One of the most dangerous complications linked to diabetes is a foot infection. Diabetic foot infections can progress quickly and threaten overall limb health. Once the skin is broken, harmful bacteria may enter, leading to infections that range from mild skin involvement to deep tissue or bone infections such as osteomyelitis. Neuropathy, which reduces sensation in the feet, and poor circulation make patients more vulnerable to developing wounds and ulcers. Common problems include cellulitis, abscesses, septic arthritis, and necrotizing fasciitis, which can severely damage the feet and ankles. Untreated infections may result in prolonged hospitalization, severe disability, or possible limb loss. A podiatrist can perform an exam, order imaging when necessary, debride infected tissue, and determine if surgery is needed to control the infection. Early treatment is vital to protect the feet and prevent serious complications. If you have signs of a diabetic foot infection, it is suggested that you make an immediate appointment with a podiatrist.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other 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.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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.

Corns and calluses on the feet are caused by repeated pressure or friction, but they differ in appearance and symptoms. Corns are small, round, and often painful thickened skin areas that develop on toes or other bony prominences. They usually have a hard center surrounded by inflamed skin and can cause sharp pain when pressed. Calluses are larger, broader areas of thickened skin found on the soles or heels. They tend to be less painful but can feel rough or dry. Both conditions are often caused by wearing ill-fitting shoes, abnormal gait, or repeated rubbing. Visually, corns appear as hard, dense spots, while calluses look like rough patches. A podiatrist can diagnose these conditions through examination and identify underlying causes. Treatment may include orthotics, debridement, footwear advice, and addressing gait abnormalities. To prevent pain and further complications, it is suggested that you schedule an appointment with a podiatrist for effective relief and prevention tips.

Corns can make walking very painful and should be treated immediately. If you have questions regarding your feet and ankles, contact Kent DiNucci, DPM of Ankle and Foot Clinic . Our doctor will treat your foot and ankle needs.

Corns: What Are They? And How Do You Get Rid of Them?
Corns are thickened areas on the skin that can become painful. They are caused by excessive pressure and friction on the skin. Corns press into the deeper layers of the skin and are usually round in shape.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as:

• Wearing properly fitting shoes that have been measured by a professional
• Wearing shoes that are not sharply pointed or have high heels
• Wearing only shoes that offer support

Treating Corns

Although most corns slowly disappear when the friction or pressure stops, this isn’t always the case. Consult with your podiatrist to determine the best treatment option for your case of corns.

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.

Scleroderma is a rare condition that causes the skin and connective tissue to thicken and tighten. When it affects the lower limbs, it can create a number of challenges. Skin on the legs and feet may feel tight, shiny, or hard, which can limit flexibility and make walking uncomfortable. Swelling surrounding the ankles or feet is also common. Poor circulation is another concern, often leading to cold feet, color changes in the skin, or slow healing of small cuts and sores. Some people may develop painful ulcers on the toes or heels. Joint stiffness, muscle weakness, or nerve symptoms such as tingling can add to the difficulty. Because these issues can interfere with daily mobility, early management is important. If you notice changes in your legs or feet linked to scleroderma, it is suggested that you see a podiatrist for supportive care and guidance.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact Kent DiNucci, DPM from Ankle and Foot Clinic . Our doctor will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

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

Toenail fungus can cause the toenails to become brittle and yellow. They can gradually harden and become thicker, causing difficulty in having them properly trimmed. This unsightly foot condition is caused by a fungal infection, and is considered to be contagious. This type of fungus lives and thrives in warm and moist environments, consisting of shower room floors, public swimming pools, and similar areas. The fungus can enter the body through tiny cracks in the skin, and it is beneficial to wear appropriate shoes while in these types of areas. A diagnosis is performed by extracting a small sample of the nail. After confirmation is received, treatment can begin. There are various methods that can accomplish this, and it is strongly suggested a podiatrist is contacted as quickly as possible who can prescribe proper medication.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, 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.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

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

The skin on the bottom of the feet can be sensitive, despite it being able to support the weight of the body. The foot condition that is known as cracked heels can be uncomfortable, and it can happen for a variety of reasons. These can include wearing shoes that have an open back and standing on hard or uneven surfaces for most of the day. Additionally, it can occur from not drinking adequate amounts of water, or from a lack of moisturizing the feet. Some patients notice they have cracked heels from taking extremely hot baths or showers, or from using harsh soaps on their feet. Severely cracked heels may lead to developing fissures, which can bleed and become infected. It is beneficial for people who are diabetic to pay extra attention to their feet, and this may help to avoid complicated foot conditions from developing. If you have cracked heels, it is suggested that you confer with a podiatrist who can offer you treatment solutions, in addition to learning about effective prevention techniques.

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, 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.

Cracked Heels

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.

Promote Healing

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. 

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.

Gout results from a buildup of uric acid in the body and most commonly affects the big toe. Noticeable symptoms of gout are an intense burning pain, along with swelling and redness.  It is also possible to have a buildup of uric acid, but experience no symptoms. This form of gout is called asymptomatic gout. Additionally, there are acute gout symptoms, which can last for three to 10 days, but are not present outside of gout attacks. If gout goes untreated, it can lead to chronic gout, which is much harder to manage. Chronic gout can cause hard lumps to form in joints and tissues surrounding them. These lumps can cause permanent damage. If you think you are suffering from gout, then it is suggested that you speak with a podiatrist for help in managing this condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Kent DiNucci, DPM from Ankle and Foot Clinic . Our doctor 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 office located in Omaha, NE . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Toe pain can result from several conditions, with gout, hammertoe, and bunions being among the most common. Gout is caused by a buildup of uric acid, leading to sudden, intense joint pain, redness, and swelling, often in the big toe. Hammertoes develop when a toe bends abnormally at the middle joint due to muscle imbalance, causing discomfort, corns, or calluses. Bunions form when the big toe shifts inward, creating a painful bump on the side of the foot. These conditions may cause sharp, throbbing, or aching pain, along with visible changes in toe alignment or swelling. They can make walking, wearing shoes, or standing for long periods of time difficult. A podiatrist can diagnose the exact cause of toe pain through a physical examination and imaging tests. Treatment options include medication, orthotics, footwear changes, or, in some cases, surgery. If you have ongoing toe pain, it is suggested that you schedule an appointment with a podiatrist to find the most effective solution for lasting relief.

Toe pain can disrupt your daily activities. If you have any concerns, 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.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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

Neuropathy is a condition that results from damage to the nerves, often affecting the feet. It can involve sensory nerves, which transmit sensations such as pain, temperature, and touch. Motor nerves control muscle movement, and autonomic nerves regulate involuntary functions like sweating and blood flow. Damage to these nerves can lead to symptoms including numbness, tingling, burning sensations, weakness, balance difficulties, and changes in skin or toenail health. Early recognition and management are vital to prevent complications. A podiatrist can evaluate nerve function, provide treatments to relieve discomfort, recommend protective footwear, and develop a comprehensive care plan. If you have unusual sensations or pain in your feet, it is suggested that you contact a podiatrist for an expert evaluation and guidance.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, 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 for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

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.