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Diabetic foot ulcers are a significant risk for people with diabetes, often leading to severe complications if not properly managed. These ulcers are open sores or wounds that usually occur on the bottom of the feet, caused by a combination of poor circulation and nerve damage, common in diabetic patients. Prevention is key in managing this risk. Daily foot inspections, maintaining proper foot hygiene, and wearing well-fitted shoes can help prevent ulcers. Managing blood sugar levels also plays a vital role in prevention. For those who develop foot ulcers, early treatment is critical. This includes cleaning and dressing the wound, controlling infection, and using custom orthotics or special footwear to alleviate pressure on the affected area. In more severe cases, surgical interventions may be necessary. If you have diabetes, and develop a foot ulcer, it is strongly suggested that you include a podiatrist on your health care team for routine care of your feet.

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.

Read more about Wound Care
Tuesday, 08 October 2024 00:00

Complications of Untreated Hammertoes

Hammertoes are a deformity where one or more toes become bent at the middle joint, resembling a hammer. This condition often affects the second, third, or fourth toes and can lead to pain, stiffness, and difficulty wearing shoes. Common symptoms include visible toe bending, discomfort, corns or calluses from friction with footwear, and limited range of motion in the affected toes. Hammertoes develop due to muscle imbalances in the foot, often caused by wearing tight or ill-fitting shoes, injury, or conditions like arthritis or diabetes. Left untreated, hammertoes can worsen, leading to complications such as open sores, infections, or permanent joint damage. Treatment options vary depending on severity, from conservative approaches such as wearing roomier shoes to surgical correction in more advanced cases. If you have a hammertoe, it is suggested that you visit a podiatrist as early intervention can alleviate discomfort and prevent further deformity.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Dr. Richard DiMario from Maine. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

  • Pain in the affected toes
  • Development of corns or calluses due to friction
  • Inflammation
  • Redness
  • Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

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.

Read more about What Are Hammertoes?

Pediatric foot and ankle pain can arise from various factors, including skeletal maturity, minor trauma, repetitive stress, and abnormal biomechanics. As children grow, their bones and joints are still developing, which can sometimes lead to discomfort or pain due to changes in skeletal maturity. Minor trauma, such as a twist or bump, can also result in localized pain. Repetitive stress from activities like running or sports can strain growing tissues and cause discomfort. Abnormal biomechanics, including issues like flat feet or improper foot alignment, can contribute to chronic pain and discomfort. Addressing these causes with appropriate interventions, such as proper footwear and medical evaluation, is essential for managing symptoms. If your child has foot or ankle pain, it is suggested that you consult a podiatrist who can diagnose the cause and offer effective treatment solutions.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dr. Richard DiMario from Maine. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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 Pain
Sunday, 29 September 2024 00:00

Wounds That Don't Heal Need to Be Checked

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.

Tuesday, 24 September 2024 00:00

Causes and Symptoms of Gout in the Heel

Gout in the heel, a type of inflammatory arthritis, is caused by the buildup of uric acid crystals in the joints. This condition often results from high levels of uric acid in the blood, which can be due to factors such as a diet rich in purines, excessive alcohol consumption, obesity, and certain medications. Symptoms typically include intense pain, swelling, and redness in the heel, especially during flare-ups. To manage and prevent gout, lifestyle changes are essential. Reducing intake of purine-rich foods like red meat and seafood, limiting alcohol, and maintaining a healthy weight can help lower uric acid levels. Staying hydrated and incorporating regular physical activity also contribute to better overall joint health. If you have developed this painful condition, it is strongly suggested that you are under the care of a podiatrist who can offer effective relief and treatment methods.

Many people suffer from bouts of heel pain. For more information, contact Dr. Richard DiMario of Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

  • Wearing ill-fitting shoes                  
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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.

