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Approximately 60,000 lower extremity amputations are performed annually in the United States in patients with diabetes. This fact makes ulceration, infection, and gangrene a prevalent foot and ankle issue for diabetics people. Many amputations can be prevented through daily foot care habits and regular visits to a podiatrist to monitor foot ulcers. These experts suggest adopting an everyday foot care routine of inspecting the feet thoroughly for any changes in shape, color, sensation, or skin integrity. To prevent complications, podiatrists also recommend a gentle cleaning that involves washing feet in lukewarm water with mild soap, avoiding soaking, and ensuring thorough drying, especially between the toes. Nail care includes trimming nails straight across, avoiding rounding the corners. Callus management suggests gently reducing calluses with a foot file or pumice stone, rubbing in one direction to avoid skin tears. Diabetic patients should opt for cushioned, breathable shoes with soft uppers. Choosing cotton or natural fiber socks over synthetic materials is recommended. If you have diabetes, and are experiencing foot ulcers, it is suggested that you are under the care of a podiatrist who is medically trained to manage this condition.
Limb salvage can be an effective way in preventing the need for limb amputation. If you have diabetes, cancer, or any other condition that could lead to foot amputation if left unchecked, consult with one of our podiatrists from Omega Podiatry. Our doctors will assess your condition and provide you with quality foot and ankle treatment.
What Is Limb Salvage?
Limb salvage is the attempt of saving a limb, such as the foot from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Diabetes is the number one cause of non-traumatic amputations in the United States. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.
However, there are other causes as well, such as cancer and traumatic injury. Links between higher mortality rates and amputation have been found. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.
Diagnosis and Treatment
Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated.
If you have any questions, please feel free to contact our offices located in Los Angeles, Huntington Park, and Reseda, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Limb salvage is a procedure that involves saving a lower extremity from amputation. In podiatry, limb amputation often occurs as a result of diabetes, peripheral vascular disease, neuropathy, cancer, and severe crush injury. The fundamental goal of limb salvage is to restore and maintain stability and movement of the affected lower extremity.
The procedure typically involves removing the diseased tissue and a small portion of the surrounding healthy tissue, as well as the removal of any affected bone if necessary. If the bone is removed, it is then replaced with prostheses, synthetic metal rods or plates, or grafts from either the patient’s body or a donor. Limb salvage is typically the preferred choice of procedure over amputation, as the procedure preserves both the patient’s appearance and allows for the greatest possible degree of function in the affected limb.
Upon diagnosis and determining that limb salvage is the appropriate treatment, the podiatrist may enlist the help of a physical and/or occupational therapist to prepare the patient for surgery by introducing various muscle-strengthening, walking, and range of motion exercises. Such exercises may be continued as rehabilitation post-procedure.
Plantar fasciitis, a common foot condition characterized by inflammation and degeneration of the tissue supporting the sole of the foot, can cause a great deal of pain. Orthotics are known to be helpful in eliminating sharp heel pain, particularly in the morning or after prolonged periods of sitting. The two primary causes associated with plantar fasciitis are muscle imbalance and poor foot biomechanics. The main types of orthotics that can provide much needed support include heel cups or pads, and shoe inserts. Heel cups are small inserts for the back of your shoe that lift the heel slightly. This reduces tension on the Achilles tendon, subsequently easing stress on the plantar fascia. Additionally, the cushioning effect helps to absorb shock. Experts suggest wearing heel cups in both shoes to avoid leg length discrepancies that could lead to further issues in the foot, knee, and back. Shoe inserts provide support beyond the heel. With a deep heel cup and contoured shape, they provide stability and biomechanical support. Half length insoles fit under the heel and arch, leaving the toes free. To find out which type of orthotics for plantar fasciitis is best for you, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment options.
Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our podiatrists from Omega Podiatry. Our doctors can provide the care you need to keep you pain-free and on your feet.
What Is Plantar Fasciitis?
Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.
What Causes Plantar Fasciitis?
How Can It Be Treated?
While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.
If you have any questions please feel free to contact our offices located in Los Angeles, Huntington Park, and Reseda, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
The plantar fascia is a connective tissue in the heel that stretches across the bottom length of your foot. Plantar fasciitis occurs when the connective tissue becomes inflamed, causing heel pain and discomfort during physical activity. Although the condition is completely treatable, traditional methods can take up to a year to start becoming effective.
