Items filtered by date: October 2024

Diabetic foot blisters, or diabetic bullae, are fluid-filled pockets that can develop on the skin of the feet. Diabetic blisters, which resemble those caused by burns but without the accompanying pain, are often harmless but can become problematic if they become infected. People with diabetes, particularly those who have peripheral neuropathy or poor circulation, may not feel the blister form and may overlook it. Common causes include wearing poorly fitting shoes that create friction on the feet, as well as high blood sugar levels that compromise skin integrity. A podiatrist can assess the severity of diabetic blisters and help prevent complications, such as infections that can arise if they are not properly managed. Regular monitoring of foot health, wearing well-fitted shoes, and managing blood sugar levels are important steps in preventing foot blisters. If you have foot blisters related to diabetes, it is suggested that you schedule an appointment with a podiatrist for treatment of blisters and other foot complications.

Blisters may appear as a single bubble or in a cluster. They can cause a lot of pain and may be filled with pus, blood, or watery serum. If your feet are hurting, contact Dr. James D. McAlexander of Gig Harbor Foot and Ankle Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters are often the result of friction. This happens due to the constant rubbing from shoes, which can 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.

Symptoms

(Blister symptoms may vary depending on what is causing them)

• Bubble of skin filled with fluid
• Redness
• Moderate to severe pain
• Itching

Prevention & Treatment

In order to prevent blisters, you should be sure to wear comfortable shoes with socks that cushion your feet and absorb sweat. Breaking a blister open may increase your chances of developing an infection. However, if your blister breaks, you should wash the area with soap and water immediately and then apply a bandage to the affected area. If your blisters cause severe pain it is important that you call your podiatrist right away.

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

Congenital foot problems are deformities present from birth, affecting the structure and function of the feet. Metatarsus adductus causes the toes and the front of the foot to curve inward toward the other foot. It can be flexible, often correcting itself by six to 12 months of age, although surgery may be needed if it does not improve. Clubfoot, similar in appearance but with toes pointing downward and the bottom of the foot facing inward, is usually detected via prenatal ultrasound and treated with casting or surgery. Calcanevalgus involves a dislocation of the talus bone, causing the top of the foot to touch the shin. This condition often improves on its own but may require intervention if it persists. Congenital vertical talus causes the foot to bend upwards and outwards. Treatment typically involves casting and, in some cases, surgery. If you notice any signs of these conditions on your baby, it is suggested you promptly schedule an appointment with a podiatrist for a proper diagnosis and treatment.

Congenital foot problems require immediate attention to avoid future complications. If you have any concerns, contact Dr. James D. McAlexander of Gig Harbor Foot and Ankle Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

• Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
• Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
• Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
• Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
• Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
• Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

If you have any questions please feel free to contact our office located in Gig Harbor, WA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Bunions and bunionettes are common foot conditions that can cause significant discomfort. A bunion is a bony bump that forms at the base of the big toe, causing the toe to angle inward, resulting in pain and swelling. Conversely, a bunionette, also known as a tailor's bunion, develops on the outside of the foot near the little toe. Both conditions can lead to inflammation and difficulty in wearing certain types of shoes. Symptoms include swelling, redness, and tenderness surrounding the affected areas. To prevent these issues, it is important to wear properly fitting shoes with adequate room in the toe box. Regularly performing foot exercises and maintaining a healthy weight can also help reduce the risk. If you have either one of these foot conditions, it is suggested that you consult a podiatrist who can offer effective relief and treatment solutions.

If you are suffering from bunions, contact Dr. James D. McAlexander of Gig Harbor Foot and Ankle Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• Surgery

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

Foot ulcers are open sores or wounds that typically develop on the bottom of the foot and can result from poor circulation or prolonged pressure. They are often linked to conditions like peripheral neuropathy, arthritis, and Raynaud's phenomenon. Peripheral neuropathy reduces sensation in the feet, making it difficult to detect injuries, while poor circulation from conditions like Raynaud's delays healing. Arthritis can increase the risk of pressure ulcers by altering foot mechanics. If untreated, foot ulcers can lead to severe infections, including gangrene, possibly resulting in amputation. Symptoms include swelling, redness, drainage, and pain surrounding the wound. Diagnosis involves physical examination and tests to assess circulation and nerve function. Treatment includes wound care, offloading pressure, managing underlying conditions, and sometimes surgery. Healing time varies, from weeks to months, depending on the ulcer's severity and the patient's overall health. If you have developed a foot ulcer, it is strongly suggested that you schedule an appointment with a podiatrist for treatment.

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 Dr. James D. McAlexander from Gig Harbor Foot and Ankle Clinic. 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 feel free to contact our office located in Gig Harbor, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Stress fractures of the feet and ankles are tiny cracks in the bones that result from repetitive stress or overuse, rather than from a single traumatic event. They commonly occur in athletes, runners, or individuals who suddenly increase their physical activity. The bones most affected are the metatarsals in the foot and the tibia near the ankle. Symptoms of a stress fracture include localized pain that worsens with activity, swelling, and tenderness to touch. The pain may decrease with rest but return during weight-bearing activities. Diagnosis typically involves a physical exam and imaging tests like X-rays or MRI scans. Treatment includes rest, and In severe cases, crutches or surgery may be necessary. Early diagnosis and treatment are important to prevent the fracture from worsening and to ensure a full recovery. If you believe you have endured a foot or ankle stress fracture, it is suggested that you schedule an appointment with a podiatrist for an accurate diagnosis and care.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact Dr. James D. McAlexander from Gig Harbor Foot and Ankle Clinic. Our doctor can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

• Runners                                  
• People affected with Osteoporosis
• Tennis or basketball players
• Gymnasts
• High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

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