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Posts for: February, 2018

February 21, 2018
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Dorsal tarsal neuritis is a condition in which the patient presents with symptoms consisting of burning, numbness, tingling, and sharp, shooting pain on the top of the foot.

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This can be caused by a spur on one or more of the bones of the foot compressing or impinging a nerve on the top of the foot. Over-tightening shoe laces or wearing too tight of sneakers while running can cause irritation to the nerve as well.

Icing, taking oral anti-inflammatories, and steroid injections may help reduce the inflammation around the nerve and diminish the symptoms.  When conservative treatments are unsuccessful, surgical removal of bone spurs may be beneficial.

Click here or call our office at 615-452-8899 to schedule your appointment with Dr. Mendoza today!

February 14, 2018
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Diabetic neuropathy is nerve damage caused by diabetes. The type of neuropathy occurring in the arms, hands, legs, and feet is known as diabetic peripheral neuropathy. It usually develops slowly and worsens over time; some patients have this condition long before they are diagnosed with diabetes. Having diabetes for several years may increase the likelihood of having diabetic neuropathy.

The loss of sensation makes a patient prone to developing skin ulcers that can become infected and may not heal. This serious complication of diabetes can lead to loss of a foot or even a leg. Signs and symptoms of diabetic peripheral neuropathy include: numbness, burning, tingling, or pain in the feet. Not only is it unpleasant, but because of the numbness a patient may not realize that they have stepped on a small object and cut the skin or have developed an ulcer.

First and foremost, treatment of diabetic peripheral neuropathy centers on control of the patient’s blood sugar level. Medications and specific vitamins are also available to help relieve some of the symptoms. 

Call our office at 615-452-8899 or click here to schedule your appointment with Dr. Mendoza today!

February 07, 2018
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There are two main ways that diabetes can contribute to foot problems: It can cause peripheral neuropathy (tingling, burning, and decreased feeling in the feet) so that injuries and cuts may go unnoticed. It can also cause decreased circulation to the feet, resulting in a reduced blood supply that may be inadequate to heal wounds and fight infection. For these reasons it is essential that diabetics take good care of their feet. All diabetics should follow these guidelines to avoid serious infection:

  • Check over your feet and in between your toes each and everyday.  Look for corns and calluses that could ulcerate, as well as any redness and swelling.  Inspect your feet for signs of broken skin, cuts, blisters, or scratches.

  • Wash your feet everyday in warm water (temperature tested with your hand first) with a mild soap (but don’t soak your feet – it can make your skin dry out and crack).
  • Wear shoes that fit properly to prevent rubbing and ulceration, and be very careful after you start wearing new shoes – check for red spots and any signs of irritation.
  • Never go barefoot.
  • Trim your toenails carefully, or have Dr. Mendoza trim them for you if it is hard for you to do yourself – especially if you tend to draw blood while trimming them, we don’t want you to start a wound that’s hard to heal.
  • Never use medicated callous remover pads, leave the callous trimming to Dr. Mendoza!
  • Don’t smoke – smoking narrows the blood vessels and decreases circulation to the feet which is particularly dangerous for people with diabetes.
  • Before you put them on, examine the inside of your shoes for foreign objects or torn linings that may cause irritation.

If you would like a diabetic foot exam or need diabetic foot care click here or call our office at 615-452-8899 today to schedule your appointment!