Roy A. Rothman, DPM, PA
Podiatric Medicine and SurgeonFoot & Ankle Specialist
One of the main side effects of diabetes is the problems it can cause to your extremities, as nerves become damaged and circulation of blood to the feet and toes is blocked. The result is often peripheral neuropathy (numbness to the toes and feet), and ischemia (reduced blood flow), which can lead to peripheral artery disease (PAD). Both conditions are serious and can severely threaten the health of your toes, feet, and possibly legs. One of the most important ways to prevent or control this ailment is to regularly maintain proper foot health. Some of the actions you or a health-care worker can take is to thoroughly inspect your legs, ankles, feet, and toes for sores, blisters, redness, or swelling. Also, it’s a good idea to wear shoes that fit correctly, keep your feet clean and moisturized, change socks frequently, and avoid tight elastic that further cuts off circulation. At the first sign of swelling, redness, discoloration, or unexplained pain in your feet, it’s strongly suggested that you set up an appointment with a podiatrist who can monitor your 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 Roy Rothman, DPM from Florida. 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 office located in DeBary, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Diabetics must be wary of all wounds, regardless of depth or size. Diabetes, a chronic disease in which the body cannot properly use glucose the way it normally would, causes various complications that make wounds difficult to heal. Nerve damage or neuropathy will cause diabetics to have trouble feeling the pain of a blister or cut until the condition has significantly worsened or become infected. A diabetic’s weakened immune system can make even the most minor of wounds easily susceptible to infection. Diabetics are also more prone to developing narrow, clogged arteries, and are therefore more likely to develop wounds.
Wounds should be taken care of immediately after discovery, as even the smallest of wounds can become infected if enough bacteria build up within the wound. To remove dirt, wounds should be first rinsed under running water only. Soap, hydrogen peroxide, or iodine can irritate the injury and should be avoided. To prevent infection, apply antibiotic ointment to the wound and cover it with a bandage. The bandage should be changed daily. The skin around the wound may be cleaned with soap.
To prevent further exacerbation, see a doctor—especially if you have diabetes. Minor skin conditions can become larger problems if not properly inspected. As the wound heals, make sure to avoid applying pressure to the affected area.
The arch is the curved area in the center sole of the foot. At birth, babies do not have arches in their feet, but most will develop arches over time. Those who don’t develop arches have congenital flat feet, which are usually asymptomatic. It is also possible to develop arches normally and then lose them over time for a variety of reasons. This is known as acquired flat feet, and is often accompanied by foot pain or discomfort. But why do we have arches in the first place? The arch of the foot is a very useful structure. It helps the feet stand, stay balanced, run, walk, and jump by adding flexibility and springiness to the foot. With an arch, the foot is better able to absorb shock from physical activities, and the body’s weight is more evenly distributed around the surface of the foot. If you have flat feet and are experiencing any foot pain, please seek the care of a podiatrist.
Flatfoot is a condition many people suffer from. If you have flat feet, contact Roy Rothman, DPM from Florida. Our doctor will treat your foot and ankle needs.
What Are Flat Feet?
Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.
Conditions & Problems:
Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.
Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.
Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.
Symptoms
Treatment
If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle.
If you have any questions please feel free to contact our office located in DeBary, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Flatfoot is a foot disorder that is not as straightforward as many people believe. Various types of flatfoot exist, each with their own varying deformities and symptoms. The partial or total collapse of the arch, however, is a characteristic common to all types of flatfoot. Other signs of flatfoot include:
One of the most common types of flatfoot is flexible flatfoot. This variation usually starts in childhood and progresses as one ages into adulthood. Flexible flatfoot presents as a foot that is flat when standing, or weight-bearing. When not standing, the arch returns. Symptoms of flexible flatfoot include:
Your podiatrist will most likely diagnose flatfoot by examining your feet when you stand and sit. X-rays may be taken to define the severity and help determine the treatment option best for your condition. Nonsurgical treatments can include activity modification, weight loss, orthotics, immobilization, medications, physical therapy, shoe modifications, and ankle foot orthoses (AFO) devices. If nonsurgical methods prove ineffective, surgery may be considered. Multiple surgical procedures can correct flatfoot; and depending on your specific condition, one may be selected alone or combined with other techniques to ensure optimal results.
If your big toe joint suddenly gets hot, red, swollen, and very painful, you could be having a gout flare. Gout is an arthritic condition that develops when excessive amounts of uric acid in the body cluster and crystallize on joints—most commonly the big toe joint. Symptoms from a gout flare can last for days or weeks and then completely disappear until the next flare occurs. You may be more at risk of developing gout if you have a family history of it, or if you are male, obese, drink alcohol, eat a lot of purine-rich red meat and seafood, or have certain health conditions like diabetes, kidney issues, hypertension, congestive heart failure, diabetes and more. If you believe you may have gout, it's a good idea to make an appointment with a podiatrist who can diagnose your condition through an exam and various tests, and help relieve your pain. In severe cases, where large deposits of gout form and normal pain relief methods do not provide relief (or there is joint dysfunction), surgery may be necessary.
Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Roy Rothman, DPM from Florida. Our doctor will treat your foot and ankle needs.
What Is Gout?
Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.
People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.
Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.
If you have any questions please feel free to contact our office located in DeBary, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Gout, typically found in diabetic patients, is an unusually painful form of arthritis caused by elevated levels of uric acid in the bloodstream. The condition typically strikes the big joint on the big toe. It has also been known to strike the knees, elbows, fingers, ankles and wrists—generally anywhere that has a functioning, moving joint.
The high level of uric acid in a person’s bloodstream creates the condition known as hyperuricema—the main cause of gout. Genetic predisposition occurs in nine out of ten sufferers. The children of parents who suffer gout will have a two in ten chance of developing the condition as well.
