FAQ's

We will help you understand all about proper foot care, treatment options, and different foot problems.

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  • How Do You Treat Charcot Foot?

    Charcot foot is an extreme side effect of diabetes, usually diabetic neuropathy. Charcot foot weakens the joints of the foot which can cause the arch to collapse, increase the risk of fractures and ulcers. Since diabetic neuropathy causes the feet to become numb, people suffering from this condition don't feel the ulcers which leads to infections and more seriously, amputations.

    Wearing or even getting into a shoe can be next to impossible so one of the main goals is helping patients get a proper fitting shoe. Many people find it easier to wear sandals or slippers while suffering from this condition, but that increases the chances of injury or infection. 

    Custom shoes and braces are used to help with comfort, as well as, prevent injury. If necessary, the doctor may need to use surgery. There are ways to prevent injuries and complications with charcot foot and your podiatrist can help you make the best decisions for your condition.

  • What Should I Do If My Diabetic Ulcer Won't Heal?

    Diabetic ulcers are very common, but very serious. Diabetic ulcers are commonly caused by diabetic peripheral neuropathy and peripheral arterial disease. Diabetic peripheral neuropathy can cause your feet to become numb and with numb feet, comes injury. A person with numb feeling feet will not notice a rock in their shoe leading to cut which can quickly turn into an ulcer for a diabetic. In addition, peripheral arterial disease (PAD) will reduce blood flow to the extremities like the legs, feet and hands.

    A diabetic ulcer may start small, but can turn much more serious very quickly. For a diabetic, a small cut can progress into a bone infection very quickly. With a combination of the neuropathy and PAD, an ulcer can be very hard to heal. A person, especially a diabetic should never try to treat an ulcer on their own. If you or a loved one have an ulcer, you should speak to a doctor.

  • Is There a Cure for Diabetic Neuropathy?

    Diabetic neuropathy can cause the feet or toes to feel numb, tingling, even burning. Neuropathy is common in diabetics due to the damage caused by high blood sugar. High blood sugar will damage the nerves, especially in the extremities, like the feet and hands. The damage will result in the feeling of burning or even loss of feeling altogether.

    ​There is no "cure" for diabetic neuropathy, but there are treatment options and possible preventative measures. To start, managing your diabetes and blood sugar will help to reduce your chances of developing diabetic neuropathy. Diet, exercises and close monitoring of your diabetes is the best prevention.

    ​However, if diabetic neuropathy does develop, we have different treatment options available. There are oral and topical medications to reduce any pain you may be feeling in your feet. Additionally, MicroVas is treatment used to help reduce pain and has even helped people regain feeling once they are dealing with numb feet. MicroVas increases blood flow to the feet. It is painless and effective.

    ​If you are dealing with diabetic neuropathy, call our office to discuss your treatment options.

  • Are Diabetics Allowed a Free Pair of Shoes?

    Many people ask us if diabetics are allowed a free pair of shoes. Unfortunately, this is not true. However, qualifying diabetics with Medicare are entitled to one pair of shoes and three shoe inserts per calendar year with little to NO COST. (deductibles and co-insurance may apply).

    The cost for treating diabetic complications is much higher than helping to prevent complications. These diabetic shoes can prevent ulcers and amputations by abiding by certain standards. 

    Our office team can verify your insurance to determine whether you are a qualifying diabetic.

  • How to Prevent From Getting a Foot Ulcer?

    Foot ulcers are common among diabetics. However, they can be extremely dangerous to diabetics if they are not treated immediately. There are ways you can prevent a foot ulcer. First, you need to maintain proper hygiene. Make sure to wash and inspect your feet daily. If you cannot see the bottom of your feet, either use a mirror or have someone help you. An important factor is to check you feet for calluses. Calluses can easily lead to ulcers. Also, make sure you trim your nails or have a podiatrist routinely cut your nails. In addition, wear supportive, diabetic approved shoes in order to prevent cuts from seam lines and provide extra room. Most importantly, you need to see a podiatrist regularly to have your feet checked!

  • How Can I Increase Circulation to my Lower Legs and Feet?

    If you are dealing with circulation problems in your feet or lower legs, compression stockings can be a great aide to help increase circulation. Along with treatment, compression stockings can help your veins function normally. Compression stockings will force blood to flow back up the legs, instead of pooling around the foot and ankle. The best fit for a compression stocking is when they are tighter at the foot and ankle and gradually become less constricting up the leg. They work by constricting the diseased veins and redirecting blood flow to the healthy veins.

    compression stockings

    Always speak to your doctor before wearing compression stockings or compression socks to make sure they are right for you. You should, also, be fitted to ensure the best outcome and to prevent any adverse effects. If you are dealing with circulation issues, contact our office to see how compression stockings can help increase your blood flow.

     

  • What is an ulcer?

