Negative pressure therapy, or vacuum-assisted closure, is an effective treatment for diabetic foot wounds, promoting faster healing and reducing complications. This method involves applying a controlled negative pressure to the wound through a sealed dressing connected to a vacuum pump. This pressure helps to remove excess fluid, reduce swelling, and enhance blood flow to the area, which accelerates tissue repair. Additionally, this type of therapy helps to draw the wound edges together, facilitating faster closure and reducing the risk of infection. For diabetic patients, who often face challenges with wound healing due to compromised circulation and neuropathy, negative pressure therapy can be a game-changer. If you have a diabetic foot wound, it is strongly suggested that you schedule an appointment with a podiatrist to determine if this therapy is suitable for your specific wound.

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 DeCaro Total Foot Care Center. 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 contact our office located in West Hatfield, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Hammertoe surgery addresses the deformity where one or more toes bend downward, resembling a hammer. This procedure aims to relieve pain, improve function, and restore normal toe alignment. There are several types of hammertoe surgery, each tailored to the severity and specifics of the condition. Tendon transfer involves repositioning tendons to correct the toe's alignment. Joint resection, or arthroplasty, removes a portion of the joint to alleviate pressure and pain. Fusion, or arthrodesis, involves joining the bones in the affected joint to provide stability and straighten the toe permanently. Post-surgery, expect a period of recovery that includes swelling, pain management, and restricted movement. Wearing supportive footwear and following post-operative care instructions are essential for optimal healing and achieving the best results from the surgery. If you have a hammertoe that is causing you pain and discomfort, it is suggested that you consult a podiatrist who can determine if surgery is right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact one of our podiatrists of DeCaro Total Foot Care Center. 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 our office located in West Hatfield, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Morton’s neuroma is a painful condition affecting the foot, typically caused by a thickening of the tissue around one of the nerves leading to the toes. This condition often develops between the third and fourth toes, where the nerve becomes compressed or irritated. Morton’s neuroma can be triggered by factors such as wearing tight or high-heeled shoes, which place excessive pressure on the foot, or by repetitive stress from activities like running or jumping. Symptoms can include sharp, burning pain in the ball of the foot, tingling or numbness in the toes, and a feeling of having a pebble in the shoe. These symptoms often worsen with activity and improve with rest. If you have pain in this area of your foot, it is suggested that you contact a podiatrist who can accurately diagnose and treat Morton’s neuroma.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact one of our podiatrists of DeCaro Total Foot Care Center. Our doctors will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

• Ill-fitting high heels or shoes that add pressure to the toe or foot
• Jogging, running or any sport that involves constant impact to the foot
• Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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

Foot ulcers are open sores that can range from a shallow surface wound to a deep crater that extends through skin layers, possibly reaching tendons and bones. Foot ulcers are especially common in diabetic patients or people with poor circulation, making them difficult to heal and prone to serious infections. Foot ulcers often develop due to nerve damage, or peripheral neuropathy, which causes a lack of sensation in the lower extremities. Another cause of foot ulcers is peripheral artery disease, which impedes blood flow and impairs the body’s ability to heal properly. This means that even minor injuries can go unnoticed, eventually leading to ulcers. Left untreated, foot ulcers can lead to infections, abscesses, and in extreme cases, gangrene, which might require amputation. Abnormal foot structures or wearing poorly fitting shoes can further contribute to the formation of such ulcers. If you have foot ulcers, it is suggested that you make a podiatrist a member of your healthcare team for regular monitoring and necessary 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 DeCaro Total Foot Care Center. 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 office located in West Hatfield, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Foot pain can disrupt daily activities and impact overall well-being. Understanding common causes can help in managing and preventing discomfort. One frequent culprit is plantar fasciitis, which results from inflammation of the tissue along the bottom of the foot, often due to overuse or poor arch support. Another common source of foot pain is bunions, characterized by a bony bump at the base of the big toe, often made worse by tight or ill-fitting shoes. Arthritis, including osteoarthritis and rheumatoid arthritis, can also lead to pain and stiffness in the joints of the feet. Additionally, conditions like flat feet or high arches can contribute to foot pain by causing uneven weight distribution. A podiatrist can identify and help you manage these issues. Sometimes simple preventive measures like wearing well-fitting shoes, using orthotic inserts, and stretching regularly can alleviate or even prevent your discomfort. If you have foot pain, it is suggested you consult a podiatrist for appropriate diagnosis and treatment.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with one of our podiatrists from DeCaro Total Foot Care Center. 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 office located in West Hatfield, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Running frequently leads to foot injuries, including skin and toenail damage, plantar fasciitis, metatarsalgia, and peroneal tendonitis. Skin conditions like blisters and calluses often arise from friction and improper footwear. Toenail damage, including bruised or ingrown nails, can occur from repetitive impact and tight shoes. Plantar fasciitis, characterized by heel pain and inflammation of the foot's connective tissue, is common among runners. Metatarsalgia causes pain in the ball of the foot due to overuse or poor arch support. Peroneal tendonitis results in pain along the outer side of the ankle from excessive strain. To manage these conditions, rest and appropriate treatment are essential. Wearing well-fitted, supportive shoes, using orthotic inserts, and incorporating stretching and strengthening exercises can help prevent and relieve these common running-related injuries. If you have endured a foot or ankle injury while running, it is suggested that you visit a podiatrist who can effectively treat your foot condition.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact one of our podiatrists of DeCaro Total Foot Care Center. Our doctors can provide the care you need to keep you pain-free and on your feet.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

