Diabetic foot ulcers and peripheral neuropathy are common complications of diabetes, often resulting in significant pain and discomfort. Neuropathy, caused by prolonged high blood sugar levels, damages the nerves, leading to numbness, tingling, and pain in the feet. Ulcers develop due to reduced blood flow and the inability to sense injuries, allowing minor wounds to progress into serious infections. Assessment involves a thorough examination of the feet, checking for signs of neuropathy, poor circulation, and existing ulcers. Podiatrists use tools like monofilaments to test sensation and Doppler devices to assess blood flow. Management focuses on controlling blood sugar levels, proper wound care, and preventing further complications. Pain from neuropathy is treated with medications, while ulcers require cleaning, debridement, and specialized dressings. Custom orthotics and appropriate footwear can alleviate pressure on affected areas. If you suffer from diabetic-related foot problems, it is suggested that you are under the care of a podiatrist for optimal 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 one of our podiatrists from Granite State Podiatry Associates. Our doctors 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.

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

Gout, a form of inflammatory arthritis, can wreak havoc on foot health, causing intense pain, swelling, and stiffness. It often impacts the big toe first. It occurs when uric acid levels in the blood rise, leading to the formation of sharp urate crystals in the joints, often targeting the big toe joint. These crystals trigger sudden and severe bouts of pain, known as gout attacks, which can make walking and even wearing shoes unbearable. Managing gout involves dietary changes to help control uric acid levels. Foods rich in purines, such as red meat, organ meats, and shellfish, should be limited, as they can exacerbate gout symptoms. Conversely, incorporating plenty of fruits, vegetables, whole grains, and low-fat dairy products into the diet can help lower uric acid levels and reduce the frequency and severity of gout attacks. Staying hydrated by drinking plenty of water is also vital for flushing out uric acid from the body. If you have pain in your big toe and surrounding areas, it is suggested that you consult a podiatrist who can diagnose, treat, and offer additional nutritional tips to manage gout.

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our podiatrists from Granite State Podiatry Associates. Our doctors will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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

Maintaining foot health at work is essential for overall well-being and safety. Whether enduring long hours on your feet or navigating potential hazards, prioritizing proper foot care can prevent injuries and discomfort. Work-related foot injuries primarily stem from punctures, crushing, sprains, and falls, underscoring the importance of foot safety measures. Neglecting foot care not only heightens injury risks but also contributes to common issues like calluses, ingrown toenails, and fatigue, all of which impairs work performance. Identifying workplace hazards such as prolonged standing, unsuitable flooring and wearing ill-fitted footwear is important for injury prevention. Addressing these concerns through job and workplace design adjustments, including rotation, ergonomic flooring, and protective footwear is essential. Additionally, cultivating good foot care habits like daily washing, toenail trimming, and wearing appropriate socks and footwear is key. Incorporating exercises to alleviate strain during prolonged standing can help. Investing in foot care not only safeguards against injuries but also enhances productivity. If you spend long hours of your work day on your feet, it is suggested that you visit a podiatrist for related foot pain, injuries, or conditions. 

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact one of our podiatrists from Granite State Podiatry Associates. Our doctors will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

If you have any questions please feel free to contact our offices located in Manchester and Bedford, NH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Lower limb and foot injuries are common in athletic children, partly due to the vulnerability of their growth plates. Growth plates are the developing areas of cartilage at the end of the long bones in the legs where bone growth takes place. These plates are weaker than nearby tendons and ligaments, making them more susceptible to injury. This is especially true when under the stress of repetitive physical activities in sports. Movements like running, jumping, and quick pivoting can place excessive strain on growth plates, leading to conditions such as Sever's disease, or heel pain. Ankle sprains are also common because ligaments in children tend to be more elastic than in adults. The biomechanics of growing children, such as variations in gait, muscle strength, and coordination during growth spurts, can further predispose them to these injuries as their bodies adapt to rapid physical changes. A podiatrist, or foot doctor, can treat these types of injuries common in active children. They may suggest treatments ranging from rest and elevation to custom orthotics that support proper alignment and reduce stress on the growth plates. Treatments vary depending on the injury. If your child is struggling with a lower limb or foot injury, it is suggested you consult with a podiatrist for targeted care. 

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact one of our podiatrists of Granite State Podiatry Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

• Make sure their shoes fit properly
• Look for any signs of in-toeing or out-toeing
• Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
• Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
• Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
• Cut toenails straight across to avoid ingrown toenails
• Keep your child’s foot clean and dry
• Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

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

Toenail fungus, medically termed onychomycosis, is a fungal infection that commonly affects the toenails. It is typically caused by dermatophytes, which are fungi that thrive in warm and moist environments like sweaty shoes or public swimming pools. When these fungi invade the toenail bed, they can cause discoloration, thickening, and crumbling of the nail. Symptoms may include yellowing or darkening of the nail, a distorted shape, and a foul odor. Certain factors increase the risk of developing toenail fungus. Among them are age, poor circulation, weakened immune system, and frequent exposure to moist environments. Common types of fungal infections include distal subungual onychomycosis, white superficial onychomycosis, proximal subungual onychomycosis, and candida onychomycosis. Treatment typically involves prescribed antifungal medications, either topical or oral, depending on the severity of the infection. In severe cases, surgical removal of the nail may be necessary. If you think you have toenail fungus, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment at your earliest convenience.

Athlete’s Foot

Athlete’s foot is often an uncomfortable condition to experience. Thankfully, podiatrists specialize in treating athlete’s foot and offer the best treatment options. If you have any questions about athlete’s foot, consult with one of our podiatrists from Granite State Podiatry Associates. Our doctors will assess your condition and provide you with quality treatment.

What Is Athlete’s Foot?

Tinea pedis, more commonly known as athlete’s foot, is a non-serious and common fungal infection of the foot. Athlete’s foot is contagious and can be contracted by touching someone who has it or infected surfaces. The most common places contaminated by it are public showers, locker rooms, and swimming pools. Once contracted, it grows on feet that are left inside moist, dark, and warm shoes and socks.

Prevention

The most effective ways to prevent athlete’s foot include:

• Thoroughly washing and drying feet
• Avoid going barefoot in locker rooms and public showers
• Using shower shoes in public showers
• Wearing socks that allow the feet to breathe
• Changing socks and shoes frequently if you sweat a lot

Symptoms

Athlete’s foot initially occurs as a rash between the toes. However, if left undiagnosed, it can spread to the sides and bottom of the feet, toenails, and if touched by hand, the hands themselves. Symptoms include:

• Redness
• Burning
• Itching
• Scaly and peeling skin

Diagnosis and Treatment

Diagnosis is quick and easy. Skin samples will be taken and either viewed under a microscope or sent to a lab for testing. Sometimes, a podiatrist can diagnose it based on simply looking at it. Once confirmed, treatment options include oral and topical antifungal medications.

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