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Serious Foot Wounds May Not Cause Pain in Diabetes

Foot problems do not always feel the same, even when they are serious. In people with poor circulation, extra pressure on the feet often causes pain. In those with diabetes and nerve damage, that same pressure may lead to open sores without any discomfort. This difference can delay care and allow wounds to worsen. Circulation issues usually begin in larger blood vessels higher in the leg, while diabetes-related changes often affect smaller vessels in the lower leg and foot. Diabetes can also cause stiffened vessels and tiny areas of low oxygen in the skin, further limiting healing. Because feeling is reduced, a lack of pain does not mean a lack of danger. Care must focus on relieving pressure and treating wounds early, while also checking blood flow. If you have diabetes and notice changes in your feet, it is suggested that you see a podiatrist for a thorough evaluation and appropriate care.

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 one of our podiatrists from The Podiatry Center. Our doctors 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 one of our offices located in Richmond and Glen Allen, VA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Peripheral Artery Disease

Are Bunions Affecting Your Everyday Life?

Have you noticed a bony protrusion on the side of your big toe? If so, you may have developed the foot condition known as a bunion. Don't let bunions interfere with your daily activities.

Causes of Foot Stress Fractures

A stress fracture in the foot is a small crack in a bone caused by repeated pressure over time. These injuries often develop when the foot absorbs more force than the bones can handle. Many stress fractures occur in athletes who run, jump, or change direction frequently in sports such as basketball, tennis, and gymnastics. They can also affect runners and people who suddenly increase the intensity, duration, or frequency of exercise. The crack in the bone may be extremely small, sometimes as thin as a strand of hair, but it can still cause significant pain. Other risk factors include poor footwear, changes in training surfaces, weak bones, or abnormal foot structure that places extra pressure on certain areas. Stress fractures most often affect the metatarsals, which are the long bones that connect the toes to the midfoot. A podiatrist can evaluate symptoms, examine the foot, and use imaging tests to confirm the diagnosis and guide proper care. If you have symptoms of a stress fracture, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact one of our podiatrists from The Podiatry Center. Our doctors can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

  • Runners                                
  • People affected with Osteoporosis
  • Tennis or basketball players
  • Gymnasts
  • High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

If you have any questions please contact one of our offices located in Richmond and Glen Allen, VA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Stress Fractures of the Foot and Ankle
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