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Macclenny, Florida 32063
There are several systemic diseases, or diseases that affect the whole body, that either display symptoms in the feet or affect the health of the feet. Common systemic diseases that affect the overall health of the feet, and the patient’s ability to walk comfortably, include gout, diabetes mellitus, neurological disorders, and arthritis, among others.
In gout, which is caused by an excessive buildup of uric acid in the body, the most common symptoms of pain, inflammation, and redness occur at the metatarsal/phalangeal joint at the base of the big toe. Any excess levels of uric acid crystallize and are deposited in tendons, joints, and surrounding bone and muscle tissue. Gout is commonly treated with NSAIDs to relieve pain and inflammation and other drugs to lower uric acid levels in the body. Gout most commonly affects those who are overweight, have low protein diets and lead a more sedentary lifestyle.
Diabetes mellitus is an increase in the level of blood sugar in which the body cannot counteract with naturally occurring insulin in the body. The three types of diabetes, Type I, Type II and Gestational Diabetes, are all signs the body is either not producing enough insulin or is not efficiently using the insulin that is produced. Gestational diabetes only affects women who are pregnant and have never, prior to pregnancy, exhibited symptoms of the disease.
There are two main issues that affect the feet that are commonly caused by diabetes. They include diabetic neuropathy and peripheral vascular disease. Diabetic neuropathy can lead to damaged nerves and affect the feet through numbness and loss of sensation. Peripheral vascular disease restricts the flow of blood to the foot and can, in extreme cases, lead to the necessity of amputating the foot. Peripheral issues that are caused by diabetes and can affect the foot include athlete’s foot, nail infections, corns, blisters, bunions, severe dry skin, plantar warts and ingrown toenails. These can all be attributed to the decrease of blood flow to the foot.
Neurological disorders and rheumatoid arthritis can also have severe impact on the health of the feet. Neurological disorders can affect the nerves in the main structure of the foot and cause loss of sensation and possible decreased muscle response. Rheumatoid arthritis can affect the bones and joint structures of the foot, making it impossible to walk normally without serious pain.
All systemic diseases that affect the foot can effectively be treated to minimize joint and muscle damage if they are diagnosed early and treated with medication and lifestyle therapy. Diabetes patients must monitor their blood sugar levels and work with their physician to keep their levels as close to normal as possible. Rheumatoid arthritis patients should work with their physician to ensure the proper medications are being taken to reduce the amount of damage to the joints of the body.
Plantar fibroma, a condition affecting the feet, involves the formation of non-cancerous, fibrous tissue growths within the plantar fascia, which is the ligament spanning the bottom of the foot. These nodules, often slow-growing, manifest as small lumps beneath the skin, leading to discomfort and potential limitations in foot mobility. The exact cause of plantar fibromas remains elusive, but factors such as genetics and trauma to the plantar fascia are considered contributory. The condition tends to be more prevalent in individuals with a family history of plantar fibromas, emphasizing a genetic predisposition. Additionally, repetitive stress or injury to the plantar fascia, often incurred through excessive standing or walking, can trigger the development of these fibrous nodules. Understanding the definition and potential causes of plantar fibroma lays the foundation for informed discussions with podiatrists and the exploration of appropriate management strategies for this relatively common yet nuanced foot condition. If you have these kinds of growths on your feet, it is suggested that you speak with a podiatrist who can correctly diagnose and treat plantar fibromas.
A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Dr. John L. Coleman of Florida. Our doctor can provide the care you need to keep you pain-free and on your feet.
Plantar Fibroma
A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.
What Causes a Plantar Fibroma?
While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.
What Are the Symptoms of a Plantar Fibroma?
There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.
Treatment and Prevention
A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:
Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.
