If you’ve been having foot-related issues, you may need to see a podiatrist. All doctors have their specialty, and picking the correct type will ensure you get the best care for your medical conditions.

WHAT IS A PODIATRIST?

Podiatrists are medical professionals who diagnose and treat conditions affecting the feet, ankles, and lower legs. Not only do they treat conditions, but they provide routine foot care as needed by their patients. These doctors are licensed and regulated in the USA and will have “DPM” (doctor of podiatric medicine) after their names.

 

COMMON FOOT CONDITIONS TREATED BY PODIATRISTS

There are many different conditions that podiatrists commonly treat. Some of the more common ones include:

Athlete’s Foot

Athlete’s foot is a fungal infection that causes the skin on the feet to itch, burn, and peel. It is most often seen between the toes. Treatment for athlete’s foot may include over-the-counter antifungal creams, prescription oral antifungal medication, and keeping the feet clean and dry.

Arthritis

Arthritis is a condition that causes pain and inflammation in the joints. It can affect any joint in the body, including those in the feet and ankles. Treatment for arthritis may include weight loss, physical therapy, and pain relief medication.

Bunions

A bunion is an enlargement of the joint at the base of the big toe. This joint may become swollen and tender. Bunions can also cause the big toe to turn inward toward the other toes. Treatment for bunions may include wearing supportive shoes, padding or taping the feet, and surgery.

Corn and Calluses

Corns and calluses are areas of thickened skin that form on the feet in response to pressure or friction. They often occur on the tops and sides of the toes, and on the soles of the feet. Treatment for calluses and corns may include wearing supportive shoes, using over-the-counter corn and callus removers, and regularly trimming the thickened skin.

Diabetes

Diabetes is a condition that occurs when the body does not produce enough insulin or is unable to use insulin properly. Diabetes can cause problems with the feet, including nerve damage and poor blood circulation. We will talk more about this below.

Flatfeet

Flatfeet (also called fallen arches) is a condition in which the arch of the foot collapses. This can cause pain and swelling in the feet and ankles. Treatment for flat feet may include wearing supportive shoes and using arch supports. Surgery is sometimes needed to correct the condition.

Fractures

Fractures are breaks in the bones of the feet and ankles. They can be caused by trauma, such as a fall, or by repetitive stress, such as running. Treatment for fractures may include wearing a cast or brace, taking pain medication, and having surgery.

Growing Pains

Growing pains are a common condition in children that causes pain in the legs. The pain is usually worse at night and often affects both legs. Treatment for growing pains may include over-the-counter pain medication, massaging the affected area, and stretching.

Heel Spurs

Heel spurs are bony growths that form on the heel bone. They often cause pain and tenderness in the heel. Treatment for heel spurs may include wearing supportive shoes, using arch supports, and taking pain medication. Surgery is sometimes needed to remove the spur.

Ingrown Toenails

An ingrown toenail is a condition in which the edge of the toenail grows into the flesh of the toe. This can cause pain, redness, and swelling. Treatment for ingrown toenails may include soaking the foot in warm water, wearing loose-fitting shoes, and trimming the toenail. Surgery is sometimes needed to remove the ingrown nail.

Morton’s Neuroma

Morton’s neuroma is a condition that occurs when the nerve that runs between the toes becomes irritated or compressed. This can cause pain, tingling, or numbness in the toes. Treatment for Morton’s neuroma may include wearing supportive shoes, using arch supports, and taking pain medication. Surgery is sometimes needed to remove the neuroma.

Neuropathy

Neuropathy is a condition that occurs when the nerves are damaged. This can cause pain, numbness, and tingling in the feet and legs. Treatment for neuropathy may include taking pain medication, using arch supports, and exercising.

Plantar Fasciitis

Plantar fasciitis is a condition that causes pain in the heel and bottom of the foot. The pain is usually worse with activity and often occurs after prolonged standing or walking. Treatment for plantar fasciitis may include wearing supportive shoes, using arch supports, and taking pain medication. Surgery is sometimes needed to release the tension on the tendon.

Shin Splints

Shin splints are a condition that causes pain in the front of the lower leg. The pain is usually worse with activity and often occurs after running or other high-impact activities. Treatment for shin splints may include resting, ice, and taking pain medication. Surgery is sometimes needed to remove the damaged tissue.

 

LET’S TALK ABOUT DIABETES AND YOUR FEET

Diabetes is a chronic disease that affects the way your body metabolizes sugar. The condition can have severe implications for other parts of your body, including the feet. In order to prevent complications from diabetes and better manage the health of their feet, it’s important for people with diabetes to understand how diabetes impacts foot health.

Here at The Surgical Clinic, we know the link between diabetes and your feet. We hope this article will help you understand how important taking care of your feet is when you have diabetes. In this blog post we will discuss diabetes, different types of diabetic foot conditions; common warning signs that are not associated with most cases of plantar fasciitis; tips on reducing risks for developing diabetic foot ulcers or neuropathy-related injuries by using appropriate footwear and treating injuries early when they first occur.

WHAT IS DIABETES?

