Items filtered by date: July 2023

People who are diabetic are generally concerned about developing a diabetic foot ulcer. Proper wound care treatment is crucial for this type of infection, and serious consequences may ensue if prompt medical attention is not received. Research has shown that approximately 25 percent of diabetic patients will develop a foot ulcer, and implementing prevention techniques may help to avoid this. An essential step for this type of wound care treatment can be to remove the necrotic or dead wound tissue. This is referred to as debridement, and there are various ways to treat this. It is important to reduce any pressure on the wound, and often an off-loading boot is worn. The wound is typically drained, and the healthy underlying tissue is examined. Effective prevention methods can include keeping glucose levels within a normal range, drinking plenty of water daily, and eating healthy foods. If you have a diabetic foot ulcer, it is strongly suggested that you are under the care of a podiatrist who can provide the proper treatment.

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 Pasquale Cancelliere, DPM from Candria Foot and Ankle Specialists. 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 Londonderry, NH and Salem, NH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

It is crucial to purchase the right type of running shoes for the specific type of running that is desired. This is true of all types of runners, ranging from beginners to people who have run marathons. The most important factor to look for is a shoe that fits the foot perfectly. Each type of running shoe is designed with various features based on the activity level. Running shoes that have added motion control may benefit people who overpronate, which is when the foot rolls inward as it strikes the ground. These types of shoes tend to be stiff and can provide the necessary support as running is practiced. People who enjoy running marathons may benefit from wearing shoes that have extra cushioning, as the heel consistently hits the ground. There are many different types of running shoes, and it is suggested that you confer with a podiatrist who can guide you on the best pair to purchase for your needs.

If you are a runner, wearing the right running shoe is essential. For more information, contact Pasquale Cancelliere, DPM from Candria Foot and Ankle Specialists. Our doctor can provide the care you need to keep you pain-free and on your feet.

Choosing the Right Running Shoe for Your Foot Type

To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.

• Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
• Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
• Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.

If you have any questions please feel free to contact our offices located in Londonderry, NH and Salem, NH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Studies show that falling is the No. 1 cause of injury-related deaths in people ages 65 and older. Experts believe that it may be possible to help prevent falling by addressing three concerns. They are weak stabilizer muscles, poor core strength, and balance problems. Strengthening stabilizer muscles in the hips and core muscles in the abdomen improves the ability to stand up and move. Balance, reflexes and coordination diminish over time, which makes it easier to trip and reduces the ability to catch yourself if you do. Staying active is a good way to prevent falling, as a sedentary lifestyle further weakens the muscles. Performing a series of exercises to rebuild the strength in weakened muscles can help. In addition, exercises to improve balance can help with stability. Falls also may be caused by other physical ailments, such as arthritis, peripheral neuropathy, and vision problems. Any of these conditions can further increase the risk of falling. For guidance and information on suitable methods to help prevent falls, it is suggested that you consult a podiatrist.

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 Pasquale Cancelliere, DPM from Candria Foot and Ankle Specialists. 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 Londonderry, NH and Salem, NH . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A hammertoe occurs when one of the three middle toes bends upward at the middle joint. Corns and calluses that can develop on the hammertoe can make wearing shoes and walking uncomfortable. If lifestyle changes, such as wearing wider shoes, using shoe inserts, or doing stretching and strengthening toe exercises do not help, surgery can be considered to correct a hammertoe. Hammertoe surgery is not a good option for those who have poor circulation in their feet, have a foot infection, or have other health problems making surgery a risk. If considered a good candidate for this surgery, it is typically a procedure that can be done as an outpatient under general anesthesia or using numbing medications. If the hammertoe is still somewhat flexible, a tendon transfer involving redirecting tendons from the bottom of the toe to the top where it is bent can be done to straighten the toe. If the hammertoe is fixed or rigid, a joint resection or fusion can be done. Joint resection is when tendons and ligaments are cut to help straighten the toe and the end of the bone is cut off so the toe can be fully extended. In fusion surgery, the ligaments and tendons are also cut but the two bones forming the affected joint are also cut for straightening the toe. If you have a painful hammertoe, it is suggested that you make an appointment with a podiatrist to see if more conservative treatment is possible or whether surgery is an option for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Pasquale Cancelliere, DPM of Candria Foot and Ankle Specialists. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions please feel free to contact our offices located in Londonderry, NH and Salem, NH . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.