What Is Diabetic Peripheral Neuropathy?

People with diabetes are at an increased risk of neuropathy, or nerve damage. Diabetics are frequently diagnosed with peripheral neuropathy, or nerve damage in the hands and feet. Symptoms of peripheral neuropathy in the lower limbs include tingling, pins and needles, numbness, pain, or increased sensitivity in the feet. In some cases, the feet may change shape due to nerve damage. Sores and diabetic foot ulcers, which can be difficult to detect and tend to heal slowly and poorly, are also very common. If you have diabetes, it is important to be vigilant of any foot or ankle symptoms. Seeing a podiatrist regularly can help manage existing symptoms, detect and treat any new problems, and maintain the health of your feet. 

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 Dr. Castillo from Bronx Foot Care. 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 offices located in Bronx, NY Yonkers, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Ringworm on the Feet

Ringworm is a type of fungal infection that can affect any part of the body. When it affects the feet, it is also known as athlete’s foot. Athlete’s foot can cause some very unpleasant symptoms, including itching, burning, or stinging between the toes, a red, scaly rash on the feet, dry, flaking, or peeling skin, foot blisters, and a foul odor. The infection can also spread to the toenails causing them to become thickened, brittle, and discolored. Fortunately, fungal infections of the feet tend to respond well to treatment. Your podiatrist may prescribe topical antifungal medications, such as creams or powders, that you apply directly to your feet, or oral antifungal medications that you take by mouth. If you have symptoms of ringworm on your feet, please seek the care of a podiatrist.  

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 Dr. Castillo from Bronx Foot Care. Our doctor 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 Bronx, NY Yonkers, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

 

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Peripheral Artery Disease Explained

Peripheral artery disease (PAD) is a medical condition that can cause poor circulation in the lower limbs. This occurs due to a buildup of fatty plaques in the arteries that supply the lower limbs. The plaque causes arteries to narrow and harden, making it more difficult for blood to travel through them and bring oxygen and nutrients to the feet and ankles. In its early stages, PAD may be asymptomatic. As it progresses, symptoms can include foot and leg cramps, numbness, weakness, coldness, skin discoloration, hair loss, and slow-healing sores and wounds on the lower limbs. Your podiatrist can screen you for PAD through a variety of simple, noninvasive tests. If you suspect that you may have PAD, or if you are an older adult or have a family history of vascular disease, it is suggested that you visit a podiatrist for a PAD screening. 

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Dr. Castillo from Bronx Foot Care. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

  • Claudication (leg pain from walking)
  • Numbness in legs
  • Decrease in growth of leg hair and toenails
  • Paleness of the skin
  • Erectile dysfunction
  • Sores and wounds on legs and feet that won’t heal
  • Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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

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Wounds That Don't Heal Need to Be Checked

Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

Signs of Poor Circulation in the Feet

Poor circulation can indicate a variety of problems throughout the body including high cholesterol and diabetes. Poor circulation is often noticed in the feet first, and there are a few signs that you should consult with a podiatrist. If your toes are red, purple, or blue, this unhealthy coloring may be a clear indication of poor circulation. Because blood encourages hair growth, lack of hair on the feet or lower legs may also be an indicator. Poor circulation can also cause the feet to be excessively cool (maybe even ice cold), and can cause the feet to fall asleep easily. If you notice any of these signs in your feet, consulting with a podiatrist is strongly suggested.  

While poor circulation itself isn’t a condition; it is a symptom of another underlying health condition you may have. If you have any concerns with poor circulation in your feet contact Dr. Castillo of Bronx Foot Care. Our doctor will treat your foot and ankle needs.

Poor Circulation in the Feet

Peripheral artery disease (PAD) can potentially lead to poor circulation in the lower extremities. PAD is a condition that causes the blood vessels and arteries to narrow. In a linked condition called atherosclerosis, the arteries stiffen up due to a buildup of plaque in the arteries and blood vessels. These two conditions can cause a decrease in the amount of blood that flows to your extremities, therefore resulting in pain.

