A diabetic foot ulcer is an open sore or wound that typically forms on the bottom of the foot in individuals with diabetes. It is caused by a combination of poor circulation, nerve damage, and prolonged pressure or injury that goes unnoticed due to reduced sensation. Symptoms may include redness, swelling, drainage, or a visible sore that does not heal. Risk factors include uncontrolled blood sugar, foot deformities, and wearing improper footwear. A podiatrist plays a key role in early detection, wound care, infection prevention, and long-term foot health. If you have diabetes and notice any changes in your feet, it is suggested that you promptly contact a podiatrist who can help you to manage this serious condition and avoid complications.

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 one of our podiatrists from PA Foot & Ankle Associates. Our doctors 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 feel free to contact one of our offices located in Allentown, Easton, Northampton, and Chew Street in Allentown, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Wound Care
Tuesday, 15 July 2025 00:00

Wound Care

Diabetics must be wary of all wounds, regardless of depth or size. Diabetes, a chronic disease in which the body cannot properly use glucose the way it normally would, causes various complications that make wounds difficult to heal. Nerve damage or neuropathy will cause diabetics to have trouble feeling the pain of a blister or cut until the condition has significantly worsened or become infected. A diabetic’s weakened immune system can make even the most minor of wounds easily susceptible to infection. Diabetics are also more prone to developing narrow, clogged arteries, and are therefore more likely to develop wounds.

Wounds should be taken care of immediately after discovery, as even the smallest of wounds can become infected if enough bacteria build up within the wound.  To remove dirt, wounds should be first rinsed under running water only. Soap, hydrogen peroxide, or iodine can irritate the injury and should be avoided. To prevent infection, apply antibiotic ointment to the wound and cover it with a bandage. The bandage should be changed daily. The skin around the wound may be cleaned with soap.

To prevent further exacerbation, see a doctor—especially if you have diabetes. Minor skin conditions can become larger problems if not properly inspected. As the wound heals, make sure to avoid applying pressure to the affected area.

First-step pain is a common symptom of unilateral plantar fasciopathy, causing sharp discomfort in the heel when rising after rest. This condition results from inflammation of the plantar fascia, a thick band of tissue supporting the foot arch. Custom foot orthotics are designed to provide targeted support, reduce strain, and improve alignment, which helps relieve pressure on the affected area. By cushioning the heel and enhancing foot mechanics, orthotics can significantly reduce pain during the first steps of the day. A podiatrist can evaluate your condition, design personalized orthotics, and guide you through a treatment plan. If morning foot pain is affecting your daily life, it is suggested that you consult a podiatrist who can provide effective relief strategies, restoring comfort and mobility.

The benefits of custom orthotics are far-reaching and can make a significant impact on your daily life. Whether you are an athlete looking to enhance your performance, a healthcare worker on your feet every day, someone who experiences chronic foot pain, or someone who wants to improve their overall comfort and well-being, custom orthotics can be a game changer. 

Custom orthotics provide support, stability, and relief for a variety of foot conditions ranging from flat feet to heel pain. They can even help prevent injuries and address more severe foot concerns, such as plantar fasciitis and diabetic foot issues. 

Contact one of our podiatrists at PA Foot & Ankle Associates to create tailored orthotics for you and enjoy a higher quality of life, reduced pain, and increased mobility. With the right orthotics, you can continue doing the things you love, whether it’s running, dancing, or simply walking comfortably without discomfort. 

If you are suffering from foot discomfort or have concerns about your foot health, do not hesitate to contact one of our podiatrists at PA Foot & Ankle Associates to explore the benefits of orthotics for you. Your feet are the foundation of your body and investing in their well-being can lead to a happier, healthier, and more active lifestyle. Your feet will thank you!

If you have any questions please contact one of our offices located in Allentown, Easton, Northampton, and Chew Street in Allentown, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Investing in Custom Orthotics Means Investing in Foot Health

Custom orthotics offer a tailored approach to foot health, providing a host of benefits that extend far beyond conventional shoe inserts. One of the primary advantages lies in their ability to address specific biomechanical issues. Unlike off-the-shelf inserts, custom orthotics are crafted based on an individual's unique foot structure, gait, and any existing foot conditions.

The personalized design of custom orthotics ensures optimal support for the arches, promoting proper alignment and distributing pressure evenly across the feet. This can be particularly beneficial for individuals dealing with issues such as overpronation or underpronation, as custom orthotics help correct imbalances that may lead to discomfort or injury.

Beyond biomechanics, custom orthotics can alleviate a range of foot problems, including plantar fasciitis, bunions, and metatarsalgia. They provide targeted relief to areas under stress, reducing pain and inflammation. Additionally, for those with specific medical conditions like diabetes, custom orthotics can play a crucial role in preventing complications associated with poor foot health.

Comfort is another key aspect of custom orthotics. By accommodating the unique contours of an individual's feet, these inserts enhance overall comfort, making daily activities more enjoyable. Whether for athletes looking to optimize performance or individuals seeking relief from chronic foot pain, custom orthotics offer a versatile solution.

Investing in custom orthotics is an investment in long-term foot health. They not only provide immediate relief but also contribute to the prevention of future issues. With the ability to seamlessly integrate into various types of footwear, custom orthotics empower individuals to prioritize foot comfort without compromising on style. In essence, custom orthotics are a personalized prescription for happy, healthy, and pain-free feet.


