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Tuesday, 30 January 2024 00:00

Everyday Foot Care for Diabetic Patients

Proper foot care is essential for anyone with diabetes, as the condition can compromise blood flow and damage nerves. Following these essential steps for diabetic foot care can help a diabetic patient prevent other serious health issues. Start by washing your feet daily with warm water and mild soap, ensuring thorough drying and the application of lotion, excluding the spaces between toes to prevent infections. A daily visual inspection is extremely important to identify potential problems early, given the reduced sensation and circulation associated with diabetes. Trim toenails straight across to prevent ingrown nails, taking special care to avoid cutting cuticles. Choose comfortable footwear, steering clear of high heels and pointy toes, and consider custom orthotics for added support. Protect your feet from injuries by avoiding walking barefoot, wearing quality socks, and refraining from using sharp tools for corn and callus removal. Additionally, manage blood sugar levels and quit smoking to reduce the risk of complications. Many people with diabetes also suffer from neuropathy and peripheral artery disease, which can result in foot ulcers. For this reason, it is suggested that you schedule regular visits with a podiatrist who is medically trained to manage the side effects of this disease. 

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 How to Care for Diabetic Foot
Tuesday, 23 January 2024 00:00

Diagnosing and Managing Foot Fractures

Foot fractures are common injuries that podiatrists frequently encounter, often involving the metatarsals and toes. Patients typically exhibit various symptoms, with pain and difficulty while walking being the most prevalent. Diagnosis relies on radiographic assessment or ultrasonography. The choice of management depends on the fracture's location and its impact on balance and weight-bearing. Treatment options may include splinting, avoiding weight-bearing activities, casts, boots, or orthotics. If you have sustained a foot fracture of any type, it is suggested that you schedule an appointment with a podiatrist for a proper evaluation and relief options

A broken foot requires immediate medical attention and treatment. If you need your feet checked, contact Dr. Richard DiMario from Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.

Broken Foot Causes, Symptoms, and Treatment

A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury. 

Common Symptoms of Broken Feet:

  • Bruising
  • Pain
  • Redness
  • Swelling
  • Blue in color
  • Numbness
  • Cold
  • Misshapen
  • Cuts
  • Deformities

Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.

Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.

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 Causes, Symptoms, and Treatment for a Broken Foot
Tuesday, 16 January 2024 00:00

What Causes an Ingrown Toenail to Develop?

Ingrown toenails, a common foot woe, occur when the edges or corners of the nails grow into the surrounding skin, leading to pain, redness, and swelling. This condition, medically known as onychocryptosis, typically affects the big toe and can be triggered by various factors. Improper nail trimming, where the nails are cut too short or not straight across, is a primary cause, as it encourages the toenail to dig into the skin during growth. Wearing ill-fitting shoes, particularly those that squeeze the toes, can also contribute by exerting pressure on the toenails. Trauma or injury to the toe, such as stubbing or dropping something on it, may lead to ingrown toenails. Furthermore, genetic predisposition, poor foot hygiene, and conditions like fungal infections can heighten the risk. If you have developed an ingrown toenail, it is strongly suggested that you consult a podiatrist who can offer treatment methods.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. 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 are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

  • Improper toenail trimming
  • Genetics
  • Improper shoe fitting
  • Injury from pedicures or nail picking
  • Abnormal gait
  • Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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 Ingrown Toenails
Tuesday, 09 January 2024 00:00

What Is a Diabetic Foot Ulcer?

A diabetic foot ulcer is a significant and potentially serious complication arising from diabetes, characterized by open sores or wounds on the feet. The condition evolves due to a combination of factors associated with diabetes, such as impaired blood circulation, nerve damage, and compromised immune function. Elevated blood sugar levels contribute to reduced blood flow and sensation in the extremities, making the feet susceptible to injury. Minor cuts, blisters, or friction can escalate into non-healing ulcers due to the body's compromised ability to repair itself. What sets diabetic foot ulcers apart is their propensity for infection and slow healing, posing a heightened risk of severe complications if left untreated. Understanding the definition of diabetic foot ulcers underscores the importance of vigilant foot care, regular examinations, and proactive management strategies. If you have diabetes and have developed a diabetic foot ulcer, it is strongly suggested that you speak to a podiatrist who can guide you toward the best management and treatment strategies for this type of wound.

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, 02 January 2024 00:00

High Heels Can Lead to Foot Deformities

A recent study shows that nearly 40 percent of women wear high heels every day. However, this fashion choice comes at a cost, with 75 percent of these women reporting regular foot pain and various foot deformities. The narrow toe box inherent in most high-heeled shoes is believed to be the main cause. This constrictive design makes it challenging for women to comfortably fit their entire foot into the shoe, leading to toe deformities, such as bunions, hammertoes, and calluses. While heredity plays a large role in the formation of a bunion, external pressure from shoes with a small toe box can make it worse. When conservative measures fail, surgery may be necessary to realign the joint and distribute weight more evenly across the foot. High heels also bend the toes upward, exposing more bone to the bottom of the shoes and causing significant pain. Additionally, the frequent use of high heels is linked to tight calf muscles, which pave the way for other painful foot problems like plantar fasciitis, flat feet, and Achilles tendonitis. For help with any of the above mentioned foot problems, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment options.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Dr. Richard DiMario from Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

  • Ankle Joints
  • Achilles Tendon – May shorten and stiffen with prolonged wear
  • Balls of the Feet
  • Knees – Heels cause the knees to bend constantly, creating stress on them
  • Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

  • Corns
  • Calluses
  • Hammertoe
  • Bunions
  • Morton’s Neuroma
  • Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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 Why High Heels Are Not Ideal for Healthy Feet
Sunday, 31 December 2023 00:00

Are Bunions Affecting Your Everyday Life?

