Diabetic limb salvage focuses on preserving foot structure and function while reducing the risk of wounds and limb loss. In podiatry, the foot is evaluated as a biomechanical system rather than an isolated sore, allowing pressure points, deformity, and joint alignment to be addressed together. A podiatrist can provide wound care, offloading, and monitoring while considering how walking forces affect the toes, midfoot, and ankle. When clinic-based care is not enough, surgery can correct imbalance, remove pressure from high-risk areas, and stabilize unstable joints. Long-term planning is essential for diabetic limb salvage, since changes in foot mechanics can shift pressure and create new problems. Ongoing evaluation helps protect tissue and maintain mobility. For help with foot problems, it is suggested that you consult a podiatrist for an exam and treatment.

Limb salvage can be an effective way in preventing the need for limb amputation. If you have diabetes, cancer, or any other condition that could lead to foot amputation if left unchecked, consult with Kent DiNucci, DPM from Ankle and Foot Clinic . Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Limb Salvage?

Limb salvage is the attempt of saving a limb, such as the foot from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Diabetes is the number one cause of non-traumatic amputations in the United States. 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.

However, there are other causes as well, such as cancer and traumatic injury. Links between higher mortality rates and amputation have been found. 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 Omaha, NE . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Foot blisters are fluid filled pockets that form when repeated friction, heat, and moisture damage the outer layers of skin. During hiking, blisters often develop as the foot rubs against boots over long distances, especially on uneven terrain. Symptoms may include redness, burning pain, swelling, tenderness, and clear or cloudy fluid beneath the skin. Prevention is important, and starts with making sure boots fit correctly and provide proper support without excessive movement. Choosing the right socks that reduce moisture and friction can also help protect the skin. When hiking for long periods, bringing a second pair of socks allows damp socks to be changed, lowering the risk of irritation. A podiatrist can help by treating painful or infected blisters, recommending proper footwear, and providing guidance to prevent recurrence. If foot blisters are limiting your comfort or hiking enjoyment, it is suggested that you consult a podiatrist who can offer effective relief and prevention tips.

Blisters may appear as a single bubble or in a cluster. They can cause a lot of pain and may be filled with pus, blood, or watery serum. If your feet are hurting, contact Kent DiNucci, DPM of Ankle and Foot Clinic . Our doctor can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters are often the result of friction. This happens due to the constant rubbing from shoes, which can lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

Symptoms

(Blister symptoms may vary depending on what is causing them)

• Bubble of skin filled with fluid
• Redness
• Moderate to severe pain
• Itching

Prevention & Treatment

In order to prevent blisters, you should be sure to wear comfortable shoes with socks that cushion your feet and absorb sweat. Breaking a blister open may increase your chances of developing an infection. However, if your blister breaks, you should wash the area with soap and water immediately and then apply a bandage to the affected area. If your blisters cause severe pain it is important that you call your podiatrist right away.

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

Children can experience several types of foot deformities that affect comfort and development. Flat feet occur when the arch does not form properly, leading to tired or achy feet. Talipes calcaneus involves excessive upward bending of the foot, often seen in newborns. In-toeing is when the feet point inward during walking and may result from hip, leg, or foot alignment issues. Talipes equinus limits upward motion of the ankle, causing a child to walk on the toes. A podiatrist can identify the cause of each condition, offer supportive care, guide proper development, and recommend treatments such as stretching programs, orthotics, or monitoring growth patterns. If you have concerns about your child’s foot development, it is suggested that you schedule a visit with a podiatrist for an expert evaluation and professional guidance.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Kent DiNucci, DPM of Ankle and Foot Clinic . Our doctor can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

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

An ingrown toenail occurs when the edge of the nail grows into the surrounding skin, creating pain and irritation. This condition can be caused by wide nail plates, misshapen nails, or nails that are cut too short or unevenly. Ingrown toenails progress through stages that include mild symptoms with slight redness and tenderness, moderate symptoms with swelling and drainage, and severe symptoms marked by significant pain and infection. A podiatrist can accurately assess the stage, provide safe and effective treatment, and prevent the issue from worsening. Care may include gentle nail correction or minor procedures to remove the problematic edge. If you have developed an ingrown toenail, it is suggested that you consult a podiatrist who can guide you toward appropriate treatment solutions.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Kent DiNucci, DPM of Ankle and Foot Clinic . Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

• Improper toenail trimming
• Genetics
• Improper shoe fitting
• Injury from pedicures or nail picking
• Abnormal gait
• Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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

Rheumatoid arthritis is a chronic autoimmune condition that causes inflammation in the joints, often affecting the feet and ankles. The immune system mistakenly attacks joint tissue, leading to symptoms such as persistent joint pain, swelling, warmth, and stiffness, particularly in the morning or after periods of inactivity. Over time, these symptoms can interfere with walking, balance, and overall mobility. A podiatrist plays a vital role in managing the effects of rheumatoid arthritis on the feet by evaluating joint health, recommending supportive footwear or custom orthotics, providing treatments to reduce pain and inflammation, and guiding exercises to maintain flexibility and strength. If you have persistent joint discomfort or walking becomes difficult, it is suggested that you consult a podiatrist who can offer effective relief and management tips.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact Kent DiNucci, DPM of Ankle and Foot Clinic . Our doctor will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

