Wound Care: Healing Lower Leg Ulcers

Wound Care
Dr. Thomas LeBeau performing a foot exam.

 

Wound Care

Wound Care: Healing Lower Leg Ulcers

Thomas A. LeBeau, DPM

St. Augustine Foot and Ankle

Foot ulcers and other open foot wounds are a major cause of disability, morbidity and mortality. Varicose veins, poor circulation and diabetes can lead to open foot wounds.

Approximately 15 percent of diabetic patients develop diabetic foot ulcers. Some even suffer foot amputations, many of which are preventable with proper foot wound care treatment.

Foot and ankle wounds can be caused by traumatic injury or could be arterial and venous wounds, pressure ulcers, diabetic wounds and wounds related to diseases such as lupus, rheumatoid arthritis and scleroderma. Older patients are also vulnerable to poor circulation, decreased sensation and impaired healing.

Wounds can be treated conservatively or aggressively depending on the severity. Like any ailment the best treatment is prevention. For example someone with diabetes should get on a diabetic foot care regiment. A regular diabetic foot care regiment will help prevent future problems that could not only include wounds but also amputations.  Diabetics should be on a diabetic foot care regiment no ifs, ands, or buts about it. However, if you have a foot ulcer/ foot wound that has already developed the sooner you are treated the better. Some foot wounds can be treated with wraps and antibiotics while others may require procedures and skin grafts. All of this often depends on the severity of the foot ulcer / foot wound and how soon it is treated.

Fortunately, wound care is a specialty of podiatry doctor Thomas A. LeBeau, DPM.

See Dr. LeBeau for foot and ankle wound care that includes:
• Foot ulcer treatment and other foot wound care treatment
• Leg ulcer treatment and other leg wound care treatment

Take a step toward saving your feet. Call Dr. LeBeau’s office today at 904-824-0869. Please feel free to use our online Request an Appointment at info@staugustinefoot.com

Plantar Fasciitis “The Scoop”

plantar fasciitis
Dr. Thomas LeBeau seeing a patient for plantar fasciitis.

Safe, reliable relief from disabling foot pain (Plantar fasciitis).

With heel pain or plantar fasciitis, also known as foot pain, the bottom of your foot may hurt when you stand, especially after you get out of bed first thing in the morning. Without a heel pain diagnosis and heel pain treatment, plantar fasciitis can lead to painful heel spurs and chronic disabling pain. Over-pronation (flatfeet) is the leading cause of heal pain. Your arch can collapse from weight-bearing, causing the plantar fascia to stretch away from the heel bone. When you stand, your plantar fascia is pulled tight like a bowstring. During a long rest, the plantar fascia contracts back to its original shape and your pain is reduced.

Heal Pain can be caused by any number of things including poorly fitting shoes, over use (too much walking or running), barefoot walking or running, being over-weight, a foot injury, and/or genetics among other things. Untreated foot pain could also lead to other discomfort such as knee pain, hip pain, and back pain. Getting help and relief from plantar fasciitis and/or heel pain is key to avoiding other uncomfortable and painful issues.

Plantar fasciitis is also called heel spur syndrome. It can be treated by using a variety of conservative approaches such as anti-inflammatory medicines, orthotic shoe inserts and foot physical therapy modalities (heat, ice, massage and therapeutic exercise). Any number or combination of conservative treatments could relieve you of your pain.

With the experience and skill of podiatrist Thomas A. LeBeau, DPM and his staff at St. Augustine Foot and Ankle, you could walk away from plantar fasciitis without surgery. Getting you back on your feet is the top priority. So for lasting relief, call 904-824-0869. Please feel free to use our online ‘Request an Appointment’ form.

Sever’s Disease

Sever’s Disease

Sever’s Disease

Thomas A. LeBeau

St. Augustine Foot and Ankle

Growing pains may sound like an old wives’ tale. In the case of Sever’s disease, though, your child’s growth spurt can lead to serious pain. It’s not actually a disease but a heel injury.

What Causes It?

During a growth spurt, your child’s heel bone grows faster than the muscles, tendons, and ligaments in her leg. In fact, the heel is one of your child’s first body parts to reach full adult size. When the muscles and tendons can’t grow fast enough to keep up, they are stretched too tight.

