Tuesday, 21 November 2023 00:00

Foot Complications Linked to Diabetes

Diabetes is a chronic condition that affects how your body processes glucose. While it primarily impacts blood sugar levels, it can also lead to various health complications, including those related to the feet. Diabetes-related foot problems are a serious concern that can result from uncontrolled blood sugar levels over time. One common issue is neuropathy, where prolonged high blood sugar damages nerves, possibly leading to numbness, tingling, or foot pain. This sensory loss can make it difficult to notice injuries or ulcers. Another complication is poor circulation, which can slow down the body's ability to heal. Inadequate blood flow can lead to slow wound healing and increase the risk of infections. Diabetes can also cause changes in foot structure which may lead to issues such as bunions, hammertoes, and Charcot foot, a condition characterized by weakened bones and joints. Preventing diabetes-related foot problems involves maintaining good blood sugar control and regular foot care, in addition to choosing appropriate footwear. If you have diabetes, it is strongly suggested that you are under the care of a podiatrist who can help you address and prevent foot complications.

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 Comprehensive Foot & Ankle Center. 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 our offices located in Lehigh Ave and Nazareth Hospital in Philadelphia, Collegeville Darby, and Langhorne, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 21 November 2023 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.

Tuesday, 14 November 2023 00:00

How Foot Bones Work Together in Unison

The human foot is a marvel of engineering, with a complex network of 26 bones working seamlessly in unison to support our body weight and enable a wide range of movements. These bones can be categorized into three main groups, known as the tarsal bones in the ankle, metatarsals in the arch, and phalanges in the toes. Tarsal bones provide the foot's stability and shock-absorbing capacity. They bear the weight and help transmit the forces generated during activities. Metatarsals form the foot's longitudinal arch, creating a flexible structure that acts as a lever during walking, running, and jumping. The phalanges, or toes, contribute to balance and provide dexterity. The biomechanics of the feet rely on an extensive network of muscles, tendons, and ligaments. Together, they allow for precise and controlled movements. When all components function harmoniously, the foot operates efficiently, ensuring that we can walk, run, and stand with stability and grace. Understanding this collaboration among foot bones highlights the importance of proper foot care and maintenance for a lifetime of healthy and pain-free mobility. If you would like additional information about the intricacies of the feet, it is suggested that you consult a podiatrist who can provide you with the information you are seeking.

If you have any concerns about your feet, contact one of our podiatrists from Comprehensive Foot & Ankle Center. Our doctors can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

  • Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
  • In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

If you have any questions please feel free to contact our offices located in Lehigh Ave and Nazareth Hospital in Philadelphia, Collegeville Darby, and Langhorne, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 14 November 2023 00:00

The Importance of Biomechanics in Podiatry

Biomechanics and its related study deal with the forces that act against the body and affect things like our movement. In podiatry, biomechanics are studied to determine the movement of the ankle, toes, and the foot, as well as the forces that impact them. Podiatrists who train in this specialty are able to effectively diagnose and treat conditions that affect people’s everyday movement.

Regardless of your lifestyle, age, or any other factors, many people experience foot problems throughout their lives. Twists and turns, improper balance, and added weight are just a few of the things that can add stress to the feet. These issues can also limit our bodies’ mobility that we often take for granted. Pain in the feet and ankles can also trickle up towards the lower legs, knees, hip, and even back area. This affects the way you move around on a daily basis.

Biomechanics and its related study deal with forces that act against the body and affect things like our movement. In podiatry, biomechanics are studied to determine the movement of the ankle, toes, and the foot, as well as the forces that impact them. Podiatrists who train in this specialty are able to effectively diagnose and treat conditions that affect people’s everyday movement.

Regardless of your lifestyle, age, or any other factors, many people experience foot problems throughout their lives. Twists and turns, improper balance, and added weight are just a few of the things that can add stress to the feet. These issues can also limit our bodies’ mobility that we often take for granted. Pain in the feet and ankles can also trickle up towards the lower legs, knees, hip, and even back area. This affects the way you move around on a daily basis.

The history of studying biomechanics dates back to ancient Egypt at around 3000 B.C., where evidence of professional foot care has been recorded. Throughout the centuries, advances in technology, science, and an understanding of the human body led to more accurate diagnosis of conditions such as corns for example. In 1974, biomechanics garnered a large audience when Merton Root founded Root Lab to make custom orthotics. He proposed that corrections of certain conditions could be implemented to gain strength and coordination in the area. Due to his research, we still use his basic principle of foot orthotics to this day.

As technology has improved, so have the therapeutic processes that allow us to correct deficiencies in our natural biomechanics. Computers can now provide accurate readings of the forces, movements, and patterns of the foot and lower leg. Critical treatment options can be provided to patients now who suffer from problems that cause their biomechanics to not function naturally. The best results are now possible thanks to 3D modeling and computing technologies that can take readings and also map out what treatment will do to the affected areas.

These advanced corrective methods were able to come to light thanks to an increase in both the technologies surrounding biomechanics and also the knowledge of how they work naturally. For example, shoe orthotics are able to treat walking inabilities by realigning the posture deviations in patients caused by hip or back problems. Understanding foot biomechanics can help improve movement and eliminate pain, stopping further stress to the foot. Speak with your podiatrist if you have any of these problems.

