Types of Wound Care for Gangrene
Gangrene, the consequence of compromised blood supply to the lower limbs and feet, occurs in three primary forms, which consist of dry, wet, and gas gangrene. Dry gangrene, stemming from arterial blockage, progresses slowly and necessitates vascular intervention for blood flow restoration. This type of gangrene is often seen in patients with arteriosclerosis or diabetes. Wet gangrene is caused by an infected wound that is left untreated. Wound care for gangrene involves surgical debridement to remove dead tissue and antibiotics to combat bacterial proliferation. Gas gangrene, caused by clostridia bacteria, requires aggressive debridement and targeted antibiotics to prevent systemic spread. A podiatrist plays an important role in managing gangrenous wounds in the lower limbs and feet to keep the condition from worsening. If you have ulcerated wounds that have turned gangrenous, it is strongly suggested that you seek prompt assessment by a podiatrist and get immediate treatment to avoid loss of limb.
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 one of our podiatrists from Summit 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 one of our offices located in Wilmington, Whiteville, and Wallace, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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.
Symptoms of Foot and Ankle Osteoarthritis
Osteoarthritis is a degenerative joint disease caused by the breakdown of cartilage in the joints. It commonly affects the foot and ankle, causing significant discomfort and mobility issues. Symptoms of foot and ankle osteoarthritis often include pain, stiffness, swelling, and limited range of motion. These symptoms may worsen over time. Contributing factors to the development of osteoarthritis consist of joint wear and tear, previous sprains or fractures, and abnormal foot structure. If you are experiencing persistent foot pain or discomfort, seeking help from a podiatrist is essential. This foot doctor can conduct a thorough evaluation, including a review of your medical history, physical examination, and possibly imaging studies like X-rays or MRI scans to accurately diagnose foot and ankle osteoarthritis. If you have developed osteoarthritis in the feet or ankles, it is suggested that you meet with a podiatrist for an exam and treatment.
Arthritis can be a difficult condition to live with. If you are seeking treatment, contact one of our podiatrists from Summit Podiatry. Our doctors 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
- Swelling
- Pain
- Stiffness
- Decreased Range of Motion
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
- Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
- Obesity – Excess weight can contribute to osteoarthritis development
- Infection – Microbial agents can infect the joints and trigger arthritis
- Joint Injuries – Damage to joints may lead to osteoarthritis
- Age – Risk increases with age
- Gender –Most types are more common in women
- Genetics – Arthritis can be hereditary
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 one of our offices located in Wilmington, Whiteville, and Wallace, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Arthritic Foot Care
During your lifetime, you will probably walk about 75,000 miles, which is quite a lot of stress to put on your feet. As you get older, the 26 bones and 30 joints in each of your feet will lose flexibility and elasticity. Your foot’s natural shock absorbers will wear down as well. Having arthritis added to this mix only makes matters worse. Your joints will become distorted and inflamed, which is why arthritic foot care needs to be something to think about every day.
When dealing with arthritis, having additional foot complications, such as bunions, hammertoes, or neuroma, can be a serious detriment. To avoid these, buy well-fitting shoes with a lower heel and good support. Arthritis causes you to lose your arch, so having shoes with good arch support is also highly recommended.
Aside from getting good arch support, the shoes need to fit comfortably and properly as well. A good place to start is by leaving a finger width between the back of the shoe and your foot to gauge proper size. It is also helpful to have a square or rounded toe box in the front to provide even more comfort. Another thing to look for is a rubber sole that can provide a cushion and absorb shock as you walk. This adds flexibility to the ball of your foot when you push off your heel to walk.
Exercise is another key aspect of arthritic foot care. Exercise not only strengthens and stretches your muscles and joints, but helps to prevent further injury and pain as well. Stretching the Achilles tendon, the tendon located in the back of your heel, will give you added mobility and reduce pain due to stress. Another thing you can do is massage your feet, kneading the ball of your foot as well as your toes from top to bottom.
Stretching the Achilles tendon is a simple exercise that you can do at home anytime. Lean against the wall with your palms flat against the surface while placing one foot forward, towards the wall, and one foot behind you. Bend your forward knee towards the wall while keeping your back knee locked straight, and make sure both your heels are completely touching the ground at all times. This will stretch your Achilles tendon and calf muscles as well. You will feel the stretch almost immediately. You can also stretch your toes in a couple ways. One involves taking a rubber band and wrapping it around both your big toes while your heels remain together. Then, pull them apart to stretch your big toe. You can also place a rubber band around all the toes of one of your feet. Then, try to separate each individual toe, stretching them all.
