Diabetic Foot Care

Diabetes can damage nerves in your feet and cause neuropathy, a condition that causes numbness, pain or loss of sensitivity in your extremities. Neuropathy makes it more difficult to feel sore spots or injuries which if left untreated could become serious infections. Diabetes can also affect your body’s ability to heal properly from cuts or blisters because of changes in blood flow to your feet. A diligent self-care routine and regular checkups with your podiatrist will protect your feet and keep them healthy. If you notice any problems such as redness, blisters, cracks, or breaks in your skin keep the area clean and schedule an appointment- especially if the area doesn’t appear to be healing. Examination will help us find and treat small skin irritations before they get worse.

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Diabetic Limb Salvage

In cases of chronic, non-healing wounds particularly in patients with limb threatening diabetic ulcers our podiatrists will work to salvage a patients’ limbs whenever possible. Our team also provides diabetic foot care education and continuous podiatric management to prevent ulcer recurrence.
Call our office at 248-956-0177 to discuss your specific foot care needs

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Palliative Nail Care: Fungal Toenails

Fungal toenails, less commonly referred to as Onychomycosis, are caused by an infection underneath the surface of the nail. Fungi drain the nail’s keratin protein and turn the nail yellow or brown in color while making it thicker. Sometimes white marks appear on the nail plate. The condition also allows for debris to collect beneath the nail plate and may make it painful to walk or run. (Fungal toe nails may or may not be painful while they are still an active infection) Fungal nail infections can include a secondary bacterial infection or a yeast infection in or around the nail plate.

Your podiatrist will perform a test to identify the type(s) of infection and determine the best treatment option for your case. Treatments many include prescription topical medication, prescription oral medication, and removal of nail matter and debris through debridement, or surgery to remove the affected nail in painful chronic cases. It is important to seek treatment for this condition to avoid complications from an infection and the spread of the fungus to other nails on your hands or feet.

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Palliative Nail Care: Ingrown Toenails

Ingrown toenails result when the nail grows sideways into the skin alongside the nail. This can cause pain, especially when wearing tight shoes. It can also lead to an infection with redness, swelling, and pus drainage. You should schedule an appointment if you have signs of infection so that your podiatrist can treat the area accordingly. Treatment may include prescription strength antibiotics if an acute infection occurs. Part of your ingrown toenail may need to be surgically removed in a procedure called a partial nail plate avulsion. The procedure involves injecting the toe with an anesthetic and cutting out the ingrown part of the toenail. Treatment and proper self-care will allow for your nail to grow back healthy and keep you pain free.

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Foot Surgery: Hammertoe

Hammertoes are most often caused by wearing shoes that are too short or heels that are too high. This jams the toes against the front of the shoe and causes the middle joint of the toes to bend. Trauma and nerve damage from various diseases like diabetes may also cause these deformities. The condition generally affects longest of the four smaller toes. You may feel pain in the toe or in the ball of your foot. A corn (a hard growth of skin on the top of the toe) may form where the toe rubs against the top of the shoe. Similarly, a callus (a hard growth of skin on the bottom of the foot) may form under the tip of the toe or on the ball of the foot.

Speak to your podiatrist for suitable footwear recommendations and to develop a routine with stretching and strengthening exercises that may ease the pain and reverse the damage. If this along with positioning guides like pads or splints are not effective your podiatrist may recommend surgery to straighten your toes.

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Foot Surgery Bunions

A bunion is a bony bump. When the distance between the first and second metatarsal bones of the foot is greater than normal, the big toe may turn toward the other toes. Bunions cause the base of your big toe (Metatarsophalangeal Joint) to enlarge and bulge. The skin over it may be red and tender. This can be acquired through time because of poorly fitting shoes or it can be congenital. Over time it may begin to affect the position of your other toes. If left untreated a severe case may cause difficulty walking, arthritis and chronic pain. Bunion surgery also called a bunionectomy, realigns the bone, ligaments, tendons and nerves so your big toe can be brought back to its correct position and the bump on the inside of the joint removed under local anesthetic.

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Foot Surgery Soft Tissue Mass Removal

Soft tissue masses or tumors that occur on your foot may be benign lesions or early indicators of underlying medical conditions. These bumps on the foot may be painful in shoe wear or cause a limp while walking. It is import to visit your podiatrist so that they may determine if a biopsy or other testing is necessary.

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Foot Surgery: Toe Fracture Repair

Toe fractures are surprisingly common injuries in your lower extremities. These can be caused by impacts with heavy stationary objects. Treatment methods vary depending on how severe your injury is.
Your podiatrist may bandage a toe fracture to keep it properly aligned and immobile. They may also recommend a boot to limit strain and allow the toe time to set properly. During the last part of the recovery process you will be given an exercise routine to strengthen your toes and help you walk normally.

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Flatfoot

Also known as “Fallen Arches” flatfoot is a condition defined by a lack of appropriate arch in the inner foot. It can be a genetic condition or it can be due to loose arch-supporting ligaments in the feet. Because the position of the feet sets the foundation for the whole body’s alignment, improper alignment will make you unable to correctly support your weight. This will cause extreme pressure and sometimes pain in the joints above, including the ankles, knees, hips, and lower back. Your podiatrist can recommend orthotic inserts or other more permanent solutions to relieve pain and pressure after evaluation.

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Foot Surgery: Ankle Fracture Repair

In the cause of ankle fractures, rolling or twisting of your ankle or sometimes car accidents can cause breaks. Treatment for ankle fractures begins with examination and x-rays which help your doctor determine if you will need surgery to align your foot properly. If you have a clean break with little soft tissue damage, closed reduction will probably be used. Before the procedure, you may be given a light anesthetic to relax your muscles. Then your doctor manually readjusts the position of the broken bone.

If you have an open fracture with bone sticking out through the skin, a badly misaligned sections of bone, or severe tissue injury, open reduction is likely. A general anesthetic may be used during the procedure to let you sleep and relax your muscles. Your doctor then makes one or more incisions to realign the bone and repair soft tissue. Screws or plates may be used to hold the bone in place during healing.

Then the ankle is put in a cast to hold the bone in place during healing. You’ll probably have to wear the cast for several weeks. For less severe fractures, a walking boot, brace, or splint may be all that’s needed to hold the bone in place during healing.

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Tendon Repair Surgery

Tendon Repair Surgery may be necessary after an acute injury or as a result of wear and tear over time. Certain illnesses such as fibromyalgia, arthritis and diabetes and corticosteroids and some antibiotics can also increase the risk of a rupture. Often patients are injured while practicing sports that require bursts of jumping, pivoting, and running like basketball, baseball or tennis. Your podiatrist will be able to diagnose and confirm the severity or the injury with an MRI or ultrasound and a Thompson test.

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Sports Medicine

Win or lose sports can sometimes cause injury to the best athletes. Sprained ankles, torn ligaments, shin splints (leg pain), knee pain, low back pain and other joint or muscle problems are common. Running form, inappropriate or ill-fitting shoes can result in other issues including corns, calluses and Athlete’s foot. Consistent self-care routines and regular visits with your podiatrist will help you maintain healthy pain free feet and treat small problems quickly so they don’t impact your sports performance or daily life.

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Home Health Visits: Wound Care

The goal of home health care is to treat an illness or injury. Sometimes professional care in your home setting is the best – most efficient and effective way to treat a wound. Talk to your podiatrist to see if Home Health Visits for Wound Care are the right option for you.

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Home Health Visits: Nail Care

If you are a patient who is unable to perform self-care tasks independently Home Health Visits specifically for nail care may be an option. Please speak with your doctor to discuss your needs.

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