Tuesday, 02 January 2024 00:00

What Is a Diabetic Foot Ulcer?

A diabetic foot ulcer, a grave complication for individuals with diabetes, is a chronic open sore that develops on the feet, typically on the bottom or sides. It arises from a combination of factors intricately linked to the effects of diabetes on the body. Diabetes can lead to neuropathy, causing reduced sensation in the feet and making it challenging to detect injuries or pressure points. Additionally, compromised blood circulation hampers the healing process, increasing the risk of infections and the formation of ulcers. Contributing further, the elevated blood sugar levels associated with diabetes impair the immune system, increasing the risk of infections. Foot ulcers, if left untreated, can escalate into serious complications and be quite painful. Recognizing the effects of diabetic foot ulcers underscores the importance of meticulous foot care in diabetes management. If you have diabetes and have developed a foot ulcer, it is suggested that you are under the care of a podiatrist who can effectively treat this type of wound, and help you to manage this condition.

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 Michael Tomey, DPM from Cary Foot & Ankle Specialists. 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 office located in Cary, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 02 January 2024 00:00

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.

Tuesday, 26 December 2023 00:00

The Significance of Prioritizing Foot Hygiene

Amidst daily routines, it is easy to overlook the important role that foot hygiene plays in your overall well-being. Your feet bear the weight of the body, enduring countless steps each day, and proper hygiene is paramount for maintaining their health. Regular washing and thorough drying of the feet not only eliminate accumulated dirt and bacteria but also prevent fungal infections. Trimming toenails straight across reduces the risk of ingrown nails, fostering comfort and preventing potential complications. Moisturizing dry skin on the feet helps prevent painful cracks and discomfort. Choosing breathable footwear and rotating shoe pairs can minimize the risk of bacterial and fungal growth. Practicing foot hygiene is not just about aesthetics, it is a fundamental aspect of self-care. By dedicating a few moments to foot hygiene each day, you invest in the well-being of an often-neglected part of your body, promoting comfort, health, and overall vitality. If you would like more information about essential everyday foot care tips, it is suggested that you consult a podiatrist, who can provide you with the knowledge you are seeking.

Everyday foot care is very important to prevent infection and other foot ailments. If you need your feet checked, 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.

Everyday Foot Care

Often, people take care of their bodies, face and hair more so than they do for their feet. But the feet are a very important aspect of our bodies, and one that we should pay more attention to. Without our feet, we would not be able to perform most daily tasks.

It is best to check your feet regularly to make sure there are no new bruises or cuts that you may not have noticed before. For dry feet, moisturizer can easily be a remedy and can be applied as often as necessary to the affected areas. Wearing shoes that fit well can also help you maintain good foot health, as well as making it easier to walk and do daily activities without the stress or pain of ill-fitting shoes, high heels, or even flip flops. Wearing clean socks with closed shoes is important to ensure that sweat and bacteria do not accumulate within the shoe. Clean socks help to prevent Athlete’s foot, fungi problems, bad odors, and can absorb sweat.

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.

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Tuesday, 26 December 2023 00:00

Everyday Foot Care

Our feet are arguably one of the most important parts of the body. When it comes to health and beauty routines, the feet and toenails are usually ignored. You should always practice proper footcare to avoid any fungal infections or ailments that can not only ruin the appearance of your feet, but also cause pain. Ignoring any foot problems could potentially lead to an expensive doctor’s visit.

The most important step in proper foot care is to wash your feet daily. You should wash them with soap and water. Doing this will cleanse your feet of dirt, sweat and bacteria. It is crucial that you clean between the toes and pat your feet dry with a towel afterward. Your toenails are also an important part of the feet and you may find that they get dirtier in the summer when you wear sandals. It is important that you practice proper toenail care in addition to cleaning the rest of your feet. When trimming your nails, you should always trim straight across instead of in a rounded shape. Trimming in a curved shape may lead to ingrown toenails.

Moisturization is also important for foot care, and you should be moisturizing your feet every day. The best way to prevent dry feet is to rub lotion or petroleum jelly on your clean feet at night and put socks over them. In the morning, your feet should be soft and moisturized.

Another crucial step in proper foot care is to wear the right shoes for whichever activity you are going to partake in. In warmer weather, you should wear shoes that allow your feet to breathe. It is best to avoid shoes such as flip-fops that do not provide arch support. Tight shoes may also be harmful, and they may even cause you to develop bunions.

