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.

Non Diabetic Foot Wounds

Non Diabetic Foot Wounds

Foot and ankle infections, while less common in nondiabetic individuals, require prompt recognition and treatment. Patients with these types of infections often experience symptoms such as pain, swelling, reddening, and visible foot wounds. Medical conditions like renal insufficiency or inflammatory diseases can compromise immunity. Persistent reddening of the skin may indicate cellulitis. It is important to inspect the foot for calluses, blisters, and wounds as well as assess the wound size, depth, and any exposed tendons. A joint examination is necessary to evaluate motion and stability. Neuropathy can develop in nondiabetic individuals due to various factors. Imaging, lab tests, and culturing soft tissue or fluid can assist in diagnosis. Nail disorders require specific consideration. Cellulitis responds to antibiotics, while necrotizing fasciitis demands surgical intervention. Timely diagnosis and treatment are important in managing foot and ankle infections in nondiabetic individuals. If you have a foot wound that is not healing, it is strongly suggested that you make an appointment with a podiatrist for evaluation and treatment.

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 the podiatrists from Boston Common Podiatry. Our doctors 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 Boston, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Heel Pain

Heel pain can be difficult to deal with, especially if you do not know what the underlying cause is. If you ignore your heel pain, the pain can magnify and potentially develop into a chronic condition. Depending on the location of your heel pain, you have developed a specific condition.  

One condition is plantar fasciitis.  Plantar fasciitis is caused by the inflammation of the plantar fascia, or the band of tissue that connects the heel bone to the base of the toes. The pain from this condition is initially mild but can intensify as more steps are taken when you wake up in the morning. To treat this condition, medication will likely be necessary. Plantar fasciitis is often associated with heel spurs; both require rest and special stretching exercises.

There are various options your podiatrist may suggest for heel pain.  Treatment options for heel pain typically include non-steroidal anti-inflammatory drugs (NSAIDS), which may reduce swelling and pain. Other options are physical therapy, athletic taping, and orthotics. In severe cases of heel pain, surgery may be required.

Preventing heel pain is possible.  If you are looking to prevent heel pain from developing in the future, be sure to wear shoes that fit you properly and do not have worn down heels or soles. Be sure to warm up properly before participating in strenuous activities or sports that place a lot of a stress on the heels. If you are experiencing any form of heel pain, speak with your podiatrist to determine the underlying cause and receive the treatment you need.

Causes of Morning Heel Pain

Causes of Morning Heel Pain

Morning heel pain can have several underlying causes. One of the most common culprits is plantar fasciitis, a condition in which the broad band of tissue that runs along the bottom of the foot becomes inflamed. This results in sharp or stabbing pain in the heel that tends to be most intense in the morning. Another source is Achilles tendonitis, which is the inflammation of the tendon that connects the calf muscles to the heel bone. It can be caused by tight calf muscles or overuse. Morning heel pain has also been linked to rheumatoid arthritis, an autoimmune condition that causes Inflammation in the foot joints and results in stiffness and discomfort, especially after periods of rest. A stress fracture in the heel bone may also be responsible for morning discomfort. These hairline fractures can cause localized pain that becomes more noticeable when you first put weight on your feet in the morning. Lastly, aging can contribute to morning heel pain, as the muscles, tendons, and ligaments lose some of their flexibility and resilience. If you're experiencing morning heel pain, it's suggested that you make an appointment with a podiatrist who can accurately diagnose the cause and recommend an appropriate treatment plan.

Many people suffer from bouts of heel pain. For more information, contact the podiatrists of Boston Common Podiatry. Our doctors 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 Boston, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Do Your Child's Feet Hurt?

Do Your Child's Feet Hurt?

Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.

