Diabetes is a systemic condition that can affect many parts of your body – including the feet. Due to the chronically raised blood sugar levels associated with diabetes, the nerves and blood vessels that supply the lower limbs can become damaged. This can cause neuropathy and poor circulation, both of which can lead to strange sensations, such as burning and tingling or numbness in the feet, a loss of sensation, and the formation of poorly healing foot wounds. The skin and nails on the feet may also change. Skin can become dry and cracked, and start to peel, and calluses may form more quickly, as well. Because diabetes can also cause immune insufficiency, foot and nail infections are more likely to occur. If you have diabetes, it is suggested that you visit a podiatrist regularly to monitor and preserve the health of your 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 one of our podiatrists from Biebel & DeCotiis Podiatry Associates. 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 one of our offices located in Holmdel and Middletown, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

If you are experiencing severe pain and swelling in the midfoot area and are having trouble bearing weight on your foot, you may have sustained a Lisfranc joint injury. This joint is a band of tissue that connects the long bones that lead to the toes to the tarsal bones in the arch and helps with alignment and strength of the foot. Bruising and an unusual widening of the foot are other signs of a problem. Injuries to this joint may occur directly, by dropping something heavy on your foot, or indirectly like the result from twisting your foot. It is most common in runners, athletes who play contact sports, and victims of car accidents. It can also be caused by something as simple as tripping on the stairs. In such injuries a ligament may be torn or stretched, or a bone may be fractured or dislocated. If your symptoms become worse, it’s a good idea to contact a podiatrist as quickly as possible for a full examination to determine a treatment plan. In the meantime it is suggested that you stay off the injured foot, wrap it to keep the swelling down, apply ice to the area, and keep it elevated when sitting or lying down.

Foot and ankle trauma is common among athletes and the elderly. If you have concerns that you may have experienced trauma to the foot and ankle, consult with one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Foot and ankle trauma cover a range of injuries all over the foot; common injuries include:

• Broken bones
• Muscle strains
• Injuries to the tendons and ligaments
• Stress fractures

Symptoms

Symptoms of foot and ankle injuries vary depending on the injury, but more common ones include:

• Bruising
• Inflammation/ Swelling
• Pain

Diagnosis

To properly diagnose the exact type of injury, podiatrists will conduct a number of different tests. Some of these include sensation and visual tests, X-rays, and MRIs. Medical and family histories will also be taken into account.

Treatment

Once the injury has been diagnosed, the podiatrist can than offer the best treatment options for you. In less severe cases, rest and keeping pressure off the foot may be all that’s necessary. Orthotics, such as a specially made shoes, or immobilization devices, like splints or casts, may be deemed necessary. Finally, if the injury is severe enough, surgery may be necessary.

If you have any questions, please feel free to contact one of our offices located in Holmdel and Middletown, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Many people experience the sensation of “pins and needles” in their feet when they cross their legs for too long. Generally, it recedes once the blood flows to the affected area. However, when the occurrence of this sensation becomes more frequent, it can affect your ability to walk or stand safely. This condition, known as paresthesia, may be experienced as tingling, itching and burning, aching pain, or numbness. The cause is likely to be peripheral artery disease (PAD), which is a buildup of plaque in your arteries. The result is poor circulation due to the reduced flow of blood to the feet. Other contributing factors include having diabetes, being overweight, overindulgence in alcohol, and possible vitamin deficiency. Some actions that might help are eating healthy foods, avoiding alcoholic beverages, and taking short walks daily. If you have noticed an increase in the frequency of a pins-and-needles sensation in your feet, it is a good idea to make an appointment with a podiatrist as soon as possible for a complete examination and suggested treatment plan.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

If you have any questions, please feel free to contact one of our offices located in Holmdel and Middletown, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Custom orthotics are prescription devices that fit in shoes and are designed to distribute weight more evenly across the feet and minimize pressure on any given area. They can also correct an abnormal gait, reduce pain, and improve foot alignment. Since they are designed to address specific conditions and the individual foot structure of the patient, fit is critical. After a podiatrist examines the patient and diagnoses their underlying condition, they may determine that orthotics can be beneficial. They will then take an impression of the patient’s foot, usually with a 3D laser scan or plaster cast. Specific materials will be chosen to address the patient’s particular condition, and the orthotic will be created. The patient will come in for a fitting and any further customizations needed to ensure the device fits the patient’s shoes and is comfortable will be made. Orthotics can be prescribed for conditions such as arthritis, plantar fasciitis, heel spurs, bunions, hammertoes, flat feet, high arches and more. If you have any of these conditions, it is suggested that you make an appointment with a podiatrist to see if orthotics may be beneficial for you.

If you are having discomfort in your feet and would like to try orthotics, contact one of our podiatrists from Biebel & DeCotiis Podiatry Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

If you have any questions, please feel free to contact one of our offices located in Holmdel and Middletown, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.