Read more about Heel Pain
Tuesday, 17 September 2024 00:00

Plantar Fasciitis Pain Stretches

Plantar fasciitis is a common cause of foot pain, particularly affecting the heel and arch. It arises from inflammation of the plantar fascia, a thick band of tissue that runs along the bottom of your foot. Symptoms typically include a sharp, stabbing pain, especially noticeable with your first steps in the morning or after sitting for long periods. Repetitive motion from running or step aerobics or added pressure from weight gain can damage or tear the plantar fascia, causing inflammation and pain. To alleviate this discomfort, incorporating specific stretches can be highly effective. Try calf stretches by leaning against a wall with one leg extended behind you, and perform toe stretches by pulling your toes toward you while seated. If pain persists, it is suggested you make an appointment with a podiatrist to get a proper diagnosis and treatment plan.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. Richard DiMario  from Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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.

Read more about Plantar Fasciitis
Tuesday, 10 September 2024 00:00

Ingrown Toenails 101

An ingrown toenail occurs when the edge of a toenail grows into the surrounding skin, leading to pain, redness, and swelling. It commonly affects the big toe and can be caused by improper nail trimming, tight footwear, or genetic predisposition. Symptoms include sharp, throbbing pain, increased sensitivity, and, in more severe cases, infection with pus or drainage. Initial treatments for an ingrown toenail involve soaking the foot in warm, soapy water to reduce inflammation and pain. Mild pain relievers and antibiotic ointments can manage discomfort and prevent infection. Avoid cutting the nail yourself as improper trimming can worsen the condition. If symptoms persist or worsen, professional treatment from a podiatrist may be necessary. For a comprehensive evaluation and effective management of an ingrown toenail, it's suggested you make an appointment with a podiatrist.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Dr. Richard DiMario of Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

  • Bacterial infections
  • Improper nail cutting such as cutting it too short or not straight across
  • Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
  • Ill-fitting shoes that bunch the toes too close together
  • Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right 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.

Read more about Ingrown Toenail Care
Tuesday, 03 September 2024 00:00

Diabetic Foot Problems

Diabetic foot problems are a complication, arising from poor blood circulation and nerve damage. These issues can lead to symptoms such as numbness, pain, and foot ulcers. If left untreated foot ulcers may result in severe infections or even amputation. Proper foot care is key in managing these risks. Daily inspections for cuts, blisters, or other abnormalities are important, alongside keeping feet clean and moisturized. Wearing well-fitting shoes can prevent unnecessary pressure and injuries. Treatment often involves managing blood sugar levels, using prescribed antibiotics for infections, and employing specialized wound care techniques. In severe cases, surgical intervention might be necessary. Regular visits to a podiatrist can help in early detection and prevention of diabetic foot complications, ensuring that your feet stay healthy and comfortable. If you have diabetes, it’s suggested you make an appointment with a podiatrist to keep your feet in the best possible 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

  • 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 York, ME . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Diabetic Foot Care
Friday, 30 August 2024 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.

Tuesday, 27 August 2024 00:00

Definiton and Risk Factors for Bunions

Bunions are a foot deformity characterized by a noticeable bump at the base of the big toe, where it angles towards the second toe. This deformity results from an imbalance in the bones and ligaments of the foot. Symptomscan  typically include localized pain, swelling, and redness at the site of the bunion. The affected toe may also become stiff, making it difficult to wear shoes comfortably or walk without discomfort. Several factors contribute to the development of bunions. Genetics play a significant role. If bunions run in your family, you are more likely to develop them. Wearing tight, narrow shoes can worsen the condition by putting pressure on the toes. Other contributing factors can include arthritis and structural abnormalities in the foot. If you are experiencing some of these symptoms, it is suggested that you schedule an appointment with a podiatrist who can diagnose and offer a comprehensive treatment plan.

If you are suffering from bunion pain, 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?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

  • Genetics – some people inherit feet that are more prone to bunion development
  • Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

  • Redness and inflammation
  • Pain and tenderness
  • Callus or corns on the bump
  • Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

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 Bunions
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