Posts for category: Foot Conditions
Diabetic feet need special care because of decreased circulation, neuropathy, joint deterioration, and more. While your primary care physician may guide you on blood sugar control, medications, a healthy diet, and active lifestyle, your podiatrist assesses and treats how your feet and ankles function everyday and for the long term. Enlist their help in the health maintenance of your diabetic feet.
Keeping ahead of neuropathy and avoiding amputation
Those are two key goals of diabetic foot care. Your podiatrist will want to see you regularly to assess the color, temperature, sensation, function, and shape of your feet and ankles, noting any developing problems. Early detection of circulation issues, nerve degeneration (neuropathy), and deformities, such as hammertoes, bunions, and Charcot Foot, are key.
Your podiatric foot examination will include an eye-on inspection of your skin (color, temperature, texture, and integrity). Your foot doctor also may perform gait analysis to watch for changes in how you walk. Sometimes a podiatrist orders X-ray imaging or an MRI to view the internal structure of the foot and/or ankle.
Remember, that foot ulcers are the primary threat to the overall health and well-being of the diabetic, says the National Center for Biotechnology Information (NCBI). Untreated, they may lead to complications so severe amputation is the only option.
What can you do to treat your diabetic feet?
- Be proactive. Inspect your feet daily, looking redness or skin breakdown.
- Wash and dry your feet daily.
- Trim your toenails carefully using a clean clippers. Trim straight across and not too short to avoid ingrown toenails.
- Wear shoes at all times--even indoors--to avoid injury.
- Wear clean, well-fitting, moisture-wicking socks.
- Keep your weight and blood sugars within normal range.
- Get in-office treatment of calluses and corns, says the American College of Foot and Ankle Surgeons.
- Avoid all forms of tobacco.
- Report any changes to your foot doctor as soon as possible.
- See your podiatrist every six months or as he or she directs.
Healthy feet and a healthy you
Podiatric health is so important, but especially to the diabetic. So stay in touch with your foot doctor, and be routinized in your foot care for better long-term health.
As you’re walking or running, do you ever feel a sensation of discomfort emanating along the bottom of your feet? Do you have a recurring sharp pain at the bottom of your heel? Have you noticed a bony growth at the back of your foot that is interfering with your ability to move around comfortably? If you’re having any of these issues, you need to see a podiatrist at Reisinger Farmer Podiatry in Evansville, IN!
Possible Reasons Why You’re Feeling Heel Pain
Heel pain is something that usually develops gradually over an extended period. It may start as a minor ache here and there before advancing to a pain that you feel every time you take a step. When your feet aren’t cared for, the pain can even be felt while your sleeping! Patients who wear tight or ill-fitting shoes are more likely to develop heel problems. Runners are sometimes prone to a foot condition called plantar fasciitis, which causes pain at the heel. Being overweight or having a family history of foot problems could also be the reason for heel pain.
Heel Pain: How to Treat It?
If you have mild heel pain, staying off your feet for a while and wearing better shoes could help. However, there are cases when the heel pain becomes so intense that you need assistance. Help from an Evansville, IN, podiatrist could come in the form of foot wrapping, foot icing, orthotic supports, night splints, or targeted foot exercises. Surgery is very rarely needed, but a procedure to release tension on the plantar fascia ligament is a possibility.
Heel Pain Prevention
Discomfort in your heels could happen again after treatment if you resume the same habits from before. Here are a few tips for how to prevent future heel pain:
- Be careful about how you’re walking. Overpronation (rolling the foot inward) can aggravate the plantar fascia muscle.
- Work on dropping some weight so that less pressure is put on your feet when you walk.
- Cater to your feet—take the time out to massage and soak them after a long day.
- Schedule regular visits with your podiatrist for checkups.
Heel Pain Help from a Podiatrist
It’s very likely that your heel pain will be resolved with a non-invasive, conservative treatment like physical therapy for your feet. Call (812) 451-8555 today to schedule an appointment with Dr. Charlotte Reisinger or Dr. Dusky Farmer at Reisinger Farmer Podiatry in Evansville, IN.
Are you dealing with pain, burning, tingling or numbness between your toes or in the ball of the foot? If you said “yes” then you could be dealing with a neuroma, a pinched nerve or benign tumor of the nerve that is often found between the third and fourth toes.
The classic symptom of a neuroma is pain, particularly when walking—a factor that leads many people to liken the condition to feeling like a pebble is in their shoe. You may find that the pain eases up whenever you aren’t walking or when you rub the pained area with your hands. While neuromas can happen to anyone, they are most commonly found in women.
While the causes of a neuroma are still not clear, there are factors that can increase the likelihood of developing one, such as:
- Extremely high arches
- Flat feet
- Trauma that leads to nerve damage in the feet
- Improper footwear (high heels over two-inches tall; pointed toes)
- Repeated stress placed on the foot
Treating a Neuroma
A neuroma will not go away on its own, so it’s important to see a podiatrist if you are experiencing any of the condition's symptoms. The type of treatment or treatments recommended to you will depend on the severity of the neuroma.
Those with minor neuromas may be able to lessen symptoms by wearing shoes that provide ample room for the toes and offer thick soles that provide more support and cushioning for the toes and balls of the feet. Sometimes a podiatrist may recommend custom orthotics to place inside the shoes, as well.