A final step you can take to help your arthritis is taking non-steroid, non-inflammatory drugs or topical medicines with capsaicin. Unfortunately, there is no complete way to remove all of your arthritic pain. However, following some of this advice can go a long way in staying as pain-free as possible.
Arthritis Can Cause Pain in the Feet and Ankles
If you are suffering from tenderness, pain, or stiffness in the joints of your feet or ankles, call us to schedule an appointment.
Reasons for Flat Feet
Flat feet, also known as pes planus, affect about 18 million adults in the United States, with an additional 8 million grappling with fallen arches. Flat feet often stem from the weakening of the posterior tibial tendon, which supports the arch of the foot. It can worsen after years of simple daily activity, like walking, running, and standing. While flat feet are normal in infants and toddlers, some individuals never develop arches, leading to persistent issues into adulthood. Distinguishing between flat feet and overpronation is important for an accurate diagnosis. With flat feet there is no visible arch whether seated or standing. Overpronation, however, is a biomechanical change in the way you walk that can contribute to fallen arches. In either case, seeking a professional evaluation from a podiatrist is essential if you suspect flat feet or experience pain related to flat feet. For a full exam and subsequent treatment plan, it is suggested that you schedule an appointment with a podiatrist.
Flatfoot is a condition many people suffer from. If you have flat feet, contact one of our podiatrists from Summit Podiatry. Our doctors will treat your foot and ankle needs.
What Are Flat Feet?
Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.
Conditions & Problems:
Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.
Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.
Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.
Symptoms
- Pain around the heel or arch area
- Trouble standing on the tip toe
- Swelling around the inside of the ankle
- Flat look to one or both feet
- Having your shoes feel uneven when worn
Treatment
If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle.
If you have any questions please feel free to contact one of our offices located in Wilmington, Whiteville, and Wallace, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Flat Feet
Flatfoot is a foot condition in which the arch of the foot has either partially or totally dropped or has never developed. While it is common in babies and small children, it can become a problem for them in adulthood if the arch never forms. For adults, the development of flat feet can be brought upon by injury, as a result of pregnancy due to increased elasticity, or obesity. Those who have health concerns such as rheumatoid arthritis or diabetes may also be at greater risk for developing the condition.
If you suspect that you have flat feet, it is best to consult your podiatrist. Your foot doctor will examine the suspected foot and observe how it looks while you sit and stand. He or she may take an X-ray to determine how serious the condition is. Some common signs of flatfoot include toe drift, in which the toes and front part of the foot point outward, a short Achilles tendon, and a heel that tilts outwardly while the ankle tilts inward.
Once flatfoot has been diagnosed, your podiatrist may suggest one of several treatment options. Flat feet can be rigid, in which the feet appear to have no arch even when the person is not standing; or flexible, in which the person appears to have an arch while not standing, but once standing the arch disappears. Those with flexible flatfoot may be told to reduce any activities that cause pain and to avoid extended periods of walking or standing. Another suggestion may be weight loss, as excessive weight may be placing pressure on the arches
In few cases, if the condition is severe and all other methods have been exhausted surgery may be required. This is normally avoided, however, due to a lengthy recovery time and high cost.
The Importance of Foot Exercises
Your feet work hard each day to support your body and facilitate movement, and for that reason, it makes sense to keep them in shape through regular exercise. Engaging in simple foot exercises is one way to do just that. Regularly performing toe raises, curls, splay movements and stretches can improve flexibility and range of motion. These exercises also help to reduce foot and ankle pain as well as muscle soreness, while enhancing your overall foot health. By incorporating foot exercises into your routine daily, or even three days a week, you can strengthen the muscles, tendons, and ligaments in your feet. This in turn promotes better balance, stability, and posture. Activities like marble pickups and tennis ball rolls not only strengthen muscles but also enhance coordination and may reduce the risk of falls, particularly in older adults. However, it is essential to listen to your body and avoid overexertion, ensuring a gentle and consistent approach to foot exercises. It is suggested that you schedule an appointment with a podiatrist who can provide guidance on suitable exercises tailored to your specific needs and foot conditions.
