A diabetic foot ulcer is an open sore that develops on the foot of someone with diabetes. High blood sugar can damage nerves and reduce blood flow, making injuries harder to notice and take longer to heal. Symptoms  include redness, swelling, or an open wound. Some ulcers may cause little pain because diabetic neuropathy can reduce sensation. Early treatment is important because untreated ulcers can become infected and may lead to serious complications.

Common causes include repeated pressure, friction, minor injuries, and reduced sensation. Risk factors include diabetes, previous ulcers, and difficulty controlling blood sugar. A podiatrist may examine the ulcer, check circulation and sensation, and look for infection. Initial treatment may involve cleaning and dressing the wound, removing unhealthy tissue when appropriate, and reducing pressure. Treatment is tailored to the ulcer and the patient.

Offloading pressure is an important part of diabetic foot ulcer treatment. A total contact cast is a specialized cast that distributes pressure across the foot and lower leg while limiting weight-bearing stress on the ulcer. It can be especially useful for certain plantar ulcers when appropriate. Removable cast walkers are another option. They protect the foot while allowing the device to be removed for wound care and inspection. A podiatrist will determine which approach is safest, based on wound location and severity.

Regular follow-up helps monitor healing and reduce complications. A podiatrist may change dressings, reassess the wound, and recommend footwear that protects the foot after healing. Patients should also inspect their feet daily and avoid walking barefoot. Any new redness, drainage, or skin breakdown should receive prompt attention. If you have diabetes and have developed a foot ulcer, it is strongly suggested that you are under the care of a podiatrist who can help you to manage this serious condition.

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 Daniel Mendoza, DPM from Nashville 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 contact our office located in Hendersonville, TN . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Ankle pain can develop after a sudden injury, and can make standing or walking difficult. One possible cause is an ankle fracture, which is a partial or complete break in a bone. Fractures range from small pieces of bone being pulled away to more serious breaks involving the ankle bones. Rolling the ankle inward or outward can cause a fracture. Because a fracture can feel similar to a sprain, an accurate evaluation is important. In some cases, both injuries can happen at the same time.

An ankle fracture can cause pain, swelling, and bruising soon after the injury. Pain can stay near the ankle or extend from the foot toward the knee. Some patients cannot walk, but being able to walk does not rule out a fracture. The ankle can also look different from the uninjured side. More serious fractures can break through the skin and require immediate care because of the risk of infection. Ankle fractures vary in severity, so treatment depends on the location and type of break. Some fractures require protection in a cast or splint, while severe injuries can require surgery.

A podiatrist can examine an injured ankle and determine whether the pain is related to a fracture or another problem. The evaluation can include checking tender areas, swelling, and changes in the ankle's appearance. Imaging can help confirm a fracture and show the extent of the injury. A podiatrist can determine whether the ankle needs to be protected and kept from moving while the bone heals. Proper treatment is important because complications can include deformity, arthritis, and lasting pain. If you have ankle pain, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Daniel Mendoza, DPM from Nashville Podiatry. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

• Types of arthritis (rheumatoid, osteoarthritis, and gout)
• Ankle sprains
• Broken ankles
• Achilles tendinitis
• Achilles tendon rupture
• Stress fractures
• Tarsal tunnel syndrome
• Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

If you have any questions please feel free to contact our office located in Hendersonville, TN . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

A gait abnormality is an unusual walking pattern that affects how a child places the feet, moves the legs, or maintains balance while walking. Normal gait develops as children grow, but changes in walking can sometimes indicate pain, weakness, or an underlying condition. One common example is an antalgic gait, which is caused by pain. A child with an antalgic gait may spend less time bearing weight on the affected side, and quickly shift weight to the opposite leg. Other causes include leg length discrepancy, flat feet, and joint problems. Early recognition can help prevent worsening discomfort and movement limitations.

