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A diabetic ulcer is an open sore on the skin of someone with diabetes. The wounds are partial or full losses of skin that often occur on the feet. Diabetics are at higher risk of foot abnormalities, including foot ulcers, because they often have peripheral neuropathy or nerve damage in the feet and constricted blood flow caused by peripheral arterial disease. It would seem as if these ulcers would be painful, however, those with diabetes often have decreased sensations in their feet, so they might not feel them. Among a variety of ways diabetics can prevent such ulcers include managing blood sugar levels, trying to exercise regularly, losing weight, stopping smoking if applicable, and practicing good routine foot care. The important thing is to detect such sores as soon as possible and have them treated to halt complications, such as infection, amputation, and worse. Recurrence of these sores is common. If you are a diabetic, it is strongly suggested that you include a podiatrist among your healthcare providers to have regular foot exams and treatment of anything suspicious, such as foot wounds.

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 Terri Quebedeaux, DPM from Agave Podiatry . 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 Seguin, LaVernia, Gonzales, and Lockhart, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Bunions are bony deformities of the big toe joint. They are unattractive, are a common affliction, and can affect people of all ages. Medically, bunions are referred to as hallux valgus. The metatarsal bones in the foot fan out from the base near the ankle to each toe and the distance between them increases as they approach the toes. With bunions, the distance and angle at the base, between the first and second metatarsals, increases over time and a bump develops on a big toe joint. The foot widens and the deformed big toe joint presses uncomfortably against shoes. Pressure from shoes pushes the big toe towards the smaller toes, which emphasizes the bulge on the side of the foot. As time passes, the second toe can lie on top of the big toe and calluses and corns can develop on the toes, leading to further distortion and pain. Walking can also become problematic. If bunions are not tended to, arthritis can develop. It is not just shoes that contribute to bunion formation. Genes, gait, and being female can add to a propensity toward bunions. Wearing narrow-toed shoes or high heels for a prolonged time should be avoided because these types of shoes force the weight down to the ball of the feet and push the toes together. Insoles or orthotics can help and surgery for permanent removal may be an option. If you have a bunion or notice that one may be forming, it is suggested that you consult with a podiatrist who can give you advice and offer treatment options.

If you are suffering from bunions, contact Terri Quebedeaux, DPM of Agave Podiatry . 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 offices located in Seguin, LaVernia, Gonzales, and Lockhart, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Falling can cause serious injuries. The feet are often affected, and this can compromise the ability to complete daily activities. Having the eyes checked regularly can help to update existing eyeglasses, in addition to having routine physical examinations for medication checks. The living environment can be made safer by implementing simple fall prevention techniques, such as improving lighting in the household and removing worn rugs. Some people find it beneficial to install grab bars in the shower and toilet area, in addition to using non-skid bath mats. It is wise to wear shoes that fit correctly, and keeping items in a lower cabinet may make them easier to reach. Engaging in a gentle exercise program can be helpful in keeping the body strong while improving balance. Tai Chi and yoga are good examples of this. If you would like more information about effective fall prevention methods, it is suggested that you contact a podiatrist who can provide you with the information you are seeking. 

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Terri Quebedeaux, DPM from Agave Podiatry . Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

If you have any questions, please feel free to contact our offices located in Seguin, LaVernia, Gonzales, and Lockhart, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

People may be prone to developing the foot condition that is known as cracked heels during the summer months. The warmer months invite flip-flops and backless shoes to be worn, and the heels may suffer. More pressure may be exerted on the heels while walking, which may be a result of a change in gait, or walking style. Obesity can also be a reason why cracked heels can develop, which can be from the excess weight the feet endure. Signs of cracked heels can begin with the skin becoming thicker, followed by small cracks forming. If prompt attention is not received, they can deepen into fissures, and possibly become infected. Mild relief may be found when the feet are washed and dried daily, and a good moisturizer is applied to them. Effective prevention methods for cracked heels can include wearing shoes that have a closed back and drinking plenty of water daily. If you have developed cracked heels, it is suggested that you confer with a podiatrist who can offer you helpful relief remedies.

If the skin on your feet starts to crack, you may want to see a podiatrist to find treatment. If you have any concerns, contact Terri Quebedeaux, DPM from Agave Podiatry . Our doctor can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

It is important to moisturize your cracked heels in order to prevent pain, bleeding, and infection. The reason cracked heels form is because the skin on the foot is too dry to support the immense pressure placed on them. When the foot expands, the dry skin on the foot begins to split.

Ways to Help Heal Them

• Invest in a good foot cream
• Try Using Petroleum Jelly
• Ease up on Soaps
• Drink Plenty of Water

Ways to Prevent Cracked Heels

• Moisturize After Showering
• Skip a Shower
• Keep Shower Water Lukewarm
• Don’t Scrub Your Feet

If you are unsure how to proceed in treating cracked heels, seek guidance from a podiatrist. Your doctor will help you with any questions or information you may need. 