This form of arthritis, being particularly painful, is the leftover uric acid crystallizing in the blood stream. The crystallized uric acid then travels to the space between joints where they rub, causing friction when the patient moves. Symptoms include: pain, redness, swelling, and inflammation. Additional side effects may include fatigue and fever, although reports of these effects are very rare. Some patients have reported that pain may intensify when the temperature drops, such as when you sleep.
Most cases of gout are easily diagnosed by a podiatrist’s assessment of the various symptoms. Defined tests can also be performed. A blood test to detect elevated levels of uric acid is often used as well as an x-ray to diagnose visible and chronic gout.
Treatment for gout simply means eliminating symptoms. Non-steroid anti-inflammatory drugs or NSAIDs (Colchicine and other corticosteroid drugs, etc.) will quell the redness, the swelling, and the inflammation. However, managing your diet, lifestyle changes, and using preventative drugs are all helpful toward fully combating the most severe cases.
Those that lead an inactive lifestyle are at a higher risk for gout. Any amount of exercise decreases the probability of repeat encounters with the condition. Reducing your consumption of red meat, sea food, and fructose-sweetened drinks also reduces the likelihood of chronic gout as well.
Ingesting Vitamin C, coffee, and particular dairy products can help with maintaining a healthy lifestyle. There are new drugs out on the market that inhibit the body’s production of uric acid-producing enzymes. However, reducing or eliminating your overall levels of uric acid is the best remedy to ensuring you lead a gout-free life.
Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!
There are 26 bones in the foot along with a complex network of joints, tendons, ligaments and muscles. A doctor who specializes in conditions and ailments that affect these structures, as well as the ankle, are known as podiatrists. Podiatrists can have a variety of focuses, such as surgery, wound care, sports injuries and diabetic conditions. Common issues that they often treat include heel pain (ex. plantar fasciitis or heel spurs), flat feet, sprained ankles, plantar warts, nail conditions (ingrown toenails and fungal nail infections), and corns/calluses. Conditions in the foot that cause severe pain, an inability to bear weight, swelling, numbness, an open sore, or sign of an infection should be looked at by a podiatrist.
If you are experiencing pain in the feet or ankles, don’t join the stubborn majority refusing treatment. Feel free to contact Roy Rothman, DPM from Florida. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is a Podiatrist?
Someone would seek the care of a podiatrist if they have suffered a foot injury or have common foot ailments such as heal spurs, bunions, arch problems, deformities, ingrown toenails, corns, foot and ankle problems, etc.
Podiatric Treatment
A podiatrist will treat the problematic areas of the feet, ankle or lower leg by prescribing the following:
A common podiatric procedure a podiatrist will use is a scanner or force plate which will allow the podiatrist to know the designs of orthotics. Patients are then told to follow a series of tasks to complete the treatment. The computer will scan the foot a see which areas show weight distribution and pressure points. The podiatrist will read the analysis and then determine which treatment plans are available.
If you have any questions please feel free to contact our office located in DeBary, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
A podiatrist is a Doctor of Podiatric Medicine who treats the foot, ankle, and related structures of the leg. If you are having any pain, injuries, or abnormalities in these areas, it is best that you seek help from a podiatrist.
Podiatrists complete four years of training in a podiatric medical school. Their training is like that of other physicians, and they may go on to complete a fellowship training after a residency training. Some podiatrists are board certified meaning they have advanced training, clinical experience, and have taken an exam to prove their skills. Certifying boards for podiatry are the American Board of Foot and Ankle Surgery and the American Board of Podiatric Medicine. Podiatrists may work in private practices, hospitals, clinics, or they may even become professors at colleges of podiatric medicine.
While in college, those who want to be podiatrists often take biology, chemistry, and physics classes in preparation for podiatry school. In podiatry school, students study how the bones, nerves, and muscles work together to help you move around. Additionally, they study injuries and how to properly diagnose and treat them. Admittance into podiatric medical school requires the completion of 90 semester hours of undergraduate study with a good grade point average, and acceptable scores on the MCAT (Medical College Admission Test)
Podiatrists treat many different conditions such as: aching feet, ankle pain, bunions, corns, hammertoes, fungus, ingrown toenails, plantar fasciitis, sprains and more. Common forms of treatment for these conditions are physical therapy, drugs, or surgery. Podiatrists may also recommend corrective shoe inserts, custom-made shoes, plaster casts, and strappings to correct deformities.
Even if you are someone whose feet are in generally good condition, you should still visit a podiatrist to have your feet properly exfoliated and maintained, or to make sure you are looking after your feet properly.
Sprained ankles are a common injury, particularly among athletes. They cause symptoms such as pain, swelling, a limited range of motion, and difficulty walking or bearing weight on the affected ankle. Ankle sprains occur when one or more of the ligaments in the ankle are overstretched or torn. There are two main types of ankle sprains – high ankle sprains and lateral ankle sprains. While their symptoms are similar, treatments can vary. Because of this, getting a proper diagnosis is very important. A podiatrist can diagnose the type of ankle sprain that you have by completing a thorough physical examination of the ankle. Imaging tests may also be used. If you suspect that you may have sprained your ankle, it is strongly suggested that you seek the care of a podiatrist.
Ankle sprains are common but need immediate attention. If you need your feet checked, contact Roy Rothman, DPM from Florida. Our doctor can provide the care you need to keep you pain-free and on your feet.
How Does an Ankle Sprain Occur?
Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.
What Are the Symptoms?
Preventing a Sprain
Treatment of a Sprain
Treatment of a sprain depends on the severity. Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.
If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.
If you have any questions please feel free to contact our office located in DeBary, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
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