Safeguarding Against Diabetes-Related Amputations
Diabetes-related amputations pose a grave threat to individuals grappling with this chronic condition, but preventive measures can help to reduce this risk. Consistent blood sugar management is essential, and maintaining target levels through a balanced diet, regular exercise, and medication adherence can significantly reduce the likelihood of complications. Routine foot care is equally as vital, as inspecting feet daily for cuts, blisters, or infections and promptly treating any abnormalities can prevent minor issues from escalating. Wearing well-fitted shoes and socks can safeguard against pressure sores and friction-related injuries. Avoiding barefoot walking minimizes exposure to potential hazards. Regular visits to a podiatrist for foot examinations and professional care are imperative for early detection and intervention. Additionally, prioritizing cardiovascular health by managing blood pressure and cholesterol levels aids in preserving overall vascular function, reducing the risk of peripheral artery disease and subsequent amputations. By implementing these preventive strategies, individuals with diabetes can safeguard their feet and minimize the threat of amputations. If you have diabetes, it is strongly suggested that you are under the care of a podiatrist who can present you with additional information about protecting your feet from amputation.
Diabetic Limb Salvage
Diabetic limb salvage can be an effective way in preventing the need for limb amputation. If you have a foot ulcer and diabetes, consult with Dr. Kevin Davis from Davis Foot & Ankle Centers. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
What Is Diabetic Limb Salvage?
Diabetic limb salvage is the attempt of saving a limb, such as the foot, that has an infected ulcer, from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. 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.
Diabetes is the number one cause of non-traumatic amputations in the United States. Amputation has been found to lead to higher mortality rates. 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 our office located in Springfield, TN . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Diabetic Limb Salvage
Limb salvage is a procedure that involves saving a lower extremity from amputation. In podiatry, limb amputation often occurs as a result of diabetes. The fundamental goal of limb salvage is to restore and maintain stability and movement of the affected lower extremity.
The procedure typically involves removing the diseased tissue and a small portion of the surrounding healthy tissue, as well as the removal of any affected bone if necessary. If bone is removed it is then replaced with prostheses, or synthetic metal rods or plates, or grafts from either the patient’s body or a donor. Limb salvage is typically the preferred choice of procedure over amputation, as the procedure preserves both the patient’s appearance and allows for the greatest possible degree of function in the affected limb.
Upon diagnosis and determining that limb salvage is the appropriate treatment, the podiatrist may enlist the help of a physical and/or occupational therapist to prepare the patient for surgery by introducing various muscle-strengthening, walking, and range of motion exercises. Such exercises may be continued as rehabilitation post-procedure.
Do Your Child's Feet Hurt?
Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.
Definition and Causes of an Achilles Tendon Rupture
Achilles tendon rupture, a distressing injury affecting the tendon at the back of the ankle, can be debilitating and necessitate prompt attention. This critical tendon connects the calf muscles to the heel bone, facilitating movement like walking, running, and jumping. When subjected to excessive force or strain beyond its capacity, the Achilles tendon can tear partially or completely, resulting in a rupture. These types of injuries are frequently observed during activities involving sudden bursts of acceleration, abrupt changes in direction, or inadequate warm-up routines. Athletes, particularly those engaging in sports demanding rapid movements or high-impact activities, are at increased risk. Additionally, factors such as age weakened tendons due to degeneration, improper footwear, and inadequate conditioning contribute to susceptibility. Recognizing the signs and symptoms, including a sudden sharp pain in the heel, swelling, and difficulty walking or pointing toes downward, is vital for early diagnosis. If you have endured an Achilles tendon rupture, it is strongly suggested that you consult a podiatrist who can offer you effective treatment methods.
Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Dr. Kevin Davis of Davis Foot & Ankle Centers. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is the Achilles Tendon?
The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.
What Are the Symptoms of an Achilles Tendon Injury?
There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.
Achilles Tendinitis Symptoms
- Inflammation
- Dull to severe pain
- Increased blood flow to the tendon
- Thickening of the tendon
Rupture Symptoms
- Extreme pain and swelling in the foot
- Total immobility
Treatment and Prevention
Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:
- Thorough stretching of the tendon before and after exercise
- Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses
If you have any questions please feel free to contact our office located in Springfield, TN . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Achilles Tendon Injuries
The Achilles tendon is the largest tendon in the body; it is a tough band of fibrous tissue that stretches from the bones of the heel to the calf muscles. This tendon is what allows us to stand on our toes while running, walking, or jumping, it is common for this tendon to become injured. In severe cases, the Achilles tendon may become partially torn or completely ruptured. However, this tendon is susceptible to injury because of its limited blood supply and the high level of tension it endures.
