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The Effects of Diabetes on the Feet

Diabetes has a profound impact on foot health, making it crucial for individuals with this condition to manage their blood sugar levels effectively. Elevated blood sugar can lead to reduced blood flow in the feet, resulting in serious complications. Diabetic neuropathy is a common condition, causing tingling sensations and pain in the feet. Nerve damage can lead to unnoticed injuries, which may worsen due to lack of sensation, which may eventually result in gangrene. Peripheral vascular disease, caused by restricted blood flow, is also a concern. Charcot foot, a rare condition, can deform the foot and raise the risk of sores. Monitoring foot health, managing blood sugar, and seeking early treatment are essential to prevent severe complications and ensure better overall well-being for individuals with diabetes. If you have diabetes and are experiencing foot problems, it is strongly suggested that you make an appointment with a podiatrist for regular examinations and needed treatment.

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 Graff Foot, Ankle and Wound Care. 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 our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Which Type of Orthotic Do I Need?

Medical devices that are placed inside the shoes for walking and running are referred to as orthotics. They are used to relieve pain from abnormal foot structures, or from having general discomfort while walking. There are several types of orthotics, and choosing the right ones depends on the condition they will be correcting. Patients who have corns and calluses may benefit from wearing epidermal insoles, which can be successful in removing pressure from the affected parts of the foot. People who desire to have a balanced distribution of weight on the feet may opt to wear comfort insoles that can absorb shock. Orthopedic insoles that are made of one piece may help patients that have flat feet, or additional specific types of deformities. If you have foot pain, and are interested in learning more about orthotics, it is suggested that you speak with a podiatrist who can determine which type is correct for you.

If you are having discomfort in your feet and would like to try orthotics, contact one of our podiatrists from Graff Foot, Ankle and Wound Care. 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 contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Reasons for Existing Foot Pain

The feet are often taken for granted until foot pain develops. Foot pain can happen for several reasons which may cause difficulty in completing daily activities. Each foot has 26 bones and numerous joints, tendons, ligaments, and muscles. This complex system works together to provide stability and balance, and therefore it is helpful to maintain proper foot care. Wearing shoes that fit correctly may help to prevent a multitude of foot conditions, such as hammertoes, bunions, and ingrown toenails. Athlete’s foot and toenail fungus are common conditions that can cause discomfort. These can occur when frequenting places like public swimming pools, shower rooms, or similar areas. A small tear to the plantar fascia may cause debilitating pain, and arthritic conditions like gout can cause the joints in the big toe to become inflamed. For any type of foot pain, it is suggested that you consult a podiatrist for a proper diagnosis and an effective treatment plan.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with one of our podiatrists from Graff Foot, Ankle and Wound Care. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

If you have any questions, please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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​​Pronation in Children

Pronation in children can indicate delays in standing, walking, and running. It refers to the inward roll of a child's ankle, often associated with terms like flat feet, flexible flat foot, pes planus, or overpronation. This issue originates from the heel, where the bone rotates inward, leading to weight shifting and walking on the inner part of the foot. Children with low muscle tone or ligament laxity are more susceptible. Excessive relaxation of ligaments can cause the ankles to roll in, disrupting alignment in the knees, hips, and back, potentially resulting in pain. If your child exhibits pronounced pronation, causing problems such as pain, fatigue, or clumsiness, it is suggested to consult a podiatrist for an examination and appropriate treatment.

Flatfoot is a condition many people suffer from. If you have flat feet, contact one of our podiatrists from Graff Foot, Ankle and Wound Care. Our doctors will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

If you have any questions please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Gout and the Big Toe

Gout is a condition that affects the joints in the big toe. It often begins in that area, and it may spread to other parts of the foot if treatment is not received. Gout can happen when excess uric acid occurs and collects in the joints of the toes. Common symptoms that many people experience with gout can include intense pain, swelling, and it can be difficult to walk. Foods that are eaten with purines may produce uric acid, and it is beneficial to limit eating these types of foods. These can include shellfish, red meat, and drinks that are made with large amounts of sugar. Additionally, drinking plenty of water daily to stay hydrated may help to avoid painful gout episodes. Many people enjoy getting massages and have reported they may help to relieve the pain of gout. If you have pain in your big toe, it is strongly suggested that you are under the care of a podiatrist who can effectively treat and offer prevention techniques against gout.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact one of our podiatrists from Graff Foot, Ankle and Wound Care. Our doctors 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 offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Ignoring Toenail Fungus Can Be Harmful

A sign that you may have developed toenail fungus is the yellow appearance of the nails. They may also become thicker and begin to crumble. If ignored, a fungal toenail infection, medically termed onychomycosis, may result in other problems. It can easily spread to other parts of the foot simply by not changing socks and shoes daily. Toenail fungus is especially risky for diabetics, whose skin may have cracked as a result of poor circulation. This allows for the additional possibility of bacteria entering the body, and may in turn cause cellulitis. In some cases of fungal toenail infections, the only way to treat it is to remove the nail. The nail will grow back with time. If the infection is extremely serious, the toenail may have to be permanently removed, by performing a procedure called matrixectomy. This destroys the growing center at the base of the nail bed, ensuring that the fungus will not grow back. If you have toenail fungus, it is suggested that you make an appointment with a podiatrist for an examination and treatment options. 