Tuesday, 07 November 2023 00:00

Foot Pain From Prolonged Standing at Work

Foot pain from standing all day at work is a common complaint, and understanding its causes can be the first step toward relief. When you stand for extended periods, your body weight places significant pressure on your feet, leading to muscle fatigue. This can strain the arches, heel, and the entire foot structure. Wearing Inadequate footwear, such as shoes without proper arch support or cushioning, can further exacerbate the issue. Over time, poor ergonomics can lead to discomfort and pain. Moreover, the lack of movement reduces blood circulation, causing stagnant blood to pool in the feet, which can lead to swelling and discomfort. By understanding the reasons behind your foot pain, you can take proactive steps to prevent and manage it, ensuring a more comfortable workday. If you are experiencing foot pain during your work day, it is suggested that you speak with a podiatrist who can help you to find relief, in addition to effective prevention strategies.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact one of our podiatrists from Comprehensive Foot & Ankle Center. Our doctors will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

If you have any questions please feel free to contact our offices located in Lehigh Ave and Nazareth Hospital in Philadelphia, Collegeville Darby, and Langhorne, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 07 November 2023 00:00

Working on Your Feet

Foot care is important regardless of your profession, but those who work on their feet must pay special attention. Bunions, calluses, blisters, and plantar warts are just a few of the many conditions that can arise after standing all day. While painful at their worst, these conditions can easily be avoided with the right foot care. This includes both appropriate footwear and proper posture—important elements that affect the health of your feet.

Choosing appropriate footwear means choosing a shoe that has a negative heel. This means that the heel is slightly lower than the ball of your foot, which places less of a strain. If you have a profession that requires you to be on your feet all day, investing in a pair of high-quality shoes is pertinent. High-quality shoes can be purchased from a respected manufacturer that emphasizes foot care and foot health.

Despite the regularity of wearing shoes, the feet are naturally not designed to be enclosed. Regular “barefoot” time for your feet can be beneficial for foot health. Among other methods, allowing your feet to breathe can help alleviate the pain and pressure your feet may be experiencing from being on your feet all day.

Simple foot exercises and yoga positions can help improve both the health and function of your feet. Active foot exercises that create movement will stimulate your foot’s blood flow and circulation, and yoga positions that place your feet flat onto the floor will stretch out their muscles. Yoga is particularly beneficial for your Achilles tendon and calf muscles, which are areas that can become especially problematic if not taken care of. Foot exercises and yoga positions can be easily performed every day at virtually any location and any time; whether it is at the office, at the gym, or at home right before you go to bed. Simple stretching can increase your foot health by miles.

The foot pain you experience after lengthy hours working on your feet may seem inevitable and unavoidable; in reality, however, that is not the case. Wearing proper footwear and performing simple foot exercises and stretches can help ease foot pain and allow you to truly avoid frustrating foot problems.

Your feet can easily be kept healthy with some education and a little effort. Pain that begins at the feet can eventually affect the whole body. Begin taking care of your feet now!

Peripheral vascular disease, also known as PVD, is a prevalent issue, especially among diabetics. It affects over five million people each year and contributes to complications such as lower extremity wounds and amputations. Given its widespread incidence, obtaining an accurate diagnosis is critical for effective management and prevention of severe outcomes. There are non-invasive screening methods that podiatrists can incorporate into their initial patient evaluations, and they are deemed highly effective for identifying peripheral arterial diseases, particularly in at-risk populations. If you have PVD or lower extremity issues, it is strongly suggested that you make an appointment with a podiatrist for a comprehensive vascular assessment and treatment.

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 one of our podiatrists from Comprehensive Foot & Ankle Center. Our doctors 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 offices located in Lehigh Ave and Nazareth Hospital in Philadelphia, Collegeville Darby, and Langhorne, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

 

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Tuesday, 31 October 2023 00:00

Vascular Testing in Podiatry

In foot care, vascular testing may be required in the diagnosing and treatment of certain podiatric conditions. Vascular testing is particularly relevant for patients with high-risk diabetes, poor circulation, peripheral artery disease (PAD), and chronic venous insufficiency (CVI). Procedures typically involve the examination of blood vessels throughout the body for blockages or buildup.

Vascular testing is very important for the diagnosis of various conditions, including peripheral artery disease and chronic venous insufficiency, as these conditions can greatly affect one’s quality of life and cause pain in the lower limbs. Circulatory problems in the feet and ankles can reflect issues throughout the body, making testing of the blood vessels pertinent.

Testing methods vary between practitioners and can be specific to certain foot and ankle problems. Modern technology has brought about the ability to perform vascular testing using non-invasive methods, such as the cuff-based PADnet testing device. This device records the Ankle-Brachial Index (ABI)/Toe-Brachial Index (TBI) values and Pulse Volume Recording (PVR) waveforms. Contact your podiatrist to determine what vascular testing is available for your needs.

Thursday, 26 October 2023 00:00

We Can Treat Your Foot or Ankle Pain

Foot or ankle pain can negatively affect your day-to-day life and can occur due to several different conditions. Pain can also be an indicator of a more serious underlying condition, which is why you should seek professional help as soon as you notice any abnormalities in your feet.

Tuesday, 24 October 2023 00:00

Offloading for Foot Wounds

Pressure on the foot causes 90 percent of foot sores in diabetic patients. To heal these sores, it is necessary to reduce the pressure. Offloading in the context of foot wounds refers to the process of reducing or redistributing pressure away from a specific area of the foot that has a wound or is at risk of developing one. By offloading, the affected area gets relief, which allows it to heal without being constantly subjected to pressure or friction. This is especially critical for individuals with diabetes, as they may have neuropathy and might not feel pain from a developing wound. Methods for offloading include using specialized footwear, casts, orthotics, and padding. The goal is to protect the wound, give it the best environment to heal, and prevent further complications. If you have diabetes and suffer from foot sores, it is strongly suggested that you make an appointment with a podiatrist who can evaluate your condition and make appropriate treatment recommendations.

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 one of our podiatrists from Comprehensive Foot & Ankle Center. Our doctors 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 offices located in Lehigh Ave and Nazareth Hospital in Philadelphia, Collegeville Darby, and Langhorne, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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