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Tuesday, 11 March 2025 00:00

Preventing Limb Loss in Diabetic Patients

Diabetic limb salvage focuses on preserving affected extremities by addressing diabetic wounds early and effectively. Diabetes significantly impacts foot health, often causing foot ulcers and infections due to poor blood circulation, nerve damage known as peripheral neuropathy, and peripheral vascular disease, a condition where arteries narrow or become blocked. About 15 percent of diabetic patients experience foot ulcers, which, if left untreated, can lead to severe infections of the skin or underlying bones, increasing the risk of limb loss. A podiatrist plays an essential role in diabetic limb salvage by diagnosing foot conditions, managing wound care, and performing procedures like debridement to remove infected tissue. Podiatrists also use angioplasty or stenting to improve circulation, offloading techniques to reduce pressure on wounds, and orthopedic shoe inserts to support and protect the feet. Early podiatric care significantly reduces the risk of surgery or loss of limb. If you are suffering from diabetic foot problems, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and ongoing treatment.

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 doctors from Coral Desert Foot & Ankle. 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 one of our offices located in St. George and Kanab, UT, and Mesquite, NV . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Limb Salvage
Tuesday, 11 March 2025 00:00

Limb Salvage

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.

Tuesday, 04 March 2025 00:00

Surgery for an Ingrown Toenail

An ingrown toenail occurs when the edge of a toenail grows into the surrounding skin causing pain, redness, swelling, and sometimes infection. This condition is most common on the big toe and can occur from improper nail trimming, wearing tight shoes, or injury to the toe. When conservative treatments such as soaking, proper nail care, and antibiotics for infection do not provide relief, ingrown toenail surgery may be necessary. A podiatrist numbs the toe with a local anesthetic during the procedure to ensure comfort. This is followed by carefully removing the portion of the nail that is growing into the skin. In more severe cases, part of the nail bed may also be removed to prevent the nail from growing back into the skin. The area is cleaned and a dressing is applied. With proper care and hygiene, recovery typically takes a few weeks to ensure a successful healing process. If you have an ingrown toenail, it is suggested that you contact a podiatrist who can provide the best treatment solutions which may include surgery.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact one of our doctors of Coral Desert Foot & Ankle. 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 St. George and Kanab, UT, and Mesquite, NV . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 04 March 2025 00:00

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.

Have you noticed a bony protrusion on the side of your big toe? If so, you may have developed the foot condition known as a bunion. Don't let bunions interfere with your daily activities.

Tuesday, 25 February 2025 00:00

Treating Diabetic Foot Ulcers

Diabetic foot ulcers are open wounds that develop due to skin breakdown, often caused by pressure, friction, or injury. People with diabetes are particularly at risk of foot ulcers because conditions like peripheral neuropathy and poor circulation can impair sensation and healing in the feet. Diabetic foot ulcers can appear on the toes, soles, or ankles and may progress to deeper layers, involving muscles, tendons, or even bones. Untreated foot ulcers increase the risk of infection, potentially leading to severe complications, like gangrene or limb loss. A podiatrist plays a key role in managing diabetic foot ulcers by performing wound care, including debridement to remove damaged tissue and applying specialized dressings to promote healing. They may also recommend offloading techniques, such as using custom footwear or casts to reduce pressure on the affected area. Regular monitoring is essential to catch any early signs of infection or worsening ulcers. If you have foot ulcers related to diabetes, it is suggested that you make an appointment with a podiatrist for regular exams and necessary treatment.

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 doctors from Coral Desert 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 feel free to contact one of our offices located in St. George and Kanab, UT, and Mesquite, NV . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Wound Care
Tuesday, 25 February 2025 00:00

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.

Tuesday, 18 February 2025 00:00

Link Between Cracked Heels and Thyroid Health

Cracked heels, also known as heel fissures, can sometimes be a sign of underlying thyroid issues. The thyroid gland plays a vital role in regulating metabolism and skin health. Hypothyroidism, a condition where the thyroid does not produce enough hormones, can lead to dry skin, which may result in cracked heels. Dryness, along with thickened or rough skin, can occur when thyroid dysfunction affects the body's ability to retain moisture in the skin. This makes the feet more prone to cracking, especially when combined with other factors, such as standing for long periods or wearing improper footwear. Treating the underlying thyroid condition can improve skin health, including preventing or reducing the occurrence of cracked heels and promoting overall foot well-being. If you have cracked heels, it is suggested that you consult a podiatrist who can offer you effective relief options, which may include prescribed medication. 

