Tuesday, 16 January 2024 00:00

Types of Diabetic Wounds

Diabetic wounds are a common complication of diabetes, resulting from neuropathy and vascular disease. Nerve damage diminishes foot sensation, making it challenging to detect an injury. Vascular disease impairs blood flow, which reduces the speed of healing wound. Diabetic foot ulcers are the most prevalent type of wound. They are open sores on pressure points, typically caused by neuropathy, trauma, and pressure. Early detection and treatment are essential to prevent infections and potential limb loss. Diabetic neuropathic wounds stem from nerve damage, leading to a loss of protective sensation. These wounds may appear as calluses, corns, or blisters, requiring specialized care to prevent infections and further damage. Ischemic wounds arise from an inadequate blood supply, often due to peripheral artery disease, or PAD, which is exacerbated by diabetes. Characterized by poor circulation and delayed healing, ischemic wounds pose an increased risk of infection. If you are experiencing frequent or stubborn foot wounds that will not heal properly or seem infected, it is suggested that you seek the help of a podiatrist for care.

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 the podiatrists from Dr. Siegerman & Associates. Our doctors 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 one of our offices located in Drexel Hill and West Chester, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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.

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Tuesday, 09 January 2024 00:00

Risk Factors for Ingrown Toenails in the Elderly

Ingrown toenails in the elderly can result from various risk factors. These include both anatomical and behavioral factors. Improperly trimming or tearing nails, as well as wearing tight or ill-fitting footwear, can contribute to the development of ingrown toenails. The use of shoes, especially constricting ones, is associated with an increased risk. Systemic diseases, such as diabetes and obesity, may predispose individuals to lower extremity edema, making them more susceptible to ingrown toenails. Certain medications like retinoids, oral antifungals, and cyclosporine have also been linked to the condition. Hyperhidrosis, or excessive sweating of the feet, can soften the nail and skin, making it easier for the nail to pierce the surrounding skin. Poor foot hygiene can also exacerbate this issue. Repetitive trauma from activities like running or sports can be inciting factors for ingrown toenails. Some individuals may have a genetic predisposition or a family history of ingrown toenails. Additionally, congenital malalignment of the great toenails is associated with a higher risk of developing ingrown toenails. If you are a senior and suffer from discomfort of ingrown toenails, it is suggested that you schedule regular appointments with a podiatrist to obtain proper care and learn more about preventative measures.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact the podiatrists of Dr. Siegerman & Associates. Our doctors 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 one of our offices located in Drexel Hill and West Chester, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Ingrown Toenails

Ingrown toenails (onychocryptosis) are a common foot ailment and it is very unpleasant to experience. The condition is caused by an increase in pressure from the ingrowth of the nail edge into the skin of the toe. Ingrown toenails commonly cause pain in those who experience them. In some cases, the skin surrounding the ingrown toenail may break which may lead bacteria to enter through and cause an infection. Common symptoms of this ailment include pain, redness, swelling, and warmth around the toe.

An imbalance between the size of the nail and the enlargement of the nail skin edge causes ingrown toenails. This condition is often caused by improperly trimming the toenails. If you are trying you cut your nails, you should always try to trim straight across instead of in a rounded shape. Ingrown toenails can also be an inherited condition and they may also be caused by improper shoe fitting.

Another common cause of the condition is wearing shoes that are either too small or too large. Other causes include poor foot hygiene, obesity, diabetes, arthritis, edema, and fungal infections. There are many risk factors that may make a person more likely to develop an ingrown toenail. Athletes who play “stop and start” sports such as tennis, soccer, and basketball are most likely to have ingrown toenails.

People who have diabetes, a compromised immune system, or poor circulation should immediately seek care from a podiatrist if they have an ingrown toenail. It is also recommended to seek professional assistance if at-home remedies are not successful within a week or if there is persistent pain.

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Tuesday, 02 January 2024 00:00

Elderly Foot and Ankle Problems

Foot and ankle problems are prevalent medical issues, particularly among the elderly, who often suffer from pain, stiffness, swelling, or deformities. Common diagnoses include conditions such as corns, athlete's foot, bunions, flat feet, ingrown nails, and warts. Aging-related muscle mass and loss of bone strength may increase seniors' risk for injuries and fractures, compounded by balance and vision issues. Key foot and ankle injuries in the elderly include ankle sprains, where the ligaments are overstretched or torn, potentially weakening the ankle and leading to arthritis, if untreated. Achilles tendonitis and tears are also common. The Achilles is vulnerable to inflammation and overuse, which can escalate to tears or ruptures, especially with sudden trauma. Ankle fractures are serious injuries from traumatic impact, requiring immediate podiatric attention to prevent complications such as infections. The spectrum of foot and ankle injuries in the elderly ranges from minor, treatable conditions to severe injuries necessitating medical intervention, highlighting the need for attentive care to prevent these issues. If you are elderly and have foot or ankle problems, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and treatment.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with the podiatrists from Dr. Siegerman & Associates. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

Types of arthritis (rheumatoid, osteoarthritis, and gout)
Ankle sprains
Broken ankles
Achilles tendinitis
Achilles tendon rupture
Stress fractures
Tarsal tunnel syndrome
Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

Ankle Pain

Pain experienced in the ankle can be caused by a multitude of conditions. While the most common cause is an ankle sprain, other possible problems can include arthritis, gout, ankle instability, an ankle fracture, nerve compression, or tendinitis. In more serious cases, ankle pain can be a sign of improper alignment of the foot or an infection.

