Tuesday, 28 February 2023 00:00

Treatment for Diabetic Foot Infections

Some diabetic patients suffer from foot ulcers, and research shows that about 40% of these ulcers become infected. The risk of foot infections becomes higher when someone with diabetes has other foot conditions, like bunions or hammertoe, that involve high compression areas of the foot. Signs of foot infections include tenderness, warmth, and drainage. Podiatrists can take cultures of these ulcers to help guide treatment options, usually involving antibiotics. Severe infections can lead to more serious conditions, such as cellulitis and necrotizing fasciitis, and may require surgery. Many diabetics develop peripheral neuropathy, causing a loss of sensation in their feet and making them unaware of problems brewing on their feet. Due to the potential seriousness of diabetic foot infections, it is strongly suggested that diabetic patients are under the care of a podiatrist to get regular foot examinations. If a foot wound develops, see a podiatrist immediately.

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 Mark Isenberg, DPM from Center for Podiatric Excellence. 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 Pensacola, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 28 February 2023 00:00

Wound Care

Diabetics must be wary of all wounds, regardless of depth or size. Diabetes, a chronic disease in which the body cannot properly use glucose the way it normally would, causes various complications that make wounds difficult to heal. Nerve damage or neuropathy will cause diabetics to have trouble feeling the pain of a blister or cut until the condition has significantly worsened or become infected. A diabetic’s weakened immune system can make even the most minor of wounds easily susceptible to infection. Diabetics are also more prone to developing narrow, clogged arteries, and are therefore more likely to develop wounds.

Wounds should be taken care of immediately after discovery, as even the smallest of wounds can become infected if enough bacteria build up within the wound.  To remove dirt, wounds should be first rinsed under running water only. Soap, hydrogen peroxide, or iodine can irritate the injury and should be avoided. To prevent infection, apply antibiotic ointment to the wound and cover it with a bandage. The bandage should be changed daily. The skin around the wound may be cleaned with soap.

To prevent further exacerbation, see a doctor—especially if you have diabetes. Minor skin conditions can become larger problems if not properly inspected. As the wound heals, make sure to avoid applying pressure to the affected area.

Thursday, 23 February 2023 00:00

Let the Expert Treat Your Ingrown Toenails

Ingrown toenails can be painful and can make wearing shoes or walking uncomfortable. Seek professional help if you believe you've developed an ingrown toenail and be treated safely. 

Tuesday, 21 February 2023 00:00

Treatments for Toenail Fungus

Toenail fungus is a fungal infection of the foot that negatively impacts the texture of the nail. Importantly, there are a variety of different kinds of treatments that are available to treat a case of toenail fungus. After visiting a trusted medical professional such as a podiatrist, a patient might be informed that they can benefit from a cream, solution, medicated nail polish, or some other kind of treatment. The severity of the toenail fungus might affect the treatment that is recommended. Creams meant to address a toenail fungus are of particular significance because some can be used to treat a fungus all over the body. However, some creams of this kind are only meant to treat relatively mild infections. It is important to fully understand the specific pros and cons of whatever fungal cream you select. Schedule an appointment with a podiatrist today who can help you select the best treatment for your toenail fungus.  

For more information about treatment, contact Mark Isenberg, DPM of Center for Podiatric Excellence. Our doctor can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

If you have any questions please feel free to contact our office located in Pensacola, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Tuesday, 21 February 2023 00:00

Treating Toenail Fungus

Fungal infection of the toenail, or onychomycosis, typically appears as a gradual change in a toenail’s texture and color that involves brittleness and darkening.  The fungal infection itself occurs beneath the surface of the nail.  Aside from discoloration, other symptoms include the collection of debris beneath the nail plate, white marks on the nail plate, and a foul odor emanating from the nail.  If ignored, the infection can spread into other nails and the skin; in severe cases, it can hinder one’s ability to work or walk. 

The toenails are particularly vulnerable to contracting infection in moist environments where people are likely to be walking barefoot, such as around swimming pools, public showers, and locker rooms.  Fungal infection may also be more likely to occur in nail beds that have been injured, and sufferers of chronic diseases such as diabetes, circulatory problems, or immunodeficiency conditions are particularly prone to developing fungal nails. 

