Diabetic Foot Care

 Diabetes is a lifelong chronic disease that is caused by high levels of sugar in the blood. It can also decrease your body's ability to fight off infections, which is especially harmful in your feet. When diabetes is not properly controlled, damage can occur to the organs and impairment of the immune system is also likely to occur.

With damage to your nervous system, you may not be able to feel your feet properly. Normal sweat secretion and oil production that lubricates the skin of the foot is impaired, which can lead to an abnormal pressure on the skin, bones, and joints of the foot during walking and other activities. This can even lead to the breakdown of the skin of the foot, which often causes sores to develop. If you have diabetes, it is important to prevent foot problems before they occur, recognize problems early, and seek the right treatment when a problem does happen.

Diabetic Complications and Your Feet

When it comes to your feet, there are several risk factors that can increase your chances of developing foot problems and diabetic infections in the legs and feet. First of all, poorly fitting shoes are one of the biggest culprits of diabetic foot complications. If you have red spots, sore spots, blisters, corns, calluses, or consistent pain associated with wearing shoes, new proper fitted shoes must be obtained immediately. Additionally, if you have common foot abnormalities such as flat feet, bunions, or hammertoes, prescription shoes or orthotics from your podiatrist may be necessary to further protect your feet from other damage.

People who have long-standing or poorly controlled diabetes are also at risk for having damage to the nerves in their feet, which is known in the medical community as peripheral neuropathy. If you have nerve damage, you may not be able to feel your feet normally and you may also be unable to sense the position of your feet and toes while walking and balancing, which can cause even more harm to your feet.

Normal nerves allow people to sense if their shoes are too tight or if their shoes are rubbing on the feet too much. With diabetes, you may not be able to properly sense minor injuries, such as cuts, scrapes and blisters-all signs of abnormal wear, tear, and foot strain. The following can also xompromise the health of your feet:

- Poor circulation
- Trauma to the foot
- Infections
- Smoking

Diabetes can be extremely dangerous to your feet, so take precautions now. You can avoid serious problems such as losing a toe, foot, or leg by following proper prevention techniques offered by your podiatrist. Remember, prevention is the key to saving your feet and eliminating pain.

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Hammertoes Are One of the Most Common Toe Conditions

Hammertoes are one of the most common toe conditions, usually stemming from muscle imbalance in which the joints of the second, third, fourth or fifth toe are bent into a contracted, claw-like position. In the early stages, hammertoes are flexible and can be corrected with simple conservative measures, but if left untreated, they can become fixed and require surgery.

The most common cause of hammertoes is causes by balance issues. Tight-fitting and high-heeled shoes often aggravate the condition, crowding your toes forward. A hammertoe can also be the result of injury in which you break or jam the toe, or from conditions like arthritis or stroke that affect nerves and muscles. In some cases, hammertoes may even be inherited.

Because of their clenched, claw-like appearance, hammertoes will generally be visibly
present. Other signs and symptoms include:

-Difficult or painful motion of a toe joint                      
-Redness or swelling at a toe joint
-Development of calluses and corns
-Open sores in severe cases

At APG Podiatry we recommend the following for preventing and treating your hammertoe:

-Wear comfortable, proper-fitting shoes that provide support and allow enough room for your
toes
-Avoid high-heeled or narrow-toed shoes
-Stretch your toe muscles to relieve pressure and pain
-Apply splints, cushions or pads to relieve pressure

Generally, a modification of footwear will reduce the symptoms associated with hammertoe. Other non-surgical treatment includes padding to shield corns and calluses and orthotic devices that are placed in the shoe to help control muscle imbalance. Dr. Nadjafi can help you determine the best treatment for your symptoms. Severe cases that don't respond to conservative measures may require surgery to restore your toe's flexibility and eliminate the pressure.

Hammertoes are progressive - they don't go away by themselves and the condition usually gets worse over time.

Once we have evaluated your hammertoe, a treatment plan can be developed that is suited to your needs.

www.apgpodiatry.com | (407) 423-9401 | plus.google.com/+AdvancedPodiatryGroupOrlando

What is Athlete’s Foot?

