Stages of Diabetic Foot Ulcers

A diabetic foot ulcer is an open sore that develops on the foot of someone with diabetes. High blood sugar can damage nerves and blood vessels, making injuries harder to notice and slower to heal. Early signs include redness, swelling, or a small blister. Other symptoms include drainage, odor, or skin color changes. Recognizing changes early can help protect the foot, support healing, and lower the risk of serious complications.

Understanding the stages of foot health can make prevention easier. A normal foot has healthy skin, good circulation, and intact sensation. An at-risk foot may have calluses, reduced sensation, or poor circulation. A foot with an ulcer has a break in the skin that needs professional evaluation. An infected foot may become increasingly red, swollen, or draining. Risk factors include diabetes, smoking, and previous wounds.

 

A podiatrist begins treatment by examining the wound and checking circulation, sensation, and infection. The ulcer may be measured, photographed, and carefully cleaned. Damaged tissue may be removed through debridement, when appropriate. Treatment may include wearing specialized footwear, off-loading devices, or wound dressings. If infection is present, appropriate medication may be needed. Good blood sugar management also supports healing and recovery over time.

 

Diabetic foot ulcers should never be ignored. Regular foot checks, wearing properly fitted footwear, and diabetes management can help lower ulcer risk. Keep feet clean and dry, avoid walking barefoot, and contact a podiatrist when you notice a wound or unusual change. Podiatric care can identify the cause, protect surrounding tissue, and support steady healing. If you have a diabetic foot ulcer, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this serious 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 Arthur Segall, Jr., DPM from Segall Foot and Ankle. 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 contact our offices located in Plantation, FL Ft. Lauderdale, F . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Safer Footwear Can Lower the Risk of Falling

Falls can cause serious injuries and threaten an older adult’s independence. Foot pain, poor balance, and wearing poorly-fitting shoes can make a fall more likely. Shoes affect how securely the feet meet the ground. Loose shoes can slide or come off, while high heels can shift body weight forward. Smooth soles provide less grip on slick surfaces. Shoes that lack proper support can also reduce stability. Choosing appropriate shoes is therefore an important part of a complete falls-prevention plan.

A safer shoe should fit securely without pinching the toes or slipping at the heel. Laces, straps, or buckles help hold the foot in place. A wide, low heel provides a steadier base than a narrow or raised heel. The sole should have good traction and enough contact with the ground. Lightweight shoes can make it easier to lift the feet and avoid catching a toe. Patients should replace shoes with badly worn tread or uneven soles. Slippers, backless shoes, and socks without shoes can increase the chance of slipping. Even a well-designed shoe can create problems when it is the wrong size, so both feet should be measured because their size can differ.

A podiatrist can examine the feet for problems that interfere with safe movement. The evaluation includes checking strength, joint motion, and sensation. The podiatrist can also watch how a patient stands and walks to identify changes that affect balance. Treatment can reduce pain from corns, thick nails, or arthritis. Custom orthotics can improve support and help distribute pressure more evenly inside the shoes. A podiatrist can recommend shoe features based on the patient’s foot shape, health needs, and activity level. Regular foot examinations can detect changes that make walking less secure. Addressing these concerns can support mobility, confidence, and independence. If you have injured your foot or ankle from falling, it is suggested that you schedule an appointment with a podiatrist for relief and treatment solutions.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Arthur Segall, Jr., DPM from Segall Foot and Ankle. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

  • Enrolling in strength and balance exercise program to increase balance and strength
  • Periodically having your sight and hearing checked
  • Discuss any medications you have with a doctor to see if it increases the risk of falling
  • Clearing the house of falling hazards and installing devices like grab bars and railings
  • Utilizing a walker or cane
  • Wearing shoes that provide good support and cushioning
  • Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

If you have any questions, please feel free to contact our offices located in Plantation, FL Ft. Lauderdale, F . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Surgery Types for Ingrown Toenails

An ingrown toenail develops when the edge of a toenail grows into the surrounding skin. It most often affects the big toe and can cause pain, tenderness, and swelling. The skin beside the nail may look irritated or raised, while the nail edge can appear buried under the skin. In more advanced cases, drainage or infection may develop.

Several factors can contribute to ingrown toenails. Cutting nails too short or rounding the corners may encourage the nail to grow into the skin. Wearing tight shoes can also create pressure around the toes. Some people are more prone to ingrown toenails because of naturally curved nails, repeated toe injuries, or nail changes. Recognizing these risk factors can help reduce future problems. Proper nail trimming and comfortable footwear may lower pressure around the affected toe.

 

When an ingrown toenail keeps returning or causes significant pain, a podiatrist may recommend surgery. A partial nail avulsion removes the portion of the nail growing into the skin while leaving the remaining nail in place. A total nail avulsion removes the entire nail and may be considered for certain conditions. A podiatrist may also perform ablation of the nail matrix, which prevents the treated nail portion from growing back. The procedure selected depends on the nail and individual needs.

 

During treatment, a podiatrist evaluates the toe, checks for infection, and determines the appropriate procedure. Afterward, the toe is dressed and home-care instructions are provided to support healing. Patients may be advised to keep pressure away from the toe and attend follow-up visits. If you have painful ingrown toenails, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment, which may include minor surgery. 

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Arthur Segall, Jr., DPM of Segall Foot and Ankle. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions, please feel free to contact our offices located in Plantation, FL Ft. Lauderdale, F . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Kohler Disease and the Importance of Early Podiatry Care

Kohler disease is a rare childhood foot condition that affects one of the small bones in the middle of the foot, known as the navicular bone. It most often develops in children between the ages of 4 and 7, especially boys, although girls can also be affected. The condition occurs when the blood supply to the bone is temporarily reduced, causing the bone to become irritated before it gradually heals. Children with Kohler disease may begin limping or avoid putting weight on the affected foot because of discomfort. Since many childhood foot problems produce similar symptoms, a professional evaluation is important for an accurate diagnosis. Early assessment can also help rule out fractures, infections, or other conditions that may require different treatment.

 

Symptoms of Kohler disease usually involve pain along the inner part of the foot where the affected bone is located. Many children experience tenderness, swelling, or discomfort while walking. Others may avoid running or playing, because activity increases pain. In some cases, a child may begin walking on the outside of the foot to reduce pressure on the painful area. Symptoms often develop gradually and may be mistaken for a minor injury at first. Prompt evaluation is important because persistent foot pain in children should never be ignored. Identifying the cause early helps guide appropriate treatment and supports healthy foot development.

 

A podiatrist specializes in diagnosing and treating both common and rare foot conditions, including Kohler disease. During an examination, the podiatrist reviews symptoms, evaluates the child's foot, and may recommend imaging studies to confirm the diagnosis. Treatment focuses on relieving discomfort, protecting the affected bone, and monitoring healing as the foot develops. Regular follow-up visits also help ensure the condition is improving and that normal foot function is returning. If your child is experiencing foot pain, limping, or swelling that may be related to Kohler disease, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Some foot conditions may require additional professional care. If you have any concerns, contact Arthur Segall, Jr., DPM of Segall Foot and Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

  • Freiberg’s disease
  • Kohler’s disease
  • Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

If you have any questions, please feel free to contact our offices located in Plantation, FL Ft. Lauderdale, F . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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