Items filtered by date: April 2024

Tuesday, 16 April 2024 00:00

Charcot Foot and Foot Ulcers

Charcot foot, also known as Charcot neuroarthropathy, is a condition characterized by progressive weakening and degeneration of the bones and joints in the foot or ankle. It often affects individuals with peripheral neuropathy, such as those with diabetes. One significant complication of Charcot foot is the development of foot ulcers, which can result from pressure points and trauma due to the structural changes in the foot. These ulcers are particularly problematic as they can lead to serious infections and even amputation if left untreated. Unfortunately, Charcot foot and its associated ulcers may go undiagnosed or misdiagnosed initially due to symptoms resembling other foot conditions or neuropathic pain masking typical signs of inflammation. Podiatrists provide comprehensive care for Charcot foot including diagnosis, wound care, orthotic interventions, and patient education to prevent complications and improve the quality of life for affected individuals. If you feel a weakening in your feet or ankles, it is strongly suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment. If you have Charcot foot, early intervention can thwart severe problems.

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 George Tellam, DPM from Ankle & Foot Associates. 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 offices located in Orange Park and Jacksonville Beach, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 09 April 2024 00:00

How a Plantar Fibroma Is Diagnosed

Plantar fibroma is a condition where a benign lump forms within the plantar fascia, the band of tissue that runs along the bottom of the foot. This lump is made up of connective tissue and is usually located in the arch of the foot. It can cause discomfort or pain as pressure is applied to the area, especially when standing or walking. Diagnosing a plantar fibroma typically involves a physical examination from a podiatrist, or foot doctor. The podiatrist may feel the lump in the foot's arch and might confirm the diagnosis through imaging tests, such as ultrasound or MRI. These tests help to visualize the fibroma's size and exact location within the plantar fascia to ensure it is not something else. Early diagnosis and treatment are important to manage symptoms and prevent the fibroma from worsening. If you have a lump in the arch of the foot, it is suggested that you promptly schedule an appointment with a podiatrist for diagnosis. 

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact George Tellam, DPM of Ankle & Foot Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.

Plantar Fibroma

A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.

What Causes a Plantar Fibroma?

While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.

What Are the Symptoms of a Plantar Fibroma?

There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.

Treatment and Prevention

A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:

  • Steroid injections
  • Orthotics
  • Physical therapy to help apply anti-inflammatory creams on the bump 

Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.

If you have any questions please feel free to contact our offices located in Orange Park and Jacksonville Beach, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Tuesday, 02 April 2024 00:00

What Are Plantar Warts?

Plantar warts are non-cancerous skin growths that appear on the soles of the feet and are caused by the human papillomavirus, or HPV. These warts often look like small, rough lesions on the foot's surface, sometimes with a cauliflower-like texture. Unlike other types of warts, plantar warts grow inward due to the pressure of walking and standing, which can also cause a hard layer of skin, or callus, to form over them. They may have one or more black dots in the center, which are tiny blood vessels. Plantar warts can be painful, feeling like a lump under your foot when you stand or walk. While they can resolve on their own, treatment for plantar warts might be necessary if they cause discomfort or spread. If you have plantar warts, it is suggested that you schedule an appointment with a podiatrist who can offer effective treatment options. 

Plantar warts can be very uncomfortable. If you need your feet checked, contact George Tellam, DPM from Ankle & Foot Associates. Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

  • Lesions on the bottom of your feet, usually rough and grainy
  • Hard or thick callused spots
  • Wart seeds, which are small clotted blood vessels that look like little black spots
  • Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

  • Freezing
  • Electric tool removal
  • Laser Treatment
  • Topical Creams (prescription only)
  • Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

If you have any questions please feel free to contact our offices located in Orange Park and Jacksonville Beach, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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