If you plan on taking a shower in a public area, you should be especially careful, so you do not pick up any fungi. Showers are prone to harboring different types of bacteria and fungi. You should always wear shower shoes or flip flops when walking around in locker rooms and public showers. Avoid sharing shoes with other people because this is another way that fungus may be spread.

If you are experiencing any problems with your feet you should speak with your podiatrist to determine the best method of treatment for you.

Tuesday, 19 December 2023 00:00

Managing Blisters While Hiking

Even with meticulous precautions, blisters can still sneak up on hikers. Experts suggest that staying vigilant and addressing potential issues promptly can prevent a minor discomfort from escalating into major problems. During your hike, take regular breaks, especially on extended treks spanning multiple days. Use these pauses to inspect your feet, allowing them to breathe and dry. If your socks become saturated, having a spare pair on hand for a quick change is a smart move. Even when it is raining, try to seize opportunities in dry areas to manage foot moisture effectively. If you sense the onset of irritation, stop and address it immediately. Even a minor discomfort can evolve into a painful issue. Pay attention to hot spots or nagging areas, taking proactive steps to remedy them. Waiting until the next planned stop may allow the problem to worsen significantly. In the unfortunate event of a blister forming, act promptly to avoid aggravating the situation. Halt your hike as soon as possible. Find a comfortable spot, sit down, and remove your boots. Address the blister with appropriate care, minimizing the risk of worsening the condition. By taking strategic breaks, promptly addressing irritations, and swiftly treating emerging blisters, hikers can maintain comfort and stride confidently along the trail. If you have developed a blister that has broken open and become infected, it is suggested that you schedule an appointment with a podiatrist for advanced treatment.

Blisters may appear as a single bubble or in a cluster. They can cause a lot of pain and may be filled with pus, blood, or watery serum. If your feet are hurting, 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.

Foot Blisters

Foot blisters are often the result of friction. This happens due to the constant rubbing from shoes, which can 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.

Symptoms

(Blister symptoms may vary depending on what is causing them)

  • Bubble of skin filled with fluid
  • Redness
  • Moderate to severe pain
  • Itching

Prevention & Treatment

In order to prevent blisters, you should be sure to wear comfortable shoes with socks that cushion your feet and absorb sweat. Breaking a blister open may increase your chances of developing an infection. However, if your blister breaks, you should wash the area with soap and water immediately and then apply a bandage to the affected area. If your blisters cause severe pain it is important that you call your podiatrist right away.

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.

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Tuesday, 19 December 2023 00:00

Blisters

Blisters are pockets of fluid that occur under the top layer of your skin. These fluid pockets are usually filled with pus, blood, or serum. Blisters may itch or hurt and can appear as a single bubble or in clusters.

The most common types of blisters are friction blisters. This type of blister may be caused by wearing shoes that are too tight. Friction blisters can also occur on the hands. A change in temperature may also cause blisters on the feet. In the freezing air, frostbite on your toes can lead to blisters, as well as sunburn from hot weather.

The best way to treat a blister is to keep it clean and dry. Most blisters will get better on their own. Once the skin absorbs the fluid within the blister, it will flatten and eventually peel off. You should avoid popping your blister unless you podiatrist does it for you. Additional treatment options include applying an ice pack to the blister or using over-the-counter blister bandages to cover the affected area.

If your blister becomes discolored, inflamed, or worsens it is advised that you speak to your podiatrist. Blisters that are yellow, green, or purple may be infected and require immediate medical attention. Blisters that are abnormally colored may be a sign of a more serious underlying health condition such as herpes.

Thursday, 14 December 2023 00:00

Plantar Warts Can Be Treated!

Plantar warts are small growths that develop on parts of the feet that bear weight. They're typically found on the bottom of the foot. Don't live with plantar warts, and call us today!

Tuesday, 12 December 2023 00:00

Surgery for Ingrown Toenails

Ingrown toenails can be a persistent source of discomfort, often caused by improper toenail care or wearing ill-fitting shoes. When conservative measures fail, surgical intervention becomes a viable solution to address the root cause and provide lasting relief. The primary goal of ingrown toenail surgery is to eliminate infection and pain. Before considering surgery, it is beneficial to implement conservative measures. These can include cutting toenails straight across and avoiding leaving sharp edges, and opting for shoes that accommodate the natural position of the toes. In some cases, a podiatrist may be able to manually address the issue by pushing the skin away from the ingrown toenail or carefully trimming the offending toenail section. Surgical procedures for ingrown toenails include nail avulsion, involving the complete removal of the toenail and wedge excision. This procedure removes the section of the toenail growing into the skin, along with the adjacent tissue. Another surgical remedy is nail-bed ablation, partial or complete toenail removal. This is followed by the application of a chemical to the tissue where the toenail originates. Electrocautery methods may also be employed. If you experience ingrown toenails on a regular basis, it is suggested that you schedule an appointment with a podiatrist for a full examination and suggested treatment options. 

