Toe Infections
A toe infection can start small and end up big in terms of pain and serious consequences if not tended to. Such an infection can arise from an injury, an unrelated medical condition, a nail problem like an ingrown toenail, wearing shoes that are too tight, or bacteria. Symptoms beyond pain include pressure, swelling, redness, oozing, a bad smell, and being hot to the touch. One might see a visible break in the skin and have a fever as well. Being a diabetic can make dealing with toe infections particularly difficult. In severe cases, this type of infection can lead to a toe amputation. Prevention is key to treating toe infections. Toes, in between toes, and toenails should be checked frequently for any abnormalities. Feet should be kept clean, and socks changed often. Toenails should be cut straight across and not too short. Going barefoot should be avoided. Shoes should be roomy enough that toes can wiggle freely. If you develop a toe infection, it is strongly suggested that you see a podiatrist as soon as possible for 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 Neeta Hasmukh, DPM from Total Podiatry. 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 offices located in San Antonio, Uvalde, and Jourdanton, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Wounds That Don't Heal Need to Be Checked
Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.
Excess Uric Acid and Gout
Gout is a painful form of arthritis that can affect the joints in the big toe. Gout is caused by excess uric acid in the blood and can happen from the type of foods that are eaten. These foods can include shellfish, red meat, and other foods that are laden with purines. When an abundance of these types of foods is regularly eaten, the kidneys cannot absorb the purines, and the body will convert them into uric acid. This can turn into crystals that lodge in the joints of the feet. Genetics may also be a reason gout may occur, and it is helpful to learn about what type of foods to eat and to avoid. A diagnosis generally consists of having a needle inserted in the inflamed joint, which can extract a sample of the fluid. This can be successful in confirming if a gout attack has occurred. Gout may dissipate naturally, although it is beneficial to implement effective prevention methods. These can consist of following a healthy diet, drinking plenty of water daily, and losing extra weight, if applicable. If you suffer from gout, it is suggested that you are under the care of a podiatrist who can help you to manage this condition.
Gout is a painful condition that can be treated. If you are seeking treatment, contact Neeta Hasmukh, DPM from Total Podiatry. Our doctor will treat your foot and ankle needs.
What Is Gout?
Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.
Symptoms
- Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
- Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
- Inflammation and Redness -Affected joints may become swollen, tender, warm and red
- Limited Range of Motion - May experience a decrease in joint mobility
Risk Factors
- Genetics - If family members have gout, you’re more likely to have it
- Medications - Diuretic medications can raise uric acid levels
- Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
- Diet - Eating red meat and shellfish increases your risk
- Alcohol - Having more than two alcoholic drinks per day increases your risk
- Obesity - Obese people are at a higher risk for gout
Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.
If you have any questions, please feel free to contact our offices located in San Antonio, Uvalde, and Jourdanton, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Everything You Need to Know About Gout
Gout, typically found in diabetic patients, is an unusually painful form of arthritis caused by elevated levels of uric acid in the bloodstream. The condition typically strikes the big joint on the big toe. It has also been known to strike the knees, elbows, fingers, ankles and wrists—generally anywhere that has a functioning, moving joint.
The high level of uric acid in a person’s bloodstream creates the condition known as hyperuricema—the main cause of gout. Genetic predisposition occurs in nine out of ten sufferers. The children of parents who suffer gout will have a two in ten chance of developing the condition as well.
This form of arthritis, being particularly painful, is the leftover uric acid crystallizing in the blood stream. The crystallized uric acid then travels to the space between joints where they rub, causing friction when the patient moves. Symptoms include: pain, redness, swelling, and inflammation. Additional side effects may include fatigue and fever, although reports of these effects are very rare. Some patients have reported that pain may intensify when the temperature drops, such as when you sleep.
Most cases of gout are easily diagnosed by a podiatrist’s assessment of the various symptoms. Defined tests can also be performed. A blood test to detect elevated levels of uric acid is often used as well as an x-ray to diagnose visible and chronic gout.
Treatment for gout simply means eliminating symptoms. Non-steroid anti-inflammatory drugs or NSAIDs (Colchicine and other corticosteroid drugs, etc.) will quell the redness, the swelling, and the inflammation. However, managing your diet, lifestyle changes, and using preventative drugs are all helpful toward fully combating the most severe cases.
