Wound Care

Slow-healing wounds on the feet are a frequent complication of diabetes and always warrant prompt medical attention. Left untreated, these wounds can develop into diabetic foot ulcers (DFUs), greatly increasing your risk of infection, tissue death, and amputation. But how do these wounds form in the first place, and what can be done to prevent them?

Diabetics are often afflicted with two other co-occurring conditions, peripheral neuropathy and poor circulation. Peripheral neuropathy causes nerve damage and often affects the nerves of the lower limbs, leading to tingling, numbness, and a loss of sensation in the feet. A lack of sensation can leave you unable to physically feel pain if you cut, scrape, puncture, or otherwise injure your feet. This can be a serious problem, as pain is typically the first indication that something is wrong. When you don’t feel it happen, an injury on your foot can go undetected and untreated, progressively worsening until it forms a serious wound. These wounds usually heal slowly because of another complication of diabetes, poor circulation. When the blood supply to your feet is not adequate, this area of your body does not get the oxygen and nutrients that it needs to perform its usual processes, including wound healing. Poor circulation results in wounds that heal slowly or don’t heal at all. 

Fortunately, there are measures that you can take to prevent diabetic foot wounds from occurring or worsening. Maintain good foot hygiene by washing and thoroughly drying your feet each day and performing a daily foot check. Using a mirror or with help from a caregiver, examine your feet each day for any abnormalities, such as sores, cuts, scrapes, bruises, blisters, discoloration, swelling, and ingrown toenails. If you notice any foot problems, it is recommended that you see a chiropodist who can treat these issues and offer you more information about managing your foot health. 

Various Types of Wounds

A wound is a break in body tissue that happens either internally or externally. A minor wound can be treated at home by cleaning it, followed by covering it with a dressing. Severe wounds can consist of an abrasion that can happen when the skin rubs against a hard surface. Road rash is an example of this type of wound, and infection may be prevented when it is cleaned. A needle or pointy object can cause a puncture wound, and may be well below the skin’s surface. Patients who are involved in serious accidents may experience an avulsion wound which can bleed heavy and fast. Wounds that occur on the feet are treated by a chiropodist, and it is suggested that you seek the counsel of this type of medical professional who can effectively treat foot wounds.

Wound care is the process of treating and preventing wounds on the feet. This is especially important if you have diabetes, as diabetic foot wounds are common and can lead to serious complications when left untreated. To learn more about proper wound care, please consult with one of the specialists from Thornhill Foot Clinic. Our chiropodists will assess your condition and provide you with quality foot and ankle treatment. 

Why Is Wound Care Important for Diabetics?

While wound care is important for maintaining the health of your feet, it is especially important for people with diabetes. This is because diabetics often suffer from poor blood circulation, causing foot wounds to heal very slowly or not to heal at all. Diabetics also frequently suffer from neuropathy or nerve loss. This means no matter how big or little the wound, they might not feel it on their foot. If the wound becomes severely infected, amputation may be necessary. This is why it is imperative that diabetics complete daily foot checks.

Wound Care Basics

The best way to care for wounds is to prevent them in the first place. It is recommended that people with diabetes perform a daily examination of their feet to locate cuts, scrapes, sores, or wounds. Early detection allows for ample time to treat the wounds and prevent further complications. If you notice a wound at home, you can clean it using water, apply an antibiotic ointment, and cover the wound with a clean bandage. Seeing a chiropodist, who can examine your feet thoroughly and treat any existing wounds, can also help you maintain proper foot health. 

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

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Falls Prevention

Falls are a leading cause of serious injury among the elderly. In fact, falls are the cause of the majority of hospitalizations for elderly people. As we age, our risk of falling increases due to deterioration in physical strength, coordination, vision, and hearing. Unsafe conditions in the home are often responsible for falls, and about half of all falls among the elderly occur in the home environment. Falling can cause a variety of complications, including injuries to the legs and feet, which can greatly impact one’s mobility and independence. 

