Serious Foot Wounds May Not Cause Pain in Diabetes

Foot problems do not always feel the same, even when they are serious. In people with poor circulation, extra pressure on the feet often causes pain. In those with diabetes and nerve damage, that same pressure may lead to open sores without any discomfort. This difference can delay care and allow wounds to worsen. Circulation issues usually begin in larger blood vessels higher in the leg, while diabetes-related changes often affect smaller vessels in the lower leg and foot. Diabetes can also cause stiffened vessels and tiny areas of low oxygen in the skin, further limiting healing. Because feeling is reduced, a lack of pain does not mean a lack of danger. Care must focus on relieving pressure and treating wounds early, while also checking blood flow. If you have diabetes and notice changes in your feet, it is suggested that you see a podiatrist for a thorough evaluation and appropriate care.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with one of our podiatrists from Cleveland Foot & Ankle Clinic. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

  • Claudication (leg pain from walking)
  • Numbness in legs
  • Decrease in growth of leg hair and toenails
  • Paleness of the skin
  • Erectile dysfunction
  • Sores and wounds on legs and feet that won’t heal
  • Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

If you have any questions, please feel free to contact our offices located in Cleveland, Independence, and Kent, OH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Dealing With Swollen Ankles

Swelling of the feet and ankles, also known as edema, occurs when fluid collects in the tissues of the lower legs. Many people notice that their shoes feel tighter or that the skin around the ankles appears puffy or stretched. In some cases, the skin may feel tender, heavy, or leave an indentation when pressed. Swelling may develop gradually throughout the day, especially after long periods of standing or sitting. Common causes include poor circulation, injury, inflammation, pregnancy, certain medications, or medical conditions that affect the heart, kidneys, or veins. Foot structure problems can also contribute when uneven pressure affects how fluid moves through the lower leg. A podiatrist can evaluate swelling through a physical examination and review of medical history to help identify possible causes. Treatment often focuses on improving circulation and reducing pressure in the feet and ankles. Care options include supportive footwear, compression, and targeted exercises that encourage healthy blood flow. If you have swollen feet and ankles, it is suggested that you make an appointment with a podiatrist.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact one of our podiatrists of Cleveland Foot & Ankle Clinic. 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 contact our offices located in Cleveland, Independence, and Kent, OH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Understanding the Main Types of Diabetic Foot Ulcers

Diabetic foot ulcers are open wounds that can form when long-term diabetes damages nerves or reduces circulation in the lower extremities. These wounds are often grouped into three categories based on the main cause. Purely neuropathic ulcers develop when nerve damage reduces feeling in the foot. Because sensation is limited, a person may not notice pressure, rubbing, or small injuries, allowing the skin to break down over time. Purely ischemic ulcers are related to poor blood flow. When circulation to the feet is reduced, the skin and tissues receive less oxygen and nutrients, which makes healing slow and increases the risk of tissue damage. Mixed neuroischemic ulcers involve both nerve damage and poor circulation. This combination can make injuries harder to detect and more difficult for the body to repair. If you have diabetes and a sore on the foot does not heal normally or becomes painful or swollen, it is suggested that you promptly see a podiatrist for a proper diagnosis and appropriate treatment.

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 Cleveland Foot & Ankle Clinic. 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 offices located in Cleveland, Independence, and Kent, OH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Get Professional Care for a Broken Foot or Ankle

Constant care and regular evaluation are important for a foot or ankle fracture. If left untreated, foot or ankle fractures can worsen over time and create more serious problems.

Don't wait to be examined if you believe you've experienced a foot or ankle fracture.

Gentle Care Options for Sever’s Disease in Growing Children

Sever’s disease is a common cause of heel pain in active children and teens. It occurs when the growth plate at the back of the heel becomes irritated, often during periods of rapid growth. Running, jumping, and sports that involve repeated impact can place added stress on the heel. Children may complain of pain during activity that improves with rest. Conservative treatment focuses on reducing strain and easing inflammation. Rest from high-impact sports allows the heel to recover. Supportive shoes with cushioned heels provide shock absorption. Heel cups or custom orthotics may reduce pressure on the growth plate. Gentle stretching of the calf muscles can improve flexibility and lower tension on the tendon attached to the heel. Most children improve with these non-surgical measures. If your child has ongoing heel pain, it is suggested that you see a podiatrist for a proper diagnosis and appropriate treatment.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see one of our podiatrists from Cleveland Foot & Ankle Clinic. Our doctors can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

If you have any questions, please feel free to contact our offices located in Cleveland, Independence, and Kent, OH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Sever's Disease

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