For more information about treatment, contact one of our podiatrists of Graff Foot, Ankle and Wound Care. Our doctors can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

If you have any questions please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Cracking Toes

Many joints in the body can sometimes crack, and this can be common in the back and neck. The toes are no exception. Sometimes, when the joints in the toes crack, it is generally harmless. However, other times, cracking in the toes may be a sign of something more serious. Cracking of the joints in the toes is referred to as crepitus. This may be indicative of a more serious condition, possibly arthritis, or a kind of foot fracture or toe injury. Conversely, when cracking in the toes is harmless, it may be explained by cavitation. Cavitation is defined as a vacuum that forms in the fluid surrounding a joint. If you are someone that experiences frequent toe cracking, it is suggested that you contact a podiatrist today for an appointment.

If you have any concerns about your feet, contact one of our podiatrists from Graff Foot, Ankle and Wound Care. Our doctors can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

  • Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
  • In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

If you have any questions please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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How Do Ankle Sprains Happen?

Ankle sprains generally happen due to over-stretched ligaments on the outside of the ankle. The ligaments connect the bones and joints to each other and provide stability and balance to the body. Common causes of ankle sprains can consist of suddenly twisting the ankle from unexpectedly stepping off a curb or walking on uneven surfaces. Existing foot injuries may also lead to a sprained ankle, or it may happen to patients born with weak ankles. People can experience symptoms such as swelling and bruising, and walking can be difficult. A diagnosis is often performed that can rule out a broken ankle. Once the sprained ankle is confirmed, treatment can begin. This generally consists of refraining from bearing weight on it for several weeks, in addition to wearing an elastic wrap that can provide stability. If you have sprained your ankle, it is suggested that you confer with a podiatrist who can guide you toward the correct treatment method.

Ankle sprains are common but need immediate attention. If you need your feet checked, contact one of our podiatrists from Graff Foot, Ankle and Wound Care. Our doctors can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

  • Mild to moderate bruising
  • Limited mobility
  • Swelling
  • Discoloration of the skin (depending on severity)

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

If you have any questions please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Mandatory Work Shoes

Some people have jobs that require standing and lifting most of the day. The feet can be affected and it is generally stressed by employers and safety leaders in the workplace that appropriate shoes are worn. This may help to prevent severe foot conditions from developing, in addition to hurting other areas of the body. Standing on anti-fatigue mats, also known as stress mats, is known to help absorb the shock from standing on hard surfaces. Despite this, employees tend to trip on these mats if they are not flat on the ground which may lead to additional injuries. It is helpful to wear work shoes that have traction on the soles to help prevent injuries from existing later. In most union jobs, taking breaks is mandatory to allow ample time to rest the body and feet. If you would like more information about how wearing the right shoes while working can protect the feet, it is suggested that you confer with a podiatrist who can provide you with helpful information.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact one of our podiatrists from Graff Foot, Ankle and Wound Care. Our doctors 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 offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Recovery From a Broken Ankle

If you have ever broken your ankle, you know how it can interfere with daily function and put a halt to many activities. It is crucial to promptly see a podiatrist who can evaluate the severity of the break and provide a treatment plan for recovery. Included in the recovery, at some point, will likely be movements that are designed to improve the strength, flexibility, and stability of the ankle. Once your cast or brace is removed, you may benefit from practicing several range of motion exercises. Simple movements, such as pointing the toes up and down and inward and outward, improve the ankle joint's motion. Flexibility exercises are for helping improve the muscular flexibility of the ankle. They include towel calf stretches and standing runner stretches. Strengthening exercises are for increasing the strength in an ankle that is weak from the fracture and immobilization. Resistance bands can be used to help perform these movements more comfortably. If you have a broken ankle, it is suggested that you see a podiatrist who can provide a plan for proper healing that will get you back to your normal functioning as quickly as possible and help future problems from the break down the road.

Broken ankles need immediate treatment. If you are seeking treatment, contact one of our podiatrists from Graff Foot, Ankle and Wound Care. Our doctors can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

  • Excessive pain when the area is touched or when any pressure is placed on the ankle
  •  Swelling around the area
  •  Bruising of the area
  • Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

If you have any questions, please feel free to contact our offices located in Plano, Dallas, Prosper, Allen, Irving, Garland, Frisco, and Coppell, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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