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, 26 December 2023 00:00

Treating Your Child’s In-Toeing

Most people's feet typically point straight ahead or outward, but some children develop a condition known as in-toeing, where the feet point inward which is often referred to as pigeon toes. In-toeing is a common phenomenon in young children, and while it often corrects itself with time, some cases require attention and treatment, based on the underlying cause. Internal tibial torsion is one cause of in-toeing, and most doctors refrain from prescribing treatment for young children with this condition. Braces and special shoes are generally ineffective and rarely used due to their expense and children's reluctance to wear them. Surgical correction is only considered in cases where the twist in the tibia is severe and appearance becomes a concern. Excess femoral anteversion, another cause of in-toeing, typically improves on its own as children age. Braces or shoe modifications are generally not effective, and surgery is only considered in very severe cases where the inward twist of the thigh bone is significant. Metatarsus adductus, characterized by a curved foot shape, may involve stretching exercises or the use of casts or braces for more severe cases. Fortunately, any residual curvature post-treatment does not impede a child's ability to run and play, and it is not painful. If your child’s in-toeing seems to be problematic, it is suggested that you schedule an appointment with a podiatrist who can determine what the best treatment is.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact Dr. Richard DiMario of Maine. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

  • Make sure their shoes fit properly
  • Look for any signs of in-toeing or out-toeing
  • Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
  • Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
  • Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
  • Cut toenails straight across to avoid ingrown toenails
  • Keep your child’s foot clean and dry
  • Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

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 How to Care for Your Child's Feet
Tuesday, 19 December 2023 00:00

Different Types of Heel Pain

Heel pain is a common issue that can have various causes, often related to mechanical factors. The location of the pain can provide clues for diagnosis. Plantar fasciitis, a prevalent condition, leads to medial plantar heel pain, especially during the first steps in the morning or after rest. Other causes of plantar heel pain include calcaneal stress fractures, nerve entrapment, heel pad syndrome, neuromas, and plantar warts. Posterior heel pain is often due to Achilles tendinopathy, while pain at the tendon's insertion point is related to other tendinopathies. Haglund deformity, a protrusion of the calcaneus, can cause pain between the calcaneus and Achilles tendon. In children, Sever’s disease, a calcaneal apophysitis, may be the cause. Medial midfoot heel pain, especially with weight-bearing, might be linked to tarsal tunnel syndrome, caused by nerve compression. Sinus tarsi syndrome leads to lateral midfoot heel pain. If you have heel pain, it is suggested that you schedule an appointment with a podiatrist for a diagnosis of the problem so that the proper treatment can be provided.

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, 12 December 2023 00:00

Foot Size Changes During Pregnancy

During pregnancy, many women experience changes in their bodies, including foot size growth. This phenomenon is primarily attributed to hormonal changes and increased fluid retention. The hormone relaxin, which helps to relax the ligaments in the pelvis for childbirth, can also affect the ligaments in the feet, leading to an increase in foot size. When it comes to addressing foot size changes during pregnancy, consulting a podiatrist can be beneficial. A podiatrist specializes in diagnosing and treating foot and ankle issues, in addition to providing guidance on managing foot discomfort and swelling during pregnancy. If you have foot-related concerns during pregnancy, it is suggested that you schedule an appointment with a podiatrist to ensure these issues are addressed promptly, increasing your health and well-being during this transformative period.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Dr. Richard DiMario from Maine. Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

  • Wearing orthotics can provide extra support for the feet and help distribute weight evenly
  • Minimize the amount of time spent walking barefoot
  • Wear shoes with good arch support
  • Wear shoes that allow for good circulation to the feet
  • Elevate feet if you experience swelling
  • Massage your feet
  • Get regular, light exercise, such as walking, to promote blood circulation to the feet

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 Pregnancy and Foot Health
Tuesday, 05 December 2023 00:00

Recognizing the Symptoms of Flat Feet

Flat feet, or fallen arches, are a common condition where the arches of the feet collapse, causing the entire sole to touch the ground. Recognizing the symptoms of flat feet is essential for understanding and addressing this condition. One prevalent sign is pain or discomfort along the inner side of the ankle and arch. Individuals with flat feet may also experience swelling along the inside of the ankle. The lack of a visible arch when standing or walking is a visual indicator of flat feet. Overpronation, where the foot rolls inward excessively, can contribute to this condition and lead to related issues, including shin splints or knee pain. Fatigue and aching in the feet and legs can occur, especially after prolonged standing. If you have flat feet, it is suggested that you speak to a podiatrist who can provide you with effective relief options.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Dr. Richard DiMario from Maine. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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 Flat Feet
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