Fortunately, falls can often be prevented. There are various preventive measures that you can take to make your home environment safer and less likely to contribute to a fall. In the bathroom, where wet and slippery conditions can lead to falling, it is recommended that you have non-slip surfaces in the shower and tub, install grab bars by the toilet and bath to help you sit and stand, and wipe up any moisture or spills as soon as they occur. In the living room and bedroom, it is important to make sure that the floor is free of clutter and obstacles, such as loose cords and wires, small furniture items, and other tripping hazards. Ensure that all rugs and mats are firmly anchored and that there is good lighting throughout the home. In the kitchen, it is suggested that you store appliances and other supplies in places that are easy to reach and that you wipe up any spills that may occur immediately. If your home has stairs, they should be well lit and have secure handrails. 

You can also prevent falls by modifying your own behavior. When moving around the home, walk slowly and carefully, turn on lights when walking through your home at night, and use any mobility aids, such as a cane or walker, when needed. Exercise regularly and eat a healthy diet to maintain your overall health. Speak regularly with your doctor to monitor your medications, especially if you are taking any medications that may increase your risk of falling due to side effects such as dizziness. For more tips on how to prevent falls, please consult with a chiropodist. 

Preventing Falls on the Porch

Senior citizens can be especially susceptible to suffering falls, which may lead to serious health consequences. Often, the reason why seniors are susceptible to falling is due to decreased strength in the feet. When seniors fall, they may also further damage their feet due to foot injuries caused by the fall. Seniors may be likely to suffer a fall on their porches because they can often be slippery due to rain. One way to prevent this is by being sure to wear proper footwear when walking around on the porch. For example, flip-flops should be avoided on the porch because this kind of footwear can lead to trips and falls. Additionally, seniors can try to keep their porches clean, clearing clutter that may cause a fall. If you are struggling with preventing falls, contact a chiropodist.

Falls are a major cause of injury among the elderly. To learn more about preventing falls or to get treatment following a foot or ankle injury caused by a fall, please consult with one of the specialists from Thornhill Foot Clinic. Our chiropodists will assess your condition and provide you with quality foot and ankle treatment. 

Falling is one of the leading causes of injury among the elderly. It is said that about 50% of falls that result in hospitalization occur in the home. Fortunately, there are steps that you can implement to reduce your risk of falling in the home. 

Tips to Prevent Falls at Home:

  • In the bathroom - Place non-slip mats in the shower or tub, install grab bars near the toilet and bath, and wipe up any moisture or spills as soon as possible. 

  • In the living rooms and bedroom - Remove loose wires, cords, or other objects that may be an obstacle to moving around safely. Make sure that you have good lighting throughout the home so that you can always see where you are going. Get rid of any rugs or mats that are not firmly anchored or that may cause you to trip. When walking around the home, move slowly. 

  • In the kitchen - Store food and supplies in easily accessible areas, store heavy items in lower cupboards, and wipe up any spills immediately to prevent slipping. 

  • On the stairs - Make sure that the stairs are well-lit and have secure handrails. Walk slowly when ascending or descending the stairs.  

  • Outside - Keep walkways well-lit and clear of snow, ice, leaves, and man-made tripping hazards.

Maintaining your overall health, including the health of your feet, can also help to prevent falls. Eat a healthy diet, exercise regularly, and wear well-fitted, comfortable, and supportive shoes. If you have a mobility device, such as a cane, use it while walking.  

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

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Plantar Fasciitis

The plantar fascia is a thick ligament that runs along the bottom of your foot and connects the heel bone to the toes. When the plantar fascia becomes inflamed, typically due to overuse, it can cause a condition called plantar fasciitis. Plantar fasciitis is characterized by a sharp, stabbing heel pain, arch pain, and pain that is at its worst when taking your first steps after a long resting period, such as when you first wake up in the morning. You may also notice swelling on the bottom of the heel. 

Plantar fasciitis is one of the most common foot ailments, and one of the most common causes of heel pain. Besides overuse from activities such as running or jumping, wearing shoes that do not have adequate cushioning and support, standing for prolonged periods of time, being obese, or having flat feet can all increase your risk of developing plantar fasciitis. 

