August 2023

Diabetic foot ulcers, or DFUs, are a common complication of diabetes, resulting from prolonged high blood sugar levels that damage blood vessels and nerves. This condition impedes wound healing and leads to ulcers in weight-bearing areas such as the ball of the feet, heels, and toes. These types of diabetic foot ulcers can have severe consequences, contributing to a significant number of hospital admissions among people with diabetes. To effectively manage and treat DFUs, podiatrists use classification and scoring systems that can provide valuable insights into the severity and potential complications of these wounds. One widely recognized classification system is Wagner's, which assesses DFUs based on six grades. Factors such as ulcer depth, tissue necrosis extent, and bone infection presence are examined. The results range from Grade 0, which indicates no open lesions, to Grade 5, which shows gangrene of the entire foot. Wagner's system aids in treatment planning and understanding ulcer severity. If you suffer from diabetic foot ulcers, it is suggested that you make regular appointments with a podiatrist to monitor the stages of the ulcers.

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 Advanced Foot & Ankle Medical Center . 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 our office located in Thousand Oaks, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Swollen feet, an uncomfortable and often puzzling issue, can cast a shadow over daily activities. The causes behind this condition can be as diverse as they are unexpected. Prolonged periods of standing or sitting, especially in hot weather, can lead to fluid accumulation in the lower extremities. Pregnancy, with its hormonal shifts and increased pressure on blood vessels, is a common culprit. Health conditions such as heart, kidney, or liver problems can disrupt the body's fluid balance, resulting in swelling. Injuries, infections, and certain medications can also contribute to swelling. Recognizing swollen feet is relatively simple, which is easy to notice as the feet are puffy and tight. Additionally, there can be an indentation in the skin, indicating the feet are swollen. Understanding the underlying triggers empowers individuals to make informed choices, seek medical guidance from a podiatrist, and embrace measures that foster foot health and overall well-being. If you have swollen feet, it is strongly suggested that you speak with a podiatrist who can offer effective treatment methods.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact one of our podiatrists of Advanced Foot & Ankle Medical Center . 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 feel free to contact our office located in Thousand Oaks, CA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Heel pain can be a frustrating and debilitating condition that affects individuals of all ages and activity levels. There are several potential causes of heel pain, with plantar fasciitis being the most common culprit. This condition arises due to inflammation of the plantar fascia, a thick band of tissue that supports the arch of the foot. Other causes of heel pain may include Achilles tendinitis, heel spurs, bursitis, or stress fractures. Effective treatment for heel pain depends on the underlying cause. Getting adequate rest and taking over-the-counter pain medications may offer temporary relief. However, addressing the root cause is crucial for long-term improvement. Performing stretching exercises, wearing orthotic inserts and supportive footwear are often recommended to alleviate symptoms and promote healing. Seeking professional medical advice is essential to accurately diagnose the cause of heel pain, which can determine what the most appropriate treatment plan is for a swift recovery. If you have heel pain, it is strongly suggested that you are under the care of a podiatrist who can help you manage this condition.

Many people suffer from bouts of heel pain. For more information, contact one of our podiatrists of Advanced Foot & Ankle Medical Center . Our doctors can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                  
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions please contact our office located in Thousand Oaks, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Pressure injuries on the heel bone, also called heel pressure ulcers, result from prolonged pressure and friction. The heel is the second most common site for such injuries due to its small area bearing the weight of the lower extremities. People with immobility, diabetes, leg spasms, or impaired blood flow are more susceptible to these injuries, affecting their quality of life. Prevention and healing involve alleviating pressure by using supportive devices. Such injuries can lead to open wounds, blisters, or deep tissue damage, increasing the risk of infection. Treatment options include pressure relief, proper wound care, specialized cushioning or boots, and, in severe cases, surgery. Due to the complexity and potential complications of such foot wounds, if you suffer from this, it is suggested that you make an appointment with 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 one of our podiatrists from Advanced Foot & Ankle Medical Center . 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 our office located in Thousand Oaks, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Plantar fasciitis is a frequently encountered foot ailment that manifests as inflammation of the plantar fascia, the band of tissue connecting the heel bone to the toes. Repetitive stress on this area can lead to tiny tears, leading to severe heel discomfort, particularly during the initial steps in the morning or following extended periods of rest. This condition is commonly observed in athletes, runners, and individuals engaged in prolonged standing activities. A range of treatment options exists, including stretching exercises, orthotics, and physical therapy, all aimed at alleviating the symptoms and promoting healing. If you are grappling with this problem, it is suggested that you seek the expertise of a podiatrist to facilitate prompt recovery while preventing further deterioration.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our podiatrists  from Advanced Foot & Ankle Medical Center . Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

• Excessive running
• Non-supportive shoes
• Overpronation
• Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

• Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
• Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
• Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

If you have any questions please feel free to contact our office located in Thousand Oaks, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.