Limb salvage is a procedure that involves saving a lower extremity from amputation. In podiatry, limb amputation often occurs as a result of diabetes. The fundamental goal of limb salvage is to restore and maintain stability and movement of the affected lower extremity.
The procedure typically involves removing the diseased tissue and a small portion of the surrounding healthy tissue, as well as the removal of any affected bone if necessary. If bone is removed it is then replaced with prostheses, or synthetic metal rods or plates, or grafts from either the patient’s body or a donor. Limb salvage is typically the preferred choice of procedure over amputation, as the procedure preserves both the patient’s appearance and allows for the greatest possible degree of function in the affected limb.
Upon diagnosis and determining that limb salvage is the appropriate treatment, the podiatrist may enlist the help of a physical and/or occupational therapist to prepare the patient for surgery by introducing various muscle-strengthening, walking, and range of motion exercises. Such exercises may be continued as rehabilitation post-procedure.
Developing foot ulcers is common among people with diabetes. These can be dangerous if ignored, and in some cases lead to gangrene or even amputation of a limb. Experts believe the best way to avoid these dire complications is to manage blood sugar levels. But other factors contribute to the formation of foot or leg ulcers, which are wounds that do not heal properly. Peripheral artery disease and diabetic neuropathy both can play a role. Numbness and other symptoms brought on by these conditions increase the likelihood of small cuts, sores, and bruises going undetected. Treating ulcers early can help prevent the worst-case scenarios. Practicing healthy foot care is essential. Examine your feet, heels, and ankles daily. Keep them clean, dry, and well moisturized to avoid cracks in the skin. Maintaining healthy body weight, eating nutritious foods, and exercising daily can also help. Look for redness, swelling, discoloration, or bruising. If you notice a cut, sore, or wound that won’t heal, please consult a podiatrist as soon as possible to develop a regular schedule of examination and treatment.
Diabetic Limb Salvage
Diabetic limb salvage can be an effective way in preventing the need for limb amputation. If you have a foot ulcer and diabetes, consult with Dr. Castillo from Bronx Foot Care. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
What Is Diabetic Limb Salvage?
Diabetic limb salvage is the attempt of saving a limb, such as the foot, that has an infected ulcer, from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.
Diabetes is the number one cause of non-traumatic amputations in the United States. Amputation has been found to lead to higher mortality rates. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.
Diagnosis and Treatment
Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated.
If you have any questions, please feel free to contact our office located in Bronx, NY. We offer the newest diagnostic and treatment technologies for all your foot care needs.
Have you ever gotten up from a chair or out of bed in the morning, and upon taking that first step, feel like your heel has stepped on a tack? Many people experience a feeling of sharp pain which radiates into their arch from their heel and which does not allow them to put their heel on the floor. Sometimes they need to sit back down, stand only on their toes and use the wall for balance. If you can take a few steps, it seems to go away and lessen, allowing you to then resume your activity. Later, throughout your day and after a period of rest, it can happen again. If this sounds familiar you may be suffering from your first attack of heel pain.
Heel pain is a debilitating condition that affects day to day activities. Running and walking both causes stress on the heel because the heel is the part of the foot that hits the ground first. This means that the heel is taking on your entire weight. Diagnosis and treatments for heel pain can be easily found through your podiatrist.
Plantar Fasciitis
One of the main causes of heel pain is a condition known as plantar fasciitis. The plantar fascia is a band of tissue that extends along the bottom of the foot, from the toe to the bottom of the heel. A rip or tear in this ligament can cause inflammation of these tissues, resulting in heel pain. People who do not wear proper fitting shoes are often at risk of developing problems such as plantar fasciitis. Unnecessary stress from ill-fitting shoes, weight change, excessive running, and wearing non-supportive shoes on hard surfaces are all causes of plantar fasciitis.
Achilles Tendonitis
Achilles tendonitis is another cause of heel pain. Similar to plantar fasciitis, inflammation of the Achilles tendon will cause heel pain due to stress fractures and muscle tearing. A lack of flexibility of the ankle and heel is an indicator of Achilles tendonitis. If left untreated, this condition can lead to plantar fasciitis and cause even more pain on your heel.
Heel Spur
A third cause of heel pain is a heel spur. A heel spur occurs when the tissues of the plantar fascia undergo a great deal of stress, leading to a separation of the ligament from the heel bone entirely. This results in a pointed fragment of bone on the ball of the foot, known as a heel spur.