• Swelling and pain in the feet
• Stiffness in the feet
• Pain on the ball or sole of feet
• Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

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

Choosing the right running shoe can prevent discomfort and support your training goals. Many runners benefit from selecting a shoe that is a half size or even a full size larger than their regular shoes to allow room for swelling and natural foot movement. It is important to know your running goals, whether you want support for long distances or speed for short runs. Look for materials that enhance comfort such as air pockets for cushioning, foam for softness, and gel for shock absorption. Additionally, replace your shoes regularly to maintain proper support. A podiatrist can assess your foot type, gait, and training needs to recommend the right shoe. If you have foot or ankle pain from wearing the wrong shoes, it is suggested that you consult a podiatrist who can treat various foot conditions, and guide you on additional tips in choosing the right running shoe for your goals.

For more information about walking shoes versus running shoes, consult with Kent DiNucci, DPM from Ankle and Foot Clinic . Our doctor can measure your feet to determine what your needs are and help you find an appropriate pair of footwear.

Foot Health: The Differences between Walking & Running Shoes

There are great ways to stay in shape: running and walking are two great exercises to a healthy lifestyle. It is important to know that running shoes and walking shoes are not interchangeable. There is a key difference on how the feet hit the ground when someone is running or walking. This is why one should be aware that a shoe is designed differently for each activity.

You may be asking yourself what the real differences are between walking and running shoes and the answers may shock you.

Differences

Walking doesn’t involve as much stress or impact on the feet as running does. However, this doesn’t mean that you should be any less prepared. When you’re walking, you land on your heels and have your foot roll forward. This rolling motion requires additional support to the feet.

Flexibility – Walking shoes are designed to have soft, flexible soles. This allows the walker to push off easily with each step.

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

Ankle arthritis can make even familiar routines feel challenging as stiffness and joint pain gradually take hold. This condition often develops after past injuries, long-term overuse, or natural aging of the cartilage that once cushioned the ankle. People may first notice discomfort when getting up in the morning or after walking longer distances. Swelling, reduced flexibility, and difficulty climbing stairs can follow, making the joint feel less reliable. Although simple measures like supportive shoes, activity changes, and gentle stretching can bring relief, symptoms that linger or intensify deserve attention. A podiatrist can evaluate the extent of joint wear, offer treatments that ease inflammation, and guide you toward options that protect your mobility. If pain is increasing or your ankle feels less stable during daily activities, it is suggested that you see a podiatrist for personalized care.

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Kent DiNucci, DPM from Ankle and Foot Clinic . Our doctor can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a joint disorder that involves the inflammation of different joints in your body, such as those in your feet. Arthritis is often caused by a degenerative joint disease and causes mild to severe pain in all affected areas. In addition to this, swelling and stiffness in the affected joints can also be a common symptom of arthritis.

In many cases, wearing ill-fitting shoes can worsen the effects and pain of arthritis. Wearing shoes that have a lower heel and extra room can help your feet feel more comfortable. In cases of rheumatoid arthritis, the arch in your foot may become problematic. Buying shoes with proper arch support that contour to your feet can help immensely.

Alleviating Arthritic Pain

• Exercises that stretch the foot can prevent further pain and injury and increase mobility
• Most of the pain can be alleviated with anti-inflammatory drugs, heat, and topical medications
• Massages can help temporarily alleviate pain.

It is best to see your doctor for the treatment that is right for your needs and symptoms. Conditions vary, and a podiatrist can help you determine the right method of care for your feet.

If you have any questions please feel free to contact our office located in Omaha, NE . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Pronation is the natural inward rolling motion of the foot during walking or running, which allows the arch to absorb shock and distribute body weight efficiently. There are three main types of pronation that influence how pressure moves through the foot. Neutral pronation is when the foot rolls inward slightly, helping to maintain balance and reducing stress on the ankles and knees. Overpronation happens when the foot rolls inward excessively, often in people with low arches or flat feet, which can lead to heel, arch, or ankle pain. Underpronation, or supination, occurs when the foot rolls outward, placing stress on the outer edge of the foot and increasing the risk of ankle sprains or heel pain. A podiatrist can evaluate your gait, foot posture, and arch type to determine your pronation pattern and recommend corrective devices, supportive footwear, or, in severe cases, surgery. If you experience foot pain or gait problems, it is suggested that you make an appointment with a podiatrist for a diagnosis and treatment options.

If you have any concerns about your feet, contact Kent DiNucci, DPM from Ankle and Foot Clinic . Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

• Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
• In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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