Causes of Peripheral Neuropathy
When the nerves in the extremities – commonly the feet – are damaged, it results in a condition known as peripheral neuropathy. Symptoms include numbness, tingling and burning pain. It can also affect your balance, coordination, and muscle strength. The numbness makes it difficult to notice sores and cuts on your feet that can develop into ulcers, or even gangrene. In rare cases, neuropathy has no recognizable cause, known as idiopathic neuropathy. But the most common cause of peripheral neuropathy is thought to be diabetes. High levels of blood sugar can damage the blood vessels that supply the nerves. The likelihood of developing this condition further increases with age, alcohol use, and smoking. Other factors that may contribute to peripheral neuropathy include low levels of vitamin B12, trauma to the nerves after surgery, an underactive thyroid gland, and genetics. In addition, certain infections, such as shingles, Lyme’s disease, and HIV may be causes as well. If you have peripheral neuropathy, please make an appointment with a podiatrist for regular examinations of your feet and treatment options.
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 the foot specialists from Certified Foot Care. 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 offices located in Larchmont and Brooklyn, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Neuropathy
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.
Wound Care
Diabetics must be wary of all wounds, regardless of depth or size. Diabetes, a chronic disease in which the body cannot properly use glucose the way it normally would, causes various complications that make wounds difficult to heal. Nerve damage or neuropathy will cause diabetics to have trouble feeling the pain of a blister or cut until the condition has significantly worsened or become infected. A diabetic’s weakened immune system can make even the most minor of wounds easily susceptible to infection. Diabetics are also more prone to developing narrow, clogged arteries, and are therefore more likely to develop wounds.
Wounds should be taken care of immediately after discovery, as even the smallest of wounds can become infected if enough bacteria build up within the wound. To remove dirt, wounds should be first rinsed under running water only. Soap, hydrogen peroxide, or iodine can irritate the injury and should be avoided. To prevent infection, apply antibiotic ointment to the wound and cover it with a bandage. The bandage should be changed daily. The skin around the wound may be cleaned with soap.
To prevent further exacerbation, see a doctor—especially if you have diabetes. Minor skin conditions can become larger problems if not properly inspected. As the wound heals, make sure to avoid applying pressure to the affected area.
Are You Suffering From Ingrown Toenails?
If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!
How Diabetes Can Affect the Feet
Diabetes occurs when the body does not produce sufficient insulin or use it properly, which causes blood sugar levels to rise above normal. Diabetes can affect the health of the feet as well as many other parts of the body. Uncontrolled high blood sugar levels can damage blood vessels, reduce the blood flow to feet, and have serious consequences. Diabetic neuropathy is a type of nerve damage that affects the feet and legs and that many of those with diabetes develop. Such nerve damage can cause tingling and numbness in the feet, and one might not feel pain from a foot problem - a key warning sign that something is amiss in the body. Infections can arise, and if not tended to and healed, can lead to gangrene where tissue dies from lack of blood flow. Another complication of diabetes is peripheral vascular disease, a circulation disorder that limits blood flow to the legs and feet. Healing takes longer with inadequate blood flow, putting one at risk for infections. It is important for those with diabetes to practice good foot care. Beyond taking prescribed diabetes medications and monitoring blood sugar levels, diabetics should keep their feet clean, dry, and moisturized, wear well-fitting shoes, examine feet regularly for any cuts, sores, or blisters, maintain a healthy body weight, and exercise regularly. If you have diabetes, it is suggested that you include a podiatrist on your team of doctors so they can help you catch any foot problems you may not feel or know about, treat any issues you are aware of, and help you maintain healthy feet.
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 the foot specialists from Certified Foot Care. Our doctors 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 offices located in Larchmont and Brooklyn, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
How to Care for Diabetic Foot
Millions of people are affected by diabetes each year. Diabetes damages blood vessels in all parts of the body, especially the feet. The legs and feet may develop slow blood flow, which causes neuropathy, or nerve damage. Once a diabetic patient develops neuropathy, it is important that the feet are well taken care of. Otherwise, the lower limbs may have to be amputated. This only happens in drastic cases, but it shows how seriously diabetic foot care should be taken.