Fortunately, there are many treatments for this condition. Your chiropodist may recommend stretching exercises, activity and footwear changes, and icing the affected foot to help relieve pain. If pain persists after several weeks, your chiropodist may prescribe custom orthotics, pad, tape, strap, or immobilize the affected foot, or inject a corticosteroid into the area to reduce pain. 

For more information about plantar fasciitis, please consult with a chiropodist. 

Stretches That Can Help With Plantar Fasciitis

Plantar fasciitis is an overuse injury that affects the bottom of the foot, causing pain mostly in the arch and heel. The plantar fascia, a band of tissue that runs along the sole of the foot, can sustain tears from excessive pounding on the feet, over exercising, and obesity. Aside from rest and anti-inflammatory pain medication, experts recommend certain stretching exercises designed to relieve pain from plantar fasciitis. First is the towel stretch. This calls for sitting on the floor with legs extended. Then loop a towel around the ball of the foot and pull the toes toward the body. It’s important to keep the knees straight and hold the stretch for 30 seconds. Repeat three times on each foot. The second is the foot roll. Sit in a chair, and place the arch of the foot over a tennis ball or small water bottle. Roll your foot back and forth with enough pressure that you can feel the plantar fascia stretching. Continue for three minutes and repeat on the other foot. This exercise can be repeated several times throughout the day. To find out more about exercises that relieve pain from plantar fasciitis, please consult a chiropodist.

Plantar fasciitis can be painful and interfere with your daily activities. If you are experiencing foot or heel pain and believe you may be afflicted with plantar fasciitis, please consult with one of the specialists from Thornhill Foot Clinic. Our chiropodists will assess your condition and provide you with quality foot and ankle treatment. 

What Is Plantar Fasciitis?

Plantar fasciitis refers to the inflammation of the plantar fascia, a ligament that runs along the bottom of the foot and connects the heel bone to the toes. Repetitive activities, such as running or jumping, can injure the plantar fascia over time. Plantar fasciitis can also be caused by flat feet, high arches, pregnancy, and activities that put excessive pressure on your feet, like standing all day for work. When the plantar fascia becomes inflamed, it causes pain and discomfort. 

Symptoms

Typical symptoms of plantar fasciitis include:

  • Stabbing pain near the heel

  • Pain that is worst in the morning or after a period of rest

  • Pain that increases after exercising

  • Swelling

  • Tightness in the Achilles tendon

Diagnosis

Plantar fasciitis is typically diagnosed via medical history and physical examination. 

Treatment

Treatments for plantar fasciitis include resting and icing the affected foot, stretching the foot, taking medications to reduce inflammation, and wearing orthotics. In severe cases where pain does not improve with conservative treatments, injections or surgery may be recommended. 

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

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Do You Suffer From Painful Feet?

Painful deformities, such as hammertoes, can be treated. Stop living with foot pain, and have beautiful feet again!

Tarsal Tunnel Syndrome

The tarsal tunnel is a narrow space on the inside of the ankle, located next to the ankle bones. Within the tarsal tunnel are a variety of tendons, arteries, veins, and nerves, including the posterior tibial nerve. Tarsal tunnel syndrome is a condition that occurs when the posterior tibial nerve is squeezed or compressed. This can happen due to injuries that produce inflammation or swelling near the nerve, systemic diseases like arthritis, an abnormal structure such as a cyst putting pressure on the nerve, or flat feet straining the nerve as you walk. 

Symptoms of tarsal tunnel syndrome include tingling, burning, or electrical shock sensations in the inside of the ankle or bottom of the foot, as well as numbness and shooting pains. In some cases, the symptoms are isolated to one small area, like the inner ankle. In other cases, the symptoms may affect the entire foot and ankle. Symptoms typically occur during or are aggravated by physical activities like walking, running, jumping, or prolonged standing. 

