September 2021

People with diabetes are at an increased risk of neuropathy, or nerve damage. Diabetics are frequently diagnosed with peripheral neuropathy, or nerve damage in the hands and feet. Symptoms of peripheral neuropathy in the lower limbs include tingling, pins and needles, numbness, pain, or increased sensitivity in the feet. In some cases, the feet may change shape due to nerve damage. Sores and diabetic foot ulcers, which can be difficult to detect and tend to heal slowly and poorly, are also very common. If you have diabetes, it is important to be vigilant of any foot or ankle symptoms. Seeing a podiatrist regularly can help manage existing symptoms, detect and treat any new problems, and maintain the health of your feet. 

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 Dr. Alexander Terris from Total Foot Care. Our doctor 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 Wilmington, DE . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Extensor tendonitis is the inflammation or irritation of the tendons located at the top of the foot. These tendons are responsible for pulling the toes up while walking. Extensor tendonitis is a common cause of pain at the top of the foot and is usually the result of excessive friction and pressure on the foot from poorly fitted shoes. Other causes of extensor tendonitis include standing for prolonged periods of time, running on uneven surfaces or up and down hills, having tight calf muscles or abnormal foot arches, or direct injury to the extensor tendons. In addition to pain at the top of the foot, symptoms of extensor tendonitis may include swelling and bruising across the top of the foot. This condition can be treated with conservative methods, such as resting and icing the affected foot, taking anti-inflammatory medications, wearing the right shoes or orthotics, and doing strengthening and stretching exercises. If you are experiencing foot pain, please consult with a podiatrist. 

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Dr. Alexander Terris from Total Foot Care. Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

If you have any questions please feel free to contact our office located in Wilmington, DE . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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.

Gout is a type of arthritis that is caused by excess uric acid in the bloodstream crystallizing and lodging in the joints. It frequently affects the joints of the big toes, which causes sudden and intense pain, swelling, redness, warmth, and stiffness. Certain people are more at risk of developing gout than others. People who have medical conditions such as diabetes, kidney disease, high blood pressure, high cholesterol, and osteoarthritis should be vigilant of any gout symptoms. Gout is also associated with obesity and with diets high in purines, which are found in seafood and red meat. Certain medications can increase uric acid levels in the body, which may lead to gout. Men are more likely to develop gout prior to the age of 60, while both men and women aged 60 and over have an equal risk of developing gout. Finally, gout may be more likely in people with a family history of this condition. If you have gout or are at risk for it, please consult with a podiatrist, who can help you get the right treatments and teach you strategies to prevent gout. 

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Alexander Terris from Total Foot Care. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

If you have any questions, please feel free to contact our office located in Wilmington, DE . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Achilles tendinopathy refers to the inflammation of the Achilles tendon, a thick band of tissue that connects the calf muscles to the heel bone. Symptoms of Achilles tendinopathy include pain in the back of the ankle and heel that worsens with activity, a restricted range of motion, swelling, redness, heat, or a lump in the tendon. People who play sports and those who have flat feet or high arches are at an increased risk of Achilles tendinopathy. While mild injuries can respond well to home treatments like resting, icing, compressing, and elevating the affected leg, more severe injuries will need prompt attention from a medical professional. If you heard a popping or snapping sound before you began to feel pain or have severe pain that doesn’t improve over time, it is suggested that you see a podiatrist as soon as possible for treatment. 

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Dr. Alexander Terris of Total Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

• Inflammation
• Dull to severe pain
• Increased blood flow to the tendon
• Thickening of the tendon

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

• Thorough stretching of the tendon before and after exercise
• Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact our office located in Wilmington, DE . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.