It is very important to always wash and dry the feet thoroughly, especially in between the toes, if you’re a diabetic. Secondly, examining your feet and toes for redness or sores must be done, even if you do not feel pain. You may also want to examine your feet from the bottom. Try to avoid wearing colored socks to prevent infections that may occur from the dye. Well-fitting socks are also highly recommended.
A diabetic’s physician should always monitor their blood levels to test how well blood sugars are being maintained. In addition to giving advice about everyday eating habits and foot care, a physician may prescribe medicine to help with the diabetic patient’s neuropathy. It is also advised to see a podiatrist if experiencing any feet conditions. Toenails may also need to be taken care of by a podiatrist. This prevents patients from cutting too deeply around their cuticles, which can lead to infection.
A person can take care of their feet at home by following the instructions of their physician. Using creams on one’s feet is also an effective way to heal dryness. Proceed with caution when using tools to remove calluses, as severe diabetics may not be able to feel pain on their feet. If any complications arise do not hesitate to contact a podiatrist.
On a daily basis, diabetic feet must be checked. If you are ever concerned about something, contact your health care professional. You never want to wait until a wound becomes too severe to treat. If left untreated, gangrene may develop. Gangrene is a serious infection that can lead to sepsis or amputation. It is also important for diabetics to be on the lookout for ulcers. Ulcers are sores that develop from tissue loss on the skin. They can be quite painful and require intensive treatment. Early treatment and everyday inspection are imperative to staying healthy.
Sever's Disease
Sever’s disease, also known as calcaneal apophysitis is a common bone disorder that occurs during childhood. The disease is defined as an inflammation of the growth plate in the heel. When a child has a growth spurt, his heel bone grows faster than the muscles, tendons, and ligaments in his leg. This disease is a result of overuse. The people who are most likely to be affected by this disease are children who are in a growth spurt, especially boys who are from the ages of 5 to 13 years old. 60% of children with Sever’s disease have both heels involved.
Symptoms of this disease are heel pain that intensifies during running and jumping activities. The pain is typically localized to the posterior part of the heel. Symptoms may be severe, and they can easily interfere with daily activities. Children who play soccer, baseball, and basketball are more likely to develop Sever’s disease.
Your doctor will diagnose your child based on his or her symptoms, x-rays are generally not helpful in diagnosing this disease. Your doctor may examine both heels and ask your child questions about his or her activity level in sports. Your doctor may then use the squeeze test on your child’s heel to see if there is any pain. Nevertheless, some doctors might still use x-rays to rule out any other issues such as fractures, infections, and tumors.
Sever’s disease can be prevented by maintaining good flexibility while your child is growing. Another prevention method is to wear good-quality shoes that have firm support and a shock-absorbent sole. Sever’s disease can be treated by ceasing any activity that causes heel pain. You should apply ice to the injured heel for 20 minutes 3 times a day. Additionally, orthotics should be used for children who have high arches, flat feet, or bowed legs.
If you suspect your child has Sever’s disease, you should make an appointment with your podiatrist to have his or her foot examined. Your doctor may recommend nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen to relieve pain. In more severe cases, your child may need a cast to rest his or her heel. Fortunately, Sever’s disease does not cause long-term foot problems. After treatment, your child should start to feel better within two weeks to two months.
Excessive Foot Sweat
Focal hyperhidrosis is when the palms of the hands or soles of the feet sweat excessively. This condition can be inherited, be due to an underlying health problem (such as menopause, obesity, or diabetes), be a side effect of medications, or have no known cause. Though not serious itself, hyperhidrosis can lead to other uncomfortable skin problems or infections and can cause anxiety and embarrassment. This condition usually starts in adolescence. Clammy or wet soles of the feet can be reduced by wearing footwear made of natural materials, like leather, wearing moisture absorbing socks, and using foot antiperspirants. People who suffer from hyperhidrosis may be afraid to seek help or may not know that several other treatment options exist. Consulting with a podiatrist will help you identify if there is a possible underlying cause for this problem, and to assist you with obtaining a more effective treatment plan.