The people who are more likely to suffer from Achilles tendon injuries are athletes who partake in activities that require them to speed up, slow down, or pivot. Consequently, athletes who engage in running, gymnastics, dance, football, baseball, basketball, or tennis are more likely to suffer from Achilles tendon injuries. Additionally, there are other factors that may make you more prone to this injury. People who wear high heels, have flat feet, tight leg muscles or tendons, or take medicines called glucocorticoids are more likely to have Achilles tendon injuries.
A common symptom of an Achilles tendon injury is pain above the heel that is felt when you stand on your toes. However, if the tendon is ruptured, the pain will be severe, and the area may become swollen and stiff. Other symptoms may be reduced strength in the lower ankle or leg area, and reduced range of motion in the ankle. When the Achilles tendon tears, there is usually a popping sound that occurs along with it. People who have acute tears or ruptures may find walking and standing to be difficult.
If you suspect you have injured your Achilles tendon, you should see your podiatrist to have a physical examination. Your podiatrist will likely conduct a series of tests to diagnose your injury including a “calf-squeeze” test. Calf squeeze tests are performed by first squeezing the calf muscle on the healthy leg. This will pull on the tendon and consequently cause the foot to move. Afterward, the same test will be performed on the injured leg. If the tendon is torn, the foot won’t move because the calf muscle won’t be connected to the foot.
The Impact of Obesity on Children's Feet
Childhood obesity is a pressing concern affecting millions worldwide, with repercussions extending beyond physical health. Among the many adverse effects, the impact on children's feet is often overlooked but significant. Excessive weight places immense pressure on the feet, leading to a range of orthopedic issues. Flat feet, for instance, are common among obese children, as the arches may collapse under the body's weight. This not only causes discomfort but also affects mobility and posture. Furthermore, obesity increases the risk of developing conditions like plantar fasciitis, where the tissue connecting the heel to the toes becomes inflamed due to strain. Over time, untreated foot problems can escalate, hindering a child's ability to engage in physical activities and leading to long-term health complications. Addressing childhood obesity is essential not only for overall health but also for preventing foot-related issues that can impact a child's quality of life. If your child has excess weight and has developed foot conditions, it is suggested that you consult a podiatrist.
Obesity has become very problematic at this point in time and can have extremely negative effects on the feet. If you’re an obese individual and are concerned about your feet, contact Dr. Kevin Davis from Davis Foot & Ankle Centers. Our doctor can provide the care you need to keep you pain-free and on your feet.
Obesity and Your Feet
Since your feet are what support your entire weight when standing, any additional weight can result in pain and swelling. Being overweight is one of the main contributors to foot complications.
Problems & Complications
Extra Weight – Even putting on just a few extra pounds could create serious complications for your feet. As your weight increases, your balance and body will shift, creating new stresses on your feet. This uneven weight distribution can cause pain, even while doing the simplest tasks, such as walking.
Diabetes – People who are overweight are at serious risk of developing type-2 diabetes, which has a drastic impact on the health of your feet. As you get older, your diabetes might worsen, which could lead to loss of feeling in your feet, sores, and bruises. You could also become more prone to various infections.
Plantar fasciitis – Pressure and stress that is placed on muscles, joints, and tendons can trigger plantar fasciitis, which is an inflammation of tissue that forms along the bottom of the foot.
If you have any questions please feel free to contact our office located in Springfield, TN . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
How Obesity Affects Your Feet
Gaining weight can happen suddenly and at any time. Usually you won’t notice the extra weight until your feet start hurting at the end of the day. This happens as your feet begin adjusting to carrying more weight. Foot swelling and pain are two of the biggest side effects of having gained weight.
Many foot-related problems can occur even after just putting on a few pounds. This includes the body ‘compensating’ by changing the way it moves. You may find yourself putting extra weight on the wrong parts of your feet and even leaning forward a bit. Your feet were designed to carry a healthy, normal body weight. Extra weight places undue stress on them.
Being overweight often causes the development of Type-2 diabetes, causing leg and foot pain. Older people who do not attempt to control their condition can even lose sensation and feeling in their legs and feet. This can lead to the development of small sores that can lead to serious infection.
Extra stress placed on the joints, tendons and muscles in the feet as a result of extra body weight may also cause heel spurs, or plantar fasciitis. Plantar fasciitis is an inflammation of the foot tissue, causing stiffness and pain when walking and climbing stairs. This can usually be relieved by foot stretches and custom made orthotic shoe-inserts.
Problems in the feet triggered by obesity can be treated by paying special attention to footwear. Proper support shoes that allow for good circulation, especially in the arch and ankle, are vital. A podiatrist can help you find what sort of shoe is most suitable for your feet. They can also measure you for special orthotics if necessary.