Tarsal tunnel syndrome can be diagnosed by a chiropodist through physical examination of the affected foot and ankle. Imaging studies may be used if the chiropodist suspects that the underlying cause may be a structural abnormality, like a cyst. Treatment options for this condition include resting and icing the affected area, taking oral medications to reduce pain, immobilizing or bracing the affected foot, wearing supportive shoes or orthotic inserts, and physical therapy. Left untreated, tarsal tunnel syndrome can lead to permanent nerve damage. 

If you are experiencing the symptoms of tarsal tunnel syndrome, please consult with a chiropodist. 

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome is a nerve disorder. Those with this condition often experience pain in the ankle, foot, and toes. Tarsal tunnel syndrome is caused by the compression of the posterior tibial nerve, which runs through a canal near the heel and into the sole of the foot. When the tissues around this nerve become inflamed, they can press on the nerve, therefore, causing pain. If you have symptoms of this syndrome, contact a chiropodist who is dedicated to foot health and can offer you the best treatment plan.

Tarsal tunnel syndrome can cause pain and progress over time. If you are experiencing any symptoms of tarsal tunnel syndrome, please consult with one of the specialists from Thornhill Foot Clinic. Our chiropodists will assess your condition and provide you with quality foot and ankle treatment. 

What Is Tarsal Tunnel Syndrome?

Tarsal tunnel syndrome is a condition in which the posterior tibial nerve, which is located within a structure called the tarsal tunnel on the inside of the ankle, is squeezed. Compression of the posterior tibial nerve can be caused by injuries, such as ankle sprains, systemic diseases like diabetes or arthritis, strain on the tarsal tunnel due to flat feet, or an enlarged structure like a cyst squeezing the nerve. 

Symptoms

Symptoms of tarsal tunnel syndrome can appear suddenly and are generally worsened by physical activity. 

Common symptoms include: 

  • Tingling, burning, or electrical shock sensation on the inside of the ankle or bottom of the foot

  • Numbness

  • Shooting pain 

Diagnosis

Tarsal tunnel syndrome is diagnosed through physical examination. If initial treatment is ineffective, imaging or nerve studies may also be necessary. 

Treatment

Nonsurgical treatments for tarsal tunnel syndrome include resting and icing the foot, bracing or immobilizing the foot, wearing an orthotic device, modifying your footwear, and taking medications to relieve pain. Surgery may be needed if nonsurgical treatments are ineffective.  

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

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Diabetic Foot Care

Though diabetes begins with the pancreas not producing enough insulin, thus raising your blood sugar levels, it is a systemic condition that can affect every part of your body. The feet are no exception, and a variety of lower limb problems are very common among people with diabetes. 

One of the primary foot-related concerns for patients with diabetes is diabetic foot ulcers (DFUs). These are poorly healing open wounds on the feet that are at high risk of becoming infected due to a weakened immune system, another common complication of diabetes. Nerve damage in the feet caused by high blood sugar levels interferes with pain signaling between the peripheral nerves in the feet and the central nervous system (the brain and spinal cord). When this signaling is disrupted, it can be difficult to detect foot injuries, such as cuts and scrapes, when they occur. These injuries are then left unnoticed and untreated until they have significantly worsened. Poor circulation, another complication of diabetes, means that not enough nutrients reach the feet. Without them, the wounds on the feet heal slowly and poorly, or not at all. These wounds can then become infected, leading to tissue death. 

The best way to prevent DFUs and their consequences is to carefully monitor the health of your feet through daily foot inspections. Using a mirror to help you see your feet fully, look for any cuts, scrapes, sores, bruising, swelling, discoloration, rashes, hair loss, deformities, or nail changes. Take note of any foul odors, pain, warmth, and strange sensations such as numbness, tingling, burning, or pins and needles. If you notice a problem, seek the care of a chiropodist as soon as possible. Early treatment is key to avoiding potential complications. 

DFUs are not the only foot problem diabetics are more likely to encounter. Diabetes can also increase your risk of corns and calluses, cracked skin, bunions, hammertoes, Charcot foot, nail disorders, and various infections. If you have diabetes, it is strongly suggested that you are under the care of a doctor who can help you monitor your foot health, treat any existing conditions, and prevent future ones.

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