If you are suffering from hyperhidrosis contact the foot specialists of Certified Foot Care. Our doctors can provide the care you need to attend to all of your foot and ankle needs.
Hyperhidrosis of the Feet
Hyperhidrosis is a rare disorder that can cause people to have excessive sweating of their feet. This can usually occur all on its own without rigorous activity involved. People who suffer from hyperhidrosis may also experience sweaty palms.
Although it is said that sweating is a healthy process meant to cool down the body temperature and to maintain a proper internal temperature, hyperhidrosis may prove to be a huge hindrance on a person’s everyday life.
Plantar hyperhidrosis is considered to be the main form of hyperhidrosis. Secondary hyperhidrosis can refer to sweating that occurs in areas other than the feet or hands and armpits. Often this may be a sign of it being related to another medical condition such as menopause, hyperthyroidism and even Parkinson’s disease.
In order to alleviate this condition, it is important to see your doctor so that they may prescribe the necessary medications so that you can begin to live a normal life again. If this is left untreated, it is said that it will persist throughout an individual’s life.
A last resort approach would be surgery, but it is best to speak with your doctor to find out what may be the best treatment for you.
If you have any questions please feel free to contact our offices located in Larchmont and Brooklyn, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Hyperhidrosis of the Feet
Each foot, on average, has about 250,000 eccrine sweat glands that produce half a pint of sweat each day. Sweating is a natural and important bodily function. It regulates the body’s temperature by cooling the skin so that it does not overheat. In individuals with hyperhidrosis, the sympathetic nervous system works in "overdrive", producing far more sweat than what is required. People with plantar hyperhidrosis experience an excess amount of sweat on their feet. It is estimated that 2% to 3% of all Americans suffer from some form of hyperhidrosis. This condition is often caused by neurologic, endocrine, infectious, and other systemic disease. Other factors that may trigger the condition are heat and emotions.
People with hyperhidrosis may notice an overabundance of sweat on their feet, along with a strong odor. The feet may also have a wet appearance coupled with infections such as athlete’s foot or toenail fungus. The sweat may even appear in low temperatures, such as during the winter months. People with plantar hyperhidrosis often need to change their socks several times throughout the day.
The specific cause of hyperhidrosis is unknown, and many believe it may be caused by over-activity. However, others believe the condition is genetic. Caffeine and nicotine are known to cause excitement and nervousness which are two emotions that may make the condition worse.
If you are looking to treat your hyperhidrosis the most important thing you should do is wash your feet every day. You may even need to wash your feet twice a day, if necessary. You should also make sure you are wearing the right socks. Wool and cotton socks are both known to be good for ventilation, meaning they allow the feet to breathe. You should avoid socks made from nylon which trap moisture and lead to sogginess. Other common treatment options are over-the-counter antiperspirants that contain a low dose of metal salt. In some cases, prescription strength antiperspirants that contain aluminum chloride hexahydrate may be necessary. In severe cases, surgery may be required.
Untreated hyperhidrosis can easily lead to complications. Some complications that may arise from the disorder include nail infections, warts, and bacterial infections. Consequently, it is important that you seek treatment from your podiatrist if you suspect that you may have plantar hyperhidrosis.
How Blisters on the Feet Can Be Prevented
Many runners know the pain and discomfort of a blister on their feet while trying to walk or run. Most blisters develop from friction due to wearing shoes and socks that do not fit correctly which can damage the skin. At first, a blister looks like a bubble filled with liquid that protects the raw skin. When new skin has formed the blister will gradually drain on its own. To help prevent blisters from forming ensure running shoes fit correctly and observe the surfaces that you walk or run on. People who enjoy running marathons may be aware of blister prevention by using tape and adhesive on a specific area on the foot, followed by performing a test run to determine if it's placed properly. Runners find that having a blister on the foot changes the way their practice is done, and it can affect the biomechanics of the foot. It could lead to slower running, which may lead to running in the elements longer than expected. If you would like more information about blisters and their prevention, please confer with a podiatrist.
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 the foot specialists of Certified Foot Care. Our doctors 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 offices located in Larchmont and Brooklyn, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.
