Peripheral neuropathy is damage to the nerves that are located outside of the brain and spinal cord, preventing communication with the extremities. Diabetes often causes peripheral neuropathy. However, it can also occur due to genetics, infections, injuries, hormonal imbalances, or other medical conditions. Peripheral neuropathy may cause numbness, weakness, muscle twitching, or cramps in the feet. It may also cause changes in nails, skin, and hair, and often results in a pins-and-needles sensation in the legs and feet. Peripheral neuropathy may affect the balance and prevent your ability to recognize temperature changes or pain. You may also experience disturbances in your emotions and sleep patterns. If you have any of these symptoms, it is suggested you contact a podiatrist. They can help diagnose peripheral neuropathy and manage its symptoms with oral medications, orthotic devices, regular checkups, and advice on proper foot care.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Michael Tomey, DPM  from Cary Foot & Ankle Specialists. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

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

Peripheral artery disease, or PAD, affects blood circulation, often manifesting through symptoms related to the feet. Common signs include cramping, pain, or numbness in the feet during physical activity, which subsides with rest. Coldness or discoloration of the feet or toes, particularly in comparison to the unaffected leg, may also occur due to reduced blood flow. Slow-healing wounds or sores on the feet are another indicator, as PAD limits the delivery of oxygen and nutrients essential for tissue repair. PAD, caused by narrowed arteries due to plaque buildup, increases the risk of complications, such as infections and tissue death in severe cases. Regular foot exams from a podiatrist are essential for managing PAD. If you have symptoms of PAD, it is suggested that you are under the care of this type of doctor who can help you to manage this condition.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Michael Tomey, DPM  from Cary Foot & Ankle Specialists. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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

Ankle sprains are a frequent injury in volleyball, often resulting from various risk factors and causes. The sport’s fast-paced nature involves quick lateral movements, jumps, and landings, which can easily lead to rolled or twisted ankles. Uneven landings after jumps are a primary cause, especially when players descend on another’s foot. Inadequate warm-ups and poor ankle strength increase the risk, as muscles and ligaments are less prepared for sudden movements. Playing on an uneven or slippery surface can also contribute to instability and potential sprains. Additionally, wearing inappropriate footwear that lacks proper support or traction further heightens the risk. If you have endured a sprained ankle while playing volleyball, it is suggested that you contact a podiatrist who can effectively treat this condition.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Michael Tomey, DPM of Cary Foot & Ankle Specialists. Our doctor can provide the care you need to keep you pain-free and on your feet.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

• Plantar Fasciitis
• Plantar Fasciosis
• Achilles Tendinitis
• Achilles Tendon Rupture
• Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

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

Diabetes significantly impacts wound healing, particularly in the feet, due to high blood sugar levels that impair circulation and immune response. Diabetes is a chronic condition where the body cannot regulate blood sugar properly, leading to various complications. In diabetics, poor blood circulation reduces the delivery of oxygen and nutrients essential for healing, while neuropathy, or nerve damage, diminishes the sensation, making it harder to notice injuries. As a result, even minor foot wounds can progress to serious ulcers or infections if left untreated. Foot wounds in diabetic patients often occur due to friction, pressure, or minor trauma, exacerbated by poorly fitting shoes or neglect. To prevent and treat these wounds, maintain proper foot hygiene, inspect feet daily for injuries, and manage blood sugar levels rigorously. Wearing well-fitted shoes and avoiding walking barefoot can also help prevent injuries. If you have diabetes and have persistent wounds or complications, it is strongly suggested that you consult a podiatrist. These healthcare providers specialize in diabetic foot care, providing tailored treatment and preventing severe outcomes.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Michael Tomey, DPM from Cary Foot & Ankle Specialists. Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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

Experiencing toenail fungus, or onychomycosis, can be a persistent and bothersome condition. Toenail fungus causes nails to become yellow, opaque, and brittle, often leading to crumbling or breaking. The fungus thrives in warm, moist environments, making individuals with sweaty feet or those who wear heavy shoes more susceptible. Not only is it unpleasant, but toenail fungus is also highly contagious. It can spread easily in communal areas, such as swimming pools, locker rooms, and shared showers. Treatment usually involves oral antifungal medications that need to be taken for several weeks. Even as the medication starts working, it might take some time before new, healthy nail growth appears, and the discoloration and brittleness may persist until then. Preventive measures are essential to managing and avoiding the spread of the infection. Keeping feet dry, wearing moisture-wicking socks, trimming nails properly, and ensuring feet are fully dry before putting on socks and shoes can help. If you are experiencing symptoms of toenail fungus, it is suggested that you make an appointment with a podiatrist for an exam and treatment.

For more information about treatment, contact Michael Tomey, DPM of Cary Foot & Ankle Specialists. Our doctor can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

If you have any questions please feel free to contact our office located in Cary, NC . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.