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6650 Frankford Ave
Philadelphia, PA 19135

October 2024

Neuropathic ulcers are serious foot wounds often associated with conditions like diabetes. They develop as the result of nerve damage, which can reduce sensation and lead to injuries going unnoticed. Common symptoms of foot ulcers include localized redness, swelling, and a foul odor. The ulcer itself may appear as an open sore, often located on pressure points like the heel or ball of the foot. Treatment is important to prevent complications, such as infections or amputations. Initial steps include keeping the ulcer clean and dry, often using saline solutions for cleansing. Debridement, or removal of dead tissue, may be necessary to promote healing. Offloading the affected area by using specialized footwear or orthotic devices helps alleviate pressure and facilitates recovery. If you suspect you have a neuropathic foot ulcer, it is suggested you schedule an appointment with a podiatrist. This specialist can provide expert care tailored to your needs and help ensure a successful recovery.

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 John M. Fanelly, DPM from Northeast Philadelphia. 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 Philadelphia, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 15 October 2024 00:00

Wound Care

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.

Tuesday, 08 October 2024 00:00

Early Detection of Toenail Fungus

Early detection of toenail fungus is essential for effective treatment and prevention of complications. Addressing the condition in its initial stages can significantly reduce the risk of the infection spreading to other nails or worsening over time. When identified early, treatment options are generally more straightforward and less invasive, often involving topical antifungal medications. Prompt intervention also helps prevent the toenail from becoming thickened, brittle, or discolored, which can lead to more severe discomfort and difficulty in finding suitable footwear. Furthermore, early diagnosis is particularly important for individuals with underlying health conditions, such as diabetes, who are at higher risk for complications. If you see the beginning stages of toenail fungus, it is suggested that you schedule an appointment with a podiatrist who can offer you treatment remedies, which often includes prescribed medication.

For more information about treatment, contact John M. Fanelly, DPM of Northeast Philadelphia. Our doctor can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

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

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Tuesday, 08 October 2024 00:00

Toenail Fungus

Toenail fungus is a frustrating problem that affects many people. It can be persistent and hard to get rid of. As many different types of fungi are present throughout the environment, it is very easy to contract toenail fungus.  

The feet are especially susceptible to toenail fungus because shoes and socks create the ideal dark and moist environment that fungal infections thrive in. While fungal infections of the nail plate are quite common, if left untreated they can spread beyond the toenail and into the skin and other parts of the body.

Signs of toenail fungus include a thickened nail that has become yellow or brown in color, a foul smell, and debris beneath the nail. The toe may become painful due to the pressure of a thicker nail or the buildup of debris.

Treatment for toenail fungus is most effective during the early stages of an infection. If there is an accumulation of debris beneath the nail plate, an ingrown nail or a more serious infection can occur. While each treatment varies between patients, your podiatrist may prescribe you oral medications, topical liquids and creams, or laser therapy. To determine the best treatment process for you, be sure to visit your podiatrist at the first signs of toenail fungus.

Tuesday, 01 October 2024 00:00

Ingrown Toenails

An ingrown toenail is a nail that has curved downward and grown into the skin.  This typically occurs at either the nail borders or the sides of the nail.  As a result, pain, redness, swelling, and warmth may occur in the toe.  If a break in the skin forms due to the ingrown nail, bacteria may enter and cause an infection in the area; this is typically characterized by a foul odor and drainage.

Ingrown toenails have multiple reasons for developing.  In many instances, the condition is a result of genetics and is inherited.  The most common cause, however, is improper trimming; cutting the toenails too short forces the skin beside the nail to fold over.  An ingrown toenail can also develop due to trauma, such as stubbing the toe, having an object fall on the toe, or participating in activities that involve repeated kicking or running.  Wearing shoes that are too tight or too short can also cause ingrown toenails.

Treatment for an ingrown toenail varies between patients and the severity of the condition.  In most cases, it is best to see your podiatrist for thorough and proper treatment.  After examining your toe, your podiatrist may prescribe oral antibiotics to clear the infection if one is present.  Surgical removal of either a portion of the nail or the entire nail may also be considered.  In some cases, complete removal or destruction of the nail root may be required.  Most patients who undergo nail surgery experience minimal pain afterward and can return to normal activity the following day.

Ingrown toenails can be prevented with proper nail trimming and by avoiding improper-fitting shoes.  When cutting the toenails, be sure that you are cutting in a straight line and avoid cutting them too short.  Shoes should not be too short or tight in the toe box.

Tuesday, 01 October 2024 00:00

Relief Options for Ingrown Toenails

Ingrown toenails occur when the nails grow into the surrounding skin, leading to pain, redness, and possible infection. While mild cases of ingrown toenails can sometimes improve on their own, more severe or persistent cases often require medical care. A podiatrist can assess the severity of the ingrown toenail and offer specific treatment options. In advanced cases, minor surgical procedures, such as partial or total nail removal, may be necessary to alleviate pain and prevent recurrence. Ingrown toenails that become infected may also be treated with antibiotics, if needed. Early intervention can reduce the likelihood of such complications, especially for patients with diabetes or circulation issues. Regular care from a podiatrist, such as learning how to correctly trim nails and wearing shoes that fit properly, can also help. If you have a painful ingrown toenail, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact John M. Fanelly, DPM of Northeast Philadelphia. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

  • Bacterial infections
  • Improper nail cutting such as cutting it too short or not straight across
  • Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
  • Ill-fitting shoes that bunch the toes too close together
  • Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

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

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