Limb salvage is a procedure that involves saving a lower extremity from amputation. In podiatry, limb amputation often occurs as a result of diabetes. The fundamental goal of limb salvage is to restore and maintain stability and movement of the affected lower extremity.
The procedure typically involves removing the diseased tissue and a small portion of the surrounding healthy tissue, as well as the removal of any affected bone if necessary. If bone is removed it is then replaced with prostheses, or synthetic metal rods or plates, or grafts from either the patient’s body or a donor. Limb salvage is typically the preferred choice of procedure over amputation, as the procedure preserves both the patient’s appearance and allows for the greatest possible degree of function in the affected limb.
Upon diagnosis and determining that limb salvage is the appropriate treatment, the podiatrist may enlist the help of a physical and/or occupational therapist to prepare the patient for surgery by introducing various muscle-strengthening, walking, and range of motion exercises. Such exercises may be continued as rehabilitation post-procedure.
Bunions, also known as hallux valgus, may be noticed as they form through various early signs. These signs encompass redness, swelling, thickened skin, and tenderness surrounding the big toe joint, often accompanied by a bony lump or prominence. Additionally, calluses and corns may develop due to increased pressure on the affected area. Early stages of bunion formation can cause discomfort, especially during activities such as walking or wearing tight shoes, and may lead to limited movement and stiffness in the big toe joint. As the bunion progresses, stiffness and decreased mobility of the big toe joint may occur. This can affect your ability to move the toe freely and may lead to further complications if left untreated. Recognizing these signs allows for proactive measures to slow the progression. If left untreated, bunions may lead to chronic pain, difficulty in walking, and other complications such as hammer toe deformities or arthritis of the big toe. Consultation with a podiatrist is suggested for a proper evaluation and treatment plan.
A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.
Why Do Bunions Form?
Genetics – Susceptibility to bunions are often hereditary
Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions
How Are Bunions Diagnosed?
Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.
How Are Bunions Treated?
Refrain from wearing heels or similar shoes that cause discomfort
Select wider shoes that can provide more comfort and reduce pain
Anti-inflammatory and pain management drugs
Orthotics or foot inserts
Surgery
If you have any questions, please feel free to contact our office located in Thousand Oaks, CA. We offer the newest diagnostic and treatment technologies for all your foot care needs.
A bunion is a bump that forms at the base of the big toe. Bunions form when the big toe pushes against the next toe, which forces the big toe joint to get bigger and stick out. As a result, the skin over the bunion may start to appear red and it may feel sore.
There are risk factors that can increase your chances of developing bunions. People who wear high heels or ill-fitting shoes are more likely to develop them, in addition to those who have a genetic history of bunions or have rheumatoid arthritis.
The most obvious way to tell if you have a bunion is to look for the big toe pushing up against the toe next to it. Bunions produce a large protrusion at the base of the big toe and may or may not cause pain. Other symptoms are redness, swelling, and restricted movement of the big toe if you have arthritis.
Nonsurgical methods are frequently used to treat bunions that aren’t severe. Some methods of nonsurgical treatment are orthotics, icing and resting the foot, taping the foot, and pain medication. Surgery is usually only required in extreme cases. However, if surgery is needed, some procedures may involve removing the swollen tissue from around the big toe joint, straightening the big toe by removing part of the bone, or joining the bones of your affected joint permanently.
Your podiatrist will diagnose your bunion by doing a thorough examination of your foot. He or she may also conduct an x-ray to determine the cause of the bunion and its severity.
There are many reasons why patients experience swelling of the feet. It is rather common and may be a side effect of pregnancy or from sitting and standing for most of the day. Gravity could also play a role in the development of swollen feet. It is known that the weight of blood volume in our bodies is exerted on the veins in the legs and feet. The veins may not work as efficiently during the aging process, and this could make the blood flow backward causing swollen feet. Relief may be found when obese patients lose weight, and it may help to engage in compression therapy by wearing compression socks, stockings, or athletic sleeves. This method can release pressure on the feet and ankles which may help to reduce existing swelling. There are patients who have controlled their swollen feet by implementing healthy lifestyle changes. These can consist of reducing salt intake, incorporating a gentle exercise regime into the daily routine, and drinking plenty of fresh water. Swollen feet may be a temporary condition that affects people who travel via airplane or automobile, so it is beneficial to walk as frequently as possible even though it can be difficult. Swelling of the feet can also be indicative of other health issues so it is important to pay attention to any type of chest pain, mental confusion, dizziness, or fever. If you consistently have swollen feet, it is strongly suggested that you consult with a podiatrist who can help determine the cause and how to effectively treat it.
Understanding the causes of swollen feet, also known as edema, is important as this condition can signal other more serious ailments. Swelling of the feet is often accompanied by tenderness, pain, redness or warmth. In more severe cases, a decreased range of motion, difficulty breathing, and changes in skin color may occur. Injuries such as sprains and bruises frequently trigger swelling, as do infections like cellulitis. Chronic conditions like heart failure and kidney disease can lead to persistent edema, while pregnancy often causes swelling in the feet and ankles due to hormonal changes and increased blood volume. Allergic reactions and certain medications, like NSAIDs and steroids, can also induce swelling in the feet as a side effect. Treatment may include rest, elevation, compression therapy, medication adjustments, or medical interventions, such as drainage procedures or specialized footwear. If you are experiencing persistent swelling in the feet, it is suggested that you seek guidance from a podiatrist who can conduct an exam, identify the underlying cause, and recommend appropriate treatment.
Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:
Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.
Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet.
Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.
