Diabetic wounds, particularly on the feet, are a serious concern for people with diabetes due to reduced blood flow and nerve damage. These wounds can develop from minor cuts, blisters, or pressure sores and may not heal properly due to poor circulation and neuropathy. Additionally, sometimes diabetic wounds do not engage the immune cells necessary for normal wound healing. Symptoms include redness, swelling, pain, or the presence of an open sore that does not heal over time. In some cases, the wound may become infected, causing increased pain, warmth, or drainage. The main causes of diabetic wounds include high blood sugar, which affects circulation and immune response, as well as nerve damage that reduces sensitivity to pain. Treatment typically involves thorough cleaning, wound dressings, and possibly antibiotics for infection. A podiatrist can provide specialized care, including debridement, tips on custom footwear, and guidance on managing blood sugar to prevent further complications. If you have diabetes and have developed a foot wound, it is suggested that you schedule an appointment with a podiatrist.
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 Dr. Richard DiMario from Maine. Our doctor 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 office located in York, ME . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Blisters on the feet are small, fluid-filled pockets that form between the layers of skin, typically caused by friction, pressure, or burns. Symptoms include pain, redness, swelling, and the appearance of a raised bubble on the skin. Blisters often occur from wearing tight shoes, ill-fitting socks, or prolonged walking or running. The most common causes are friction from new shoes or repetitive motion, such as running or hiking. Blisters can also result from hot weather, causing sweaty feet, or from burns or allergic reactions. Treatment usually involves protecting the blister with a bandage or blister pad, keeping it clean and dry, and avoiding further friction. In some cases, a podiatrist may drain the blister in a sterile environment to prevent infection or offer advice on better footwear. If blisters are recurrent or cause significant pain, a podiatrist can recommend customized solutions to prevent them. For this reason, if you have developed a foot blister, it is suggested that you schedule an appointment with 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. Richard DiMario of Maine. 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)
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 office located in York, ME . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Morton’s neuroma is a condition that causes pain in the ball of the foot. The sensation is often described as stepping on a pebble or experiencing a burning feeling. Morton’s neuroma arises when tissue surrounding a nerve thickens due to irritation or compression. It frequently affects the area between the third and fourth toes. A podiatrist can assess your symptoms and may recommend orthotics to redistribute pressure, reducing nerve irritation. For more persistent pain, corticosteroid or anesthetic injections might provide relief by addressing inflammation or numbing the affected area. In severe cases, surgical options, such as neurectomy or decompression, may be considered to alleviate pain and restore mobility. These procedures aim to remove the affected nerve tissue or reduce surrounding pressure. A podiatrist can conduct a thorough evaluation and determine the best way to confront Morton’s neuroma. If you have pain in the ball of your foot, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and treatment.
Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Dr. Richard DiMario of Maine. Our doctor will attend to all of your foot care needs and answer any of your related questions.
Morton’s Neuroma
Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.
What Increases the Chances of Having Morton’s Neuroma?
Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.
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.
Regular foot care is essential for people with diabetes, as high blood sugar can lead to nerve damage known as neuropathy, and poor circulation, making feet more vulnerable to injury and infection. Symptoms often include numbness, tingling, or a loss of sensation in the feet, making it difficult to feel cuts, blisters, or sores. If left untreated, even minor injuries can lead to serious complications, including ulcers and infections. The primary causes of foot issues in diabetics patients are nerve damage, poor circulation, and reduced ability to heal wounds. Diabetic individuals may also experience dry skin, calluses, or fungal infections. A podiatrist can provide essential care, including regular foot exams, wound care, and preventative treatments. They may recommend custom shoes or orthotics to reduce pressure points, prescribe medications for infections, and teach proper foot hygiene techniques. If you have diabetes, it is suggested that you are under the care of a podiatrist who can help you to manage this serious condition.
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. Richard DiMario from Maine. 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
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 York, ME . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Athlete’s foot is a fungal infection that affects the skin on the feet, causing itching, burning, and peeling. It is caused by dermatophytes, a type of fungus that thrives in warm, moist environments like locker rooms, swimming pools, and public showers. The infection spreads through direct contact or by sharing contaminated items such as towels or shoes. Those who sweat excessively or wear tight, non-breathable shoes are at higher risk. Symptoms of athlete’s foot include red, scaly skin, blisters, and cracked skin, often between the toes or on the soles of the feet. If left untreated, the infection can spread to other areas of the body, including the nails or groin, and may lead to bacterial infections. Persistent infections may require stronger medications or specialized care. A podiatrist can accurately diagnose the condition and recommend the best treatment plan. If you are experiencing symptoms of athlete’s foot, it is suggested that you schedule an appointment with a podiatrist.
Athlete’s foot is an inconvenient condition that can be easily reduced with the proper treatment. If you have any concerns about your feet and ankles, contact Dr. Richard DiMario from Maine. Our doctor will treat your foot and ankle needs.
