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Tuesday, 04 November 2025 00:00

Peripheral artery disease, or PAD, is a condition in which the arteries that supply blood to the legs and feet become narrowed or blocked, reducing circulation. Symptoms include leg pain or cramping during activity, numbness, coldness in the feet or toes, slow healing of wounds, and changes in skin color. Risk factors include smoking, diabetes, high blood pressure, high cholesterol, and a family history of vascular disease. Poor circulation from PAD can lead to foot and ankle complications, including ulcers, infections, and increased risk of tissue damage. A podiatrist can assess blood flow, monitor foot health, recommend custom footwear or custom orthotics, and coordinate care to prevent serious complications. If you have symptoms of this condition, it is suggested that you consult a podiatrist for an expert evaluation and proactive management of PAD to protect your feet and overall health.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Dr. Richard DiMario from Maine. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

  • Claudication (leg pain from walking)
  • Numbness in legs
  • Decrease in growth of leg hair and toenails
  • Paleness of the skin
  • Erectile dysfunction
  • Sores and wounds on legs and feet that won’t heal
  • Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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

Read more about Peripheral Artery Disease
Wednesday, 29 October 2025 00:00

Have you noticed a bony protrusion on the side of your big toe? If so, you may have developed the foot condition known as a bunion. Don't let bunions interfere with your daily activities.

Tuesday, 28 October 2025 00:00

A sedentary lifestyle may be linked to numerous health issues, including diabetes and high blood pressure.  For these individuals, it may be necessary to increase the amount of time standing during the day. This may be helpful in easing potential back problems as well as improving posture and strength.  There are many ways to incorporate standing throughout the work day, such as portioning your lunch time to include walking.  Meetings that consist of walking instead of sitting around a table may be beneficial as well. Standing desks may be another option, which can help increase alertness and therefore increase productivity.  Another helpful habit to acquire is using the stairs instead of an elevator, in addition to parking your car further away from the building you are entering to promote walking. If you are experiencing foot problems from sitting all day at work, it is suggested that you make an appointment with a podiatrist.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Dr. Richard DiMario from Maine. Our doctor 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 contact our office located in York, ME . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 21 October 2025 00:00

Bunions in adolescents can cause pain, swelling, and difficulty finding comfortable shoes. When conservative care such as padding, footwear changes, and orthotics does not provide relief, a precise surgical approach may be considered. Advances in minimally invasive foot surgery now allow podiatrists to correct the alignment of the big toe through very small incisions. Using specialized instruments, the bone can be gently repositioned to restore proper balance and relieve pressure on surrounding joints. This technique typically results in less discomfort, minimal scarring, and a faster recovery compared to traditional procedures. Each case is carefully evaluated to ensure the best outcome while allowing for continued growth and activity. If you are a young person or the parent or a young person struggling with bunion pain or deformity, it is suggested that you consult a podiatrist experienced in minimally invasive foot correction who can determine if this type of foot surgery is right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Richard DiMario of Maine. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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

Read more about Foot and Ankle Surgery
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