If you have any questions please feel free to contact our office located in Macclenny, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
A plantar fibroma is a knot in the arch of the foot. It can cause pain when repeated pressure is applied by walking barefoot or wearing tight shoes. While plantar fibromas can appear in anyone, men who are middle-aged or older are said to be more susceptible. The main symptom of a plantar fibroma is a firm lump on the arch of the foot. If there is pain, it can be intensified by putting pressure on the nodule. The lump can stay one size or grow larger. You may have one or more fibromas in the feet and there tends to be a high incidence of recurring plantar fibromas. Generally, a plantar fibroma can be treated without surgery. Treatment might include steroid injections to help shrink the lump, orthotics to help redistribute weight away from the nodule, plantar fascia stretching, or physical therapy to help use anti-inflammatory medication on the lump. If a lump grows larger or more painful, a podiatrist can be consulted to confirm the diagnosis. The doctor will palpate the lump and this may cause pain that can be felt all the way to the toes. An X-ray, MRI, or biopsy might be done if further evaluation is necessary. A lump in the arch of the foot might be something other than a plantar fibroma, such as cysts, nerve or fatty tumors, swollen tendons, or an infection in the foot. It is important to see a podiatrist for proper diagnosis and treatment of plantar fibromas.
Have you noticed a bony protrusion on the side of your big toe? If so, you may have developed the foot condition known as a bunion. Don't let bunions interfere with your daily activities.
Serious foot infections in diabetic individuals pose significant health risks and often lead to amputations and even death. These infections are a concerning complication of diabetes and require careful attention. They can be caused by various factors, including poor blood sugar control, reduced blood flow, and nerve damage in the feet. In diabetic foot infections, bacteria can enter through minor cuts or sores, leading to cellulitis, abscesses, or even gangrene. Early detection and prompt treatment are crucial to prevent severe complications. Common symptoms include redness, warmth, swelling, and pain in the affected foot. Treatment typically involves antibiotics, wound care, and in some cases, surgical intervention to remove infected tissue and improve blood flow. Diabetic patients must take special precautions to prevent foot infections, such as daily foot inspections, proper hygiene, wearing well-fitting shoes, and maintaining good blood sugar control. If you have diabetes, it is suggested that you schedule regular appointments with a podiatrist to monitor your foot health, and receive timely intervention to prevent serious infections.
Diabetic Limb Salvage
Diabetic limb salvage can be an effective way in preventing the need for limb amputation. If you have a foot ulcer and diabetes, consult with Dr. John L. Coleman from Florida. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
What Is Diabetic Limb Salvage?
Diabetic limb salvage is the attempt of saving a limb, such as the foot, that has an infected ulcer, from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.
Diabetes is the number one cause of non-traumatic amputations in the United States. Amputation has been found to lead to higher mortality rates. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.
Diagnosis and Treatment
Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated.
If you have any questions, please feel free to contact our office located in Macclenny, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
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.
Foot and ankle problems are prevalent medical issues, particularly among the elderly, who often suffer from pain, stiffness, swelling, or deformities. Common diagnoses include conditions such as corns, athlete's foot, bunions, flat feet, ingrown nails, and warts. Aging-related muscle mass and loss of bone strength may increase seniors' risk for injuries and fractures, compounded by balance and vision issues. Key foot and ankle injuries in the elderly include ankle sprains, where the ligaments are overstretched or torn, potentially weakening the ankle and leading to arthritis, if untreated. Achilles tendonitis and tears are also common. The Achilles is vulnerable to inflammation and overuse, which can escalate to tears or ruptures, especially with sudden trauma. Ankle fractures are serious injuries from traumatic impact, requiring immediate podiatric attention to prevent complications such as infections. The spectrum of foot and ankle injuries in the elderly ranges from minor, treatable conditions to severe injuries necessitating medical intervention, highlighting the need for attentive care to prevent these issues. If you are elderly and have foot or ankle problems, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and treatment.
Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with Dr. John L. Coleman from Florida. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.
Causes
The most common causes of ankle pain include:
Symptoms
Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.
Diagnosis
Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.
Treatment
Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.
