Pressure on the foot causes 90 percent of foot sores in diabetic patients. To heal these sores, it is necessary to reduce the pressure. Offloading in the context of foot wounds refers to the process of reducing or redistributing pressure away from a specific area of the foot that has a wound or is at risk of developing one. By offloading, the affected area gets relief, which allows it to heal without being constantly subjected to pressure or friction. This is especially critical for individuals with diabetes, as they may have neuropathy and might not feel pain from a developing wound. Methods for offloading include using specialized footwear, casts, orthotics, and padding. The goal is to protect the wound, give it the best environment to heal, and prevent further complications. If you have diabetes and suffer from foot sores, it is strongly suggested that you make an appointment with a podiatrist who can evaluate your condition and make appropriate treatment recommendations.

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 Garnet & Carbonell, DPM, LLC. 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 our offices located in Palmetto Bay, South Miami, and Homestead, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

If you have ever experienced pain or discomfort or unusual changes in the shape of your toes, you may be dealing with a foot condition known as hammertoe. This deformity occurs when one or more toe joints become bent, resembling the shape of a hammer. Hammertoe can cause other foot conditions, such as calluses or corns where your toe rubs against the inside of the shoe. Symptoms may include pain while wearing shoes, swelling, redness, or difficulty straightening your toe. The good news is that there are effective treatments to alleviate the discomfort caused by hammertoe. Start by choosing footwear with a soft, deep, and roomy toe box to reduce pressure on your toes. Shoe Inserts, cushioning pads, or taping can move the toe and ease the pain. Incorporating simple exercises into your daily routine can also help. Try toe crunches by scrunching a towel with your toes while keeping your heel planted. Or, gently stretch your toes by pulling them toward you using your hands or a towel. In severe cases, a surgical solution may be necessary to release the tendon that is keeping the toe curled up. If you are afflicted with hammertoe, it is suggested that you seek the help of a podiatrist for an exam and treatment options.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact one of our podiatrists from Garnet & Carbonell, DPM, LLC. Our doctors will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

• Pain in the affected toes
• Development of corns or calluses due to friction
• Inflammation
• Redness
• Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

If you have any questions please contact our offices located in Palmetto Bay, South Miami, and Homestead, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Charcot-Marie-Tooth Disease, or CMT, is a disorder of the peripheral nerves, responsible for transmitting information to and from the brain and spinal cord. CMT disrupts these nerves, leading to sensory loss and muscle deterioration. This results in symptoms like balance problems, foot abnormalities, pain, and difficulty walking. Charcot-Marie-Tooth Disease is a progressive condition, worsening over time, and affecting about 150,000 people in the United States and 3 million worldwide. It is important to understand the peripheral nervous system to comprehend CMT. The peripheral nervous system links the central nervous system to organs, limbs, and skin, enabling the transmission of information and regulating functions like heartbeat and breathing. Nerve signals are carried by axons covered with myelin, akin to electrical wires in a home. CMT can cause myelin decay, slowing nerve signals and affecting longer limbs first. If you are having peripheral nerve damage affecting your feet, it is suggested that you make an appointment with a podiatrist for a proper diagnosis and treatment that will provide you relief with everyday functioning.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with one of our podiatrists from Garnet & Carbonell, DPM, LLC. Our doctors will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

If you have any questions, please feel free to contact our offices located in Palmetto Bay, South Miami, and Homestead, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Dealing with a broken ankle can be both painful and challenging. The first step is to seek medical attention for diagnosis through an X-ray. The treatment approach will depend on the severity of the fracture. Treatment options include using a specialized boot or a plaster cast to stabilize the ankle, possible bone manipulation under anesthesia, or even surgical intervention. Regular follow-up appointments are essential to monitor healing progress. Once diagnosed and treated, the recovery process begins. Healing typically takes 6 to 8 weeks or longer, depending on the severity of the break. Specific post-treatment instructions include how long the boot or cast will be needed and guidelines for weight-bearing. Gradual ankle movement and prescribed exercises may be recommended to prevent stiffness. Other recovery tips include resting and elevating the ankle, taking prescribed pain relievers, and being cautious about weight bearing. Gently moving your toes and bending your knee to prevent muscle stiffness is thought to be helpful. For help in dealing with a fractured ankle, it is suggested that you make an appointment with a podiatrist. 

Broken ankles need immediate treatment. If you are seeking treatment, contact one of our podiatrists from Garnet & Carbonell, DPM, LLC. 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 Palmetto Bay, South Miami, and Homestead, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Gout, a form of arthritis, is characterized by painful joint swelling due to a buildup of uric acid in the bloodstream. It often affects the big toe as well as other joints. Failing to address gout can lead to lasting joint damage. Treatment for gout involves lifestyle adjustments, including alcohol avoidance and weight management, along with medication. During acute attacks, non-steroidal anti-inflammatory drugs, NSAIDs, can alleviate pain and swelling, though they don't impact uric acid levels. Corticosteroids, taken orally or injected into affected joints, also offer relief. Colchicine, an alternative to NSAIDs, lessens inflammation if taken early. To prevent future gout occurrences, medications are used to lower uric acid levels in the body. Xanthine oxidase inhibitors limit uric acid production, while uricosuric medicines increase its elimination via urine. It is important to be aware of the adverse effects of any medication. For help with the management of gout, it is suggested that you keep in communication with a podiatrist, who is specifically trained to deal with such problems. 

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our podiatrists from Garnet & Carbonell, DPM, LLC. Our doctors will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

If you have any questions, please feel free to contact our offices located in Palmetto Bay, South Miami, and Homestead, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.