Athlete’s Foot: The Sole Story
Athlete's foot, also known as tinea pedis, can be an extremely contagious foot infection. It is commonly contracted in public changing areas and bathrooms, dormitory style living quarters, around locker rooms and public swimming pools, or anywhere your feet often come into contact with other people.
Solutions to Combat Athlete’s Foot
Athlete’s foot can cause many irritating symptoms such as dry and flaking skin, itching, and redness. Some more severe symptoms can include bleeding and cracked skin, intense itching and burning, and even pain when walking. In the worst cases, Athlete’s foot can cause blistering as well. Speak to your podiatrist for a better understanding of the different causes of Athlete’s foot, as well as help in determining which treatment options are best for you.
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 and ankle needs.
Gout is a painful, inflammatory form of arthritis. Those affected will typically feel an intense stiffness in the joints of their feet, particularly in the big toe. Schedule a visit to learn about how gout can be managed and treated.
Peripheral artery disease, known as PAD, occurs when the blood vessels in the legs and feet become narrowed or blocked, reducing blood flow. This leads to symptoms like leg pain, cramping, or fatigue, particularly when walking or exercising. PAD can also cause sores or ulcers that are slow to heal, or cold, pale feet. In severe cases, it can increase the risk of infections or even amputation, if left untreated. The primary cause of PAD is atherosclerosis, a condition where fatty deposits build up in the arteries. Risk factors include smoking, diabetes, high blood pressure, and high cholesterol. Treatment for PAD often involves lifestyle changes, such as quitting smoking, exercising, and managing blood sugar and cholesterol levels. Medications or surgery may be necessary in more advanced cases. A podiatrist can assess your condition, provide effective treatments, and help prevent complications. If you are experiencing symptoms of PAD, it is suggested that you schedule an appointment with a podiatrist.
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:
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.
Nighttime gout flares often cause intense pain, swelling, and redness in the feet, and can severely disrupt sleep. Gout is a form of arthritis caused by a buildup of uric acid in the joints, and it frequently affects the big toe due to its susceptibility to stress and lower temperatures. Nighttime gout attacks may be linked to factors such as dehydration, reduced body temperature, and lower cortisol levels during sleep. These painful episodes can make it difficult for patients to find relief without medical help. A podiatrist can assess symptoms, confirm a diagnosis, and recommend strategies to reduce the frequency and severity of gout flares. These may include lifestyle modifications such as changes in diet, preventative techniques like weight loss, and treatments to alleviate pain and inflammation in the affected joints. Proper management not only helps to protect the health of your feet and ankles but also improves sleep patterns. If you have nighttime flare-ups of gout, it is suggested that you schedule an appointment with a podiatrist for guidance in managing this painful condition.
Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Richard DiMario from Maine. Our doctor will treat your foot and ankle needs.
What Is Gout?
Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.
Symptoms
Risk Factors
Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.
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.
A bunion is a bony bump that forms at the base of the big toe, where it angles toward the second toe. This condition occurs when the bones in the front of the foot shift out of alignment, causing the big toe to lean inward. Over time, the misalignment leads to the formation of a prominent bump on the joint. Symptoms of bunions include pain, swelling, redness, and the development of calluses or corns where the toes rub against the shoe. The pain can worsen with prolonged standing or walking. Common causes of bunions include genetics, wearing tight or ill-fitting shoes, and excessive pressure on the feet. Conditions like arthritis or flat feet can also contribute to the development of bunions. While bunions may be managed with conservative treatments, surgery may be needed for severe cases to restore normal foot function and alleviate pain. If you have symptoms of a bunion, it is suggested that you consult a podiatrist who can guide you toward treatment methods that are right for you.
If you are suffering from bunions, contact Dr. Richard DiMario of Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is a Bunion?
A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.
Why Do Bunions Form?
Genetics – Susceptibility to bunions are often hereditary
Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions
How Are Bunions Diagnosed?
Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.
How Are Bunions Treated?
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.
Plantar fibromas are benign growths of fibrous tissue that develop within the plantar fascia, the thick band of tissue running along the sole of the foot. These firm nodules are often found in the arch and may cause discomfort, especially when walking or standing. The exact cause is unknown, but plantar fibromas may develop due to genetic predisposition, minor injuries, or repetitive stress on the foot. People with a family history or those with certain medical conditions, such as diabetes or liver disease, are more likely to experience them. Diagnosis involves a physical examination by a podiatrist, who may confirm the presence of fibromas with imaging tests like an ultrasound or MRI scans. Treatment options include custom orthotic inserts, corticosteroid injections, targeted exercises, and in severe cases, surgical removal. If you have symptoms of plantar fibroma, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment.
A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Dr. Richard DiMario of Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.
Plantar Fibroma
A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.
What Causes a Plantar Fibroma?
While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.
What Are the Symptoms of a Plantar Fibroma?
There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.
Treatment and Prevention
A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:
Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.
If you have any questions please feel free to contact our office located in York, ME . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Richard DiMario, DPM - Default