If your child is very active, especially if she plays a sport that involves a lot of running and jumping on hard surfaces (such as soccer, basketball, or gymnastics), it can put extra strain on her already overstretched tendons. This leads to swelling and pain at the point where the tendons attach to the growing part of her heel.

How Does It Affect Your Child?

Sever’s disease is more common in boys. They tend to have later growth spurts and typically get the condition between the ages of 10 and 15. In girls, it usually happens between 8 and 13.

Symptoms can include:

  • Pain, swelling, or redness in one or both heels
  • Tenderness and tightness in the back of the heel that feels worse when the area is squeezed
  • Heel pain that gets worse after running or jumping, and feels better after rest. The pain may be especially bad at the beginning of a sports season or when wearing hard, stiff shoes like soccer cleats.
  • Trouble walking
  • Walking or running with a limp or on tip toes

How Is It Treated?

The good news is that Sever’s disease doesn’t cause any long-term foot problems. Symptoms typically go away after a few months.

The best treatment is simply rest. Your child will need to stop or cut down on sports until the pain gets better. When she’s well enough to return to her sport, have her build up her playing time gradually.

Your doctor may also recommend:

  • Ice packs or nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, to relieve the pain
  • Supportive shoes and inserts that reduce stress on the heel bone. These can help if your child has another foot problem that aggravates Sever’s disease, such as flat feet or high arches.
  • Stretching and strengthening exercises, perhaps with the help of a physical therapist
  • In severe cases, your child may need a cast so her heel is forced to rest.

Can It Be Prevented?

Once your child’s growth spurt ends, and she’s reached full size, her Sever’s disease won’t return. Until then, the condition can happen again if your child stays very active.

Some simple steps can help prevent it. Have your child:

  • Wear supportive, shock-absorbing shoes.
  • Stretch her calves, heels, and hamstrings.
  • Not overdo it. Warn against over-training, and suggest plenty of rest, especially if she begins to feel pain in her heel.
  • Try to avoid lots of running and pounding on hard surfaces.
  • If she’s overweight, help her lose those extra pounds, which can increase pressure on her heels.

With our experience at St. Augustine Foot and Ankle we will do everything we can to help your child with their heel pain and get them back to their regular activity. If you suspect your child has Sever’s disease or heel pain of any kind please give us a call to set an appointment as soon as possible at (904) 824-0869 or feel  free to email us at info@staugustinefoot.com

Wound Care

source ; http://www.staugustinefoot.com/blog/?p=425

 

Dr. Thomas LeBeau is a board certified Wound Care specialist.
Dr. Thomas LeBeau is a board certified Wound Care specialist.

Wound Care 

Dr. Thomas LeBeau

St. Augustine Foot and Ankle

Foot ulcers and other open foot wounds are a major cause of disability, morbidity and mortality.

Varicose veins, poor circulation and diabetes can lead to open foot wounds.

Approximately 15 percent of diabetic patients develop diabetic foot ulcers. Some even suffer foot amputations, many of which are preventable with proper foot wound care treatment.

Foot and ankle wounds can be caused by traumatic injury or could be arterial and venous wounds, pressure ulcers, diabetic wounds and wounds related to diseases such as lupus, rheumatoid arthritis and scleroderma. Older patients are also vulnerable to poor circulation, decreased sensation and impaired healing.

Wounds can be treated conservatively or aggressively depending on the severity. Like any ailment the best treatment is prevention. For example someone with diabetes should get on a diabetic foot care regiment. A regular diabetic foot care regiment will help prevent future problems that could not only include wounds but also amputations.  Diabetics should be on a diabetic foot care regiment no ifs, ands, or buts about it. However, if you have a foot ulcer/ foot wound that has already developed the sooner you are treated the better. Some foot wounds can be treated with wraps and antibiotics while others may require procedures and skin grafts. All of this often depends on the severity of the foot ulcer / foot wound and how soon it is treated.

Fortunately, wound care is a specialty of podiatry doctor Thomas A. LeBeau, DPM.

See Dr. LeBeau for foot and ankle wound care that includes:

• Foot ulcer treatment and other foot wound care treatment
• Leg ulcer treatment and other leg wound care treatment

Take a step toward saving your feet. Call Dr. LeBeau’s office today at 904-824-0869. Please feel free to use our online Request an Appointment at info@staugustinefoot.com