Causes Symptoms and Treatment for Poor Circulation in the Feet

Causes Symptoms and Treatment for Poor Circulation in the Feet

The purpose of the body’s circulation system is to transport blood, oxygen, and nutrients throughout the body. A reduction of blood to a specific part of the body may cause one to experience symptoms of poor circulation. The most common causes of poor circulation in the feet are obesity, diabetes, and heart conditions such as peripheral artery disease (PAD). Common symptoms of poor circulation include tingling, numbness, throbbing, pain and muscle cramps.

Peripheral artery disease is a common cause of poor circulation in the legs. Symptoms of PAD are cramping, pain or tiredness in the leg or hip muscles while walking or climbing stairs. This pain tends to go away with rest and starts back up when you begin to walk.  It is a condition that causes the blood vessels and arteries to become narrow. Although PAD is more common in adults over the age of 50, it may also occur in younger people.  A similar condition called atherosclerosis causes arteries to stiffen up due to a buildup of plaque in the arteries and blood vessels.

Blood clots are also a common cause of poor circulation in the feet. Clots may obstruct blood vessels and if they occur in the legs, they may eventually lead to pain and discoloration. This occurrence is commonly known as deep vein thrombosis (DVT) and it may travel to the lungs. Varicose veins are another condition that may lead to poor circulation, and it is caused by incompetence of the valves in the veins. Women who are overweight are prone to developing this condition. Lastly, diabetes, which is correlated with poor blood sugar metabolism may lead to chronic poor circulation. Those with diabetes often suffer from cramping in the legs, calves, thighs and buttocks.

If you are looking for ways to avoid poor circulation there are some tips you can follow. One tip is to avoid sitting for too long. If you plan to sit down for a long period of time, you should try standing up occasionally, to improve your circulation. Another great way to avoid poor circulation is to exercise. Exercise is an excellent way to pump the heart and increase blood flow. Those who suffer from poor circulation should also avoid smoking, reduce their salt intake, and try to lose weight.

If you are experiencing symptoms from poor circulation in your feet, you should consult with your podiatrist to determine the best method for treatment for you. He or she may prescribe medication in addition to recommending specific lifestyle changes to improve your circulation.

Magnetic Resonance Imaging for Peripheral Artery Disease

Magnetic Resonance Imaging for Peripheral Artery Disease

Peripheral artery disease, also known as PAD, is a common circulatory condition that primarily affects the arteries of the legs and feet. It occurs when fatty deposits build up in the arteries, causing them to narrow and reduce blood flow to the limbs. Symptoms of PAD include pain, cramping, and fatigue in the legs and feet, especially during physical activity. If severe, this condition can lead to pain at rest, non-healing wounds or ulcers, and tissue damage or gangrene. Treatment aims at relieving symptoms and preventing complications. While non-invasive imaging tests have been used to assess PAD, recent advancements in MRI techniques have had a significant impact on the diagnosis and understanding of this disease. If you are suffering from peripheral artery disease and have troublesome foot symptoms, it is strongly suggested that you make an appointment with a podiatrist to see if any of the newer advancements in testing can better pinpoint effective treatment for you.

While poor circulation itself isn’t a condition; it is a symptom of another underlying health condition you may have. If you have any concerns with poor circulation in your feet contact the podiatrists of Boston Common Podiatry. Our doctors will treat your foot and ankle needs.

Poor Circulation in the Feet

Peripheral artery disease (PAD) can potentially lead to poor circulation in the lower extremities. PAD is a condition that causes the blood vessels and arteries to narrow. In a linked condition called atherosclerosis, the arteries stiffen up due to a buildup of plaque in the arteries and blood vessels. These two conditions can cause a decrease in the amount of blood that flows to your extremities, therefore resulting in pain.

