Symptoms of Diabetic Peripheral Neuropathy

Peripheral neuropathy caused by diabetes affects the nerves in the feet and can lead to a variety of uncomfortable or extremely painful sensations. People with diabetic peripheral neuropathy may experience numbness, tingling, or a burning feeling in their feet. In some cases, they may notice sharp, shooting pains that occur suddenly. These symptoms can make walking difficult and increase the risk of balance issues or falls. Nerve damage can also make it hard to detect injuries, leading to foot sores or blisters that go unnoticed. Without proper sensation, even minor injuries can become serious if left untreated, leading to infection or gangrene. A podiatrist plays an important role in managing peripheral neuropathy by diagnosing the condition, offering treatment options to alleviate pain, and helping prevent further complications. If you have foot pain caused by neuropathy, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment.

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.

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Treat Your Feet to a Medical Pedicure

A medical pedicure is a specialized foot care treatment that combines traditional pedicure techniques with medical expertise to address various foot conditions. These treatments can help improve foot health, reduce pain, prevent infections, and promote relaxation.

Protecting Growing Feet

Children's foot health is important because their feet are growing and developing rapidly. In fact, younger feet grow faster, with toddlers needing new shoes every few months. Unlike adult feet, children’s feet can handle more stress, but they still need proper support to lay the foundation for a healthy body. Arch support for kids differs from adults, as children’s arches are still developing. Wearing proper footwear is essential to support growth and avoid issues later in life. Breathable materials like leather or mesh can help to manage sweaty feet, reducing the risk of infections. Proper shoe sizing is critical, with shoes fitting snugly but not too tight that can allow natural movement. For toddlers, soft-soled shoes provide flexibility as they learn to walk, while older children benefit from harder soles for better support and stability. If you have a child, it is suggested that you take them to a podiatrist for regular foot checkups to help ensure proper development and prevent future problems.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, 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.

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 office located in Omaha, NE . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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The Healing of a Broken Foot

A broken foot occurs when one or more of the bones in the foot are fractured, often due to trauma, such as a fall, car accident, or sports injury. Symptoms typically include intense pain, swelling, bruising, and difficulty walking or bearing weight. The severity of the fracture, its location, and the treatment approach all influence healing time. Generally, a simple fracture can take six to eight weeks to heal, while more complex fractures may require several months, especially if surgery is needed. During the healing process, immobilization with a cast or boot is usually prescribed, and in some cases, crutches are provided to avoid putting weight on the foot. If you have broken your foot, it is suggested that you schedule an appointment with a podiatrist and follow their instructions to ensure proper healing and avoid complications.

A broken foot requires immediate medical attention and treatment. If you need your feet checked, 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.

Broken Foot Causes, Symptoms, and Treatment

A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury. 

Common Symptoms of Broken Feet:

  • Bruising
  • Pain
  • Redness
  • Swelling
  • Blue in color
  • Numbness
  • Cold
  • Misshapen
  • Cuts
  • Deformities

Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.

Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.

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.

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Pickleball Ankle Injuries and Prevention Techniques

Pickleball, with its fast-paced and dynamic movements, often leads to ankle injuries, such as sprains and strains. Ankle sprains typically occur from sudden twists or missteps, while strains result from overstretching or overuse. To prevent these injuries, players should focus on proper warm-ups and stretching exercises to prepare the muscles and ligaments for activity. Supportive footwear designed for court sports can provide better stability and cushioning, reducing the risk of ankle twists. Additionally, incorporating strengthening exercises for the ankles and improving balance can help support joint stability. Practicing good footwork and being mindful of movement patterns also play a critical role in preventing injuries. If you have endured a foot or ankle injury from playing pickleball, it is suggested that you visit a podiatrist who can offer effective treatment solutions and guide you toward injury prevention techniques.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, 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.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

  • Plantar Fasciitis
  • Plantar Fasciosis
  • Achilles Tendinitis
  • Achilles Tendon Rupture
  • Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

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.

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Plantar Fasciitis Stretches

Plantar fasciitis is a common cause of heel pain, primarily resulting from inflammation of the plantar fascia, the thick band of tissue running along the bottom of the foot. Common causes can include excessive stress from high-impact activities, prolonged standing, wearing unsupportive footwear, or being overweight. Symptoms typically include a sharp, stabbing pain in the heel, especially noticeable with the first steps in the morning or after prolonged periods of rest. Treatment focuses on reducing inflammation and relieving pain. Effective stretches include the calf stretch, where you press against a wall with one leg forward and the other extended back. Another is the plantar fascia stretch, where you pull your toes toward your shin while seated. Wearing supportive shoes or custom orthotics, in addition to performing these stretches, can provide significant relief. If you are experiencing symptoms of plantar fasciitis, it is suggested you schedule an appointment with a podiatrist for expert care to effectively manage your condition and improve your foot health.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. If you are experiencing heel pain or symptoms of plantar fasciitis, 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.

