A diabetic foot ulcer is an open sore that develops on the foot of someone with diabetes. High blood sugar can damage nerves and reduce blood flow, making injuries harder to notice and take longer to heal. Symptoms  include redness, swelling, or an open wound. Some ulcers may cause little pain because diabetic neuropathy can reduce sensation. Early treatment is important because untreated ulcers can become infected and may lead to serious complications.

Common causes include repeated pressure, friction, minor injuries, and reduced sensation. Risk factors include diabetes, previous ulcers, and difficulty controlling blood sugar. A podiatrist may examine the ulcer, check circulation and sensation, and look for infection. Initial treatment may involve cleaning and dressing the wound, removing unhealthy tissue when appropriate, and reducing pressure. Treatment is tailored to the ulcer and the patient.

Offloading pressure is an important part of diabetic foot ulcer treatment. A total contact cast is a specialized cast that distributes pressure across the foot and lower leg while limiting weight-bearing stress on the ulcer. It can be especially useful for certain plantar ulcers when appropriate. Removable cast walkers are another option. They protect the foot while allowing the device to be removed for wound care and inspection. A podiatrist will determine which approach is safest, based on wound location and severity.

Regular follow-up helps monitor healing and reduce complications. A podiatrist may change dressings, reassess the wound, and recommend footwear that protects the foot after healing. Patients should also inspect their feet daily and avoid walking barefoot. Any new redness, drainage, or skin breakdown should receive prompt attention. If you have diabetes and have developed a 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 Darline Kulhan, DPM from Scarsdale Foot Specialists PC. 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 office located in Scarsdale, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Pregnancy brings many physical changes, and the feet can be affected more than expected. As body weight increases and the center of gravity shifts forward, pressure may be distributed differently across the feet. This can change the way a woman walks and may contribute to foot discomfort. Pregnancy also increases levels of relaxin, a hormone that loosens ligaments throughout the body. In the feet, this can affect the plantar fascia, which is the strong band of tissue that helps form the arch. As these structures become more flexible, the feet may flatten, widen, or increase in length. Some of these changes can remain after pregnancy.

Changes in the foot arch can lead to over-pronation, which happens when the foot rolls inward too much while bearing weight. This can increase strain on the plantar fascia and may contribute to plantar fasciitis. A lower arch can also increase stress on the legs and back. Bunions may develop as the shape and alignment of the foot change. Swelling, also called edema, is another frequent concern during pregnancy. Increased body fluids and pressure on blood vessels can contribute to swelling in the feet and ankles. Swelling may also be accompanied by aching, numbness, or tingling.

A podiatrist can evaluate pregnancy-related foot pain, and identify changes in foot structure or walking patterns. Because some changes can become long-lasting, professional assessment may be helpful when symptoms begin affecting comfort or mobility. A podiatrist can examine arch height, foot alignment, and areas experiencing increased pressure. Professional podiatric care can also help determine whether symptoms are related to common pregnancy changes or require additional medical attention. Foot problems during pregnancy should not automatically be dismissed when they are persistent or painful. If pregnancy-related foot pain, swelling, or structural changes are making walking uncomfortable, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Darline Kulhan, DPM from Scarsdale Foot Specialists PC. Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

• Wearing orthotics can provide extra support for the feet and help distribute weight evenly
• Minimize the amount of time spent walking barefoot
• Wear shoes with good arch support
• Wear shoes that allow for good circulation to the feet
• Elevate feet if you experience swelling
• Massage your feet
• Get regular, light exercise, such as walking, to promote blood circulation to the feet

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

A diabetic foot blister is a fluid-filled area that develops on the skin of the foot. A blister may form after friction from shoes, prolonged walking, or minor trauma. It can appear as a raised, smooth area filled with clear fluid. People with diabetes may be more likely to develop blisters because nerve damage, poor circulation, and repeated pressure can reduce the ability to notice irritation. Some diabetic foot blisters develop without an obvious injury and may occur on the toes, soles, or sides of the feet.

Diabetic foot blisters can look like small bubbles beneath the skin. The surrounding area may become red, swollen, or irritated. However, diabetic neuropathy can reduce sensation, so a person may not feel significant pain. Risk factors include poorly fitting footwear, reduced sensation, and circulation problems. High blood sugar can also interfere with normal wound healing. A blister that becomes infected may produce increasing redness, warmth, or an unpleasant odor. These changes require prompt medical attention because foot infections can become serious.

A podiatrist will examine the blister and surrounding skin to determine its condition. The podiatrist may check circulation, sensation, and signs of infection. Care may include protecting the area from pressure, keeping the skin clean, and using appropriate dressings. The podiatrist may also recommend footwear changes and monitor healing closely. If infection is present, additional medical treatment may be necessary. A podiatrist can also identify underlying problems that increase the chance of another blister.

Do not pop or cut open a diabetic foot blister without professional guidance. Damaging the protective skin can increase the risk of infection and delayed healing. Prompt attention can help protect healthy tissue and lower the risk of complications. If you have diabetes and have developed a foot blister, it is suggested that you are under the care of a podiatrist who can offer effective relief and treatment solutions.

Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, contact Darline Kulhan, DPM of Scarsdale Foot Specialists PC. Our doctor can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

How Do Blisters Form?

Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.

Prevention & Treatment

It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.

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

A gout flare can cause sudden, severe pain that is difficult to ignore. It usually affects one joint, with the base of the big toe being a frequent location. The ankle or another toe joint can also become painful. The area may look red and swollen. It can also feel warm or extremely tender. Even pressure from a sock or bedsheet can hurt. A flare can begin at night and intensify within hours. Without proper care, repeated attacks can damage joints and nearby bone. 

Gout develops when excess uric acid forms sharp crystals inside a joint. The kidneys usually remove uric acid, a natural waste product. A flare begins when the immune system reacts to these crystals, causing intense inflammation. Risk factors include kidney disease, family history, and certain health conditions. Alcohol intake, some foods, and dehydration can also contribute to an attack. Prompt evaluation is important. A podiatrist can examine the foot and review the patient’s medical history. Testing can confirm the cause and rule out other problems, such as an infection or another type of arthritis. 

Treatment from a podiatrist focuses on easing the current flare and reducing future attacks. The podiatrist can assess the painful joint and monitor changes. Recommendations can reduce pressure on the joint and guide the choice of suitable shoes. Custom orthotics can help when gout has changed foot structure or walking patterns. Patients with repeated flares can receive regular checks for joint damage, skin problems, and tophi. Deposits called tophi form when uric acid crystals collect beneath the skin and cause pain. Early care matters because untreated gout can become lasting arthritis. A podiatrist can explain warning signs that require urgent attention and create a follow-up plan. If you have symptoms of gout in the feet, it is suggested that you schedule an appointment with a podiatrist for help in managing this painful condition.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Darline Kulhan, DPM from Scarsdale Foot Specialists PC. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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