 

Wednesday, 09 July 2025 00:00

Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Ingrown toenails occur when the edge of the nail grows into the surrounding skin, causing pain, swelling, and sometimes infection. Common causes include improper trimming like rounding the corners, tight shoes, trauma, or genetic predisposition. While most people know ingrown nails cause pain at the toe’s edge, a lesser-known issue is chronic recurrence, which can lead to thickened skin and nail deformities over time. Symptoms include redness, tenderness, swelling, and sometimes drainage or pus. The area may feel warm and throb with each step, making walking or wearing shoes uncomfortable. Over time, untreated cases can lead to serious infections or skin overgrowth. A podiatrist can diagnose the condition through a simple exam. Treatment ranges from conservative care to partial or full nail removal for persistent cases. Proper nail care education and footwear advice can also help prevent recurrence. If you are dealing with this painful condition, it is suggested that you make an appointment with a podiatrist for evaluation and treatment.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact one of our podiatrists of PA Foot & Ankle Associates. Our doctors can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

  • Improper toenail trimming
  • Genetics
  • Improper shoe fitting
  • Injury from pedicures or nail picking
  • Abnormal gait
  • Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

If you have any questions, please feel free to contact one of our offices located in Allentown, Easton, Northampton, and Chew Street in Allentown, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Ingrown Toenails
Tuesday, 08 July 2025 00:00

Ingrown Toenails

An ingrown toenail is a nail that has curved downward and grown into the skin.  This typically occurs at either the nail borders or the sides of the nail.  As a result, pain, redness, swelling, and warmth may occur in the toe.  If a break in the skin forms due to the ingrown nail, bacteria may enter and cause an infection in the area; this is typically characterized by a foul odor and drainage.

Ingrown toenails have multiple reasons for developing.  In many instances, the condition is a result of genetics and is inherited.  The most common cause, however, is improper trimming; cutting the toenails too short forces the skin beside the nail to fold over.  An ingrown toenail can also develop due to trauma, such as stubbing the toe, having an object fall on the toe, or participating in activities that involve repeated kicking or running.  Wearing shoes that are too tight or too short can also cause ingrown toenails.

Treatment for an ingrown toenail varies between patients and the severity of the condition.  In most cases, it is best to see your podiatrist for thorough and proper treatment.  After examining your toe, your podiatrist may prescribe oral antibiotics to clear the infection if one is present.  Surgical removal of either a portion of the nail or the entire nail may also be considered.  In some cases, complete removal or destruction of the nail root may be required.  Most patients who undergo nail surgery experience minimal pain afterward and can return to normal activity the following day.

Ingrown toenails can be prevented with proper nail trimming and by avoiding improper-fitting shoes.  When cutting the toenails, be sure that you are cutting in a straight line and avoid cutting them too short.  Shoes should not be too short or tight in the toe box.

An ingrown toenail occurs when the edge of the nail grows into the surrounding skin, leading to pain, swelling, and sometimes infection. When conservative care does not resolve the issue, surgical procedures called a partial or total nail avulsion may be performed. In this procedure, the podiatrist numbs the toe, removes the offending portion of the nail, and may apply a solution to prevent it from growing back. This treatment offers lasting relief and promotes proper healing. If you struggle with recurring ingrown toenails, it is suggested that you consult a podiatrist for an expert evaluation and a permanent solution to restore comfort and function.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact one of our podiatrists of PA Foot & Ankle Associates. Our doctors 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 one of our offices located in Allentown, Easton, Northampton, and Chew Street in Allentown, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Foot Surgery
Tuesday, 01 July 2025 00:00

Foot Surgery

In most cases, foot surgery is often chosen as the last available option for conditions that have otherwise been unsuccessfully treated. Surgery may be necessary for several reasons, including the removal of foot deformities (e.g. bone spurs or bunions), arthritis problems, reconstruction due to injury, and congenital malformations (e.g. club foot or flat feet). Regardless of one’s age, foot surgery may be the only successful option for treatment for certain conditions.

The type of surgery one undergoes depends on the type of foot condition the patient has. For the removal of a bunion growth, a bunionectomy is necessary. If the bones in the feet need to be realigned or fused together, a surgical fusion of the foot is needed. For pain or nerve issues, a patient may require surgery in which the tissues surrounding the painful nerve are removed. Initially, less invasive treatments are generally attempted; surgery is often the last measure taken if other treatments are unsuccessful.

While in many cases surgery is often deemed as the final resort, choosing surgery comes with certain benefits. The associated pain experienced in relation to the particular condition is often relieved with surgery, allowing patients to quickly resume daily activities. The greatest benefit, however, is that surgery generally eliminates the problem immediately.

Podiatry history has shown that foot treatments continue to evolve over time. In the field of foot surgery, endoscopic surgery is just one of the many advanced forms of surgery. As technology vastly improves so too will the various techniques in foot surgery, which already require smaller and smaller incisions with the use of better and more efficient tools. Thanks to such innovations, surgery is no longer as invasive as it was in the past, allowing for faster and easier recoveries. 

Thursday, 19 June 2025 00:00

Custom Orthotics For Foot and Heel Pain

Step into relief and reclaim your mobility! Foot and heel pain can be a thing of the past with the right Custom Orthotics. Customized to your unique foot structure, they provide the support and alignment needed to alleviate discomfort. Whether you're walking, running, or simply standing, Custom Orthotics ensure every step is cushioned and pain-free. Don't let foot ailments dictate your day. With Custom Orthotics, embrace a world of comfort and freedom. Call today to schedule an appointment.

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