• Plantar Fasciitis
• Achilles Tendinitis
• Achilles Tendon Rupture
• Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

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

A bunion, medically known as hallux valgus, is a deformity characterized by the misalignment of the big toe joint, causing the toe to lean toward the other toes and creating a noticeable bump on the side of the foot. This condition often results from a genetic predisposition, wearing tight or ill-fitting shoes, high heels, or conditions such as arthritis. Symptoms of a bunion can include pain, swelling, redness surrounding the affected joint, and difficulty walking. Over time, the deformity can worsen, leading to increased discomfort and mobility issues. Conservative treatments for bunions include wearing wide-toed shoes, using protective pads to reduce friction, wearing orthotics, and taking mild pain relievers. If conservative methods fail to provide relief, more invasive options can include corticosteroid injections to reduce inflammation or bunionectomy surgery to realign the bones, tendons, and ligaments. If you have a painful bunion, it is suggested that you schedule an appointment with a podiatrist for an accurate diagnosis and a personalized treatment plan.

If you are suffering from bunion pain, contact one of our podiatrists of DeCaro Total Foot Care Center. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

• Genetics – some people inherit feet that are more prone to bunion development
• Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

• Redness and inflammation
• Pain and tenderness
• Callus or corns on the bump
• Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

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

Selecting the right exercise shoes is particularly important for seniors to ensure safety, comfort, and effectiveness during physical activity. Seniors should consider several factors when choosing footwear, such as the type of exercise they plan to do and the level of support required. The wear pattern on current shoes, foot shape, and arch support needs must also be weighed. High-impact activities such as running often call for shoes with more support, while activities like walking may require less. Analyzing the wear on old shoes can provide insights into your gait and help guide your choice. Foot shape and arch support are critical, as some feet have high arches, others are flat, and many fall inward or outward when standing. Exercise shoes should feel comfortable during extended wear and be aesthetically pleasing to encourage regular use. A podiatrist can assess your foot type, gait, and specific needs, in order to recommend the most suitable footwear to prevent injuries and enhance exercise performance. If you are looking for the right exercise shoes, it is suggested that you schedule an appointment with a podiatrist for guidance on options that are best for you to consider.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact one of our podiatrists from DeCaro Total Foot Care Center. Our doctors can provide the care you need to keep you pain-free and on your feet.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

• Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
• Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
• Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
• Gouging toenails affecting nearby toe
• Shoes that don’t fit properly
• Pressure sores
• Loss of circulation in legs & feet
• Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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

Foot pain is a significant factor contributing to falls in seniors. Research indicates a link between severe foot pain and a higher incidence of recurrent falls in older adults. Conditions like arthritis, plantar fasciitis, bunions, and flat feet can cause pain that affects balance and gait. Flat feet, in particular, can lead to altered foot mechanics, increasing the risk of falling. A podiatrist can be instrumental in preventing falls by addressing these issues through regular foot examinations. This foot doctor can diagnose and treat foot conditions, as well as recommend supportive footwear and prescribe orthotic inserts. They can also provide pain management strategies and suggest personalized strength training and foot exercise programs that improve stability and mobility. If you are 65 years of age or older and have fallen in the last year as a result of foot pain, it is suggested that you schedule an appointment with a podiatrist for an exam and suggested fall prevention measures.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with one of our podiatrists from DeCaro Total Foot Care Center. Our doctors will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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