Diabetes can affect the feet in serious ways, especially when high blood sugar damages nerves and blood vessels. Nerve damage, called peripheral neuropathy, can cause numbness, tingling, or burning. A patient may not feel a blister, cut, or pressure from a shoe. Reduced circulation can also limit the oxygen and nutrients that reach injured tissue. Changes in skin color, temperature, or sensation may indicate an ulcer forming.

Diabetic foot ulcers are open sores that can develop when repeated pressure damages the skin. A callus can hide injured tissue beneath it, while reduced feeling allows the pressure to continue unnoticed. Hammertoes and other changes in foot shape can create additional pressure points. Shoes that fit poorly can add rubbing or crowd the toes. Without prompt care, an ulcer can deepen and infection can spread. Severe infection can threaten the foot and raise the risk of limb loss. Patients should contact a podiatrist promptly when they notice drainage, redness, or an open sore.

A podiatrist can identify problems early and create a plan based on the patient’s circulation, sensation, and foot structure. An examination includes checking the skin, testing nerve function, and feeling pulses in the feet. The podiatrist can safely manage thick nails or calluses that could injure nearby skin. For an ulcer, care includes cleaning the wound and removing unhealthy tissue. The podiatrist can also reduce pressure with padding, custom orthotics, or special shoes. When infection or poor circulation is suspected, further testing and coordinated medical care can protect the foot. Regular podiatry visits are especially important for patients with past ulcers, reduced feeling, or changes in foot shape. Early treatment can promote healing, prevent new wounds, and lower the chance of serious complications. If you are experiencing foot complications from diabetes, it is suggested that you are under the care of a podiatrist who can help you to manage this serious condition. 

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 one of our podiatrists from Bruening Foot & Ankle. 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 Covina and Alta Loma, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Plantar warts are harmless skin growths that develop on the bottom of the feet. They form when a virus causes the top layer of the skin to grow quickly. Because plantar warts appear on weight-bearing areas of the foot, they may become painful while walking or standing. Some warts eventually disappear without treatment, although this process can take months or even years. Plantar warts can also spread easily. Touching a wart and then another area of the body may spread the virus, and sharing certain personal items can pass it to other people.

Many plantar warts do not require treatment, but podiatric care may be appropriate when a wart becomes painful or begins to spread. Treatment options vary, depending on the individual and the wart. A podiatrist may prescribe a stronger topical medicine or inject a medication. Plantar warts can also be removed through freezing or a surgical procedure. Changes around a wart should receive medical attention when they suggest an infection. Increased pain, swelling, or warmth may be warning signs. Red streaks, drainage, or fever are other reasons to seek prompt medical care. A wart that does not improve as expected should also be evaluated.

A podiatrist can examine a plantar wart and determine what form of treatment is appropriate, especially when foot pain makes walking uncomfortable. Because podiatrists specialize in foot health, they can assess the affected area and discuss treatment options based on the wart and the patient’s symptoms. Follow-up care is also an important part of monitoring treatment and addressing problems that develop. Seeking podiatric care can be particularly helpful when plantar warts are persistent, spreading, or interfering with normal movement. If a painful plantar wart is making walking difficult or continues to spread, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Plantar warts can be very uncomfortable. If you need your feet checked, contact one of our podiatrists from Bruening Foot & Ankle. Our doctors 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 Covina and Alta Loma, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

An ankle sprain occurs when the strong bands of tissue that support the ankle are stretched or torn. These bands, called ligaments, help keep the joint stable. A sprain can occur when the foot rolls inward, the ankle twists suddenly, or a person lands awkwardly. Sports often lead to ankle sprains, but they also happen from tripping on a step or walking on uneven ground. Symptoms include pain, swelling, and bruising. Putting weight on the injured foot becomes a problem. The amount of pain does not always show how serious the injury is, so a proper examination is important.

Ankle sprains are grouped by how much ligament damage has occurred. A mild sprain involves stretching with little damage, while a moderate sprain involves a partial tear. A severe sprain can involve a complete tear and significant ankle instability. A podiatrist can examine the ankle, check its movement, and determine where tenderness is located. The examination can also help distinguish a sprain from a broken bone or another injury. X-rays can be ordered when a fracture is suspected. Other imaging tests can provide a closer look at ligaments and nearby tissues when the extent of the injury is unclear.

Treatment depends on the location and severity of the sprain. A podiatrist can protect and stabilize the ankle with taping, a brace, or a walking boot. More serious injuries require a cast or another form of support. Surgery is rarely required, but it can be considered for severe ligament damage or ongoing instability. A podiatrist can also guide a safe return to work, exercise, and sports. Returning too soon can raise the risk of another sprain and lead to chronic ankle weakness. Follow-up visits allow the podiatrist to check healing and adjust treatment as the ankle improves. If you have symptoms of an ankle sprain, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Ankle sprains are common but need immediate attention. If you need your feet checked, contact one of our podiatrists from Bruening Foot & Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

• Mild to moderate bruising
• Limited mobility
• Swelling
• Discoloration of the skin (depending on severity)

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

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

Runner's toe develops when a toenail repeatedly strikes the inside of a shoe. The pressure and friction can damage tiny blood vessels beneath the nail, causing blood to collect. The nail can look red, purple, or black. Pain, swelling, and pressure can also develop. The problem usually affects the big toe or second toe because one is often the longest. Long-distance running raises the risk, especially on downhill routes. Shoes that are too short, narrow, or loose can allow repeated contact with the toe. A long toe or changes in foot structure can add to the problem.

The injured nail can loosen, separate from the skin beneath it, or eventually fall off. A new toenail generally grows, but this process can take several months. Repeated injuries can cause the nail to become thick or misshapen. A dark toenail does not always indicate runner's toe. Fungal infections and other health concerns can cause similar changes. A podiatrist can examine the nail and determine why it has changed color. The evaluation includes questions about running habits, shoe fit, and recent injuries. The podiatrist can also check for infection or damage to the tissue that produces the nail. Severe pain or a dark mark that does not move as the nail grows deserves prompt attention.

Treatment depends on the injury and the amount of pressure beneath the nail. A podiatrist can safely drain trapped blood to reduce pain. The doctor can trim or remove a damaged nail and protect the sensitive skin below it. The podiatrist can also assess toe length, foot shape, and running motion to identify sources of pressure. Guidance can include choosing properly-fitted running shoes with enough toe room. It can also address lacing methods and suitable socks. These changes can reduce sliding and rubbing inside the shoe. If you have developed runner's toe, it is suggested that you schedule an appointment with a podiatrist for effective relief, treatment, and prevention tips.

Toe pain can disrupt your daily activities. If you have any concerns, contact one of our podiatrists of Bruening Foot & Ankle. Our doctors 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 offices located in Covina and Alta Loma, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.