Diabetes is a lifelong chronic disease that is caused by high blood sugar levels. People with type 1 diabetes are typically diagnosed young, adults develop type 2 diabetes. Everyone with diabetes has high blood sugar, but the severity of diabetes is not equal in all people.

Specifically, diabetes impacts how your body metabolizes and uses glucose for energy. When you eat carbohydrates, they break down into simple sugars like glucose and are absorbed by your bloodstream. Your pancreas helps to regulate insulin levels; when there’s an excess of glucose in your blood, insulin works to move the sugar into cells where it can be used as energy.

However, with diabetes, either not enough or no insulin is made—or the body doesn’t react properly to the insulin that’s produced—so there isn’t a balance between glucose and insulin levels. Unhealthy glucose levels happen when the body either can’t produce or becomes resistant to certain hormones. Specifically, the hormone insulin, which regulates blood sugar.

The lack of this regulation causes high blood sugar levels. This can lead to diabetes complications, including damage to the nerves and blood vessels that reduce circulation in your feet.

Managing this disease usually requires medication and watching the food you eat. Because this disease affects several body functions, people with this disease may experience several diabetic complications. For instance, high blood sugar counts can damage the nerves around your blood vessels and even lead to a heart attack.

DIABETES AND YOUR FEET

Since diabetes deals with your blood, complications can be found anywhere in your body. Most commonly, it can cause nerve damage to spread to your feet. For example, you may find numbness in your legs and feet or a reduced ability to fight off infections. This combination can lead to serious problems, sometimes even life-risking, if not carefully monitored or identified.

Diabetes is a major risk factor for foot problems because diabetes causes nerve damage known as neuropathy, which reduces sensation in your feet—and makes you more likely to injure them without feeling pain or discomfort until it’s too late.

Diabetes-related conditions are one of the leading causes of foot problems and amputations, but if you’re watching your diabetes carefully, these risks can be reduced.

FOOT HEALTH PROBLEMS FROM DIABETES

Diabetes can impact your feet in a number of ways. Poor circulation, nerve damage, and peripheral neuropathy are all possible consequences of diabetes that can lead to foot problems. These conditions affect the way you walk and balance.

Diabetes can cause numbness in the feet, which makes it difficult to feel any pain or temperature changes that may be indicative of an infection or other problem.

The most common problems leading to inpatient hospital care include ulcers, soft tissue infections, bone infections, abscesses, and gangrene. All of these problems usually come from one or more of the following health risks:

  1. Peripheral diabetic neuropathy (numbness)
  2. Peripheral vascular disease (poor circulation)
  3. A weakened immune system
  4. Foot injuries

The good news is, most of these inpatient cases are completely preventable with proper care and inspection during regular podiatrist visits. Because this is their medical specialty, doctors of podiatric medicine will be able to evaluate your overall foot health.

For instance, they will evaluate your foot health by checking your blood flow and looking for nerve damage. Also, they will identify any problems or risks between diabetes and your feet. All in all, visiting your podiatrist regularly will allow them to treat problems before hospital care or even amputation is needed.

In addition, diabetes can cause several types of skin problems on your feet. These include:

  • Blisters and ulcers from damaged nerves that affect the way you feel heat or pain around a cut or blister
  • Athlete’s foot caused by fungus growing in warm, moist areas like between toes or under a cast after an injury causes nerve damage
  • Fungal infections caused by diabetes-related foot problems

HOW CAN I KEEP MY FEET HEALTHY WITH DIABETES?

Many people with diabetes wonder, “What can I do myself to help prevent these problems?” Diabetics can rest assured that there are several habits that they can use to ensure foot health. Doing the following will consequently keep your feet healthy between visits to your podiatrist.

  1.  You or a family member visually inspect your feet daily. Be sure to note any blisters, calluses, bleeding, redness, swelling, or other concerning/abnormal lesions.
  2.  Check the inside of your shoes for loose objects such as rocks or metallic fragments.
  3.  Avoid walking barefoot outside your home.
  4. Do not soak your feet, and avoid extreme temperatures such as hot water soaks or heating pads.
  5.  Maintain healthy blood glucose levels and check them daily.
  6.  Wear shoes with a comfortable width, length, and depth to avoid excessive rubbing/friction.
  7.  Wash your feet daily with warm, soapy water and dry well, especially between your toes.
  8.  Do not use acids, chemical corn removers, or attempt to perform “bathroom surgery.”
  9.  Avoid smoking (or use of other tobacco products) and drinking.
  10.  Get regular examinations of the feet by your podiatrist, typically every couple of months.

As you follow this list, ensure you do everything your main diabetes provider prescribes. Staying healthy is more than just taking care of one area of your body at a time. In fact, maintaining balance and a healthy lifestyle will bring you many more benefits for years to come.

GET YOUR FEET CHECKED

If you have more questions about what you can do to manage diabetes, talk with your doctor.

Currently, The Surgical Clinic has two podiatrists with board certification. Get to know both of our Foot & Ankle Specialists, Dr. Timothy Bush, DPM, and Dr. Tod Bushman, DPM.

The Surgical Clinic is here to provide quality, compassionate foot care to the Nashville, TN area. If you have diabetes and want a checkup, schedule your appointment today by calling The Surgical Clinic at (615) 329-7887.

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