It could also be high time to start losing weight in order to treat and prevent diabetes as well as other life threatening diseases. Some methods include yoga and water aerobics, which benefit your entire body without placing stress on your feet. Don’t risk losing your feet by losing interest in them. Take care of your feet and your body, as they deserve the very best.
Types of Acute Ankle Sprains
Acute ankle sprains are common injuries when the ligaments surrounding the ankle are stretched or torn. There are three main types of sprains. They are inversion, eversion, and high ankle sprains. Inversion sprains, the most prevalent, happen when the foot rolls inward, stretching the lateral ligaments. Eversion sprains occur when the foot rolls outward, affecting the medial ligaments. High ankle sprains involve the ligaments connecting the tibia and fibula and typically result from excessive external rotation of the foot. These injuries often transpire during activities involving sudden changes in direction, uneven surfaces, or improper landing from jumps. If not adequately treated, acute ankle sprains can lead to chronic ankle instability. This occurs when the ligaments do not heal properly, resulting in recurring episodes of instability, pain, and potential long-term joint damage. Chronic instability may necessitate rehabilitation exercises, bracing, or even surgery to regain stability and prevent further injury. If you have sprained your ankle, and especially if you have had recurrent ankle sprains, it is suggested that you make an appointment with a podiatrist for expert evaluation, diagnosis, and treatment.
Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact Dr. Kevin Davis from Davis Foot & Ankle Centers. Our doctor can provide the care you need to keep you pain-free and on your feet.
How Does an Ankle Sprain Occur?
Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.
What Are the Symptoms?
- Pain at the sight of the tear
- Bruising/Swelling
- Ankle area is tender to touch
- In severe cases, may hear/feel something tear
- Skin discoloration
Preventing a Sprain
- Wearing appropriate shoes for the occasion
- Stretching before exercises and sports
- Knowing your limits
Treatment of a Sprain
In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.
It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.
If you have any questions, please feel free to contact our office located in Springfield, TN . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Three Grades of Ankle Sprains
An ankle sprain occurs when one or more ankle ligament gets overly stretched. Ligaments are strong bands of tissue that bind and support the bones and other structures that make up the ankle. In more severe ankle sprains, the ligament(s) tear—either partially or completely—and there may be an audible popping noise at the moment of injury.
Ankle sprains are quite common and can occur when the ankle rolls outwardly (eversion) or inwardly (inversion), causing the ligament(s) to stretch beyond normal limits, or even tear. Falls, twists, or blows to the ankle during sports or other activities can cause this injury, as well as wearing improper footwear, running on uneven surfaces, or having weak ankles.
Depending on the injury’s severity, an ankle sprain will be classified as Grade I, Grade II, or Grade III. Grade I sprains involve ligament(s) being overly stretched but not torn, with symptoms of mild pain, swelling, and ankle instability. There may also be some difficulty bearing weight. A Grade II sprain usually involves a partial tear of the ligament which brings more intensity in these symptoms, along with possible bruising. With a Grade III sprain, the ligament is completely torn, the symptoms are severe, and it may not be possible to put weight on the affected foot at all.
To diagnose and grade an ankle sprain, a podiatrist will perform a physical examination, checking for tenderness and range of motion in the ankle. For more severe sprains, X-rays or other imaging studies may be necessary.
It is vitally important to have an ankle sprain treated properly as improper healing often leads to future ankle sprains and possibly even chronic ankle stability. Treatment for an ankle sprain will vary, depending on its severity, and may include the RICE method (Rest/Ice/Compression/Elevation), physical therapy, bracing, medications, and possibly even surgery to repair a torn ligament. Rehabilitation is very important for the sprain to heal properly and to restore functionality.
Causes of Stress Fractures in the Foot
Stress fractures in the foot are tiny cracks in the bone that happen when your feet are overworked. Unlike regular fractures that occur from a single, severe impact, stress fractures result from repetitive force over time, like running long distances or jumping repeatedly. Athletes and people who dramatically increase physical activity without proper training are more likely to develop stress fractures. After muscles are pushed to a certain point, they become fatigued and place extra stress to the bones, leading to these small cracks. Poor footwear, uneven surfaces, and weak bones from conditions like osteoporosis can increase the risk of developing stress fractures. Pain with stress fractures in the foot often worsens over time and may be experienced as a dull achy feeling. If you have sustained a stress fracture in the foot, it is suggested you make an appointment with a podiatrist promptly for treatment.
Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact Dr. Kevin Davis from Davis Foot & Ankle Centers. Our doctor 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 our office located in Springfield, TN . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