There are many possible causes of heel pain, with plantar fasciitis being the most probable. This condition is an inflammation of the plantar fascia tissue on the bottom of the foot that connects the toes with the heel. This is where the pain is felt. Pain on the bottom of the heel may also be due to a stress fracture in the heel caused by repetitive stress. Pain at the back of the heel can be caused by several additional conditions. Heel bursitis occurs when the fluid-filled bursa sac at the back of the heel becomes irritated and inflamed. Haglund’s deformity is a bony enlargement at the back of the heel which can sometimes be caused by high-heeled, or hard-backed shoes that rub against the area. Achilles tendinitis is an inflammation of the Achilles tendon that also produces pain at the back of the heel where it attaches to the heel bone. Sever’s disease, which is an inflammation of the heel growth plate in growing children, can also cause pain in the back of the heel. A podiatrist is highly skilled at pinpointing the underlying issue causing heel pain and treating it accordingly. Make an appointment today if you are experiencing any kind of heel pain.
Many people suffer from bouts of heel pain. For more information, contact Dr. Castillo of Bronx Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.
Causes of Heel Pain
Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.
Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.
Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.
Why Might Heel Pain Occur?
Wearing ill-fitting shoes
Wearing non-supportive shoes
Weight change
Excessive running
Treatments
Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.
If you have any questions please contact our office located in Bronx, NY. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Our feet are arguably the most important parts of our bodies because they are responsible for getting us from place to place. However, we often don’t think about our feet until they begin to hurt. If you have pain in your feet, you need to first determine where on the foot you are experiencing it to get to the root of the problem. The most common areas to feel pain on the foot are the heel and the ankle.
Heel pain is most commonly attributed to a condition called plantar fasciitis. Plantar fasciitis occurs when the plantar fascia, which is the band of tough tissue connecting the heel bone to the toes becomes inflamed. Plantar fasciitis pain is usually worse in the morning, and it tends to go away throughout the day. If you have plantar fasciitis, you should rest your foot and do heel and foot muscles stretches. Wearing shoes with proper arch support and a cushioned sole has also been proven to be beneficial.
Some common symptoms of foot pain are redness, swelling, and stiffness. Foot pain can be dull or sharp depending on its underlying cause. Toe pain can also occur, and it is usually caused by gout, bunions, hammertoes, ingrown toenails, sprains, fractures, and corns.
If you have severe pain in your feet, you should immediately seek assistance from your podiatrist for treatment. Depending on the cause of your pain, your podiatrist may give you a variety of treatment options.
Bone spurs or osteophytes are smooth growths of bone that can develop throughout the body, over a long period of time. Common areas for such spurs to occur include heels, ankles, and big toes. They are a natural part of aging but also can be a progression of certain medical conditions, such as osteoarthritis. In fact, joint damage from osteoarthritis is the most frequent cause of bone spurs. Bone spurs are not painful in and of themselves but can become painful when they push into surrounding tissue and nerves. If there are no symptoms, bone spurs do not have to be treated, however, if they cause pain, treatment should be undertaken. Some common suggestions for alleviating the pain of foot bone spurs include maintaining a healthy body weight to take pressure off joints and doing exercises to stretch and strengthen muscles around joints, resting, and icing the affected area. Surgery may be needed to remove bone spurs if inflammation and pain become debilitating. If you have a troublesome bone spur on your foot, it is best to see a podiatrist to discuss the best treatment to alleviate your pain.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dr. Castillo from Bronx Foot Care. Our doctor 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)
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 Bronx, NY. We offer the newest diagnostic and treatment technologies for all your foot care needs.
Broken ankles are a serious injury that can lead to an inability to walk, function, and also cause a significant amount of pain. A broken ankle is a break in one of the three bones in your body that connect at the ankle joint: the tibia, the fibula, and the talus. The tibia and fibula are your two primary leg bones that connect at the knee, which sit directly upon the talus bone. This is protected by a fibrous membrane that allows for movement in the ankle joint. A broken ankle is usually caused by the foot rolling under or twisting too far, causing one of these three bones to snap.
A broken ankle is different from an ankle sprain, which occurs when the ankle ligaments are ripped or torn but no bones have been broken. A sprain can still be very severe, causing bruising in the foot and an inability to hold your own weight, much like a broken ankle would. If you’re unable to stand, and suspect that you have a broken ankle, the first thing to do would be to get an immediate X-ray to determine the severity of the break.
A common cause of broken ankles is when the ankle is rolled over with enough pressure to break the bones. This usually happens during exercise, sports, or other physical activity. Another common cause is a fall or jump from a tall height.
