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October 2024

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.

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Published in Blog
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.

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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
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