Debridement is a critical aspect of managing severely injured feet and lower extremities from diabetes, particularly in cases of open fractures with extensive skin and soft tissue loss. This surgical procedure involves the meticulous removal of contaminated, nonviable tissues and foreign materials from the wound. Debridement plays a pivotal role in preventing infection, a common complication in such injuries. During debridement, podiatric surgeons must work under optimal conditions, utilizing good anesthesia, adequate lighting, and magnification. The use of a tourniquet is often essential for better visualization of contaminants and distinguishing between viable and nonviable tissues. Skin margins are carefully freshened, subcutaneous tissues are excised to reach healthy fat, and damaged muscles and tendons are assessed for viability. Preservation of vital structures like nerves and blood vessels is paramount, as they are crucial for future reconstruction efforts. Proper recording of the debridement procedure, including the extent of tissue damage and the status of nerves and tendons, is essential for guiding subsequent treatment. If you are a diabetic patient and have wounds, ulcers, or other foot or ankle skin conditions, it is strongly suggested that you are under the care of a podiatrist who can consider debridement as a possible effective treatment.
Limb salvage can be an effective way in preventing the need for limb amputation. If you have diabetes, cancer, or any other condition that could lead to foot amputation if left unchecked, consult with Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
What Is Limb Salvage?
Limb salvage is the attempt of saving a limb, such as the foot from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Diabetes is the number one cause of non-traumatic amputations in the United States. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.
However, there are other causes as well, such as cancer and traumatic injury. Links between higher mortality rates and amputation have been found. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.
Diagnosis and Treatment
Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated.
If you have any questions, please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Jobs that require prolonged standing and walking often lead to complaints of foot and ankle pain among employees. Various factors contribute to foot and ankle pain in assembly line work, including time spent standing, walking, or sitting. Additionally, floor surface characteristics, weight, BMI, age, foot biomechanics, and demographic and medical history may significantly contribute to developing foot and ankle pain. Increased risk factors can include high metatarsal pressure during gait assessment, extended periods of walking, female gender, job dissatisfaction, and a history of conditions like rheumatoid arthritis, osteoporosis, or vascular disorders. Truck and forklift drivers who frequently exit and enter their vehicles tend to have a higher prevalence of ankle and foot problems. Prevention includes the use of shoe orthotics with medial longitudinal arch and metatarsal pad support. The incorporation of sit and stand work stations are also options to mitigate foot and ankle issues in these types of environments. If you are involved in assembly line work and experience foot or ankle pain, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment that can help relieve pain.
Foot and ankle trauma is common among athletes and the elderly. If you have concerns that you may have experienced trauma to the foot and ankle, consult with Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Foot and ankle trauma cover a range of injuries all over the foot; common injuries include:
Symptoms
Symptoms of foot and ankle injuries vary depending on the injury, but more common ones include:
Diagnosis
To properly diagnose the exact type of injury, podiatrists will conduct a number of different tests. Some of these include sensation and visual tests, X-rays, and MRIs. Medical and family histories will also be taken into account.
Treatment
Once the injury has been diagnosed, the podiatrist can than offer the best treatment options for you. In less severe cases, rest and keeping pressure off the foot may be all that’s necessary. Orthotics, such as a specially made shoes, or immobilization devices, like splints or casts, may be deemed necessary. Finally, if the injury is severe enough, surgery may be necessary.
If you have any questions, please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Gout is a painful, inflammatory form of arthritis. Those affected will typically feel an intense stiffness in the joints of their feet, particularly in the big toe. Schedule a visit to learn about how gout can be managed and treated.
Choosing the right high heel height is a delicate balance between fashion and comfort, with implications for both style and foot health. While personal preferences play a role, experts recommend considering a heel height that is one to two inches. This range provides a stylish lift without subjecting the feet to excessive pressure or discomfort. Lower heels distribute weight more evenly, reducing strain on the balls of the feet and minimizing the risk of conditions such as bunions or metatarsalgia. Additionally, a modest heel height promotes a more natural posture, preventing issues like lower back pain and Achilles tendon strain. Ultimately, the optimal high heel height is one that allows you to walk with grace and confidence while prioritizing the well-being of your feet. By striking this balance, you can effortlessly blend style with comfort, ensuring your footwear choices enhance both your fashion statement and overall foot health. If you are interested in seeking additional information about how wearing high heels affect your feet, it is suggested that you consult a podiatrist.
High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. 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?
What Kinds of Foot Problems Can Develop from Wearing High Heels?
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 Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Engaging in running offers numerous health benefits, but it also comes with the risk of encountering common injuries that can sideline even the most dedicated runners. One common issue is plantar fasciitis, causing heel pain. This condition is often a result of overuse or improper footwear. Regular stretching and wearing supportive shoes can be preventive measures. Achilles tendinitis, involving inflammation of the Achilles tendon, emphasizes the importance of gradual training increments and proper footwear. Prioritizing rest, cross-training, and incorporating strength exercises into one's routine can significantly reduce the risk of these common running injuries, ensuring a more enjoyable and injury-free running experience. If you are experiencing foot, toe, or ankle injuries related to running, it is suggested that you consult a podiatrist who can recommend effective treatment options.