Fungal nails can be primarily prevented by practicing proper hygiene and regularly examining the feet and toes.  Carefully washing the feet with soap and water and thoroughly drying the feet afterwards are essential.  Other tips include wearing shower shoes in public areas, changing shoes and socks daily, keeping toenails clipped at a short length, wearing breathable shoes that fit properly, wearing moisture-wicking socks, and disinfecting home pedicure tools and instruments used to cut nails.

Fungal nail treatment may vary between patients and the severity of the condition.  Your podiatrist may suggest a daily routine of cleansing that spans over a period of time to ease mild infections.  Over-the-counter or prescription antifungal agents may also be prescribed, including topical and/or oral medications.  Debridement, or the removal of diseased nail matter and debris, may also be performed.  In more severe cases, surgical treatment may be needed.  In some instances, the temporary removal of the fungal nail allows for the direct application of a topical antifungal to the nail bed.  In other cases, a chronically painful fungal nail that has not responded to other treatments may be permanently removed; this allows the infection to be cured and avoids the growth of a deformed nail.  

Tuesday, 14 February 2023 00:00

Stiff Shoes for Broken Toes

Broken, or fractured, toes are certainly nothing to take too lightly. As a result of breaking one’s toe, an individual can experience annoying symptoms such as pain, swelling, and discoloration of some sort. To help facilitate the healing process for broken toes, a medical professional like a podiatrist might recommend that the patient wears what is called a stiff-soled shoe. After a sufficient amount of time has passed, wearing this kind of shoe is helpful because it essentially minimizes the extent to which the toes move during physical activities, like walking. Consequently, the negative symptoms that are associated with broken toes are mitigated in the process. It is highly recommended that you contact a podiatrist if you think you have fractured your toes because this doctor can help you address any problems you might have. 

A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact Mark Isenberg, DPM from Center for Podiatric Excellence. Our doctor will treat your foot and ankle needs.

What to Know About a Broken Toe

Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).

Symptoms of a Broken Toe

  • Throbbing pain
  • Swelling
  • Bruising on the skin and toenail
  • The inability to move the toe
  • Toe appears crooked or disfigured
  • Tingling or numbness in the toe

Generally, it is best to stay off of the injured toe with the affected foot elevated.

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.

If you have any questions please feel free to contact our office located in Pensacola, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 14 February 2023 00:00

What to Know About a Broken Toe

The forefoot is composed of five metatarsal bones and fourteen phalanges. Each toe has three phalanges except for the big toe which only has two. Our toes play an essential role to the walking process, which is why a broken toe could seriously disrupt one’s ability to move around. Toe fractures are common and can be very painful. Fortunately, these injuries rarely require surgery and usually heal with rest and a change in activity.

Broken toes typically result from a traumatic event such as falling, stubbing the toe, or dropping something on the toe. Traumatic toe fractures may be categorized as either minor or severe fractures. At times, one may hear a “pop” or “crack” sound when the bone breaks. Common symptoms of a traumatic toe fracture include pain, throbbing, bruising, swelling, and redness.

Another type of toe fractures is a stress fracture. These injuries usually appear in the form of small hairline breaks on the bone. Stress fractures develop after repetitive activity instead of a single injury. Stress fractures occur when the muscles in the bone become too weak to absorb impact. Consequently, the toe bone becomes vulnerable to any pressure and impact it endures. Symptoms for a stress fracture in the toe include swelling without bruising, tenderness to the touch, pain that goes away with rest, and pain after walking or running.

If you suspect that you have a broken toe, you should make an appointment with your podiatrist. He or she will likely diagnose you by performing a physical exam and an X-ray. Treatment for a broken toe may include the R.I.C.E. method, buddy taping, surgery, or antibiotics. The R.I.C.E. method (Rest, Ice, Compression, and Elevation) is a common treatment method for many injuries because it decreases pain. Buddy tapping involves wrapping the injured toe next to an adjacent toe to keep it supported and protected. These two methods have proven to be effective in the healing process for toe fractures. The estimated healing time for a broken toe is approximately four to six weeks. If the injury becomes infected or requires surgery, the estimated healing time may take eight weeks or more. 