If you have any questions please feel free to contact our office located in Thousand Oaks, CA. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
If you're experiencing ankle pain, you may be suffering from an ankle injury. Sprains, fractures, Achilles tendonitis, and Achilles tendon ruptures are just some examples of potential ankle injuries. Don't wait for care for an ankle injury, as it may worsen over time. We can help!
Our feet are arguably the most important parts of our bodies because they are responsible for getting us from place to place. However, we often don’t think about our feet until they begin to hurt. If you have pain in your feet, you need to first determine where on the foot you are experiencing it to get to the root of the problem. The most common areas to feel pain on the foot are the heel and the ankle.
Heel pain is most commonly attributed to a condition called plantar fasciitis. Plantar fasciitis occurs when the plantar fascia, which is the band of tough tissue connecting the heel bone to the toes becomes inflamed. Plantar fasciitis pain is usually worse in the morning, and it tends to go away throughout the day. If you have plantar fasciitis, you should rest your foot and do heel and foot muscles stretches. Wearing shoes with proper arch support and a cushioned sole has also been proven to be beneficial.
Some common symptoms of foot pain are redness, swelling, and stiffness. Foot pain can be dull or sharp depending on its underlying cause. Toe pain can also occur, and it is usually caused by gout, bunions, hammertoes, ingrown toenails, sprains, fractures, and corns.
If you have severe pain in your feet, you should immediately seek assistance from your podiatrist for treatment. Depending on the cause of your pain, your podiatrist may give you a variety of treatment options.
Foot pain can be attributed to several causes that often affect individuals irrespective of age or lifestyle. Plantar fasciitis, a condition characterized by inflammation of the tissue connecting the heel bone to the toes, can lead to stabbing pain upon standing. Another common offender is bunions, the bony protrusions that form at the base of the big toe, causing discomfort and altering foot structure. Arthritis, an inflammatory joint condition, can afflict the feet, resulting in persistent pain and reduced mobility. Strained or overworked muscles, often a consequence of prolonged standing or intense physical activity, can contribute to general foot soreness. Wearing ill-fitting footwear, such as tight shoes or high heels, can also be a frequent source of pain. Understanding these common triggers for foot discomfort is essential for effective prevention and management. If you have foot pain for any reason, it is strongly suggested that you schedule an appointment with a podiatrist who can determine the cause and offer effective treatment methods.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with one of our podiatrists from Advanced Foot & Ankle Medical Center . Our doctors will assess your condition and provide you with quality foot and ankle treatment.
Causes
Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:
Bunions
Hammertoes
Plantar Fasciitis
Bone Spurs
Corns
Tarsal Tunnel Syndrome
Ingrown Toenails
Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
To figure out the cause of foot pain, podiatrists utilize several different methods. This 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
Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.
If you have any questions, please feel free to contact our office located in Thousand Oaks, CA. We offer the newest diagnostic and treatment technologies for all your foot care needs.
Neuropathy is the weakness, numbness, and pain in the hands and feet due to damage to the peripheral nerves. The peripheral nerves are responsible for sending information from the brain and spinal cord to the rest of your body. Causes of Neuropathy include: traumatic injuries, infections, metabolic problems, exposure to toxins, and diabetes.
Diabetes is the most common cause, with more than half of the diabetic population developing some type of neuropathy. There are several types of neuropathy and they vary based on the damage of the nerves. Mononeuropathy is classified as only one nerve being damaged. When multiple nerves are affected, it is referred as polyneuropathy. One of the types of polyneuropathy is distal symmetric polyneuropathy. It is the most common for people with diabetes and starts when the nerves furthest away from the central nervous begin to malfunction. The symptoms begin with pain and numbness in the feet and then they travel up to the legs. A rarer form of polyneuropathy is acute symmetrical peripheral neuropathy, which is a severe type that affects nerves throughout the body and is highly associated with Guillain-Barre syndrome, an autoimmune disorder that attacks the peripheral nervous system and can be fatal. Although there are many types of neuropathy, most of them share the same symptoms such as pain, extreme sensitivity to touch, lack of coordination, muscle weakness, dizziness, and digestive problems. Since neuropathy affects the nerves, those affected should be careful of burns, infection and falling, as depleted sensations disguise such ailments.
The best way to prevent neuropathy is to manage any medical conditions such as diabetes, alcoholism, or rheumatoid arthritis. Creating and managing a healthy lifestyle can also go a long way. Having a healthy diet full of fruits, vegetables, whole grains and lean protein can keep the nerves healthy. These types of food have the nutrients to prevent neuropathy. Regularly exercising can help as well, but it is best to consult with a doctor about the right amount. In addition to diet and exercise, avoiding risk factors will also prevent neuropathy. This includes repetitive motions, cramped positions, exposure to toxic chemicals, smoking and overindulging on alcohol.
Neuropathy, a condition that affects the peripheral nerves, can result in various symptoms, and often has a pronounced impact on the feet. Individuals experiencing neuropathy may encounter sensations of tingling, burning, or numbness in their lower extremities. These discomforting sensations can progress to sharp, stabbing pain, hindering mobility and diminishing overall quality of life. Loss of coordination and balance may also occur, elevating the risk of falls and injuries. Changes in skin texture and temperature, coupled with muscle weakness, are additional indicators of neuropathy. As the condition advances, individuals may develop foot deformities. Seeking medical attention when these signs arise is imperative to identify the underlying causes, which may include diabetes, infections, or autoimmune disorders. If you are experiencing symptoms of neuropathy in your feet, it is suggested that you visit a podiatrist who can accurately diagnose this condition and offer treatment methods.
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 one of our podiatrists from Advanced Foot & Ankle Medical Center . Our doctors 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 Thousand Oaks, CA. We offer the newest diagnostic and treatment technologies for all your foot care needs.