If you have any questions, please feel free to contact our office located in Macclenny, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
The ankle joint is the point at which the bones of the leg and foot join. This joint is crucial because it is responsible for the foot’s mobility. Ankle pain is typically the result of inflammation from an injury to bones, joint space, cartilage, ligaments, tendons, or muscles in the area. Commonly associated symptoms with ankle pain are bruising, redness, numbness, stiffness, weakness, and tingling.
The most common causes of ankle pain are sprains and injuries. Ankle sprains are one of the most common musculoskeletal injuries. Sprains occur when the ligaments of the ankle become partially or completely torn due to sudden stretching. Sprains can occur on either the inner or outer sides of the ankle joint. Usually, these injuries occur when the ankle is twisted in an activity by stepping off an uneven surface. More specific causes include rheumatoid arthritis, gout, osteoarthritis, and Achilles tendonitis.
If you are experiencing ankle pain, you should consult with your podiatrist to choose the best method of care. Your doctor will conduct an examination of your ankle to determine the underlying cause of the pain.
Diabetes, a chronic condition affecting blood sugar levels, can significantly impact the health of your feet. Elevated blood sugar levels can lead to nerve damage, a condition known as diabetic neuropathy. As a result, individuals with diabetes may experience reduced sensation in their feet, making it challenging to detect injuries or infections. Poor circulation, another common consequence of diabetes, can slow down the healing process, increasing the risk of complications. Foot ulcers, a prevalent issue among those with diabetes, can develop from minor injuries or pressure points. Left untreated, these ulcers may lead to severe infections. Regular foot inspections, meticulous hygiene, and wearing proper footwear are crucial for preventing complications. It is important for Individuals with diabetes to prioritize foot care as an integral part of their overall health management, seeking prompt medical attention for any concerning symptoms to maintain optimal foot health. If you have diabetes, it is strongly suggested that you schedule regular appointments with a podiatrist who can help you to manage this 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 Dr. John L. Coleman from Florida. Our doctor 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
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 office located in Macclenny, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
According to the American Diabetes Association (ADA), diabetes is a condition that affects approximately 23.6 million Americans. Around 750,000 new cases are diagnosed each year, and the disease’s most common form, Type 2 diabetes, makes up for 90 to 95 percent of these cases. Type 2 diabetes is especially prevalent among older Americans, those who are obese, and those who lead sedentary lifestyles.
Complications of the disease may lead to several foot and ankle-related conditions. The loss of nerve sensation, or neuropathy, can cause diabetics to lose feeling at the bottom of the feet and therefore leave them unaware of pain, pressure, and heat. Decreased circulation is another complication of diabetes that can slow down the healing of wounds and injuries; this can lead to the development of foot ulcers.
To prevent foot ulcers from forming, diabetics should examine their feet every day for small cuts and wear shoes that curtail pressure. Constant monitoring for the risk factors associated with ulcer formation can allow for early detection and therefore lessen the possibility of ulcers or, even worse, amputation. The removal of calluses and ingrown toenails should be left to the podiatrist to avoid improper removal and possible infection.
Diabetic patients may also experience foot deformities due to complications in their feet, such as limited joint mobility, muscle atrophy, and decreased fat padding. These complications can increase pressure in certain areas of the foot, which in turn can cause certain deformities, such as hammertoe, to form. Another deformity, Charcot foot, develops due to the collapsing of microfractures in the bones of the feet. The resulting deformity is a foot that is flattened and wider in appearance.
To help minimize pressure and prevent the development of these diabetes-related foot and ankle conditions, your podiatrist may consider using orthotics or special shoes. Charcot foot may be treated using walkers, custom orthotic insoles, or non-weight-bearing or rigid weight-bearing casts or braces. In more serious cases, surgery may be considered to treat more developed deformities. Ulcers can be further cared for with the help of proper diet, medication to control glucose, intensive wound care, and infection treatment.
