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.
Morton’s Neuroma is a nerve issue in the ball of the foot typically caused when the toes are squeezed together too often or for too long. Narrow shoes, high heels, or shoes that fit too tightly can irritate the situation considerably.
The classic symptoms of Morton’s Neuroma are sharp pain or burning in the foot in addition to the sensation of a lump in the ball of your foot. Podiatrists will typically diagnose Morton’s Neuroma with a physical exam and the possible ordering of an x-ray or MRI.
For as uncomfortable and painful as Morton’s Neuroma may be, fear not, treatment is usually non-invasive and effective. First, make an appointment with a podiatrist like St. Augustine Foot and Ankle. We treat Morton’s Neuroma often and get excellent results. Once we have examined you and determined that your ailment is indeed Morton’s Neuroma I may put you on an NSAID regiment and advise you to ice your foot often. Staying off your feet for awhile, massage, and wearing shoes that do not restrict your toes may be helpful also. Here in the office we can use massage, ultrasound, and stimulation to help relieve your pain and get you feeling better as quickly as possible. Those treatment approaches along with the above mentioned things to do at home should get stepping right over your Morton’s Neuroma in no time. In rare, more extreme cases a steroid injection or surgery might be recommended but that is after we exhaust our other options first. St. Augustine Foot and Ankle will take that conservative approach first to help you avoid foot surgery.
With our experience at St. Augustine Foot and Ankle we will do everything in our power to get you feeling better as quickly as possible and for as long as possible. If you think you may be suffering from Morton’s Neuroma, give us a call to set an appointment at (904) 824-0869 or feel free to email us at email@example.com
Most cases of Plantar Fasciitis are diagnosed by a health care provider based on your symptoms and a physical exam in which he or she will press on the bottom of your feet — the area most likely to be painful in plantar fasciitis, inflammation of the thick, fibrous band of tissue (”fascia”) that reaches from the heel to the toes and supports the muscles and arch of the foot. He or she may suggest that you have an X-ray of your foot to verify that there is no stress fracture causing your pain.
What Are the Treatments for Plantar Fasciitis?
Most health care providers agree that initial treatment for plantar fasciitis should be quite conservative. You’ll probably be advised to avoid exercise that is making your pain worse. Your doctor may also advise one or more of these treatment options:
A Heel Pad
A heel pad is sometimes used to cushion the painful heel if you spend a great deal of time on your feet on hard surfaces.
Also, over-the-counter or custom-made orthotics, which fit inside your shoes, may be constructed to address specific imbalances you may have with foot placement or gait.
Stretching exercises performed three to five times a day can help elongate the heel cord and the ligaments on the bottom of the foot.
You may be advised to apply ice packs to your heel or to use an ice block to massage the plantar fascia before going to bed each night.
Simple over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, are often helpful in decreasing inflammation and pain. To avoid stomach discomfort, NSAIDs should be taken with meals. If you can’t tolerate such drugs, ask your health care provider about an alternative.
A Night Splint
A night splint is sometimes used to hold your foot at a specific angle, which prevents the plantar fascia from contracting during sleep.
Ultrasound physical therapy can be performed to decrease inflammation and promote healing.
Anti-inflammatory steroid injections directly into the tissue around your heel may be helpful. However, if these injections are used too many times, you may suffer other complications, such as shrinking of the fat pad of your heel, which you need for insulation and cushioning. Loss of the fat pad could actually increase your pain — or could even rupture the plantar fascia in rare cases.
What Are the Treatments for Plantar Fasciitis? continued…
If your plantar fasciitis is unresponsive to typical treatments, your doctor may recommend that you wear a short walking cast for about three weeks. This ensures that your foot is held in a position that allows the plantar fascia to heal in a stretched, rather than shortened, position.
Shock Wave Therapy
Extracorporeal shock wave therapy is a procedure that may be performed prior to considering open surgery, if your symptoms have persisted for more than six months. This surgery does not involve any actual incisions being made; rather, it uses a high intensity shock wave to stimulate healing of the plantar fascia.
Surgery for Plantar Fasciitis
Most practitioners agree that treatment for Plantar Fasciitis is a slow process. Improvement usually takes six to 12 weeks, and the condition may still linger, at a lower level of pain, for up to six months or longer. If these more conservative measures don’t provide relief in a reasonable length of time, your doctor may suggest surgical options.
The most common surgery for Plantar Fasciitis is called a plantar fascia release, which involves releasing a portion of the plantar fascia from the heel bone. A plantar fascia release can be performed as a traditional surgery through a regular incision, or as endoscopic surgery, in which a tiny incision allows a miniature scope to be inserted and surgery to be performed.
About one in 20 patients with Plantar Fasciitis will need surgery. As with any surgery, there is a chance that you will continue to have pain afterwards.
How Can I Prevent Plantar Fasciitis?
While there are no sure ways to prevent Plantar Fasciitis, these prevention tips may be helpful:
Keep your weight under reasonable control.
Wear comfortable, supportive shoes.
Use care when starting or intensifying exercise programs.
With our experience at St. Augustine Foot and Ankle we will do everything we can to help you with your Plantar Fasciitis and/0r foot pain to keep your feet healthy and functioning. If you are experience foot pain of any kind give us a call to set an appointment as soon as possible at (904) 824-0869 or feel free to email us at firstname.lastname@example.org
Although Dr. Thomas LeBeau is a highly skilled surgeon, he has been successfully helping patients recover from foot or ankle problems using conservative, nonsurgical methods for years. After helping thousands of patients overcome pain and lost function, he knows that surgery isn’t always the best solution.
However, in those cases where surgery is the only solution, he uses state-of-the-art minimally invasive techniques to shorten recovery time and reduce or eliminate complications. Whatever foot and ankle condition you have, rest assured that Dr. Thomas LeBeau offers the latest cosmetic and corrective care.
The right approach to help you get the right results.
Helping you achieve a fast, hassle-free recovery is Dr. Thomas LeBeau’s highest priority. That’s why St. Augustine Foot and Ankle provides state-of-the-art equipment such diagnostic ultrasound, computer-generated foot and ankle orthotics and comprehensive physical therapy services to support his conservative approach to podiatric care. Computer-generated orthotics are thin and lightweight and may eliminate the need for surgery.
Podiatric care that puts you first.
At St. Augustine Foot and Ankle, in St. Augustine, Florida your concerns matter. You are Dr. LeBeau’s main focus. He wants you to have proper treatment so you can go back to doing what you love most in life. Dr. LeBeau is a good listener — he’ll hear you out, helping you make smart choices about your foot and ankle health. He’ll take the time to explain all the treatment options available to you for any foot or ankle condition.
Conveniences for a more positive care experience.
Most insurance accepted and filed for you
Visa and MasterCard accepted
CareCredit® financing available
One of the few Medicaid providers in the area
Friendly, professional staff
With our experience at St. Augustine Foot and Ankle we will do everything we can to help you with your diabetic foot care and keep your feet healthy and functioning. If you are a diabetic please give us a call to set an appointment as soon as possible at (904) 824-0869 or feel free to email us at email@example.com