Plantar fasciitis is caused by a number of everyday activities, so understanding the condition is important for managing and treating it. One of the most common causes of plantar fasciitis is excessive running, especially with improper fitting or non-supportive shoes. Too much exercise can lead to the plantar fascia being overworked and overstretched, which can cause tears in the tissue. Along with improper fitting shoes, pronation, the rolling of the feet inward, is a common cause of plantar fasciitis. If not treated properly, the plantar fascia becomes overstretched and starts to tear, causing inflammation.
Despite the common causes of plantar fasciitis, there are many different treatment options. For less severe cases, conservative home remedies include taking anti-inflammatory drugs to alleviate pain, applying ice packs to the bottom of your foot and heel, slowly stretching and exercising your feet to re-strengthen the tissue, and using orthotic devices are all ways to help manage your plantar fasciitis.
For more severe cases, shockwave therapy has become a common solution for plantar fasciitis. Shockwave therapy can effectively break up the tissue on the bottom of your foot which facilitates healing and regeneration. This fights the chronic pain caused by plantar fasciitis. Even if this doesn’t work, surgery is always a final option. Surgery on the tissue itself can be done to permanently correct the issue and stop the inflammation and pain in your heels.
No matter what the case may be, consulting your podiatrist is the first and best step to recovery. Even the slightest amount of heel pain could be the first stage of plantar fasciitis. Untreated symptoms can lead to the tearing and overstretching of tissue. Because the tearing of tissue can be compounded if it remains ignored, it can evolve into a severe case. The solution is early detection and early treatment. Talk to your podiatrist about the possibilities of plantar fasciitis if you’re experiencing heel pain.
Gout, a form of inflammatory arthritis, unveils its presence through distinctive symptoms that can significantly impact an individual's quality of life. The hallmark of gout is intense joint pain, often reaching its peak during the nighttime. This excruciating pain typically targets the big toe but can affect other joints as well. Swelling and redness accompany the pain, creating a visibly discomforting experience. The affected joint may become tender to the touch, and even the lightest pressure can induce agony. Gout flares are unpredictable, with symptoms emerging suddenly and subsiding gradually. Beyond the acute episodes, persistent discomfort and stiffness may linger, affecting joint mobility. Recognizing these symptoms is essential for early intervention and management. While gout's pain levels can be overwhelming, understanding the nuances of its symptoms empowers individuals to seek timely medical attention, explore effective treatments, and regain control over their joint health. If you have symptoms of gout, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this painful condition.
Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact one of our podiatrists from Omega Podiatry. Our doctors will treat your foot and ankle needs.
What Is Gout?
Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.
People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.
Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.
If you have any questions please feel free to contact our offices located in Los Angeles, Huntington Park, and Reseda, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Gout, typically found in diabetic patients, is an unusually painful form of arthritis caused by elevated levels of uric acid in the bloodstream. The condition typically strikes the big joint on the big toe. It has also been known to strike the knees, elbows, fingers, ankles and wrists—generally anywhere that has a functioning, moving joint.
The high level of uric acid in a person’s bloodstream creates the condition known as hyperuricema—the main cause of gout. Genetic predisposition occurs in nine out of ten sufferers. The children of parents who suffer gout will have a two in ten chance of developing the condition as well.
This form of arthritis, being particularly painful, is the leftover uric acid crystallizing in the blood stream. The crystallized uric acid then travels to the space between joints where they rub, causing friction when the patient moves. Symptoms include: pain, redness, swelling, and inflammation. Additional side effects may include fatigue and fever, although reports of these effects are very rare. Some patients have reported that pain may intensify when the temperature drops, such as when you sleep.
Most cases of gout are easily diagnosed by a podiatrist’s assessment of the various symptoms. Defined tests can also be performed. A blood test to detect elevated levels of uric acid is often used as well as an x-ray to diagnose visible and chronic gout.
Treatment for gout simply means eliminating symptoms. Non-steroid anti-inflammatory drugs or NSAIDs (Colchicine and other corticosteroid drugs, etc.) will quell the redness, the swelling, and the inflammation. However, managing your diet, lifestyle changes, and using preventative drugs are all helpful toward fully combating the most severe cases.
Those that lead an inactive lifestyle are at a higher risk for gout. Any amount of exercise decreases the probability of repeat encounters with the condition. Reducing your consumption of red meat, sea food, and fructose-sweetened drinks also reduces the likelihood of chronic gout as well.
