The surge in global diabetes has led to a rise in diabetic foot ulcers, posing significant health challenges. In the mid-19th century, Marchal de Calvi and Thomas Hodgkin identified the link between diabetes and foot gangrene, paving the way for pioneering treatments like Frederick Treves' sharp debridement method. Treves emphasized pressure relief and patient education. The discovery of insulin in the 20th century improved diabetic patients' lives but also increased foot disease cases. Elliot Joslin established the first foot clinic in 1928, advocating a multidisciplinary approach. Penicillin's discovery in 1928 revolutionized infection treatment, reducing amputation rates. Revascularization techniques and limb salvage became critical, with Frank Wheelock pioneering bypass grafts. Topical negative pressure therapy emerged in the 1990s, aiding wound healing. Despite advancements, chronic diabetic ulcers remain a challenge, with ongoing research for new treatments. Current treatment involves a multidisciplinary approach, controlling diabetes, and utilizing various wound care methods. Challenges persist, underscoring the importance of diabetics scheduling routine appointments with a podiatrist for foot examinations and specialized care.
Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Paul A. Santangelo, DPM from Illinois. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
What Is Wound Care?
Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic.
What Is the Importance of Wound Care?
While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.
How to Care for Wounds
The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.
Vitamin B-3, also known as niacin, plays a vital role in maintaining healthy skin and overall well-being. A deficiency in this essential nutrient can lead to various skin issues, including cracked heels. Cracked heels, characterized by dry, fissured skin around the edges of the heel, often result from inadequate moisture retention and weakened skin integrity. Vitamin B-3 deficiency exacerbates this condition by impairing the skin's ability to retain moisture and regenerate cells effectively. Incorporating niacin-rich foods such as meat, fish, nuts, and fortified cereals into the diet can help prevent vitamin B-3 deficiency and alleviate cracked heels. Understanding the connection between vitamin B-3 deficiency and cracked heels underscores the importance of maintaining a balanced diet and proper skin care regimen for optimal foot health. If you have developed cracked heels, it is suggested that you consult a podiatrist for successful treatment methods, in addition to determining if there is an adequate amount of vitamin B-3 in your daily food intake, and how it may relate to cracked heels.
Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact Paul A. Santangelo, DPM from Illinois. Our doctor can provide the care you need to keep you pain-free and on your feet.
Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.
How Do You Get Them?
Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.
Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.
Wear Socks – Wearing socks with medicated creams helps lock in moisture.
Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.
Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin.
Change in Diet
Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.
Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed.
Pain in the front of the ankle can take many forms and be the result of sudden injuries to gradual onset discomfort. Tibialis anterior tendinopathy, a common cause of gradual onset pain, involves inflammation or degeneration of the tendon at the front of the ankle. Its symptoms include pain while pulling the foot upward, swelling, redness, and creaking sensations. Ankle impingement occurs when a bony growth restricts normal movement. This may be caused by an ankle sprain, incurring pain that is made worse whenever you flex your foot. High ankle sprains, typically more severe than common sprains, involve a tear of the anterior tibiofibular ligament, leading to pain, swelling, bruising, and difficulty walking. Diagnosis of anterior ankle pain involves a thorough case history and physical examination by a podiatrist. This exam may include active, passive, and resisted movements to assess range of motion and identify pain triggers. For help with pain in the front of the ankle, it is suggested that you schedule an appointment with a podiatrist for an exam, diagnosis, and effective treatment.
Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Paul A. Santangelo, DPM from Illinois. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.
The most common causes of ankle pain include:
- Types of arthritis (rheumatoid, osteoarthritis, and gout)
- Ankle sprains
- Broken ankles
- Achilles tendinitis
- Achilles tendon rupture
- Stress fractures
- Tarsal tunnel syndrome
- Plantar fasciitis
Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.
Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.
Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.
You don't need an excuse to have beautiful nails. Step outside without worrying about the appearance of your feet.