Items filtered by date: May 2024

Podiatrists play an indispensable role in the realm of diabetic limb salvage by addressing not only the immediate wound but also the underlying biomechanical issues of the foot and ankle. These foot and ankle specialists view the diabetic wound in the context of the entire lower limb's structure and function, which involves meticulous local wound care. Debridement and the use of advanced topical therapies and bioengineered tissues, coupled with strategies to offload pressure from the wound site are included. Offloading techniques might include total contact casts, custom braces, and healing shoes with custom inserts designed to redistribute pressure and prevent further injury. When conservative measures fail, surgical intervention may be necessary. Procedures like Achilles tendon lengthening or tendon transfers are performed to rebalance the foot, addressing deformities and reducing abnormal pressures that contribute to ulcers. In more severe cases, reconstructive surgery may be needed to stabilize the foot and prevent ongoing damage. Postoperative care is critical to ensure long-term success, with custom footwear and regular biomechanical monitoring playing key roles in preventing recurrence. If you are experiencing diabetic foot ulcers, it is suggested that you schedule an appointment with a podiatrist for holistic care that heals the wounds and maintains the overall health and function of your feet.

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 podiatrists from New England Foot and 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 Chelmsford and Newburyport, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Arthritis, a condition causing joint inflammation, manifests in various forms, each impacting the feet differently. Osteoarthritis, the most common type, affects the cartilage, leading to joint pain and stiffness. In feet, it often targets the big toe, making it painful to walk or stand. Rheumatoid arthritis, an autoimmune disease, affects joints symmetrically, often leading to deformities in the feet such as bunions and hammertoes. Gout, characterized by sudden, severe attacks of pain, swelling, and redness, typically targets the big toe joint. Psoriatic arthritis, linked with psoriasis, can cause swelling in the toes. Ankylosing spondylitis, affecting the spine and large joints, may also cause inflammation in the feet, leading to stiffness and discomfort. If you have any arthritic foot pain, it is suggested that you make an appointment with a podiatrist who can offer a personalized treatment to help alleviate discomfort and improve mobility.

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact one of our podiatrists from New England Foot and Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a joint disorder that involves the inflammation of different joints in your body, such as those in your feet. Arthritis is often caused by a degenerative joint disease and causes mild to severe pain in all affected areas. In addition to this, swelling and stiffness in the affected joints can also be a common symptom of arthritis.

In many cases, wearing ill-fitting shoes can worsen the effects and pain of arthritis. Wearing shoes that have a lower heel and extra room can help your feet feel more comfortable. In cases of rheumatoid arthritis, the arch in your foot may become problematic. Buying shoes with proper arch support that contour to your feet can help immensely.

Alleviating Arthritic Pain

• Exercises that stretch the foot can prevent further pain and injury and increase mobility
• Most of the pain can be alleviated with anti-inflammatory drugs, heat, and topical medications
• Massages can help temporarily alleviate pain.

It is best to see your doctor for the treatment that is right for your needs and symptoms. Conditions vary, and a podiatrist can help you determine the right method of care for your feet.

If you have any questions, please feel free to contact one of our offices located in Chelmsford and Newburyport, MA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Walking on a foot stress fracture can seem like a feasible option in certain situations, but it carries both advantages and disadvantages. On the positive side, continuing to walk may help maintain mobility and prevent muscle atrophy, especially if the fracture is minor and does not cause severe pain. It can also be convenient for individuals with busy schedules or obligations that require them to stay on their feet. However, walking on a stress fracture can exacerbate the injury, delaying healing and potentially causing further damage. It may prolong recovery time and increase the risk of complications such as a complete fracture or chronic pain. Additionally, ignoring the need for rest and proper treatment can lead to long-term consequences, including decreased bone density and recurrent injuries. Ultimately, while walking on a foot stress fracture may offer short-term benefits, it is essential to prioritize rest and medical guidance to ensure a full and efficient recovery. If you have endured a foot stress fracture, it is suggested that you consult a podiatrist who can provide proper recovery treatment.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact one of our podiatrists from New England Foot and Ankle. Our doctors can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

• Runners                                  
• People affected with Osteoporosis
• Tennis or basketball players
• Gymnasts
• High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

If you have any questions please feel free to contact one of our offices located in Chelmsford and Newburyport, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Heel pain can stem from various factors, affecting individuals of all ages and activity levels. Primarily localized to the underside or back of the heel, this discomfort can significantly impact mobility and quality of life. The causes of heel pain are multifaceted, with common culprits including plantar fasciitis, Achilles tendonitis, heel spurs, and stress fractures. Plantar fasciitis, caused by inflammation of the thick band of tissue that connects the heel to the toes, often arises from overuse, improper footwear, or biomechanical issues. Achilles tendonitis, involving inflammation of the Achilles tendon, commonly results from overuse or sudden increases in activity level. Heel spurs, bony growths on the underside of the heel bone, can develop due to repetitive stress or poor foot mechanics. Stress fractures, small cracks in the heel bone, may occur from overtraining or sudden changes in activity. If you have heel pain, it is strongly suggested that you consult a podiatrist who can determine the cause and offer you appropriate relief and treatment solutions. 

Many people suffer from bouts of heel pain. For more information, contact one of our podiatrists of New England Foot and Ankle. 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 one of our offices located in Chelmsford and Newburyport, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.