Those that lead an inactive lifestyle are at a higher risk for gout. Any amount of exercise decreases the probability of repeat encounters with the condition. Reducing your consumption of red meat, sea food, and fructose-sweetened drinks also reduces the likelihood of chronic gout as well.
Ingesting Vitamin C, coffee, and particular dairy products can help with maintaining a healthy lifestyle. There are new drugs out on the market that inhibit the body’s production of uric acid-producing enzymes. However, reducing or eliminating your overall levels of uric acid is the best remedy to ensuring you lead a gout-free life.
Popular Foot Massages
The feet bear the weight of the body, and many people choose to get routine foot massages as a form of foot therapy. Foot massages may help to improve circulation, reduce stress, and relax the muscles in the body. There are various types of foot massages that can be performed. A Swedish foot massage is considered to be the most common form of massage and is done by performing circular motions and long strokes which may help to energize the feet. Some people may choose to have a reflexology foot massage done, and this may be helpful in relieving pain in different areas of the body. Forceful strokes that target the deeper muscles can be referred to as a deep tissue massage and may be beneficial for people who have endured injuries. If you are interested in learning more about this type of foot therapy, it is suggested that you speak with a podiatrist who can provide you with useful information.
Foot therapy is often necessary for those recovering from either foot deformities or foot injuries. If you have concerns regarding therapy, consult with Neeta Hasmukh, DPM from Total Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.
Most Common Injuries
People who are active or athletes are prone to a variety of injuries. Therefore, it is often important to take part in physical therapy in order to quickly get back on the right track.
What to Do When Injured
Physical Therapy – This specialized treatment will focus on the affected area, speeding up recovery and the overall healing process. It is a proven method that has helped millions of people return from any injury.
During physical therapy you will undergo regimented training to get back into full form. Training is often very difficult, especially at first when the foot feels weak. Physical therapy often involves:
Basic stretching and twisting exercises – getting the feet’s mobility and flexibility up.
Massaging – the therapist will massage the injured area in order to activate the muscles and relax them.
Strengthening Exercises – this allows the muscles in the affected area to regain their full strength, a vital step towards full recovery.
If you have any questions please feel free to contact our offices located in San Antonio, Uvalde, and Jourdanton, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Foot Therapy for Sports Injuries
Whether in practice or in the game, athletes put their bodies through great stress. Some sports demand more from the body than others. However, every sport has an element of inorganic movement or unnatural motion. For example, in softball, a pitcher winds up and flings her body with an incredible amount of dexterity in order to get the most ideal velocity out of her pitches. This motion, incredibly taxing on the body, can cause serious injury.
One of the most common issues of athletic injuries happens in the feet. If it’s a damaging fracture that leaves the athlete sidelined or just a simple turf toe, foot injuries can still be very frustrating and painful. Regardless of the sport, athletes still require use of their feet in some fashion. This is why foot therapy is extremely vital for getting athletes back on the right track to return to the field.
No matter the injury, the best way to speed up the recovery period is to receive physical therapy. Physical therapy has proven to work for millions of people. Professional physical therapists are specifically trained to help people return to proper form from any injury.
During physical therapy, you will go through organized training in order to get back into form. Sometimes training can be quite difficult, especially in the beginning when there is more pain and the foot feels awkward. To alleviate this, you will do basic twisting and stretching exercises in order to get flexibility and foot mobility back up. The therapist will also massage the injured area to activate and relax muscles. Over time you will eventually move up to strengthening exercises, designed specifically so that the injured area is exercised.
Foot therapy for sports is a modern science miracle. Unlike other treatments that may employ the use of fancy chemicals and terminology, physical therapy is an evidence-based practice that offers the same benefits. Due to huge advancements in the knowledge of muscles and joints, doctors can turn catastrophic injuries around so that athletes can return to the game once more.