What is Athlete’s Foot?                                      
Athlete’s foot is a common skin problem caused by a fungus. Usually beginning on the skin between the toes, the fungus infection becomes scaly and itchy. Over time it may cause a break in the skin and become sore. Another term for athlete’s foot is tinea pedis.

What are the symptoms?
Symptoms include:                                                                                                           
- Itching
- Cracking and peeling skin between toes
- Soreness
- Blisters (occasionally)

How does it occur?
The fungus that causes athlete’s foot is everywhere in the environment. It is commonly from the floors of showers, locker rooms, and exercise facilities. The fungus likely grows on sweaty, constantly wet, or improperly dried feet (especially in shoes with poor ventilation).

How is it diagnosed?
We can usually diagnose athlete’s foot after examining your skin.

How is it treated?
The infection may clear up without treatment, but most fungal infections are treated with medicine put on the skin. If the infection is severe or widespread, we may prescribe a medication to take by mouth.

How can I help prevent athlete’s foot?
Follow these guidelines:

- Wear cotton socks when you exercise
- Change your socks every day
- Wear sandals or shoes with ventilation holes (a natural material like canvas or leather)
- Air out your shoes after wearing them
- Wear sandals when showering in a locker room
- Dry your feet well, especially between toes
- Apply an antifungal powder on affected area
- Disinfect shower and locker room floors

www.apgpodiatry.com | (407) 423-9401 | plus.google.com/+AdvancedPodiatryGroupOrlando

Ingrown Toenails

Let us help with Ingrown Toenails! This is such a common question, and we get asked all the time the best way to handle Ingrown Toenails.

Ingrown Toenails can be extremely painful and are often caused by cutting our toenails incorrectly. There are a few people who inherited really bad toenails, but the rest are self-inflicted. Then we shove our foot into shoes that are too narrow or tight and we make them even worse!

Help is on the way! There are some simple steps you can follow to avoid ingrown toenails. First, cut your toenails straight across the top, not rounded. Second, avoid tight shoes and socks. Yes, the socks can do it! Third, and most important, stop picking at your toenails! Fourth, (and yes it sounds like common sense, but you would be surprised) please clean your toenail clippers with alcohol before you cut your nails. Self-inflicted infections are common.

If you are like many of the poor souls who are seeking help, it is time to come to our office so we can take a look. Often, a round of antibiotics and a minor procedure in the office are all that is needed to alleviate your pain. Sometimes, a more advanced procedure, called a matrixectomy, is needed to remove a deformed toenail permanently.

Do not perform bathroom surgery on your ingrown toenails! This can lead to a significant infection and even toe loss in the immunocompromised population with diabetes or vascular disease.

Contact Us for immediate help and we can help you get rid your toe pain!

www.apgpodiatry.com | (407) 423-9401 | plus.google.com/+AdvancedPodiatryGroupOrlando

Ingrown Toenails

Let us help with Ingrown Toenails! This is such a common question, and we get asked all the time the best way to handle Ingrown Toenails.

Ingrown Toenails can be extremely painful and are often caused by cutting our toenails incorrectly. There are a few people who inherited really bad toenails, but the rest are self-inflicted. Then we shove our foot into shoes that are too narrow or tight and we make them even worse!

Help is on the way! There are some simple steps you can follow to avoid ingrown toenails. First, cut your toenails straight across the top, not rounded. Second, avoid tight shoes and socks. Yes, the socks can do it! Third, and most important, stop picking at your toenails! Fourth, (and yes it sounds like common sense, but you would be surprised) please clean your toenail clippers with alcohol before you cut your nails. Self-inflicted infections are common.

If you are like many of the poor souls who are seeking help, it is time to come to our office so we can take a look. Often, a round of antibiotics and a minor procedure in the office are all that is needed to alleviate your pain. Sometimes, a more advanced procedure, called a matrixectomy, is needed to remove a deformed toenail permanently.

Do not perform bathroom surgery on your ingrown toenails! This can lead to a significant infection and even toe loss in the immunocompromised population with diabetes or vascular disease.

Contact Us for immediate help and we can help you get rid your toe pain!

www.apgpodiatry.com | (407) 423-9401 | plus.google.com/+AdvancedPodiatryGroupOrlando