If one’s diabetes is not carefully managed through diet, exercise, and insulin treatment, an all-too-common complication can be a foot ulcer. Ulcers develop because skin tissue breaks down and layers of skin underneath are exposed due to poor circulation, high blood sugar, nerve damage, and irritated or hurt feet. Foot ulcers usually develop under big toes or the balls of the feet. Symptoms to watch for are unusual swelling, irritation, redness, discoloration, drainage from the foot, and odors emanating from the feet. The most visible sign of a foot ulcer is when black tissue (known as “eschar”) surrounds the ulcer because of poor blood flow to the area. However, signs of a foot ulcer are not always present or obvious. Good foot care, including wearing properly fitting, quality shoes, maintaining good foot hygiene, proper trimming of toenails, as well as attention paid to other aspects of physical health, such as heart and kidney disease and obesity, can help with the prevention of foot ulcers. Treatment depends on the cause and severity of the ulcer. It is highly suggested to consult with a podiatrist for proper diagnosis and to obtain a treatment plan.

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 Dawn Miles, DPM from Florida. 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 one of our offices located in Palatka and Saint Augustine, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

If you notice that the skin around your toenail has become red, swollen and painful, especially when wearing shoes, you probably have an ingrown toenail. It could become infected if left untreated. The two main causes of ingrown toenails, which typically affect the big toe, are tight shoes and toenails that have been improperly cut. Other causes include stubbing your toe, picking or tearing your toenails or the skin around them, and having sweaty feet. Ingrown toenails are more common in older people, because the nails become thicker with age. The best way to avoid an ingrown toenail is to trim the nails straight across and not too short; wear shoes that fit well; and keep your feet clean and dry. If you have continual problems with ingrown toenails, or have developed an infection, it is a good idea to see a podiatrist as soon as possible. Ingrown toenails are more likely to develop in people who have diabetes and circulation problems. If you have either of these conditions, it is wise to visit a podiatrist regularly for treatment. 

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Dawn Miles, DPM of Florida. 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 one of our offices located in Palatka and Saint Augustine, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

There are many professions where it is mandatory to stand for the majority of the day. Teachers often fall into this category, and many of them experience pain from working on their feet. It is important to choose shoes that fit correctly. These generally consist of shoes that can provide adequate arch support, and wearing these types of shoes may prevent developing plantar fasciitis and heel spurs. Some teachers find it beneficial to stretch their muscles throughout the day, and standing tall can help to improve alignment. The calf muscles can be stretched by standing on a step, and lowering the heel until a gentle pull is felt. If you would like more information about how to keep your feet healthy while standing all day, please speak to 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 Dawn Miles, DPM from Florida. 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 feel free to contact one of our offices located in Palatka and Saint Augustine, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

If you sometimes experience redness and burning in your feet, as well as other body parts, you may have a disorder known as erythromelalgia. Flare-ups, which can last for days, usually start out as itching, which then becomes burning pain, redness and mottled skin. Erythromelalgia can affect your ability to stand, exercise and sleep. Its symptoms may be triggered by an increase in body temperature after exercising, wearing warm socks, being dehydrated, or even eating spicy food. The cause for most people is unknown, but erythromelalgia has been linked to several underlying conditions, including peripheral neuropathy, rheumatoid arthritis and lupus. It also may be triggered by taking certain medications. Self-treatment is not recommended, as it may lead to more serious problems. Instead, if you think this condition is affecting your feet, as well as limiting your daily activities, it is wise to seek the counsel of a podiatrist for analysis and possible treatment options. 

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact Dawn Miles, DPM from Florida. Our doctor will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

If you have any questions please feel free to contact one of our offices located in Palatka and Saint Augustine, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.