    An ulcer is usually a painless sore on the bottom of the foot or top of toes which results from excessive pressure at that site.  Often, they can form under a pre-existing corn or callus which was permitted to build up too thickly. Sometimes, an ulcer can even be found on the side of your foot if you have poorly fitted shoes. Our certified pedorthist can help make sure your shoes are fitted properly to help prevent this condition.

    ulcer image

    Regardless where the ulcer is, it cannot be avoided and you should see a podiatrist right away. With continued pressure and walking on the injured skin this will only worsen the open sore and make it larger. The sore will frequently become infected and may even penetrate to bone. If diabetic, you are at higher risk when an ulcer is developed. If neglected, ulcers can lead to a bone infection, which could cause an amputation.

    Call our office today if you think you may have an ulcer!

  • Why is it so Important for Diabetics to See a Podiatrist Regularly?

    Diabetics are at high risk for foot problems, which is why it is essential for regular podiatric visits. Podiatrists can help prevent and treat common foot problems in Diabetics such as, ulcers, infections, and neuropathy. It’s important to understand, diabetics are not able to properly feel their toes and are unaware of stepping on any foreign body or if their skin is cracked.  This leads to an open wound allowing bacteria to move in. Since there is no pain, many diabetics ignore this problem when they should not. Once the infection can no longer be treated by antibiotics, the only option left is an amputation of the toe, foot or perhaps even the leg.

    Proper foot wear is important for everybody, but it is essential for Diabetics. At Family Foot & Ankle Specialists we have our own certified pedorthist to help ensure you have proper foot wear. 

  • What Causes Diabetic Neuropathy?

    As a diabetic, suffering from neuropathy can be painful but difficult to recognize. Diabetic neuropathy can cause insensitivity and the loss of ability to feel pain, cold, and heat. Blisters, scrapes, cuts, and pressure sores may occur without you even knowing.  Even if you have a minor injury, it is important to see a podiatrist because of further complications. Bunions, hammertoes, Charcot foot, and even amputations are a result of untreated conditions. Therefore, it is extremely important to check your feet every day.

    Also, with improper footwear, irritation and injuries are more likely to occur. Our certified pedorthist can measure your feet to ensure the shoes you are wearing are the best fit for you. In addition to well fitted shoes, orthotics highly recommended. Following these small tips and having regular check-ups by a podiatrist will reduce the risks of developing serious foot conditions.

  • What Is MicroVas?

    Microvas is a painless and non-invasive treatment option for those suffering from neuropathy or non-healing wounds. It has virtually no side effects and can be done right in our office. This effective treatment option uses electromagnetic energy to increase blood flow to a problem area. This extra blood increases healing times and speeds up the recovery time.

    Those suffering from neuropathy can experience burning, tingling even numbness in their feet. This is caused by a "miscommunication" within the nerves. Blood flow is decreased in areas farthest from your heart- your feet and hands. MicroVas increases the blood flow to these areas which can help to end the foot pain those suffering from neuropathy experience, as well as help those who have lost sensation regain their feeling.

    To learn how MicroVas can help to end your pain, call us today! (732) 968-3833.

  • What Does MicroVas Treat?

    MicroVas is commonly used to treat neuropathy and non-healing wounds. This new treatment option is used to help speed healing time while eliminating pain. MicroVas will increase blood flow to a damaged or painful area which increases oxygen and accelerates healing. MicroVas is pain free and can be done right in the office. The treatment does not use any needles or cutting and has virtually no side effects.

    neuropathy

    Many people suffering from neuropathy experience burning and tingling in their feet or a total loss of sensation all together.  While painful feet can totally interfere with your activities and overall happiness, some argue that no feeling is worse. Without being able to feel pain, you don't know when something is wrong to either fix or discontinue. This can cause someone to being walk around with rocks in their shoes or a piece of fabric from their shoes rubbing on their toes and they could be walking around all day with a wound.

    In addition, diabetics heal slower than those without it. Once a diabetic develops a wound, healing from it can take a while and be quite a struggle. MicroVas is used to speed healing and restore feeling in the feet. It has proven extremely effective for those treated with MicroVas Therapy.

  • What Are Some Treatment Options For Neuropathy?

    Our office treats neuropathy everyday. We see patients suffering from diabetic and peripheral neuropathy. Some people are experiencing pain such as burning or tingling or have lost sensation completely. There are different treatments avilable to treat these problems. One of our treatment options include MicroVas Therapy. The MicroVas Therapy is a painless and non-invasive treatment used to help increase blood flow in the area of pain or damaged area. The increased blood flow brings oxygen which will increase healing time.

    This treatment option is a great choice. It has no side effects and is done right in the office. It is painless and non-vasive, which means there is not cutting or injections. Call today to set up your appointment and get out of pain!

  • Why Does Diabetes Cause Foot Problems?