What Is Plantar Fasciitis?

Plantar fasciitis is one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

  • Excessive running
  • Having high arches in your feet
  • Other foot issues such as flat feet
  • Pregnancy (due to the sudden weight gain)
  • Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

  • Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
  • Maintain a healthy weight
  • If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best 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.

 

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Weighing the Benefits and Drawbacks of Hiking in Flip Flops

Hiking in flip-flops offers some benefits, such as breathability and convenience, making them a quick choice for casual, short walks. They are easy to slip on and off, which can be practical in warm climates. However, the drawbacks far outweigh these benefits. Flip flops provide minimal support and cushioning, leading to increased risk of foot strain and injuries. They offer little protection from sharp rocks, uneven terrain, or potential hazards like insects. The lack of a secure fit can result in slips and falls, especially on rugged or slippery trails. If you enjoy hiking while wearing flip-flops and have endured a foot injury, it is suggested that you contact a podiatrist who can treat various foot conditions.

Flip-flops are not always the best choice of footwear. If you have any concerns about your feet or ankles, contact Kent DiNucci, DPM from Ankle and Foot Clinic . Our doctor will assist you with all of your foot and ankle needs.

Flip-Flops and Feet

When the weather starts warming up, people enjoy wearing flip-flops.  Flip-flops are comfortable, stylish, and easy to slip on and off; they're perfect for any summer beach goer.  However, these shoes can cause harm to the feet.

How Can Flip-Flops Affect Me Long-Term?

  • Ankle problems
  • Hip problems
  • Lower back problems
  • Pain in the balls of the feet
  • Problems with foot arches
  • Changes in the way you walk

Are There Injuries Associated with Flip-Flops?

Yes.  Since flip-flops are relatively weak and do not provide the same amount of support as sneakers, people who wear flip-flops regularly are more susceptible to injuries. On top of that, the open nature of the shoe makes your feet more prone to other problems, such as cuts and even infections.  Common injuries and ailments include:

  • Sprained ankles
  • Blisters
  • Infections
  • Cuts and Scrapes

I like Wearing Flip-Flops. Are There Safe Alternatives?

When buying flip-flops, try to find ones that have sturdy soles and that are made of high-quality materials that will support for your feet.  These flip-flops will cost more but will also last longer as a result.

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.

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Causes and Symptoms of Poor Foot Circulation

Poor foot circulation, often linked to peripheral vascular disease, or PVD, can cause significant discomfort and health issues. Symptoms can include numbness, tingling, and cold feet, in addition to noticeable changes in skin color or wounds that heal slowly. Common causes of poor circulation include diabetes, smoking, and prolonged sitting or standing. To alleviate symptoms, adopting lifestyle changes is vital. Regular exercise, such as walking or cycling, helps improve blood flow. Elevating the feet and avoiding wearing tight footwear can also enhance circulation. Additionally, quitting smoking and managing underlying conditions like diabetes contribute to better vascular health. If you have any of the above symptoms, it is strongly suggested that you promptly visit a podiatrist who can accurately diagnose and treat poor circulation.

Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact Kent DiNucci, DPM of Ankle and Foot Clinic . Our doctor will treat your foot and ankle needs.

Poor Circulation in the Feet

Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.

Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.

Causes

Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development. It can also cause:

  • Muscle pain, stiffness, or weakness   
  • Numbness or cramping in the legs 
  • Skin discoloration
  • Slower nail & hair growth
  • Erectile dysfunction

Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

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.

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Foot Orthoses

A foot orthosis, with the plural being orthoses, is a medical device inserted into shoes to correct foot problems by redistributing pressure and providing support. These devices function by adhering to tissue stress principles, which aim to reduce stress and strain on tissues within the foot, alleviating pain and promoting healing. Orthoses are used for various foot conditions, such as plantar fasciitis, Achilles tendinopathy, and midfoot osteoarthritis. Foot orthoses work by aligning the foot and ankle into a more biomechanically efficient position, thus reducing abnormal motion and pressure on specific areas. They can be either prefabricated or custom-made. Prefabricated orthoses are mass-produced and available off the shelf, offering a general fit and support. Custom-made orthoses, however, are specifically designed to match an individual's unique foot structure and condition, providing a higher level of precision and effectiveness. Proper prescription and fitting of orthoses are imperative for achieving the desired therapeutic outcomes. If you have foot pain that persists, it is suggested that you consult a podiatrist for an accurate diagnosis and to see if orthotics can help you.

If you are having discomfort in your feet and would like to try orthotics, 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.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

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.

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