Ingesting Vitamin C, coffee, and particular dairy products can help with maintaining a healthy lifestyle. There are new drugs out on the market that inhibit the body’s production of uric acid-producing enzymes. However, reducing or eliminating your overall levels of uric acid is the best remedy to ensuring you lead a gout-free life.
Hammertoe is a condition where one or more toes exhibit an abnormal bending at the middle joint. In most cases of hammertoe, the second toe is affected. This prevalent foot deformity can lead to discomfort and biomechanical complications. The causes of hammertoe are diverse. Included are an unusually long metatarsal or toe bone, poor alignment of foot joint surfaces, and prolonged wear of ill-fitting shoes. The constriction imposed by tight or narrow shoes often aggravates the condition and potentially causes calluses, corns, ulcers, and metatarsal pain. Treatment for hammertoe by a podiatrist aims at alleviating pain and preventing complications, with a focus on wearing appropriate footwear that features a wide toe box to reduce pressure. Additionally, toe pads and orthotics may be recommended to shield the toes from any shoe related discomfort. Prompt treatment of skin irritations and ulcers is essential. Surgical intervention becomes an option when other measures fail to relieve pain and disability. Its aim is to straighten the rigidly fixed toe deformity and correct its alignment. If you suspect a hammertoe or experience foot pain, it is suggested that you make an appointment with a podiatrist for an examination and treatment options.
Hammertoe
Hammertoes can be a painful condition to live with. For more information, contact one of our podiatrists from Omega Podiatry. Our doctors will answer any of your foot- and ankle-related questions.
Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.
Symptoms
Causes
Genetics – People who are genetically predisposed to hammertoe are often more susceptible
Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur
Trauma – Direct trauma to the toes could potentially lead to hammertoe
Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe
Treatment
Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it
Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used
Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option
If you have any questions please contact our offices located in Los Angeles, Huntington Park, and Reseda, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Hammertoes are painful deformities that frequently form on the second, third, or fourth toe. The condition is often caused by an issue in foot mechanics. This can be caused by the person’s specific gait or the manner in which they walk, or by shoes that do not comfortably fit the deformity. Hammertoes can be formed after wearing shoes that are too narrow or short for the foot or have excessively high heels. Shoes that are not properly sized will force the toes into a bent position for long periods of time. This can cause the muscles to shorten and toes to bend into the deformity of a hammertoe.
Hammertoe can also be caused by complications from rheumatoid arthritis, osteoarthritis, trauma to the foot, heredity, or a cerebral vascular accident. Pain and difficult mobility of the toes, deformities, calluses, and corns are all symptoms of a hammertoe.
Someone who suspects they have the symptoms of a hammertoe should consult with a physician—particularly a podiatrist. Podiatrists diagnose and treat complications of the foot and ankle. If the podiatrist discovers that the affected toes are still flexible, treatment for the hammertoe may simply involve exercise, physical therapy, and better-fitting shoes. Treatment for hammertoes typically involves controlling foot mechanics, such as walking, through the use of customized orthotics.
For more serious cases in which the toes have become inflexible and rigid, surgery may be suggested. During the operation, the toe would receive an incision to relieve pressure on the tendons. A re-alignment of the tendons may then be performed by removing small pieces of bone to straighten the toe. In some cases, the insertion of pins is needed to keep the bones in the proper position as the toe heals. The patient is usually allowed to return home on the same day as the surgery.
If surgery is performed to repair a hammertoe, following the postoperative directions of your doctor is essential. Directions may include several stretches, picking up marbles with your toes, or attempting to crumple a towel placed flat against your feet. Wear shoes that have low heels and a wide amount of toe space to maintain comfort. Closed-toe shoes and high heels should be avoided. Shoes with laces allow the wearer to adjust how fitted he or she may want the shoes to be and also allow for greater comfort. To provide adequate space for your toes, select shoes that have a minimum of one-half inch of space between the tip of your longest toe and the inside of the shoe. This will also relieve pressure on your toes and prevent future hammertoes from forming.
Other preventative measures that can be taken include going shopping for new shoes in the middle of the day. Your feet are its smallest in the morning and swell as the day progresses. Trying on and purchasing new shoes midday will give you the most reliable size. Be sure to check that the shoes you purchase are both the same size. If possible, ask the store to stretch out the shoes at its painful points to allow for optimum comfort.
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