Exercising your feet regularly with the proper foot wear is a great way to prevent injuries and build strength. If you have any concerns about your feet, contact one of our podiatrists from Summit Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.
Exercise for Your Feet
Exercise for your feet can help you gain strength, mobility and flexibility in your feet. They say that strengthening your feet can be just as rewarding as strengthening another part of the body. Your feet are very important, and we often forget about them in our daily tasks. But it is because of our feet that are we able to get going and do what we need to. For those of us fortunate enough to not have any foot problems, it is an important gesture to take care of them to ensure good health in the long run.
Some foot health exercises can include ankle pumps, tip-toeing, toe rises, lifting off the floor doing reps and sets, and flexing the toes. It is best to speak with Our doctors to determine an appropriate regimen for your needs. Everyone’s needs and bodies are different, and the activities required to maintain strength in the feet vary from individual to individual.
Once you get into a routine of doing regular exercise, you may notice a difference in your feet and how strong they may become.
If you have any questions please feel free to contact one of our offices located in Wilmington, Whiteville, and Wallace, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Exercise for Your Feet
Whether your feet are over-worked or under-worked, chances are they could benefit from some special attention. Even those who exercise regularly probably do not spend any time strengthening their feet. This can be just as rewarding as strengthening the rest of the body, since the health of your feet affects the health of the rest of the body as well, especially the ankles, legs, and spine.
For those who might not have any idea on how a foot-specific exercise might be conducted, there are several workouts that are fairly easy to perform in the comfort of ones’ home. One of the easiest is the toe rise, also known as the tip-toe. This exercise involves standing on the tip-toes for a count of 15 then resting the feet on the ground. This process should be repeated a minimum of three times a day in order to strengthen the feet.
Toe pick-ups strengthen the feet by working them in a very different way. In this exercise, small items are picked up using the toes in order to strengthen the muscles on the upper part of the feet. Once again three sets should be performed, with the item in question being held for 15 seconds then dropped. Items that may be picked up using the feet include marbles and even stationery, which works wonders for the toes and the surrounding muscles.
Yet another simple workout is the ankle pump. This can be done either upwards or downwards, but for the workout to be most effective both can be incorporated into the routine. As the term suggests, this involves lifting the foot off the floor and flexing the toes either towards the shin or towards the ground. This movement puts the feet and ankles through a large range of motion which works the muscles.
Last but not least, feet should be stretched so that the muscles can relax and recuperate. This can be done by placing both feet off of the floor and bracing oneself against the wall at a 45 degree angle. This ensures that the feet and ankles are adequately stretched once the workout is complete.
In short, giving the feet a good workout every now and then is important in order to avoid problems such as plantar fasciitis. It’s also important to warm-up or cool-down after running or vigorous walking. Foot exercises may be followed by a good foot massage. This encourages circulation in the feet as well as muscle relaxation.
Swollen Feet During Pregnancy
Swelling, or edema, in the feet, is a common occurrence during pregnancy. Swelling of the feet is primarily attributed to hormonal fluctuations, increased blood volume, and fluid retention. The surge in progesterone slows digestion and circulation, leading to fluid accumulation, particularly in the lower extremities. Additionally, the body's heightened blood volume, necessary to support fetal growth and prepare for labor, worsens this swelling. Swelling can begin as early as the fifth month, especially in women exposed to hot climates or extended periods of standing. Taking regular short walks, avoiding prolonged sitting or standing, and opting for comfortable footwear can help alleviate discomfort. Dietary modifications, including potassium-rich foods and reduced sodium intake, may also help manage swelling. If you are troubled by swelling or other foot ailments during pregnancy, it is suggested that you make an appointment with a podiatrist for an exam and treatment options.
Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with one of our podiatrists from Summit Podiatry. Our doctors will attend to all of your foot and ankle needs.
What Foot Problems Can Arise During Pregnancy?
One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward. This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.
Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages.
How Can I Keep My Feet Healthy During Pregnancy?
- Wearing orthotics can provide extra support for the feet and help distribute weight evenly
- Minimize the amount of time spent walking barefoot
- Wear shoes with good arch support
- Wear shoes that allow for good circulation to the feet
- Elevate feet if you experience swelling
- Massage your feet
- Get regular, light exercise, such as walking, to promote blood circulation to the feet
If you have any questions please feel free to contact one of our offices located in Wilmington, Whiteville, and Wallace, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