Your podiatrist may also recommend padding or taping the ball of the foot to improve faulty biomechanics and reduce discomfort. While medication will not eliminate the problem, it can temporarily alleviate symptoms. Over-the-counter anti-inflammatories can often briefly reduce pain and swelling, but for those dealing with more severe pain, steroid injections may be necessary to ease symptoms.
Surgery for a Neuroma
Surgery only becomes necessary when conservative treatment options have failed to provide relief, or when the neuroma has progressed enough that conservative care won’t be enough. During surgery, the inflamed nerve is removed through a simple outpatient procedure. Afterward, there is a short recovery period of a couple of weeks before patients are able to move about pain-free once again!
Give us a Call!
If you are dealing with new or worsening foot pain it’s important that you turn to a podiatrist that can help give you the answers you need. Schedule an appointment today.
Swelling, reddened flesh, shooting pain, and pus are just some of the incredibly uncomfortable symptoms of having an ingrown toenail. Although this condition can sometimes be successfully treated through home remedies, ingrown toenails often progress to the point of infection, a point that then requires professional treatment. Read on to learn what causes this problem, when it’s right to seek medical help, and how our podiatrists can help get your foot back to a healthy state!
The Causes and Symptoms
Before we cover how to treat ingrown toenails, let’s first review the core causes and symptoms that hallmark this condition…
Ingrown toenails initially develop due to a few different factors, including:
- Cutting the toenail too short
- Rounding the toenail during grooming
- Wearing improperly fitting shoes
- Experiencing toe trauma
If the flesh on the side of the toe has become red, swollen, and tender, you likely have an ingrown toenail. If you have caught this problem while it’s still in its early stages, you can try implementing some of the home remedies listed in the next section. However, if your toe is exhibiting some of the following signs of infection, you should seek professional podiatric help:
- Pervasive shooting or throbbing toe pain
- Regular bleeding
- The presence of a pus-filled blister
- The skin has started growing over the nail
As mentioned above, if an ingrown toenail is caught before infection sets in, there are a few different methods that you can practice at home in order to clear up the issue. Some of these include:
- Around 3 to 4 times a day, submerge your foot into warm water for 15 to 20 minutes. Regularly doing this should reduce swelling and provide pain relief.
- Following each soaking, use cotton to separate the ingrown toenail from the flesh that it is starting to grow under. This should allow the nail to grow above the skin again.
- Avoid snug or constraining shoes.
If these actions fail to clear up the problem in 2 to 3 days, you should pursue professional treatment.
In the case of a severe or recurring infection, there are a few different procedures that your podiatrist can perform to make your toe healthy again. Depending on the specifics of your ingrown toenail, one of the following treatments may be recommended:
- Partial Nail Removal: In the case of a severe ingrown toenail, your doctor can numb your toe before physically removing the ingrown portion of the nail.
- Nail and Tissue Removal: If the same toe is repeatedly experiencing the same ingrown toenail problem, this procedure can be performed to prevent future recurrences. It entails your podiatrist removing a portion of the underlying nail bed, thus preventing the nail from become ingrown again.
Concerned About Your Toe? Give Us a Call!
If your ingrown toenail needs medical attention, call our podiatric office today!
Do you have a bunion? This deformity of the big toe joint can twist the position of the big toe toward, or even over, the second toe. Often plaguing more women than men, bunions cause pain and discomfort, affect the fitting of shoes, and is just plain embarrassing. At Reisinger Farmer Podiatry in Evansville, IN, your experienced podiatrists treat most bunions conservatively. Read below to learn more about what Dr. Charlotte Resinger and Dr. Dusky Farmer can do about your bunion.
How bunions happen
Also called Hallux Abducto Valgus, a bunion presents as a painful, reddened bump at the base of the big toe. This metatarsophalangeal joint bulges outward while causing the big toe to turn inward, both in varying degrees of severity. Harvard Health reports that as a bunion progresses, bursitis and arthritis often develop, along with corns and calluses caused by the friction between the shoe and the foot.
How could a bunion develop on your foot? Many factors play into this common podiatric problem, including:
- Heredity (bunions seem to run in families)
- High-heeled, narrow-toed shoes
- Lax joints
- Flat arches
- Age and gender (advancing years and being a woman are precipitating factors, explains Science Daily)
What you can do
At Reisinger Farmer Podiatry's Evansville office, your podiatrist will examine your bunion, analyze your gait, and take digital X-rays. These steps help the doctor grade the severity of your bunion and to develop a treatment plan to reduce pain and swelling, correct gait problems, and to keep the bunion from worsening.
Frequent components of a bunion treatment plan include:
- Over-the-counter analgesics for pain
- The application of ice on the bunion
- Elevation about heart level
- In-office removal of corns and calluses
- Shoe padding or moleskin to alleviate friction and pressure
- Night time splinting to encourage proper alignment of the big toe joint
- Shoe orthotics, custom-made inserts to correct overpronation, other gait problems, and flat arches
- Losing weight
- Changing to shoes with wider toe boxes, lower heels (no higher than 2-1/2 inches, says the American Podiatric Medical Association)
- Stretching exercises and physical therapy as needed
Bunionectomy (surgical removal of the bunion and subsequent re-aligning of the big toe) is sometimes is necessary in cases of severe and debilitating deformity. However, the doctors prefer a rigorous application of more conservative measures first before ever resorting to surgery.
Find relief for your bunion today!
For more information or to arrange a consultation at our Evansville office, please contact the office at (812) 421-8555.