Symptoms

Some of the most common symptoms of poor circulation are:

  • Numbness
  • Tingling
  • Throbbing or stinging pain in limbs
  • Pain
  • Muscle Cramps

Treatment for poor circulation often depends on the underlying condition that causes it. Methods for treatment may include insulin for diabetes, special exercise programs, surgery for varicose veins, or compression socks for swollen legs.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

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

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MLS Laser Therapy

MLS Laser Therapy

MLS Laser Therapy is an FDA-approved technology designed to treat various painful conditions.  It is often sought out as a successful alternative to surgical treatment and prescription medication that may otherwise bring about negative side effects.  During MLS Laser Therapy, light energy enters the damaged cells to stimulate intercellular activity, reducing pain in the affected area and accelerating the recovery process.

MLS Laser Therapy is used in podiatry to treat various conditions.  These include heel pain, plantar fasciitis, sports injuries, wounds, Achilles tendonitis, arthritis, neuromas, neurological pain, musculoskeletal disorders, and sore muscles.  Aside from the specific conditions MLS Laser Therapy treats, patients can also gain from the treatment’s general benefits.  These benefits include a rapid relief of pain, the reduction of swelling caused by inflammation or bruising, faster healing, improved blood circulation, the reduction of scar tissue, and improved nerve function. 

MLS Laser Therapy is a non-surgical treatment with no side effects.  The treatment process is painless and typically takes a short amount of time to complete.  Several treatments may be required depending on the specific condition.

What is MLS Laser Therapy?

What is MLS Laser Therapy?

Multiwave Locked System (MLS) Laser Therapy is a laser treatment that uses a combination of wavelengths of light to reduce pain, swelling and inflammation in various parts of the body. MLS Laser Therapy can be used to treat many conditions, including arthritis and arthritic joint pain, Achilles tendon injuries, plantar fasciitis, fractures, gout, and peripheral neuropathy. MLS Laser Therapy treatment is safe, painless, and noninvasive. For some conditions, it may be used as an alternative to prescription medications and surgeries. If you are interested in exploring MLS Laser Therapy as a potential treatment option, please consult with your podiatrist.

MLS Laser Therapy is a successful alternative for treating any pain you may be experiencing related to certain podiatric conditions.  If you are interested in MLS Laser Therapy, consult with the podiatrists from Boston Common Podiatry. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

MLS Laser Therapy

Multiwave Locked System (MLS) Laser Therapy is a patented, FDA-cleared technology that helps relieve pain and inflammation from a number of podiatric conditions, including:

  • Heel Pain
  • Plantar Fasciitis
  • Sports Injuries
  • Wounds
  • Achilles Tendonitis
  • Arthritis
  • Neuropathy
  • Neuromas

MLS Laser Therapy is an ideal alternative to surgery and prescription medication, as it has no negative side effects and encourages accelerated healing. Among its many clinical benefits, MLS Laser Therapy also:

  • Reduces swelling due to bruising or inflammation
  • Blocks pain
  • Reduces formation of scar tissue
  • Improves nerve function

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

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Bunions

A bunion is a bump that forms at the base of the big toe. Bunions form when the big toe pushes against the next toe, which forces the big toe joint to get bigger and stick out.  As a result, the skin over the bunion may start to appear red and it may feel sore.

There are risk factors that can increase your chances of developing bunions. People who wear high heels or ill-fitting shoes are more likely to develop them, in addition to those who have a genetic history of bunions or have rheumatoid arthritis.

The most obvious way to tell if you have a bunion is to look for the big toe pushing up against the toe next to it. Bunions produce a large protrusion at the base of the big toe and may or may not cause pain. Other symptoms are redness, swelling, and restricted movement of the big toe if you have arthritis. 

Nonsurgical methods are frequently used to treat bunions that aren’t severe. Some methods of nonsurgical treatment are orthotics, icing and resting the foot, taping the foot, and pain medication. Surgery is usually only required in extreme cases. However, if surgery is needed, some procedures may involve removing the swollen tissue from around the big toe joint, straightening the big toe by removing part of the bone, or joining the bones of your affected joint permanently.

Your podiatrist will diagnose your bunion by doing a thorough examination of your foot. He or she may also conduct an x-ray to determine the cause of the bunion and its severity.

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