If you have any questions, please feel free to contact our offices located in Seguin, LaVernia, Gonzales, and Lockhart, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Many students go back to school after having worn flip-flops most of the summer. Flip-flops are enticing footwear for young people because they are inexpensive, come in many colors, and can be fashionable. However, these sandals do not cushion or support feet and will often lead to foot problems. It is not generally known that new bone growth continues in the heels of feet through the teen years. Flip-flops do not cushion the heel and repeated stress from walking in these shoes can lead to heel inflammation in the bone growth area and cause pain. In addition to heel and arch pain, flip-flops can lead to sprained ankles, cuts and scrapes, and callus buildup on the heels and toes. Stretching exercises and shoe inserts can help with pain incurred from wearing these shoes, but reducing the time flip-flops are worn and keeping them for beach-going or around pools is best. If your child has foot pain after wearing flip-flops, it is suggested that you take them to see a podiatrist who can assess the damage and provide proper treatment.

Flip-flops are not always the best choice of footwear. If you have any concerns about your feet or ankles, contact Terri Quebedeaux, DPM from Agave Podiatry . Our doctor will assist you with all of your foot and ankle needs.

Flip-Flops and Feet

When the weather starts warming up, people enjoy wearing flip-flops.  Flip-flops are comfortable, stylish, and easy to slip on and off; they're perfect for any summer beach goer.  However, these shoes can cause harm to the feet.

How Can Flip-Flops Affect Me Long-Term?

• Ankle problems
• Hip problems
• Lower back problems
• Pain in the balls of the feet
• Problems with foot arches
• Changes in the way you walk

Are There Injuries Associated with Flip-Flops?

Yes.  Since flip-flops are relatively weak and do not provide the same amount of support as sneakers, people who wear flip-flops regularly are more susceptible to injuries. On top of that, the open nature of the shoe makes your feet more prone to other problems, such as cuts and even infections.  Common injuries and ailments include:

• Sprained ankles
• Blisters
• Infections
• Cuts and Scrapes

I like Wearing Flip-Flops. Are There Safe Alternatives?

When buying flip-flops, try to find ones that have sturdy soles and that are made of high-quality materials that will support for your feet.  These flip-flops will cost more but will also last longer as a result.

If you have any questions please feel free to contact our offices located in Seguin, LaVernia, Gonzales, and Lockhart, TX .  We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A calcium deposit that grows under the heel bone is known as a heel spur. It can be uncomfortable, and many people will alter their gait or walking style to accommodate the pain it can cause. A heel spur can gradually develop as a result of ligament or muscle strain, and heel pain is a common beginning symptom. People who stand on hard or uneven surfaces for the majority of the day may be prone to developing a heel spur, or it may happen to patients who have gained weight. It is beneficial to seek help from a podiatrist who can effectively diagnose a heel spur. Relief may be found when custom-made orthotics are worn, and specific stretches are routinely performed that can help to strengthen the heel muscles. It is helpful to wear shoes that fit correctly, with extra cushioning in the heel area. If you have developed a heel spur, it is suggested that you are under the care of a podiatrist who can offer you treatment methods that are correct for you.

Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Terri Quebedeaux, DPM from Agave Podiatry . Our doctor will do everything possible to treat your condition.

Heels Spurs

Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.

Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.

Pain

The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.

Treatments

There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.

If you have any questions feel free to contact our offices located in Seguin, LaVernia, Gonzales, and Lockhart, TX . We offer the latest in diagnostic and treatment technology to meet your needs.

Orthotics are medical devices that are worn inside the shoe. People who have foot pain or an abnormal foot structure may benefit from wearing orthotics, which may aid in completing daily activities. Custom-made orthotics may help patients who have diabetes, plantar fasciitis, or arch pain. These are designed and fitted by podiatrists and many benefits can be associated with wearing these types of orthotics. These can include improving the gait, or walking style, maintaining body alignment, and possibly relieving foot pain from arthritis. Wearing orthotics may reduce existing ankle pain, and it may be easier to walk. If you have foot pain for any reason, it is suggested that you speak with a podiatrist who can discuss the benefits of wearing custom-made orthotics and determine if this is the right choice for you.

If you are having discomfort in your feet and would like to try orthotics, contact Terri Quebedeaux, DPM from Agave Podiatry . Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

If you have any questions please contact our offices located in Seguin, LaVernia, Gonzales, and Lockhart, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

People who are afflicted with plantar warts may have difficulty walking. These growths are found on the soles of the feet and can cause severe pain and discomfort. This is a result of the consistent weight the feet endure while walking and standing during the day. Plantar warts are caused by a virus that is known as the human papillomavirus, or HPV. This virus is contagious, and lives in warm and moist environments. These can consist of public swimming pools, locker rooms, and shower room floors. It is beneficial to wear appropriate shoes while in these areas, such as flip flops or water shoes. This type of wart will generally take several weeks or months to completely disappear. Many patients seek treatment to relieve the pain, which may include removal for faster relief. If you have a plantar wart, it is suggested that you speak to a podiatrist who can guide you toward the treatment that is correct for you.

Plantar warts can be very uncomfortable. If you need your feet checked, contact Terri Quebedeaux, DPM from Agave Podiatry . Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

• Lesions on the bottom of your feet, usually rough and grainy
• Hard or thick callused spots
• Wart seeds, which are small clotted blood vessels that look like little black spots
• Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

• Freezing
• Electric tool removal
• Laser Treatment
• Topical Creams (prescription only)
• Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

If you have any questions please feel free to contact our offices located in Seguin, LaVernia, Gonzales, and Lockhart, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.