Ankle pain can often be accompanied by symptoms such as redness, swelling, stiffness, and warmth in the affected area. Pain can be described differently depending on the condition: short, stabbing pain and a dull ache are some examples. If such symptoms are persistent and do not improve after time, be sure to schedule an appointment with your local podiatrist.

Depending on the condition causing your ankle pain, different treatments may be prescribed by your podiatrist. For ankle sprains, the first step in treatment involves rest, ice, elevation, and compression. Be sure to avoid placing pressure on the ankle, use an ice pack several times a day, and use a compression bandage and elevation to reduce swelling. Other, more serious conditions may require the assistance of certain drugs and medications such as nonsteroidal anti-inflammatory drugs (NSAIDs), physical therapy, or even cortisone injections.

Depending on the severity of your ankle pain and the condition behind it, recovery from ankle pain may take some time.

Consult with your foot and ankle doctor to best determine the cause of your ankle pain and the appropriate treatment.

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Tuesday, 26 December 2023 00:00

Infections From Foot Blisters

Blisters typically form as a natural response to a skin injury, often emerging on the feet due to friction from footwear. They create a protective fluid-filled sac that acts like a bandage, shielding the injured skin and facilitating the healing process. However, when the blister's protective covering breaks, it becomes susceptible to infection. An infected foot blister can result in specific symptoms, including the presence of pus and a warm sensation upon touch. Neglecting an infected blister also can result in a potentially dangerous bacterial skin infection. Often painful infections originating from a blister, whether bacterial, viral, or fungal, may spread to other parts of the body. This may potentially lead to sepsis, which is a life threatening bloodstream infection. Recognizing the signs of an infected foot blister includes checking for warmth, an unpleasant odor, pus discharge, or pain and swelling that surrounds the blister. Bleeding when touched or a lack of healing progress are also concerning indicators. If you have a foot blister and you suspect it is infected, it is strongly suggested that you make an appointment with a podiatrist to have it medically evaluated and treated.

Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, contact the podiatrists of Dr. Siegerman & Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often 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.

How Do Blisters Form?

Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.

Prevention & Treatment

It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.

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.

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Tuesday, 19 December 2023 00:00

Causes and Treatment of Bunions

Bunions, characterized by bony protrusions at the base of the big toe, result from various factors like genetics, wearing tight shoes, and poor foot mechanics. They can cause discomfort and pain. Treatment for bunions typically involves wearing roomy, supportive footwear, or using orthotic inserts to improve foot alignment. Additionally, it may be beneficial to apply padding and taping for pain relief and engage in helpful exercises. For severe bunions, surgical intervention may be necessary to correct the deformity. If you are suffering from a painful bunion, it is suggested that you schedule an appointment with a podiatrist for suitable treatment based on the severity of your condition.

If you are suffering from bunions, contact the podiatrists of Dr. Siegerman & Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

Refrain from wearing heels or similar shoes that cause discomfort
Select wider shoes that can provide more comfort and reduce pain
Anti-inflammatory and pain management drugs
Orthotics or foot inserts
Surgery

What Are Bunions?

Bunions are large bony bumps at the base of the big toe. Medically known as hallux valgus, a bunion is a misalignment of the metatarsophalangeal joint, or big toe joint. The misalignment will generally worsen with time if left untreated.

The exact cause of bunions is unknown, with genetics seen as a potential cause. High heels and poorly-fitted footwear, rheumatoid arthritis, and heredity all seem to be potential factors behind the exacerbation of bunions. Women have been found to be more likely to develop bunions in comparison to men.

Bunions do not always produce symptoms. The best way to tell is if the big toe is pushing up against the next toe and there is a large protrusion at the base of the big toe. You may or may not feel pain. Redness, swelling, and restricted movement of the big toe may be present as well.

Podiatrists use a variety of methods to diagnose bunions. If there are symptoms present, podiatrists will first consider that it is a bunion. If not, a physical examination will be conducted to check function of the big toe. Finally, an X-ray may be taken to view the extent of the bunion and confirm it is a bunion.

Typically, nonsurgical methods are used to treat bunions, unless the bunion has become too misaligned. Orthotics, icing and resting the foot, roomier and better fitted shoes, taping the foot, and pain medication are usually utilized first. If the bunion doesn’t go away or causes extreme pain, surgery may be required. Surgeons will either remove part of the swollen tissue or bone to straighten the toe out.

If you have a bunion, it is recommended to see a podiatrist. The longer it is left untreated, the worse it may get. Podiatrists can properly diagnose and treat a bunion before it gets worse.

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Types of Diabetic Wounds

Wound Care

Risk Factors for Ingrown Toenails in the Elderly

Ingrown Toenails

Elderly Foot and Ankle Problems

Ankle Pain

Infections From Foot Blisters

Blisters

Causes and Treatment of Bunions

What Are Bunions?

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