Symptoms

Some of the most common symptoms of poor circulation are:

  • Numbness
  • Tingling
  • Throbbing or stinging pain in limbs
  • Pain
  • Muscle Cramps

Treatment for poor circulation often depends on the underlying condition that causes it. Methods for treatment may include insulin for diabetes, special exercise programs, surgery for varicose veins, or compression socks for swollen legs.

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 offices located in Bronx, NY Yonkers, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Should I See a Doctor for My Heel Pain?

Heel pain is one of the most common conditions podiatrists help treat, and it can have a variety of causes. Common causes of heel pain include plantar fasciitis, Achilles tendonitis, bursitis, a ruptured Achilles tendon, or a heel fracture. There are a few key signs that your heel pain may be serious and needs to be checked by a podiatrist. If the pain continually worsens, stops you from doing daily activities, has not improved after a couple of weeks, or causes a tingling sensation in the heel, there may be a more serious issue at play that should be checked by a podiatrist. If the pain is severe, hinders your ability to walk, or was accompanied by a popping sensation at the time of injury, these may be signs of an even more serious injury that should be treated immediately.  

Many people suffer from bouts of heel pain. For more information, contact Dr. Castillo of Bronx Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

  • Wearing ill-fitting shoes                  
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions please contact our offices located in Bronx, NY Yonkers, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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An Overview of Plantar Warts

Plantar warts are fleshy skin growths that form on the soles of the feet due to a human papillomavirus (HPV) infection of the skin. These warts are usually bumps with a dry, rough surface and may resemble a callus. They can be painful if they grow in an area that is under pressure, like the ball or heel of the foot. Plantar warts are usually not a serious cause for concern, and most go away on their own eventually. However, if you have a plantar wart that is painful, uncomfortable, or has spread to other areas of your foot, don’t hesitate to make an appointment with a podiatrist. While plantar warts are highly contagious, they can be prevented. To prevent an infection, you should avoid sharing personal items like shoes, socks, and towels with others and should wear shoes when walking in public areas. 

Plantar warts can be very uncomfortable. If you need your feet checked, contact Dr. Castillo from Bronx Foot Care. Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

  • Lesions on the bottom of your feet, usually rough and grainy
  • Hard or thick callused spots
  • Wart seeds, which are small clotted blood vessels that look like little black spots
  • Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

  • Freezing
  • Electric tool removal
  • Laser Treatment
  • Topical Creams (prescription only)
  • Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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

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Can Foot Wounds Be Prevented?

It is strongly suggested that diabetic patients do not ignore any signs of wounds developing on their feet. When there is prompt attention to cuts, sores, or bruises on the feet, symptoms like pain and discomfort may be avoided. Seeking treatment right away can also help prevent wounds from becoming infected; therefore, serious complications like amputation or gangrene can also be avoided. Gangrene destroys blood vessels and can block off blood flow due to swelling since diabetics already have a weakened immune system. It is imperative that existing foot wounds be cleaned daily with warm water, followed by covering them with a sterile bandage. Research has indicated that it can also be beneficial to wear shoes that fit properly as this may help in preventing painful foot wounds. If you are diabetic or you have developed a foot wound, please seek the care of a podiatrist who can help you manage this condition.

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 Dr. Castillo from Bronx Foot Care. 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.

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

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Do Your Child's Feet Hurt?

Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.

What Is Achilles Tendonitis?

The large tendon on the back of the ankle which connects the calf muscles to the heel bone is known as the Achilles tendon. When this tendon becomes inflamed or degenerates, Achilles tendonitis can occur, which is also referred to as Achilles tendinopathy. This type of injury usually occurs due to overuse. Common factors that can contribute to the development of this condition may include poor foot biomechanics, improper footwear, wearing high heels, and over training. Patients who are noticing pain, stiffness, or tenderness in their Achilles tendon should consult with a podiatrist as soon as possible since Achilles tendonitis is easier to treat when diagnosed early.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Dr. Castillo of Bronx Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

  • Inflammation
  • Dull to severe pain
  • Increased blood flow to the tendon
  • Thickening of the tendon

Rupture Symptoms

  • Extreme pain and swelling in the foot
  • Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

  • Thorough stretching of the tendon before and after exercise
  • Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

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

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