All runners should take extra precaution when trying to avoid injury. If you have any concerns about your feet, contact Dr. Kendall Blackwell of InStride Wilson Podiatry Associates. Our doctor will treat your foot and ankle needs.
How to Prevent Running Injuries
There are a lot of mistakes a runner can make prior to a workout that can induce injury. A lot of athletes tend to overstretch before running, instead of saving those workouts for a post-run routine. Deep lunges and hand-to-toe hamstring pulls should be performed after a workout instead of during a warmup. Another common mistake is jumping into an intense routine before your body is physically prepared for it. You should try to ease your way into long-distance running instead of forcing yourself to rush into it.
More Tips for Preventing Injury
If you have any questions, please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Heel fissures, or cracked skin on the heels, develop when the feet lack adequate moisture. This can lead to the development of painful cracks and dry patches on the outer edge of the heels. While heel fissures are often perceived as a cosmetic concern, they can escalate into more serious health conditions, underscoring the importance of timely treatment. Common causes of heel fissures include wearing open-backed shoes, living in dry climates, walking barefoot, obesity, and having inactive sweat glands. In cases of persistent or severe fissures, seeking professional help from a podiatrist is suggested. Treatment measures can provide a comprehensive approach to alleviate discomfort and expedite the healing process. The danger of heel fissures is particularly important for diabetic people and patients with neuropathy and should not be ignored. If you have developed seriously cracked heels that are bleeding or may have become infected, it is suggested that you schedule an appointment with a podiatrist as quickly as possible for an exam and treatment.
Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.
Cracked Heels
Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.
How Do You Get Them?
Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.
Promote Healing
Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.
Wear Socks – Wearing socks with medicated creams helps lock in moisture.
Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.
Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin.
Change in Diet
Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.
Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed.
If you have any questions, please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Red feet in the elderly can be a symptom with a myriad of potential causes. One primary contributor is reduced circulation, a common age-related issue that compromises blood flow to the extremities. Chronic venous insufficiency, where weakened veins struggle to return blood to the heart, may result in redness in the feet due to pooling blood. In some cases, medications or medical conditions affecting blood vessels can contribute to this discoloration. Additionally, inflammatory conditions like arthritis or infections might manifest as redness in the feet. Diabetic complications, particularly peripheral artery disease, may also lead to diminished blood supply and red discoloration. A podiatrist needs to conduct a thorough assessment to accurately diagnose and address the root causes of red feet in the elderly. If you or someone you know has this foot condition, it is suggested that you visit a podiatrist who can offer appropriate treatment options.
Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.
The Elderly and Their Feet
As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.
Common Conditions
Susceptible Infections
Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.
If you have any questions please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Morton's neuroma is a painful condition that affects the nerves in the ball of the foot, often causing discomfort and a sensation of a lump between the toes. To diagnose and effectively treat Morton's neuroma, podiatrists often employ various imaging tests. Ultrasound is a commonly used imaging technique to visualize Morton's neuroma. It provides real time images and allows for dynamic assessment, which can help in confirming the diagnosis. Ultrasound can also guide injections for therapeutic purposes. Magnetic resonance imaging, or MRI, is another valuable tool for evaluating Morton's neuroma. It offers detailed images of the foot's soft tissues, providing insight into the size and location of the neuroma. This can assist in treatment planning and determining the severity of the condition. X-rays, although less effective in directly visualizing neuromas, are sometimes used to rule out other foot conditions like bone abnormalities or arthritis. These imaging tests play a vital role in diagnosing Morton's neuroma and determining the most appropriate treatment approach, which may include conservative measures, injections, or surgical intervention. If you have pain in the ball of your foot, it is suggested that you schedule an appointment with a podiatrist, as early intervention can lead to more effective management of this painful foot condition.
Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Dr. Kendall Blackwell of InStride Wilson Podiatry Associates. Our doctor will attend to all of your foot care needs and answer any of your related questions.
Morton’s Neuroma
Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.
What Increases the Chances of Having Morton’s Neuroma?
Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.
If you have any questions, please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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.
Foot arthritis, a condition affecting the joints in the feet, often begins its onset with inconspicuous signs that warrant attention. Persistent morning stiffness, particularly in the feet, can be an early red flag. Individuals may notice increased discomfort during weight-bearing activities or difficulty flexing and extending the foot joints. Swelling and warmth around the joints may accompany these symptoms, indicating inflammation. As arthritis progresses, subtle changes in foot structure or the development of bunions and hammertoes may become noticeable. Gradual limitations in range of motion may hinder daily activities. Persistent pain, even at rest, is another key signal that warrants investigation. Recognizing these initial whispers of foot arthritis allows for early intervention, potentially mitigating the impact on mobility and overall quality of life. If you have symptoms of foot arthritis, it is strongly suggested that you are under the care of a podiatrist who can effectively diagnose and offer treatment and relief options.
Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.
Arthritic Foot Care
Arthritis is a term that is commonly used to describe joint pain. The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it. Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.
Symptoms
Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.
Risk Factors
If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method is best for you.
If you have any questions, please feel free to contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.
