Foot ulcers are open wounds that develop on the feet, often affecting individuals with diabetes or impaired circulation. They typically occur due to a combination of factors, including neuropathy, which is nerve damage, poor blood flow, and pressure from footwear. Foot ulcers can vary in severity, from shallow sores to deep craters, and if left untreated, they can lead to serious complications such as infection and possibly amputation. The primary cause of foot ulcers is prolonged pressure or friction on the skin, which can result from wearing ill-fitting shoes, walking barefoot, or excessive rubbing. In diabetic individuals, high blood sugar levels can further exacerbate the risk by damaging nerves and blood vessels, impairing the body's ability to heal. Other contributing factors may include poor hygiene, smoking, obesity, and a history of foot problems. Recognizing the signs of a foot ulcer, such as redness, swelling, or drainage, is vital for prompt treatment and prevention of complications. If you have a foot wound, it is strongly suggested that you consult a podiatrist who can diagnose its severity, and offer treatment options that are right for you.

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 one of our podiatrists from Pennsylvania Foot & Ankle. 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 contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Beyond the well-known effects on your lungs and heart, smoking can also severely affect your feet, particularly through a condition known as Buerger’s disease. This disease targets the blood vessels in the arms and legs, causing swelling and reduced blood flow, which leads to the formation of clots. Consequently, individuals may experience pain, open sores or ulcers, and gangrene, which if not properly treated by a podiatrist may lead to limb loss. While the precise cause of Buerger’s disease remains uncertain, one undeniable link is tobacco use. Chemicals in tobacco irritate blood vessel linings, which then triggers inflammation and constriction. Nearly all diagnosed cases of Buerger’s disease are associated with tobacco use, whether through cigarettes, cigars, or chewing tobacco. Prevention is key, and that begins with quitting smoking and avoiding all forms of tobacco. But prioritizing your foot health is also essential, and by seeking guidance from a podiatrist you can manage symptoms and receive the needed wound care. If you're experiencing any symptoms, it is suggested that you make an appointment with a podiatrist for an exam and treatment.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact one of our podiatrists from Pennsylvania Foot & Ankle. Our doctors will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

If you have any questions please contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Swollen feet, a common and often uncomfortable condition, can stem from various factors. One primary cause is fluid retention, which occurs when excess fluid accumulates in the tissues, leading to swelling and puffiness. This fluid buildup can result from prolonged standing or sitting, particularly in hot weather, as well as hormonal changes during pregnancy or menstruation. Additionally, certain medical conditions, such as heart failure, kidney disease, or liver problems, can impair the body's ability to regulate fluid levels and contribute to swelling in the feet and ankles. Injuries such as sprains or fractures may also lead to swelling as the body responds to tissue damage and inflammation. Furthermore, lifestyle factors like obesity or poor circulation can exacerbate swelling in the lower extremities. Identifying the underlying cause of swollen feet is essential for proper management and treatment, which may include lifestyle modifications, medication, or medical intervention to address the root issue and alleviate discomfort. A podiatrist can determine the cause of swollen feet. If you have this condition, it is suggested that you confer with this foot doctor who can offer appropriate treatment solutions.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact one of our podiatrists of Pennsylvania Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

If you have any questions please contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Gout, often characterized by sudden and intense joint pain, is a type of inflammatory arthritis that predominantly affects men. This condition occurs when uric acid levels in the blood become elevated, leading to the formation of urate crystals in the joints. Men are more susceptible to gout than women, with the risk increasing with age. Several factors contribute to this gender disparity, including hormonal differences, genetic predisposition, and lifestyle factors such as diet and alcohol consumption. The symptoms of gout typically appear in the joint of the big toe, causing swelling, redness, and extreme pain, although other joints may also be affected. Beyond the physical discomfort, gout can have a significant impact on quality of life, leading to decreased mobility, increased risk of disability, and psychological distress. Managing gout involves a combination of medication, lifestyle modifications, and dietary changes aimed at reducing uric acid levels and preventing recurrent attacks. If you have experienced one or more gout attacks, it is suggested that you are under the care of a podiatrist who can help you manage this condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our podiatrists from Pennsylvania Foot & Ankle. Our doctors will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

If you have any questions, please feel free to contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Diabetic feet represent a significant concern for individuals living with diabetes, as the condition can lead to various complications affecting foot health. One critical fact about diabetic feet is the increased risk of nerve damage, known as peripheral neuropathy, which can result in reduced sensation and difficulty detecting injuries or ulcers. Additionally, diabetes can impair blood circulation, leading to poor wound healing and an increased susceptibility to infections. Individuals with diabetes are also prone to developing foot ulcers, which, if left untreated, can escalate into serious complications such as gangrene and amputation. Proper foot care and regular inspections are essential for individuals with diabetes to prevent complications. This includes keeping the feet clean and moisturized, wearing comfortable and well-fitting shoes, inspecting the feet daily for cuts or sores, and seeking prompt medical attention for any signs of infection or injury. If you have diabetes, it is strongly suggested that you are under the care of a podiatrist who can help you manage this serious condition.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact one of our podiatrists from Pennsylvania Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

If you have any questions, please feel free to contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Hammertoe, a common foot deformity, can be attributed to various underlying factors, including rheumatoid arthritis, bunions, and corns. Rheumatoid arthritis, an autoimmune condition characterized by inflammation in the joints, can lead to the weakening of the muscles and ligaments in the toes, causing them to contract and deform over time. Similarly, bunions, bony protrusions that form at the base of the big toe, can exert pressure on adjacent toes, causing them to bend abnormally. Additionally, corns, thickened areas of skin caused by friction or pressure, can also contribute to hammertoe by forcing the toes into a bent position. Over time, these factors can result in the development of hammertoe, characterized by a permanent bend in one or more toes. Understanding the relationship between rheumatoid arthritis, bunions, corns, and hammertoe is important for implementing preventive measures and seeking appropriate treatment to alleviate symptoms and prevent further deformity. If you have developed this foot condition, it is suggested that you consult a podiatrist who can treat hammertoe.

Hammertoes can be a painful condition to live with. For more information, contact one of our podiatrists of Pennsylvania Foot & Ankle. Our doctors will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

• Painful and/or difficult toe movement
• Swelling
• Joint stiffness
• Calluses/Corns
• Physical deformity

Risk Factors

• Age – The risk of hammertoe increases with age
• Sex – Women are more likely to have hammertoe compared to men
• Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
• Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.

If you have any questions, please feel free to contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Tarsal tunnel syndrome, or TTS, is a condition characterized by compression of the tibial nerve as it travels through the tarsal tunnel, located on the inner side of the ankle beneath the ankle bone. This compression leads to various symptoms affecting the foot and ankle. Diagnosis of TTS involves a thorough examination by a podiatrist, including a detailed medical history and physical assessment. Common symptoms of tarsal tunnel syndrome include tingling, burning, or shooting pain along the inner ankle and the sole of the foot. Some individuals may experience numbness or weakness in the affected area, which can worsen with prolonged standing or walking. As the condition progresses, symptoms may intensify, impacting daily activities and overall quality of life. If you have pain in this part of your foot, it is strongly suggested that you visit a podiatrist who can accurately diagnose and treat tarsal tunnel syndrome.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact one of our podiatrists of Pennsylvania Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please contact one of our offices located in Bensalem, Philadelphia, Northeast Philadelphia, Yardley, PA, and Hamilton, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.