Tuesday, 31 May 2022 00:00

Preventative Foot Care for Diabetics

Anyone with diabetes is vulnerable to foot problems as a result of high blood sugar levels, which can damage the nerves in the legs and feet. The resulting numbness makes it more difficult to detect sores or cuts and to notice if shoes are too tight. It becomes harder to feel pain, temperature, and pressure, putting your feet in danger of infection. To avoid serious complications, such as foot ulcers, gangrene, or even amputation, a daily foot care plan is imperative for diabetics. First, check your feet daily for cuts, sores, or changes in color. Next, wash and carefully dry your feet before applying moisturizing cream to ward off dry or cracked skin. Avoid putting lotion between the toes. Protecting your feet is also essential. Wear shoes that fit properly, and avoid walking barefoot. Stop smoking, as it can further the damage to your blood vessels and can increase the risk of foot ulcers. Finally, anyone with diabetes is wise to have regular checkups with a podiatrist to monitor their foot health and stay ahead of problems.

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 Donald Manger, DPM from Associated Podiatric Physicians, PA. 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 office located in Hamilton Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 24 May 2022 00:00

Pain in the Big Toe

Gout is an inflammatory arthritis that develops from high levels of serum urate in the body which can form into crystals in and around a joint causing inflammation. Urate comes from purines found in the body’s tissues and many foods. When purines break down, they become urate. Not everyone who has high serum urate levels will develop gout, but if one does, it can flare up with intense pain, swelling, and stiffness. Gout flares can occur in any joint but often start in the big toe. With early intervention through treatment and lifestyle changes, gout is one of the most controllable forms of arthritis. Men, middle-aged and older people, and those with a genetic predisposition to gout are more at risk. This condition can be triggered by foods rich in purines, alcohol, certain medications, injury, or illness. It can lead to other complications like obesity, diabetes, and hypertension. Seeing a podiatrist for gout is the best route to proper diagnosis and treatment to help keep this affliction under control.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor 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 our office located in Hamilton Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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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.

A symptom of the foot condition known as plantar fasciitis is severe heel pain and it can make daily activities difficult to complete. The plantar fascia is found on the sole of the foot and it connects the heel to the toes. Many people have found the benefits of practicing specific foot stretches to help ease heel pain. A towel stretch is an effective exercise for the bottom of the foot. This is done by sitting on the floor, wrapping a towel around the sole of the foot, and gently flexing the foot towards the face. Some patients find it helpful to practice heel stretches. This is accomplished by standing on a step and lowering the heels one at a time until a mild stretch is felt. There are many exercises that can specifically help plantar fasciitis. If you would like more information, it is suggested that you confer with a podiatrist who can effectively guide you toward proper treatment techniques.

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 Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor 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 our office located in Hamilton Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

 

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The Achilles tendon is located in the back of the calf and connects the heel to the calf muscles. It is responsible for pointing and flexing the foot and is needed while walking or running. Many people can develop an Achilles tendon injury, and it generally causes severe pain and discomfort. It can happen as a result of not training properly or overtraining before a running practice is started. Some patients develop this type of injury if their speed or mileage is increased too quickly, and a small tear in the Achilles tendon may occur. This is a condition that typically takes several weeks to completely heal. Patients may find it helpful to wear a protective boot as the healing process takes place, in addition to limiting walking. Some of the symptoms that are associated with this type of injury include swelling and bruising in the calf area, and it may become difficult to walk. Research has indicated surgery may be necessary in finding permanent relief if not completely healed in six months. If you have injured your Achilles tendon, it is strongly advised that you are under the care of a podiatrist who can effectively treat this condition.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Donald Manger, DPM of Associated Podiatric Physicians, PA. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

  • Inflammation
  • Dull to severe pain
  • Increased blood flow to the tendon
  • Thickening of the tendon

Rupture Symptoms

  • Extreme pain and swelling in the foot
  • Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

  • Thorough stretching of the tendon before and after exercise
  • Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

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

Read more about What are Achilles Tendon Injuries
Tuesday, 03 May 2022 00:00

Tiny, Troublesome Corns

Corns are small, round patches of thickened skin. Hard corns usually develop on the smaller toes due to shoes rubbing against them. Soft corns are more rubbery in texture, and typically develop in between the toes. They are softer due to sweat between the toes that keep them moist. Factors such as thin skin, boney toes, or deformities such as hammertoes and bunions can make a person more likely to develop corns. The best way to avoid corns from developing is to wear shoes that fit properly and have room in the toes. High heels and pointy shoes force the toes into unnaturally tight spaces that can cause them to rub against each other and the shoe. A corn can become painful when shoes press down on the corn, forcing it down on the underlying layers of skin. In rare cases, a corn can become infected. It is wise to contact a podiatrist who can effectively and safely treat corns. This is especially important for people with diabetes and the elderly. 

Corns can make walking very painful and should be treated immediately. If you have questions regarding your feet and ankles, contact Donald Manger, DPM of Associated Podiatric Physicians, PA. Our doctor will treat your foot and ankle needs.