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, 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.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

  • Bacterial infections
  • Improper nail cutting such as cutting it too short or not straight across
  • Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
  • Ill-fitting shoes that bunch the toes too close together
  • Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

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.

Read more about Ingrown Toenail Care
Tuesday, 12 December 2023 00:00

Ingrown Toenail Care

An ingrown toenail is a toenail that grows sideways into the nail bed, causing pain and swelling. Ingrown toenails can worsen and cause drainage, turning into a serious infection.

Several factors affect whether a person is at risk from an ingrown toenail. The many causes include being overweight, diabetes, participating in sports, having a fungal infection of the toe, and cutting your nails too short. Ingrown toenails also have a genetic predisposition, causing some people to be more prone to receive the condition than others. Other causes include improperly fitting shoes and shoes that keep the feet damp.

Ingrown toenails can be preventable with certain measures. For starters, allowing your toe nails to grow slightly longer in length will help prevent them from becoming ingrown. If you have already developed an ingrown toenail, soak the affected toe in warm water. This will alleviate the pain and help prevent an infection from forming. Antibiotic soap or Epsom salts may be added to further help the relieving process and avoid infection. Placing cotton beneath the affected area is also suggested, as this may help the toenail grow upwards and not into the nail bed. Swelling and redness can be reduced by resting with your feet elevated.

A podiatrist should be seen if the pain becomes so serious that it prevents you from doing your everyday activities. If a red streak running up your leg appears or if you suspect your infection has spread, contact a podiatrist immediately. Fast treatments can be undertaken to lessen your pain and have you walking comfortably.

An ingrown toenail can be easily treated with a Band-Aid. Simply wrap the affected toe with a Band-Aid to prevent infection and keep the nail from growing out at a painful angle.

In more serious cases, your podiatrist may decide to make a small incision to remove a portion of your toenail. To prevent the nail from growing back, medication will be placed directly into the nail bed. This procedure would be performed under local anesthesia and is a faster method to alleviate discomfort from an ingrown toenail. Post-procedure directions will have you stay off the affected foot for a day. Afterwards, normal activities can be resumed.  

Tuesday, 05 December 2023 00:00

Shoe Types and Proper Fitting

Podiatrists play a vital role in advising on shoe types and ensuring proper fitting, which is essential for foot health and comfort. They begin by evaluating the individual's foot shape, size, arch type, and any specific foot conditions, such as flat feet or high arches. Understanding these characteristics allows them to recommend shoes that provide the right support and fit. Podiatrists often suggest footwear with adequate cushioning, arch support, and a proper toe box size to accommodate the foot comfortably without causing pressure. For those with specific foot problems or unique biomechanical needs, podiatrists may recommend custom-made orthotic inserts. These inserts are designed to fit perfectly within the shoe, providing additional support and aligning the foot correctly to reduce strain and prevent injuries. Podiatrists also educate on the importance of replacing shoes regularly, especially for active individuals, as worn-out shoes can lead to poor foot alignment and increased injury risk. If you would like counsel on selecting the right shoe and size for you or your family members, it is suggested that you make an appointment with a podiatrist for this type of guidance.

Getting the right shoe size is an important part of proper foot health. Seek the assistance of Michael Tomey, DPM from Cary Foot & Ankle Specialists. Our doctor will provide the care you need to keep you pain-free and on your feet.

Getting the Right Shoe Size

There are many people who wear shoes that are the incorrect size, negatively affecting their feet and posture. Selecting the right shoes is not a difficult process, so long as you keep several things in mind when it comes to choosing the right pair.

  • When visiting the shoe store, use the tools available to measure your foot.
  • Be sure there is ‘wiggle room’. There should be about an inch between your toes and the tip of your shoes.
  • Do not always assume you are the same size, as manufacturers run differently.
  • Purchase shoes later in the day, as your feet swell as the day progresses.
  • If a shoe is not comfortable, it is not suitable. Most shoes can’t be ‘broken in’, and comfort should be the ultimate goal when it comes to choosing the right pair of shoes

As our feet hold our body weight and keep us moving, it is important to treat them right. Picking the right pair of shoes can provide your feet comfort and mobility without pain.

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.

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