Tuesday, 07 February 2023 00:00

Various Reasons and Ankle Breaks

There are several bones in the ankle that can break from a foot injury. Falling is a common reason to incur a broken ankle, or if it suddenly rolls inward or outward. These types of actions can stretch the ankle joint beyond its normal range, and ligaments may tear. The symptoms that many people experience with a broken ankle can consist of immediate bruising and swelling, and it is extremely difficult to walk. Additional symptoms can include a numbing sensation, and bruising may gradually radiate to the entire foot. A crack, break, or chip in the ankle are considered to fall in the category of a broken ankle, and an X-ray is generally performed that can determine the extent of the injury. This is followed by wearing a protective boot or cast, which can help to complete daily activities. The recovery time for a broken ankle can take several weeks, and this timeframe may be increased if there are complications. If you have broken your ankle, it is advised that you consult with a podiatrist who can provide you with the treatment method that is correct for you.

Broken ankles need immediate treatment. If you are seeking treatment, contact Mark Isenberg, DPM from Center for Podiatric Excellence. Our doctor can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

  • Excessive pain when the area is touched or when any pressure is placed on the ankle
  •  Swelling around the area
  •  Bruising of the area
  • Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

If you have any questions, please feel free to contact our office located in Pensacola, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 07 February 2023 00:00

All About Broken Ankles

Broken ankles are a serious injury that can lead to an inability to walk, function, and also cause a significant amount of pain. A broken ankle is a break in one of the three bones in your body that connect at the ankle joint: the tibia, the fibula, and the talus. The tibia and fibula are your two primary leg bones that connect at the knee, which sit directly upon the talus bone. This is protected by a fibrous membrane that allows for movement in the ankle joint. A broken ankle is usually caused by the foot rolling under or twisting too far, causing one of these three bones to snap.

A broken ankle is different from an ankle sprain, which occurs when the ankle ligaments are ripped or torn but no bones have been broken. A sprain can still be very severe, causing bruising in the foot and an inability to hold your own weight, much like a broken ankle would. If you’re unable to stand, and suspect that you have a broken ankle, the first thing to do would be to get an immediate X-ray to determine the severity of the break.

A common cause of broken ankles is when the ankle is rolled over with enough pressure to break the bones. This usually happens during exercise, sports, or other physical activity. Another common cause is a fall or jump from a tall height.

One immediate treatment for pain relief is elevating the foot above your head to reduce blood flow to the injured area. You can also apply ice packs to your ankle to help reduce swelling, redness, inflammation, and pain. After these initial steps, getting a cast and staying off your feet as much as possible will aid in the recovery of the broken ankle. The less movement and stress the ankle has to endure, the more complete it will heal. A doctor can determine if surgery is needed in order to heal correctly. In these cases, an operation may be the only option to ensure the ability to walk properly again, followed by physical therapy and rehabilitation.

It is highly important to determine if surgery is needed early on, because a broken ankle can become much more severe than you realize. If not professionally treated, the broken ankle will inhibit your walking, daily functioning, and produce a large amount of pain. Treating your broken ankle early on will help prevent further damage to it.

Tuesday, 31 January 2023 00:00

Toe Stretches May Help Hammertoe

The foot condition known as hammertoe is easy to notice. It causes the second or third toe to bend downward at the tip, forcing the toe upward at the middle joint resembling a hammer. It is considered to be a deformity and corns may develop on top of the joint as it rubs against the shoe. Additional symptoms may include swollen toes, pain in the affected joint, and difficulty walking. Practicing toe stretches can be an effective hammertoe exercise. This is done by getting into a runner’s starting position and shifting the body’s weight over the toes. Hold for several seconds while the toes are pressed against the floor. Another exercise is called toe flexion and extension and starts with sitting with the legs straight out. After placing the affected foot over the opposite knee, the toes can be pulled back and pointed as best as possible. This may be difficult to accomplish, depending on the severity of the hammertoe. If you are afflicted with this condition, you must be under the care of a podiatrist who can help you with proper treatment which may include surgery to permanently straighten the toes.

Hammertoes can be a painful condition to live with. For more information, contact Mark Isenberg, DPM of Center for Podiatric Excellence. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

  • Painful and/or difficult toe movement
  • Swelling
  • Joint stiffness
  • Calluses/Corns
  • Physical deformity

Risk Factors

  • Age – The risk of hammertoe increases with age
  • Sex – Women are more likely to have hammertoe compared to men
  • Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
  • Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.

If you have any questions, please feel free to contact our office located in Pensacola, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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