Corns: What Are They? And How Do You Get Rid of Them?
Corns are thickened areas on the skin that can become painful. They are caused by excessive pressure and friction on the skin. Corns press into the deeper layers of the skin and are usually round in shape.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as:

  • Wearing properly fitting shoes that have been measured by a professional
  • Wearing shoes that are not sharply pointed or have high heels
  • Wearing only shoes that offer support

Treating Corns

Although most corns slowly disappear when the friction or pressure stops, this isn’t always the case. Consult with your podiatrist to determine the best treatment option for your case of corns.

If you have any questions please feel free to contact our office located in Hamilton Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Understanding Corns and Calluses
Tuesday, 26 April 2022 00:00

Do I Have Flat Feet?

The medical term for fallen arches or flat feet is known as pes planus. It is noticeable when the foot lies flat on the floor, and the arch is absent. Some patients do not have symptoms, or may experience mild pain or achiness in different parts of the leg. Most people are born with flat feet, and the arch generally forms in the teenage years. This condition may develop from genetic reasons, obesity, or possibly from a foot injury. Additionally, a dysfunction of one or more of the muscles in the foot may lead to flat feet. It is beneficial for patients who have flat feet to wear shoes that are supportive, and this may help to prevent future injuries. People who have flat feet are advised to consult with a podiatrist who can offer custom-made orthotics for relief.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

If you have any questions please feel free to contact our office located in Hamilton Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about What is Flexible Flat Foot?
Friday, 22 April 2022 00:00

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.

Wednesday, 20 April 2022 00:00

How You Can Protect Your Limbs as a Diabetic

While complications of diabetes, such as poor circulation and neuropathy, can make a wound easier to develop and harder to detect and heal, there are many preventative measures you and your podiatrist can take to reduce your risk of amputation. On your end, make foot care a priority. Wear shoes and socks that fit well and don’t rub against any part of your feet or cut off circulation. Avoid walking barefoot. Elevate your feet and wiggle your toes frequently to keep the blood flowing. Eat a balanced diet and exercise to help manage your sugar levels and maintain a healthy body weight. Don’t smoke. Inspect your feet twice a day, using a mirror if needed, to see the bottom of your feet. Get to your podiatrist right away if you spot anything unusual. Early recognition/treatment of a problem can greatly reduce your risk of amputation. Some wounds may be avoided by getting regular foot screenings and having a podiatrist trim your toenails and treat any corns or calluses. They may also prescribe diabetic shoes and create custom orthotics to prevent foot injuries. If a wound does develop, your podiatrist can dress your wound appropriately, remove dead skin and tissue (debridement), reduce pressure and friction on the wound, and help restore adequate blood flow. They can also advise you on how to properly care for your wound at home. In cases where a higher level of wound care is necessary, your podiatrist may be able to use skin or bone grafts, or perform reconstructive surgery to replace or rebuild infected or necrotic bones, tendons and tissue.

Limb salvage can be an effective way in preventing the need for limb amputation. If you have diabetes, cancer, or any other condition that could lead to foot amputation if left unchecked, consult with Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Limb Salvage?

Limb salvage is the attempt of saving a limb, such as the foot from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Diabetes is the number one cause of non-traumatic amputations in the United States. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.

However, there are other causes as well, such as cancer and traumatic injury. Links between higher mortality rates and amputation have been found. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.

Diagnosis and Treatment

Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated. 

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

Read more about Limb Salvage
Tuesday, 12 April 2022 00:00

How to Deal With Arthritic Foot Pain

Arthritis, a painful inflammatory condition, can affect many parts of the body including the feet, particularly as you age. Arthritic foot pain often comes with stiff joints, as well as a loss of strength, flexibility, and mobility in the affected area. Various things can be done to relieve pain and slow the progression of this disease, including foot massages to improve circulation and decrease tension in the joint, using heat (to loosen the muscles and reduce stiffness), or using ice (to constrict blood vessels and reduce blood flow to the problem area).  Wearing proper footwear (wide enough to accommodate orthotics or other foot aids and with proper arch support to stabilize the joints and feet) and continuing to move despite the pain may also help.  Other suggestions include maintaining a healthy body weight, participating in physical therapy, using non-steroidal anti-inflammatory medications, topical creams, and;/or steroid injections. While there is no cure for arthritis, a podiatrist can help determine the best way to handle your arthritic foot pain.

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Donald Manger, DPM from Associated Podiatric Physicians, PA. Our doctor can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a term that is commonly used to describe joint pain.  The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it.  Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.

Symptoms

  • Swelling
  • Pain
  • Stiffness
  • Decreased Range of Motion

Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.

Risk Factors

  • Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
  • Obesity – Excess weight can contribute to osteoarthritis development
  • Infection – Microbial agents can infect the joints and trigger arthritis
  • Joint Injuries – Damage to joints may lead to osteoarthritis
  • Age – Risk increases with age
  • Gender –Most types are more common in women
  • Genetics – Arthritis can be hereditary

If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method is best for you.

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

Read more about How to Care for Your Arthritic Foot
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