Symptoms of gait abnormalities can vary depending on the underlying cause. Parents may notice limping, uneven steps, walking on the toes, or reluctance to participate in physical activities. Children may also complain of foot, ankle, or lower back pain. Risk factors include congenital foot differences, developmental problems, and significant differences in leg length. 

A podiatrist can evaluate the child’s walking pattern and determine whether the problem originates in the feet, ankles, or another part of the lower body. Treatment begins with a medical history and physical examination, followed by gait assessment and an evaluation of foot alignment. They may also look at joint movement, muscle strength, and leg length. Imaging may be recommended when structural concerns are suspected. Treatment can include wearing supportive footwear, custom orthotics, or treatment for an underlying foot condition. A leg length discrepancy may require specific correction based on its severity and cause.

Early treatment can improve walking efficiency, reduce pain, and support healthy movement as a child develops. Parents should not ignore persistent limping or noticeable changes in walking, especially when symptoms interfere with school, sports, or daily activities. If your child has developed an unusual walking pattern, it is suggested that you consult a podiatrist for a thorough evolution and proper management and treatment solutions. 

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact Daniel Mendoza, DPM of Nashville Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

• Make sure their shoes fit properly
• Look for any signs of in-toeing or out-toeing
• Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
• Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
• Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
• Cut toenails straight across to avoid ingrown toenails
• Keep your child’s foot clean and dry
• Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

If you have any questions, please feel free to contact our office located in Hendersonville, TN . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Foot pain can affect everyday activities, like walking at work and standing for long periods. The feet contain many bones, joints, and soft tissues that work together to support the body and absorb pressure with each step. Discomfort can develop from injuries, repeated stress, or changes in foot structure. Common causes include plantar fasciitis, arthritis, and bunions. Pain may affect the heel, toes, or another area depending on the underlying problem. Some conditions develop gradually, while others begin after an injury. Persistent foot pain should be evaluated rather than dismissed, especially when it begins to interfere with normal movement.

The type of foot pain a person experiences can provide clues about its cause. Heel pain may be related to irritation of the tissue supporting the arch, while pain near the big toe can occur with a bunion or arthritis. Nerve problems may cause burning, numbness, or tingling. Foot discomfort can also change the way a person walks. Shifting weight away from a painful area may place additional pressure on other parts of the foot or ankle. Swelling, worsening pain, or difficulty bearing weight can indicate a problem that needs professional attention. An accurate diagnosis helps determine which structures are involved and what treatment may be appropriate.

A podiatrist can evaluate foot pain and identify conditions affecting everyday comfort and mobility. During an examination, the podiatrist may assess foot structure, joint movement, and areas of tenderness. Imaging may be recommended when a bone or joint problem is suspected. Podiatric care is based on the diagnosis and may focus on relieving pain, improving foot function, and addressing abnormal pressure. Professional care can also help identify underlying problems before they become more difficult to manage. If persistent foot pain or changes in your mobility are making everyday activities uncomfortable, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Everyday foot care is very important to prevent infection and other foot ailments. If you need your feet checked, contact Daniel Mendoza, DPM from Nashville Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Everyday Foot Care

Often, people take care of their bodies, face and hair more so than they do for their feet. But the feet are a very important aspect of our bodies, and one that we should pay more attention to. Without our feet, we would not be able to perform most daily tasks.

It is best to check your feet regularly to make sure there are no new bruises or cuts that you may not have noticed before. For dry feet, moisturizer can easily be a remedy and can be applied as often as necessary to the affected areas. Wearing shoes that fit well can also help you maintain good foot health, as well as making it easier to walk and do daily activities without the stress or pain of ill-fitting shoes, high heels, or even flip flops. Wearing clean socks with closed shoes is important to ensure that sweat and bacteria do not accumulate within the shoe. Clean socks help to prevent Athlete’s foot, fungi problems, bad odors, and can absorb sweat.

If you have any questions, please feel free to contact our office located in Hendersonville, TN . We offer the newest diagnostic and treatment technologies for all your foot care needs.