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If you have diabetes, you are at risk of developing wounds on your feet. These wounds often heal slowly due to having this condition. A number of factors may cause poor wound healing. When your blood sugar levels are higher than normal, as is frequently the case in people with diabetes, the immune system does not function as efficiently, nutrients and oxygen are prevented from energizing the cells, and there is increased inflammation. All of this can slow down wound healing. Peripheral neuropathy, a type of nerve damage often seen in diabetics, can lead to a loss of sensation in the lower limbs, making it harder to detect and treat wounds in their early stages. Poor circulation, another complication common in diabetics, reduces blood flow to the feet. Without an adequate blood supply, wounds cannot heal properly. When foot wounds go undetected or are left untreated, the risk of infection significantly increases. If you have diabetes, inspecting the feet daily for any abnormalities can help prevent wound infection and other serious complications. To learn more about the effects of diabetes on the feet, please consult with a podiatrist. 

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. Jeffrey Bruening from Bruening Foot & Ankle. 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 offices located in Covina and Alta Loma, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Women usually are more likely to develop bunions more frequently than men. They can gradually form as a result of wearing high heels or shoes that do not have adequate room for the toes to move freely in. A noticeable symptom of a bunion can consist of a large and bony protrusion that is positioned on the side of the big toe. It can be accompanied by pain and discomfort, and it may be difficult to wear shoes. Some patients find relief by frequently performing specific stretches, or wearing a cushion inside the shoe. If you notice a bunion that is beginning to develop, it is suggested that you schedule an appointment with a podiatrist who can offer you treatment options, which may include surgery for permanent removal.

If you are suffering from bunion pain, contact Dr. Jeffrey Bruening of Bruening Foot & Ankle. Our doctor 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 offices located in Covina and Alta Loma, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Cuboid syndrome is a condition in which the cuboid bone, located in the middle of the foot, becomes misaligned due to injury. This can cause sharp pain on the outer side of the foot, as well as underneath the foot. The pain can come on suddenly and gradually worsen while you walk or stand, but can be relieved by taking weight off of the affected foot. You may also notice mild swelling along the outside of the foot. The symptoms of cuboid syndrome can make it difficult or impossible to walk, and pain can persist for days or even weeks. If you are experiencing foot pain, it is strongly suggested that you seek the care of a podiatrist, who can diagnose and treat your condition. 

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Dr. Jeffrey Bruening from Bruening Foot & Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

• Injury – The most common cause of this ailment is an ankle sprain.
• Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
• Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

If you have any questions, please feel free to contact our offices located in Covina and Alta Loma, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

When it comes to avoiding foot and ankle problems, wearing the right size shoe is one of the best preventive measures that you can take. Finding your shoe size can be challenging for many reasons, as men’s, women’s, and children’s shoes all follow different sizing charts, the sizes may or may not account for foot width, and some companies label their shoes using international shoe sizes. In standard US sizing, your numerical shoe size is determined by the length of your foot, which is the distance from your heel to your longest toe. Unfortunately, this measure does not take individual variations in foot shape and width into account. Some shoes also come in wider or narrower sizes, which are usually indicated by a letter after the numerical shoe size. So, if you are looking for women’s shoes and find a pair that are size 9.5W, for example, this generally indicates that the shoes are 10 inches in length and have a wider width. Because of the large variation in shoe sizes and individual foot shapes and widths, it is suggested that you have your feet professionally measured in a shoe store and this should take place towards the end of the day when the feet are at their largest. For more information about the importance of properly fitted footwear, consult with a podiatrist.

Getting the right shoe size is an important part of proper foot health. Seek the assistance of Dr. Jeffrey Bruening from Bruening Foot & Ankle. Our doctor will provide the care you need to keep you pain-free and on your feet.

Getting the Right Shoe Size

There are many people who wear shoes that are the incorrect size, negatively affecting their feet and posture. Selecting the right shoes is not a difficult process, so long as you keep several things in mind when it comes to choosing the right pair.

• When visiting the shoe store, use the tools available to measure your foot.
• Be sure there is ‘wiggle room’. There should be about an inch between your toes and the tip of your shoes.
• Do not always assume you are the same size, as manufacturers run differently.
• Purchase shoes later in the day, as your feet swell as the day progresses.
• If a shoe is not comfortable, it is not suitable. Most shoes can’t be ‘broken in’, and comfort should be the ultimate goal when it comes to choosing the right pair of shoes

As our feet hold our body weight and keep us moving, it is important to treat them right. Picking the right pair of shoes can provide your feet comfort and mobility without pain.

If you have any questions, please feel free to contact our offices located in Covina and Alta Loma, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.