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact one of our doctors from Coral Desert Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin. 

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed. 

If you have any questions, please feel free to contact one of our offices located in St. George and Kanab, UT, and Mesquite, NV . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Solutions for Cracked Heels
Tuesday, 18 February 2025 00:00

Solutions for Cracked Heels

Cracked heels may make you want to think twice about showing off your feet in warmer weather. However, cracked heels may be harmful to more than just the appearance of your feet. If deep fissures and cracks develop in your heels, they may make walking and standing painful for you. Additionally, these openings make way for germs to enter through your skin and cause infection.

There are several different causes of cracked heels. One of the most common reasons for this ailment is dry skin. This problem may make your keeps feel rough tight and itchy. Dry skin may be caused by cold air, extremely hot water, harsh soaps, and aging. Skin disorders such as eczema and psoriasis may eventually lead to dry skin. In some cases, complications may arise from cracked heels. Some of these complications are a loss of feeling in the heel, cellulitis, or a diabetic foot ulcer.

There are ways you can try to prevent getting cracked heels. One of the best ways to do so is to avoid wearing flip flops and sandals because these shoes increase your risk of drying out your feet. You should also avoid wearing shoes with a tall skinny heel, because these shoes cause your heel to expand sideways. At night, you should slather on a thick moisturizing cream on your feet and then cover them in socks to keep your feet moisturized overnight. Drinking water to stay hydrated is also a good way to ensure that your skin doesn’t become dry.

If you suffer from a severe case of cracked feet, you should make an appointment with your podiatrist to see what treatment methods are best for you.

Tuesday, 11 February 2025 00:00

Trail Running Shoes and Key Considerations

When buying trail running shoes, it is important to focus on several factors to ensure comfort, support, and durability. First, consider the type of terrain you will be running on. For rocky trails, look for shoes with a stiffer sole and more aggressive tread patterns that offer better grip and stability. If you will be running on smoother, well-maintained paths, a more flexible shoe may suffice. The fit of the shoe is also important. Make sure there is enough room in the toe box to allow for natural foot movement, and ensure the shoe is snug around the heel to prevent slipping. The level of cushioning is another consideration, as more cushioning is ideal for longer distances, while minimal cushioning may work better for faster, shorter runs. Finally, look for shoes that offer water resistance or drainage to keep your feet dry in wet conditions. If you enjoy running and want more information on choosing the best shoes, it is suggested that you make an appointment with a podiatrist, an expert on everything related to feet and ankles.

Finding a properly-fitting shoe is important in reducing injuries and preventing foot problems. For more information about treatment, contact one of our doctors from Coral Desert Foot & Ankle. Our doctors will treat your foot and ankle needs.

Proper Shoe Fitting

A common concern when it comes to foot health, having properly fitted shoes can help prevent injuries to the foot. Out feet affect our posture and gait, which in turn affects the biomechanics and overall bodily structure. With 33 joints, 26 bones, and over 100 ligaments, the potential for serious injury is much greater than one realizes. Although the feet cease growth in adulthood, they still change shape as they mature. Here are some factors to consider when it comes to investing in proper fitting shoes:

  • Be sure the shoes fit correctly right away
  • Ensure the ball of your foot fits comfortably in the widest portion of the shoes
  • Even though they may look fashionable, improper fitting shoes can either create adverse conditions or exacerbate existing ones you may already have
  • Walk along a carpeted surface to ensure the shoes comfortably fit during normal activity

Keeping in mind how shoes fit the biomechanics of your body, properly-fitting shoes are vitally important. Fortunately, it is not difficult to acquire footwear that fits correctly. Be sure to wear shoes that support the overall structure of your body. Do your feet a favor and invest in several pairs of well-fitted shoes today.

If you have any questions please feel free to contact one of our offices located in St. George and Kanab, UT, and Mesquite, NV . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about How to Get a Proper Shoe Fit
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