A total contact cast is a specialized treatment option often recommended for people with diabetes who have foot ulcers that do not heal properly. A total contact cast is crafted to closely fit the contours of the foot and leg, allowing for even distribution of weight across the entire sole of the foot. By doing so, it minimizes pressure on ulcerated areas, which is essential for promoting faster healing. Inside the cast, a soft foam layer creates a buffer to reduce any pressure directly on the ulcer. Meanwhile, a bar on the bottom further aids in offloading weight when standing or walking. Since diabetic neuropathy can reduce sensation in the feet, many patients are unaware of developing sores, increasing the risk of ulcers. A podiatrist plays a key role in the application and management of a total contact cast, ensuring it remains secure and monitoring for any signs of complications. If you suffer from foot ulcers related to diabetes, it is suggested that you make an appointment with a podiatrist to find out if a total contact cast is right for you.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, 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.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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.

Foot and ankle injuries are common in kids and teens, particularly those involved in sports or physical activities. Growth spurts, active play, and the demands of youth athletics place unique stress on developing bones, ligaments, and tendons. Common injuries include ankle sprains, heel pain, often from Sever’s disease, stress fractures, and overuse injuries from repetitive motion, such as running or jumping. Sever’s disease, or calcaneal apophysitis, occurs when the growth plate in the heel becomes inflamed due to repetitive stress or overuse, causing heel pain and tenderness that often worsens with activity. Symptoms typically include pain, swelling, and difficulty in bearing weight. Treatment often involves rest, and a podiatrist may recommend targeted exercises or custom orthotics. If your child has incurred a foot or ankle injury, it is suggested that you visit a podiatrist for a proper diagnosis and treatment.

Foot and ankle trauma is common among athletes and the elderly. If you have concerns that you may have experienced trauma to the foot and ankle, 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.

Foot and ankle trauma cover a range of injuries all over the foot; common injuries include:

• Broken bones
• Muscle strains
• Injuries to the tendons and ligaments
• Stress fractures

Symptoms

Symptoms of foot and ankle injuries vary depending on the injury, but more common ones include:

• Bruising
• Inflammation/ Swelling
• Pain

Diagnosis

To properly diagnose the exact type of injury, podiatrists will conduct a number of different tests. Some of these include sensation and visual tests, X-rays, and MRIs. Medical and family histories will also be taken into account.

Treatment

Once the injury has been diagnosed, the podiatrist can than offer the best treatment options for you. In less severe cases, rest and keeping pressure off the foot may be all that’s necessary. Orthotics, such as a specially made shoes, or immobilization devices, like splints or casts, may be deemed necessary. Finally, if the injury is severe enough, surgery may be necessary.

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.

Non-diabetic foot ulcers are open sores or wounds that can develop on the feet due to various factors, including poor circulation, pressure injuries, or skin conditions like eczema. They can also result from traumatic injuries, prolonged friction from wearing ill-fitting shoes, or neuropathy. Symptoms often include redness, swelling, and pain surrounding the ulcer, along with possible drainage or foul odor. If left untreated, these ulcers can lead to infections or serious complications. A podiatrist can play a critical role in diagnosing and treating non-diabetic foot ulcers. They will assess the ulcer’s condition and underlying causes, often recommending a combination of treatments. Included are wound care, infection control, and offloading techniques to reduce pressure on the affected area. In some cases, advanced therapies like skin grafting or specialized dressings may be necessary. Recovery can vary based on the ulcer's severity. If you or someone you know has a foot ulcer, it is suggested that you schedule an appointment with a podiatrist for proper evaluation and 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 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.

Footwear plays a vital role in preventing falls among the elderly, who are more prone to balance issues and foot problems. Choosing the right shoes can significantly reduce the risk of falls. Seniors should wear shoes with non-slip soles, good arch support, and a snug fit. Shoes with a low heel and a wide, stable base are ideal for maintaining balance. Avoid walking in slippers, sandals, or shoes with worn-out soles, as they can increase the chance of slipping. Regular foot care is also essential. Keeping toenails trimmed, checking for signs of pain, and addressing conditions like bunions or hammertoes early can improve comfort and stability. If you are elderly, it is suggested that you visit a podiatrist regularly to ensure any underlying foot problems are addressed promptly, helping to maintain mobility and prevent falls.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, 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.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

• Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
• Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
• Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
• Gouging toenails affecting nearby toe
• Shoes that don’t fit properly
• Pressure sores
• Loss of circulation in legs & feet
• Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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.