    Diabetes causes high blood sugar which can damage the blood vessels that lead to your nerves. This can cause nerves to lose their ability to feel sensation. This problem is called neuropathy.  While not feeling doesn't sound like a huge problem, it can mean the difference between losing a foot or not.

    People with normal sensation will feel if their shoe is rubbing on a toe or certain part of their foot and correct the problem with either taking off the shoe, or re-tying the laces to give more room. People with neuropathy don't feel the rubbing and often take off their shoes to find a bloody mess of a shoe rubbing on their foot all day. The same goes if there is a rock, pebble or sharp edge in a shoe, without feeling pain, you don't know if something is irritating your foot.

  • Can Diabetics Have Foot Surgery?

    Many diabetics ask this question to our Hillsborough podiatrists. If you have adequate circulation and your diabetes is relatively under control you may be able to have corrective surgery. If you have a foot or ankle problem that is causing you pain, having surgery to eliminate your pain is a definite possibility. Our doctors will evaluate your feet and go over your risks with or without foot surgery.

  • How Often Should Someone With Diabetes See Their Podiatrist?

    The American Diabetes Association recommends that everyone with diabetes should see their podiatrist yearly. If you have a more severe case then that will need to increase and your doctor will be able to tell you when you should return for regular check ups.  Many diabetic don't necessarily understand why they need to see a podiatrist and how diabetes will effect their feet.

    It is very common for those with diabetes to develop neuropathy, lose of feeling in their feet. This will not allow the person to feel when there is a problem with the foot such as shoes that are rubbing, a cut, or that they have stepped on something. This will lead to infections, bone infections, and ulcers. The greatest risk, and all too common for diabetics, is facing an amputation.

  • What Does it Mean if my Feet are Numb or Tingly?

    There are a few different reasons this could be happening. Usually a loss of sensation in a specific area indicates a loss of blood circulation. While it is common to assume that it is related to diabetes, namely neuropathy, it can be caused by other problems for those without diabetes.

    numb feet

    First, check your shoes. Are they too tight or too small? Shoes can and will greatly influence your feet. In addition, check your socks to make sure they are not to tight causing reduced blood circulation. Sometimes the band at the top will be too tight.

    For constant numbness the cause could be a more serious problem. Peripheral neuropathy is a condition that effects diabetics and can cause tingling, burning or numbing sensations in your feet. Neuropathy will affect the blood flow and can cause serious numbness and tingling in the feet, as well as other parts of the body.

    It could also be caused by back or knee problems. Your posture could be causing the problem. Vitamin and nutrient deficiencies can also cause your feet to become numb or tingly.

    If the problem persists, you should consult a podiatrist. Take note of exactly when the problem occurs (time of day, whether you are sitting or standing) and what activities you were doing prior.

    Our doctors have treated this condition in many patients. Like many other foot problems, the earlier you treat the problem, the better. Treatment is usually faster and less invasive the sooner you treat the problem. Also,numb, tingling feet could be the sign of much more serious problem. Your should see a podiatrist to find out the reason you are experiencing numb or tingling feet.

     

  • What Does Diabetes Do To My Feet?

    With a diabetic foot, a wound as small as a blister from wearing a shoe that's too tight can cause a lot of damage. Diabetes decreases blood flow, so injuries are slow to heal. When your wound is not healing, it's at risk for infection. As a diabetic, your infections spread quickly. If you have diabetes, you should inspect your feet every day. Look for puncture wounds, bruises, pressure areas, redness, warmth, blisters, ulcers, scratches, cuts and nail problems. Get someone to help you, or use a mirror.

    Diabetics are recommended to use a team of doctors to help manage their bodies. A podiatrist should be seen regularly, at least yearly and in extreme cases 2x's a year to help maintain proper foot health.

     

  • How do I know if I'm a High Risk Diabetic?

    The best way to determine if you are a high risk diabetic is to consult your doctor. Your doctor will be able to determine whether you are high risk. However, there are some signs to look out for:

    1. You have neuropathy
    2. You have poor circulation
    3. You have a foot deformity such as buinons, hammertoes, fungal toenails
    4. You wear inappropriate shoes
    5. You have uncontrolled boold sugar

  • How will Diabetes Effect My Feet?

    Diabetes will greatly effect your feet.  There are many problems you need to be aware of when you are a diabetic.  First, you may experience poor circulation in your legs and feet. This problem will cause areas of skin and tissue to die, leading to infections and problems. Also, you could suffer from neuropathy which may be painful at first, but will later cause you to lose feeling in your feet.

    This means you will not feel when something is wrong with your feet. For example, if your shoes do not fit well you may not feel a constant rubbing in a certain area which would cause an ulcer. Ulcers may lead to the worse scenario for diabetics, a bone infection. Bone infections from ulcers is the most common cause of amputation. Too many people lose their feet or toes from not controlling their diabetes and not regularly visiting a podiatrist.