osteoarthritis, and Achilles tendonitis.
If you are experiencing ankle pain, you should consult with your podiatrist to choose the best method of care. Your doctor will conduct an examination of your ankle to determine the underlying cause of the pain.
Published in Featured
Monday, 14 February 2022 00:00
Reminder: When Was the Last Time...?
Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!
Published in Blog
Tuesday, 08 February 2022 00:00
Blisters
Blisters are small pockets of fluid that occur on the top layers of the skin for several reasons. Friction, burns, and diseases are all known causes of blisters. Smaller blisters are known as vesicles, while larger blisters are referred to as bulla. The fluid inside the bubble can be blood, pus, or serum; which is a clear liquid that protects the skin. In most cases, blisters are not a major health issue, but they can be an indicator of a more serious condition.
Causes of blisters vary. Blisters are commonly caused by wearing poorly fitted shoes that rub against the foot. However, there are many other causes besides from friction; including burns, sunburn, insect bites, frostbite, poison ivy/oak, chemical exposure, impetigo, eczema, viral infections, and more.
Most blisters heal by themselves and do not require immediate medical care. If you have a blister, do not pop it since this may cause infection; it is advised to put a bandage over the blister to protect it. If the blister is large, causes pain, or if you have a fever, it is recommended that you see a doctor who can provide proper care. Blisters are easy to diagnose, and if considered prudent by the doctor, can easily be drained of fluid with a sterile needle as well.
To prevent blisters on the feet, wear shoes that fit properly and don’t cause rubbing. Socks can help prevent friction and it is recommended that you wear them if you are wearing shoes. Hand blisters can be avoided by wearing gloves during activities that cause friction against the hand. If you have a blister that pops, do not remove the dead skin, wash the area, apply antibiotic ointment, and cover with a bandage. It is okay in most cases to not seek immediate medical care for a blister if it was just caused by friction. However, if the blister causes pain or does not go away, it is suggested that you see a doctor for a diagnosis.
Published in Featured
Tuesday, 08 February 2022 00:00
What Is the Difference Between a Regular Blister and a Blood Blister?
Blisters are fluid-filled bubbles of raised skin that typically form on the feet due to excessive, repetitive friction over a concentrated area. The fluid inside blisters is most often clear and acts to protect the raw skin underneath the blister from further harm. However, some blisters are filled with blood, instead. This happens when a blood vessel is damaged and blood leaks into the skin. Unlike regular blisters, blood blisters are usually the result of a sudden impact or pinching of the skin, rather than friction. The skin underneath a blood blister may be more prone to infection, so it is very important that you avoid popping or otherwise irritating the blister. If you have particularly painful blisters on the feet, have blisters that appear to be infected, or get blisters very often, it is suggested that you seek the care of a podiatrist.
Blisters may appear as a single bubble or in a cluster. They can cause a lot of pain and may be filled with pus, blood, or watery serum. If your feet are hurting, contact Dr. Steven Schwartz of Pennsylvania. Our doctor can provide the care you need to keep you pain-free and on your feet.
Foot Blisters
Foot blisters are often the result of friction. This happens due to the constant rubbing from shoes, which can lead to pain.
What Are Foot Blisters?
A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.
Symptoms
(Blister symptoms may vary depending on what is causing them)
- Bubble of skin filled with fluid
- Redness
- Moderate to severe pain
- Itching
Prevention & Treatment
In order to prevent blisters, you should be sure to wear comfortable shoes with socks that cushion your feet and absorb sweat. Breaking a blister open may increase your chances of developing an infection. However, if your blister breaks, you should wash the area with soap and water immediately and then apply a bandage to the affected area. If your blisters cause severe pain it is important that you call your podiatrist right away.
If you have any questions, please feel free to contact our offices located in Chambersburg, and Mcconnellsburg, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Published in Blog
Tuesday, 01 February 2022 00:00
Neuropathy
Neuropathy is a condition in which the nerves in the body become damaged from a number of different illnesses. Nerves from any part of the body, including the foot, can be damaged. There are several forms of neuropathy including peripheral neuropathy, cranial neuropathy, focal neuropathy, and autonomic neuropathy. Furthermore there is also mononeuropathy and polyneuropathy. Mononeuropathies affect one nerve while polyneuropathies affect several nerves. Causes of neuropathy include physical injury, diseases, cancers, infections, diabetes, toxic substances, and disorders. It is peripheral neuropathy that affects the feet.
The symptoms of neuropathy vary greatly and can be minor such as numbness, sensation loss, prickling, and tingling sensations. More painful symptoms include throbbing, burning, freezing, and sharp pains. The most severe symptoms can be muscle weakness/paralysis, problems with coordination, and falling.
Podiatrists rely upon a full medical history and a neurological examination to diagnose peripheral neuropathy in the foot. More tests that may be used include nerve function tests to test nerve damage, blood tests to detect diabetes or vitamin deficiencies. Imaging tests, such as CT or MRI scans, might be used to look for abnormalities, and finally nerve or skin biopsies could also be taken.
Treatment depends upon the causes of neuropathy. If the neuropathy was caused by vitamin deficiency, diabetes, infection, or toxic substances, addressing those conditions can lead to the nerve healing and sensation returning to the area. However if the nerve has died, then sensation may never come back to the area. Pain medication may be prescribed for less serious symptoms. Topical creams may also be tried to bring back sensation. Electrical nerve stimulation may be used for a period of time to stimulate nerves. Physical therapy can strengthen muscle and improve movement. Finally surgery might be necessary if pressure on the nerve is causing the neuropathy.
If you are experiencing sensation loss, numbness, tingling, or burning sensations in your feet, you may be experiencing neuropathy. Be sure to talk to a podiatrist to be diagnosed right away.
Published in Featured
Tuesday, 01 February 2022 00:00
Causes and Symptoms of Diabetic Neuropathy
There are three kinds of diabetic neuropathy, caused by prolonged high blood sugar levels that can damage nerves throughout your body. Peripheral neuropathy damages nerves on the extremity – arms and hands, as well as the legs and feet. This can lead to serious foot problems that get worse slowly over months, and possibly years. Autonomic neuropathy affects the central nervous system, while focal neuropathy targets one particular nerve, usually in the wrist, thigh or foot. One of the main symptoms of diabetic neuropathy is the absence of feeling in the toes and feet. This can be a cause for concern, as sores or other injuries may go unnoticed. It’s a good idea to check your feet daily for areas that may cause problems. Unfortunately, it is often the case that they go unnoticed until the problem worsens. The main way to prevent this condition from developing in the first place is to monitor blood sugar levels every day. It’s also a good idea to maintain a healthy body weight, eat nutritious foods, and avoid alcoholic beverages. If you think you may have diabetic neuropathy, it’s a good idea to make an appointment with a podiatrist who can conduct a screening and determine the best course of treatment for your foot health.
Neuropathy
Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Dr. Steven Schwartz from Pennsylvania. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.
What Is Neuropathy?
Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.
Symptoms of Neuropathy Include:
- Numbness
- Sensation loss
- Prickling and tingling sensations
- Throbbing, freezing, burning pains
- Muscle weakness
Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.
Treatment
To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.
Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.
If you have any questions, please feel free to contact our offices located in Chambersburg, and Mcconnellsburg, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Published in Blog
