August 2021

Diabetic foot ulcers (DFUs) are wounds that can form on the feet of people with diabetes. Due to the combination of diabetic neuropathy and poor circulation that many people with diabetes experience, these wounds can often go undetected in their early stages and tend to heal slowly and poorly. The more severe the wound, and the longer it remains untreated, the more likely it is that there will be complications. Early detection and treatment of these wounds is crucial to the overall health of a person with diabetes. Daily visual inspections of your feet can be done at home as a preventive measure to check for any abnormalities or changes in the appearance of your feet. Take note of any cuts, scrapes, sores, discoloration, or strange sensations like pain, numbness, or tingling. If you notice anything unusual, it is suggested that you schedule an appointment with a podiatrist as soon as possible.

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 Genine Befumo, DPM from University Foot and Ankle Center, L.L.C. 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 Monroe Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Your feet are made up of 26 bones. While any of these bones can be fractured, there are three foot bones in which stress fractures are particularly common. The metatarsal bones account for between 17% and 35% of all foot stress fractures. These bones are located near the front part of your foot and connect the toes to the midfoot. Metatarsal fractures are especially common among runners and dancers. The calcaneus or heel bone is the site of 21% to 28% of stress fractures. The navicular bone, which is located on the top of the foot, is also a common site of stress fractures. Stress fractures can worsen without treatment, causing pain, tenderness, swelling, bruising, and weakness that interferes with daily activities. If you suspect that you have broken a bone in your foot, please seek the care of a podiatrist. 

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact Genine Befumo, DPM from University Foot and Ankle Center, L.L.C. Our doctor can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

• Runners                                  
• People affected with Osteoporosis
• Tennis or basketball players
• Gymnasts
• High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

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

Turf toe occurs when the joint at the base of the big toe gets sprained as a result of a vigorous upward bend of the affected toe. It commonly occurs while playing sports such as football. When players are on artificial turf, the foot grips the ground, but the body goes forward and causes the toe to bend beyond its normal range. Signs you may have turf toe can include pain and swelling at the base of the big toe, pain and tenderness when stretching the ligament, and tenderness in the ball of the foot when pressing on it. Depending on the severity of the injury, recovery from turf toe can take approximately 3-4 weeks. Athletes who believe that they have turf toe should consult with a podiatrist for proper treatment.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Genine Befumo, DPM of University Foot and Ankle Center, L.L.C. Our doctor can provide the care you need to keep you pain-free and on your feet.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

• Plantar Fasciitis
• Plantar Fasciosis
• Achilles Tendinitis
• Achilles Tendon Rupture
• Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

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

Many runners know the benefits of stretching the calves. This can have a positive impact on the Achilles tendon, and may gradually lengthen the calf muscles. This can improve walking style, or gait, which is needed to maintain standing alignment. Research has indicated that stretching the calves may improve specific foot conditions that can include plantar fasciitis and bunions. An effective stretch for the calves can be done by standing on a step, and lowering one heel at a time, until a gentle stretch is felt. Additionally, when leaning into the palms that are against a wall, and keeping one leg bent and the other leg straight behind, this is known as a calf stretch that many runners practice. If you would like to know the benefits of stretching the calves, it is suggested that you consult with a podiatrist.

Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with Genine Befumo, DPM from University Foot and Ankle Center, L.L.C. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Stretching the Feet

Stretching the muscles in the foot is an important part in any physical activity. Feet that are tight can lead to less flexibility and make you more prone to injury. One of the most common forms of foot pain, plantar fasciitis, can be stretched out to help ease the pain. Stretching can not only ease pain from plantar fasciitis but also prevent it as well. However, it is important to see a podiatrist first if stretching is right for you. Podiatrists can also recommend other ways to stretch your feet. Once you know whether stretching is right for you, here are some excellent stretches you can do.

• Using a foam roller or any cylindrical object (a water bottle or soda can will do), roll the object under your foot back and forth. You should also exert pressure on the object. Be sure to do this to both feet for a minute. Do this exercise three times each.
• Similar to the previous one, take a ball, such as a tennis ball, and roll it under your foot while seated and exert pressure on it.
• Grab a resistance band or towel and take a seat. If you are using a towel, fold it length wise. Next put either one between the ball of your foot and heel and pull with both hands on each side towards you. Hold this for 15 seconds and then switch feet. Do this three times for each foot.
• Finally hold your big toe while crossing one leg over the other. Pull the toe towards you and hold for 15 seconds. Once again do this three times per foot.

It is best to go easy when first stretching your foot and work your way up. If your foot starts hurting, stop exercising and ice and rest the foot. It is advised to then see a podiatrist for help.

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

Ankle sprains occur when one or more ligaments in the ankle overstretch or tear. This usually occurs due to a sudden twisting of the ankle, or from falls or direct impacts. How long it takes to recover from an ankle sprain depends on the severity of the sprain. A Grade 1 sprain is considered mild and is characterized by minimal pain and swelling. It typically takes a few days for the injury to heal. However, while a Grade 1 sprain is healing, the ankle is in a weakened, unstable state and can be prone to re-injury. A Grade 2 sprain is moderate and is characterized by swelling, bruising, and difficulty walking. This type of sprain takes several days to weeks to heal. A Grade 3 sprain, the most severe type, is characterized by swelling, bruising, ankle instability, and an inability to bear weight on the ankle. Recovering from a Grade 3 sprain takes between 6 and 8 weeks. If you have sprained your ankle, please seek the care of a podiatrist.

Ankle sprains are common but need immediate attention. If you need your feet checked, contact Genine Befumo, DPM from University Foot and Ankle Center, L.L.C. 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?

• Mild to moderate bruising
• Limited mobility
• Swelling
• Discoloration of the skin (depending on severity)

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

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 Monroe Township, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.