Relief for Sore Feet
Given the importance of our feet in getting through life comfortably and maintaining independence, it is wise to practice good foot care. There are things that can be done on a regular basis that can rejuvenate the feet. These can include taking a warm foot bath to relieve sore, aching muscles, and performing stretching and strengthening exercises to prevent cramping. Additionally, regular stretching may improve flexibility and foot strength. Having foot massages done may help to relieve soreness and improve circulation. Wearing shoes that fit well and are appropriate for the activities that are practiced can also help to keep the feet stable while standing and walking, in addition to possibly eliminating pain. If you have injured your foot or you are experiencing chronic foot pain, it is suggested that you visit a podiatrist who can diagnose the reason, and provide correct treatment options.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Neeta Hasmukh, DPM from Total Podiatry. 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 offices located in San Antonio, Uvalde, and Jourdanton, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Foot Pain
The feet, being the foundation of the body, carry all of the body’s weight and are therefore prone to experiencing pain and discomfort. If you are experiencing foot pain, it is important to determine where in the foot you are experiencing this pain to help discover the cause of it. While pain can be experienced virtually anywhere in the foot, the most common sites of foot pain are in the heel and ankle.
Heel pain can be due to a multitude of conditions including plantar fasciitis, Achilles tendinitis, and heel spurs. Pain experienced in the ankle can be a sign of an ankle sprain, arthritis, gout, ankle instability, ankle fracture, or nerve compression. In more serious cases, pain in the foot can be a sign of improper alignment or an infection.
Foot pain can be accompanied by symptoms including redness, swelling, stiffness and warmth in the affected area. Whether the pain can be described as sharp or dull depends on the foot condition behind it. It is important to visit your local podiatrist if your foot pain and its accompanying symptoms persist and do not improve over time.
Depending on the location and condition of your foot pain, your podiatrist may prescribe certain treatments. These treatments can include but are not limited to prescription or over-the-counter drugs and medications, certain therapies, cortisone injections, or surgery.
If you are experiencing persistent foot pain, it is important to consult with your foot and ankle doctor to determine the cause and location. He or she will then prescribe the best treatment for you. While milder cases of foot pain may respond well to rest and at-home treatments, more serious cases may take some time to fully recover.
An Infected Blister
Blisters form when the skin is injured and are the body’s way of protecting itself from further damage. A blister is a bubble of fluid that collects to cushion the injury so the underlying skin can heal. Blisters show up on the feet when there is friction from shoes. If a blister breaks, bacteria can enter the wound and an infection can develop. This can be painful and dangerous if left untreated. Sepsis, or an infection can enter the bloodstream and be life-threatening. Most blisters are tender or painful when they occur but when one is infected, it is more apt to be warm, have oozing pus, have a foul smell, and be swollen. If you have a blister that appears to be infected, bleeds when you touch it, or does not seem to be healing, it is suggested you contact a podiatrist for an examination and proper treatment.
Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, contact Neeta Hasmukh, DPM of Total Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.
Foot Blisters
Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.
What Are Foot Blisters?
A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.
How Do Blisters Form?
Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.
Prevention & Treatment
It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.
If you have any questions, please feel free to contact our offices located in San Antonio, Uvalde, and Jourdanton, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Blisters
Blisters are small pockets of fluid that occur on the top layers of the skin for several reasons. Friction, burns, and diseases are all known causes of blisters. Smaller blisters are known as vesicles, while larger blisters are referred to as bulla. The fluid inside the bubble can be blood, pus, or serum; which is a clear liquid that protects the skin. In most cases, blisters are not a major health issue, but they can be an indicator of a more serious condition.
Causes of blisters vary. Blisters are commonly caused by wearing poorly fitted shoes that rub against the foot. However, there are many other causes besides from friction; including burns, sunburn, insect bites, frostbite, poison ivy/oak, chemical exposure, impetigo, eczema, viral infections, and more.
Most blisters heal by themselves and do not require immediate medical care. If you have a blister, do not pop it since this may cause infection; it is advised to put a bandage over the blister to protect it. If the blister is large, causes pain, or if you have a fever, it is recommended that you see a doctor who can provide proper care. Blisters are easy to diagnose, and if considered prudent by the doctor, can easily be drained of fluid with a sterile needle as well.
To prevent blisters on the feet, wear shoes that fit properly and don’t cause rubbing. Socks can help prevent friction and it is recommended that you wear them if you are wearing shoes. Hand blisters can be avoided by wearing gloves during activities that cause friction against the hand. If you have a blister that pops, do not remove the dead skin, wash the area, apply antibiotic ointment, and cover with a bandage. It is okay in most cases to not seek immediate medical care for a blister if it was just caused by friction. However, if the blister causes pain or does not go away, it is suggested that you see a doctor for a diagnosis.