One immediate treatment for pain relief is elevating the foot above your head to reduce blood flow to the injured area. You can also apply ice packs to your ankle to help reduce swelling, redness, inflammation, and pain. After these initial steps, getting a cast and staying off your feet as much as possible will aid in the recovery of the broken ankle. The less movement and stress the ankle has to endure, the more complete it will heal. A doctor can determine if surgery is needed in order to heal correctly. In these cases, an operation may be the only option to ensure the ability to walk properly again, followed by physical therapy and rehabilitation.
It is highly important to determine if surgery is needed early on, because a broken ankle can become much more severe than you realize. If not professionally treated, the broken ankle will inhibit your walking, daily functioning, and produce a large amount of pain. Treating your broken ankle early on will help prevent further damage to it.
An ankle fracture in children involves at least one bone break in your child’s ankle. Common symptoms of an ankle fracture include pain, tenderness, swelling, bruising, and trouble moving or putting weight on the ankle or foot. This type of injury is diagnosed with an X-ray, ultrasound, CT, or MRI. A podiatrist will usually treat a child’s ankle break with a supportive device, such as a cast or brace, and crutches are often provided to help keep weight off the affected ankle. If the fracture is severe, surgery may be needed. Resting the ankle, applying ice, compressing, and elevating the ankle should all help in healing. If you think your child has a broken ankle, it is suggested you visit a podiatrist for proper diagnosis and a treatment plan that best suits your child’s injury.
Broken ankles need immediate treatment. If you are seeking treatment, contact Dr. Castillo from Bronx Foot Care. Our doctor 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 office located in Bronx, NY. We offer the newest diagnostic and treatment technologies for all your foot care needs.
Hammertoe is a foot deformity that occurs due to an imbalance in the tendons, muscles, or ligaments that are responsible for holding the toes in their normal position. This condition may be caused by poor footwear, foot structure, trauma, and disease. The most common solution for hammertoe is to relieve the pain by changing your footwear and wearing orthotics. In severe cases, surgery may be required.
The shoes that are most likely to cause hammertoe are high heeled shoes or shoes that are too tight in the toe box. Tight shoes will force your toes to crowd together in a curled position. This position will likely continue when you take your shoes off. Another cause is trauma. When you stub your toe, you are increasing the chance that you will develop hammertoe.
There are risk factors that may make you more likely to develop this condition. Women are more likely to have the condition compared to men, and it is also more likely to appear in those who are older in age.
Many different foot problems can be avoided by wearing shoes that have adjustability, adequate toe room, and low heels. Furthermore, if you want to buy new shoes, you should look to purchase them at the end of the day and make sure you know your correct size. The importance of buying shoes at the end of the day is that your feet swell as the day progresses. You should also ensure that you are wearing your correct size because your shoe size may change as you grow older.
To diagnose someone with hammertoe, your podiatrist will need to conduct a thorough examination of your foot. Your doctor may even order an x-ray to evaluate the bones and joints of your feet and toes.
If you have hammertoe, your podiatrist may recommend that you wear shoes that fit you better along with inserts to place inside them. Additionally, he or she may suggest special exercises for you to perform to stretch your toes. One helpful exercise it to pick up marbles with your feet or crumple a towel with your toes.
Prior to meeting with your podiatrist, it will be helpful to make a list of all the symptoms you are experiencing. You should also make a note of medications you are taking and important personal information about your medical history.
Toes are composed of several small bones that are held together by tendons and ligaments. The condition known as hammertoe is considered to be a deformity and can develop from wearing shoes that do not fit correctly. The second toe can gradually bend downward and may overlap the third toe. A proper diagnosis consists of an X-ray which is helpful in observing the deformity. Many patients will purchase larger shoes that can accommodate the unusual position of the toes. In mild cases where the toes remain flexible, the tendons may be rebalanced. Sometimes hammertoe is severe and surgery is often required for permanent straightening. The approximate healing time for surgery is four to six weeks and it is advised to elevate the foot as often as possible to help diminish existing swelling. If you have developed hammertoe, it is suggested that you are under the care of a podiatrist who can guide you toward correct treatment options.
Hammertoes can be a painful condition to live with. For more information, contact Dr. Castillo of Bronx Foot Care. Our doctor will answer any of your foot- and ankle-related questions.
Hammertoe
Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.
Symptoms
Painful and/or difficult toe movement
Swelling
Joint stiffness
Calluses/Corns
Physical deformity
Risk Factors
Age – The risk of hammertoe increases with age
Sex – Women are more likely to have hammertoe compared to men
Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe
Treatment
If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.
If you have any questions, please feel free to contact our office located in Bronx, NY. We offer the newest diagnostic and treatment technologies for all your foot care needs.