Morton’s toe, also known as Greek foot, is a condition where the second toe is longer than the big toe. While it is often a benign anatomical variation, it can lead to discomfort and pain due to altered foot mechanics. Individuals with Morton’s toe may experience metatarsalgia, which is pain in the ball of the foot, as well as calluses, bunions, and discomfort while walking or standing. Treatment typically begins with conservative measures, such as wearing supportive footwear, using orthotic inserts, and practicing foot stretches. However, if pain persists or worsens, it is important to consult a podiatrist. This type of doctor may recommend more advanced treatments, including targeted exercises or, in severe cases, surgery to alleviate pain and correct alignment issues. If you suspect you have Morton’s toe and are experiencing discomfort, it is suggested you schedule an appointment with a podiatrist for a thorough assessment and tailored treatment options.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Pasquale Cancelliere, DPM of Candria Foot and Ankle Specialists. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

• Ill-fitting high heels or shoes that add pressure to the toe or foot
• Jogging, running or any sport that involves constant impact to the foot
• Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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.

Plantar heel pain, often associated with conditions like plantar fasciitis, is a common issue that can significantly impact daily activities. It typically manifests as a sharp pain in the heel, especially with the first steps in the morning or after prolonged periods of sitting. This discomfort can result from several factors, including overuse, wearing improper footwear, obesity, and tight calf muscles. Activities that put excessive strain on the heel, such as running or standing for long periods of time can worsen the condition. Treatment options vary, but they often include exercises that can strengthen the foot and improve flexibility. Custom orthotics may also be recommended to provide support and distribute pressure evenly. If you are experiencing persistent heel pain, it is important to seek professional help. It is suggested you schedule an appointment with a podiatrist to receive a proper diagnosis and personalized treatment plan to get you back on your feet comfortably.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, 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.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

• Excessive running
• Non-supportive shoes
• Overpronation
• Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

• Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
• Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
• Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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 broken toe can cause significant discomfort and disrupt daily activities. Common symptoms include intense pain at the site of injury, swelling, bruising, and difficulty walking. The toe may appear deformed or misaligned, and there can be tenderness when touched. Various factors contribute to broken toes, with osteoporosis being a notable cause. This condition weakens bones, making them more susceptible to fractures. Stress fractures, which occur from repetitive impact or overuse, can also lead to breaks in the toe. Additionally, dropping a heavy object on the foot is a frequent cause of toe fractures. There are various treatment methods for a broken toe, depending on the severity of the fracture. If you have broken your toe, it is suggested that you consult a podiatrist who can treat it effectively.

A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact Pasquale Cancelliere, DPM from Candria Foot and Ankle Specialists. Our doctor will treat your foot and ankle needs.

What to Know About a Broken Toe

Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).

Symptoms of a Broken Toe

• Throbbing pain
• Swelling
• Bruising on the skin and toenail
• The inability to move the toe
• Toe appears crooked or disfigured
• Tingling or numbness in the toe

Generally, it is best to stay off of the injured toe with the affected foot elevated.

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.

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.

Skin fissures are a common cause of cracked heels, often resulting from dry and thickened skin. When the skin on the heels becomes excessively dry, it loses its elasticity and flexibility. This lack of moisture causes the skin to become rough and hard, making it prone to splitting or cracking. Factors contributing to skin fissures include prolonged standing, wearing open-back shoes, and environmental conditions like low humidity. Additionally, underlying health issues like diabetes or eczema can cause dryness and skin damage. As the skin continues to bear weight and pressure, these fissures deepen, leading to painful cracks. Cracked heels can be painful, and may cause difficulty in completing daily activities. If you have developed this condition, it is suggested that you consult a podiatrist who can offer you treatment remedies, which may include prescribed medication.

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 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.

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 Londonderry, NH and Salem, NH . We offer the newest diagnostic and treatment technologies for all your foot care needs.